İncekaş Gassaloğlu Seçil, Baykara Burak, Avcil Sibelnur, Demiral Yücel
Turk Psikiyatri Derg. 2016 Winter;27(4):266-274.
The purpose of this study is to expand validity and reliability analysis of Turkish Version of Childhood Autism Rating Scale (CARS), whose internal consistency,content validity and discriminant validity for a limited size of sample group were examined by Sucuoğlu et al.
96 children and adolescents aged between 4-18, (48 diagnosed with pervasive developmental disorder (PDD) and 48 diagnosed with mental disability (MD) and developmental delay based on DSM-IV-TR criteria,) were included in the study. Regarding reliability analysis of Turkish Version of the scale; Cronbach's alpha values as internal consistency indicator, inter-rater reliability, and test-retest reliability were calculated. Principal components analysis and Varimax rotation were used in order to determine factors. The scale was compared with Autism Behavior Checklist and Clinical Global Impression-Severity of Illness. The most appropriate cut-off point was determined for CARS by conducting ROC analysis.
As a result of principal components analysis and Varimax rotation, one component factor was obtained. Correlations between CARS and the other scales were statistically significant. The Cronbach's alpha value of total score of the scale was determined as 0,95. Test-retest reliability (r=0,98, p<0,01), and inter-rater reliability (r=0,98, p<0,01) were determined for total score of the scale. The cut-off point of the scale was 29,5.
All of these results support that the scale adapted into Turkish is a valid and reliable assessment instrument.
本研究旨在拓展土耳其语版儿童自闭症评定量表(CARS)的效度和信度分析,Sucuoğlu等人已对该量表在有限样本组中的内部一致性、内容效度和区分效度进行了检验。
本研究纳入了96名4至18岁的儿童和青少年(48名被诊断为广泛性发育障碍(PDD),48名根据《精神疾病诊断与统计手册》第四版修订版(DSM-IV-TR)标准被诊断为智力残疾(MD)和发育迟缓)。关于该量表土耳其语版的信度分析,计算了作为内部一致性指标的克朗巴哈系数值、评分者间信度和重测信度。采用主成分分析和方差最大化旋转来确定因素。将该量表与自闭症行为检查表和临床总体印象-疾病严重程度进行比较。通过进行ROC分析确定CARS最合适的截断点。
主成分分析和方差最大化旋转的结果显示,得到了一个成分因子。CARS与其他量表之间的相关性具有统计学意义。该量表总分的克朗巴哈系数值确定为0.95。量表总分的重测信度(r = 0.98,p < 0.01)和评分者间信度(r = 0.98,p < 0.01)得以确定。该量表的截断点为29.5。
所有这些结果均支持,改编为土耳其语的该量表是一种有效且可靠的评估工具。