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[强迫症的维度研究方法:具有土耳其心理测量特性的维度强迫症量表]

[Dimensional Approach to Obsessive-Compulsive Disorder: Dimensional Obsessive-Compulsive Scale with Turkish Psychometric Properties].

作者信息

Şafak Yasir, Say Öcal Derya, Özdel Kadir, Kuru Erkan, Örsel Sibel

出版信息

Turk Psikiyatri Derg. 2018 Summer;29(2):122-130.

Abstract

OBJECTIVE

The Dimensional Obsessive Compulsive Scale (DOCS) is a measurement tool that examines the severity of thematically distinct symptom domains of obsessive compulsive disorder (OCD). In this study we assess psychometric properties of the Turkish version of DOCS.

METHODS

Ninety-six patients who presented consecutively to the Dışkapı Yıldırım Beyazıt Teaching and Research Hospital outpatient unit and who were diagnosed with OCD according to the DSM-IV-TR criteria were enrolled in the study. The DOCS, Yale-Brown Obsessive Compulsive Scale (YBOCS), and Padua Inventory (PI) were completed by the participants. Internal consistency was estimated using Cronbach’s Alpha values and item-total correlations. Principal component analyses with Varimax rotation were used to assess latent factor structure .

RESULTS

Explanatory Factor Analyses (EFA) revealed a 4-factor solution for the DOCS. Chronbach’s alpha values for the whole scale, “contamination” sub-scale, “responsibility” sub-scale, “unacceptable thoughts”, and “symmetry” sub-scales were 0.874, 0.932, 0.933, 0.948, 0.921, respectively. There was a high correlation between both total scores and sub-scales scores of DOCS, YBOCS and PI.

CONCLUSIONS

Internal consistencies were good for the total scale and excellent for the sub-scales. The factor structure and the contents of the factors were perfectly in line with the original scale (i.e. 4 factor). Positive correlations between DOCS, its sub-scales, and similar OCD scales suggest that the DOCS accurately measures the structures it claims to assess. Thus the DOCS Turkish version can measure dimensional obsessive compulsive symptoms among the Turkish speaking OCD population.

摘要

目的

维度强迫症量表(DOCS)是一种用于检查强迫症(OCD)主题不同症状领域严重程度的测量工具。在本研究中,我们评估了DOCS土耳其语版本的心理测量特性。

方法

连续就诊于迪什卡皮·耶尔德勒姆·贝亚齐特教学与研究医院门诊且根据DSM-IV-TR标准被诊断为强迫症的96名患者纳入本研究。参与者完成了DOCS、耶鲁-布朗强迫症量表(YBOCS)和帕多瓦量表(PI)。使用克朗巴赫α值和项目-总分相关性估计内部一致性。采用主成分分析和方差最大化旋转来评估潜在因子结构。

结果

解释性因子分析(EFA)揭示了DOCS的四因子解决方案。整个量表、“污染”子量表、“责任”子量表、“不可接受的想法”和“对称”子量表的克朗巴赫α值分别为0.874、0.932、0.933、0.948、0.921。DOCS、YBOCS和PI的总分及子量表得分之间存在高度相关性。

结论

总量表的内部一致性良好,子量表的内部一致性极佳。因子结构和因子内容与原量表完全一致(即四因子)。DOCS及其子量表与类似的强迫症量表之间的正相关表明,DOCS准确地测量了它所声称要评估的结构。因此,DOCS土耳其语版本可以测量说土耳其语的强迫症患者群体中的维度强迫症状。

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