Department of Psychiatry, Division of Consultation-Liaison Psychiatry, Faculty of Medicine, Ankara University, Ankara, Turkey
Department of Psychiatry, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital,University of Health Sciences, Ankara, Turkey
Turk J Med Sci. 2019 Aug 8;49(4):1236-1242. doi: 10.3906/sag-1812-164.
BACKGROUND/AIM: It is of crucial importantance to be able to detect acute psychological distress in patients. The Intensive Care Psychological Assessment Tool (IPAT) was developed for this purpose in intensive care units. This study aims to evaluate the validity and reliability of the Turkish version of IPAT.
In total, 98 patients were included. To assess concurrent validity, the Intensive Care Experiences Scale (ICES) and the Hospital Anxiety Depression Scale were performed. Cronbach’s alpha coefficient was used to estimate internal consistency. Interitem and item-total score correlations were also performed. Sensitivity and specificity were derived for concurrent anxiety and depression.
The internal reliability was good. Cronbach’s a = 0.85. Items were well-correlated, with an average interitem correlation of 0.38. The concurrent validity of IPAT was good. Correlation between IPAT scores, anxiety, depression, ICES, and the diagnosis of delirium were as follows, respectively: r = 0.61, P < 0.01, r = 0.54, P < 0.01, r = −0.66, P < 0.01, r = 0.37, P < 0.01. With a cutoff score of ≥ 6, IPAT showed 85% sensitivity and 61% specificity to detect concurrent anxiety, and 74% sensitivity and 82% specificity to detect concurrent depression [AUC = 0.77 (95% CI, 0.68–0.87) and 0.84 (95% CI, 0.76–0.92), respectively].
The Turkish version of IPAT was found to be a valid and reliable tool to assess acute psychological distress among patients in intensive care units.
背景/目的：能够检测患者的急性心理困扰至关重要。为此，在重症监护病房开发了重症监护心理评估工具（IPAT）。本研究旨在评估 IPAT 的土耳其语版本的有效性和可靠性。
共纳入 98 例患者。为了评估同时效度，进行了重症监护体验量表（ICES）和医院焦虑抑郁量表评估。采用克朗巴赫 α 系数评估内部一致性。还进行了条目间和条目总分相关性分析。得出了同时焦虑和抑郁的敏感性和特异性。
内部可靠性良好。克朗巴赫 α = 0.85。条目相关性良好，平均条目间相关性为 0.38。IPAT 的同时效度良好。IPAT 评分与焦虑、抑郁、ICES 和谵妄诊断之间的相关性分别为：r = 0.61，P < 0.01，r = 0.54，P < 0.01，r = −0.66，P < 0.01，r = 0.37，P < 0.01。截断值为≥6 时，IPAT 检测同时焦虑的敏感性为 85%，特异性为 61%，检测同时抑郁的敏感性为 74%，特异性为 82%[AUC = 0.77（95%CI，0.68–0.87）和 0.84（95%CI，0.76–0.92）]。
土耳其语版 IPAT 是一种有效且可靠的工具，可用于评估重症监护病房患者的急性心理困扰。
