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土耳其版精神病风险综合征结构化访谈(SIPS)及作为预测试风险富集的SIPS简短版本提案

Turkish Version of Structured Interview of Psychosis-Risk Syndromes (SIPS) and Proposal of a Brief Version of SIPS as a Pretest Risk Enrichment.

作者信息

Tonyali Ayşegül, Karaçetin Gül, Kanik Arzu, Ertaş Elif, Karabağ Uğur, Umut Öykü, Çiray Oğulcan, Özkan Bedriye, Ermiş Çağatay

机构信息

Department of Child and Adolescent Psychiatry, University of Health Sciences, Bakirkoy Prof Dr. Mazhar Osman Mental Health and Disorders Training and Research Hospital, İstanbul, Turkey.

Department of Biostatistics, University of Health Sciences, Mersin, Turkey.

出版信息

Noro Psikiyatr Ars. 2022 May 14;59(2):139-146. doi: 10.29399/npa.27793. eCollection 2022.

Abstract

INTRODUCTION

The Structured Interview of Psychosis Risk Syndromes (SIPS) was created to identify patients with Clinical High Risk for psychosis (CHR). This study aimed i) to translate and validate the Scale of Prodromal Syndromes (SOPS) in Turkish adolescents, ii) to explore the factor structure of the SIPS/SOPS in the adolescent population, especially focusing on those under the age of 15, iii) to generate a brief version of SIPS (SIPS-B).

METHODS

A total of 150 adolescents aged between 12 and 18 years, were consecutively interviewed using SIPS/SOPS. Patients with psychotic syndrome (n=20), psychosis risk syndrome (PRS) (n=59), and clinical controls (CC) (n=71) were included in the study.

RESULTS

Principal component analysis (PCA) yielded three latent factors, explaining 62.7% of the total variance in the whole clinical sample, including positive symptom factor, disorganized symptom factor, and negative symptom factor. The area under curve calculated in ROC analyses involving PRS and CC supported the four-item form of the SIPS-B (optimal cut-off=12.5, sensitivity=87%, specificity=80%).

CONCLUSION

Our study results support the notion that the Turkish translation of SIPS/SOPS meets the reliability and validity criteria in Turkish adolescents. The SIPS-B could aid clinicians in their routine clinical practice to expedite referral procedures.

摘要

引言

精神病风险综合征结构化访谈(SIPS)旨在识别有精神病临床高危风险(CHR)的患者。本研究旨在:i)将前驱症状量表(SOPS)翻译成土耳其语并在土耳其青少年中进行验证;ii)探索青少年人群中SIPS/SOPS的因子结构,尤其关注15岁以下的青少年;iii)生成SIPS的简短版本(SIPS-B)。

方法

使用SIPS/SOPS对150名年龄在12至18岁之间的青少年进行连续访谈。研究纳入了患有精神病综合征的患者(n = 20)、精神病风险综合征(PRS)患者(n = 59)和临床对照(CC)(n = 71)。

结果

主成分分析(PCA)产生了三个潜在因子,解释了整个临床样本中总方差的62.7%,包括阳性症状因子、紊乱症状因子和阴性症状因子。在涉及PRS和CC的ROC分析中计算的曲线下面积支持SIPS-B的四项形式(最佳截断值 = 12.5,敏感性 = 87%,特异性 = 80%)。

结论

我们的研究结果支持以下观点,即SIPS/SOPS的土耳其语翻译在土耳其青少年中符合可靠性和有效性标准。SIPS-B可以帮助临床医生在日常临床实践中加快转诊程序。

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