Yıldırım Yusuf Ezel, Aydın Pınar Çetinay, Öztürk Nalan
Trabzon Of State Hospital, Department of Psychiatry, Trabzon, Turkey.
University of Health Sciences, Bakırköy Mazhar Osman Training and Research Hospital for Psychiatric and Neurological Diseases, Department of Psychiatry, İstanbul, Turkey.
Noro Psikiyatr Ars. 2023 Feb 26;60(1):55-61. doi: 10.29399/npa.28144. eCollection 2023.
Electroconvulsive Therapy (ECT) is an effective and safe treatment method used in the treatment of various psychiatric diseases. However, negative attitudes associated with ECT are common. This causes many negative consequences, from the treatment preference to treatment response and stigma. In this study, we aimed to carry out a validity-reliability analysis of the ECT Perception and Knowledge Scale (ECT-PK), which was developed to determine the perception and knowledge levels related to ECT, and adapt it to Turkish.
The Turkish adaptation of the ECT-PK was made using the translation-retranslation method. Our study included 50 patients with schizophrenia, 50 patients with bipolar disorder, 50 patients with major depression who met the remission criteria determined separately for each disorder, and 150 healthy controls.. To measure test-retest reliability, the scale was re-applied to 30 patients randomly selected from the patient group 14-21 days after the first application of the scale.
In our study, a significant difference was found in both the patient and control groups in terms of the history of ECT application in the past and the status of accepting ECT application when recommended, and the perception and knowledge subscales of the ECT-PK. These results support the construct and criterion validity of the ECT-PK. Cronbach's alpha coefficient was found to be 0.85 for the perception subscale and 0.78 for the knowledge subscale. The intra-class correlation coefficient used to evaluate the test-retest reliability was 0.86 for the perception scale and 0.83 for the knowledge subscale.
It has been shown that the ECT-PK is a valid and reliable measurement tool that can be used to measure the perception and knowledge levels related to ECT in both clinical and non-clinical groups.
电休克治疗(ECT)是用于治疗各种精神疾病的一种有效且安全的治疗方法。然而,与ECT相关的负面态度很常见。这会导致许多负面后果,从治疗偏好到治疗反应以及污名化。在本研究中,我们旨在对电休克治疗认知与知识量表(ECT-PK)进行效度-信度分析,该量表是为确定与ECT相关的认知和知识水平而编制的,并将其改编为土耳其语版本。
采用翻译-再翻译法对ECT-PK进行土耳其语改编。我们的研究纳入了50例精神分裂症患者、50例双相情感障碍患者、50例符合各疾病单独确定的缓解标准的重度抑郁症患者以及150名健康对照者。为测量重测信度,在量表首次应用14 - 21天后,对从患者组中随机选取的30例患者再次应用该量表。
在我们的研究中,患者组和对照组在过去ECT应用史、被推荐时接受ECT应用的情况以及ECT-PK的认知和知识子量表方面均存在显著差异。这些结果支持了ECT-PK的结构效度和效标效度。认知子量表的克朗巴哈α系数为0.85,知识子量表为0.78。用于评估重测信度的组内相关系数,认知量表为0.86,知识子量表为0.83。
已表明ECT-PK是一种有效且可靠的测量工具,可用于测量临床和非临床群体中与ECT相关的认知和知识水平。