Cüneyt EVREN, Selime ÇELİK, Bilge EVREN, Reside AKSOY

Validation study of the turkish version of the obsessive–compulsive drinking scale in male alcohol dependent inpatients

Amaç: Anton, Moak ve Latham (1995), görüşmeci temelli ölçeği (Yale–Brown Obsesif Kompulsif İçme Ölçeği: YBOCS-hd) değiştirerek, 14 maddeden oluşan ve hem toplam aşermeyi hem de obsesif ve kompulsif komponentlerini değerlendiren Obsesif–Kompulsif İçme Ölçeğini (OCİÖ) geliştirmişlerdir. Bu çalışmanın amacı, OKİÖ’nin Türkçe tercümesinin geçerlilik, güvenirlik ve faktöryal yapısını yatarak tedavi gören erkek alkol bağımlılarında belirlemektir. Yöntem: Çalışmaya, Bakırköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi AMATEM’de (Alkol ve Madde Bağımlılığı Araştırma Tedavi ve Eğitim Merkezi), Ağustos 2008 ile Mart 2009 tarihleri arasında, yatarak tedavi gören ardışık 155 erkek alkol bağımlısı hasta alınmıştır. Hastalara OKİÖ, Michigan Alkol Tarama Testi (MATT), Penn Alkol Aşerme Ölçeği (PAAÖ) ve Görsel Analog Ölçeği (GAÖ) uygulanmıştır. OKİÖ’nin Türkçe versiyonunun iç güvenirliği Cronbach alfa testi ve geçerlilik araştırması ise, PAAÖ kullanılarak yapılmıştır. Hollanda (D) ve Fransa (F) yöntemlerine göre 10 ve 14 maddelik çözümler hesaplanmış ve sonuçlar D, F ve İtalya çalışmaları ile karşılaştırılmıştır. Bulgular: Ölçeğin hem 10 hem de 14 maddelik halleri orjinal ölçeklerle uyumlu bulunmuştur. Alkol bağımlılarında iç güvenirlik katsayısı (Cronbach alfa), “Obsesif-D” ölçeği için 0.83, “Kompulsif-D” ölçeği için 0.84, “OKİÖ-D” için 0.89, “Obsesif-F” ölçeği için 0.81, “Kompulsif-F” ölçeği için 0.77 ve “OKİÖ-F” için 0.86 idi. Tüm maddeler için düzeltilmiş madde-toplam korelasyon değerleri, OKİÖ-D için 0.49 ile 0.75 (p

Obsesif–kompulsif içme ölçeğinin Türkçe şeklinin yatarak tedavi gören erkek alkol bağımlılarında geçerlilik ve güvenirlik çalışması

Validation study of the Turkish version of the obsessive–compulsive drinking scale in male alcohol dependent inpatients Objective: By modifying an interview-based questionnaire (Yale–Brown Obsessive Compulsive Drinking Scale: YBOCS-hd), Anton, Moak, and Latham (1995) developed a self-administered questionnaire consisting of 14 queries, the Obsessive–Compulsive Drinking Scale (OCDS), which includes items to evaluate both total craving and its obsessive and compulsive components. The aim of this study was to determine the reliability and validity and factorial structure of the Turkish translation of the Obsessive–Compulsive Drinking Scale (OCDS) in male alcohol dependent inpatients. Method: The study was conducted with hospitalized patients between August 2008 and March 2009 in Bakirkoy State Hospital for Mental Health and Neurological Disorders, AMATEM (Alcohol and Drug Research, Treatment and Education Center) in Istanbul. Participants were 155 consecutively admitted male alcohol dependents. Patients were investigated with the OCDS, the Michigan Alcohol Screening Test (MAST), the Penn Alcohol Craving Scale (PACS) and the Visual Analog Scale (VAS). The internal consistency of the Turkish version of OCDS was evaluated by the Cronbach’s Alpha test, and for validity investigation, the PACS is used. Calculation of both 10 and 14 item solutions according to Dutch (D) and French (F) method and comparison of the results with D, F and Italian studies were done. Results: Turkish version of the both 10 item and 14 item solutions were found to be compatible with original scales. In alcohol dependents, the internal consistency coefficient (Cronbach’s alpha) was 0.83 for “Obsessive-D” scale, 0.84 for “Compulsive-D” scale, 0.89 for “OCDS-D”, 0.81 for “Obsessive-F” scale, 0.77 for “Compulsive-F” scale and 0.86 for “OCDS-F”. For each of the items, the corrected item-total correlation values were between 0.49 and 0.75 (p<0.001) for OCDS-D, whereas they were between 0.52 and 0.78 (p<0.001) for OCDS-F. Test–retest correlations were 0.64 for “Obsessive-D” scale, 0.74 for “Compulsive-D” scale, 0.75 for “OCDS-D”, 0.65 for “Obsessive-F” scale, 0.72 for “Compulsive-F” scale, 0.74 for “OCDS-F”. Subscale and total scores of OCDS-D and OCDS-F were correlated significantly with MAST, PACS and amount of drinks per day (p<0.001). Discussion: Results which were obtained in this study suggests that the both 10 and 14 item Turkish versions of the OCDS are reliable and valid for alcohol dependent inpatients. Also Turkish version of the scale was found to be compatible with the results of Dutch, French and Italian studies, although 10 item solution did not show superiority to 14 item solution.

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