Aybike ŞENEL, Tansu BİRİNCİ, Derya İPEKÇİOĞLU, Haluk YEŞİLKAYA, Ebru KAYA MUTLU

YAYGIN RUHSAL BOZUKLUKLARDA TÜRKÇE BASİT FİZİKSEL AKTİVİTE ANKETİ’NİN KÜLTÜREL ADAPTASYON, GEÇERLİK VE GÜVENİRLİK ÇALIŞMASI

Amaç: Bu çalışmanın amacı, sık görülen ruhsal bozukluğu olan hastalarda Basit Fiziksel Aktivite Anketi (BFAA)’nin Türkçe versiyonunun geçerlik ve güvenirliğini değerlendirmektir. Yöntem: Bu çalışmaya toplam seksen bir hasta (ortalama yaş: 40,14±13,05 yıl) dâhil edildi. Katılımcıların fiziksel aktivite düzeylerini ve sedanter davranışlarını değerlendirmek için BFAA’nın Türkçe versiyonu kullanıldı. Tanımlayıcı veri olarak kullanılmak üzere ruh sağlığı semptomatolojisini değerlendirmek için DSM-5 Birinci Düzey Kesitsel Belirti Ölçeği Türkçe Erişkin Formu, ölçeğin geçerliliğini test etmek için ise Uluslararası Fiziksel Aktivite Anketi-Kısa Formu (UFAA-KF) ve Kısa Psikiyatrik Değerlendirme Ölçeği (KPDÖ) kullanıldı. Sonuçlar: BFAA’nın maddeleri için mükemmel interkorrelasyon katsayısı (ICC) değerleri tespit edildi (yatakta geçirilen süre: 0,93 (95% CI: 0,90-0,96); sedanter geçirilen süre: 0,87 (95% CI: 0,80-0,92); yürüme süresi: 0,98 (95% CI: 0,98-0,99); egzersiz süresi: 0,99 (95% CI: 0,99-0,99) ve diğer aktivitelerle geçirilen süre: 0,95 (95% CI: 0,92-0,97)). Sedanter geçirilen süre (rho=0,641, p=0,001) ve yürüme süresi (rho=0,564, p=0,001) açısından UFAA-KF ile orta düzeyde ilişkili bulunan BFAA’nın iyi yapı geçerliğine sahip olduğu gösterildi. Bununla birlikte, KPDÖ’nün, BFAA’nın yalnızca sedanter geçirilen süre maddesi ile anlamlı bir korelasyona sahip olması (rho=0,246, p=0,022), yapı geçerliğinin zayıf olduğunu gösterdi. Tartışma: BFAA, sık görülen ruhsal bozukluğu olan hastalarda fiziksel aktivite düzeyini ve sedanter davranışı hızlı bir şekilde değerlendirmek için anlamsal ve dilsel olarak yeterlidir.

Anahtar Kelimeler:

fiziksel aktivite, sedanter davranış, ruhsal hastalıklar, anket

THE CULTURAL ADAPTATION, RELIABILITY AND VALIDITY OF THE TURKISH VERSION OF THE SIMPLE PHYSICAL ACTIVITY QUESTIONNAIRE IN COMMON MENTAL DISORDERS

Purpose: This study aims to evaluate the validity and reliability of the Turkish version of the Simple Physical Activity Questionnaire (SIMPAQ-T) in patients with common mental disorders. Methods: A total of eighty-one patients (mean age: 40.14±13.05 years) were included in this study. The SIMPAQ-T was used to evaluate the participants' physical activity levels and sedentary behaviors. To be used as descriptive data, DSM-5 Level 1 Cross-Cutting Symptom Measure-Adult was used to evaluate mental health symptomatology. International Physical Activity QuestionnaireShort Form (IPAQ-SF) and Brief Psychiatric Rating Scale (BPRS) were used to test the validity of the questionnaire. Results: The items of the SIMPAQ-T exhibited excellent intercorrelation coefficient (ICC) values (time spent in bed (0.93 (95% CI: 0.90-0.96)), sedentary time 0.87 (95% CI: 0.80-0.92), walking time 0.98 (95% CI: 0.98-0.99), exercise time 0.99 (95% CI: 0.99-0.99), and incidental activity time 0.95 (95% CI: 0.92-0.97)). The SIMPAQ-T was moderately correlated with IPAQ-SF in terms of sedentary (rho=0.641, p=0.001) and walking time (rho=0.564, p=0.001), indicating good construct validity. However, the BPRS had a significant correlation with only the sedentary time of the SIMPAQ (rho=0.246, p=0.022), indicating convergent validity was poor. Conclusion: The SIMPAQ-T is semantically and linguistically adequate to quickly assess physical activity level and sedentary behavior in patients with common mental disorders.

Keywords:

mental disorder, physical activity, sedentary behavior, questionnaire,

PDF

___

Barreto PDS. Global health agenda on non-communicable diseases: has WHO set a smart goal for physical activity? BMJ. 2015;350:h23.
Dunn AL, Jewell JS. The effect of exercise on mental health. Curr Sports Med Rep. 2010; 8(2): 106
De Hert M, Correll CU, Bobes J, Cetkovich-Bakmas M, Cohen D, Asai I, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011; 10(1):52-77
Lubans D, Richards J, Hillman C, Faulkner G, Beauchamp M, Nilsson M, et al. Physical activity for cognitive and mental health in youth: a systematic review of mechanisms. Pediatrics. 2016; 138(3):e20161642
Vancampfort D, Firth J, Schuch FB, Rosenbaum S, Mugisha J, Hallgren M, et al. Sedentary behavior and physical activity levels in people with schizophrenia, bipolar disorder and major depressive disorder: a global systematic review and meta-analysis. World Psychiatry. 2017; 16(3):308-315
Stanton R, Rosenbaum S, Kalucy M, Reaburn P, Happell B. A call to action: exercise as treatment for patients with mental illness. Aust J Prim Health. 2015; 21(2).
Bailey AP, Hetrick SE, Rosenbaum S, Purcell R, Parker AG. Treating depression with physical activity in adolescents and young adults: a systematic review and meta-analysis of randomised controlled trials. Psychol Med. 2018; 48(7):1068-1083
Ashdown-Franks G, Sabiston CM, Stubbs B. The evidence for physical activity in the management of major mental illnesses. Curr Opin Psychiatry. 2019; 32(5):375-380.
Pascoe M, Bailey AP, Craike M, Carter T, Patten R, Stepto N, et al.. Physical activity and exercise in youth mental health promotion: a scoping review. BMJ Open Sport Exerc. Med 2020; 23;6(1):e000677.
Morgan AJ, Parker AG, Alvarez-Jimenez M, Jorm AF. Exercise and mental health: an exercise and sports science Australia commissioned review. J Exerc Physiol Online. 2013; 16 (4): 64–73.
Teychenne M, Whit RL, Richards J, Schuch F, Rosenbaum S, Bennie J. Do we need physical activity guidelines for mental health: what does the evidence tell us? Ment Health Phys Act. 2020; 18: 100315
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al.. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35(8):1381-95.
Resnicow K, McCarty F, Blissett D, Wang T, Heitzler C, Lee RE. Validity of a modified champs physical activity questionnaire among african-americans. Med Sci Sports Exerc. 2003; 35(9):1537-45.
Herrmann SD, Heumann KJ, Der Ananian CA, Ainsworth BE. Validity and reliability of the global physical activity questionnaire (GPAQ). Meas Phys Educ Exerc Sci. 2013; 14(1): 1255.
Duncan MJ, Arbour-Nicitopoulos K, Subramanieapillai M, Remington G, Faulkner G. Revisiting the international physical activity questionnaire (IPAQ): assessing physical activity among individuals with schizophrenia. Schizophr Res. 2017; 271:311-318.
Vancampfort D, De Hert M, Myin‐Germeys I, Rosenbaum S, Stubbs B, Van Damme T, et al.. Validity and correlates of the international physical activity questionnaire in first‐episode psychosis. Early Interv Psychia. 2019; 13(3):562-567.
Rosenbaum S, Morell R, Abdel-Baki A, Ahmadpanah M, Anilkumar TV, Baie L, et al. Assessing physical activity in people with mental illness: 23-country reliability and validity of the simple physical activity questionnaire (SIMPAQ). BMC Psychiatry. 2020; 20:108.
Schilling R, Schärli E, Fischer X, Donath L, Faude O, Brand S, et al. The utility of two interview-based physical activity questionnaires in healthy young adults: comparison with accelerometer data. PLOS ONE. 2018; 13(9): e0203525.
Wild D, Grove A, Martin M, Eremenco S, Mcelroy S, Verjee-Lorenz A, et al.. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value in Health. 2005; 8(2):94-104
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE et al.. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35(8):1381-95.
Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010; 111(1):278-84.
Overall JE, Gorham DR. The Brief Psychiatric Rating Scale. Psychol Rep 1962; 10 (3): 799–812.
Soykan C. (1989). Institutional Differences and Case Typicality as Related to Diagnosis System Severity, Prognosis and Treatment (Unpublished doctoral dissertation). Middle East Technical University, Ankara.
American Psychiatric Association, DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5™. 5th ed. American Psychiatric Publishing, Inc.; 2013.
Cokmus FP, Balikci K, Aydemir O, Akdeniz F, Suculluoglu Dikici D, Yuzeren S, et al. Reliability and validity of turkish form of dsm-5 self-rated level 1 cross-cutting symptom scale-adult version. Anadolu Psikiyatri Dergisi. 2017; 18(2):5-12
Arifin WN. A web-based sample size calculator for reliability studies. Med Educ. 2018; 10(3):67–76
Witz K, Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavioral sciences. J Educ Stat. 1990;
Firth J, Siddiqi N, Koyanagi A, Siskind D, Rosenbaum S, Galletly C, et al. The lancet psychiatry commission: a blueprint for protecting physical health in people with mental illness. Lancet Psychiatry. 2019; 6(8):675-712.
Singh SM, Surendran I, Jain S, Sharma A, Dua D, Shouan A, et al. The prevalence of non-communicable disease risk factors in community-living patients with psychiatric disorders: a study from North India. Asian J Psychiatr. 2019; 41:23-27.
Schuch F, Vancampfort D, Firth J, Rosenbaum S, Ward P, Reichert T, et al. Physical activity and sedentary behavior in people with major depressive disorder: a systematic review and meta-analysis. J Affect Disord. 2017;210:139-150
Iriti M, Varoni EM, Vitalini S. Healthy diets and modifiable risk factors for non-communicable diseases—the European perspective. Foods. 2020; 9(7):940
Nunnally JC, Bernstein IR. Psychometric theory. 3rd ed. New York: McGraw-Hill: 1994.
Vancampfort D, Basangwa D, Kimbowa S, Firth J, Schuch F, Van Damme T, et al. Test–retest reliability, validity, and correlates of the 2-min walk test in outpatients with depression. Physiother Res Int. 2020; 25 (2): e1821