Validity of The Turkish Version of The Inflammatory Bowel Disease Distress Scale

Öz

In inflammatory bowel disease, patients may experience psychological distress due to the impact of symptoms and side effects of treatment on daily life. The aim of this study is to adapt the Inflammatory Bowel Disease Distress Scale (IBD-DS) into the Turkish langugae. This methodological study was conducted with 160 IBD patients admitted to gastroenterology outpatient clinics in a city in Türkiye. For the linguistic validity of the IBD-DS, forward-backward-translation and expert opinion methods were used. For reliability analysis, Cronbach's alpha and test-retest analysis were performed. The Kessler Psychological Distress Scale (K10) and the Hospital Anxiety and Depression Scale (HADS) were used to assess construct validity. The mean IBD-DS score was 54.64±40.99 (0-155). Internal consistency analysis yielded a reliability coefficient of Cronbach's alpha of 0.963, and correlations between the items and the total score ranged from 0.378 to 0.816. Good intraclass correlation (ICC) was found between test-retest scores (ICC, 0.99; 95% confidence interval, .994-1.0). It was found that IBD-DS scores were moderately to strongly correlated with the K10 (r=0.467, p<.001) and HADS (r=0.516, p<.001) scales. The Turkish version of the IBD-DS has been found to be a psychometrically adequate scale for use in the Turkish population.

Anahtar Kelimeler

• inflammatory bowel disease
• distress
• inflammatory bowel disease distress scale
• reliability
• validity

İnflamatuar Bağırsak Hastalığı Sıkıntı Ölçeği'nin Türkçe Geçerlik ve Güvenirliği

Öz

İnflamatuar bağırsak hastaları semptomların ve tedavinin yan etkilerinin günlük yaşam üzerindeki etkisi nedeniyle psikolojik sıkıntı yaşayabilirler. Bu çalışmanın amacı, İnflamatuar Bağırsak Hastalığı Sıkıntı Ölçeği'ni (İBH-SÖ) Türk diline uyarlamaktır. Bu metodolojik çalışma Türkiye’deki bir şehirde gastroenteroloji polikliniklerine başvuran 160 İBH hastası ile yürütülmüştür. İBH-SÖ'nün dilsel geçerliği için ileri-geri çeviri ve uzman görüşü yöntemleri kullanılmıştır. Güvenirlik analizi için Cronbach alfa ve test-tekrar test analizleri yapılmıştır. Yapı geçerliğini değerlendirmek için Kessler Psikolojik Sıkıntı Ölçeği (K10) ve Hastane Anksiyete ve Depresyon Ölçeği (HADS) kullanılmıştır. Ortalama İBH-SÖ puanı 54.64±40.99 (0-155) bulunmuştur. İç tutarlılık analizinde Cronbach alfa güvenilirlik katsayısı 0,963 olarak bulunmuş ve maddeler ile toplam puan arasındaki korelasyonlar 0,378 ile 0,816 arasında değişmiştir. Test-tekrar test puanları arasında iyi bir korelasyon (ICC) bulunmuştur (ICC, 0.99; %95 güven aralığı, .994-1.0). İBH-SÖ puanlarının K10 (r=0.467, p<.001) ve HADS (r=0.516, p<.001) ölçekleri ile orta ila güçlü korelasyon gösterdiği bulunmuştur. İBH-SÖ'nün Türkçe versiyonu, Türk popülasyonunda kullanım için psikometrik açıdan yeterli bir ölçek olarak bulunmuştur.

Anahtar Kelimeler

• inflamatuar bağırsak hastalığı
• sıkıntı
• inflamatuvar bağırsak hastalığı sıkıntı ölçeği
• güvenirlik
• geçerlik

Kaynakça

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