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Yas Bozukluğu Ölçeği Türkçe Versiyonu: Uyarlanması ve Psikometrik Özellikleri

Year 2025, Volume: 17 Issue: Supplement 1, 294 - 302

Abstract

Amaç: Yas Bozukluğu Ölçeği, yasa bağlı biyopsikososyal işlevsellikte bozulmanın hızlı ve esnek tanısı için geliştirilmiştir. Bu çalışmanın amacı, Yas Bozukluğu Ölçeği'nin Türkçe versiyonunun psikometrik özelliklerini değerlendirmektir.
Yöntem: Bu metodolojik çalışma Türkiye'de 197 yetişkinle yürütülmüştür. Çalışma sürecinde Dünya Sağlık Örgütü'nün çeviri-geri çeviri protokolü takip edilmiş olup, İçerik Geçerlilik İndeksi (CVI), Keşfedici Faktör Analizi (EFA), Doğrulayıcı Faktör Analizi (CFA) yapılmış ve Cronbach alfa değeri değerlendirilmiştir.
Bulgular: Ölçeğin CVI değeri 0.94 olarak bulunmuştur. EFA, toplam varyansın %63.54'ünü açıklayan beş maddeden oluşan tek faktörlü bir yapı ortaya koymuştur. CFA, bu yapıyı kabul edilebilir model uyum indeksleriyle desteklemiştir (χ²/sd = 7.79, RMSEA = 0.19, CFI = 0.94, GFI = 0.93, NFI=0.94, SRMR = 0.05). RMSEA ve χ²/sd değerleri beklenen değerlerden yüksek bulunmuştur. Bu nedenle modifikasyon önerileri doğrultusunda madde 2 ile madde 1 arasına hata kovaryansı eklenmiştir. Bu işlem sonucunda modelin uyum indeksi değerlerinin kabul edilebilir olduğu görülmüştür (χ²=1.00, sd=4, χ²/sd= 0.25 RMSEA=0.00, CFI =1.00, GFI=1.00, NFI 1.00=, SRMR =0.007). Ölçeğin güçlü iç tutarlılığa sahip olduğu belirlenmiştir (Cronbach’s α=0.85). Yas Bozukluğu Ölçeği ile Yas Ölçeği arasında anlamlı pozitif korelasyon bulunmuştur (r=0.56, p<0.001).
Sonuç: Ölçek, yas süreci nedeniyle ortaya çıkan biyopsikososyal işlevsellikte bozulmayı değerlendirebilecek, sağlık profesyonelleri ve araştırmacılar tarafından klinik uygulamalarda ve bilimsel çalışmalarda kullanılabilecek esnek, geçerli ve güvenilir bir araçtır.

References

  • Atalay K, Staneva A (2020) The effect of bereavement on cognitive functioning among elderly people: Evidence from Australia. Econ Hum Biol, 39:100932.
  • Ayaz T, Karancı AN, Aker AT (2014) The reliability and validity study of the Turkish version of two-track model of Bereavement Questionnaire. Turk Psikiyatri Derg, 25:253-263.
  • Aslan Kunt D, Dereboy F (2018) Validity and reliability of the World Health Organization disability assessment schedule 2.0 (WHODAS 2.0) in Turkish psychiatry patients and healthy controls. Turk Psikiyatri Derg, 29:248-257.
  • APA (2022) Diagnostic and Statistical Manual of Mental Disorders, DSM-5-TR, (5th ed., text rev). Washington DC, American Psychiatric Association.
  • Breen LJ, Lee SA, Mancini VO, Willis M, Neimeyer RA (2023) Grief and functional impairment following COVID-19 loss in a treatment-seeking sample: the mediating role of meaning. Br J Guid Counc, 51:395-406.
  • Balcı Çelik S (2006) Yas Ölçegi: Geçerlık ve güvenirlik çalısması. Türk Psikolojik Danışma ve Rehberlik Dergisi, 3(25):105-114.
  • Bildik T (2013) Ölüm, kayıp, yas ve patolojik yas. Ege Tıp Dergisi, 52:223-229.
  • Carlsson N, Alvariza A, Bremer A, Axelsson L, Årestedt K (2023) Symptoms of prolonged grief and self-reported health among bereaved family members of persons who died from sudden cardiac arrest. Omega (Westport), 87:66-86.
  • Cozza SJ, Fisher JE, Fetchet MA, ChenS, Zhou J, Fullerton CS et al. (2019) Patterns of comorbidity among bereaved family members 14 years after the September 11th, 2001, terrorist attacks. J Trauma Stress, 32:526-535.
  • Caycho-Rodríguez T, Lee SA, Vilca LW, Lobos-Rivera ME, Flores-Monterrosa AN, Tejada Rodríguez JC et al. (2023) A psychometric analysis of the Spanish version of the grief impairment scale: A screening tool of biopsychosocial grief-related functional impairment in a Salvadoran sample. Omega (Westport): doi: 10.1177/00302228231175383.
  • Çelik S, Sayıl İ (2003) Patolojik yas kavramına yeni bir yaklaşım: travmatik yas. Kriz Dergisi, 11:29-34.
  • Das MK, Arora NK, Gaikwad H, Chellani H, Debata P, Rasaily R et al. (2021) Grief reaction and psychosocial impacts of child death and stillbirth on bereaved North Indian parents: A qualitative study. PLoS One, 16:e0240270.
  • Eisma MC, Lenferink LIM (2023) Co-occurrence of approach and avoidance in prolonged grief: a latent class analysis. Eur J Psychotraumatol, 14:2190544.
  • Feng Y, Hancock GR (2023) Power Analysis within a Structural Equation Modeling Framework. In RH Hoyle (Ed.), Handbook of Structural Equation Modeling (2nd ed.), New York, Guilford Press.
  • Fernández-Alcántara M, Pérez-García M, Pérez-Marfil MN, Catena-Martínez A, Hueso-Montoro C, Cruz-Quintana F (2016) Assessment of different components of executive function in grief. Psicothema, 28:260-265.
  • Galatzer-Levy IR, Bonanno GA (2012) Beyond normality in the study of bereavement: Heterogeneity in depression outcomes following loss in older adults. Soc Sci Med, 74:1987-94.
  • Gökler Danişman I, Yalcinay M, Yildiz N (2017) Measuring grief symptoms in cancer patients: The reliability and validity study of the Turkish version of prolonged grief disorder scale. Turk Psikiyatri Derg, 28:1-8.
  • International Test Commission (ITC) (2017) The ITC Guidelines for Translating and Adapting Tests (Second edition). Hemel Hempstead, UK, International Test Commission.
  • Işıklı S, Keser E, Prigerson HG, Maciejewski PK (2022) Validation of the prolonged grief scale (PG-13) and investigation of the prevalence and risk factors of prolonged grief disorder in Turkish bereaved samples. Death Stud, 46:628-638.
  • Komischke-Konnerup KB, Zachariae R, Johannsen M, Nielsen LD, O'Connor M (2021) Co-occurrence of prolonged grief symptoms and symptoms of depression, anxiety, and posttraumatic stress in bereaved adults: A systematic review and meta-analysis. J Affect Disord Rep, 4:100140.
  • Lee SA, Neimeyer RA (2023) Grief impairment scale: A biopsychosocial measure of grief-related functional impairment. Death Stud, 47:519-530.
  • Maraş A (2014) Komplike yas: derleme ve vaka çalışması. AYNA Klinik Psikoloji Dergisi, 1:41-59.
  • Miller LM, Utz RL, Supiano K, Lund D, Caserta MS (2020) Health profiles of spouse caregivers: The role of active coping and the risk for developing prolonged grief symptoms. Soc Sci Med, 266:113455.
  • Nielsen MK, Christensen KS, Neergaard MA, Bidstrup PE, Guldin MB (2020) Exploring functional impairment in light of prolonged grief disorder: a prospective, population-based cohort study. Front Psychiatry, 11:537674.
  • Palitsky R, Da’Mere TW, Friedman SE, Ruiz JM, Sullivan D, O’Connor MF (2023) The relationship of prolonged grief disorder symptoms with hemodynamic response to grief recall among bereaved adults. Psychosom Med, 85:545-550.
  • Palm S, Doering BK, Kubiak T, Geschke K, Fellgiebel A, Wuttke A (2023) Influence of loss-and restoration-oriented stressors on grief in times of COVID-19. Sci Rep, 13:19584.
  • Roos JM, Bauldry S (2022) Confirmatory Factor Analysis. Thousand Oaks, CA, Sage.
  • Srikanth V, Sinclair AJ, Hill-Briggs F, Moran C, Biessels GJ (2020) Type 2 diabetes and cognitive dysfunction—towards effective management of both comorbidities. Lancet Diabetes Endocrinol, 8:535-545.
  • Sekowski M, Prigerson HG (2022) Associations between symptoms of prolonged grief disorder and depression and suicidal ideation. Br J Clin Psychol, 61:1211-1218.
  • Selvi Y, Öztürk Rİ, Ağargün MY, Beşiroğlu L, Çilli AS (2011) Temel Yas Unsurları Ölçeği Türkçe formunun geçerlik ve güvenirlik çalışması. Noro Psikiyatr Ars, 48:129-134.
  • Aktürk Ü, Gül E, Erci B (2022) Religious rituals performed by Muslim palliative caregivers in Turkey during the grieving process: An exploratory study. J Relig Health, 61:4352-4365.
  • WHO (2022) International Classification of Disease, 11th Edition. Geneva, World Health Organization.
  • West SG, Wu W, McNeish D, Savord A (2023) Model fit in structural equation modeling. In Handbook of Structural Equation Modeling, 2nd ed. (Ed RH Hoyle):184-205. New York, Guilford Press.
  • Yousefi S, Jafari A. (2024) Psychometric properties of the Persian version of the Grief Impairment Scale. Death Stud, 48:879-885.

Turkish Version of Grief Impairment Scale: Adaptation, and Psychometric Properties

Year 2025, Volume: 17 Issue: Supplement 1, 294 - 302

Abstract

Objective: Grief Impairment Scale was developed as a rapid and flexible tool for assessing the biopsychosocial impairment associated with grief. This study aimed to evaluate the psychometric properties of the Turkish version of the scale.
Method: This methodological study was conducted with 197 adults in Türkiye. The World Health Organization’s translation–back-translation protocol was followed. The Content Validity Index (CVI), Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and Cronbach’s alpha coefficient were examined.
Results: The CVI value was 0.94. EFA revealed a single-factor structure consisting of five items, accounting for 63.54% of the total variance. CFA supported this structure with acceptable model fit indices (χ²/df = 7.79, RMSEA = 0.19, CFI = 0.94, GFI = 0.93, NFI = 0.94, SRMR = 0.05). Although the RMSEA and χ²/df values were higher than expected, error covariance was added between items 1 and 2 based on the modification indices. After this adjustment, the model showed excellent fit (χ² = 1.00, df = 4, χ²/df = 0.25, RMSEA = 0.00, CFI = 1.00, GFI = 1.00, NFI = 1.00, SRMR = 0.007). The scale demonstrated strong internal consistency (Cronbach’s α = 0.85). Significant positive correlations were found between the Grief Impairment Scale and the Mourning Scale (r = 0.56, p < 0.001).
Conclusion: Turkish version of Grief Impairment Scale is a flexible, valid, and reliable instrument for assessing biopsychosocial impairment due to grief, and it can be effectively used by health professionals and researchers in both clinical practice and scientific studies.

References

  • Atalay K, Staneva A (2020) The effect of bereavement on cognitive functioning among elderly people: Evidence from Australia. Econ Hum Biol, 39:100932.
  • Ayaz T, Karancı AN, Aker AT (2014) The reliability and validity study of the Turkish version of two-track model of Bereavement Questionnaire. Turk Psikiyatri Derg, 25:253-263.
  • Aslan Kunt D, Dereboy F (2018) Validity and reliability of the World Health Organization disability assessment schedule 2.0 (WHODAS 2.0) in Turkish psychiatry patients and healthy controls. Turk Psikiyatri Derg, 29:248-257.
  • APA (2022) Diagnostic and Statistical Manual of Mental Disorders, DSM-5-TR, (5th ed., text rev). Washington DC, American Psychiatric Association.
  • Breen LJ, Lee SA, Mancini VO, Willis M, Neimeyer RA (2023) Grief and functional impairment following COVID-19 loss in a treatment-seeking sample: the mediating role of meaning. Br J Guid Counc, 51:395-406.
  • Balcı Çelik S (2006) Yas Ölçegi: Geçerlık ve güvenirlik çalısması. Türk Psikolojik Danışma ve Rehberlik Dergisi, 3(25):105-114.
  • Bildik T (2013) Ölüm, kayıp, yas ve patolojik yas. Ege Tıp Dergisi, 52:223-229.
  • Carlsson N, Alvariza A, Bremer A, Axelsson L, Årestedt K (2023) Symptoms of prolonged grief and self-reported health among bereaved family members of persons who died from sudden cardiac arrest. Omega (Westport), 87:66-86.
  • Cozza SJ, Fisher JE, Fetchet MA, ChenS, Zhou J, Fullerton CS et al. (2019) Patterns of comorbidity among bereaved family members 14 years after the September 11th, 2001, terrorist attacks. J Trauma Stress, 32:526-535.
  • Caycho-Rodríguez T, Lee SA, Vilca LW, Lobos-Rivera ME, Flores-Monterrosa AN, Tejada Rodríguez JC et al. (2023) A psychometric analysis of the Spanish version of the grief impairment scale: A screening tool of biopsychosocial grief-related functional impairment in a Salvadoran sample. Omega (Westport): doi: 10.1177/00302228231175383.
  • Çelik S, Sayıl İ (2003) Patolojik yas kavramına yeni bir yaklaşım: travmatik yas. Kriz Dergisi, 11:29-34.
  • Das MK, Arora NK, Gaikwad H, Chellani H, Debata P, Rasaily R et al. (2021) Grief reaction and psychosocial impacts of child death and stillbirth on bereaved North Indian parents: A qualitative study. PLoS One, 16:e0240270.
  • Eisma MC, Lenferink LIM (2023) Co-occurrence of approach and avoidance in prolonged grief: a latent class analysis. Eur J Psychotraumatol, 14:2190544.
  • Feng Y, Hancock GR (2023) Power Analysis within a Structural Equation Modeling Framework. In RH Hoyle (Ed.), Handbook of Structural Equation Modeling (2nd ed.), New York, Guilford Press.
  • Fernández-Alcántara M, Pérez-García M, Pérez-Marfil MN, Catena-Martínez A, Hueso-Montoro C, Cruz-Quintana F (2016) Assessment of different components of executive function in grief. Psicothema, 28:260-265.
  • Galatzer-Levy IR, Bonanno GA (2012) Beyond normality in the study of bereavement: Heterogeneity in depression outcomes following loss in older adults. Soc Sci Med, 74:1987-94.
  • Gökler Danişman I, Yalcinay M, Yildiz N (2017) Measuring grief symptoms in cancer patients: The reliability and validity study of the Turkish version of prolonged grief disorder scale. Turk Psikiyatri Derg, 28:1-8.
  • International Test Commission (ITC) (2017) The ITC Guidelines for Translating and Adapting Tests (Second edition). Hemel Hempstead, UK, International Test Commission.
  • Işıklı S, Keser E, Prigerson HG, Maciejewski PK (2022) Validation of the prolonged grief scale (PG-13) and investigation of the prevalence and risk factors of prolonged grief disorder in Turkish bereaved samples. Death Stud, 46:628-638.
  • Komischke-Konnerup KB, Zachariae R, Johannsen M, Nielsen LD, O'Connor M (2021) Co-occurrence of prolonged grief symptoms and symptoms of depression, anxiety, and posttraumatic stress in bereaved adults: A systematic review and meta-analysis. J Affect Disord Rep, 4:100140.
  • Lee SA, Neimeyer RA (2023) Grief impairment scale: A biopsychosocial measure of grief-related functional impairment. Death Stud, 47:519-530.
  • Maraş A (2014) Komplike yas: derleme ve vaka çalışması. AYNA Klinik Psikoloji Dergisi, 1:41-59.
  • Miller LM, Utz RL, Supiano K, Lund D, Caserta MS (2020) Health profiles of spouse caregivers: The role of active coping and the risk for developing prolonged grief symptoms. Soc Sci Med, 266:113455.
  • Nielsen MK, Christensen KS, Neergaard MA, Bidstrup PE, Guldin MB (2020) Exploring functional impairment in light of prolonged grief disorder: a prospective, population-based cohort study. Front Psychiatry, 11:537674.
  • Palitsky R, Da’Mere TW, Friedman SE, Ruiz JM, Sullivan D, O’Connor MF (2023) The relationship of prolonged grief disorder symptoms with hemodynamic response to grief recall among bereaved adults. Psychosom Med, 85:545-550.
  • Palm S, Doering BK, Kubiak T, Geschke K, Fellgiebel A, Wuttke A (2023) Influence of loss-and restoration-oriented stressors on grief in times of COVID-19. Sci Rep, 13:19584.
  • Roos JM, Bauldry S (2022) Confirmatory Factor Analysis. Thousand Oaks, CA, Sage.
  • Srikanth V, Sinclair AJ, Hill-Briggs F, Moran C, Biessels GJ (2020) Type 2 diabetes and cognitive dysfunction—towards effective management of both comorbidities. Lancet Diabetes Endocrinol, 8:535-545.
  • Sekowski M, Prigerson HG (2022) Associations between symptoms of prolonged grief disorder and depression and suicidal ideation. Br J Clin Psychol, 61:1211-1218.
  • Selvi Y, Öztürk Rİ, Ağargün MY, Beşiroğlu L, Çilli AS (2011) Temel Yas Unsurları Ölçeği Türkçe formunun geçerlik ve güvenirlik çalışması. Noro Psikiyatr Ars, 48:129-134.
  • Aktürk Ü, Gül E, Erci B (2022) Religious rituals performed by Muslim palliative caregivers in Turkey during the grieving process: An exploratory study. J Relig Health, 61:4352-4365.
  • WHO (2022) International Classification of Disease, 11th Edition. Geneva, World Health Organization.
  • West SG, Wu W, McNeish D, Savord A (2023) Model fit in structural equation modeling. In Handbook of Structural Equation Modeling, 2nd ed. (Ed RH Hoyle):184-205. New York, Guilford Press.
  • Yousefi S, Jafari A. (2024) Psychometric properties of the Persian version of the Grief Impairment Scale. Death Stud, 48:879-885.
There are 34 citations in total.

Details

Primary Language English
Subjects Psychiatry, Mental Health Nursing
Journal Section Research
Authors

Buket Şimşek Arslan 0000-0003-1731-4471

Ayşe Sezer Balcı 0000-0000-0000-0000

Early Pub Date October 3, 2025
Publication Date October 13, 2025
Submission Date July 29, 2025
Acceptance Date October 1, 2025
Published in Issue Year 2025 Volume: 17 Issue: Supplement 1

Cite

AMA Şimşek Arslan B, Sezer Balcı A. Turkish Version of Grief Impairment Scale: Adaptation, and Psychometric Properties. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. October 2025;17(Supplement 1):294-302. doi:10.18863/pgy.1738130

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