Belirti Kontrolüne Dair Üstbilişler Ölçeğinin (BKDÜBÖ) ve Kısa Formunun (BKDÜBÖ-KF) Türkçe'ye Uyarlanması: Geçerlik ve Güvenirlik Çalışması

Öz

Amaç: Üstbilişler ve psikolojik sağlık arasındaki ilişki farklı kronik fiziksel hastalıklarda araştırılmakta ve güncel çalışmalar semptom kontrolüne odaklanmaktadır. Bu çalışmanın amacı Belirti Kontrolüne Dair Üstbilişler Ölçeği (BKDÜBÖ) ve kısa formunu (BKDÜBÖ-KF) Türkçeye uyarlamak ve üstbilişlerin, İngiltere, Almanya ve Arabistan’da yaşayan kronik hastalığı olan bireylerle benzer biçimde ölçülüp ölçülemeyeceğini değerlendirmektir. Yöntem: Çalışmanın örneklemi (hem BKDÜBÖ hem BKDÜBÖ-KF için) kronik fiziksel hastalığı olan katılımcılardan (sırasıyla 81 ve 80 kişi) oluşmaktadır. Katılımcıların üstbilişleri Üstbiliş Ölçeği-30 (ÜBÖ-30) ile, genel sağlıkları Kısa Form-36 (KF-36) ile değerlendirilmiştir. Bulgular: Ölçeğin İngilizce ve orijinal hali ile tutarlı olarak hem uzun hem de kısa form iki faktörlü bir yapıya sahip ve madde dağılımları benzerdir. Güvenirlik analizleri ise her iki formun alt boyutları için iç tutarlılık katsayılarının çoğunlukla kabul edilebilir ve iyi aralıkta (.66-.83) olduğunu göstermiştir. Ölçeğin ve kısa formunun alt boyutlarının ÜBÖ-30 ve KF-36 alt boyutlarının çoğu ile orta düzeyde ilişkilere sahip olduğu görülmüştür. Sonuç: Semptom kontrolüne dair olumsuz üstbilişler alt boyutunun kültürlerarası ve tanılar üstü uyum geçerliğine sahip olduğu, semptom kontrolüne dair olumlu üstbilişler alt boyutunun ise bunu bir dereceye kadar sağladığı görülmüştür. Ölçeğin ve kısa formunun semptom kontrolüne dair olumlu üstbilişler alt boyutu için verilerin tutarsız olduğu ve daha fazla araştırılmaya ihtiyaç duyulduğu da söylenebilir. Dahası, BKDÜBÖ’nin Türkçe versiyonunun kısa formuna kıyasla daha kapsayıcı ve güvenilir olduğu görülmüştür.

Anahtar Kelimeler

• üstbiliş
• semptom kontrolü
• psikolojik sağlık
• geçerlik
• güvenirlik

Turkish Adaptation of the Metacognitions about Symptom Control Scale and Its Revised Form: Reliability and Validity Study

Öz

Objective: The relationship between metacognitions and mental health in different chronic physical illnesses is examined, and current studies focus on symptom control. The aim of this study is to adapt the Metacognitions about Symptom Control Scale (MaSCS) and its revised form (MaSCS-R) into Turkish and evaluate whether metacognitions can be measured in a similar way to people with chronic illnesses living in England, Germany, and Arabia. Method: The study sample (for both MaSCS and MaSCS-R) consisted of participants (81 and 80 respectively) with chronic physical illness. Participants' metacognition was assessed using the Metacognition Scale-30 (MCQ-30) and their general health was assessed using the Short Form-36 (SF-36). Results: Consistent with the English and original versions of the scale, the Turkish versions of MaSCS and MaSCS-R had a two-factor structure, and the item distributions were similar. Reliability analyses showed that internal consistency coefficients for subscales of both forms were mostly in the acceptable and good range (.66-.83). Subscales of the MaSCS and MaSCS-R were found to have moderate relationships with most of subscales of the MCQ-30 and SF-36. Conclusion: The subscale “negative metacognitions about symptom control” had cross-cultural and transdiagnostic convergent validity, while the subscale “positive metacognitions about symptom control” provided this to some extent. The results for both forms showed that positive metacognitions about symptom control are controversial and need further research. Also, the Turkish version of the MaSCS is more comprehensive and reliable than the short and revised versions.

Anahtar Kelimeler

• metacognition
• symptom control
• mental health
• validity
• reliability

Kaynakça

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