fa پایایی و روایی نسخه فارسی مقیاس وسواسی- اجباری ییل- براون روانپزشکی و روانشناسی Psychiatry and Psychology پژوهشي اصيل Original Research <p class="a" style="LINE-HEIGHT: 14pt MARGIN: 0cm 0cm 0pt mso-line-height-rule: exactly" dir="rtl"><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">هدف</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> هدف پژوهش حاضر، بررسی پایایی و روایی نسخه فارسی مقیاس وسواسی- اجباری ییل</span><span lang="FA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal mso-bidi-language: FA">-</span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> براون (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">Y-BOCS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) بود. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">روش</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> 140 بیمار مبتلا به اختلال وسواسی- اجباری (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">OCD</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)، به­عنوان گروه آزمایش و 30 فرد سالم، به­عنوان گروه گواه، به­صورت در دسترس انتخاب شدند. برای گردآوری داده­ها، افزون بر </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">Y-BOCS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>، مصاحبه بالینی ساختاریافته برای اختلال­های محور </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">I</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> در </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">DSM-IV</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SCID-I</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)</span><span dir="ltr"></span><span dir="ltr"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span> </span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal">و خرده­مقیاس وسواسی- اجباری سیاهه 90 گویه­ای نشانه­ها (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SCL-90-R-OCS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)به­کار رفت. پایایی به سه روش آلفای کرونباخ، بازآزمایی و دونیمه­سازی و روایی به­صورت ملاک هم­زمان (همبستگی با دو ابزار </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SCID-I</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> و </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SCL-90-R-OCS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) و سازه (تحلیل عامل اکتشافی) </span><span lang="FA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal mso-bidi-language: FA">بررسی</span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> شد. در مورد هنجاریابی </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">Y-BOCS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> نیز، پس از تعیین نرمال­بودن توزیع و تأیید نداشتن کجی و کشیدگی، از میانگین و انحراف معیار به‌عنوان مناسب‌ترین شاخص گرایش مرکزی و پراکنش، استفاده شد. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">یافته­ها</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> ثبات درونی دو بخش سیاهه نشانه (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SC</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) و مقیاس شدت (</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>)، به­ترتیب 97/0 و 95/0، اعتبار دونیمه­سازی برای </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SC</span><span dir="rtl"></span><span dir="rtl"></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> <span lang="AR-SA"><font size="2">و </font></span></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> به­ترتیب 93/0 و 89/0 و اعتبار بازآزمایی 99/0 به­دست آمد. میان </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SC</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> با </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SCL-90-R-OCS</span><span dir="rtl"></span><span dir="rtl"></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> <span lang="AR-SA"><font size="2">و </font></span></span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> با </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SCID-I</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> همبستگی مثبت (001/0</span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">p<</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span>) وجود داشت. تحلیل عامل اکتشافی برای </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SC</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> و </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">SS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> به­ترتیب سه و دو عامل نشان داد. نقطه برش نُه برای تمایز بیمار/ سالم پیشنهاد شد. </span><strong><u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">نتیجه­گیری</span></u><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt">:</span></strong><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"> نسخه فارسی </span><span style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal" dir="ltr">Y-BOCS</span><span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" style="FONT-STYLE: normal FONT-FAMILY: "Tahoma","sans-serif" FONT-SIZE: 8pt FONT-WEIGHT: normal"><span dir="rtl"></span><span dir="rtl"></span> برای بررسی محتوا و شدت نشانه­های وسواسی- اجباری، پایایی و روایی مناسبی دارد. <p></p></span></p> <p class="MsoNormal" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify LINE-HEIGHT: 9.8pt TEXT-KASHIDA: 0% MARGIN: 0cm 0cm 0pt unicode-bidi: embed DIRECTION: ltr mso-line-height-rule: exactly"><font face="Times New Roman"><b><u><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'B Lotus'">Objectives</span></u></b><b><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'B Lotus'">:</span></b><span style="FONT-SIZE: 9pt mso-bidi-font-family: 'Times New Roman'"> The aim was to evaluate the validity and <span style="LETTER-SPACING: -0.2pt">reliability of the persian version of Yale-Brown Obsessive-</span> Compulsive Scale (Y-BOCS). <b><u>Method</u>:</b> The sum of 140 patients with obsessive-compulsive disorder (OCD) and 30 individual participants without OCD were selected via convenient sampling as experimental and control groups respectively. Data gathering was done using Y-BOCS, <span style="LETTER-SPACING: -0.2pt">Structured Clinical Interview for DSM-IV axis-I disorders</span> (SCID-I) and Symptom Checklist-90-Revised Obsessive-<span style="LETTER-SPACING: -0.5pt">Compulsive Symptoms (SCL-90-R-OCS). Reliability <span class="st1">coefficients</span></span><span class="st1"> </span>were calculated by <span class="st1">Cronbach's<span dir="rtl"></span><span dir="rtl"></span><span dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="COLOR: black">alpha</span>,</span> <span class="st1">split<span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span>-</span><span style="COLOR: black">half, and test-retest reliability<span dir="rtl"></span><span dir="rtl"></span><span lang="AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span>.</span><span dir="ltr"></span><span dir="ltr"></span><span dir="ltr"></span><span dir="ltr"></span> For validity assessment, concurrent criterion-related validity in correlation with SCID-I and <span style="LETTER-SPACING: -0.2pt">SCL-90-R-OCS, and construct validity (exploratory factor</span> analysis) were executed. In order to normalize the Y-BOCS after insuring that the distribution is normal and does not have kurtosis and skewness, mean and standard deviation were used as the most appropriate central <span style="LETTER-SPACING: -0.2pt">tendencies and deviation. </span></span></span><b><u><span style="LETTER-SPACING: -0.2pt">Results</span></u><span style="LETTER-SPACING: -0.2pt">:</span></b><span style="LETTER-SPACING: -0.2pt"> Optimal levels of internal</span> <span style="LETTER-SPACING: -0.2pt">consistency scores (symptom checklist 0.97, severity scale</span> <span style="LETTER-SPACING: -0.2pt">0.95) split-half reliability (symptom checklist 0.93, severity</span> <span style="LETTER-SPACING: -0.3pt">scale 0.89), and test-retest reliability (0.99) were calculated</span>. Concurrent reliability were examined and established by correlating the Y-BOCS with the SCL-90-R-OCS and SCID-I. Exploratory factor analysis was also examined, which indicated three factors for symptom checklist scale and two factors for symptom severity scale. Cutoff point value (9) was also determined. <b><u>Conclusion</u>:</b> The results supported satisfactory validity and reliability of translated <span style="LETTER-SPACING: -0.3pt">form of Yale-brown Obsessive-Compulsive Scale for research</span> and clinical diagnostic applications. <p></p></span></font></p> اختلال وسواسی- اجباری، مقیاس وسواسی- اجباری ییل- براون، روایی، پایایی،‌ هنجاریابی obsessive-compulsive disorder, Yale-Brown Obsessive-Compulsive Scale, validity, reliability, normalization 297 303 http://ijpcp.iums.ac.ir/browse.php?a_code=A-10-1-449&slc_lang=fa&sid=1 Sepideh Rajezi Esfahani سپیده راجزی اصفهانی sepideh.rajezi@gmail.com 180031947532846006221 180031947532846006221 Yes Behavioral Sciences Research Center of Shahid Beheshti University of Medical Sciences مرکز تحقیقات علوم رفتاری دانشگاه علوم پزشکی شهید بهشتی Yasaman Motaghipour یاسمن متقی‌پور 180031947532846006222 180031947532846006222 No of Shahid Beheshti University of Medical Sciences دانشگاه علوم‌پزشکی و خدمات بهداشتی درمانی شهید بهشتی Kambiz Kamkari کامبیز کامکاری 180031947532846006223 180031947532846006223 No Islamic Azad University of Islamshahr ‌ دانشگاه آزاد اسلامی، واحد اسلامشهر Alireza Zahiredin علی‌رضا ظهیرالدین 180031947532846006224 180031947532846006224 No of Shahid Beheshti University of Medical Sciences, Behavioral Sciences Research Center of Shahid Beheshti University of Medical Sciences دانشگاه علوم‌پزشکی شهید بهشتی، مرکز تحقیقات علوم‌رفتاری دانشگاه علوم‌پزشکی شهید بهشتی Masuod Janbozorgi مسعود جان بزرگی 180031947532846006225 180031947532846006225 No Research Institute of Hawzah & University. ‌ پژوهشگاه حوزه و دانشگاه