Validity and reliability of the Turkish version of the adult ADHD self-report scale (ASRS-v1.1)

Amaç: Dünya Sağlık Örgütü’nün Erişkin Dikkat Eksikliği Hiperaktivite Bozukluğu Kendi Bildirim Ölçeğinin (ASRS) Türkçe formunun geçerlilik ve güvenilirliğinin araştırılmasıdır. Yöntem: ASRS Türkçe formu Tekirdağ Namık Kemal Üniversitesi’nde öğrenim gören 579 öğrencide değerlendirilmiştir. Bütün katılımcılar tarafından Erişkin Dikkat Eksikliği ve Hiperaktivite Bozukluğu Kendi Bildirim Ölçeği (ASRS), Wender Utah Derecelendirme Ölçeği (WUDÖ), Belirti Tarama Listesi (SCL-90-R), Yapılandırılmış Gelişim Öyküsü Formu (YGÖF) ve Başarı Algısı Ölçeği (BAÖ) doldurulmuştur. Bulgular: Faktör analiziyle varyansın %41.6’nı açıklayan iki faktör (hiperaktivite/ dürtüsellik ve dikkat eksikliği) elde edilmiştir. Güvenilirlik analizinde ölçeğin iç tutarlılığı yüksek bulunmuştur (Cronbach alfa=0.88). Alt ölçekler için hesaplanan Cronbach alfa değeri de ‘dikkat eksikliği’ için 0.82, ‘hiperaktivite/ dürtüsellik’ için 0.78 olmak üzere yüksek bulunmuştur. Ek olarak, 50 kişide değerlendirilen iki haftalık test-tekrar test tutarlılığı yüksekti (toplam puanlar için r=0.85; alt ölçekler için r=0.73-0.89). ASRS toplam puanları ve alt ölçek puanları ile WUDÖ (Pearson korelasyon=0.46-0.52, p<0.01) ve SCL-90-R (Pearson korelasyon=0.54-0.61, p<0.01) arasında anlamlı bir korelasyon olduğu belirlenmiştir. Kadınların toplam ve alt ölçek ASRS puanları erkeklerinkine göre daha yüksektir (kadın: 25.89±9.55, erkek: 22.33±11.20; p<0.001). Sonuç: ASRS’nin Türkçe formu erişkin dikkat eksikliği hiperaktivite bozukluğu taramasında yardımcı olarak kullanılmak için geçerli ve güvenilir bir araçtır.Objective: To examine reliability and validity of the Turkish version of the World Health Organization&amp;#8217;s Adult Attention Deficit Hyperactivity Disorder Self-report Scale (ASRS). Methods: The validity and reliability of Turkish version of Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist was assessed in a sample of 579 university students from Namik Kemal University, Tekirdag. All participants completed the Turkish ASRS, Turkish Wender Utah Rating Scale (WURS), Symptom Checklist-90-Revised (SCL-90-R), Perceived and Peer-Related Objective Success Scale (PPOSS) and Structured Developmental History Questionnaire (SDHQ). Results: Principle component analysis revealed two factors (inattention and hyperactivity/impulsivity) explaining 41.6% of the total variance. Reliability analysis showed that the Turkish version of ASRS has a high level of internal consistency (Cronbach&amp;#8217;s alpha=0.88). Cronbach&amp;#8217;s alpha coefficients for &amp;#8216;inattention&amp;#8217; and &amp;#8216;hyperactivity/impulsivity&amp;#8217; subscales were also high (0.82 and 0.78). Additionally, the correlation coefficients for two-week test-retest reliability among the 50 subjects were high (for total scores, r=0.85; for two subscales, r=0.73-0.89). Pearson productmoment correlation coefficients were revealed that the subscales and total score of the ASRS were significantly correlated with the WURS (Pearson&amp;#8217;s correlations=0.46-0.52, p&lt;0.01) and the SCL-90-R (Pearson&amp;#8217;s correlations= 0.54-0.61, p&lt;0.01). Female subjects scored higher on both two subscales and total scores of ASRS (female: 25.89&plusmn;9.55, male: 22.33&plusmn;11.20; p&lt;0.001). Conclusions: These results suggest that Turkish ASRS is a reliable and valid measurement to aid in screening for adult ADHD

Snell-Papini cinsellik ökçe?i Türkçe formunun standardizasyon çalişmasi]

Objective: The Snell-Papini Sexuality Scale was designed to assess sexual-esteem, sexual-depression and sexual-obsession. The purpose of the present study was to determine the psychometric properties of the Turkish version of the Snell-Papini Sexuality Scale. Method: Sample of the study included of 243 undergraduates at the Namik Kemal University, Tekirdag. All participants completed the The Turkish version of the Snell-Papini Sexuality Scale, Symptom Checklist-90-Revised (SCL-90-R), and sociodemographic history form. As for the reliability analyses, item total correlations and Chronbach ? coefficients were calculated for each of the subscales and the total scale. Results: Item total correlations showed that only 20 items of original scale correlations coefficients were higher than 0.25. Ten items had lower internal consistency.When these ten items was extracted from the Turkish version of the scale, the Cronbach alpha coefficients ranged between 0.81 and .92. In the sample described above, scores on the sexual-depression subscales of the Turkish version of the Snell-Papini Sexuality were positively correlated with "depression" subscale of SCL-90-R(r=0.23, p<0.05). Conclusions: The results indicated that twenty-item Snell-Papini Sexuality Scale subscales had acceptable consistency reliability. In spite of some limitations, the Turkish version of the Snell-Papini Sexuality Scale is a reliable and valid tool that could be used to asses sexual-esteem, sexual-depression and sexual-obsession in related resarch

Response Inhibition and Interference Control in Adult Attention Deficit Hyperactivity Disorder Erişkin Dikkat Eksikliği Hiperaktivite Bozukluğunda Tepki Ketleme ve Enterferans Kontrolü

Introduction: Among the executive functions affected in attention deficit hyperactivity disorder (ADHD), inhibitory control is one of the primary areas of impairment, characterized by components that include response inhibition and interference control. Determining the impaired inhibitory control components will be useful in the differential diagnosis and treatment of ADHD. The present study aimed to investigate response inhibition and interference control abilities of adults with ADHD. Methods: The study included 42 adults diagnosed with ADHD and 43 healthy controls. The stop-signal task (SST) and Stroop test were used for assessing the response inhibition and interference control, respectively. Multivariate analysis of covariance was used for comparing the ADHD and healthy control groups in terms of their SST and Stroop test scores, wherein the age and education level of the participants were taken as covariables. The relationship between SST and Stroop Test and Barratt Impulsiveness Scale-11 (BIS-11) was tested by Pearson correlation analysis. Mann-Whitney U test was used for comparing the test scores between those who were administered with psychostimulants among the adults with ADHD and those who were not. Results: Response inhibition was observed to be impaired in adults with ADHD compared with the healthy controls, whereas no difference regarding interference control was observed. As per the Barratt Impulsiveness Scale-11 (BIS-11), a weak and moderately negative relationship was found between the stop signal delay and the attentional, motor, non-planning scores, and total scores and a weak positive relationship was found between the stop-signal reaction time and the attentional, motor, non-planning scores, and total scores. A significant improvement was observed in the response inhibition skills of the adults with ADHD who had received methylphenidate treatment compared to those who had not, and the former also showed lower impulsivity levels as measured by the BIS-11. Conclusions: It should be noted that response inhibition and interference control, which are considered under the umbrella of inhibitory control, may exhibit different characteristics in adult individuals diagnosed with ADHD and this is important for differential diagnosis. An improvement was observed in the response inhibition of adults with ADHD caused by psychostimulant treatment, which was associated with positive outcomes that were also noticeable by the patients. Understanding the underlying neurophysiological mechanisms of the condition would further facilitate the development of appropriate treatments

Can complete blood count parameters be a good marker for substance use disorder?

Objective: Inflamatory processes play an important role in the etiology of psychiatric disorders. The aim of this study was to evaluate inflammatory complete blood count (CBC) parameters in substance use disorder (SUD). Methods: The study included 90 patients with SUD and 90 healthy controls (HC). The Student t-test was used to compare CBC parameters between the groups. The Kruskal–Wallis test was used to compare the data on the basis of substance types. Results: Leukocyte, lymphocyte, and monocyte levels were higher in SUD group than HC. Leukocyte and neutrophil levels of patients with opioid use disorder (OUD) were higher than HC. Platelet levels and neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and systemic immune inflammation index values were higher in patients with OUD than in patients with non-opioid substance use disorder (nOUD). Moreover, lymphocyte and monocyte levels were higher in patients with nOUD than in HC. Monocyte levels were increased in patients with cannabinoid use disorder compared to HC. Conclusion: The results suggested that inflammatory CBC parameters play an important role in the etiology of SUD according to type of substance. However, there is not enough data for supporting the clinical use of these parameters