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Praxis medica
2017, vol. 46, br. 3-4, str. 7-12
jezik rada: srpski
vrsta rada: originalan članak
doi:10.5937/pramed1704007I

Creative Commons License 4.0
Sistematski pregled faktorske valjanosti psihijatrijskih skala u longitudinalnim studijama
aUniverzitet u Prištini, Medicinski fakultet Priština, sedište Kosovska Mitrovica, Institut za preventivnu medicinu, Kosovska Mitrovica
bUniverzitet u Beogradu, Medicinski fakultet, Institut za medicinsku statistiku i informatiku
cUniverzitet u Beogradu, Medicinski fakultet

e-adresa: aleksandra.ilic@med.pr.ac.rs

Sažetak

Valjanost pokazuje u kojoj meri postoji slaganje rezultata mernog instrumenta sa onim što je navedeno da bi test trebalo da meri. Tri glavna tipa valjanosti su: sadržinska, kriterijumska i konstruktivna valjanost. Poseban pristup konstruktivnoj valjanosti je faktorska valjanost koja se ispituje statističkom analizom pod nazivom faktorska analiza. Hamiltonova i Montgomeri-Ašbergova skala su najkorišćeniji psihijatrijski instumenti za procenu depresivnosti. Cilj je bio uraditi sistematski pregled literature faktorske strukture psihijatrijskih skala saopštenih u različitim vremenima tokom longitudinalnih studija. Jedinice posmatranja su publikovani radovi dobijeni pretraživanjem dve bibliografske baze podataka: MEDLINE i PsycINFO. Faktorska valjanost HAMD skale je saopštena u 6 (0,09%) studija od 6590 studija koje su koristile ovu skalu dok je za MADRS skalu saopštena u 4 (0,2%) od 2051 studija koje su koristile MADRS skalu. Razlika nije bila statistički značajna između prvog i poslednjeg merenja u odnosu na vrednosti: medijane broja ekstrahovanih podataka HAMD skale (p=0.371), medijane ukupno objašnjene varijanse faktora HAMD skale (p=0.250), medijane varijanse objašnjene prvim faktorom HAMD skale (p=0.125). Faktorska valjanost MADRS skale u ponovljenim merenjima takođe nije imala statistički značajnu razliku za sledeće vrednosti: medijane broja ekstrahovanih podataka MADRS skale (p=0.174), medijane varijanse objašnjene prvim faktorom MADRS skale (p=0.125). Koeficijenti konkurentne valjanosti HAMD i MADRS skale za procenu depresivnosti pokazuju trend povećanja u longitudinalnim studijama i njihove vrednosti su za oko trećinu veće na kraju studija u odnosu na početak. Niska učestalost saopštavanja podataka o pouzdanosti i valjanosti primenjenih skala predstavlja glavni problem za efektivno korišćenje metaanalitičkog metoda u istraživanju promena merne adekvatnosti u longitudinalnim studijama.

Ključne reči

valjanost; HAMD skala; MADRS skala

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