Assessing clinicians' views: The development of the Bakirkoy Clinician Stance Questionnaire


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Ulusoy S., YAVUZ K. F., Burhan H. S., Nalbant A., Terzioglu M., Ilkay S., ...Daha Fazla

Dusunen Adam - The Journal of Psychiatry and Neurological Sciences, cilt.34, sa.2, ss.189-199, 2021 (ESCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 2
  • Basım Tarihi: 2021
  • Doi Numarası: 10.14744/dajpns.2021.00137
  • Dergi Adı: Dusunen Adam - The Journal of Psychiatry and Neurological Sciences
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, Psycinfo, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.189-199
  • Anahtar Kelimeler: Clinician attitudes, mechanism, psychological flexibility, psychotherapy, treatment
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Objective: Although there is a wide range of theoretical perspectives and clinical practices, there is no assessment tool that reveals these variations among clinicians. In this study, we presented the development process of a new measure for clinicians that assess their psychological flexibility levels, attitudes towards psychotherapy and inclination to the mechanistic approach. Method: Participants included 167 psychiatrists and psychiatry residents from all over Turkey. They completed 29 items intended to form the basis for the Bakirkoy Clinician's Attitude Questionnaire (BCSQ). Item-total correlation and Cronbach's alpha correlation analyses were performed to determine internal consistency. The Acceptance and Action Questionnaire-II (AAQ-II) and the Mental Illness: Clinicians' Attitude Scale V.4 (MICA v4) were used to assess the convergent and concurrent validity of BCSQ. Results: Principal component analyses with varimax rotation were conducted to ensure construct validity and to explore sub-dimensions. Finally, a three-dimensional version (Clinical inflexibility, Treatment preference, Mechanistic approach) of the scale with 20 items was created. The BCSQ demonstrated good internal consistency (Cronbach's alpha coefficient was 0.82) and transient stability. Convergent validity analyses showed that BCSQ subscales have significant relationships with higher psychological inflexibility and stigmatization levels. Conclusion: BCSQ proves to be a valuable tool for assessing changes in the level of psychological flexibility of clinicians in clinical practice, their attitudes towards psychotherapy/psychopharmacology and their view of psychopathology.