Validity and reliability of the Spanish version of the Somatoform Dissociation Questionnaire(SDQ-20)

  1. Ana Isabel González-Vázquez 1
  2. Lucía del Río-Casanova 2
  3. Natalia Seijo-Ameneiros 3
  4. Paloma Cabaleiro-Fernández 4
  5. Teresa Seoane-Pillado 5
  6. Ania Justo-Alonso 6
  7. Miguel Ángel Santed-Germán 7
  1. 1 Complexo Hospitalario Universitario da Coruña
    info

    Complexo Hospitalario Universitario da Coruña

    La Coruña, España

    ROR https://ror.org/044knj408

  2. 2 Clínica Assistens (A Coruña)
  3. 3 Centro de Psicología y Trauma (Ferrol)
  4. 4 Centro de Psicoterapia (Ourense)
  5. 5 Instituto de Investigación Biomédica de A Coruña (INIBIC)
  6. 6 Clínica Assistens (Vigo)
  7. 7 Universidad Nacional de Educación a Distancia
    info

    Universidad Nacional de Educación a Distancia

    Madrid, España

    ROR https://ror.org/02msb5n36

Mostrar afiliacións +
Revista:
Psicothema

ISSN: 0214-9915

Ano de publicación: 2017

Volume: 29

Número: 2

Páxinas: 275-280

Tipo: Artigo

DOI: 10.7334/PSICOTHEMA2016.346 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Psicothema

Obxectivos de Desenvolvemento Sustentable

Resumo

Antecedentes: SDQ-20 (Somatoform Dissociation Questionnaire) es un autoinforme que mide la presencia de disociación somatomorfa. Se analizan las propiedades psicométricas de la versión española de la SDQ-20 y su versión abreviada (SDQ-5). Método: su validez y fiabilidad han sido examinadas en una muestra de 360 pacientes: 38 trastorno disociativo (de conversión), 30 trastorno disociativo (psicomorfo) y 292 diagnosticados de otros trastornos. El diagnóstico de trastorno disociativo se realizó mediante la SCID-D-TR y una entrevista específica para los trastornos conversivos. Resultados: los sujetos que cumplieron criterios de trastorno disociativo o conversivo puntuaron significativamente más alto en la SDQ-20 (criterio de validez). La disociación psicomorfa y somatomorfa y el trauma temprano se correlacionaron significativamente (validez del constructo). Se obtuvieron un coeficiente alpha de 0.866 (fiabilidad) y una correlación test-retest de 0,91. El punto de corte para los trastornos disociativos fue 27,5 (sensibilidad 81,6% y especificidad 71%) y 29,5 para los trastornos conversivos (81,6% y 71%). En la SDQ-5 se obtuvo un coeficiente alpha de 0,561 y un punto de corte de 5,5 (sensibilidad 73,33% y especificidad 70,41%). Conclusiones: la versión española de la SDQ-20 presenta buenas propiedades psicométricas. La SDQ-5 muestra peores características y su uso en muestras españolas no se recomienda.

Referencias bibliográficas

  • American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  • Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. The Journal of Nervous and Mental Disease, 174(12), 727-735.
  • Bobes, J., Calcedo-Barba, A., García, M., François, M., Rico-Villademoros, F., González, M. P., …, Bousoño, M. (2000). Evaluación de las propiedades psicométricas de la versión española de cinco cuestionarios para la evaluación del trastorno de estrés postraumático [Evaluation of the psychometric properties of the Spanish version of 5 questionnaires for the evaluation of post-traumatic stress syndrome ]. Actas Españolas de Psiquiatría, 28(4), 207-218.
  • Briere, J. (2006). Dissociative symptoms and trauma exposure: Specificity, affect dysregulation, and posttraumatic stress. The Journal of Nervous and Mental Disease, 194(2), 78-82.
  • Carlson, E. B., & Putnam, F. W. (1993). An update on the Dissociative Experiences Scale. Dissociation: Progress in the Dissociative Disorders, 6(1), 16-27.
  • Davidson, J. R., Hughes, D., & Blazer, D. G. (1990). Traumatic experiences in psychiatric patients. Journal of Trauma Stress, 3, 459-475.
  • Draijer, N., & Boon, S. (1993). The validation of the DES against the criterion of the SCID-D, using receiver operating characteristics analysis.pdf. Dissociation, 6(1), 28-37.
  • Draijer, N., & Langeland, W. (1999). Childhood trauma and perceived parental dysfunction in the etiology of dissociative symptoms in psychiatric inpatients. American Journal of Psychiatry, 156(3), 379-385.
  • Espirito-Santo, H., & Pio-Abreu, J. L. (2009). Psychiatric symptoms and dissociation in conversion, somatization and dissociative disorders. The Australian and New Zealand Journal of Psychiatry, 43(3), 270-276.
  • Espirito Santo, H., & Pio-Abreu, J. L. (2007). Dissociative disorders and other psychopathological groups: exploring the differences through the Somatoform Dissociation Questionnaire (SDQ-20). Revista Brasileira de Psiquiatria, 29(4), 354-358.
  • Hage, W. (2004). Validation of the French version of the Somatoform Dissociation Questionnaire (SDQ-20). Revue Francophone Du Stress et Du Trauma, 4(4), 291-297.
  • Hage, W., Darves Bornoz, J. M., Allilaire, J. F., & Gaillard, P. (2002). Posttraumatic somatoform dissociation in French psychiatric outpatients. Journal of Trauma and Dissociation, 3(3), 59-74.
  • Hambleton R.K. (2005). Issues, designs and the technical guidelines for adapting test into multiple languages and cultures. In Hambleton R.K., Merenda P., & Spielberger C. (Eds.), Adapting educational and psychological test for cross-cultural assessment (pp. 3-38). Hillsdale, NJ: Lawrence Erlbaum Publishers.
  • Hingray, C., Maillard, L., Hubsch, C., Vignal, J.-P., Bourgognon, F., Laprevote, V., …, Schwan, R. (2011). Psychogenic nonepileptic seizures: Characterization of two distinct patient profiles on the basis of trauma history. Epilepsy & Behavior, 22(3), 532-536.
  • Hulette, A. C., Freyd, J. J., & Fisher, P. A. (2011). Dissociation in middle childhood among foster children with early maltreatment experiences. Child Abuse & Neglect, 35(2), 123-126.
  • Icaran, E., Colom, R., & Orengo García, F. (1996). Experiencias disociativas: una escala de medida [Dissociative experiences: A measurement scale ]. Anuario de Psicología, 70(70), 69-84.
  • Kaplan, M. J., Dwivedi, A. K., Privitera, M. D., Isaacs, K., Hughes, C., & Bowman, M. (2013). Comparisons of childhood trauma, alexithymia, and defensive styles in patients with psychogenic non-epileptic seizures vs. epilepsy: Implications for the etiology of conversion disorder. Journal of Psychosomatic Research, 75(2), 142-146.
  • Maaranen, P., Tanskanen, A., Haatainen, K., Honkalampi, K., KoivumaaHonkanen, H., Hintikka, J., & Viinamäki, H. (2005). The relationship between psychological and somatoform dissociation in the general population. The Journal of Nervous and Mental Disease, 193(10), 690-692.
  • Mueller-Pfeiffer, C., Moergeli, H., Assaloni, H., Schneider, R., & Rufer, M. (2007). Dissociative disorders among chronic and severely impaired psychiatric outpatients. Psychopathology, 40(6), 470-471.
  • Muller-Pfeiffer, C., Schumacher, S., Martin-Soelch, C., Pazhenkottil, A.., Wirtz, G., Fuhrhans, C., …, Rufer, M. (2010). The validity and reliability of the German version of the Somatoform Dissociation Questionnaire (SDQ-20). Journal of Trauma and Dissociation, 11(3), 337-357.
  • Muñiz J., Elosua P., & Hambleton R.K. (2013). Directrices para la traducción y adaptación de los test: segunda edición [International Test Commission Guidelines for test translation and adaptation: second edition]. Psicothema, 25(2), 151-157.
  • Nakatani, Y. (2000). Dissociative disorders: From Janet to DSM-IV. Seishin Shinkeigaku Zasshi, 102(1), 1-12.
  • Näring, G., & Nijenhuis, E. (2005). Relationships between self-reported potentially traumatizing events, psychoform and somatoform dissociation, and absorption, in two non-clinical populations. The Australian and New Zealand Journal of Psychiatry, 39(11-12), 982-988.
  • Nijenhuis, E. (2000). Somatoform dissociation: Major symptoms of dissociative disorders. Journal of Trauma & Dissociation, 1(4), 7-32.
  • Nijenhuis, E. (2010). The scoring and interpretation of the SDQ-20 and SDQ-5. Activitas Nervosa Superior, 52(1), 24-28.
  • Nijenhuis, E. (2015). The Trinity of Trauma: Ignorance, Fragility, and Control. Gottingen: Vandenhoeck and Ruprecht.
  • Nijenhuis, E., Spinhoven, P., Van Dyck, R., Van der Hart, O., &Vanderlinden, J. (1996). The development and psychometric characteristics of the Somatoform Dissociation Questionnaire (SDQ-20). The Journal of Nervous and Mental Disease, 184(11), 688-694.
  • Nijenhuis, E, Spinhoven, P., Van Dyck, R., Van der Hart, O., Vanderlinden, J.D.R., …, Vanderlinden, J. (1997). The development of the somatoform dissociation questionnaire (SDQ-5) as a screening instrument for dissociative disorders. Acta Psychiatrica Scandinavica, 96(5), 311-318.
  • Nijenhuis, E, Spinhoven, P., Van Dyck, R., Van der Hart, O., & Vanderlinden, J. (1998). Degree of somatoform and psychological dissociation in dissociative disorder is correlated with reported trauma. Journal of Traumatic Stress, 11(4), 711-730.
  • Nijenhuis, E., Van der Hart, O., & Kruger, K. (2002). The psychometric characteristics of the traumatic experiences checklist (TEC): First findings among psychiatric outpatients. Clinical Psychology and Psychotherapy, 9(3), 200-210.
  • Nijenhuis, E., Van der Hart, O., Kruger, K., & Steele, K. (2004). Somatoform dissociation, reported abuse and animal defence-like reactions. The Australian and New Zealand Journal of Psychiatry, 38(9), 678-686.
  • Nijenhuis, E., Van Dyck, R., Ter Kuile, M. M., Mourits, M. J., Spinhoven, P., & Van der Hart, O. (2003). Evidence for associations among somatoform dissociation, psychological dissociation and reported trauma in patients with chronic pelvic pain. Journal of Psychosomatic Obstetrics and Gynaecology, 24(2), 87-98.
  • Nilsson, D., Lejonclou, A., Svedin, C., Jonsson, M., & Holmqvist, R. (2015). Somatoform dissociation among Swedish adolescents and young adults: The psychometric properties of the Swedish versions of the SDQ-20 and SDQ-5. Nordic Journal of Psychiatry, 69(2), 152-160.
  • Öztürk, E., & Sar, V. (2008). Somatization as a predictor of suicidal ideation in dissociative disorders. Psychiatry and Clinical Neurosciences, 62(6), 662-668.
  • Rodewald, F., Gast, U., & Emrich, H. (2006). Screening for major dissociative disorders with the FDS, the German version of the dissociative experience scale. Psychotherapie Psychosomatik Medizinische Psychologie, 56(6), 249-258.
  • Roelofs, K., Spinhoven, P., Sandijck, P., Moene, F. C., & Hoogduin, K. A. L. (2005). The impact of early trauma and recent life-events on symptom severity in patients with conversion disorder. The Journal of Nervous and Mental Disease, 193(8), 508-514.
  • Sar, V., Kundakci, T., Kiziltan, E., Bakin, B., & Bozkurt, O. (2001). Differentiating dissociative disorders from other diagnostic groups through somatoform dissociation in Turkey. Journal of Trauma & Dissociation, 1(4), 67-80.
  • Spitzer, C., Klauer, T., Grabe, H. J., Lucht, M., Stieglitz, R. D., Schneider, W., & Freyberger, H. J. (2003). Gender differences in dissociation: A dimensional approach. Psychopathology, 36(2), 65-70.
  • Steinberg, M. (2000). Advances in the clinical assessment of dissociation: The SCID-D-R. Bulletin of the Menninger Clinic, 64(2), 146-163.
  • Steinberg, M., & Steinberg, A. (1995). Using the SCID-D to assess dissociative identity disorder in adolescents: Three case studies. Bulletin of the Menninger Clinic, 59(29), 221-231.
  • Sweere, Y., Kerkhof, G. A., De Weerd, A. W., Kamphuisen, H. A. C., Kemp, B., & Schimsheimer, R. J. (1998). The validity of the Dutch sleep disorders questionnaire (SDQ). Journal of Psychosomatic Research, 45(6), 549-555.
  • Teicher, M. H., Samson, J. A., Polcari, A., & McGreenery, C. E. (2006). Sticks, stones, and hurtful words: Relative effects of various forms of childhood maltreatment. American Journal of Psychiatry, 163(6), 993-1000.
  • Van der Boom, K. J., Van den Hout, M. A., & Huntjens, R. J. C. (2010). Psychoform and somatoform dissociation, traumatic experiences, and fantasy proneness in somatoform disorders. Personality and Individual Differences, 48(4), 447-451.
  • Van der Hart, O., Nijenhuis, E., & Steele, K. (2011). The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization (2 ed.). New York: W. W. Norton & Co Inc.
  • Waller, G., Babbs, M., Wright, F., Potterton, C., Meyer, C., & Leung, N. (2003). Somatoform dissociation in eating-disordered patients. Behaviour Research and Therapy, 41(5), 619-627.
  • Waller, G., Hamilton, K., Elliott, P., Lewendon, J., Stopa, L., Waters, A., …, Chalkley, J. (2000). Somatoform dissociation, psychological dissociation, and specific forms of trauma. Journal of Trauma and Dissociation, 1(4), 81-98.
  • Watson, S., Chilton, R., Fairchild, H., & Whewell, P. (2006). Association between childhood trauma and dissociation among patients with borderline personality disorder. The Australian and New Zealand Journal of Psychiatry, 40(5), 478-481.
  • World Health Organization (1992). The ICD-10 Classification of Mental and Behavioural Disorders. International Classification, 10, 1-267.
Fonte de datos: Dialnet