ABSTRACT

OBJECTIVE: Psychological pain has been accepted as one of the most critical psychological risk factors underlying suicidal ideation and behaviour. Suicide is chosen as a way to get rid of intense, painful and unbearable psychological pain. Since the level of tolerance rather than the intensity of psychological pain was considered to be more predictive for suicide, we aimed to investigate the validity and reliability of the Turkish version of Tolerance for Mental Pain Scale-10 (TMPS-10).

METHODS: A total of 121 patients diagnosed with depression in 62 of them had previous suicide attempts and 105 healthy controls who applied to the outpatient clinics of Çukurova University Faculty of Medicine Psychiatry Department were included in the study. Beck Depression Inventory (BDI), Beck Scale for Suicidal Ideation (BSIS), Beck Hopelessness Scale (BHS), Psychache Scale (PS) and TMPS-10 were applied to participants.

RESULTS: In the internal consistency analysis, Cronbach’s alpha coefficient was 0.96 for enduring the pain, 0.96 for managing the pain, 0.98 for the whole scale, and item-total correlation coefficients were found to be between 0.87 and 0.93. The scale fit well to both the two-factor and single-factor structure in the confirmatory factor analysis. The multi-group confirmatory factor analysis showed that both the depressive patients and the control group interpreted the scale items in the same way. In convergent validity analysis, there was a negative, linear, high and statistically significant relationship between TMPS-10 scores and PS, BSIS, BDI and BHS scores (r = −0.935; −0.779; −0.890; −0.808; p < .0.001, respectively). In discriminant function analysis, TMPS-10 successfully differentiated the depressive group and the control group, as well as the depressive patients who did or did not attempt suicide (96.5%, 88.1%, respectively).

CONCLUSION: The Turkish version of TMPS-10 is valid and reliable, and may be useful in research and clinical practices about suicide.

摘要

目的：心理疼痛已被认为是自杀意念和行为的最关键的心理危险因素之一。选择自杀是摆脱剧烈，痛苦和无法忍受的心理痛苦的一种方法。由于宽容的程度而非心理痛苦的强度被认为更能预测自杀，因此我们旨在调查土耳其语版《 10级心理疼痛容忍度》（TMPS-10）的有效性和可靠性。

方法：总共121名被诊断为抑郁症的患者中有62人曾自杀过，而105名健康对照者则是在库库洛娃大学医学院精神病学系门诊就诊。参与者采用了贝克抑郁量表（BDI），自杀意念量表（BSIS），绝望量表（BHS），心理量表（PS）和TMPS-10。

结果：在内部一致性分析中，Cronbach的忍受痛苦的α系数为0.96，忍受痛苦的为0.96，整体疼痛为0.98，项与总的相关系数在0.87和0.93之间。该量表非常适合于验证性因素分析中的两因素和单因素结构。多组验证性因素分析显示，抑郁症患者和对照组均以相同的方式解释量表项目。在收敛效度分析中，TMPS-10得分与PS，BSIS，BDI和BHS得分之间存在负，线性，高和统计学上的显着关系（r  = -0.935； -0.779； -0.890； -0.808；p 分别<.0.001）。在判别功能分析中，TMPS-10成功地区分了抑郁组和对照组以及未自杀或未自杀的抑郁患者（分别为96.5％，88.1％）。

结论：土耳其语版本的TMPS-10有效且可靠，可能对自杀的研究和临床实践有用。