medinfoАктуальные проблемы теоретической и клинической медициныActual Problems of Theoretical and Clinical Medicine2790-12892790-1297Казахстанско-Российский медицинский университет10.64854/2790-1289-2025-50-4-07medinfo-814Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL ARTICLESВАЛИДАЦИЯ И КУЛЬТУРНАЯ АДАПТАЦИЯ ОПРОСНИКА ОЦЕНКИ ТРЕВОЖНОСТИ СПИЛБЕРГЕРА НА КАЗАХСКИЙ ЯЗЫКVALIDATION AND CULTURAL ADAPTATION OF THE SPIELBERGER ANXIETY ASSESSMENT QUESTIONNAIRE INTO THE KAZAKH LANGUAGEhttps://orcid.org/0009-0009-4160-7611ДарбаеваА. К.DarbayevaА. K.

Кафедра общественного здравоохранения и гигиены

PhD-student in the specialty "Public Health"

aide86@inbox.ruhttps://orcid.org/0000-0003-1345-5592ОразоваГ. У.OrazovaG. U.galiyaorazova@gmail.comhttps://orcid.org/0000-0002-5267-0108ДаутовТ. Б.DautovT. B.dautov_t@gmail.comhttps://orcid.org/0000-0002-4429-6240МусинаА. А.MussinaA. A.aiman_m-a@mail.ruНАО «Медицинский университет Астана»; АО «Национальный научный медицинский центр»КазахстанNpJSC «Astana Medical University»; JSC «National Scientific Medical Center»KazakhstanНАО «Медицинский университет Астана»КазахстанNpJSC «Astana Medical University»KazakhstanКорпоративный Фонд «University Medical Center»КазахстанCorporate Fund «University Medical Center»Kazakhstan2025301220250493102Copyright © Дарбаева А., Оразова Г., Даутов Т., Мусина А., 20262026Дарбаева А., Оразова Г., Даутов Т., Мусина А.Darbayeva А., Orazova G., Dautov T., Mussina A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://kazrosmedjournal.krmu.edu.kz/jour/article/view/814

Выявление и оценка уровня тревожности у медицинских работников является одной из важных задач, поскольку психоэмоциональное состояние человека влияет на его производительность и аккуратность в работе. В настоящее время в мире существует множество инструментов для оценки тревожности. Одним из таких инструментов является опросник Спилбергера, предназначенный для оценки тревожности и расстройств личности. Данный опросник является одним из самых широко используемых в мире, однако валидированной казахской версии, адаптированной для медицинских работников, на сегодня не существует.

Цель исследования

Цель исследования: культурно-лингвистическая адаптация и валидация опросника Спилбергера для оценки тревожности работников здравоохранения после перевода на казахский язык.

Методы

Методы: В данном поперечном исследовании принял участие 51 респондента в возрасте от 25 до 45 лет. Опросник был переведен на казахский язык опытным билингвальным специалистом, и после адаптации оценивались внутренняя согласованность, сходство с оригиналом и надежность казахской версии. Конструктная валидность проверялась с помощью факторного анализа.

Результаты

Результаты: Альфа Кронбаха для ситуативной и личностной тревожности составила 0,946 и 0,892 соответственно, что свидетельствует об очень хорошем уровне внутренней согласованности метода. Факторный анализ выявил двухфакторную структуру, соответствующую исходной модели, и подтвердил её адекватность.

Выводы

Выводы: Казахская версия методики оценки тревожности Спилбергера продемонстрировала высокую надежность и валидность. Валидированная версия опросника показала свою пригодность в качестве инструмента самооценки тревожности среди медицинских работников.

Identifying and assessing the level of anxiety in medical workers is one of the important goals, since the psycho-emotional state of a person affects their productivity and accuracy at work. There are currently many tools in the world that assess anxiety. One of such tools is the Spielberger Anxiety and Personality Disorders Questionnaire. This questionnaire is among the most widely used tools worldwide, but there is no validated Kazakh version adapted for medical workers.

Objective

Objective: To culturally and linguistically adapt and validate the translated version of the Spielberger Anxiety Inventory for the Kazakh-speaking medical staff.

Methods and materials

Methods and materials: 51 respondents aged 25-45 participated in this cross-sectional study. The questionnaire was translated into Kazakh by an experienced bilingual specialist, and after adaptation, its internal consistency, similarity to the original, and reliability in the Kazakh version were assessed. Construct validity was checked using factor analysis.

Results

Results: Cronbach’s alphas for the situational and personality anxiety sections were 0.946 and 0.892, respectively, indicating very good internal consistency for the method. Factor analysis revealed a two-factor structure that corresponds to the original model, confirming its adequacy.

Conclusions

Conclusions: The Kazakh version of the Spielberger Anxiety Assessment Method demonstrated high reliability and validity. This validated questionnaire version demonstrated its suitability as a self-assessment tool for anxiety among healthcare workers.

тревожностьопределение уровня тревожноститревожность медицинских работниковметод оценки тревожности Спилбергера.anxietydetermination of the level of anxietyanxiety of medical workersSpielberger’s anxiety assessment method.ReferencesAmerican Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. Retrieved September 16, 2025, from https://psycnet.apa.org/record/2013-14907-000.American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Salahub, C., & Emrich, S. M. (2020). Fear not! Anxiety biases attentional enhancement of threat without impairing working memory filtering. Cognitive, Affective & Behavioral Neuroscience, 20(6), 1248-1260. DOI: https://doi.org/10.3758/S13415-020-00831-3.Salahub, C., & Emrich, S. M. (2020). Fear not! Anxiety biases attentional enhancement of threat without impairing working memory filtering. Cognitive, Affective, & Behavioral Neuroscience, 20(6), 1248–1260. https://doi.org/10.3758/S13415-020-00831-3Mussini, E., & Di Russo, F. (2023). Reduction of anticipatory brain activity in anxious people and regulatory effect of response-related feedback. Psychophysiology, 60(2), e14166. DOI: https://doi.org/10.1111/psyp.14166.Mussini, E., & Di Russo, F. (2022). Reduction of anticipatory brain activity in anxious people and regulatory effect of response-related feedback. Psychophysiology, 60(2), e14166. https://doi.org/10.1111/psyp.14166Wang, D. M., Lin, B., Huang, Y., Chong, Z. Y., Du, J., Yuan, Q., Tang, Y., Xu, Q., & Xu, W. (2024). Exploring neural correlates between anxiety and inhibitory ability: Evidence from task-based fNIRS. Depression and Anxiety, 2024(1), 8680134. DOI: https://doi.org/10.1155/2024/8680134.Wang, D. M., Lin, B., Huang, Y., Chong, Z. Y., Du, J., Yuan, Q., Tang, Y., Xu, Q., & Xu, W. (2024). Exploring Neural Correlates between Anxiety and Inhibitory Ability: Evidence from Task‐Based fNIRS. Depression and Anxiety, 2024(1). https://doi.org/10.1155/2024/8680134Nash, K., Leota, J., Kleinert, T., & Hayward, D. A. (2023). Anxiety disrupts performance monitoring: Integrating behavioral, event-related potential, EEG microstate, and sLORETA evidence. Cerebral Cortex, 33(7), 3787-3802. DOI: https://doi.org/10.1093/cercor/bhac307.Nash, K., Leota, J., Kleinert, T., & Hayward, D. A. (2022). Anxiety disrupts performance monitoring: integrating behavioral, event-related potential, EEG microstate, and sLORETA evidence. Cerebral Cortex, 33(7), 3787–3802. https://doi.org/10.1093/cercor/bhac307Clough, B. A., Ireland, M. J., Leane, S., & March, S. (2020). Stressors and protective factors among regional and metropolitan Australian medical doctors: A mixed methods investigation. Journal of Clinical Psychology, 76(7), 1362-1389. DOI: https://doi.org/10.1002/jclp.22940.Clough BA, Ireland MJ, Leane S, March S. Stressors and protective factors among regional and metropolitan Australian medical doctors: A mixed methods investigation. J Clin Psychol. 2020; 76: 1362–1389Haddar, A., Sellami, I., Ghrab, M. A., Bouslama, A., Smaoui, W., Zouari, L., Dammak, M., M’rad, M. F., & Charfi, N. (2025). Stress induced by perceived radiological risk among imaging department staff. European Psychiatry, 68(1), 1155. DOI: https://doi.org/10.1192/j.eurpsy.2025.2339.Haddar A, Sellami I, Ghrab MA, et al. Stress induced by perceived radiological risk among imaging department staff. European Psychiatry. 2025;68(S1):S1155-S1155. doi:10.1192/j.eurpsy.2025.2339Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press. Retrieved September 16, 2025, from https://www.advancedassessments.co.uk/resources/Mental-Health-Test.pdf.Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.. Palo Alto, CA: Consulting Psychologists Press.Diotaiuti, P., Valente, G., Corrado, S., Tosti, B., Zanon, A., & Mancone, S. (2025). Validity and measurement invariance of abbreviated scales of the State-Trait Anxiety Inventory (STAI-Y) in a population of Italian young adults. Frontiers in Psychology, 16, 1443375. DOI: https://doi.org/10.3389/fpsyg.2025.1443375.Diotaiuti, P., Valente, G., Corrado, S., Tosti, B., Zanon, A., & Mancone, S. (2025). Validity and measurement invariance of abbreviated scales of the State-Trait Anxiety Inventory (STAI-Y) in a population of Italian young adults. Frontiers in Psychology, 16, 1443375. https://doi.org/10.3389/fpsyg.2025.1443375Kaupuzs, A., Vazne, Z., & Usca, S. (2015). Evaluation of psychometric properties of the state and trait anxiety inventory scale in a student sample. In Society. Integration. Education. Proceedings of the International Scientific Conference, 1, 198-205. DOI: https://doi.org/10.17770/SIE2015VOL1.317.Kaupuzs, A., Vazne, Z., & Usca, S. (2015). Evaluation of Psychometric Properties of the State and Trait Anxiety Inventory Scale in a Student Sample. 1, 198–205. https://doi.org/10.17770/SIE2015VOL1.317Micallef, J., McGlangeaud-Freudenthal, N., Aurran, Y., & Julian-Reynier, C. (1998). Measurement of anxiety state in women: A short-form scale. Revue d’Épidémiologie et de Santé Publique, 46(5), 383-389. Retrieved September 16, 2025, from https://pubmed.ncbi.nlm.nih.gov/9864767/.Micallef, J., McGlangeaud-Freudenthal, N., Aurran, Y., & Julian-Reynier, C. (1998). Measurement of anxiety state in women: a short-form scale. Revue D Epidemiologie Et De Sante Publique, 46(5), 383–389. https://www.ncbi.nlm.nih.gov/pubmed/9864767Ivanova, L. A., & Zlobina, O. Y. (2021). Anxiety, suicidal risk, and personality characteristics among medical university students. Acta Biomedica Scientifica, 6(1), 101-108. DOI: https://doi.org/10.29413/ABS.2021-6.1.15.Иванова, Л. А., & Злобина, О. Ю. (2021). Тревожность, суицидальный риск и личностные особенности у студентов медицинского вуза. 6(1), 101–108. https://doi.org/10.29413/ABS.2021-6.1.15Arslan, Ü., & Aksekioğlu, B. (2017). Investigating high school students’ test anxiety levels in terms of various variables. Journal of Human Sciences, 14(4), 4884-4897. DOI: https://doi.org/10.14687/JHS.V14I4.5006.Arslan, Ü., & Aksekioğlu, B. (2018). Investigating high school students’ test anxiety levels in terms of various variables Lise öğrencilerinin sınav kaygı düzeylerinin çeşitli değişkenler açısından incelenmesi. Journal of New Results in Science, 14(4), 4884–4897. https://doi.org/10.14687/JHS.V14I4.5006Spielberger, C. D., & Khanin, Y. L. (1984). The Spielberger–Khanin State-Trait Anxiety Inventory. In R. M. Granovskaya (Ed.), Practical psychology (pp. 180–188). Leningrad University Press. Retrieved September 16, 2025, from https://www.nekrasovspb.ru/doc/18spilberg.pdf.Спилбергер, Ч. Д., & Ханин, Ю. Л. (1978). Спилбергер, Ч. Д., & Ханин, Ю. Л. (1978). Тест-опросник Спилбергера — Ханина. Методика исследования тревожности. В Р. М. Грановская (Ред.), Практическая психология (с. 180–188). Ленинград: Издательство Ленинградского университета.Farrukh, S., Hussain, W., & Siddiqui, Z. S. (2020). Assessment of anxiety among healthcare professionals working on frontline against COVID-19. Biomedica, 36(38), 256-260. DOI: https://doi.org/10.51441/BIOMEDICA/5-424.Farrukh, S., Hussain, W., & Siddiqui, Z. S. (2020). Assessment of Anxiety among Healthcare Professionals Working on Frontline against COVID-19. Biomedica, 36, 256–260. https://doi.org/10.51441/BIOMEDICA//BIOMEDICA/5-424Tavormina, G., Tavormina, M. G. M., Franza, F., et al. (2020). A new rating scale (SAVE-9) to demonstrate the stress and anxiety in healthcare workers during the COVID-19 viral epidemic. Psychiatria Danubina, 32(Suppl. 1), 5-9. Retrieved September 16, 2025, from https://pubmed.ncbi.nlm.nih.gov/32890353/.Tavormina, G., Tavormina, M. G. M., Franza, F., Aldi, G., Amici, P., Amorosi, M., Anzallo, C., Cervone, A., Costa, D., d’Errico, I., De Berardis, D., Di Napoli, W., Elisei, S., Felisio, B., Ferella, G., Harnic, D., Juli, M. R., Lisa, G., Litta, A., … Chung, S. (2020). A New Rating Scale (SAVE-9) to Demonstrate the Stress and Anxiety in the Healthcare Workers During the COVID-19 Viral Epidemic. Psychiatria Danubina, 32, 5–9. https://pubmed.ncbi.nlm.nih.gov/32890353/Alharthy, N., Alrajeh, O. A., Almutairi, M. K., & Alhajri, A. (2017). Assessment of anxiety level of emergency health-care workers by generalized anxiety disorder-7 tool. International Journal of Applied and Basic Medical Research, 7(3), 150-154. DOI: https://doi.org/10.4103/2229-516X.212963.Alharthy, N., Alrajeh, O. A., Almutairi, M. K., & Alhajri, A. (2017). Assessment of anxiety level of emergency health-care workers by generalized anxiety disorder-7 tool. International Journal of Applied and Basic Medical Research, 7(3), 150–154. https://doi.org/10.4103/2229-516X.212963Patel, P. B., Luck, A., & Glickman, L. (2023). Responding to the crisis in college mental health: A call to action. The Journal of Pediatrics, 257, 113390. DOI: https://doi.org/10.1016/j.jpeds.2023.113390.Patel, P. B., Luck, A., & Glickman, L. (2023). Responding to the crisis in college mental health: A call to action. The Journal of Pediatrics, 257, 113390. https://doi.org/10.1016/j.jpeds.2023.113390Tan, G. X. D., Soh, X. C., Hartanto, A., Goh, A. Y. H., & Majeed, N. M. (2023). Prevalence of anxiety in college and university students: An umbrella review. Journal of Affective Disorders Reports, 14, 100658. DOI: https://doi.org/10.1016/j.jadr.2023.100658.Tan, Gabriel X.D., Xun Ci Soh, Andree Hartanto, Adalia Y.H. Goh, and Nadyanna M. Majeed. “Prevalence of Anxiety in College and University Students: An Umbrella Review.” Journal of Affective Disorders Reports 14 (December 2023): 100658. https://doi.org/10.1016/j.jadr.2023.100658.Quek, K. F., Low, W. Y., Razack, A. H. A., Loh, C. S., & Chua, C. B. (2004). Trait Anxiety Inventory (STAI) among urological patients: A Malaysian study. The Medical Journal of Malaysia, 59(2), 258-267. Retrieved September 16, 2025, from https://pubmed.ncbi.nlm.nih.gov/15559178/.Quek, K. F., Low, W. Y., Razack, A. H. A., Loh, C. S., & Chua, C. B. (2004). Reliability and validity of the Spielberger State-Trait Anxiety Inventory (STAI) among urological patients: a Malaysian study. The Medical Journal of Malaysia, 59(2), 258–267. https://pubmed.ncbi.nlm.nih.gov/15559178/Thomas, C. L., & Cassady, J. C. (2021). Validation of the state version of the state-trait anxiety inventory in a university sample. SAGE Open, 11(3), 21582440211031900. DOI: https://doi.org/10.1177/21582440211031900.Thomas, C. L., & Cassady, J. C. (2021). Validation of the State Version of the State-Trait Anxiety Inventory in a University Sample. SAGE Open, 11(3). https://doi.org/10.1177/21582440211031900Spielberger, C. D., Gorsuch, R. L., Lushene, R. E., Vagg, P. R., & Jacobs, G. A. (n.d.). State-Trait Anxiety Inventory (STAI). Statistics Solutions. Retrieved September 16, 2025, from https://www.statisticssolutions.com/free-resources/directory-of-survey-instruments/state-trait-anxiety-inventory-stai/.Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (n.d.). State-Trait Anxiety Inventory (STAI). Statistics Solutions. Retrieved October 2, 2025, from https://www.statisticssolutions.com/free-resources/directory-of-survey- instruments/state-trait-anxiety-inventory-stai/

The authors declare that there are no conflicts of interest present.