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Cross-cultural validation of the revised temperament and character inventory in the Bulgarian language

Authors

  • Boris Tilov MSc,

    Assistant Professor
    1. Department of Healthcare Management, Faculty of Public Health, Medical University, Plovidv, Bulgaria
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  • Donka Dimitrova MSc PhD,

    Associate Professor
    1. Department of Health Management, Health Economics and Primary Care, Faculty of Public Health, Medical University, Plovidv, Bulgaria
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  • Maria Stoykova MD PhD,

    Associate Professor
    1. Department of Social Medicine and Public Health, Faculty of Public Health, Medical University, Plovidv, Bulgaria
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  • Bianka Tornjova MSc PhD,

    Associate Professor
    1. Department of Healthcare Management, Faculty of Public Health, Medical University, Plovidv, Bulgaria
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  • Gergana Foreva MD PhD,

    Senior Assistant Professor
    1. Department of Health Management, Health Economics and Primary Care, Faculty of Public Health, Medical University, Plovidv, Bulgaria
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  • Drozdstoj Stoyanov MD PhD

    Associate Professor, Corresponding author
    • Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University, Plovidv, Bulgaria
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Correspondence

A/Prof Drozdstoj Stoyanov

Department of Psychiatry and Medical Psychology, Faculty of Medicine

Medical University

15a V. Aprillov Street

4002 Plovidv

Bulgaria

E-mail: stojanovpisevski@gmail.com

Abstract

Rationale, aims and objectives

Health-care professions have long been considered prone to work-related stress, yet recent research in Bulgaria indicates alarmingly high levels of burnout. Cloninger's inventory is used to analyse and evaluate correlation between personality characteristics and degree of burnout syndrome manifestation among the risk categories of health-care professionals. The primary goal of this study was to test the conceptual validity and cross-cultural applicability of the revised TCI (TCI-R), developed in the United States, in a culturally, socially and economically diverse setting.

Methods

Linguistic validation, test–retest studies, statistical and expert analyses were performed to assess cross-cultural applicability of the revised Cloninger's temperament and character inventory in Bulgarian, its reliability and internal consistency and construct validity.

Results

The overall internal consistency of TCI-R and its scales as well as the interscale and test–retest correlations prove that the translated version of the questionnaire is acceptable and cross-culturally applicable for the purposes of studying organizational stress and burnout risk in health-care professionals.

Conclusions

In general the cross-cultural adaptation process, even if carried out in a rigorous way, does not always lead to the best target version and suggests it would be useful to develop new scales specific to each culture and, at the same time, to think about the trans-cultural adaptation.

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