Teste do Desenho do Relógio: dados normativos para idosos / Clock Drawing Test: standard data for older adults / Prueba de Diseño de Reloj: datos normativos para ancianos

Trata-se de um estudo quantitativo, retrospectivo, correlacional e de corte transversal, com objetivo de fornecer dados normativos do TDR para idosos, levando em consideração diferentes faixas etárias e níveis de escolaridade. Duzentos e trinta e cinco foram entrevistados individualmente, distribuídos em cinco grupos etários e quatro níveis de escolaridade. Os instrumentos foram Ficha de Dados Sociodemográficos, Miniexame do Estado Mental (MEEM), Escala de Depressão Geriátrica, versão reduzida (GDS-15), Tarefa de Fluência Verbal Semântica (TFVS) e o TDR. Utilizou-se estatísticas descritivas, correlação de Pearson e análise univariada (one-way ANOVA) com post hoc Scheffe. Os escores do TDR apresentaram associações significativas com os anos de idade, anos de escolaridade, MEEM, TFVS e GDS-15. Houve diferença de desempenho no TDR ao considerarem os grupos por idade. O estudo fornece valores normativos para o TDR em uma amostra de idosos do sul do Brasil que foram influenciados pela idade, escolaridade, sintomatologia depressiva e fluência verbal. (AU)

This was a quantitative, retrospective, correlational, cross-sectional study that aimed to provide normative CDT (Clock-Drawing Test) data for older adults, taking into account different age groups and educational levels. The sample included 235 older adults distributed among five age groups and four levels of education. The instruments were Sociodemographic Data Sheet, the Mini-Mental State Examination (MMSE), the Geriatric Depression Scale reduced version (GDS-15), the Semantic Verbal Fluency Task (TFVS), and the CDT. Descriptive statistics, Pearson's correlation, and univariate analysis (one-way ANOVA) with Scheffe post hoc were used. The CDT scores showed significant associations with age, years of schooling, MMSE, TFVS, and GDS-15. There was a difference in performance in CDT when considering age groups. The present study was able to provide normative values ​​for CDT in a sample of older adults in southern Brazil that ​​were influenced by age, education, depressive symptoms, and verbal fluency. (AU)

Se trata de un estudio cuantitativo, retrospectivo, correlacional y transversal, con el objetivo de aportar datos normativos sobre el TDR para ancianos, teniendo en cuenta diferentes grupos de edad y niveles educativos. La muestra incluyó a 235 ancianos distribuidos en cinco grupos de edad y cuatro niveles de educación. Los instrumentos utilizados fueron Ficha de Datos Sociodemográficos, Mini Examen del Estado Mental (MMSE), Escala de Depresión Geriátrica, versión reducida (GDS-15), Tarea de Fluidez Verbal Semántica (TFVS) y TDR. Se emplearon estadísticas descriptivas, correlación de Pearson y análisis univariante (one-way ANOVA) con post hoc Scheffe. Los puntajes de TDR mostraron asociaciones significativas con la edad, años de escolaridad, MMSE, TFVS y GDS-15. Hubo diferencia en el desempeño en el TDR al considerar los grupos por edad. El presente estudio fue capaz de proporcionar valores normativos para TDR en una muestra de ancianos en el sur de Brasil influenciados por la edad, la escolaridad, los síntomas depresivos y la fluidez verbal. (AU)

Locus of control, personality and depression symptoms in cancer: Testing a moderated mediation model.

OBJECTIVE: To investigate the mediator role of locus of control on the relationship between the Big Five personality traits and the manifestation of depression symptoms in cancer outpatients. METHOD: Participants consisted of 220 cancer outpatients (138 women and 82 men), evaluated individually at the hospital waiting room. The measures applied were as follows: The NEO-Five Factor Inventory (NEO-FFI), Multidimensional Health Locus of Control (MHLC) Scale and Hospital Anxiety and Depression Scale (HADS). RESULTS: The factor structure of NEO-FFI was reexamined. A moderated mediation model was found for the powerful others external locus of control (LOC), depression symptoms and extraversion and conscientiousness traits across sex. CONCLUSIONS: Extraverted individuals can seek for others' support and use their attachments to find someone to guide them; conscientious patients can rely on their physician and follow every rule and orientation demanded, temporarily delegating to others the responsibility for their lives. All these strategies can help to decrease symptoms of depression. The perception of control can be taught, and it may be specifically relevant for mental health and in the performance of health behaviours.

Executive functions in Parkinson's disease / Funções executivas na doença de Parkinson / Funciones ejecutivas en la enfermedad de Parkinson

The objective of this study was to investigate executive functions (EFs) in older adults with Parkinson's disease (PD). It was a cross-sectional and comparative study, composed of 62 participants divided into PD group (n = 31; M age = 75.26; SD age = 7.26) and control group (n = 31; M age = 74.03; SD age = 6.95), aged 61 to 93 years, recruited for convenience in 5 cities in the state of Rio Grande do Sul. The instruments used were a sociodemographic data questionnaire; MMSE; GDS-15; BIS-11; verbal fluency tasks (FAS and animals), DEX; WCST-64 and FDT. Descriptive analyzes and Student's t and Chi-square tests were used. The PD group had a lower performance in the WCST-64 and FDT tests compared to controls, indicating worse performance in tasks that required reasoning, cognitive flexibility and processing speed, in addition, showed difficulties in performing tasks that require EF (DEX). (AU)

O objetivo foi investigar as funções executivas (FE) em idosos com Doença de Parkinson (DP). Estudo transversal e comparativo, composto por 62 participantes, 50% do sexo feminino, recrutados por conveniência em cinco cidades do estado do Rio Grande do Sul, e divididos em dois grupos: com DP (n = 31; Midade = 75,26; DP idade = 7,26) e grupo controle (n = 31; M idade = 74,03; DP idade = 6,95), com idade entre 61 e 93 anos. Os instrumentos utilizados foram: questionário de dados sociodemográficos, MEEM; GDS-15; BIS-11; tarefas de fluência verbal (FAS e animais); DEX; WCST-64 e FDT. Foram utilizadas análises descritivas e os testes t de Student e Qui-quadrado. O grupo com DP teve desempenho inferior nos testes WCST-64 e FDT em comparação aos controles, indicando pior desempenho nas tarefas que exigiam raciocínio, flexibilidade cognitiva e velocidade de processamento, além disso, mostraram dificuldades ao realizar tarefas que demandam FE (DEX). (AU)

El objetivo de este trabajo fue investigar las funciones ejecutivas (FE) en ancianos con enfermedad de Parkinson (EP). Se trató de un estudio transversal y comparativo, compuesto por 62 participantes, 50% mujeres, reclutados por conveniencia en cinco ciudades de la provincia de Rio Grande do Sul, y divididos en dos grupos: con EP (n = 31; M edad = 75,26; DS edad = 7,26) y grupo control (n = 31; M edad = 74,03; DS edad = 6,95). Fueron usados cuestionarios de datos sociodemográficos, MEEM, GDS-15; BIS-11; tareas de fluencia verbal (FAS y animales), DEX; WCST-64 y FDT. Se realizaron análisis descriptivos, prueba t de Student y chi-cuadrado. El grupo EP tuvo un rendimiento más bajo en las pruebas WCST-64 y FDT en comparación con el grupo control, lo que indica un peor rendimiento en tareas que requerían razonamiento, flexibilidad cognitiva y velocidad de procesamiento, además, mostró dificultades para realizar tareas que demandan FE (DEX). (AU)

Avaliação de Bem-Estar Psicológico e Sintomas Depressivos em Idosos Saudáveis / Evaluation of Psychological Well-Being and Depressive Symptoms in Healthy Elderly People / Evaluación de Bienestar Psicológico y Sintomas Depresivos en Los Idosos Saludables

O objetivo deste trabalho foi avaliar a relação entre bem-estar psicológico e a presença de sintomas depressivos em idosos saudáveis. Os instrumentos utilizados foram: ficha de dados sociodemográficos, EDEP e BDI-II. Os dados foram analisados com o auxílio do SPSS, por meio de frequências, média, desvio padrão e correlações de Spearman. A amostra foi composta por 64 idosos, com média de idade de 69,61 (DP=7,58) e média de escolaridade de 4,59 anos de estudo (DP=2,61). Os resultados indicaram correlação inversa, moderada e significativa entre sintomatologia depressiva e os domínios autonomia, ambiente e relações positivas com os outros, encontrou-se ainda correlação inversa e fraca entre sintomatologia depressiva e crescimento pessoal. Acredita-se que escolaridade e atividade física podem ser fatores protetivos para depressão e bem-estar psicológico no envelhecimento. Por fim, levanta-se a hipótese de haver uma retroalimentação entre as variáveis que se correlacionaram entre si de forma significativa neste estudo. (AU)

The main objective of this study was to evaluate the relationship between psychological well-being and depressive symptoms in healthy elderly people. The instruments used were: sociodemographic data questionnaire, EDEP and BDI-II. The data were analyzed in the SPSS using mean and SD, and Spearman correlations. The sample consisted of 64 elderly, with a mean age of 69.61 years (SD=7.58) and a mean educational level of 4.59 years (SD=2.61). The results indicate an inverse, moderate and significant correlation between depressive symptomatology and the domains: autonomy, environment, and positive relationships with others. There was also an inverse and weak correlation between depressive symptomatology and personal growth domain. It is believed that education level can be a protective factor for depression and psychological well-being in aging. Finally, the hypothesis is that there is a feedback cycle between the significantly correlated variables in this study. (AU)

El objetivo de este trabajo fue evaluar la relación entre bienestar psicológico y la presencia de síntomas depresivos en ancianos sanos. Los instrumentos utilizados fueron: ficha de datos sociodemográficos, EDEP y BDI-II. Los datos fueron analizados con la ayuda del SPSS, por medio de frecuencias, media, desviación estándar y correlaciones de Spearman. La muestra fue compuesta por 64 ancianos, siendo la media de edad fue 69,61 (+7,58) y la media de escolaridad fue de 4,59 años de estudio (+2,61). Los resultados indicaron correlación inversa, moderada y significativa entre sintomatología depresiva y los dominios autonomía, ambiente y relaciones positivas con los demás, se encontró una correlación inversa y débil entre sintomatología depresiva y crecimiento personal. Se cree que la escolaridad y la actividad física son factores protectores para la depresión y el bienestar psicológico en el envejecimiento. Por último, se plantea la hipótesis de que hay una retroalimentación entre las variables que se correlacionaron entre sí de forma significativa en este estudio. (AU)

Lócus de controle, personalidade, autoeficácia e aspectos emocionais em aspirantes a piloto / Locus of control, personality, self-efficacy and emotional aspects of pilot students / Lócus de control, personalidad, autoeficacia y aspectos emocionales en aspirantes a piloto

O principal objetivo deste estudo foi verificar a relação entre lócus de controle (LOC), fatores de personalidade, autoeficácia, sintomas de depressão, ansiedade e estresse em estudantes de graduação em Ciências Aeronáuticas. 109 participantes foram avaliados utilizando: Inventário dos Cinco Grandes Fatores da Personalidade (IGFP-5); Depression, Anxiety and Stress Scale - DASS-21; Escala de Autoeficácia Geral Percebida (EAGP), e Escala de Lócus de Controle para Segurança em Aviação. Os resultados indicaram que: Conscienciosidade correlacionou-se com autoeficácia e aspectos emocionais; Abertura e Extroversão obtiveram correlação com autoeficácia; Neuroticismo obteve correlação com autoeficácia e aspectos emocionais. Compreende-se a relevância da autoeficácia em estudantes e profissionais da aeronáutica, uma vez que tal construto relaciona-se com a saúde mental e com os comportamentos de risco.

This study was conducted to verify the relationship between locus of control (LOC), personality characteristics, self-efficacy, and depression, anxiety, and stress symptoms in adults enrolled in an Aeronautical Science graduation course. One hundred and nine participants were assessed using the following: Big Five Inventory (IGFP-5); Depression, Anxiety and Stress Scale - DASS-21; General Perceived Self-Efficacy Scale (GPSS); and Aviation Safety Locus of Control Scale. Results indicated that: Conscientiousness is correlated to self-efficacy and emotional aspects; Openness and Extraversion are correlated to self-efficacy; and Neuroticism is correlated to self-efficacy and emotional aspects. These results suggest the relevance of self-efficacy in aeronautical students and professionals, since such construct is related to both mental health and rick behavior.

El principal objetivo de este estudio fue comprobar la relación entre locus de control (LOC), factores de personalidad, autoeficacia, síntomas de depresión, ansiedad y estrés en estudiantes de graduación en Ciencias Aeronáuticas. Fueron evaluados 109 participantes, utilizando: Inventario de los Cinco Grandes Factores de la Personalidad (IGFP); Depression, Anxiety and Stress Scale - DASS-21; Escala de Autoeficacia General Percibida (EAGP), y Escala de Locus de control para seguridad en aviación. Los resultados indicaron que: Responsabilidad se correlacionó con autoeficacia y aspectos emocionales; Apertura y Extraversión obtuvieron correlación con autoeficacia; Neuroticismo obtuvo correlación con autoeficacia y aspectos emocionales. Se comprende la relevancia de la autoeficacia en estudiantes y profesionales de la aeronáutica, ya que tal constructo se relaciona con la salud mental y con los comportamientos de riesgo.

Desempenho de idosos com e sem declínio cognitivo leve na versão reduzida do teste WCST-6 / Performance of elderly with and without mild cognitive impairment in the WCST-64 test / Rendimiento de ancianos con y sin deterioro cognitivo leve en la prueba WCST-64

Declínio Cognitivo Leve (DCL) é uma condição clínica que apresenta perdas cognitivas acima do esperado para idade ou escolaridade, não preenchendo critérios diagnósticos para quadros demenciais. Este artigo comparou o desempenho de 56 idosos no Teste Wisconsin de Classificação de Cartas, versão reduzida (WCST-64) em uma amostra de idosos com e sem DCL (n=28 por grupo), emparelhados por idade e escolaridade (média de idade =68,93; DP=5,06; escolaridade média= 13,21; DP=5,06). Os instrumentos utilizados foram questionário sociodemográfico, bateria de testes neurocognitivos e de capacidade funcional e o WCST-64. Os dados foram analisados utilizando análises descritivas e inferenciais. O grupo com DCL obteve pior resultado apenas no escore número de erros do WCST-64 (p=0,029). Os resultados sugerem que o WCST-64 apresenta potencial para diferenciar o desempenho de idosos com e sem DCL, o que possibilita a utilização desse instrumento como ferramenta de rastreio e de auxílio no processo diagnóstico dessa população.

Mild Cognitive Impairment (MCI) is a clinical condition which presents greater cognitive loss than expected for their age or education, do not meeting diagnostic criteria for dementia cases. This article compared the performance of elderly in the reduced version of the Wisconsin Card Sorting Test (WCST-64) in a sample of 56 elderly with an without MCI (n=28 per group) matched by age and by education (mean age=68.93; SD=5.06; education mean=13.21; SD=5.06). The instruments applied were: a sociodemographic questionnaire, a battery of neurocognitive tests and functional capacity, and WCST-64. Data were analyzed through descriptive and inferential analyzes. The DCL group had a worse result only in the WCST-64 error score (p = 0.029). The results suggest that the WCST-64 has the potential to distinguish the performance of adults with and without MCI, indicating the possibility of using this instrument as a screening tool and as a support of this population diagnostic process.

El deterioro cognitivo leve (DCL) es una condición clínica que presenta pérdidas cognitivas por encima de lo esperado para la edad o la escolaridad, no cumpliendo criterios diagnósticos para los cuadros demencia. El presente artículo comparó el desempeño de ancianos en la prueba Wisconsin de clasificación de cartas versión reducida (WCST-64) en una muestra de 56 ancianos con y sin DCL (n=28 por grupo), emparejados por edad y por escolaridad (media de años de edad=68,93; DP=5,06; media de años de estudio =13,21; DP=5,06). Los instrumentos utilizados fueron: cuestionario sociodemográfico, batería de pruebas neurocognitivas y de capacidad funcional y el WCST-64. Los datos fueron analizados por medio de análisis descriptivos e inferenciales. El grupo con DCL obtuvo peor resultado sólo en la puntuación número de errores del WCST-64 (p = 0,029). Los resultados indican que el WCST-64 presenta potencial para diferenciar el desempeño de adultos con y sin DCL, posibilitando la utilización de ese instrumento como herramienta de rastreo y de auxilio en el proceso diagnóstico de esa población.

Predictive factors of treatment adherence in cancer outpatients.

OBJECTIVE: Identify which variables are predictors of treatment adherence in cancer patients. METHODS: Two hundred twenty cancer outpatients were evaluated by the following instruments: questionnaire on sociodemographic and clinical data, NEO-FFI Personality Inventory Revised (NEO-FFI-R), Multidimensional Health Locus of Control (MHLC) scale, Hospital Anxiety and Depression Scale (HADS), patient's knowledge about cancer disease questionnaire, and Adherence Determinants Questionnaire (ADQ). A logistic regression analysis was applied to verify the predictive power of the variables, and network analyses were conducted through the qgraph package. RESULTS: The sample was composed of 138 (62.7%) women and 82 (37.3%) men. The mean age of participants was 54.66 (SD = 13.30), and the education level mean was 8.32 (DP = 3.76) years of study. Powerful others locus of control (LOC) and the personality factors conscientiousness and agreeableness are presented as predictors of high treatment adherence. The variable family cancer history, on the other hand, was a predictor of lower adherence levels. CONCLUSIONS: The powerful others LOC may be connected with more trust and dependence in the health team, leading to better adherence. Specific characteristics of personality factors can help individuals to cooperate with their caregivers and to follow medical orders. The evaluated factors are interrelated and should be taken into account by health professionals when developing interventions to modify health-related behaviors and treatment adherence.

Personality factors and cognitive functioning in elderly with Parkinson's disease.

Parkinson's disease (PD) is a chronic and progressive neurological disease, resulting from cell degeneration in the substantia nigra, responsible for the production of dopamine. OBJECTIVE: This study aimed to characterize the cognitive functioning, personality factors and prevalence of depressive and anxiety symptoms in individuals with Parkinson's disease (PD). Furthermore, this study sought to analyze whether personality factors were predictors of cognitive functioning. METHODS: The sample consisted of 30 elderly with PD. Participants completed a sociodemographic data sheet, the NEO-FFI-R (Five Factor Inventory NEO Revised), the Montreal Cognitive Assessment, the Beta-III, the phonemic verbal fluency test and semantics (Animals), the digits span subtest of the Wechsler Intelligence Scale for Adults and the Boston Naming Test and the word list of the CERAD battery, the Geriatric Depression Scale and the Beck Anxiety Inventory. RESULTS: The elderly with PD presented impairment in verbal episodic memory and executive functions. Most of the participants demonstrated low levels of neuroticism. The extraversion factor was positively correlated with executive functions and the openness to experience factor was positively correlated with verbal episodic memory. It was concluded that the elderly with PD presented memory and executive function impairments. The factor that most contributed to performance of the elderly with PD on memory and executive function tasks was the extraversion factor.

A doença de Parkinson (PD) é uma doença neurológica crônica e progressiva, resultante da degeneração celular na substância negra, responsável pela produção de dopamina. OBJETIVO: Este estudo teve como objetivo caracterizar o funcionamento cognitivo, fatores de personalidade e prevalência de sintomas de depressão e ansiedade em indivíduos com doença de Parkinson (DP). Além disso, este estudo procurou analisar se os fatores de personalidade eram preditores de funcionamento cognitivo. MÉTODOS: A amostra foi constituída por 30 idosos com DP. Os participantes responderam a uma ficha de dados sociodemográficos, o NEO-FFI-R (Inventário de Cinco Fatores NEO Revisado), o Montreal Cognitive Assessment (MoCA), o Beta III, o Teste de Fluência Verbal Semântica (Categoria Animais), o Subteste Dígitos da Escala de Inteligência Wechsler para adultos, o teste de nomeação de Boston da bateria CERAD, a Escala de Depressão Geriátrica e o Inventário de Ansiedade de Beck. RESULTADOS: Os idosos com DP apresentaram comprometimento nas funções de memória episódica verbal e funções executivas. A maioria dos participantes demonstrou baixos níveis de neuroticismo. O fator de extroversão foi positivamente correlacionado com as funções executivas e o fator de abertura à experiência foi positivamente correlacionado com a memória episódica verbal. CONCLUSÃO: Conclui-se que idosos com DP apresentam comprometimento na memória e nas funções executivas. O fator que mais contribuiu para o desempenho dos idosos com DP em tarefas de memória e funções executivas foi o fator extroversão.

Personality factors and cognitive functioning in elderly with Parkinson's disease / Fatores de personalidade e funcionamento cognitivo em idosos com doença de parkinson

ABSTRACT Parkinson's disease (PD) is a chronic and progressive neurological disease, resulting from cell degeneration in the substantia nigra, responsible for the production of dopamine. Objective: This study aimed to characterize the cognitive functioning, personality factors and prevalence of depressive and anxiety symptoms in individuals with Parkinson's disease (PD). Furthermore, this study sought to analyze whether personality factors were predictors of cognitive functioning. Methods: The sample consisted of 30 elderly with PD. Participants completed a sociodemographic data sheet, the NEO-FFI-R (Five Factor Inventory NEO Revised), the Montreal Cognitive Assessment, the Beta-III, the phonemic verbal fluency test and semantics (Animals), the digits span subtest of the Wechsler Intelligence Scale for Adults and the Boston Naming Test and the word list of the CERAD battery, the Geriatric Depression Scale and the Beck Anxiety Inventory. Results: The elderly with PD presented impairment in verbal episodic memory and executive functions. Most of the participants demonstrated low levels of neuroticism. The extraversion factor was positively correlated with executive functions and the openness to experience factor was positively correlated with verbal episodic memory. It was concluded that the elderly with PD presented memory and executive function impairments. The factor that most contributed to performance of the elderly with PD on memory and executive function tasks was the extraversion factor.

RESUMO A doença de Parkinson (PD) é uma doença neurológica crônica e progressiva, resultante da degeneração celular na substância negra, responsável pela produção de dopamina. Objetivo: Este estudo teve como objetivo caracterizar o funcionamento cognitivo, fatores de personalidade e prevalência de sintomas de depressão e ansiedade em indivíduos com doença de Parkinson (DP). Além disso, este estudo procurou analisar se os fatores de personalidade eram preditores de funcionamento cognitivo. Métodos: A amostra foi constituída por 30 idosos com DP. Os participantes responderam a uma ficha de dados sociodemográficos, o NEO-FFI-R (Inventário de Cinco Fatores NEO Revisado), o Montreal Cognitive Assessment (MoCA), o Beta III, o Teste de Fluência Verbal Semântica (Categoria Animais), o Subteste Dígitos da Escala de Inteligência Wechsler para adultos, o teste de nomeação de Boston da bateria CERAD, a Escala de Depressão Geriátrica e o Inventário de Ansiedade de Beck. Resultados: Os idosos com DP apresentaram comprometimento nas funções de memória episódica verbal e funções executivas. A maioria dos participantes demonstrou baixos níveis de neuroticismo. O fator de extroversão foi positivamente correlacionado com as funções executivas e o fator de abertura à experiência foi positivamente correlacionado com a memória episódica verbal. Conclusão: Conclui-se que idosos com DP apresentam comprometimento na memória e nas funções executivas. O fator que mais contribuiu para o desempenho dos idosos com DP em tarefas de memória e funções executivas foi o fator extroversão.

Predictor Variables and Screening Protocol for Depressive and Anxiety Disorders in Cancer Outpatients.

BACKGROUND: Cancer patients are at increased risk of persistent depressive and anxiety symptoms and disorders compared to the general population. However, these issues are not always identified, which may worsen the prognosis and increase morbidity and mortality. Therefore, the objectives of this study are to identify predictor variables (demographic and clinical) for the development of mood and anxiety disorders in cancer outpatients and to propose a probabilistic screening protocol considering these variables and certain standardized screening instruments. METHODS: A total of 1,385 adults, of both genders, receiving outpatient cancer care were evaluated using a questionnaire and screening instruments. Thereafter, 400 of these subjects responded to the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID-IV) by telephone to confirm or rule out the presence of a Current Major Depressive Episode (CMDE) or Anxiety Disorder (AD). RESULTS: Of the patients surveyed, 64% met the criteria for CMDE and 41% for AD. Female gender was found to be a risk factor for both disorders, and the presence of previous psychiatric history and marital status (divorced and widowed) were risk factors for anxiety disorders. When scoring above the recommended cutoff score, the screening instruments also indicated a risk of the studied disorders. Based on these findings, a screening protocol and nomograms were created for the quantification, combination and probabilistic estimate of risk, with accuracy indicators >0.68. CONCLUSION: The prevalence rates for the disorders under study are extremely high in cancer patients. The use of the proposed protocol and nomogram can facilitate rapid and wide screening, thus refining triage and supporting the establishment of criteria for referral to mental health professionals, so that patients can be properly diagnosed and treated.

Screening tools for psychiatry disorders in cancer setting: Caution when using.

This study evaluated sensitivity/specificity of self-report instruments for the screening of psychiatric disorders/symptoms in cancer outpatients like: current/past major depression, dysthymia, alcohol abuse and dependence, tobacco abuse and dependence, panic disorder, social anxiety disorder, generalized anxiety disorder, obsessive compulsive disorder, posttraumatic stress disorder, phobias, current mania, delusion and hallucination. First, 1384 patients responded to several self-assessment instruments. Then, 400 patients, were then interviewed by telephone to confirm the presence/absence of psychiatric diagnosis. The ROC analyses showed moderate/excellent specificity (Patient Health Questionnaire-4 (PHQ-4)=0.75-0.88, Generalized Anxiety Disorder (GAD-7)=0.77, Fast Alcohol Screening Test (FAST)=0.83-0.86, Fagerström Test for Nicotine Dependence (FTND)=0.72, Brief version of the Patient Health Questionnaire-Panic Disorder Module (Brief-PD)=0.75, and Self Reporting Questionnaire - psychosis items=(0.68-0.91) but low sensitivity (PHQ-4=0.53-0.54, GAD-7=0.52, FAST=0.48-0.58, FTND=0.97, and Brief-PD=0.66)). These results suggest that sensitivity indicators should be used with caution in the cancer clinical setting.

Assessment and screening of panic disorder in cancer patients: performance of the PHQ-PD.

OBJECTIVE: This study's objective was to promote the transcultural adaptation of the Patient Health Questionnaire-Panic Disorder Module (PHQ-PD) for Brazilian Portuguese and to evaluate the discriminative validity of this scale in detecting PD among cancer patients. METHODS: Adult cancer outpatients (n=400) from a specialized cancer hospital (61.50% female; 68.40% married; 56% incomplete elementary education or elementary school as the highest educational level) were assessed with the Structured Clinical Interview for DSM-IV and PHQ-PD. Using receiver operating characteristic (ROC) analyses, we determined the sensitivity and specificity values for the original PD algorithm and the PD screening. RESULTS: The prevalence of PD in cancer patients (8.75%) was higher than the prevalence of PD for the general population. The original PD algorithm demonstrated an accuracy of 0.66, sensitivity of 0.31 and specificity of 0.94. The PD screening question in the PHQ-PD had a sensitivity of 0.66 and a specificity of 0.75 (accuracy=0.80). CONCLUSION: PD screening questions in the PHQ-PD may be useful for identifying cancer patients with PD because of the high prevalence of PD in this population and because the questionnaire's sensitivity is greater than that of the original PD algorithm. Nevertheless, researchers and clinical practitioners should consider the original PD algorithm (five items) in the PHQ-PD when they investigate PD in patients because of the algorithm's high specificity. Individuals who are found to be positive for PD on screening should be referred for assessment and a thorough psychiatric interview that focuses on the differential diagnosis of an anxiety disorder relating to cancer.

Psico-Oncologia: atuação do psicólogo no Hospital de Câncer de Barretos / Psycho-oncology: the psychologist in the Barretos Cancer Hospital / Psico-oncología: el psicólogo en el Hospital del Cáncer de Barretos / La psycho-oncologie: le psychologue à L' Hôspital des Cancers de Barretos

A Psico-Oncologia surgiu a partir da necessidade do acompanhamento psicológico ao paciente com câncer, a sua família e à equipe que o acompanha. O papel do psicólogo em oncologia propõe o apoio psicossocial e psicoterapêutico diante do impacto do diagnóstico e de suas consequências e mostra a possibilidade de auxílio para melhor enfrentamento e qualidade de vida do doente e de seus familiares. O objetivo deste relato consiste em descrever a atuação desenvolvida por psicólogos do Serviço de Psicologia do Hospital de Câncer de Barretos/Fundação Pio XII - SP, uma instituição médica especializada em oncologia.

Psycho-oncology arose from the need of psychological intervention for patients with cancer, their families and medical staff. The role of the psychologist in this field is to provide psychosocial support and psychotherapy in face of the impact of the diagnosis and its aftermath. It aims at facilitating better coping and quality of life for patients and their families. The objective of this report is to describe the actions developed by the psychologists of the Department of Psychology at the Barretos Cancer Hospital/ Pio XII Foundation - SP, a medical institution specialized in oncology.

La Psico-oncología surgió de la necesidad del acompañamiento psicológico al paciente con cáncer, su familia y el personal que lo acompaña. El papel del psicólogo en oncología ofrece apoyo psicosocial y psicoterapéutico contra el impacto del diagnostico y sus consecuencias, y muestra la posibilidad de una ayuda a un mejor afrontamiento y calidad de vida de los pacientes y sus familias. El propósito de este informe es describir el papel desarrollado por psicólogos del Servicio de Psicología del Hospital de Cáncer de Barretos/Fundación Pio XII - SP - Brasil, una institución médica especializada en oncología.

La psycho-oncologie aborde la nécessité de l`accompagnemente psychique des patients avec le cancer, sa famille et l'équipe qui lui accompagnent. Le rôle du psychologue qui travaille dans le service d'oncologie propose un appui psychosocial et psychothérapeutique devant l'impacte de la diagnostique et ses consequences, et montre la possibilité d'une aide pour le meilheur affaire face à la qualité de la vie du pacient et de ses familliers. L'object de ce rapport c'est la description de la performance du psycologue de l'Hôpital des Cancers de Barretos - Fondaction Pio XII - São Paulo - Brésil, une institution médicale specialisée en oncologie.

Psico-Oncologia: atuação do psicólogo no Hospital de Câncer de Barretos / Psycho-oncology: the psychologist in the Barretos Cancer Hospital / Psico-oncología: el psicólogo en el Hospital del Cáncer de Barretos / La psycho-oncologie: le psychologue à L' Hôspital des Cancers de Barretos

A Psico-Oncologia surgiu a partir da necessidade do acompanhamento psicológico ao paciente com câncer, a sua família e à equipe que o acompanha. O papel do psicólogo em oncologia propõe o apoio psicossocial e psicoterapêutico diante do impacto do diagnóstico e de suas consequências e mostra a possibilidade de auxílio para melhor enfrentamento e qualidade de vida do doente e de seus familiares. O objetivo deste relato consiste em descrever a atuação desenvolvida por psicólogos do Serviço de Psicologia do Hospital de Câncer de Barretos/Fundação Pio XII - SP, uma instituição médica especializada em oncologia.(AU)

Psycho-oncology arose from the need of psychological intervention for patients with cancer, their families and medical staff. The role of the psychologist in this field is to provide psychosocial support and psychotherapy in face of the impact of the diagnosis and its aftermath. It aims at facilitating better coping and quality of life for patients and their families. The objective of this report is to describe the actions developed by the psychologists of the Department of Psychology at the Barretos Cancer Hospital/ Pio XII Foundation - SP, a medical institution specialized in oncology.(AU)

La Psico-oncología surgió de la necesidad del acompañamiento psicológico al paciente con cáncer, su familia y el personal que lo acompaña. El papel del psicólogo en oncología ofrece apoyo psicosocial y psicoterapéutico contra el impacto del diagnostico y sus consecuencias, y muestra la posibilidad de una ayuda a un mejor afrontamiento y calidad de vida de los pacientes y sus familias. El propósito de este informe es describir el papel desarrollado por psicólogos del Servicio de Psicología del Hospital de Cáncer de Barretos/Fundación Pio XII - SP - Brasil, una institución médica especializada en oncología.(AU)

La psycho-oncologie aborde la nécessité de l`accompagnemente psychique des patients avec le cancer, sa famille et l'équipe qui lui accompagnent. Le rôle du psychologue qui travaille dans le service d'oncologie propose un appui psychosocial et psychothérapeutique devant l'impacte de la diagnostique et ses consequences, et montre la possibilité d'une aide pour le meilheur affaire face à la qualité de la vie du pacient et de ses familliers. L'object de ce rapport c'est la description de la performance du psycologue de l'Hôpital des Cancers de Barretos - Fondaction Pio XII - São Paulo - Brésil, une institution médicale specialisée en oncologie.(AU)