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1.
Medicine (Baltimore) ; 100(8): e24428, 2021 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-33663054

RESUMO

ABSTRACT: This study aimed to compare Zung self-rating anxiety/depression scale (SAS/SDS) and hospital anxiety and depression scale (HADS) regarding the detection rate, detection consistency, and time of assessment in non-small cell lung cancer (NSCLC) patients.Totally 290 NSCLC patients who underwent surgical resection were consecutively recruited and clinical data of patients were collected. Patients' anxiety and depression were assessed using HADS and SAS/SDS when they were discharged from hospital and consumption of the time for completing HADS and SAS/SDS was recorded.The anxiety detection rates by SAS (57.9%) and HADS-A (51.0%) were of no difference (P = .095). Also, there was no difference in anxiety severity detected by the 2 scales (P = .467). Additional correlation analysis revealed that both anxiety scores (r = 0.702, P < .001) and detected anxiety (Kappa = 0.626, P < .001) were consistent by SAS and HADS-A. Regarding depression, depression detection rate by SDS (47.6%) was higher than that of HADS-D (39.3%) (P = .044); the depression severity by SDS was more advanced than that by HADS-D (P = .002). The subsequent correlation analysis showed that both depression scores (r = 0.639, P < .001) and detected depression (Kappa = 0.624, P < .001) were consistent by SDS and HADS-D. In addition, the time for HADS assessment (7.6 ±â€Š1.2 minutes) was shorter than SAS/SDS assessment (16.2 ±â€Š2.1 minutes) (P < .001).HADS could be a better choice for assessing anxiety and depression in NSCLC patients, benefiting from its shorter assessment time but consistent detection rate compared with SAS/SDS.


Assuntos
Ansiedade/diagnóstico , Carcinoma Pulmonar de Células não Pequenas/psicologia , Depressão/diagnóstico , Neoplasias Pulmonares/psicologia , Escalas de Graduação Psiquiátrica/normas , Fatores Etários , Idoso , Antígeno Carcinoembrionário/sangue , Comorbidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Autorrelato , Índice de Gravidade de Doença , Fatores Sexuais , Fatores Socioeconômicos , Fatores de Tempo
2.
Psychiatry Res ; 298: 113773, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33545423

RESUMO

Large-scale protracted population stressors, such as social unrest and the coronavirus disease 2019 (COVID-19), are associated with increased symptoms of post-traumatic stress disorder (PTSD) and depression. Cost-effective mental health screening is prerequisite for timely intervention. We developed an online tool to identify prospective predictors of PTSD and depressive symptoms in the context of co-occurring social unrest and COVID-19 in Hong Kong. 150 participants completed baseline and follow-up assessments, with a median duration of 29 days. Three logistic regression models were constructed to assess its discriminative power in predicting PTSD and depressive symptoms at one month. Receiver-operating characteristic analysis was performed for each model to determine their optimal decision thresholds. Sensitivity and specificity of the models were 87.1% and 53.8% for probable PTSD, 77.5% and 63.3% for high-risk depressive symptoms, and 44.7% and 96.4% for no significant depressive symptoms. The models performed well in discriminating outcomes (AUCs range: 0.769-0.811). Probable PTSD was predicted by social unrest-related traumatic events, high rumination, and low resilience. Rumination and resilience also predicted high-risk and no significant depressive symptoms, with COVID-19-related events also predicting no significant depression risk. Accessible screening of probable mental health outcomes with good predictive capability may be important for early intervention opportunities.


Assuntos
Distúrbios Civis , Depressão/diagnóstico , Escalas de Graduação Psiquiátrica/normas , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Adulto , Feminino , Hong Kong , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Prospectivos
3.
An. psicol ; 36(3): 475-482, oct. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-195664

RESUMO

Anger rumination is persevering thoughts about a personally significant event that occurred to the person or others that leads to anger and constitutes a risk factor for aggression. The objective was to determine the factor structure and test the invariance by sex and age of the Anger Rumination Scale [ARS]. A non-probabilistic sample of 630 persons between 18 and 63 years old was formed (M = 31.07, SD = 11.27), grouped by sex (252 men, 378 women) and age (278 under 25 years old, 352 over 25 years old). The instruments used were the ARS and the reactive and proactive aggression RPQ questionnaire. We found the ARS to have a favorable fit in a four-factor model correlated with residual covariances. In turn, invariance between sexes and ages was found after imposing progressive restrictions in the confirmed model, and it showed significant correlations with reactive and proactive aggression as evidence of the validity of concurrent criteria. We concluded that the ARS shows adequate indicators of reliability and validity to be used in the Colombian context


La rumiación ira es pensamiento perseverativo sobre un evento personalmente significativo ocurrido a la persona o las demás que conlleva a la ira y se constituye como factor de riesgo para la agresión. El objetivo fue realizar un análisis factorial confirmatorio e invarianza por sexo y edades de la Anger Rumination Scale [ARS]. Se conformó una muestra no probabilística de 640 personas con entre 18 y 63 años (M = 31.07, SD = 11.27), agrupadas por sexos (252 hombres, 378 mujeres) y edades (278 menores de 25 años, 352 mayores de 25 años). Los instrumentos fueron el ARS y el cuestionario de agresión reactiva y proactiva RPQ. Se encontró que el ARS presenta un ajuste favorable en un modelo de cuatro factores correlacionados con covarianzas residuales. A su vez, resultó invariante entre sexos y edades luego de imponer restricciones progresivas en el modelo confirmado, y presentó correlaciones significativas con la agresión reactiva y proactiva como evidencias de la validez de criterio predictivo. Se concluyó que el ARS presenta indicadores adecuados de fiabilidad y validez para ser usado en el contexto colombiano


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica/normas , Ruminação Cognitiva/fisiologia , Análise Fatorial , Inquéritos e Questionários , Fatores Sexuais , Fatores Etários , Psicometria , Modelos Lineares , Reprodutibilidade dos Testes , Colômbia
4.
An. psicol ; 36(2): 188-199, mayo 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192055

RESUMO

El objetivo de este trabajo es evaluar empíricamente la eficacia de un programa de intervención con mujeres víctimas de violencia de género. El programa en conjunto se enmarca dentro de las Terapias Contextuales, específicamente se ha utilizado la Psicoterapia Analítica Funcional, combinada con la Terapia de Aceptación y Compromiso y la Activación Conductual. Se ha llevado a cabo en formato grupal, durante 11 sesiones de 2 horas cada una. Participaron un total de 21 mujeres (de una media de edad de 45 años), que habían sufrido violencia física y/o abuso emocional por parte de sus parejas, en diferente grado e intensidad, y en diferentes momentos en sus vidas. Se ha utilizado un diseño intragrupo con medidas pre-post. Se realizaron tres grupos de tratamiento en diferentes ciudades con 6 a 8 mujeres cada uno. Para medir la intervención se ha aplicado el cuestionario Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Los resultados han mostrado una disminución estadísticamente significativa en la severidad del malestar, han disminuido los indicadores de riesgo de suicidio, y han mejorado las conductas problemáticas dentro y fuera de las sesiones, además de incrementarse la apertura hacia los demás. Se discute la utilidad de las terapias contextual es para mejorar la calidad de vida de mujeres maltratadas, y su utilidad de aplicación en grupos en las instituciones públicas


The goal of this study is to empirically evaluate the efficacy of an intervention program with women victims of gender violence. Specifically, Functional Analytical Psychotherapy has been used, combined with Acceptance and Commitment Therapy, and Behavioral Activation. It has been carried out in group format, during 11 sessions of 2 hours each. A total of 21 women participated (an average of 45 years-old), who had suffered physical violence and/or emotional abuse by their partners, with different degrees and intensity, and at different moments of their lives. An intra-group design with pre-post measures was used. Three treatment groups were carried out in different cities with 6 to 8 women each one. To measure the intervention, the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) questionnaire was applied. The results has shown a statistically significant decrease in the severity of discomfort, decreased suicide risk indicators, improved problem behavior inside and outside sessions, and increased openness to others. The usefulness of contextual therapies to improve the quality of life of battered women and their usefulness for application in groups in public institutions are discussed


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Violência de Gênero/psicologia , Resultado do Tratamento , Psicoterapia de Grupo/métodos , Psicometria/instrumentação , Inquéritos e Questionários , Abuso Físico/psicologia , Qualidade de Vida/psicologia , Apoio Social , Escalas de Graduação Psiquiátrica/normas , Análise de Variância , Maus-Tratos Conjugais/psicologia
5.
An. psicol ; 36(2): 210-219, mayo 2020. tab
Artigo em Inglês | IBECS | ID: ibc-192057

RESUMO

Sexting is a recent phenomenon in which people send and receive photos, videos and/or text messages of sexual nature via smartphones or similar devices. Similar to other developed countries, it is becoming an increasingly popular practice among teenagers in Spain. Provided it has appeared very recently, scarce research has focused on examining in-depth factors involved in its initiation and maintenance. Therefore, the two main aims of this study were to determine its prevalence and to analyse the explanatory variables of the sexting behaviours. The sample consisted of 784 Spanish adolescents (52% boys and 48% girls) between 12 and 18 years of age (M = 14.44; SD = 1.61). The results showed that 24.4% have practised sexting at some time, with an average of 2.32 people (SD = 2.70). The regression analysis revealed that positive attitudes towards sexting, level of impulsivity, age, being male and having a partner are variables that predict engagement in sexting. These results are very important for designing and implementing preventive strategies that emphasise the responsible use of ICTs and social networks


El sexting es un fenómeno que consiste en el envío y la recepción de fotos, videos y/o mensajes de texto de naturaleza sexual a través de smartphones. Como en todos los demás países desarrollados, se está convirtiendo en una práctica cada vez más popular entre los adolescentes de España. Al tratarse de un fenómeno muy reciente todavía no existen muchos trabajos que hayan estudiado con profundidad su entidad y sus factores implicados. Por tanto, los dos objetivos de este estudio fueron determinar la prevalencia y analizar las variables explicativas del inicio y del mantenimiento de las conductas de sexting. La muestra estuvo formada por 784 adolescentes españoles (52% chicos y 48% chicas) con edades comprendidas entre los 12 y los 18 años (M = 14.44; DT = 1.61). Los resultados indican que el 24.4% ha practicado sexting en alguna ocasión, realizando esta conducta con una media de 2.32 personas (DT = 2.70). El análisis de regresión reveló que las actitudes positivas hacia el sexting, el nivel de impulsividad, la edad, ser hombre y el mantener una relación de pareja son variables que predicen la práctica del sexting. Estos resultados son muy importantes en la elaboración e implementación de estrategias preventivas que enfaticen el uso responsable de las TICS y las redes sociales


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Parceiros Sexuais , Envio de Mensagens de Texto , Comportamento Sexual/psicologia , Atitude , Motivação , Psicometria/instrumentação , Análise de Regressão , Escalas de Graduação Psiquiátrica/normas , Inquéritos e Questionários , Comportamento do Adolescente/psicologia
6.
Arch Womens Ment Health ; 23(5): 727-735, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32666402

RESUMO

The objective of this study is to explore the associations between the patient-reported Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ)-9 and clinician-reported 17-item Hamilton Depression Rating Scale (HAMD-17) in order to facilitate clinical decision-making. An integrated efficacy dataset of three randomized placebo-controlled trials (NCT02614547, NCT02942004, and NCT02942017) evaluating brexanolone injection, a neuroactive steroid chemically identical to allopregnanolone, in women with postpartum depression was used for this post hoc analysis. Data were pooled across treatment arms. Associations were assessed at day 30 (end-of-trial follow-up). Pearson correlation assessed the relationship between EPDS and PHQ-9 item and total scores and HAMD-17 total score. Cohen's kappa assessed agreement of EPDS remission (score < 10) and PHQ-9 remission (score < 5) with HAMD-17 remission (score ≤ 7). Ordinary least squares (OLS) regression models were used to develop equations estimating HAMD-17 total scores from EPDS and PHQ-9 scores, respectively. The total scores showed large correlations (HAMD-17/EPDS: r = 0.71, p < 0.001; HAMD-17/PHQ-9: r = 0.75, p < 0.001). Individual EPDS and PHQ-9 items significantly correlated (r= 0.35 to 0.67, all p < 0.001) with HAMD-17 total score. EPDS had 79% sensitivity and 67% specificity to detect HAMD-17 remission; corresponding estimates for PHQ-9 were 76% and 78%. OLS models yielded the following equations: HAMD-17 total = 2.66 + (EPDS total × 0.87) and HAMD-17 total = 3.99 + (PHQ-9 total × 0.97). There were large and statistically significant associations between patient-reported outcomes (EPDS, PHQ-9) and clinician-reported outcomes (HAMD-17) as clinical improvements were associated with patient-reported symptom improvement. These results provide tools to help translate clinical trial data to clinical practice, thus aiding shared decision-making for this critical population.


Assuntos
Depressão Pós-Parto/diagnóstico , Medidas de Resultados Relatados pelo Paciente , Escalas de Graduação Psiquiátrica/normas , Adulto , Combinação de Medicamentos , Feminino , Humanos , Programas de Rastreamento , Questionário de Saúde do Paciente/normas , Pregnanolona/administração & dosagem , Sensibilidade e Especificidade , Índice de Gravidade de Doença , Inquéritos e Questionários/normas , beta-Ciclodextrinas/administração & dosagem
7.
BMC Public Health ; 20(1): 1023, 2020 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-32600303

RESUMO

BACKGROUND: Gay, bisexual, and other men who have sex with men (GBMSM) in Nigeria experience social marginalization, discrimination and violence due to their sexual identity, which may negatively impact physical, mental, and sexual health outcomes. Studies on GBMSM in Africa utilize measurement scales developed largely for populations in the Global North. The validity and reliability of these instruments-to our knowledge-have never been thoroughly investigated among GBMSM in Nigeria. The aim of the current study was to determine the validity and reliability of the English versions of the Center for Epidemiologic Studies Depression Scale (CESD-R), Multidimensional Scale of Perceived Social Support (MSPSS), and LGBT Minority Stress Measure among a large multi-state sample of GBMSM Nigeria. METHODS: Between January and June 2019, we conducted cognitive interviews (N = 30) and quantitative assessments (N = 406) with GBMSM in Nigeria. The cognitive interviews assessed comprehension of scale items and elicited suggestions for scale modifications. The quantitative assessment was used to gather psychosocial health data and to evaluate psychometric properties and construct validity of the modified scales. We utilized confirmatory factor analysis to assess factor structure, correlation coefficients, and Cronbach's alpha to examine scale validity and internal consistency. RESULTS: Based on participant feedback from the cognitive interviews, we made slight modifications (i.e., culturally appropriate word substitutions) to all three scales. Results of quantitative analyses indicated good psychometric properties including high factor loadings, internal consistency and construct validity among the CESD-R, MSPSS, and LGBT Minority Stress Measure among GBMSM in Nigeria. CONCLUSION: These results suggests that modifying research scales to be more culturally relevant likely do not jeopardize their validity and reliability. We found that modified scales measuring depressive symptoms, perceived social support, and minority stress among GBMSM in Nigeria remained valid. More research is needed to explore whether the psychometric properties remain if the scales are translated into broken English (Pidgin) and other traditional Nigerian languages (Yoruba, Igbo and Hausa).


Assuntos
Depressão/diagnóstico , Escalas de Graduação Psiquiátrica/normas , Minorias Sexuais e de Gênero/psicologia , Apoio Social , Estresse Psicológico/diagnóstico , Adulto , Depressão/psicologia , Análise Fatorial , Feminino , Humanos , Idioma , Masculino , Pessoa de Meia-Idade , Nigéria , Psicometria , Reprodutibilidade dos Testes , Discriminação Social/psicologia , Marginalização Social/psicologia , Estresse Psicológico/psicologia
8.
Fam Process ; 59(3): 1045-1059, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32621755

RESUMO

This report introduces the COVID-19 Family Environment Scale (CHES), which aims to measure the impact of social distancing due to COVID-19 on household conflict and cohesion. Existing measures do not capture household experiences relevant to the pandemic, in which families are largely confined to their homes while sharing a life-threatening situation. Using best practice guidelines, we developed a pool of items and revised them with review by a panel of experts, and cognitive interviewing with community respondents. We administered the CHES by online survey to 3,965 adults. The CHES consists of 15 items for each of two subscales, household conflict (α = .847) and household cohesion (α = .887). Exploratory factor analysis yielded two factors, corresponding to the intended conflict and cohesion items, which accounted for 29% of variance. Confirmatory factor analysis partially supported the 2-factor model (RMSEA = .057; CFI = .729, TLI = .708, and SRMR = .098). The CHES also contains 25 optional items to describe respondent and household characteristics, and household-level COVID-19 exposure. The CHES, publicly available at https://elcentro.sonhs.miami.edu/research/measures-library/covid-19/index.html, provides a tool for measuring the impact of the COVID-19 pandemic on important determinants of resilience in the face of major stressful events. Further work is needed to address the factor structure and establish validity of the CHES.


Assuntos
Infecções por Coronavirus/psicologia , Conflito Familiar/psicologia , Relações Familiares/psicologia , Pneumonia Viral/psicologia , Escalas de Graduação Psiquiátrica/normas , Quarentena/psicologia , Adolescente , Adulto , Betacoronavirus , Criança , Infecções por Coronavirus/prevenção & controle , Análise Fatorial , Características da Família , Terapia Familiar/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Reprodutibilidade dos Testes , Adulto Jovem
9.
BMC Public Health ; 20(1): 1114, 2020 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-32677919

RESUMO

BACKGROUND: Body dissatisfaction influences women's mental and physical health. To date, most research has focused on body dissatisfaction in relation to the 'thin-ideal'. Thus, the association between body dissatisfaction, eating disorder symptomatology and muscularity-ideal in women is less clear. Lack of understanding is underpinned by the lack of reliable and valid muscularity-related assessments for women. To address this need, we developed, tested and re-tested two new body dissatisfaction scales: The Female Body Scale (FBS; adiposity dimension) and Female Fit Body Scale (FFITBS; muscularity dimension). METHODS: One hundred and fifty-two women in the United Kingdom rated which body figure best represented their current and ideal body, completed the Eating Disorder Examination Questionnaire (EDE-Q 6.0), and their body composition was measured. During re-test, the EDE-Q 6.0 and Drive for Muscularity Scale (DMS) were completed. RESULTS: Both the FBS and the FFITBS were found to be valid and reliable, and distinct types of body dissatisfaction were identified. Higher EDE-Q scores corresponded with greater body dissatisfaction scores on both the FBS and FFITBS. Thin-ideal (FBS) and larger/muscularity-ideal (FFITBS) body dissatisfaction predicted higher scores on the DMS. The muscularity scale (FFITBS) uniquely revealed that 28% of participants indicated body dissatisfaction toward the larger-muscularity-ideal. CONCLUSIONS: Results reveal distinct dimensions of body dissatisfaction. These new, validated scales may be utilized to quickly identify eating disorder risk in women as a preventative assessment for clinicians and inform female-focused body-image and eating disorder research.


Assuntos
Insatisfação Corporal/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Aptidão Física/psicologia , Escalas de Graduação Psiquiátrica/normas , Magreza/psicologia , Adulto , Composição Corporal , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Idioma , Reprodutibilidade dos Testes , Reino Unido
10.
BMC Public Health ; 20(1): 844, 2020 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-32493252

RESUMO

BACKGROUND: This study aimed to develop a Korean version of the Return-to-Work Self-Efficacy (RTWSE)-19 Scale using forward- and backward-translation and investigate the validity of the RTWSE Scale specifically for Korean workers with work-related injuries. METHODS: Participants were 202 injured workers who had filed a claim accepted by the workers' compensation system and had received medical rehabilitation at workers' compensation hospitals following a work-related musculoskeletal injury. Among these participants, 88.1% were male, 54.5% were over 45 years, 45.5% were manufacturing employees, and 54.5% were craft or machine operator and assemblers. The 19 item RTWSE-19 scale was developed by Shaw et al. and have three underlying subscales: (i) meeting job demands, (ii) modifying job tasks, and (iii) communicating needs to others. Statistical analysis included exploratory factor analysis (maximum likelihood estimation with oblique quartimin rotation), internal consistency reliability using Cronbach's alpha, and correlations with related measures: pain intensity; fear-avoidance beliefs; general health; depression; and general self-efficacy. RESULTS: Using exploratory factor analysis, three factors with 17 items were identified: meeting job demands, modifying job tasks, and communicating needs to others. The removal of two items in the modifying job tasks domain resulted in an increased reliability. The Korean version of the RTWSE-17 showed reasonable model fit (CFI = .963; TLI = .943; RMSEA = .068; SRMR = 0.029), satisfactory reliability (r = 0.925), no floor and ceiling effect, and construct validity. CONCLUSIONS: The Korean RTWSE-17 scale was found to possess good psychometric properties and could address different injury types ranging from fractures to amputations involved in sub-acute and rehabilitation phases in the Korean context. This study's findings provide insights for practitioners and researchers to return to work after rehabilitation in a Korean clinical and workplace setting.


Assuntos
Traumatismos Ocupacionais/psicologia , Escalas de Graduação Psiquiátrica/normas , Retorno ao Trabalho/psicologia , Autoeficácia , Avaliação da Capacidade de Trabalho , Adulto , Comparação Transcultural , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Traumatismos Ocupacionais/reabilitação , Psicometria , Reprodutibilidade dos Testes , República da Coreia , Traduções , Indenização aos Trabalhadores , Adulto Jovem
11.
Rev Lat Am Enfermagem ; 28: e3268, 2020.
Artigo em Português, Espanhol, Inglês | MEDLINE | ID: mdl-32491125

RESUMO

OBJECTIVE: determine the psychometric properties of the safety practices and behaviors dimension of the Scale of Practices and Behaviors of Institutionalized Elderly People to Prevent Falls in a sample of elderly people with cognitive decline. METHOD: methodological study, with a quantitative approach, to assess the psychometric properties of the mentioned scale in a sample with 102 elderly people with cognitive decline who lived in two long-term care institutions for the public in this age group. Internal consistency evaluation was carried out by calculating the Cronbach's alpha coefficient; interobserver reliability was expressed by Cohen's kappa coefficient; and temporal stability, by obtaining Spearman correlation. Compliance with all ethical procedures was observed. RESULTS: the dimension of safety practices and behaviors showed α = 0.895 for its 11 items. Seven out of the 11 items reached good to excellent agreement among the experts for interobserver reliability. Kappa index values indicated that the instrument is valid and reliable. Safety practices and behaviors were influenced by institutionalization time, being at least 85 years old, and gait skills. CONCLUSION: the results pointed out that the instrument has good reproducibility and is valid and reliable, which allows its use in clinical practice in elderly people with cognitive decline as well as in research.


Assuntos
Acidentes por Quedas/prevenção & controle , Avaliação Geriátrica , Escalas de Graduação Psiquiátrica/normas , Idoso , Idoso de 80 Anos ou mais , Comportamento , Feminino , Psiquiatria Geriátrica , Humanos , Institucionalização , Masculino , Variações Dependentes do Observador , Psicometria/métodos , Reprodutibilidade dos Testes
12.
Psychiatry Res ; 289: 113100, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32425276

RESUMO

Mental health clinicians worldwide have been expressing concerns regarding the broad psychological effects of the COVID-19 pandemic. Nonetheless, only a few studies have thus far evaluated the degree of fear of COVID-19, partially due to the lack of validated measures. In this study we evaluated the psychometric properties of the Hebrew version of the Fear of COVID-19 scale (FCV-19S), recently developed to assess different aspects of the fear of the pandemic, in a normative population of participants in Israel. Participants (n = 639) were asked to complete the FCV-19S scale, as well as to report anxiety, depression, and stress levels using validated scales. The results a unidimensional factor structure of the FCV-19S which explained 53.71% of the variance. When forcing a two-factor structure model, the analysis revealed two factors pertaining to emotional fear reactions and symptomatic expressions of fear. Gender, sociodemographic status, chronic illness, being in an at-risk group, and having a family member dying of COVID-19 were positively associated with fear of COVID-19. The measure was associated with anxiety, stress and depression. These results suggest that the FCV-19S has good psychometric properties, and can be utilized in studies assessing the effects of the pandemic on the population's mental health.


Assuntos
Infecções por Coronavirus/psicologia , Medo/psicologia , Transtornos Mentais/diagnóstico , Pneumonia Viral/psicologia , Escalas de Graduação Psiquiátrica/normas , Psicometria/normas , Adulto , Ansiedade/diagnóstico , Betacoronavirus , Depressão/diagnóstico , Feminino , Humanos , Israel/epidemiologia , Masculino , Pandemias , Reprodutibilidade dos Testes , Fatores de Risco , Estresse Psicológico/diagnóstico , Adulto Jovem
13.
Health Qual Life Outcomes ; 18(1): 124, 2020 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-32381020

RESUMO

BACKGROUND: The Pain Catastrophizing Scale (PCS) is a widely used self-report tool to evaluate pain related catastrophizing. The PCS was developed using classical test theory and has been shown to be psychometrically sound among various populations. However, it's current three subscales are rarely used in clinical practice, offering potential for an abbreviated version that reduces administrative burden and can be used to estimate full scale scores, yet is not bound by the inclusion of items from each subscale. Hence, the aim of the current study was to develop a unidimensional abbreviated version of the PCS through findings from qualitative, classical test theory, and newer Rasch analysis. METHODS: The current cross-sectional study used data from the Quebec Pain Registry (n = 5646) to obtain PCS scores of people seeking care at tertiary chronic pain centres. To develop an abbreviated unidimensional tool, items were removed based on triangulation of qualitative review of each item and response, corrected item-total correlations, and Rasch analysis. Confirmatory factor analysis was conducted on the final remaining items to confirm the tool was assessing a single latent construct (catastrophizing). Fit was assessed using the cumulative fit index (CFI), Tucker Lewis Index (TLI), and root-mean-squared error of approximation (RMSEA). RESULTS: After triangulation, a final abbreviated 4-item scale showed adequate model fit with a strong correlation (r > 0.95) with the original scale and properties that were stable across age, sex, cause, and medicolegal status. Additionally, the brief version addressed some problematic wording on some items on the original scale. Both the original and new abbreviated tool were associated with the Beck Depression Inventory and the Brief Pain Inventory at the same magnitude. CONCLUSION: The abbreviated scale may allow for a decrease in administrator burden and greater clinical uptake when a quick screen for exaggerated negative orientation towards pain is needed.


Assuntos
Catastrofização/psicologia , Medição da Dor/métodos , Escalas de Graduação Psiquiátrica/normas , Adulto , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/métodos , Qualidade de Vida
15.
Compr Psychiatry ; 100: 152177, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32360141

RESUMO

BACKGROUND: To prevent negative effects of early-onset psychiatric disorders on children's development, structured diagnostics are needed. However, validated diagnostic instruments (based on DSM-5) for children aged 7 years and younger are scarce. The Diagnostic Infant and Preschool Assessment (DIPA) is a diagnostic interview developed in the USA for measuring 16 psychiatric disorders in young children. The psychometric properties of the American version of the DIPA have been validated. Here we determined the accuracy of the psychometric properties of the Dutch DSM-5 based version of the DIPA for the corresponding population. MATERIAL AND METHODS: Psychometric properties of the DSM-5 based version of the DIPA were determined based on a sample of 136 biological, foster, therapeutic foster and adoptive parents of clinically referred children and children involved in a serious accident (aged 1-7 years). In line with the American validation study, we included the following seven DIPA modules: posttraumatic stress disorder (PTSD), major depressive disorder (MDD), attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), separation anxiety disorder (SAD), generalized anxiety disorder (GAD), and obsessive-compulsive disorder (OCD). We administered the DIPA, Trauma Symptom Checklist for Young Children (TSCYC) and Child Behavior Checklist (CBCL). Analyses were conducted with continuous outcomes (number of symptoms) and categorical outcomes (diagnoses). RESULTS: The Dutch DSM-5 based version of the DIPA showed good internal consistency and interrater reliability with both continuous and categorical variables. The concurrent validity was good; we found a good concordance between the DIPA and corresponding questionnaires on both the symptom and diagnoses level. In addition, the divergence on symptom level between the DIPA and non-corresponding questionnaires was adequate, which indicated adequate divergent validity. Due to a limited number of positive cases, we could not draw conclusions regarding its psychometric properties in the GAD and OCD modules. CONCLUSIONS: Our study shows promising initial results regarding the reliability and validity of the Dutch version of the DIPA, that is based on the DSM-5. Therefore, we recommend the use of the DIPA in research and clinical practice.


Assuntos
Transtornos Mentais/diagnóstico , Escalas de Graduação Psiquiátrica/normas , Psicometria/estatística & dados numéricos , Inquéritos e Questionários/normas , Criança , Pré-Escolar , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Humanos , Lactente , Entrevista Psicológica , Estudos Longitudinais , Masculino , Psiquiatria/métodos , Reprodutibilidade dos Testes
16.
Psychiatry Res ; 288: 113023, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32360894

RESUMO

Borderline personality disorder (BPD) is a severe mental disorder which is accompanied by impaired functioning, complex psychosocial problems and incurs large costs. However, it rarely has been examined whether BPD symptoms form a hierarchical (Mokken) scale, which would imply that symptoms are ordered along a latent dimension of borderline severity. In this study the data from 1,198 inpatients of a psychosomatic clinic were examined. A non-parametric Mokken analysis was employed to investigate if the BPD symptoms measured by the impulsivity and emotion dysregulation scale (IES-27) formed a hierarchical scale. 16 of the 27 items, mainly regarding emotion dysregulation, formed a monotonous Mokken scale with a very strong hierarchy of BPD symptoms. These results imply that single BPD symptoms provide information about BPD severity, suggesting several important consequences regarding escalation of BPD, diagnosis and treatment, e.g. how to optimize treatment planning.


Assuntos
Transtorno da Personalidade Borderline/diagnóstico , Transtorno da Personalidade Borderline/psicologia , Emoções , Escalas de Graduação Psiquiátrica/normas , Adolescente , Adulto , Idoso , Emoções/fisiologia , Feminino , Humanos , Comportamento Impulsivo/fisiologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
17.
Psychiatry Res ; 288: 112996, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32361336

RESUMO

It is critical to understand the factors that increase risk for development of psychiatric disorders as well as promote resilience against disorders. The current study describes the development of a brief tool for risk/resilience assessment that takes a broad perspective of "risk" and "resilience" to characterize the phenomena, and assesses multiple factors that span intrapersonal, interpersonal, and wide-ranging external contexts. We administered twelve scales (212 items) to a diverse population comprising help-seeking and community participants (N = 298; 46% female) in the greater Philadelphia area. We used exploratory item-factor analysis to determine how items cluster across scales. After determining that a seven-factor solution was optimal, computerized adaptive testing (CAT) simulation was run to determine what would happen if the seven full-form factors were administered adaptively. These results were used to select items for short-form scales, producing seven final scales (items = 47). Validity was assessed by relating short-form scores to demographics, clinical diagnoses, scales, and criteria; these relationships were also compared to the relationships found with the original scales. Almost all effects detected by the twelve original scales were detected by the substantially abbreviated short-forms. The abbreviated battery shows promise for rapid assessment of multiple risk and resilience parameters, a necessity in large-scale studies.


Assuntos
Simulação por Computador/normas , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Escalas de Graduação Psiquiátrica/normas , Resiliência Psicológica , Adolescente , Adulto , Criança , Simulação por Computador/tendências , Análise Fatorial , Feminino , Humanos , Masculino , Psicometria , Reprodutibilidade dos Testes , Fatores de Risco , Fatores de Tempo , Adulto Jovem
18.
Psychiatry Res ; 290: 113112, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32460185

RESUMO

The present study examined the psychometric properties of the Coronavirus Anxiety Scale (CAS) using an online survey of 398 adult Amazon MTurk workers in the U.S. Confirmatory factor analyses demonstrated that the CAS measures a reliable (α = 0.92), unidimensional construct with a structure that was shown to be invariant across gender, race, and age. Construct validity was demonstrated with correlations between CAS scores and demographics, coronavirus diagnosis, history of anxiety, coronavirus fear, functional impairment, alcohol/drug coping, religious coping, hopelessness, suicidal ideation, as well as social attitudes (e.g., satisfaction with President Trump). The CAS also demonstrated solid discrimination ability for functional impairment (AUC =0.88), while the original cut score of ≥9 (76% sensitivity and 90% specificity) showed the strongest diagnostic effectiveness among scores. Overall, these findings are largely consistent with the results of the first CAS investigation and support the validity of this mental health screener for COVID-19 related research and practice.


Assuntos
Ansiedade/diagnóstico , Infecções por Coronavirus/psicologia , Medo/psicologia , Pneumonia Viral/psicologia , Escalas de Graduação Psiquiátrica/normas , Quarentena/psicologia , Adaptação Psicológica , Adolescente , Adulto , Afeto , Ansiedade/psicologia , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
19.
BMC Public Health ; 20(1): 525, 2020 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-32306931

RESUMO

BACKGROUND: The last decade has highlighted how menstrual hygiene management (MHM) is a public health issue because of its link to health, education, social justice and human rights. However, measurement of MHM has not been validated across different studies. The objective of this manuscript was to test the psychometric properties of a MHM scale. METHODS: An embedded mixed-method design was utilized. The girls (age 12-19) were from three districts of Uttar Pradesh (Mirzapur, Jaunpur and Sonebhadra), India. A total of 2212 girls participated in the structured questionnaire. Trained interviewers collected the data on tablets using computer assisted personal interviewing. A total of 36 FGDs were conducted among 309 girls between. Trained moderators collected the data. Factor analysis and thematic analysis was conducted to analyze and triangulate the data. RESULTS: More than 90% of the girls were from a marginalized caste. Overall, 28% of the girls practiced all six MHM behaviors adequately. The factor analysis found five separate constructs corresponding to menstrual health and hygiene management (MHHM) with a variation of 84% and eigenvalue of 1.7. Preparation of clean absorbent, storage of clean absorbent, frequency of changing and disposal loaded separately, corresponding to menstrual health. Privacy to change and hygiene loaded together (eigenvalue 0.91 each), corresponding to hygiene management. An underlying theme from the FGD was menstruation as a taboo and lack of privacy for changing the absorbent. CONCLUSION: MHM is multi-dimensional construct comprising of behaviors which were time-bound by menstruation (menstrual health) and behaviors not time-bound by menstruation (hygiene management). Based on these results, the author recommends that MHHM is used as an acronym in the future and proposes a revised definition for MHHM.


Assuntos
Higiene , Menstruação/psicologia , Escalas de Graduação Psiquiátrica/normas , Autocuidado/psicologia , Inquéritos e Questionários/normas , Adolescente , Criança , Pesquisa Participativa Baseada na Comunidade , Estudos Transversais , Análise Fatorial , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Índia , Produtos de Higiene Menstrual , Privacidade/psicologia , Psicometria , Marginalização Social/psicologia , Adulto Jovem
20.
Health Qual Life Outcomes ; 18(1): 104, 2020 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-32307007

RESUMO

BACKGROUND: The Coping Health Inventory for Parents (CHIP) has demonstrated good psychometric properties in several language forms and has been used to assess the coping behaviors of families facing disease. However, the CHIP has not been validated in Mexico among families of children with chronic conditions, where it could be useful for research and intervention. The objectives of this instrumental study were to obtain a version of the CHIP for the Spanish language in Mexico, establish the factor structure of the Mexican version of the CHIP, probe its internal consistency reliability, and assess its concurrent construct validity. METHODS: A nonprobability sample of 405 family caregivers of children with chronic diseases responded to a battery of measurement instruments that included the CHIP, the Beck Anxiety Inventory, and the Beck Depression Inventory. The sample was randomly divided into two parts. In one subsample (190 participants), an exploratory factor analysis was performed using a principal component analysis and oblique rotation. In the second subsample (215 participants), a confirmatory factor analysis was performed using maximum likelihood estimation. RESULTS: The scale was reduced to 16 items (CHIP-16) with factorial loads greater than .50. The empirical criteria used to determine the number of factors converged on the following five factors: belief and trust (McDonald ω = .85), spouse/partner relationship (ω = .79), home care (ω = .77), family involvement (ω = .75), and security/stability (ω = .79). The overall internal consistency was good (ω = .88). The five-factor model showed acceptable fit indices and high parsimony. The mean CHIP-16 scores and the Spouse/partner relationship scores among the caregivers with anxiety were greater than those among the caregivers without anxiety. The mean home-care scores among the women were greater than those among men. CONCLUSIONS: The 16-item version of the CHIP showed good internal consistency and construct validity; thus, the CHIP-16 is a useful instrument for measuring and assessing coping in family caregivers of children with chronic diseases.


Assuntos
Cuidadores/psicologia , Doença Crônica/psicologia , Pais/psicologia , Escalas de Graduação Psiquiátrica/normas , Adaptação Fisiológica , Adulto , Ansiedade/diagnóstico , Criança , Pré-Escolar , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Masculino , México , Qualidade de Vida , Reprodutibilidade dos Testes
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