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1.
Medicine (Baltimore) ; 100(13): e24648, 2021 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-33787573

RESUMO

BACKGROUND: higher level of aggression and antisocial behavior are frequent following head trauma, due to specific brain alterations. Many tests are used to assess this aspect. A descriptive review was conducted on the main tests used to detect the appearance of aggressive dimensions following traumatic brain injury. REVIEW SUMMARY: we searched on PubMed and Web of Science databases and screening references of included studies and review articles for additional citations. From initial 723 publications, only 7 met our search criteria. Findings showed that various psychometric tools are used to assess aggressiveness and its subdomains, following head trauma. CONCLUSIONS: further investigation are necessary to clarify whether these tools ensure a reliable diagnosis in order to make an early intervention and reduce violent behavior and its development.


Assuntos
Agressão/psicologia , Lesões Encefálicas Traumáticas/psicologia , Transtorno da Conduta/diagnóstico , Testes Psicológicos/normas , Inquéritos e Questionários/normas , Adolescente , Adulto , Criança , Transtorno da Conduta/psicologia , Feminino , Humanos , Masculino , Variações Dependentes do Observador , Psicometria , Reprodutibilidade dos Testes , Adulto Jovem
2.
Medicine (Baltimore) ; 100(11): e24841, 2021 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-33725955

RESUMO

ABSTRACT: Symptom Checklist-90 (SCL-90) is the popular and widely used instrument, whether in mental health screening, psychological consultation, or the diagnosis and estimate of mental illness. In 1984, it was translated from theEnglish version into Chinese and then SCL-90 has been widely used in China. It is a pity that the item text of Chinese version has not been revised since the birth of it until today. We analyzed the Chinese version of the 90-item text from 3 new perspectives: translation, semantic, and cross-cultural, and thought that 18 items should be revised. This study' results have taken one step forward on the basis of previous studies, which will play an important role in improving the quality of Chinese version SCL-90 and improving the mental health level of Chinese people.


Assuntos
Lista de Checagem/normas , Transtornos Mentais/diagnóstico , Testes Psicológicos/normas , Semântica , Avaliação de Sintomas/normas , Grupo com Ancestrais do Continente Asiático/psicologia , China , Comparação Transcultural , Humanos , Psicometria , Reprodutibilidade dos Testes , Traduções
3.
Psychoneuroendocrinology ; 125: 105111, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33341502

RESUMO

INTRODUCTION: The Trier Social Stress Test (TSST) is the most widely used protocol for activating a stress response of the hypothalamic-pituitary-adrenocortical (HPA) axis and other stress-mediating systems. A number of variants of the TSST exist, including ones for children, groups, and virtual reality. All of these versions, though, require in-person assessment. The COVID-19 pandemic has made in-person assessment impossible or extremely difficult and potentially dangerous. The purpose of this study was to validate a completely remote, online, version of the TSST for children. METHOD: A sample of 68 (27 female) 15- and 16-year old participants were administered the TSST-Online (TSST-OL) during the late afternoon hours (3-6 p.m. start time). The participants, judges (one male, one female), and experimenter (female) all joined the assessment from their own homes via the online platform, ZOOM™. Two sessions were conducted, one to obtain consent, explain procedures, work with the family to arrange the computer and room set-up for the TSST-OL and one within two weeks to conduct the procedure. The participants were trained to take their own saliva samples and a saliva sampling kit was mailed to the home in between the first and second session. The samples were then mailed to the researchers within a day of collection. The participant was observed during saliva collection to determine correct procedures were followed. Salivary cortisol, salivary α-amylase and self-reports of stress were measured multiple times over the second session. RESULTS: rmANOVAs yielded a significant effect of trials, for cortisol, F(1.37,90.46) = 15.13, p = .001, sAA, F(2.75,146.68) = 6.91, p = .001, and self-rated stress, F(3.43,222.69) = 118.73, p = .001. There were no significant sex by trials interactions for any measure, although females reported more stress than males, F(1,65) = 9.14, p = .004. For cortisol, from baseline to expected peak (30 min after the onset of speech preparation), the Cohen's effect size was dz = 0.57. Using 1.5 nmol/l (or 0.54 µg/dl) as the criterion for a response (Miller, Plessow, Kirschaum, & Stalder, 2013), 63% of the participants produced a significant increase in cortisol. CONCLUSIONS: The responses to the TSST-OL are consistent with in-person responses among children and adolescents (see recent meta-analysis (Seddon et al., 2020). The protocol is a viable way of assessing reactivity of the HPA axis and other stress systems without needing to bring the participant into the research laboratory. This method will be useful during periods of widespread infection. It should also work to study populations who all live too far from the research laboratory to be assessed in person.


Assuntos
Internet , Testes Psicológicos , Psicologia do Adolescente/métodos , Estresse Psicológico/diagnóstico , Telemedicina/métodos , Adolescente , /psicologia , Feminino , História do Século XXI , Humanos , Hidrocortisona/análise , Masculino , Sistemas On-Line , Pandemias , Testes Psicológicos/normas , Saliva/química , alfa-Amilases Salivares/análise , Manejo de Espécimes/métodos
6.
Inf. psiquiátr ; (240): 43-52, abr.-jun. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-194757

RESUMO

Se describe el grupo multifamiliar que está en marcha desde Septiembre de 2012 en L'Hospitalet de Llobregat. Un grupo que atiende a personas diagnosticadas de trastorno mental severo y sus familiares, con el objetivo general de mejorar su salud y calidad de vida. Se trata de facilitar la comunicación para trabajar aspectos relacionales y vinculares. Se pretende ofrecer un espacio donde poder pensar conjuntamente las experiencias vividas en la propia familia. El SCORE-15 es un cuestionario que se ha demostrado útil para analizar los cambios en terapia de familia. Estudiamos su aplicabilidad en el contexto de terapia de grupo multifamiliar. Se investiga si los asistentes y los terapeutas observan cambios en el funcionamiento de la familia a lo largo de varias sesiones del grupo multifamiliar. Es un estudio observacional en un contexto asistencial público. Se invita a participar en el estudio a los nuevos participantes del grupo multifamiliar entre Enero y Julio de 2017, se les aplica el cuestionario SCORE en 3 ocasiones: antes de comenzar su vinculación al grupo, al cabo de 3 sesiones y en la última sesión. En base a los resultados obtenidos, valoramos el SCORE-15 como una herramienta útil a incluir en el proceso terapéutico de las personas que participan en el grupo multifamiliar que nos permite disponer de un registro de los cambios que se producen a nivel de funcionamiento familiar


It is described a multifamily group that has been ongoing in L'Hospitalet Llobregat since 2012. A group that handles both persons diagnosed with severe mental disorders and their families, with a general goal to improve their health and quality of their lives. It is about facilitating the communication in order to work on the rational and bonding aspects. It is intended to offer a space where it is possible to reflect together the experiences lived within their own family. SCORE is a tool which turned out to be useful for analysis of the changes in family therapy. We are studying its applicability in the context of multifamily group therapy. It is being researched if the assistants and therapists observe the changes in the family function over the series of sessions in the multifamily group. It is an observational study in the context of public assistance. New participants of a multifamily group are invited to participate between January and July 2017. SCORE is applied on 3 occasions: before starting their introduction to the group, after 3 sessions and in the last session. Based on the obtained results, we evaluate SCORE- 15 as a useful tool to include persons who participate a multifamily group in a therapeutic process which further permits us have at our disposal a register of the produced changes at the level of family function


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Projetos Piloto , Família/psicologia , Testes Psicológicos/normas , Transtornos Mentais/psicologia , Terapia Familiar/normas , Relações Familiares/psicologia , Terapia Familiar/métodos , Psicometria , Saúde Mental/normas
7.
Transplant Proc ; 52(5): 1303-1307, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32466954

RESUMO

BACKGROUND AND AIMS: Assessment is considered a duty, as well as a part of the tasks of social workers; in addition, they have an ethical commitment to improve their working tools. This study aimed at validating the Adapted Social Assessment Instrument used in a transplant center in the state of São Paulo, Brazil, for liver transplantation candidates, requiring its improvement and strengthening. METHODS: The methodology was based on both Marxian dialectics and the method of content validation. The content validation analysis was performed by 5 social workers from 3 Brazilian transplant centers. They evaluated the 5 domains of the instrument: identification, socio-demographic profile, eligibility criteria, evaluation, and social interventions. Descriptive statistics of data were performed, and qualitative analysis was associated to the participant observation. RESULTS: The 5 professionals (100%) assigned the scores 3 and 4, which have demonstrated clarity, relevance, and feasibility, pointing out suggestions for improvement, some of which were considered. CONCLUSIONS: The instrument was evaluated with an approval percentage of above 80%; therefore, the instrument is a valid measure.


Assuntos
Hepatopatias/psicologia , Transplante de Fígado/psicologia , Seleção de Pacientes , Testes Psicológicos/normas , Adulto , Brasil , Feminino , Humanos , Hepatopatias/cirurgia , Masculino , Período Pré-Operatório , Reprodutibilidade dos Testes , Inquéritos e Questionários
8.
Behav Ther ; 51(2): 268-282, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32138937

RESUMO

Irritability refers to a proneness for anger, and is a symptom of internalizing and externalizing psychopathology. Since irritability is associated with significant cross-sectional and longitudinal impairments, research on the behavioral and neural correlates of pediatric irritability in populations at risk for significant irritability is of paramount importance. Irritability can be assessed in the laboratory using behavioral paradigms that elicit frustration. Few behavioral frustration paradigms have been designed to measure the effects of frustration on cognitive control. Therefore, the goal of the present study was to validate a behavioral frustration paradigm for use in school-age children which addressed some of the limitations of prior research. Participants included children, ages 8-12 years, who were either typically developing (TD; n = 38) or diagnosed with attention-deficit/hyperactivity disorder (ADHD; n = 67), which provided a sample of children with a range of baseline irritability. All participants completed the Frustration Go/No-Go (GNG) task, and self-reported irritability was assessed using the Affective Reactivity Index. Results showed that across participants, self-reported frustration, commission error rate, and tau all increased with the addition of frustration, with similar effect sizes in ADHD and TD groups. Further, self-reported irritability, moreso than ADHD symptoms, predicted changes in self-reported frustration during the task. Together, these results support the construct validity of the Frustration GNG task as a means of assessing the effect of frustration on cognitive control. Clinical applications and future directions are discussed.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Frustração , Humor Irritável , Transtornos do Humor/diagnóstico , Testes Psicológicos/normas , Ira , Criança , Cognição , Estudos Transversais , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Autorrelato
9.
Matern Child Health J ; 24(3): 319-327, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31912376

RESUMO

OBJECTIVES: Parenting self-efficacy has been associated with positive parenting behaviors, fewer parental mental health problems, less family dysfunction, and better child development outcomes. The parenting sense of competence (PSOC) scale is commonly used to measure parenting self-efficacy in high-resource settings. This study sought to examine the factor structure, internal consistency, and convergent construct validity of the PSOC in a sample of predominantly HIV-infected women in Uganda. METHODS: Using data from 155 HIV-affected caregivers who participated in a randomized controlled trial of a parenting intervention, two and three factor models of a 16-item translated version of the PSOC were tested using confirmatory factor analysis. Multivariable regression models were used to examine relationships between parenting confidence (operationalized using the best-fitting PSOC model), caregiver mental health symptoms (depression and anxiety), social support, family dysfunction, and family wealth, after adjusting for covariates. RESULTS: Neither the two- nor three-factor models of the PSOC demonstrated adequate model fit; however, adequate model fit was demonstrated for a one-factor model that included only items from the PSOC efficacy subscale. Cronbach's alpha was 0.73 for this subscale. Correlates of parenting self-efficacy in this sample included caregiver depression, family dysfunction, and family wealth, but not caregiver anxiety or social support. CONCLUSIONS FOR PRACTICE: These findings lend support for future use of the PSOC efficacy subscale among HIV-affected caregivers of children in low-resource settings such as rural Uganda.


Assuntos
Cuidadores/psicologia , Poder Familiar/psicologia , Pais/psicologia , Testes Psicológicos/normas , Autoeficácia , Adulto , Idoso , Ansiedade/psicologia , Depressão/psicologia , Análise Fatorial , Feminino , Infecções por HIV/psicologia , Humanos , Pessoa de Meia-Idade , Psicometria , Ensaios Clínicos Controlados Aleatórios como Assunto , Apoio Social , Uganda , Adulto Jovem
10.
J Autism Dev Disord ; 50(7): 2389-2396, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30334127

RESUMO

This study aimed to assess the validity and normative statistics of the Farsi version of the Social Responsiveness Scale-2 (SRS-2). Among the mainstream elementary schools, 191 boys and 342 girls with a mean age of 9.46 (+ 1.72) years were recruited. Teachers and parents completed the SRS-2. The parents also answered the Social Communication Questionnaire (SCQ) and the Vineland Adaptive Behavior Scale (VABS). There were not any significant differences regarding the parents' and teachers' ratings of the SRS mean scores in terms of gender, academic level, and age. The SRS was significantly correlated with the SCQ (0.438) and VABS (- 0.142) mean scores. The study supported the validity of the SRS as a screening instrument for social communication problems in Farsi-speaking school-aged children.


Assuntos
Transtornos Globais do Desenvolvimento Infantil/diagnóstico , Comparação Transcultural , Testes Psicológicos/normas , Adolescente , Criança , Feminino , Humanos , Irã (Geográfico) , Masculino , Pais/psicologia , Comportamento Social , Inquéritos e Questionários
11.
J Behav Health Serv Res ; 47(1): 113-125, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-30945109

RESUMO

The purpose of this study was a psychometric evaluation of the 4-item perceived social connectedness (PSC) scale. The study analyzed secondary data from a project that assessed physical, behavioral, and social health characteristics of adults with serious mental illness receiving integrated services at community mental health centers (CMHs). The current sample comprised those diagnosed with schizophrenia attending these CMHs (N = 146). Most participants were African-American males who receive disability benefits with Medicaid as health insurance. The sample self-reported low-to-moderate levels of social connectedness, daily functioning, and symptom severity. Factor analysis of the PSC scale revealed one dimension, accounting for 66% of total variance, with strong item loadings. Reliability coefficients indicated sufficient scale internal consistency. Construct validity was suggested via the PSC scale's directional, significant convergence with daily functioning and symptom severity. Implications include the application of the PSC scale for this socioeconomically disadvantaged population that customarily lacks meaningful social networks.


Assuntos
Testes Psicológicos/normas , Psicologia do Esquizofrênico , Comportamento Social , Apoio Social , Adulto , Afro-Americanos/psicologia , Feminino , Humanos , Relações Interpessoais , Masculino , Medicaid , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Esquizofrenia , Estados Unidos
12.
J Autism Dev Disord ; 50(7): 2307-2319, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29344761

RESUMO

The Autism Impact Measure (AIM) was designed to track incremental change in frequency and impact of core ASD symptoms. The current study examined the structural and convergent validity of the AIM in a large sample of children with ASD. The results of a series of exploratory and confirmatory factor analyses yielded a final model with five theoretically and empirically meaningful subdomains: Repetitive Behavior, Atypical Behavior, Communication, Social Reciprocity, and Peer Interaction. The final model showed very good fit both overall and for each of the five factors, indicating excellent structural validity. AIM subdomain scores were significantly correlated with measures of similar constructs across all five domains. The results provide further support for the psychometric properties of the AIM.


Assuntos
Transtorno do Espectro Autista/diagnóstico , Testes Psicológicos/normas , Adolescente , Criança , Pré-Escolar , Cognição , Comunicação , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Comportamento Estereotipado , Inquéritos e Questionários
13.
J Autism Dev Disord ; 50(6): 1921-1930, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30815772

RESUMO

Autism spectrum disorder (ASD), with or without intellectual disability (ID), is common in children with congenital blindness. This complex combination of disabilities often involves many challenges for the family. This study explored parents' experiences of having a child with blindness and ASD (with or without ID), their support needs and experiences of the support provided. Interviews with eight parents, representing six families, were performed. The parents emphasized that assessment and diagnostic procedures must be performed by professionals with expertise in blind children's development, and ASD. The support was often perceived as fragmented and did not correspond to the families' needs. The results suggest that national guidelines should be produced, to ensure a more coordinated and tailored support to these families.


Assuntos
Atitude , Transtorno Autístico/complicações , Cegueira/complicações , Deficiência Intelectual/complicações , Pais/psicologia , Adolescente , Transtorno Autístico/diagnóstico , Transtorno Autístico/psicologia , Transtorno Autístico/reabilitação , Criança , Feminino , Humanos , Masculino , Guias de Prática Clínica como Assunto , Testes Psicológicos/normas , Apoio Social
14.
J Autism Dev Disord ; 50(6): 1898-1906, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30815773

RESUMO

With the publication of DSM-5, many changes were introduced regarding how Autism Spectrum Disorder (ASD) would be diagnosed. Changes from DSM-IV-TR were controversial, with many arguing that individuals would lose their diagnosis with the new criteria. The purpose of this study was to examine differences in the application of diagnostic criteria across both recent versions in a sample of infants and toddlers. Fewer individuals met criteria according to DSM-5; however, a larger proportion of individuals met criteria for both. Additionally, individuals with higher levels of symptoms were more likely to meet criteria for both versions as compared to either alone. Overall, results suggest that there are meaningful differences in how DSM criteria may apply to individuals with an ASD.


Assuntos
Transtorno do Espectro Autista/diagnóstico , Manual Diagnóstico e Estatístico de Transtornos Mentais , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Testes Psicológicos/normas , Reprodutibilidade dos Testes
15.
BMC Public Health ; 19(1): 1604, 2019 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-31791287

RESUMO

BACKGROUND: The aim of this study is to develop a new measure for the concept of mental retirement and test the construct validity of the measure. Employees who are 'mentally retired' are present at their work physically, but have already said their goodbyes mentally. Mental retirement has a three-factor structure: developmental proactivity, work engagement and perceived appreciation. METHODS: We use data from employees (N = 867) of five different organizations in the Netherlands. Mental retirement was assessed with 11 items in an online survey. In addition, socio-demographic characteristics like age, level of education and occupation, were measured. Next to tests of internal consistency, a confirmatory factor analysis (CFA) is performed to test the three-factor structure of mental retirement in this population and in different subgroups (age, education, occupation). RESULTS: The internal consistency varies from .80 to .94 for the developmental proactivity scale and the work engagement scale, respectively (appreciation was measured with one item). For the CFA, the three-factor model fits the data adequately. Multiple group analyses also shows equal factor loadings in all subgroups, but the mean levels of mental retirement differ across subgroups. CONCLUSIONS: This study confirms the three-factor model of mental retirement in a general group of employees as well as across different subgroups. However, this study only tested the construct validity. Future research should study validity more extensively and be longitudinal in nature. In addition, the causal chain of antecedent variables to mental retirement and its outcomes should be considered. These studies could also focus on the effects of interventions aiming at preventing or decreasing the level of mental retirement in organizations.


Assuntos
Testes Psicológicos/normas , Aposentadoria/psicologia , Engajamento no Trabalho , Adulto , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos , Ocupações , Reprodutibilidade dos Testes , Inquéritos e Questionários
16.
BMC Womens Health ; 19(1): 166, 2019 12 21.
Artigo em Inglês | MEDLINE | ID: mdl-31864337

RESUMO

BACKGROUND: Mothers' capability for childcare and compatibility with the maternal role represent important challenges in postpartum care. Given the significance of evaluating maternal functioning, and the lack of adequate standard instruments in Iran for this purpose, the present study was aimed at translating and conducting a psychometric assessment of the Barkin Index of Maternal Functioning (BIMF) for Iranian women. METHODS: The instrument was translated into Persian using the Backward Forward method. The study included 530 women in the postpartum period admitted to healthcare centers in Tabriz, Iran; they were selected through the cluster sampling method. Face, content, and construct (through exploratory and confirmatory analyses) validity were presently examined. Reliability of the questionnaire was determined using the internal consistency and test-retest reliability methods. RESULTS: Two factors (mom's needs and competency), emerged based on exploratory factor analysis. The x2/df ratio was less than 5, and the values of the Root Mean Square Error of Approximation (RMSEA) and the Root Mean Square Residual (RMR) were less than 0.08 and 0.1, respectively, verifying the model validity. Cronbach's alpha coefficient and Intra-class Correlation Coefficient (ICC) were calculated as 0.88 and 0.85, respectively, indicating reliability. CONCLUSION: The Persian version of the BIMF is a valid and reliable instrument for measuring the postpartum functioning of Iranian mothers.


Assuntos
Avaliação da Deficiência , Mães/psicologia , Testes Psicológicos/normas , Inquéritos e Questionários/normas , Adulto , Análise Fatorial , Feminino , Humanos , Irã (Geográfico) , Período Pós-Parto/psicologia , Psicometria , Reprodutibilidade dos Testes , Traduções
17.
Med Decis Making ; 39(8): 1010-1018, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31731879

RESUMO

Background. We aimed to validate the SURE test for use with parents in primary care. Methods. A secondary analysis of cluster randomized trial data was used to compare the SURE test (index, higher score = less conflict) to the Decisional Conflict Scale (DCS; reference, higher score = greater conflict). Our a priori hypothesis was that the scales would correlate negatively. We evaluated the association between scores and estimated the proportion of variance in the DCS explained by the SURE test. Then, we dichotomized each measure using established cutoffs to calculate diagnostic accuracy and internal consistency with confidence intervals adjusted for clustering. We evaluated the presence of effect modification by sex, followed by sex-specific calculation of validation statistics. Results. In total, 185 of 201 parents completed a DCS and SURE test. Total DCS (mean = 4.2/100, SD = 14.3) and SURE test (median 4/4; interquartile range, 4-4) scores were significantly correlated (ρ = -0.36, P < 0.0001). The SURE test explained 34% of the DCS score variance. Internal consistency (Kuder-Richardson 20) was 0.38 (P < 0.0001). SURE test sensitivity and specificity for identifying decisional conflict were 32% (95% confidence interval [CI], 20%-44%) and 96% (95% CI, 93%-100%), respectively. The SURE test's positive likelihood ratio was 8.4 (95% CI, 0.1-17) and its negative likelihood ratio was 0.7 (95% CI, 0.53-0.87). There were no significant differences between females and males in DCS (P = 0.5) or SURE test (P = 0.97) total scores; however, correlations between test total scores (-0.37 for females v. for -0.21 for males; P = 0.001 for the interaction) and sensitivity and specificity were higher for females than males. Conclusions. SURE test demonstrated acceptable psychometric properties for screening decisional conflict among parents making a health decision about their child in primary care. However, clinicians cannot be confident that a negative SURE test rules out the presence of decisional conflict.


Assuntos
Conflito Psicológico , Tomada de Decisões , Pais/psicologia , Testes Psicológicos/normas , Adulto , Antibacterianos/uso terapêutico , Canadá , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Ensaios Clínicos Controlados Aleatórios como Assunto , Infecções Respiratórias/tratamento farmacológico
18.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 41(5): 615-621, 2019 Oct 30.
Artigo em Chinês | MEDLINE | ID: mdl-31699191

RESUMO

Objective To validate the Union Physio-Psycho-Social Assessment Questionnaire(UPPSAQ-70)and test its validity and reliability.Methods From April,2013 to July,2018,patients were asked to finish the computer evaluation of UPPSAQ-70 and Symptom Checklist 90(SCL-90)in Peking Union Medical College Hospital(PUMCH).Confirmatory factor analysis(CFA)was conducted on the SPSS 17.0,and the number of fixed factors was 8 factors and 3 factors.Amos 23.0 was used to verify the original 8-factor model,8-factor revision model,3-factor model,3-factor revision model,and single-factor model.Each factor of SCL-90 was used as the calibration standard to calculate the correlation coefficient between factors.The retest reliability was tested by the outpatients in PUMCH in July,2018.Results Exploratory factor analysis indicated that the 8-factor revised model included:depression,anxiety and fatigue,sleep,physical discomfort,sexual function,happiness and satisfaction,hypochondria,and social anxiety.The 3 factors revised model included that:psychological,physiological and social dimension.Confirmatory factor analysis indicated that the 8-factor modified model was superior to the 3-factor model and the single-factor model: χ 2=10 410.4,df=1862,RMSEA=0.07,CFI=0.753,and NFI=0.715.With SCL-90 as the standard criteria,except the low correlation coefficient between emotional scale and depression(r=0.600)and anxiety(r=0.520),the correlation coefficients of other symptoms were below 0.5.The chronbach's α between each factor and total score of UPPSAQ-70 was between 0.823 and 0.904,and the Chronbach's α coefficient of the whole scale was between 0.954 and 0.956 after each item was deleted.The retest reliability of the scale of 32 participants Chronbach's α was 0.847.Each item of the scale measured between one week was significantly correlated(P<0.05). Conclusion UPPSAQ-70 is a good scale for evaluating overall health status and is especially feasible in general hospitals.


Assuntos
Testes Psicológicos/normas , Psicometria , Inquéritos e Questionários , Análise Fatorial , Humanos , Reprodutibilidade dos Testes
19.
J Spinal Cord Med ; 42(sup1): 99-107, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31573447

RESUMO

Context: Individuals with spinal cord injury or disease (SCI/D) are at increased risk of depression, which is associated with poor short- and long-term outcomes. Accurate diagnosis is complicated by overlapping symptoms of both conditions, and a lack of consensus-derived guidelines specifying an appropriate depression screening tool. Objective: To conduct a systematic review to: (1) identify the diagnostic accuracy of established depression screening tools compared to clinical assessment; and, (2) to summarize factors that influence feasibility of clinical implementation among adults with SCI/D. Methods: A systematic search using MEDLINE, EMBASE, PsycINFO, CINAHL and the Cochrane databases using the terms spinal cord injury, depression or mood disorder, and screening or diagnosis identified 1254 initial results. Following duplicate screening, five articles assessing eight screening tools met the final inclusion and exclusion criteria. Measures of diagnostic accuracy and feasibility of implementation were extracted. The Quality Assessment Tool for Diagnostic Accuracy Studies 2 (QUADAS-2) was used to assess study quality. Results: The Patient Health Questionnaire-9 (PHQ-9) had the highest sensitivity (100%), and specificity (84%). The 2-item version, the PHQ-2, comprised the fewest questions, and six of the eight tools were available without cost. Utilizing the QUADAS-2 tool, risk of bias was rated as low or unclear risk for all studies; applicability of the results was rated as low concern. Conclusion: The PHQ-9 is an accurate and feasible tool for depression screening in the adult SCI/D population. Future studies should evaluate the implementation of screening tools and the impact of screening on access to mental health interventions.


Assuntos
Depressão/diagnóstico , Saúde Mental/estatística & dados numéricos , Traumatismos da Medula Espinal/psicologia , Inquéritos e Questionários/normas , Depressão/epidemiologia , Depressão/etiologia , Humanos , Testes Psicológicos/normas , Reprodutibilidade dos Testes , Traumatismos da Medula Espinal/complicações
20.
J Autism Dev Disord ; 49(11): 4375-4389, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31378833

RESUMO

The objective of this study was to adapt and validate the abbreviated version of the "Autism-Spectrum Quotient" (AQ-Short) in a sample of Spanish native adults. A total of 46 individuals with ASD, 41 ASD-relatives, 17 patients with schizophrenia spectrum disorders and 190 non-clinical adults were administered the Spanish version of the AQ-Short. The results of the confirmatory factorial analysis found two high-order factors (Social Behaviour and Numbers/Patterns) and four subscales (Social Skills, Routines, Switching and Imagination). The reliability analysis showed very good internal structure and test-retest reliability. The AQ-Short also showed moderate convergent validity with ADOS-2. Differences by group were found in the ASD group when compared to other groups. Gender differences were only found in the non-clinical group.


Assuntos
Transtorno do Espectro Autista/diagnóstico , Hispano-Americanos/psicologia , Testes Psicológicos/normas , Inquéritos e Questionários/normas , Adulto , Análise Fatorial , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Esquizofrenia/diagnóstico , Psicologia do Esquizofrênico , Fatores Sexuais , Comportamento Social , Habilidades Sociais , Traduções , Adulto Jovem
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