RESUMO
BACKGROUND: At the beginning of the 1990s, the World Health Organization (WHO) developed a project in order to create a cross-cultural instrument of quality of life assessment: the World Health Organization Quality of Life (WHOQOL). PURPOSE: This paper describes the development of the European Portuguese version of the WHOQOL-100, according to the methodology recommended by the WHO. METHOD: Special attention is given to the qualitative pilot study, which led to the development of the Portuguese Facet [Political P], and to the empirical pilot study and the psychometric studies, based on the application of the Portuguese version of the instrument to a sample of 315 subjects from the general population and 289 patients. The assessment protocol also included the Beck Depression Inventory and the Brief Symptom Inventory. RESULTS: The Portuguese version of WHOQOL-100 showed acceptable internal consistency (alpha range 0.84-0.94) and test-retest reliability in all domains (r range 0.67-0.86). Discriminant validity was significant for all domains, except in Spirituality. Convergent validity with the Beck Depression Inventory and the Brief Symptom Inventory was satisfactory for most domains. CONCLUSION: The WHOQOL showed good psychometric characteristics, suggesting that the Portuguese version of WHOQOL is valid and reliable in the assessment of quality of life in Portugal.
Assuntos
Qualidade de Vida , Autoavaliação (Psicologia) , Inquéritos e Questionários/normas , Adolescente , Adulto , Análise de Variância , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Portugal , Psicometria , Qualidade de Vida/psicologia , Organização Mundial da Saúde , Adulto JovemRESUMO
The scope of this article is to show the importance of a highly naturalized model of human actions that, taking as its pivotal point a hereditary explanation, was widely used by Portuguese psychiatry at the close of the 19th century, in continuity with what was happening in the European context. 'Degeneration'was instituted as a species of based on which experiences were classified and described with occasionally threatening contours for a certain conception of the social and political order. Various phenomena, nosologically described in differentiated forms, came to be integrated into the language of degeneration. Its expansive and supposed metatheoretical character became involved in its death throes, coming to be progressively replaced by another model, psychoanalysis.
Assuntos
Filosofia Médica/história , Psiquiatria/história , Transtornos Heredodegenerativos do Sistema Nervoso/história , História do Século XIX , Humanos , Transtornos Mentais/história , Portugal , Psicanálise/história , SemânticaRESUMO
O propósito do presente artigo é mostrar a importância de um modelo das acções humanas fortemente naturalizado que, tomando por eixo uma explicação hereditária, terá sido amplamente usado pela psiquiatria portuguesa da transição do século XIX, em continuidade com o que se passava no contexto europeu. A 'degeneração' instituiu-se como uma espécie de mapa a partir do qual se classificou e descreveu experiências com contornos eventualmente ameaçadores para uma certa concepção de ordem social e política. Fenómenos vários, nosologicamente descritos de formas diferenciadas, viriam a ser integrados na linguagem da degeneração. O seu carácter expansivo e pretensamente metateórico viria a estar implicado na sua agonia, vindo a ser progressivamente substituído por um outro modelo, a psicanálise.