RESUMO
The reliability and validity of the SAS-SMI (Social Adjustment Scale for the Severely Mentally Ill) were assessed in three samples of 670 persons with severe mental illness from a public mental health system. The SAS-SMI retained comparable factor structures (Social, Family, Work, Residential Stability, Romantic Interest, and Personal Well-being) to its predecessor, the SAS-II, and yielded high item-to-scale internal consistency correlations, good interrater reliability, and comparable convergent and divergent validity. The SAS-SMI's performance across these dimensions makes it a potentially valuable tool in mental health services research investigations. Limitations and suggestions for further development are discussed.
Assuntos
Transtornos Mentais/diagnóstico , Escalas de Graduação Psiquiátrica , Ajustamento Social , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Comportamento Sexual/psicologia , TrabalhoRESUMO
This study investigated the relationship between repetitive behaviors in individuals with autism and obsessive-compulsive behaviors in parents. We hypothesized that repetitive behaviors in probands with autism would be associated with increased obsessive-compulsive behaviors in parents in sporadic families (1 known case of autism per family and no known history of autism). Parents with clinically significant Y-BOCS scores were more likely to have a family history of obsessive-compulsive disorder. The empirically derived Autism Diagnostic Interview-R (ADI-R) factor, Insistence on Sameness, was positively correlated with obsessive-compulsive behaviors in parents. Further, when probands were grouped on the basis of parental Y-BOCS scores (clinically significant versus non-clinically significant), probands whose parents had clinically significant Y-BOCS scores had higher ADI-R Insistence on Sameness factor scores. The findings of the current study of sporadic families extend previous work that has shown an association between restrictive/repetitive behaviors in probands with autism and obsessive-compulsive features in parents.