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Archives of Clinical Psychiatry (São Paulo), Volume: 42, Número: 4, Publicado: 2015
  • The effectiveness of substance abuse treatment: development of a brief questionnaire Original Articles

    MOURA, ANDREIA DE; FERROS, LÍGIA LEÇA; NEGREIROS, JORGE

    Resumo em Inglês:

    Background Practitioners need brief instruments to monitor outcomes in both treatment of drugs and alcohol addiction because they are useful to guide decision making in a short time. Objectives This study aims to develop a brief questionnaire, based on Client Evaluation of Self and Treatment, to evaluate the treatment effectiveness in drug and alcohol addiction treatment settings. Methods A cross-sectional study using a convenience sample (N = 608) recruited from Division for Intervention on Addictive Behaviours and Dependencies (DICAD – ARS North). Results The results show a new four-factor solution that accounted for 54.4% of the total variance and that provides the best fit to the data (c2/df = 1.72, CFI = .94, GFI = .91, RMSEA = .048 [.040-.057]; prmsea = .623). It also revealed a high internal consistency (a = .82). It was found a significant negative correlation (r = - .52, p < .01) between the final version of the instrument and a self report measure of psychopathology symptoms. Discussion This brief questionnaire, with good psychometric properties, can be useful to provide a viable and rapid feedback of treatment outcomes. Further studies should be performed to continue the evaluation of the reliability of this measure.
  • Psychometric assessment of the Brazilian version of the Male Body Dissatisfaction Scale Original Articles

    Carvalho, Pedro Henrique Berbert de; Conti, Maria Aparecida; Neves, Clara Mockdece; Meireles, Juliana Fernandes Filgueiras; Oliveira, Fernanda Costa; Ferreira, Maria Elisa Caputo

    Resumo em Inglês:

    Background The study of male body image has increased substantially, but there are few assessment tools available for this population. The Male Body Dissatisfaction Scale (MBDS) has been widely used among students to research body image disturbances and eating disorders. However, the psychometric properties of this instrument have not been tested in the Brazilian context. Objectives To explore the psychometric properties (convergent validity, internal consistency, test-retest reliability and factor structure) of the Brazilian version of the MBDS. Methods Two-hundred sixty-four undergraduate students were evaluated. Pearson’s correlation was used to test the convergent validity of the MBDS and the Drive for Muscularity Scale, the Swansea Muscularity Attitudes Questionnaire, the Rosenberg Self-Esteem Scale, the Beck Depression Inventory, the Eating Attitudes Test-26, and the Commitment to Exercise Scale. Test-retest reliability was evaluated using t-tests for repeated measures and by calculating the coefficient of intraclass correlation. Exploratory factor analysis was conducted, and Cronbach’s α coefficients were determined. A significance level of 5% was adopted. Results The MBDS had an adequate factor structure, with two factors explaining 52.67% of the total variance. It showed excellent internal consistency (Cronbach’s α between 0.90 and 0.92), a high intraclass correlation coefficient (0.81), and convergent validity with the drive for muscularity, the psychological commitment to exercise, low self-esteem, and eating disorder risk behaviour measures. Discussion The MBDS appears to be a valid and reliable tool for evaluating Brazilian male body image dissatisfaction.
  • Social support and bipolar disorder Review Articles

    Studart, Paula Mendonça; Bezerra Filho, Severino; Studart, Ana Beatriz Didier; Almeida, Amanda Galvão-de; Miranda-Scippa, Ângela

    Resumo em Inglês:

    Background Bipolar disorder is a chronic condition that affects the functioning of its carriers in many different ways, even when treated properly. Therefore, it’s also important to identify the psychosocial aspects that could contribute to an improvement of this population’s quality of life. Objective Carry out a literature review on the role of social support in cases of bipolar disorder. Method A research on the following online databases PubMed, Lilacs and SciELO was conducted by using the keywords “social support” or “social networks” and “mood disorders” or “bipolar disorder” or “affective disorder,” with no defined timeline. Results Only 13 studies concerning the topic of social support and BD were found in the search for related articles. Generally speaking, the results show low rates of social support for BD patients. Discussion Despite the growing interest in the overall functioning of patients with bipolar disorder, studies on social support are still rare. Besides, the existing studies on the subject use different methodologies, making it difficult to establish data comparisons.
  • Happiness and health in psychiatry: what are their implications? Review Articles

    Machado, Leonardo; Tavares, Hermano; Petribú, Katia; Zilberman, Mônica; Torres, Renata Ferraz; Cantilino, Amaury

    Resumo em Inglês:

    Background Happiness is a lasting state and is associated with the absence of negative emotions, the presence of positive emotions, life satisfaction, social engagement and objectives in life. Researchers have demonstrated the benefits of happiness in many aspects of life, but few studies have been conducted within psychiatry. Objectives To develop a critical literature review of studies on happiness and health in order to bring some further and useful information to psychiatry updating the article “Happiness: a review” published in 2007 in Revista de Psiquiatria Clínica. Methods Computational searching was undertaken of digital data basis (PubMed and SciELO) using the keywords “happiness” and “health”. One hundred twenty-seven papers published between 2004 and 2014 were found, but only 76 had the keywords in the title or abstract and with this were selected. Results Personality traits, such as self-direction; being married; being involved in physical and leisure activities; higher educational backgrounds and intelligence quotient; religiosity, volunteering and altruism; good physical and mental health; were positively related to happiness. Discussion Analysis of the concept of happiness and its associated emotions may be more complex than describing the symptoms of psychiatric disorders. Despite this, the study of happiness brings several positive implications for psychiatry.
  • Adaptação transcultural do Inventário de Depressão da Esclerose Lateral Amiotrófica para o Português do Brasil Letter To The Editor

    Carvalho, Tatiana Lins; Magalhães, Maria Clara de Oliveira; Barbosa, Pedro Lucas de Mendonça; Correia, Carolina da Cunha
Faculdade de Medicina da Universidade de São Paulo Rua Ovídio Pires de Campos, 785 , 05403-010 São Paulo SP Brasil, Tel./Fax: +55 11 2661-8011 - São Paulo - SP - Brazil
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