Navegando por Palavras-chave "Psychiatric status rating scales"
Agora exibindo 1 - 5 de 5
Resultados por página
Opções de Ordenação
- ItemAcesso aberto (Open Access)Estrutura fatorial do questionário de morbidade psiquiátrica de adultos aplicado em amostras populacionais de cidades brasileiras(Faculdade de Saúde Pública da Universidade de São Paulo, 1994-08-01) Andreoli, Sergio Baxter [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Blay, Sergio Luis [UNIFESP]; Almeida-Filho, Naomar de; Coutinho, Evandro; França, Josimar; Fernandes, Jefferson Gomes; Busnello, Ellis D'Arrigo; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Bahia Departamento de Medicina Preventiva; Escola Nacional de Saúde Pública Departamento de Epidemiologia e Métodos Quantitativos em Saúde; Universidade de Brasília Departamento de Clínica Médica; Pontifícia Universidade Católica do Rio Grande do Sul Faculdade de Medicina Departamento de Medicina Interna; Universidade Federal do Rio Grande do Sul Faculdade de Medicina Departamento de Psiquiatria e Medicina LegalPrincipal Components Analysis is a multivariate statistical technique for the purpose of examining the interdependence among variables. The main characteristic of this technique is the ability to reduce data, and it is currently used as an adjunct for the development of psychiatric research tools and the classification of psychiatric disorders. It has been applied to the study of the Factorial Structure of a Brazilian screening questionnaire, the Adult Psychiatric Morbidity Questionnaire (QMPA). The questionnaire is made up of 45 yes/no items for the identification of psychiatric symptons and the use of psychiatric services and psychotropic drugs. The questionnaire was applied to 6.470 subjects over 15 years old in representative samples from three urban areas: Brasília, Porto Alegre and S. Paulo. Seven factors were found to explain 42.7% of the total variance: Anxiety/Somatization (eigenvalue=3.81, 10.9%); Irritability/Depression (eigenvalue =2.41, 6.9%); Cognitive Impairment (eigenvalue = 2.01, 5.8%); Alcoholism (eigenvalue =1.90, 5.4%); Mood Elation (eigenvalue = 1.62, 4.6%); Hallucinatory/ Delusional Disorders (eigenvalue = 1.60, 4.6%); and Drug/Therapies (eigenvalue = 1.60, 4.5%). A similar pattern of results was found when the analysis was carried out in the three places. It is suggested, on the banis of these findings, that some questions should be modified and some excluded in any future version of the questionnaire.
- ItemAcesso aberto (Open Access)Identificação de casos psiquiátricos em estudos epidemiológicos multifásicos: métodos, problemas e aplicabilidade(Faculdade de Saúde Pública da Universidade de São Paulo, 2000-10-01) Andreoli, Sergio Baxter [UNIFESP]; Almeida Filho, Naomar de; Coutinho, Evandro Sf; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal da Bahia Instituto de Saúde Coletiva; Escola Nacional de Saúde Pública Departamento de EpidemiologiaOBJECTIVE: To discuss methodological aspects of the two stages in the identification of psychiatric cases in epidemiological studies. METHODS: Analyze the methodology used in the Multicentric Psychiatric Morbidity Study, which was conducted in three Brazilian cities (São Paulo, Brasília and Porto Alegre). In the first stage of that study, a random sample (6,740 individuals) of the population was drawn and all the participants were screened with the Questionnaire of Psychiatric Morbidity of the Adult (QMPA). In the second stage, a sample (775 individuals) of this population was drawn and these individuals were submitted to the Inventory of Symptoms of DSM-III, carried out by psychiatrists and trained psychologists. RESULTS: The study procedure for estimating the prevalence is described in details, showing that though the screening scales are a weak tool, they don't interfere with the methodology. CONCLUSION: The advantage of this methodology is to correct any distortions caused by the current tools used in the identification of psychiatric cases.
- ItemAcesso aberto (Open Access)Translation, adaptation and reliability study of the Scale to Assess Unawareness of Mental Disorder - SUMD(Associação Brasileira de Psiquiatria - ABP, 2005-06-01) Fiss, Nina [UNIFESP]; Chaves, Ana Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)INTRODUCTION: Previous studies have suggested that lack of insight into mental disorder can be an important predicting factor involving the course of psychotic disorders mainly regarding compliance with treatment. The Scale to Assess Unawareness of Mental Disorder-SUMD is a semi-structured open interview that evaluates global insight, insight into illness and insight into symptoms. The SUMD has shown good reliability and validity and has demonstrated certain advantages over previous measures of insight, suggesting the usefulness of a multidimensional view of this complex concept. OBJECTIVE: The aim of this study is to translate, adapt and test the reliability of the SUMD in schizophrenic patients. METHODS: This study involved 35 schizophrenic patients according to the DSM-IV criteria, who where under treatment in the Schizophrenia Program of the Federal University of São Paulo. Two independent examiners conducted the reliability study simultaneously. RESULTS: The results demonstrated that the SUMD achieved a good intraclass reliability coefficients between investigators - ICC ranged from 0.55 to 0.97 - for the general items to assess awareness of mental disorder and 0.56 to 0.98 - for the symptoms items. DISCUSSION: These coefficients were similar to those found by the researchers who developed this scale. The SUMD scale has proven to be easily applied and may be deemed an useful instrument with good psychometrics capacities in researches involving schizophrenic subjects.
- ItemAcesso aberto (Open Access)O uso do Face-Hand Test como instrumento para rastrear as síndromes psicorgânicas: estudo piloto(Faculdade de Saúde Pública da Universidade de São Paulo, 1989-10-01) Blay, Sergio Luis [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Ramos, Luiz Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)A reduced version of the Face-Hand Test (FHT), the FHT-R, was applied to a random sample of 91 elderly subjects living in the community (S. Paulo-Brazil), to study the instrument's ability to detect Organic Brain Syndromes (OBS). The scores of the FHT-R test were then compared with a psychiatric assessment using the Clinical Interview Schedule. Five persons were regarded as OBS cases and 86 as OBS non cases. At the cut-off point 0/1 the validity coefficients were as follows: Sensitivity 60%, Specificity 94%, Positive Predictive Value 38%, Negative Predictive Value 98% and Overall Misclassification Rate 8%. The usefulness of this clinical test to screen for OBS in epidemiological surveys is discussed.
- ItemAcesso aberto (Open Access)Validity and limitations of the Brazilian version of the Composite International Diagnostic Interview (CIDI 2.1)(Associação Brasileira de Psiquiatria - ABP, 2007-03-01) Quintana, Maria Inês [UNIFESP]; Gastal, Fábio Leite; Jorge, Miguel Roberto [UNIFESP]; Miranda, Cláudio Torres; Andreoli, Sergio Baxter [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); National Hospital Accreditation Organization of Brazil; Pan American Health Organization Division of Mental Health; Universidade Católica de SantosOBJECTIVE: To study the concurrent validity of the Brazilian Composite International Diagnostic Interview 2.1 using as gold standard the clinical diagnoses based on the ICD-10 criteria and the Longitudinal, Expert, All Data (LEAD) procedure. METHOD: The sample was composed of 185 subjects selected at psychiatric hospitals, psychiatric outpatient units, the community, and primary care services. These individuals were intentionally selected according to 9 diagnostic groups. Instruments: Composite International Diagnostic Interview (CIDI-core) version 2.1 (paper-and-pencil) administered by 16 trained interviewers. Analysis: concurrent validity of diagnoses of the Composite International Diagnostic Interview 12-month. RESULTS: Values found for sensitivity and specificity in each diagnosis were: alcohol-related disorders (79.5%/97.2%); psychoactive substance-related disorders (77.3%/100%); schizophrenia and other psychotic disorders (28.6%/93.9%); manic episode and bipolar affective disorder (38.9%/96.4%); depressive disorder (82.5%/ 93.8%); phobic-anxiety disorder (80.6%/93.5%); obsessive-compulsive disorder (18.2%/98.9%); somatoform disorder (41.7%/90.8%); eating disorder (45.5%/100.0%). CONCLUSION: The Composite International Diagnostic Interview proved to be valid for diagnoses of alcohol-related disorders, psychoactive substance-related disorders, depressive disorder and phobic-anxiety disorder. The probable explanations for the poor performance for the other diagnoses were: necessity of some clinical judgement by the lay interviewer; difficulty to use the Probe Flow Chart; interviewees' difficulty of understanding; and lack of mechanisms to certify the veracity of the information.