Repositório Institucional - Unifesp :: Navegando por Palavras-chave "Reliability"

Navegando por Palavras-chave "Reliability"

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The accuracy of the Clinician-Administered PTSD Scale (CAPS) to identify PTSD cases in victims of urban violence
(Elsevier B.V., 2011-01-30) Pupo, Mariana Cadrobbi [UNIFESP]; Jorge, Miguel Roberto; Schoedl, Aline Ferri; Bressan, Rodrigo Affonseca; Andreoli, Sergio Baxter; Mello, Marcelo Feijo; Mari, Jair de Jesus; Universidade Federal de São Paulo (UNIFESP)
As a consequence of the increasing urban violence in Brazil, many cases of posttraumatic stress disorder (PTSD) are now seen in the community and clinical settings. the main aim of this article is to assess the psychometric properties of the Clinician-Administered PTSD Scale (CAPS) to study factors related to the etiology, prognosis, and efficacy of interventions of PTSD in civilian populations. PTSID outpatients from a program of victims of violence and subjects identified in an epidemiological survey conducted in the city of São Paulo completed a battery of validated instruments and the CAPS. Instrument reliability and validity were measured. the comparison between the CAPS scores and the Structured Clinical Interview for DSM IV (SCID) interview resulted in the following validity coefficients: sensitivity = 90%, specificity = 95%, and misclassification rate = 7.1%. the area under the receiver operating characteristic (ROC) curve was 0.97. There was a positive correlation between CAPS scores with Beck Depression Inventory (BDI; 0.70) and Beck Anxiety Inventory (BAI; 0.76) scores. the Kappa coefficients were all higher than 0.63 for all CAPS items. the internal consistency for all CAPS items resulted in a Cronbach's alpha coefficient of 0.97. the CAPS showed to be both an accurate and a reliable research instrument to identify PTSD cases in a civilian population. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
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Attention-deficit/hyperactivity disorder dimensionality: the reliable 'g' and the elusive 's' dimensions
(Springer, 2016) Wagner, Flavia; Martel, Michelle M.; Cogo-Moreira, Hugo [UNIFESP]; Moreira Maia, Carlos Renato; Pan, Pedro Mario [UNIFESP]; Rohde, Luis Augusto; Salum, Giovanni Abrahao
The best structural model for attention-deficit/hyperactivity disorder (ADHD) symptoms remains a matter of debate. The objective of this study is to test the fit and factor reliability of competing models of the dimensional structure of ADHD symptoms in a sample of randomly selected and high-risk children and pre-adolescents from Brazil. Our sample comprised 2512 children aged 6-12 years from 57 schools in Brazil. The ADHD symptoms were assessed using parent report on the development and well-being assessment (DAWBA). Fit indexes from confirmatory factor analysis were used to test unidimensional, correlated, and bifactor models of ADHD, the latter including "g" ADHD and "s" symptom domain factors. Reliability of all models was measured with omega coefficients. A bifactor model with one general factor and three specific factors (inattention, hyperactivity, impulsivity) exhibited the best fit to the data, according to fit indices, as well as the most consistent factor loadings. However, based on omega reliability statistics, the specific inattention, hyperactivity, and impulsivity dimensions provided very little reliable information after accounting for the reliable general ADHD factor. Our study presents some psychometric evidence that ADHD specific ("s") factors might be unreliable after taking common ("g" factor) variance into account. These results are in accordance with the lack of longitudinal stability among subtypes, the absence of dimension-specific molecular genetic findings and non-specific effects of treatment strategies. Therefore, researchers and clinicians might most effectively rely on the "g" ADHD to characterize ADHD dimensional phenotype, based on currently available symptom items.
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Attention-deficit/hyperactivity disorder dimensionality: the reliable 'g' and the elusive 's' dimensions
(Springer, 2016) Wagner, Flavia; Martel, Michelle M.; Cogo-Moreira, Hugo [UNIFESP]; Moreira Maia, Carlos Renato; Pan, Pedro Mario [UNIFESP]; Rohde, Luis Augusto; Salum, Giovanni Abrahao
The best structural model for attention-deficit/hyperactivity disorder (ADHD) symptoms remains a matter of debate. The objective of this study is to test the fit and factor reliability of competing models of the dimensional structure of ADHD symptoms in a sample of randomly selected and high-risk children and pre-adolescents from Brazil. Our sample comprised 2512 children aged 6-12 years from 57 schools in Brazil. The ADHD symptoms were assessed using parent report on the development and well-being assessment (DAWBA). Fit indexes from confirmatory factor analysis were used to test unidimensional, correlated, and bifactor models of ADHD, the latter including "g" ADHD and "s" symptom domain factors. Reliability of all models was measured with omega coefficients. A bifactor model with one general factor and three specific factors (inattention, hyperactivity, impulsivity) exhibited the best fit to the data, according to fit indices, as well as the most consistent factor loadings. However, based on omega reliability statistics, the specific inattention, hyperactivity, and impulsivity dimensions provided very little reliable information after accounting for the reliable general ADHD factor. Our study presents some psychometric evidence that ADHD specific ("s") factors might be unreliable after taking common ("g" factor) variance into account. These results are in accordance with the lack of longitudinal stability among subtypes, the absence of dimension-specific molecular genetic findings and non-specific effects of treatment strategies. Therefore, researchers and clinicians might most effectively rely on the "g" ADHD to characterize ADHD dimensional phenotype, based on currently available symptom items.
Acesso aberto (Open Access)
Avaliação de confiabilidade de equipamentos em ambiente industrial: estudo de caso em uma fábrica de rótulos
(Universidade Federal de São Paulo, 2021-02-24) Teixeira, Joadine Batista [UNIFESP]; Diniz, Anthony Andrey Ramalho [UNIFESP]; http://lattes.cnpq.br/1045979459961821; http://lattes.cnpq.br/6004276590510917; Universidade Federal de São Paulo (UNIFESP)
A Revolução Industrial foi um marco na mecanização dos processos, sempre almejando um aumento de produção. Desde então, começou uma busca por maior eficiência mecânica. E, para isso, a confiabilidade dos equipamentos passou a ser essencial para alcançar esse objetivo. Inicialmente, a teoria da confiabilidade foi desenvolvida, basicamente, para atender aos sistemas elétricos, mas depois sua abrangência foi expandida para plantas nucleares, plantas químicas e plantas petrolíferas etc., através da avaliação da confiabilidade das tubulações, válvulas, compressores, bombas, entre outros equipamentos mecânicos. Essa confiabilidade consiste na probabilidade de um componente desempenhar sua função, durante um intervalo de tempo estabelecido e sob condições de uso. Um método muito utilizado para estimar o comportamento da confiabilidade, da probabilidade e da taxa de falha é a Análise de Modos e Efeitos de Falha (FMEA – Failure Mode and Effect Analysis). A FMEA usa a definição das funções do sistema em que o componente está inserido para verificar as falhas que podem afetá-lo, bem como os modos que podem levá-lo a essas falhas. Em seguida, para cada modo de falha, analisam-se os efeitos, assim, podendo definir as ações para diminuir ou eliminar a possibilidade de falha. O presente projeto de pesquisa tem como objetivo a implementação da Manutenção Centrada em Confiabilidade (RCM – sigla em inglês), que é baseada no estudo de confiabilidade, a fim de definir quais atividades são adequais para a manutenção de uma unidade fabril. Para isso é necessário o estudo das principais falhas, modos de falha, e comportamento de uma linha de produção com menor confiabilidade de uma fábrica de rótulos, sob a ótica da confiabilidade. O estudo proposto pode ser replicado para qualquer outro equipamento, mas principalmente da indústria do petróleo, onde a parada de plantas de produção e de processo pode resultar em grandes perdas financeiras para as empresas do setor.
Acesso aberto (Open Access)
Closed Kinetic Chain Upper Extremity Stability test (CKCUES test): a reliability study in persons with and without shoulder impingement syndrome
(Biomed Central Ltd, 2014-01-03) Tucci, Helga Tatiana [UNIFESP]; Martins, Jaqueline; Sposito, Guilherme de Carvalho; Camarini, Paula Maria Ferreira; Oliveira, Anamaria Siriani de; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP); Physiotherapy Orthoped Clin
Background: the Close Kinetic Chain Upper Extremity Stability Test (CKCUES test) is a low cost shoulder functional test that could be considered as a complementary and objective clinical outcome for shoulder performance evaluation. However, its reliability was tested only in recreational athletes' males and there are no studies comparing scores between sedentary and active samples. the purpose was to examine inter and intrasession reliability of CKCUES Test for samples of sedentary male and female with (SIS), for samples of sedentary healthy male and female, and for male and female samples of healthy upper extremity sport specific recreational athletes. Other purpose was to compare scores within sedentary and within recreational athletes samples of same gender.Methods: A sample of 108 subjects with and without SIS was recruited. Subjects were tested twice, seven days apart. Each subject performed four test repetitions, with 45 seconds of rest between them. the last three repetitions were averaged and used to statistical analysis. Intraclass Correlation Coefficient ICC2,1 was used to assess intrasession reliability of number of touches score and ICC2,3 was used to assess intersession reliability of number of touches, normalized score, and power score. Test scores within groups of same gender also were compared. Measurement error was determined by calculating the Standard Error of the Measurement (SEM) and Minimum detectable change (MDC) for all scores.Results: the CKCUES Test showed excellent intersession reliability for scores in all samples. Results also showed excellent intrasession reliability of number of touches for all samples. Scores were greater in active compared to sedentary, with exception of power score. All scores were greater in active compared to sedentary and SIS males and females. SEM ranged from 1.45 to 2.76 touches (based on a 95% CI) and MDC ranged from 2.05 to 3.91 (based on a 95% CI) in subjects with and without SIS. At least three touches are needed to be considered a real improvement on CKCUES Test scores.Conclusion: Results suggest CKCUES Test is a reliable tool to evaluate upper extremity functional performance for sedentary, for upper extremity sport specific recreational, and for sedentary males and females with SIS.
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Concurrent and predictive validity of composite methods to assess nutritional status in older adults on hemodialysis
(W b saunders co-elsevier inc, 2016) de Oliveira Santin, Fernanda Galvao; Bigogno, Fernanda Guedes; Dias Rodrigues, Juliana Cordeiro; Cuppari, Lilian [UNIFESP]; Avesani, Carla Maria
Objective: To assess the performance of subjective global assessment (SGA), malnutrition inflammation score (MIS), and mini nutritional assessment short-form (MNA-SF) in older adults on hemodialysis (HD) by evaluating their concurrent and predictive validity. Design: An observational and prospective study including older adults on HD. Setting: Six dialysis units. Subjects: We assessed 137 HD patients aged >= 60 years (71.7% male, 70.2 +/- 7.2 years). Main Outcome Measures: The nutritional status was assessed by 7-point SGA, MIS and MNA-SF, and by objective methods. Patients were followed up for 14.5 (8
Acesso aberto (Open Access)
Delineamento e validação de matriz de exposição ocupacional à sílica
(Faculdade de Saúde Pública da Universidade de São Paulo, 2005-01-01) Ribeiro, Fátima Sueli Neto; Camargo, Esther Archer de [UNIFESP]; Wünsch Filho, Victor; Institutuo Nacional do Câncer Coordenação de Prevenção e Vigilância Área de Vigilância do Câncer Ocupacional; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
OBJECTIVE: To develop a population-based matrix of job-exposure to crystalline silica in Brazil and to estimate its validity. METHODS: An epidemiologist and an industrial hygienist developed a matrix of job-exposure in four stages: coding of occupation variable; coding of industry variable; consensual exposure classification between researchers; and estimate of registered workforce in 1995 for each level of exposure. The cross-tabulation of the variables industry (25 columns) and occupation (347 lines) resulted in 8,675 cells, classified according to silica exposure in four levels: non-exposed, possibly exposed, probably exposed, and definitively exposed. For validating the job-exposure matrix, five industries (mining and quarrying, construction, foundry, management of technical personal and textiles), were re-coded according to exposure by external experts. Reliability of the study and external experts was evaluated by agreement measured using kappa analysis. RESULTS: The job-exposure matrix showed high coding agreement, ranging from 64.0% for foundry to 94.0% for mining. Kappa analysis showed good agreement in mining (0.9), and low or average for other sectors (ranging from 0.1 to 0.5). High specificity was found in foundry (86.5%) and mining (100.0%). Construction had 56% specificity. CONCLUSIONS: The study job-exposure matrix showed good accuracy and seems to be appropriate for estimating silica exposure among Brazilian workers.
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Enhancing the reliability on data delivery and energy efficiency by combining swarm intelligence and community detection in large-scale WSNs
(Pergamon-Elsevier Science Ltd, 2017) Rosset, Valerio [UNIFESP]; Paulo, Matheus A. [UNIFESP]; Cespedes, Juliana G. [UNIFESP]; Nascimento, Maria C. V. [UNIFESP]
In Wireless Sensor Networks (WSNs) to address the duality between the cost-effective energy efficiency and the reliable data delivery is a relevant issue. This paper presents a novel bio-inspired routing protocol, named CB-RACO, that combines the Ant Colony Optimization (ACO) meta-heuristic with the computationally cheap and distributed community detection technique Label Propagation (LP). CB-RACO creates communities in the WSNs and meets the balance of energy consumption by routing data inside-communities through swarm intelligence. As a consequence, CB-RACO demands low memory and overhead in construction and maintenance of routing paths. Additionally, CB-RACO achieves high data delivery reliability through a data retransmission strategy based on acknowledgments between communities. We simulated CB-RACO in large-scale scenarios according to the goodput, delivery delay and energy consumption metrics. The results have shown that the proposed approach may provide significant improvement in comparison to ant-based strategies that do not rely on community structures. (C) 2017 Elsevier Ltd. All rights reserved.
Acesso aberto (Open Access)
Estudo de fidedignidade inter-avaliadores de uma escala para a avaliação da interação mãe-bebê
(Sociedade de Psiquiatria do Rio Grande do Sul, 2004-04-01) Scappaticci, Anne Lise Sandoval Silveira [UNIFESP]; Iacoponi, Eduardo; Blay, Sergio Luis [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Institute of Psychiatry Health Services Research Department
OBJECTIVE: To develop a study to assess the inter-rater reliability of a modified version of Brown's scale designed to investigate early mother-child interaction. METHOD: Fourteen postpartum women and their newborn babies took part in this study. The tape-recorded observations lasted 15 minutes, and they were performed on the second day after birth, during breast-feeding. In a successive and isolated moment, two evaluators scored each item of the interaction established between the mother and the newborn. In order to do so, a modified version of the scale of Brown and collaborators (1975), was used and submitted to a reliability study. RESULTS: Nine out of ten items of the modified scale revealed an excellent inter-rater agreement: The Kappa coefficient was 0.85 or higher. Only one item showed a moderate degree of agreement = 0.59, concerning mother holds the baby. The results show that the modified scale is stable if used in a hospital setting for low-income mothers. CONCLUSIONS: The conclusion of this study indicates that categories are a reliable parameter to evaluate mother-baby interaction.
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Factors associated with oral health-related quality of life in children and preadolescents: a cross-sectional study
(Quintessence publishing co inc, 2016) Barbosa, Tais de Souza; Duarte Gaviao, Maria Beatriz; Castelo, Paula Midori [UNIFESP]; Leme, Marina Severi
Purpose: To evaluate the factors associated with the perceptions of oral health-related quality of life (OHRQoL) in children and preadolescents. Materials and Methods: 167 students aged 8-14 years were recruited from the public schools of Piracicaba, Brazil. Participants were examined for caries, gingivitis, fluorosis, malocclusions and signs and symptoms of temporomandibular disorders (TMD). OHRQoL was measured using the Brazilian por version of the Child Perceptions Questionnaire (CPQ 8-10 and 11-14), where higher scores indicate worse OHRQoL. Symptoms of anxiety and depression were evaluated using self-applied questionnaires. Sociodemographic characteristics, dental history and oral hygiene habits were evaluated using a questionnaire. Bivariate and multivariate analyses were used to identify the variables associated with CPQ scores. Results: Higher CPQ 8-10 scores were associated with fluorosis, TMD and symptoms of anxiety and depression. Higher CPQ 11-14 scores were associated with females, TMD and symptoms of anxiety and depression. Younger children (OR = 0.32, p < 0.05) with signs and symptoms of TMD (OR = 4.38, p < 0.01) and anxiety (OR = 4.97, p < 0.001) were more likely to present higher CPQ 8-10 scores. Poor OHRQoL was associated with TMD (OR = 4.29, p < 0.01) and depressive symptoms (OR = 4.50, p < 0.001) in preadolescents. Conclusions: The data indicate that experience of oral diseases and disorders as well as psychological phenomena, such as anxiety and depression, influenced oral health outcomes in this group of children and preadolescents.
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Hand Function in Muscular Dystrophies: Relationship Between Performance of Upper Limb and Jebsen-Taylor Tests
(Sage Publications Inc, 2017) Artilheiro, Mariana Cunha; Sá, Cristina dos Santos Cardoso de [UNIFESP]; Favero, Francis Meire [UNIFESP]; Wutzki, Hanna C.; Dutra de Resende, Maria Bernadete; Caromano, Fatima Aparecida; Voos, Mariana Callil; Universidade Federal de São Paulo (UNIFESP)
The aim of this study was to investigate the relationship between Performance of Upper Limb (PUL) and Jebsen-Taylor Test (JTT) to assess and monitor upper limb function progression in patients with muscular dystrophy. Thirty patients diagnosed with Duchenne muscular dystrophy, limb-girdle muscular dystrophy, Becker muscular dystrophy, myotonic dystrophy Type 1, and fascioscapulohumeral dystrophy were submitted to the shoulder, elbow, and wrist domains of PUL, and to JTT subtests. Spearman tests investigated the relationships between PUL and JTT total scores and domains. Correlations were classified as strong (r >= 0.70), moderate (0.40 <= r < 0.70), or weak (r <= 0.40). There were strong correlations between the PUL and JTT total scores (r= -0.706). Although JTT measures time and PUL provides kinesiologic scores, these measures were related. Therefore, muscle synergies, which control the compensatory movements and motor functions involving mainly shoulder, elbow, wrist, and finger movements, are related to timed performance in patients with muscular dystrophies.
Acesso aberto (Open Access)
INTEROBSERVER RELIABILITY IN ULTRASOUND ASSESSMENT OF RHEUMATOID WRIST JOINTS
(Medfarma-edicoes Medicas, Lda, 2011-07-01) Luz, Karine Rodrigues da [UNIFESP]; Furtado, Rita Nely Vilar [UNIFESP]; Mitraud, Sonia de Aguiar Vilela [UNIFESP]; Porglhof, Jorge [UNIFESP]; Nunes, Conceição [UNIFESP]; Fernandes, Artur da Rocha Correa [UNIFESP]; Natour, Jamil [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
Objective: To evaluate interobserver reliability in the ultrasound assessment of synovitis in the radiocarpal (RC), midcarpal (MC) and ulnocarpal (UC) joints in RA.Methods: Ultrasound examinations of 295 rheumatoid wrist joints were performed over a three month period. The RC, MC and UC joints were examined using dorsal longitudinal ultrasound scans. Synovial thickening was assessed by quantitative measurement and a previously established semi-quantitative scoring system (Grades 0 to 3). Interobserver reliability was determined by the comparing the findings of two radiologists who were unaware of each other findings.Results:The intraclass correlation coefficient (ICC) between examiners for the quantitative measurement of synovitis in the RC, MC and UC recesses were 0.508, 0.346 and 0.240 (p<0.001), respectively. Weighted kappa values using the semi-quantitative scoring system were 0.308, 0.312 and 0.153 for the RC, MC and UC joints, respectively.Conclusion: Interobserver reliability of the ultrasound assessment in rheumatoid wrists proved good for the quantitative measurement of synovitis in the RC joint, but poor agreement was found for the MC and UC joints. Using the semi-quantitative scoring system, interobserver agreement was poor for all three joints (RC, MC and UC).
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Oral health-related quality of life in children and preadolescents with caries, malocclusions or temporomandibular disorders
(Karger, 2016) Barbosa, Tais de Souza; Duarte Gaviao, Maria Beatriz; Leme, Marina Severi; Castelo, Paula Midori [UNIFESP]
Purpose: To compare the oral health-related quality of life (OHRQoL) of children (8- to 10-year-olds) and preadolescents (11- to 14-year-olds) with different oral conditions and to identify concepts associated with their perceptions of oral health (OH) and overall well being (OWB). Materials and Methods: A cross-sectional study was conducted with 264 students who were distributed into four groups: caries, with the sum of the decayed, missing and filled teeth in the primary (dmft) and permanent dentitions (DMFT) >= 1 (n = 72)
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The reliability of counting actinic keratosis
(Springer, 2013-11-01) Ianhez, M.; Fleury Junior, L. F. F.; Bagatin, Edileia [UNIFESP]; Miot, H. A.; Universidade Federal de Goiás (UFG); Universidade Federal de São Paulo (UNIFESP); Univ Paulista State
Many epidemiological studies and clinical trials have been performed concerning actinic keratoses. the most eligible endpoint in the majority of articles is counting of actinic keratoses before and after treatments, nevertheless some authors support that this is not a reliable form of evaluation. the aim of this study was to evaluate the actinic keratoses counting by various raters and suggest approaches to increase the reliability. Cross-sectional study: forty-three patients were evaluated by four raters (inter- and intra-rater assessment) on the face and forearms. the mean actinic keratoses counts on the face and forearms were 7.7 and 9.1. the overall agreement among the raters for the facial and forearm actinic keratoses was 0.74 and 0.77. the intra-rater assessment showed high rates of agreement for the face (ICC = 0.93) and forearms (ICC = 0.83). Higher agreement occurred when counting up to five lesions. Four raters led to increased measurement variability and loss of reliability. Higher rates of agreement may be achieved with small number of lesions, limitation and/or segmentation of body areas to reduce their number, in AK prevention designs, are strategies that may lead to a greater reliability of these measurements.
Acesso aberto (Open Access)
Reliability of reflectance measures in passive filters
(Elsevier B.V., 2014-08-01) Andre, Carmen Diva Saldiva; Andre, Paulo Afonso; Rocha, Francisco Marcelo Monteiro [UNIFESP]; Saldiva, Paulo Hilário Nascimento; Oliveira, Regiani Carvalho de; Singer, Julio Motta; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
Measurements of optical reflectance in passive filters impregnated with a reactive chemical solution may be transformed to ozone concentrations via a calibration curve and constitute a low cost alternative for environmental monitoring, mainly to estimate human exposure. Given the possibility of errors caused by exposure bias, it is common to consider sets of m filters exposed during a certain period to estimate the latent reflectance on n different sample occasions at a certain location. Mixed models with sample occasions as random effects are useful to analyze data obtained under such setups. the intra-class correlation coefficient of the mean of the m measurements is an indicator of the reliability of the latent reflectance estimates. Our objective is to determine m in order to obtain a pre-specified reliability of the estimates, taking possible outliers into account. To illustrate the procedure, we consider an experiment conducted at the Laboratory of Experimental Air Pollution, University of São Paulo, Brazil (LPAE/FMUSP), where sets of m = 3 filters were exposed during 7 days on n = 9 different occasions at a certain location. the results show that the reliability of the latent reflectance estimates for each occasion obtained under homoskedasticity is k(m) = 0.74. A residual analysis suggests that the within-occasion variance for two of the occasions should be different from the others. A refined model with two within-occasion variance components was considered, yielding k(m) = 0.56 for these occasions and k(m) = 0.87 for the remaining ones. To guarantee that all estimates have a reliability of at least 80% we require measurements on m = 10 filters on each occasion. (C) 2014 the Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
Acesso aberto (Open Access)
The reliability of the Brazilian version of the Composite International Diagnostic Interview (CIDI 2.1)
(Associação Brasileira de Divulgação Científica, 2004-11-01) Quintana, Maria Inês [UNIFESP]; Andreoli, Sergio Baxter [UNIFESP]; Jorge, Miguel Roberto [UNIFESP]; Gastal, Fabio Leite [UNIFESP]; Miranda, Claudio Torres de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Escola de Medicina da Universidade Católica de Pelotas; Division of Mental Health PAHO
The objective of the present study was to determine the reliability of the Brazilian version of the Composite International Diagnostic Interview 2.1 (CIDI 2.1) in clinical psychiatry. The CIDI 2.1 was translated into Portuguese using WHO guidelines and reliability was studied using the inter-rater reliability method. The study sample consisted of 186 subjects from psychiatric hospitals and clinics, primary care centers and community services. The interviewers consisted of a group of 13 lay and three non-lay interviewers submitted to the CIDI training. The average interview time was 2 h and 30 min. General reliability ranged from kappa 0.50 to 1. For lifetime diagnoses the reliability ranged from kappa 0.77 (Bipolar Affective Disorder) to 1 (Substance-Related Disorder, Alcohol-Related Disorder, Eating Disorders). Previous year reliability ranged from kappa 0.66 (Obsessive-Compulsive Disorder) to 1 (Dissociative Disorders, Maniac Disorders, Eating Disorders). The poorest reliability rate was found for Mild Depressive Episode (kappa = 0.50) during the previous year. Training proved to be a fundamental factor for maintaining good reliability. Technical knowledge of the questionnaire compensated for the lack of psychiatric knowledge of the lay personnel. Inter-rater reliability was good to excellent for persons in psychiatric practice.
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Standards of care for obsessive-compulsive disorder centres
(Pontificia Universidade Catolica Campinas, 2016) Menchon, Jose M.; van Ameringen, Michael; Dell'Osso, Bernardo; Denys, Damiaan; Figee, Martijn; Grant, Jon E.; Hollander, Eric; Marazziti, Donatella; Nicolini, Humberto; Pallanti, Stefano; Ruck, Christian; Shavitt, Roseli; Stein, Dan J.; Andersson, Erik; Bipeta, Rajshekhar; Cath, Danielle C.; Drummond, Lynne; Feusner, Jamie; Geller, Daniel A.; Hranov, Georgi; Lochner, Christine; Matsunaga, Hisato; McCabe, Randy E.; Mpavaenda, Davis; Nakamae, Takashi; O'Kearney, Richard; Pasquini, Massimo; Rivera, Ricardo Perez; Poyurovsky, Michael; Real, Eva; Conceicao do Rosario, Maria [UNIFESP]; Soreni, Noam; Swinson, Richard P.; Vulink, Nienke; Zohar, Joseph; Fineberg, Naomi
In recent years, many assessment and care units for obsessive-compulsive disorder (OCD) have been set up in order to detect, diagnose and to properly manage this complex disorder, but there is no consensus regarding the key functions that these units should perform. The International College of Obsessive-Compulsive Spectrum Disorders (ICOCS) together with the Obsessive Compulsive and Related Disorders Network (OCRN) of the European College of Neuropsychopharmacology (ECNP) and the Anxiety and Obsessive Compulsive Disorders Section of the World Psychiaric Association (WPA) has developed a standards of care programme for OCD centres. The goals of this collaborative initiative are promoting basic standards, improving the quality of clinical care and enhance the validity and reliability of research results provided by different facilities and countries.
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Subjective distress in a representative sample of outpatients with psychotic disorders
(Elsevier Science Bv, 2016) Rezende Andrade, Mario Cesar [UNIFESP]; Slade, Mike; Bandeira, Marina; Evans-Lacko, Sara; Komaroff, Janina; Martin, Denise [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Andreoli, Sergio Baxter [UNIFESP]
Background: The affective burden of psychotic disorder has been increasingly recognised. However, subjective reports of distress and its covariates, especially those related to service use, remain under-investigated in patients with psychosis. Methods: This study investigated subjective distress and its covariates in a representative sample of 401 outpatients with a confirmed diagnosis of psychotic disorders in Brazil. Distress was assessed using the corresponding domain of a standardised measure of need - the Camberwell Assessment of Need. Results: Distress was reported as a need by 165 (41%) patients, being met in 78 (20%) and unmet in 87 (22%). Hierarchical logistic regression showed that the presence of distress as a need was predicted by attendance at psychotherapy (OR=3.49, CI=1.62-7.53), presence of suicidal ideation (OR=2.89, CI=1.75-4.79), non-attendance at psychosocial rehabilitation (OR=2.84, CI=1.31-6.19), and higher psychopathology (OR= 1.09, CI=1.06-1.12). An unmet need was predicted by family not accompanying patients to treatment (OR=2.60, CI=1.05-6.44) and higher psychopathology (OR=1.05, CI=1.02-1.09). Limitation: The use of a cross-sectional design and a single questionnaire domain to evaluate distress are the main limitations. Conclusions: Subjective distress is a common unmet need in psychosis, and can be treated. The main clinical implication is that subjective distress in psychosis may be impacted on by family engagement and psycho social interventions. (C) 2015 Elsevier B.V. All rights reserved.
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Subjective distress in a representative sample of outpatients with psychotic disorders
(Elsevier Science Bv, 2016) Rezende Andrade, Mario Cesar [UNIFESP]; Slade, Mike; Bandeira, Marina; Evans-Lacko, Sara; Komaroff, Janina; Martin, Denise [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Andreoli, Sergio Baxter [UNIFESP]
Background: The affective burden of psychotic disorder has been increasingly recognised. However, subjective reports of distress and its covariates, especially those related to service use, remain under-investigated in patients with psychosis. Methods: This study investigated subjective distress and its covariates in a representative sample of 401 outpatients with a confirmed diagnosis of psychotic disorders in Brazil. Distress was assessed using the corresponding domain of a standardised measure of need - the Camberwell Assessment of Need. Results: Distress was reported as a need by 165 (41%) patients, being met in 78 (20%) and unmet in 87 (22%). Hierarchical logistic regression showed that the presence of distress as a need was predicted by attendance at psychotherapy (OR=3.49, CI=1.62-7.53), presence of suicidal ideation (OR=2.89, CI=1.75-4.79), non-attendance at psychosocial rehabilitation (OR=2.84, CI=1.31-6.19), and higher psychopathology (OR= 1.09, CI=1.06-1.12). An unmet need was predicted by family not accompanying patients to treatment (OR=2.60, CI=1.05-6.44) and higher psychopathology (OR=1.05, CI=1.02-1.09). Limitation: The use of a cross-sectional design and a single questionnaire domain to evaluate distress are the main limitations. Conclusions: Subjective distress is a common unmet need in psychosis, and can be treated. The main clinical implication is that subjective distress in psychosis may be impacted on by family engagement and psycho social interventions. (C) 2015 Elsevier B.V. All rights reserved.
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Swallowing in primary progressive aphasia
(Ios press, 2016) Marin, Sheilla de Medeiros Correia [UNIFESP]; Bertolucci, Paulo Henrique Ferreira [UNIFESP]; Marin, Luis Fabiano [UNIFESP]; Oliveira, Fabricio Ferreira de [UNIFESP]; Wajman, José Roberto [UNIFESP]; Bahia, Valeria Santoro [UNIFESP]; Mansur, Leticia Lessa [UNIFESP]
BACKGROUND: Few studies have described characteristics of swallowing in primary progressive aphasia (PPA) and its variants. OBJECTIVE: To describe and characterize swallowing and eating behaviors of patients with PPA, as well as their correlates with neuropsychiatric symptoms and patterns of communication. METHODS: We studied 16 patients with PPA and 16 their caregivers. PPA was subdivided in agrammatic variant (PPA-G), semantic variant (PPA-S) and logopenic variant (PPA-L). All patients and their caregivers were screened with the following scales: "Assessment of Feeding and Swallowing Difficulties in Dementia", "Neuropsychiatric Inventory", and "Functional Outcome Questionnaire for Aphasia". RESULTS: Patients with PPA-S had diverse swallowing problems such as drooling of saliva or food, multiple swallows, delayed swallow and choking, all of which correlated with anxiety, apathy and aberrant motor behavior. Patients with PPA-G and PPA-L had choking and delayed swallow, respectively. Disturbances in eating behaviors were more frequent in the group with PPA-L, and they correlated with difficulties in patterns of communication. CONCLUSIONS: All variants showed swallowing difficulties and they were more frequent in PPA-S. Further studies with larger samples of patients are needed to better characterize swallowing problems and their consequences in the different variants of PPA.

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