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- ItemSomente MetadadadosThe 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.
- ItemAcesso aberto (Open Access)Adaptação e validação do Pediatric Asthma Quality of Life Questionnaire (PAQLQ-A) em crianças e adolescentes brasileiros com asma(Sociedade Brasileira de Pediatria, 2005-02-01) La Scala, Cintia Sayuri Kurokawa [UNIFESP]; Naspitz, Charles Kirov [UNIFESP]; Solé, Dirceu [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVES: To translate the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) into Portuguese and adapt it to the Brazilian context, for use in children and adolescents with asthma and to validate the adapted version of the questionnaire (PAQLQ-A). METHODS: Children and adolescents (7 to 17 years old) with asthma answered the PAQLQ-A on admission and were assessed using a clinical severity score. According to this score, patients were classified as mild (< 2) or moderate/severe (> 2). They were reassessed on at least two occasions at an interval of 2 to 4 weeks. Furthermore, patients in whom asthma was properly controlled were classified as stable, and those in whom it could not be controlled, as unstable. RESULTS: The reproducibility of the PAQLQ-A was evaluated in stable patients by comparing the mean domain scores: symptoms, emotions, activities, and the overall clinical severity score on two predefined occasions with an interval of 15 to 30 days in between. Responsiveness was evaluated among unstable patients. The mean domain scores and the overall score were different on both occasions, and so was the clinical severity score. The validity of the questionnaire was determined by the application of Cronbach's alpha reliability coefficient (a = 0.909). CONCLUSIONS: The translation of the PAQLQ into Portuguese did not modify the framework of the original questionnaire; the PAQLQ-A is easy to use, with easy reproducibility, constituting a valuable instrument for the evaluation of the quality of life in children and adolescents with asthma.
- ItemSomente MetadadadosAdaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese(Elsevier B.V., 2014-02-01) Vignola, Rose Claudia Batistelli [UNIFESP]; Tucci, Adriana Marcassa [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Background: Depression and anxiety have been associated with a range of symptoms that often overlap. Depression, Anxiety and Stress Scale-21 (DASS-21) is a single instrument to assess symptoms of depression, anxiety and stress. This study aimed to adapt and validate the DASS-21 for use in the Brazilian Portuguese language.Methods: the DASS-21 has been adapted following the translation-back translation methodology from English to Portuguese. 242 subjects completed the following assessments: the DASS-21, the Beck Depression Index (BM), Beck Anxiety Index (BAI) and the Inventory of Stress Symptoms of Lipp (ISSL).Results: the Kaiser-Meyer-Olkin (WO) result was .949, indicating that the adequacy of the model was high. Cronbach's alpha was .92 for the depression, .90 for the stress, and .86 for the anxiety, indicating a good internal consistency for each subscale. the correlations between DASS scale and BDI scale, BAI scale and ISSL inventory were strong. the factorial analysis and distribution of factors among the subscales indicated that the structure of three distinct factors is adequate.Limitations: Older subjects over 65 years of age were not largely represented in this sample. A study specific to this elderly population should be conducted. Another limitation of the study was education level. the impact of low education in its applicability should be considered.Conclusions: the findings support the validity of the Brazilian Portuguese version of the DASS-21 and add to the evidence of the DASS-21 quality and ability to assess emotional states separately, eliminating the use of different instruments to assess these states. (C) 2013 Elsevier B.V. All rights reserved.
- ItemAcesso aberto (Open Access)Climacteric symptoms and quality of life: validity of women's health questionnaire(Faculdade de Saúde Pública da Universidade de São Paulo, 2005-06-01) Silva Filho, Carlos Rodrigues da [UNIFESP]; Baracat, Edmund Chada [UNIFESP]; Conterno, Lucieni de Oliveira [UNIFESP]; Haidar, Mauro Abi [UNIFESP]; Ferraz, Marcos Bosi [UNIFESP]; Faculdade de Medicina de Marília Departamento de Medicina; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To evaluate the reliability and validity of the Portuguese version of the Women's Health Questionnaire. METHODS: In order to evaluate the Women's Health Questionnaire (WHQ), an analytical cross-sectional study was carried out at the women's menopause outpatient clinic of a university hospital in São Paulo, Brazil. There were studied 87 women in perimenopause or menopause, defined as experiencing at least one year's absence of menstrual flow. The following variables were collected: demographic data, clinical variables (Kupperman index and correlate numeric scale) and quality of life indexes (SF-36 and utility). RESULTS: The WHQ proved to be a questionnaire easily translated into Portuguese and well-adjusted to Brazilian women. The internal consistency of the overall WHQ was excellent (Cronbach alpha =0.83; 95% CI: 0.71-0.91). Test-retest reliability was also excellent (intraclass correlation coefficient [ICC]=0.92; 95% IC: 0.86-0.96) and had good absolute agreement (0.84; 95% CI: 0.71-0.92). A satisfactory clinical validity was observed. The construct validity was corroborated by clear associations with others scales. A good index of responsiveness after the intervention was reached. CONCLUSIONS: The Portuguese version of the WHQ is of easy and fast administration and understanding. Its measuring properties were related, allowing its use in the evaluation of Brazilian climacteric women's quality of life for various purposes.
- ItemAcesso 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.
- ItemSomente MetadadadosAn empirical evaluation of the translation to brazilian por of the loss of control over eating scale (loces)(Univ sao paulo, inst psiquiatria, 2016) da Luz, Felipe Q.; Sainsbury, Amanda; Estella, Nara M. [UNIFESP]; Cogo, Hugo [UNIFESP]; Touyz, Stephen W. [UNIFESP]; Palavras, Marly A.; Latner, Janet D.; Claudino, Angelica [UNIFESP]; Hay, PhillipaBackground: Loss of control over eating is a key feature of the most prevalent eating disorders. The Loss of Control over Eating Scale (LOCES) enables a thorough assessment of loss of control over eating. Objective: This study empirically evaluated the translation of the LOCES from eng to Brazilian por. Methods: The scale was translated to Brazilian por and back translated to eng in order to check accuracy of the translation. Two hundred and ninety-three medicine and nursing students, 60 males and 233 females, 18-55 years old, with mean body mass index (BMI) 23.2 kg/m(2) (SD 4.1), recruited between August and December 2014, answered the Brazilian por LOCES. An exploratory factor analysis was performed. Results: Exploratory factor analysis of the Brazilian por LOCES showed three distinct factors of the loss of control over eating (disgust/negative sensations, cognitive experiences/dissociation, and "positive" effects) as well as moderate consistency with previous reports of exploratory factor analysis of the eng version. Discussion: This study showed satisfactory translation of the LOCES from eng to Brazilian por, which is now ready for further validation.
- ItemAcesso aberto (Open Access)Estrutura fatorial da escala de Síndromes Positiva e Negativa (PANSS) no Brasil: validação convergente da versão brasileira(Universidade Federal de São Paulo (UNIFESP), 2015-03-25) Higuchi, Cinthia Hiroko [UNIFESP]; Araripe Neto, Ary Gadelha de Alencar [UNIFESP]; http://lattes.cnpq.br/8107200180236710; http://lattes.cnpq.br/9547855731878287; Universidade Federal de São Paulo (UNIFESP)A Escala das Síndromes Positiva e Negativa (PANSS) para esquizofrenia é uns dos instrumentos mais utilizados no Brasil. No entanto, não há estudo de validação. Objetivo: Analisar a estrutura fatorial da versão brasileira da PANSS e compará-la com a de outros países/ populações a fim de gerar dados para validação convergente. Método: A amostra foi composta por 292 pacientes diagnosticados com esquizofrenia de acordo com os critérios do Manual Diagnóstico e Estatístico de Transtornos Mentais ? quarta edição (DSM-IV), confirmados através da Entrevista Clínica Estruturada para Transtornos do Eixo I (SCID-I), aplicada por entrevistadores treinados. A estrutura fatorial foi analisada por meio da análise fatorial utilizando o método de extração de componentes principais com rotação equamax. Cargas fatoriais acima de 0,5 foram analisadas para identificação dos fatores. A consistência interna dos fatores foi avaliada por Alfa de Cronbach. Resultados: O teste Kaiser?Meyer?Olkin foi de 0,873, considerado adequado para a realização da análise fatorial. O modelo final explica 58,44% da variância total e é composto por cinco fatores: positivo, negativo, desorganização/cognição, euforia e depressão/ ansiedade. Conclusão: O modelo é semelhante quanto a composição dos fatores em relação à maioria dos outros países. As medidas de adequação do modelo e proporção da variância total explicada também são semelhantes. Os nossos dados indicam que a estrutura fatorial da versão brasileira da PANSS é similar à encontrada em outros países, o que sugere uma validação convergente da escala.
- ItemAcesso aberto (Open Access)Evidências de validade do Five Facet Mindfulness Questionnaire (FFMQ) em população de profissionais da atenção primária à saúde, e correlações com medidas de autocompaixão(Universidade Federal de São Paulo (UNIFESP), 2015-09-23) Loyola, Vinicius Terra [UNIFESP]; Demarzo, Marcelo Marcos Piva [UNIFESP]; García-Campayo, Javier; Montero-Marin, Jesus; http://lattes.cnpq.br/8583125054558674; http://lattes.cnpq.br/9242996936416312; http://lattes.cnpq.br/8942448742618634; Universidade Federal de São Paulo (UNIFESP)Introdução: As práticas e intervenções baseadas em mindfulness (palavra inglesa que tem sido traduzida como atenção plena) são encontradas em diversas tradições culturais, religiosas, filosóficas e médicas do oriente, como por exemplo, no budismo e na medicina tibetana. Muitas escalas de mindfulness foram desenvolvidas para quantificar esse construto e assim ter medidas mais confiáveis do que é o mindfulness. Pesquisas estão sendo feitas no intuito de averiguar possíveis discrepâncias internas e externas nos instrumentos. Objetivo: Verificar evidências de validade psicométrica do Five Facets Mindfulness Questionnaire (FFMQ) em população de profissionais de Atenção Primária à Saúde (APS) no Brasil, e suas correlações com medidas de autocompaixão, ansiedade e depressão. Método: Trata-se de um estudo analítico correlacional, transversal, com medidas obtidas mediante a técnica de auto relato, através de uma bateria de questionários disponibilizados por meio de uma plataforma online (survey monkey). Análises Fatoriais Confirmatórias foram utilizadas para analisar a dimensionalidade do FFMQ, assim como consistência interna. Resultados: Participaram da pesquisa 405 respondentes. As dimensões do FFMQ mostraram boa consistência interna. Todas as dimensões do FFMQ tiveram relações significativas com alguns dos fatores de auto-compaixão, bem como com a ansiedade e depressão, e algumas das covariâncias entre erros foram significativos Discussão: Os erros entre covariâncias que apareceram abrem um questionamento sobre a validade do score total do referido teste. O FFMQ apresentou boa consistência interna, com medidas semelhantes aos dados da validação. No tocante as correlações entre os fatores dos instrumentos, os resultados apresentados seguiram o que foi esperado para a maioria das correlações, com exceção da faceta observar. A intercorrelação entre as facetas do FFMQ e os fatores da SCS evidenciaram uma possível ligação existente entre esses construtos. Considerações finais: a presente pesquisa abre um questionamento importante sobre a validade do construto de mindfulness da FFMQ tendo por base o resultado das análises de covariância entre erros. As correlações encontradas entre os fatores do FFMQ e a da SCS indicam que os construtos de mindfulness e autocompaixão dialogam entre si, porém estes dados devem ser mais explorados e necessitam de mais estudos.
- ItemAcesso aberto (Open Access)Propriedades psicométricas da Escala de Atitudes Alimentares Transtornadas para adultos do sexo masculino(Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, 2013-12-01) Alvarenga, Marle dos Santos; Carvalho, Pedro Henrique Berbert de; Philippi, Sonia Tucunduva; Scagliusi, Fernanda Baeza [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de Juiz de Fora Programa de Pós-Graduação em Psicologia; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To evaluate psychometric properties of the Disordered Eating Attitude Scale (DEAS) for men. METHODS: Two hundred and twenty-eight undergraduate male students (18-39 years old) answered the DEAS, originally developed and validated for women. Internal consistency was evaluated by Cronbach's Alpha; convergent validity by comparing DEAS and the Eating Attitude (EAT) and Restraint Scale (RS) scores using Pearson's coefficient. Test-retest reliability was evaluated with a subsample (n = 38) in a month interval by means of intraclass correlation coefficient (ICC). Known-groups validity was obtained comparing scores in DEAS among undergraduate students and men with eating disorders (ED) (n = 28). RESULTS: Internal consistency of scale was 0.63. DEAS score correlated with EAT (r = 0.65) and RS (r = 0.51); ICC between test and retest was 0.948. Known-groups analysis differentiated ED patients and undergraduate students (p < 0.001). CONCLUSIONS: The scale presented adequate psychometric properties and could be used in studies with adult men, since the construct is not explored among males. Nevertheless, it is recommended to revise the scale and to develop specific instruments for male public.
- ItemSomente MetadadadosPsychometric evaluation of the Disordered Eating Attitude Scale (DEAS). English version(Elsevier B.V., 2010-10-01) Alvarenga, Marle dos Santos; Pereira, Raquel Franzini; Scagliusi, Fernanda Baeza [UNIFESP]; Philippi, Sonia Tucunduva; Prochnik Estima, Camilla Chermont; Croll, Jillian; Universidade de São Paulo (USP); Minneapolis Heart Inst Fdn; Universidade Federal de São Paulo (UNIFESP); Emily ProgramEating attitudes are defined as beliefs, thoughts, feelings, behaviors and relationship with food They could influence people's food choices and their health status Objective This study aimed to adapt from Portuguese to English the Disordered Eating Attitude Scale (DEAS) and evaluate its validity and reliability. the original scale in Portuguese was translated and adapted into English and was applied to female university students of University of Minnesota USA (n = 224). Internal consistency was determined (Cronbach's Alpha). Convergent validity was assessed by correlations between Eating Attitude Test-26 (EAT-26) and Restrain Scale (RS). Reliability was evaluated applying twice the scale to a sub-sample (n = 30). the scale was back translated into Portuguese and compared with the original version and discrepancies were not found. the internal consistency was .76 the DEAS total score was significantly associated with EAT-26 (r = 0.65) and RS (r = 0 69) scores the correlation between test-retest was r = 09 the English version of DEAS showed appropriate internal consistency, convergent validity and test-retest reliability and will be useful to assess eating attitudes in different population groups in English spoken countries. (C) 2010 Elsevier B.V. All rights reserved
- ItemAcesso aberto (Open Access)Reprodutibilidade e validade do questionário de freqüência de consumo de alimentos(Faculdade de Saúde Pública da Universidade de São Paulo, 2002-08-01) Salvo, Vera Lúcia Morais Antonio de; Gimeno, Suely Godoy Agostinho [UNIFESP]; Universidade Metodista de São Paulo; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Methods to evaluate food consumption still need improvement. A study was conducted to verify the reproducibility and validity of a food frequency questionnaire (FFQ) among overweight adults. METHODS: The study was carried out in a private university in São Paulo, Brazil. The study sample consisted of 146 individuals of both sex with body mass index =25 kg/m² and age between 18 and 60 years old. For reproducibility the FFQ was applied by trained interviewers at two different instances with a mean interval time of 47 days. For validity, data collected from the FFQ were compared with those obtained from the average of 3 different daily records of a 24-hour dietary recall (mean interval time: 15 days). Validity and reproducibility of data on calories and macronutrients consumption was assessed using pondered kappa statistics and intraclass correlation coefficient. RESULTS: A higher variability in the reporting of regular food consumption was seen among obese than overweight individuals. Concerning reproducibility, kappa statistical values varied from 0.23 (carbohydrates and fats) to 0.40 (calories), and intraclass correlation coefficients ranged from 0.28 (protein) to 0.54 (total calories). For FFQ validity, the highest kappa value was 0.25 (calories), and the intraclass correlation coefficient was 0.21 (protein). CONCLUSIONS: Food consumption reports of overweight individuals tend to be underestimated. Despite its limitations, FFQ could be used in epidemiological studies to assess the regular food consumption of overweight individuals.
- ItemSomente MetadadadosSwallowing 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.
- ItemAcesso aberto (Open Access)Validação do questionário de qualidade de vida (King's Health Questionnaire) em mulheres brasileiras com incontinência urinária(Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2005-05-01) Fonseca, Eliana Suelotto Machado [UNIFESP]; Camargo, Adriana Luciana Moreno [UNIFESP]; Castro, Rodrigo de Aquino [UNIFESP]; Sartori, Marair Gracio Ferreira [UNIFESP]; Fonseca, Marcelo Cunio Machado [UNIFESP]; Lima, Geraldo Rodrigues De [UNIFESP]; Girão, Manoel João Batista Castello [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: the proposal of the present study was to translate and to validate King's Health Questionnaire (KHQ) for Brazilian women with urinary incontinence. METHODS: a hundred and thirty-four patients with urinary incontinence, confirmed by urodynamic study, were enrolled from the outpatient clinic of Uroginecology. Initially, we translated the KHQ into the Brazilian Portuguese language in agreement with international criteria. Due to language and cultural differences we performed a cultural, structural, conceptual, and semantic adaptation of the KHQ, in order to make sure that patients were able to fully understand the questions. All patients answered the KHQ twice on the same day, within an interval of 30 min, applied by two different interviewers. After 7 to 14 days, on a second visit, the questionnaire was applied again. Reliability (intra- and interobserver internal consistency), construct and discriminative validity were tested. RESULTS: several cultural adaptations were necessary until we reached the final version. The intra-observer internal consistency (alpha of Cronbach) of the several dimensions varied from moderate to high (0.77-0.90), and the interobserver internal consistency varied from 0.66 to 0.94. Moderate to strong correlation was detected among the specific KHQ urinary incontinence dominions and clinical urinary incontinence manifestations known to affect the quality of life of these patients. CONCLUSION: KHQ was adapted to the Portuguese language and to the Brazilian culture, showing great reliability and validity. It should be included and used in any Brazilian urinary incontinence clinical trial.
- ItemAcesso aberto (Open Access)Validation of the portuguese version of the Questionnaire on Eating and Weight Patterns: revised (QEWP-R) for the screening of binge eating disorder(Associação Brasileira de Psiquiatria - ABP, 2005-12-01) Borges, Maria Beatriz Ferrari [UNIFESP]; Morgan, Christina Marcondes [UNIFESP]; Claudino, Angélica de Medeiros [UNIFESP]; Silveira, Dartiu Xavier da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: The present paper describes the validation of the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R) designed for the diagnosis of binge eating disorder (BED) and sub-clinical binge eating. METHODS: 89 overweight women seeking treatment for binge eating and/or obesity were assessed with the Portuguese version of the Questionnaire of Eating and Weight Patterns and were, subsequently, interviewed with the eating disorders module of the Structured Clinical Interview for DSM-IV (SCID-I/P). Rates of binge eating disorder and sub-clinical cases of binge eating obtained with the Questionnaire on Eating and Weight Patterns-Revised were then compared to those obtained with the Structured Clinical Interview for DSM-IV. RESULTS: In the identification of binge eating, irrespective of the presence of all criteria for binge eating disorder the QEWP-R Questionnaire on Eating and Weight Patterns-Revised yielded a sensitivity value of 0.88, a specificity value of 0.63 and a positive predictive value of 0.825. Rates for the identification of the full syndrome of binge eating disorder were: sensitivity value of 0.548, a specificity value of 0.8 and a positive predictive value of 0.793. CONCLUSIONS: The Questionnaire on Eating and Weight Patterns-Revised can be useful in a first-step screening procedure to identify probable cases of binge eating. It can be useful as a screening tool and as a first step of clinical assessment of patients seeking treatment for binge eating and/or obesity.
- ItemSomente MetadadadosValidity and reliability of the Portuguese-Brazilian version of the Quality of Life in Epilepsy Inventory-89(Elsevier B.V., 2009-03-01) Azevedo, Auro Mauro [UNIFESP]; Alonso, Neide Barreira [UNIFESP]; Vidal-Dourado, Marcos [UNIFESP]; Silva Noffs, Maria Helena da [UNIFESP]; Pascalicchio, Tatiana Frascarelli [UNIFESP]; Sales Ferreira Caboclo, Luis Otavio [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Sakamoto, Americo Ceiki [UNIFESP]; Targas Yacubian, Elza Marcia [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: the purpose of this article was to report the translation of the Quality of Life in Epilepsy Inventory-89 (QOLIE-89) into a Portuguese-Brazilian version and evaluate its reliability and validity.Methods: This study involved 105 Outpatients: 54 patients with refractory temporal lobe epilepsy (TLE) with mesial temporal sclerosis (MTS) and 51 with juvenile myoclonic epilepsy (JME). Reliability and test-retest reliability were assessed. Relationships between QOLIE-89 domains and other questionnaires (Nottingham Health Profile, Beck Depression Inventory, Adverse Event Profile, Neuropsychological Evaluation), and external measures such as demographic and clinical variables were analyzed to examine construct validity.Results: Internal consistency (Cronbach's alpha = 0.73-0.92) and test-retest reliability (intraclass correlation coefficient = 0.60-0.84) for individual domains were acceptable. for construct validity, we verified high correlations between the QOLIE-89 and the Nottingham Health Profile, Beck Depression Inventory, Adverse Event Profile, and Neuropsychological Evaluation. for clinical characteristics, the patients with juvenile myoclonic epilepsy had better quality-of-life scores on 11 of 17 QOLIE-89 subscales compared with patients with temporal lobe epilepsy (P < 0.05).Conclusion: These results Support the reliability and validity of the Portuguese-Brazilian translation of QOLIE-89. (C) 2009 Published by Elsevier Inc.
- ItemAcesso aberto (Open Access)Validity of Qualis database as a predictor of evidence hierarchy and risk of bias in randomized controlled trials: a case study in dentistry(Faculdade de Medicina / USP, 2011-01-01) Ferreira, Christiane Alves [UNIFESP]; Loureiro, Carlos Alfredo Salles [UNIFESP]; Saconato, Humberto [UNIFESP]; Atallah, Álvaro Nagib [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To evaluate the validity of the Qualis database in identifying the levels of scientific evidence and the quality of randomized controlled trials indexed in the Lilacs database. METHODS: We selected 40 open-access journals and performed a page-by-page hand search, to identify published articles according to the type of study during a period of six years. Classification of studies was performed by independent reviewers assessed for their reliability. Randomized controlled trials were identified for separate evaluation of risk of bias using four dimensions: generation of allocation sequence, allocation concealment, blinding, and incomplete outcome data. The Qualis classification was considered to be the outcome variable. The statistical tests used included Kappa, Spearman's correlation, Kendall-tau and ordinal regressions. RESULTS: Studies with low levels of scientific evidence received similar Qualis classifications when compared to studies with high levels of evidence. In addition, randomized controlled trials with a high risk of bias for the generation of allocation sequences and allocation concealment were more likely to be published in journals with higher Qualis levels. DISCUSSION: The hierarchy level of the scientific evidence as classified by type of research design, as well as by the validity of studies according to the bias control level, was not correlated or associated with Qualis stratification. CONCLUSION: Qualis classifications for journals are not an approximate or indirect predictor of the validity of randomized controlled trials published in these journals and are therefore not a legitimate or appropriate indicator of the validity of randomized controlled trials.
- ItemAcesso aberto (Open Access)Validity Study of the South Oaks Gambling Screen (SOGS) among distinct groups of Brazilian gamblers(Associação Brasileira de Psiquiatria - ABP, 2002-10-02) Oliveira, Maria Paula Mt [UNIFESP]; Silva, Maria Teresa Araujo; Silveira, Dartiu Xavier da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); University of São Paulo Institute of Psychology Department of Experimental PsychologyOBJECTIVE: The main objective of this study was to assess the internal consistency and to perform a factor analysis of the Brazilian version of the SOGS - South Oaks Gambling Screen - scale, as well as its ability to discriminate between different profiles of gamblers. METHOD: Two hundred and seventeen subjects were enrolled in the study: 46 gamblers under treatment at the Gamblers Treatment Unit of PROAD - Program for Orientation and Attention of Dependent Persons- of the Federal University of São Paulo; 96 social gamblers and 75 subjects screened as pathological gamblers recruited at the local Jockey Club, video poker and bingo clubs. RESULTS: Differences in the score means of all three groups were statistically significant and were able to discriminate between social gamblers, pathological gamblers interviewed in a gambling site and the clinical sample. The internal consistency of the 20-item scale measured by Cronbach's alpha was 0.9304. Factor analysis resulted in a three-dimensional solution accounting for 58,6% of the total variance: a first factor composed mainly by questions related to the consequences of gambling; a second factor encompassing questions related to the gambling behavior of pathological gamblers; and a third and less expressive factor involving only two questions, probably a hybrid one of difficult interpretation. CONCLUSIONS: The Brazilian version of the SOGS was a useful screen to discriminate Brazilian pathological gamblers from social gamblers as well as to differentiate clinical pathological from non-clinical pathological gamblers, and to identify different levels of severity.