DEDU - Artigos em Revistas Internacionais / Articles in International Journals
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Browsing DEDU - Artigos em Revistas Internacionais / Articles in International Journals by Subject "Assessment"
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- Attitudes towards mental health problems scale : Confirmatory factor analysis and validation in the Portuguese populationPublication . Cabral, Joana Moura; Carvalho, Célia; Motta, Carolina; Sousa, Marina; Gilbert, PaulSeveral studies about stigmatization and shame toward mental health problems have contributed to minimizing the impact of these negative attitudes on people diagnosed with mental illnesses, on their families and on their communities. The Attitudes Towards Mental Health Problems Scale (ATMHP) is a self-report scale aimed at the assessment of attitudes toward mental health that involve several factors relating to attitudes and shame (internal, external, and reflected shame) when facing mental health problems. The goal of the current study was to translate, and to adapt this scale to the Portuguese population, and to study its psychometric properties in a sample of Azorean adults with and without psychiatric problems. The scale was administered to 411 participants with ages between 19 and 81 years. Confirmatory factor analysis was carried out on the initial model proposed by the authors of the ATMHP, and results showed a poor adjustment. An alternative model comprising an additional factor was tested and presented good model fit indices. Based on the alternative model, further analysis revealed that the scale has good psychometric properties.
- The Clinical Interview for Psychotic Disorders (CIPD) : development and expert evaluationPublication . Martins, Maria J.; Carvalho, Célia; Castilho, Paula; Pereira, Ana Telma; Macedo, AntónioBackground: New treatment approaches for psychosis indicate that effective interventions require a therapeutic focus on emotional regulation, cognitive appraisals, and functioning. Efficacy of psychotherapeutic interventions’ evaluation has changed from exclusively assessing symptom frequency/severity to a comprehensive and functional assessment of interference, functioning, and the relationship people have with symptoms. This shift led to new needs in clinical assessment. This study aimed to develop and submit to expert evaluation a new clinical interview for psychotic disorders which considers the new needs of the field. Methods: CIPD was developed by a multidisciplinary team considering the DSM-5 criteria for psychotic and affective disorders. Relevant information was retrieved from leading research in the area of assessment and evaluation of interventions in psychosis. An expert panel of recognized professionals in the main areas of mental health evaluated each question of the interview (5-point Likert scale) regarding pertinence and clarity. Results: A detailed description of CIPD is presented. Results from the experts’ evaluation showed that, overall, the CIPD questions were evaluated as pertinent and clear for the target population. Conclusion: CIPD assesses both diagnosis or presence of psychotic symptoms and symptoms’ psychosocial correlates. Psychotherapy and pharmacotherapy may benefit from CIPD since it may detect subtle changes caused by intervention and changes in areas other than symptom reduction.
- Development and Validation of the Response to Stressful Situations Scale in the General PopulationPublication . Carvalho, Célia; Motta, Carolina; Sousa, Marina; Cabral, Joana; Carvalho, Ana Luisa; Peixoto, Ermelindo BernardoThe aim of the current study was to develop and validate a Response to Stressful Situations Scale (RSSS) for the Portuguese population. This scale assesses the degree of stress experienced in scenarios that can constitute positive, negative and more neutral stressors, and also describes the physiological, emotional and behavioral reactions to those events according to their intensity. These scenarios include typical stressor scenarios relevant to patients with schizophrenia, which are currently absent from most scales, assessing specific risks that these stressors may bring on subjects, which may prove useful in non-clinical and clinical populations (i.e. Patients with mood or anxiety disorders, schizophrenia). Results from Principal Components Analysis and Confirmatory Factor Analysis of two adult samples from general population allowed to confirm a three-factor model with good fit indices: χ2 (144)= 370.211, p = 0.000; GFI = 0.928; CFI = 0.927; TLI = 0.914, RMSEA = 0.055, P(rmsea ≤0.005) = .096; PCFI = .781. Further data analysis of the scale revealed that RSSS is an adequate assessment tool of stress response in adults to be used in further research and clinical settings, with good psychometric haracteristics, adequate divergent and convergent validity, good temporal stability and high internal consistency.