Cross-cultural adaptation of the Internet Gaming Disorder Scale - Short Form (IGDS9-SF) to the Brazilian context

Abstract Introduction The Internet Gaming Disorder Scale - Short Form (IGDS9-SF) assesses the severity, harmful effects and/or consequences of excessive online and offline gaming. Its conciseness and theoretical foundations on current diagnostic criteria of gaming disorders make it a useful resource for clinical and screening settings. Objective To describe the process of cross-cultural adaptation of the IGDS9-SF to the Brazilian context. Methods The cross-cultural adaptation involved the steps of independent translation of the instrument, synthesis version, back-translation, pre-test and elaboration of the final version. Content validity assessment was conducted by a multidisciplinary committee of experts and consisted of both a quantitative analysis (calculation of content validity coefficients - CVC) and a qualitative analysis (assessment of the experts' comments and suggestions). The pre-test sample consisted of 30 gamers with variable sociodemographic characteristics. Results The cross-cultural adaptation of the scale followed the proposed protocol, and the CVC was satisfactory (≥ 0.83) for all the structures and equivalences assessed. Most of the suggestions made by the experts were accepted (mainly adjustments and language standardization). The gamers who participated in the pre-test judged the scale easy to understand and did not suggest changes. Discussion The Brazilian version of the IGDS9-SF showed adequate content validity and is available for researchers and clinicians, as well as for the investigation of additional psychometric characteristics.

Maternal depression: Associations between behavioral problems in school-aged children, organization patterns, adversities, and family environment resources / Depressão materna: associações entre problemas comportamentais de escolares e padrões de organização familiar

The objective of this study was to verify possible associations between family organization patterns, adversities, family environment resources, and behavioral problems "in children of mothers with recurrent depression" (Group 1) compared with "children of mothers without psychiatric disorders" (Group 2). A total of 100 mother-child dyads were divided into two equal groups and were evaluated individually using the following instruments: General questionnaire; Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders; Strengths and Difficulties Questionnaire; Escala de Eventos Adversos; Escala de Adversidade Crônica; Inventário de Recursos do Ambiente Familiar; Raven, and an interview about family patterns. When compared to Group 2, Group 1 showed significantly more behavioral problems, adverse events, and chronic adversities and fewer family resources and family organization patterns. Negative and moderate associations were observed between behavioral problems and positive family organization patterns, evidencing the importance of mental health actions aimed at improving these patterns.

Objetivou-se verificar as possíveis associações entre padrões de organização familiar, adversidades e recursos do ambiente familiar e problemas de comportamento de "crianças que convivem com mães com depressão recorrente" (Grupo 1), em comparação às que "convivem com mães sem transtornos psiquiátricos" (Grupo 2). Avaliaram-se individualmente cem díades mãe-criança, distribuídas em dois grupos do mesmo tamanho amostral, por meio dos instrumentos: Questionário Geral; Entrevista Clínica Estruturada para Manual Diagnóstico e Estatístico de Transtornos Mentais; Questionário de Capacidades e Dificuldades; Escala de Eventos Adversos; Escala de Adversidades Crônicas; Inventário de Recursos do Ambiente Familiar, Raven e Entrevista sobre padrões de organização familiar. Em comparação ao Grupo 2, o Grupo 1 apresentou significativamente mais problemas comportamentais, bem como eventos adversos, adversidades crônicas e menos recursos do ambiente familiar e padrões de organização familiar. Foram detectadas correlações negativas e moderadas entre problemas comportamentais e padrões positivos de organização familiar, evidenciando a relevância de ações em saúde mental que favoreçam o desenvolvimento desses padrões.

Associations between social skills and burnout dimensions in medical residents / Associações entre habilidades sociais e dimensões de burnout em médicos residentes

Abstract Medical residency has been considered a stressful, overwhelming period, which can contribute to the development of burnout syndrome. Given the importance of interpersonal interactions for the professional practice of medicine, studies addressing protective factors against burnout focusing on social skills are needed. The objective of the present study was to investigate the associations between social skills and burnout dimensions in medical residents. A total of 305 residents were evaluated using the Inventário de Habilidades Sociais (Social Skills Inventory) and the Inventário da Síndrome de Burnout (Burnout Syndrome Inventory). Significant associations were found between all social skills factors and at least one burnout dimension; odds ratio results indicated a protective relationship, in which the residents with an elaborate repertoire of social skills were less likely to have indicators of burnout. Considering the fact that social skills can be learned, these results can contribute to the introduction of preventive measures.

Resumo A residência médica é um período com características reconhecidamente estressantes que podem contribuir para o desenvolvimento da síndrome de burnout. Configuram-se como lacuna da literatura estudos que abordem condições de proteção ao burnout, colocando em foco as habilidades sociais, dada a relevância das interações interpessoais para o exercício profissional do médico. Objetivou-se verificar as associações entre o repertório de habilidades sociais e as dimensões de burnout de médicos residentes. Trezentos e cinco residentes foram avaliados por meio dos seguintes instrumentos: Inventário de Habilidades Sociais e Inventário da Síndrome de Burnout. Foram verificadas associações significativas de todos os fatores de habilidades sociais com pelo menos uma dimensão de burnout, com valores de odds ratio sugestivos de uma relação de proteção, sendo que residentes com um repertório elaborado de habilidades sociais apresentaram menos chances de apresentarem indicadores de burnout. Considerando-se que habilidades sociais podem ser aprendidas, esses dados podem contribuir para a proposição de medidas preventivas.

Mental health in medical residents: relationship with personal, work-related, and sociodemographic variables

Objective: To examine association of sociodemographic characteristics, personality traits, social skills, and work variables with anxiety, depression, and alcohol dependence in medical residents. Methods: A total of 270 medical residents completed the following self-report instruments: sociodemographic and work questionnaire, Patient Health Questionnaire-4 (PHQ-4), Alcohol Use Disorders Identification Test-3 (AUDIT-3), Revised NEO-Five Factor Inventory (NEO-FFI-R), and Social Skills Inventory (SSI-Del-Prette). Data were analyzed using descriptive statistics and univariate and multivariate logistic regression analyses. Results: Multivariate analysis showed an association of neuroticism (odds ratio [OR] 2.60, p < 0.001), social skills (OR 0.41, p < 0.01), and number of shifts (OR 1.91, p = 0.03) with anxiety or depression, and of male sex (OR 3.14, p = 0.01), surgical residency (OR 4.40, p = 0.001), extraversion (OR 1.80, p < 0.01), and number of shifts (OR 2.32, p = 0.04) with alcohol dependence. Conclusion: The findings support a multidetermined nature of mental health problems in medical residents, in addition to providing data that may assist in the design of preventive measures to protect the mental health of this group.