RESUMO
BACKGROUND: atopic dermatitis is directly related to psychological stress, reduced quality of life and psychosomatic symptoms. The Psychosomatic Scale for Atopic Dermatitis is the only questionnaire developed specifically for assessment of psychosomatization in atopic dermatitis. OBJECTIVES: the objective of this study was to cross-culturally adapt and validate a Brazilian-Portuguese version of the Psychosomatic Scale for Atopic Dermatitis. METHODS: adaptation consisted of independent translation and backtranslation by three bilingual translators, followed by a pre-test. The Psychosomatic Scale for Atopic Dermatitis and the Dermatology Life Quality Index were self-administered to 47 patients with atopic dermatitis. Disease severity was evaluated using the Eczema Area and Severity Index. Factor analysis was used to identify the dimensions of the Brazilian Portuguese version of the Psychosomatic Scale for Atopic Dermatitis. Internal consistency and convergence validity were also analyzed. Reproducibility was assessed using the Kappa coefficient. RESULTS: factor analysis revealed a two-dimensional structure: stress/laziness/insecurity (I) and maladjustment/social relationships (II), explaining 54.4% of total variance. All dimensions revealed excellent internal consistency. External construct validity was confirmed by positive correlations between the Psychosomatic Scale for Atopic Dermatitis and the Dermatology Life Quality Index. Test-retest reliability was excellent, with k>0.7 for all questions. CONCLUSIONS: the Brazilian Portuguese version of the Psychosomatic Scale for Atopic Dermatitis demonstrated acceptable psychometric properties and can be used for the evaluation of psychosomatic symptoms in patients with atopic dermatitis and as a tool in clinical and epidemiological research. .
Assuntos
Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Dermatite Atópica/psicologia , Transtornos Psicofisiológicos/diagnóstico , Inquéritos e Questionários/normas , Traduções , Brasil , Comparação Transcultural , Psicometria/métodos , Qualidade de Vida/psicologia , Valores de Referência , Reprodutibilidade dos Testes , Estresse Psicológico/diagnósticoRESUMO
Este artigo discute as indicações para tratamento hospitalar total e parcial em transtornos alimentares. A literatura básica sobre o tema é revisada, explicando tipos e locais de tratamento e guias terapêuticos para abordagem de pacientes nestas condições
Assuntos
Humanos , Masculino , Feminino , Bulimia , Anorexia Nervosa , Hospital Dia , HospitalizaçãoRESUMO
O presente artigo tem como finalidade apresentar os principais tratamentos psicoterapicos testados para bulimia nervosa. A terapia cognitivo-comportamental (TCC) de acordo com recentes publicacoes permanece...
Assuntos
Psicoterapia , Bulimia , Terapia Cognitivo-Comportamental , Terapia Comportamental , Bulimia , Relações InterpessoaisRESUMO
Os autores desrevem um caso de bulimia nervosa que se iniciou com episódios bulímicos e elevado ganho de peso na gestaçäo, e discute o impacto deste transtorno no período gravídico-puerperal