Análise qualitativa de conteúdo e estudo piloto da escala SOCRATES-SO / Qualitative content analysis and pilot study of the SOCRATES-SO Scale

Objetivo: apresentar os resultados da etapa inicial de adaptação da escala estágios de motivação para mudança e preparação no tratamento do sobrepeso e obesidade ­ SOCRATES SO. Metodologia: um grupo de juízes, composto por seis profissionais experientes, especialistas em suas respectivas áreas de atuação, realizou a análise da SOCRATES-SO para validação de conteúdo. Os juízes preencheram um protocolo de análise dos componentes do referido instrumento. Posteriormente, a versão final foi aplicada em uma amostra (n=17) de sujeitos com sobrepeso e obesidade. Resultados e discussão: na validação de conteúdo, os componentes da escala obtiveram uma aprovação acima de 80% pelos juízes com o método de porcentagem de concordância, exceto no item 1. Conclusão: a SOCRATES-SO parece ter se mostrado um instrumento promissor para a avaliação da motivação para mudança no comportamento alimentar. No entanto, essa foi apenas a fase inicial de adaptação do instrumento. Ajustes, como a retirada de alguns itens, podem ser necessários para tornar esse teste mais homogêneo após a análise fatorial confirmatória.

Objectives: present the results of the initial stage of adaptation of the scale stages of motivation for change and preparation in the treatment of overweight and obesity ­ SOCRATES SO. Methodology: a group of judges, composed of six experienced professionals, experts in their respective areas of activity, performed the SOCRATES-SO analysis for content validity. The judges completed a protocol analyzing the components of that instrument. Subsequently, the final version was applied in a sample (n = 17) of overweight and obese subjects. Results and discussion: in the validity of content, the components of the scale obtained an approval above 80% by the judges with the percentage agreement method, except in item 1. Conclusion: SOCRATES-SO seems to have been a promising instrument for the assessment of the motivation for change in eating behavior. However, this was only the initial phase of adaptation of the instrument. Adjustments, such as removal of some items, may be necessary to make the test more homogeneous after confirmatory factor analysis

Changing negative core beliefs with trial-based thought record

Background: Trial-based thought record (TBTR) is a technique used in trial-based cognitive therapy (TBCT), and simulates a court trial. It was designed to restructure unhelpful core beliefs (CBs) during psychotherapy. Objective: To confirm previous findings on the efficacy of TBTR in decreasing patients' adherence to self-critical and unhelpful CBs and corresponding emotions, as well as assessing the differential efficacy of the empty-chair approach relative to the static format of TBTR. Methods: Thirty-nine outpatients were submitted to a 50-minute, one-session, application of the TBTR technique in the empty-chair (n = 18) or conventional (n = 21) formats. Patients' adherence to unhelpful CBs and the intensity of corresponding emotions were assessed after each step of TBTR, and the results obtained in each format were compared. Results: Significant reductions in percent values both in the credit given to CBs and in the intensity of corresponding emotions were observed at the end of the session (p < .001), relative to baseline values. ANCOVA also showed a significant difference in favor of the empty-chair format for both belief credit and emotion intensity (p = .04). Discussion: TBTR may help patients reduce adherence to unhelpful CBs and corresponding emotions and the empty-chair format seems to be more efficacious than the conventional format.