Traducción y adaptación de la Altman Self-Rating Mania Scale al ámbito español / Translation and adaptation in the Spanish environment of the Altman Self-Rating Mania Scale

Introducción. El objetivo del presente trabajo es la traducción, adaptación y validación en el ámbito español de una escala de autoevaluación de la manía, denominada Altman Self-Rating Mania Scale (ASRM), con lo que se trata de cubrir el vacío existente en nuestro ámbito en la autoevaluación de la manía. Métodos. Se tradujo la escala y a continuación se realizó la traducción inversa, que fue remitida al autor de la escala original. Fue aplicada a 74 pacientes con trastorno bipolar, que fueron divididos en dos grupos, uno formado por pacientes con sintomatología activa maníaca (n = 35) y otro constituido por pacientes asintomáticos (n = 39). Concurrentemente se aplicó la Escala para la Valoración de la Manía Administrada por Clínicos (EVMAC) y la Escala de Valoración Numérica. Resultados. Se encontró alta consistencia interna, alta y significativa correlación con la subescala de manía de la EVMAC, así como con la Escala de Valoración Numérica, y diferencias muy significativas entre los dos grupos en la puntuación de la escala. La curva COR indicó excelente ajuste de la escala al discriminar entre pacientes bipolares con y sin síntomas maníacos. El análisis factorial arrojó un solo factor, que explica el 62 % de la varianza total. Conclusiones. La Escala Autoaplicada de Manía de Altman demuestra ser un instrumento autoaplicado, fiable y válido para medir la presencia y gravedad de la sintomatología maníaca. Permite realizar valoraciones sencillas y rápidas del estado del paciente, pudiendo ser utilizada con fines de investigación, clínicos y como instrumento de cribado

Introduction. The aim of the present study is the translation, adaptation and validation in the Spanish environment of a self-rating of mania scale, the Altman Self-Rating Scale for Mania (ASRM), to fulfill a need in our environment in the self-rating of mania. Methods. The scale was translated, and then a back translation was done. This was sent to the author of the original scale. The scale was administered to a sample of 74 patients with bipolar disorder, divided into two groups, one formed by patients with acute mania (n = 35) and the other one constituted by asymptomatic patients (n = 39). Concurrently we applied the Clinician Administered Rating Scale for Mania (CARS-M) and the Numeric Evaluation Scale (NES). Results. High internal consistency, high and significant correlation with the CARS-M mania sub-scale, as well as with the NES and very significant differences between the two groups in the scale score were found. The ROC curve indicates excellent adjustment of the scale, when discriminating among bipolar patients with and without manic symptoms. The factorial analysis provided a single factor that accounts for 62 % of the total variance. Conclusions. The Altman Self-Rating Mania Scale is shown to be a reliable and valid self-rating instrument to assess the presence and intensity of manic symptoms. It makes it possible to carry out simple and quick assessments of the patient's state, can be used for research as clinical objectives and can also be a screening instrument

[Translation and adaptation in the Spanish environment of the Altman Self-Rating Mania Scale]. / Traducción y adaptación de la Altman Self-Rating Mania Scale al ámbito español.

INTRODUCTION: The aim of the present study is the translation, adaptation and validation in the Spanish environment of a self-rating of mania scale, the Altman Self-Rating Scale for Mania (ASRM), to fulfill a need in our environment in the self-rating of mania. METHODS: The scale was translated, and then a back translation was done. This was sent to the author of the original scale. The scale was administered to a sample of 74 patients with bipolar disorder, divided into two groups, one formed by patients with acute mania (n=35) and the other one constituted by asymptomatic patients (n=39). Concurrently we applied the Clinician Administered Rating Scale for Mania (CARS-M) and the Numeric Evaluation Scale (NES). RESULTS: High internal consistency, high and significant correlation with the CARS-M mania sub-scale, as well as with the NES and very significant differences between the two groups in the scale score were found. The ROC curve indicates excellent adjustment of the scale, when discriminating among bipolar patients with and without manic symptoms. The factorial analysis provided a single factor that accounts for 62% of the total variance. CONCLUSIONS: The Altman Self-Rating Mania Scale is shown to be a reliable and valid self-rating instrument to assess the presence and intensity of manic symptoms. It makes it possible to carry out simple and quick assessments of the patient's state, can be used for research as clinical objectives and can also be a screening instrument.

[Bipolar disorder: helping the treatment]. / Trastorno bipolar: ayudando al tratamiento.

INTRODUCTION: [corrected] Psychoeducation programs for bipolar patients try to give them a theoretical and practical system to understand and cope with the consequences of this disorder. The published studies reviewed support the idea that patients included in this therapeutic approach present higher treatment compliance. METHODOLOGY: The purpose of our study is to specify the benefits of the psychoeducation programs, comparing the degree of knowledge of the illness (Measured by means of the Understanding Mood Disorder Questionnaire Gavazzi et al, 1997, Spanish version of Livianos and Rojo, 1998) of 10 patients included in our program with that of another 10 patients who attended the same lithium clinic, but were not included in the psychoeducation program. RESULTS: There are statistically significant differences in the total of the scale as well as on the mania scale and known facts, but no differences on the depression scale. CONCLUSION: The results allow us to stress the impact of the psychoeducation programs on the knowledge of illness.

Trastorno bipolar: ayudando al tratamiento / Bipolar disorder: helping the treatment

Introducción. Los programas psicoeducativos para pacientes bipolares intentan aportar un sistema teórico y práctico para comprender y afrontar las consecuencias de este trastorno. Los estudios revisados apoyan que los pacientes incluidos en este tipo de terapias presentan unas tasas de adherencia al tratamiento más elevadas. Metodología. La finalidad de este estudio es poder objetivar el beneficio de los programas psicoeducativos, comparando el grado de conocimiento de la enfermedad (medido mediante el Cuestionario de Comprensión de los Trastornos del Humor de Gavazzy et al, 1997, versión en español de Livianos y Rojo, 1998) de los 10 pacientes incluidos en nuestro programa, con 10 pacientes que aunque son seguidos en la misma Unidad de Litio, no están incluidos en nuestro programa psicoeducativo. Resultados. Se observa una diferencia estadísticamente significativa en la puntuación total de la escala, así como en las subescalas de manía y de hechos conocidos. No hay diferencia significativa en las puntuaciones obtenidas en la subescala de depresión. Conclusiones. Los resultados obtenidos muestran la importancia de los programas psicoeducativos en el conocimiento de la enfermedad de los pacientes (AU)