RESUMO
The reliability across time, informants and interviewers of the Spanish translation of the DISC-2.1 was tested on a Puerto Rican Hispanic sample using a test-retest design. Levels of reliability between clinic and community samples and between younger and older children were compared to explore the sources of low reliability for certain psychiatric disorders. Parents' reports tended to be more reliable than those of their children, although the difference was less obvious with older children. Reliability was generally higher for the externalizing disorders and when the second interviewer was a psychiatrist rather than a lay interviewer.
Assuntos
Diagnóstico por Computador , Hispânico ou Latino , Entrevista Psicológica , Idioma , Transtornos Mentais/diagnóstico , Adolescente , Criança , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Classe Social , Espanha , TraduçõesRESUMO
Aimed to document the psychological sequelae of a disaster in the adult (17-68 years) population of the Caribbean island of Puerto Rico, by surveying 912 persons (including 375 previously interviewed) with a Spanish version of the Diagnostic Interview Schedule. A rigorous methodology, which included both retrospective and prospective designs, was used, enabled by the occurrence of a catastrophic disaster only a year after a comprehensive survey was completed. Framed in a stress theoretical perspective, disaster effects for new depressive, somatic, and posttraumatic stress symptoms were identified, even after adjusting for demographic and methodologic factors. All the effects, however, were relatively small, suggesting that most disaster victims were rather resilient to the development of new psychological symptoms. Comparison of results with previous findings and its implications for both disaster and stress research are discussed, as well as the role of community psychologists in disaster action.
Assuntos
Adaptação Psicológica , Desastres , Transtornos de Estresse Pós-Traumáticos/psicologia , Adolescente , Adulto , Idoso , Alcoolismo/diagnóstico , Alcoolismo/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Porto Rico , Estudos Retrospectivos , Transtornos Somatoformes/diagnóstico , Transtornos Somatoformes/psicologia , Transtornos de Estresse Pós-Traumáticos/diagnósticoRESUMO
The Children's Global Assessment Scale (CGAS), a measure of overall severity of disturbance, is an adaptation of the Global Assessment Scale for adults. Data obtained on the CGAS during a pilot study in Puerto Rico demonstrate high interrater reliability and both concurrent and discriminant validity. A discriminant function was generated that highly correlates with other measures of impairment. Use of the CGAS can be of heuristic value to complement other methods of diagnostic categorization.
