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Adapta??o transcultural preliminar do Children's Eating Attitude Test (Cheat) para o idioma português
Barillari, Mariana Loureiro;Teixeira, Paula Costa;Hearst, Norman;Kotait, Marcela Salim;Cordas, Táki Athanássios;Conti, Maria Aparecida;
Revista Brasileira de Saúde Materno Infantil , 2011, DOI: 10.1590/S1519-38292011000400010
Abstract: objectives: to translate and adapt the "children's eating attitude test" (cheat) to portuguese and evaluate the semantic equivalence and verbal comprehension. methods: the process involved four stages: (1) translation, (2) back-translation, (3) technical review and semantic evaluation, (4) pre-test - evaluation of verbal comprehension by specialists in eating disorders. results: the 26 questions were translated and adapted for portuguese. the final version contained the same 26 items presented in a clear and easy-tounderstand format (average score higher than 4.5 - maximum 5.0). conclusions: the tool has been translated and adapted for portuguese and the transcultural adaptation process was a success. there is still a need for analyses of external validity, measurement equivalence and reproducibility.
Validation of a cocaine craving questionnaire (CCQ-G) in Mexican population
Marín-Navarrete, Rodrigo;Mejía-Cruz, Diana;Templos-Nu?ez, Liliana;Rosendo-Robles, Alejandro;González-Zavala, Mario;Nanni-Alvarado, Ricardo;García, Isis;Leff, Philippe;Salazar-Juárez, Alberto;Antón-Palma, Benito;
Salud mental , 2011,
Abstract: this study aimed for the validation of the general cocaine craving questionnaire (ccq-g) in mexican population. to achieve this, the scale was applied by interviewing 233 cocaine users, of which 214 met inclusion criteria for the final analysis. this study's inclusion criterion was: not having a psychotic episode and/or manic or depressive or cognitive damage that could impede adequate test solving. the sample consisted entirely of male participants, aged between 18 and 59 years (m = 27, sd = 9.2). all participants met dsm-iv-tr criteria for substance abuse and dependence. 83% of the sample were polydrug users, but reported cocaine as their main drug of use. 74.8% of the sample reported previously having attended treatment for cocaine dependence. at the time of the study, all of the sample was under residential treatment between their 4th and 12th week and was distributed in 5 different institutions whose treatment model is grounded in the philosophy of alcoholics anonymous. after factor analysis was performed, the model was adjusted to three factors. factor 1 referred to intention to use cocaine, factor 2 expressed desire for cocaine consumption, and factor 3 referred to positive expectancies for cocaine consumption. the instrument showed good internal consistency with an α=.87.
Craving decrease with topiramate in outpatient treatment for cocaine dependence: an open label trial
Reis, Alessandra Diehl;Castro, Luiz André;Faria, Roberta;Laranjeira, Ronaldo;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008005000012
Abstract: objective: to evaluate anticraving action and tolerability of topiramate in cocaine user treatment. method: male users of inhaled cocaine which met criteria for cocaine dependence (diagnostic and statistical manual of mental disorders, fourth edition) were selected for outpatient 12-week, open label trial with topiramate; individual dosage ranged between 25-300 mg/day. main clinical variables were abstinence rate, craving intensity, frequency and duration, adherence, dropouts, side effects and impulsivity measure through barratt impulsivity scale. patients received assertive strategic counseling for abstinence assistance and medication monitoring evaluation every two weeks. comparative analysis was made with intention to treat, missing values were replaced (last observation carried forward), and significance level was 5%. results: adherence to treatment was 57% (at least three evaluations), 32% dropped out (one evaluation). there were no severe side effects. negative test average was 25.4% (31.2). significant reduction in craving intensity and duration was observed in 25% of the sample. no statistical significant reduction in craving frequency was observed in 7.1%. increase in frequency was observed in 10.7% and 82.1% did not present any variation. no significant statistical variations in barratt impulsivity scale or in the total score were found in the final evaluation when compared to baseline. conclusion: more randomized placebo-controlled trials with topiramate for cocaine dependants should be performed to evaluate preliminary evidence.
Valores pessoais como antecedentes da adapta o transcultural de expatriados.
Bruno Felix Von Borell de Araujo,Wolfgang Bilsky,Lúcia Meiry Cruz de Oliveira Moreira
Revista de Administra??o Mackenzie , 2012,
Abstract: O objetivo deste artigo, realizado sob uma perspectiva epistemológica funcionalista, foi verificar a rela o existente entre valores pessoais e a adapta o transcultural de expatriados. Embora diversos pesquisadores busquem relacionar características individuais dos expatriados com a sua adapta o transcultural, desconhecem-se pesquisas anteriores que o tenham feito usando o constructo de valores humanos, o que caracteriza a originalidade desta pesquisa. Para tal, realizou-se um estudo com expatriados brasileiros, funcionários de uma filial de uma empresa nacional, situada em um país no Oriente Médio. As abordagens de Schwartz (1992) e Black, Mendenhall e Oddou (1991) foram empregadas como perspectivas teóricas para o estudo de valores pessoais e adapta o transcultural de expatriados, respectivamente. A amostra final válida foi composta por 221 expatriados, que responderam às escalas de adapta o transcultural de Black (1988) e de valores pessoais – PVQ-21 (ESS EDUNET, 2009). As técnicas de escalonamento multimensional confirmatória e modelagem de equa es estruturais, com estima o por mínimos quadrados parciais (PLS), foram utilizadas para a análise dos dados. Os resultados mostram que o polo de abertura à mudan a correlacionou-se positivamente com as facetas de adapta o geral e à intera o, e n o apresentou correla o com a adapta o ao trabalho. Já o polo de conserva o n o apresentou rela o significante com nenhuma das facetas da adapta o transcultural de expatriados. Os resultados permitem apontar valores pessoais como antecedentes de duas dimens es da adapta o transcultural, o que representa um avan o na literatura a respeito da influência de características individuais de pessoas em designa es internacionais, em sua adapta o transcultural. Como limita o do estudo, aponta-se a amostra composta por expatriados brasileiros em uma empresa de mesma nacionalidade, o que pode ter influenciado na ocorrência de rela o n o significante entre a adapta o ao trabalho e a abertura à mudan a. Em termos práticos, sugere-se que as empresas usem os valores humanos como critério adicional em processos seletivos para designa es internacionais.
Validation of a cocaine craving questionnaire (CCQ-G) in Mexican population
Rodrigo Marín-Navarrete,Diana Mejía-Cruz,Liliana Templos-Nu?ez,Alejandro Rosendo-Robles
Salud mental , 2011,
Abstract: El presente estudio tuvo como objetivo validar en la poblacion mexicana la escala Cocaine Craving Questionnaire General (CCQ-G). Para conseguir tal objetivo, se entrevisto y aplico la escala a una N=233 consumidores de cocaina que decidieron participar voluntariamente en el estudio. Los criterios para ingresar al estudio fueron los siguientes: no sufrir un episodio psicotico, maniaco, depresivo o dano cognitivo que impidiera resolver adecuadamente la escala. La muestra estuvo constituida por participantes masculinos, que reunian los criterios del DSM-IV-TR para abuso y dependencia a sustancias, con edades comprendidas entre 18 y 59 anos (M=27, SD=9.2). En el momento de las entrevistas estaban bajo tratamiento residencial entre la cuarta y duodecima semanas en cinco diferentes instituciones cuyo tratamiento se basa en el modelo de Alcoholicos Anonimos. El analisis factorial que se realizo senalo que el modelo se ajustaba a tres factores. El Factor 1 hacia referencia a la intencion de uso de cocaina; el Factor 2 expresaba deseos de consumo de cocaina; el Factor 3 hacia referencia a las expectativas positivas del consumo de cocaina. El instrumento tambien mostro una adecuada consistencia interna con un a=.87.
Is serum brain-derived neurotrophic factor related to craving for or use of alcohol, cocaine, or methamphetamine?  [cached]
Hilburn C,Nejtek VA,Underwood WA,Singh M
Neuropsychiatric Disease and Treatment , 2011,
Abstract: Craig Hilburn, Vicki A Nejtek, Wendy A Underwood, Meharvan Singh, Gauravkumar Patel, Pooja Gangwani, Michael J ForsterUniversity of North Texas Health Science Center at Fort Worth, TX, USABackground: Data suggests that brain-derived neurotropic factor (BDNF) plays a neuroadaptive role in addiction. Whether serum BDNF levels are different in alcohol or psychostimulants as a function of craving is unknown. Here, we examined craving and serum BDNF levels in persons with alcohol versus psychostimulant dependence. Our goals were to explore BDNF as an objective biomarker for 1) craving 2) abstinence, and 3) years of chronic substance use.Methods: An exploratory, cross-sectional study was designed. Men and women between 20–65 years old with alcohol, cocaine, or methamphetamine dependence were eligible. A craving questionnaire was used to measure alcohol, cocaine and methamphetamine cravings. Serum levels of BDNF were measured using enzyme linked immunoassay. Analysis of variance, chi-square, and correlations were performed using a 95% confidence interval and a significance level of P < 0.05.Results: We found a significant difference in the mean craving score among alcohol, cocaine and methamphetamine dependent subjects. There were no significant influences of race, gender, psychiatric disorder or psychotropic medication on serum BDNF levels. We found that among psychostimulant users BDNF levels were significantly higher in men than in women when the number of abstinent days was statistically controlled. Further, a significant correlation between serum BDNF levels and the number of abstinent days since last psychostimulant use was found.Conclusion: These data suggest that BDNF may be a biomarker of abstinence in psychostimulant dependent subjects and inform clinicians about treatment initiatives. The results are interpreted with caution due to small sample size and lack of a control group.Keywords: BDNF, alcohol, cocaine, methamphetamine, craving
Adapta??o transcultural da Massachusetts General Hospital (MGH) Hairpulling Scale para o idioma português (Brasil)
Toledo, Edson Luiz;Taragano, Rogéria;Cordás, Táki Athanássios;Abreu, Cristiano Nabuco de;Hearst, Norman;Conti, Maria Aparecida;
Revista de Psiquiatria Clínica , 2011, DOI: 10.1590/S0101-60832011000500002
Abstract: background: trichotillomania (ttm) is characterized by the act of pulling out, in a recurrent way, your own hair for pleasure, gratification or tension release, leading to a perceptible hair loss, and it is included in the impulse control disorders unclassified elsewhere of the dsm-iv-tr (apa, 1994) section. the massachusetts general hospital (mgh) hairpulling scale is an instrument used recently in many studies to assess trichotillomania symptoms. objective: the present paper aims to adapt this scale into the portuguese language. to cross-culturally adapt the massachusetts general hospital (mgh) hairpulling scale to portuguese and evaluate its internal consistency. this instrument aims to evaluate trichotillomania. methods: the work consisted of five steps: (1) translation; (2) back-translation; (3) peer review and evaluation of semantic and conceptual equivalences using experts; (4) instrument evaluation through a sample of students, by evaluating their level of understanding; and (5) analysis of the instrument’s internal consistency through cronbach’s a-coefficient. results: the instrument was translated and adapted to portuguese, and shown to be easily understood, with an internal consistency value of 0.96. discussion: the instrument is now translated and adapted to portuguese. measurement and reproducibility analyses are needed.
Valida??o psicométrica do Cocaine Craving Questionnaire-Brief - Vers?o Brasileira Adaptada para o Crack para dependentes hospitalizados
Araujo, Renata Brasil;Castro, Maria da Gra?a Tanori de;Pedroso, Rosemeri Siqueira;Santos, Paola Lucena dos;Leite, Letícia;Rocha, Marcelo Rossoni da;Marques, Ana Cecília Petta Roselli;
Jornal Brasileiro de Psiquiatria , 2011, DOI: 10.1590/S0047-20852011000400001
Abstract: background: the craving is a very important factor in the treatment of drug addiction. objective: validate the cocaine craving questionnaire-brief - brazilian crack adapted version. method: subjects enrolled in this experimental study were randomized into groups: experimental for this group was shown an image of a subject using crack (g1) and control (g2) for this group no pictures were shown. the sample was composed of 109 subjects (g1 = 50 and g2 = 59), males, crack/cocaine dependent inpatients. the assessment instruments were: clinical interview with social and demographic data, ccq-b - crack adapted version; visual analogic scale for craving, anxiety and depression beck and inventories visual cue to elicit craving. results: on the factorial analysis two factors were found: factor 1, related to craving itself, and factor 2, the perceived lack of control of crack use. the two-factor factorial analysis presented a total variation of 68.84%, and the correlation between these factors was significant and of low intensity (r = 0.204; p = 0.041). a cronbach’s alpha value from total of points of scale was 0.85. we observed a correlation between the scale total score and the visual analogic scale (r = 0.515; p < 0.01). conclusion: the cocaine craving questionnaire-brief - brazilian crack adapted version proved to be an adequate psychometric instrument for use in research and in clinical settings.
Psychology of Craving  [PDF]
Sushil Sharma, Bal Nepal, Carolyn S. Moon, Anthony Chabenne, Azza Khogali, Comfort Ojo, Esther Hong, Rochelle Gaudet, Ali Sayed-Ahmad, Amanda Jacob, Mujtaba Murtuza, Michelle Firlit
Open Journal of Medical Psychology (OJMP) , 2014, DOI: 10.4236/ojmp.2014.32015
Abstract: Craving is a complex psychological condition characterized by impaired dietary intake, sleep disturbance, sexual dysfunction, and drug abuse. Craving may be associated with risk-taking reckless behavior to seek pleasure including cigarette smoking, binge alcohol drinking, and illicit drug abuse (e.g. cocaine, methamphetamine, methylene deoxy meth-amphetamine (MDMA), ecstasy, morphine and heroine). Craving for food, sex and drugs involves the limbic system and prefrontal cortex. Thus, basic understanding of craving is exceedingly important for the better clinical management of major depression, hopelessness, and poor quality of life among young adolescents, as well as morbidity and early mortality among adults. Physical, psychological, nutritional, and medical rehabilitation may be helpful in the effective clinical management of patients with craving of any age, sex and race. Further studies on the psychology of craving will curb the number of hospital admissions as several victims of drug craving develop schizophrenia later in their life, if they remain untreated.
Adapta o transcultural, confiabilidade e validade da escala de resiliência
Pesce Renata P.,Assis Simone G.,Avanci Joviana Q.,Santos Nilton C.
Cadernos de Saúde Pública , 2005,
Abstract: Busca-se apresentar os resultados da adapta o transcultural para o português da escala de resilência de Wagnild & Young e da avalia o psicométrica desta. A escala foi adaptada para uma amostra de escolares dos ensinos fundamental e médio da rede pública de ensino do Município de S o Gon alo, Rio de Janeiro, Brasil. S o apresentados dados do estudo-piloto, com 203 alunos entrevistados em dois momentos consecutivos (teste-reteste), bem como do total de alunos investigados na pesquisa (977). Quanto à adapta o transcultural, foram encontrados bons resultados na equivalência semantica dos itens, tanto para o significado geral,quanto para o referencial. O alfa de Chronbach encontrado foi de 0,85 no pré-teste e 0,80 na amostra total. Na confiabilidade intra-observador, verificou-se que o kappa situou-se entre regular e moderado e o coeficiente de correla o intraclasse foi de 0,746 (p = 0,000). Análise fatorial indicou três fatores n o totalmente homogêneos e diferenciados dos achados pelo autor da escala. Quanto à validade de constructo, nota-se correla o direta e significativa com auto-estima, supervis o familiar, satisfa o de vida e apoio social. Verificou-se correla o inversa com a escala que avalia violência psicológica.
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