COPD patients exhibit a relatively immature and neurotic defensive profile. Clinicians and consultation-liaison psychiatrists should consider the patients' underlying personality structure, especially somatization tendencies, since it is independently associated with HRQoL and dyspnoea severity.
The present data demonstrate that the Brazilian Mood Disorder Questionnaire is a valid instrument for the screening of bipolar disorders. The instrument needs to be validated in other settings (e.g., in general practice).
ABSTRACTobjective: Bipolar spectrum disorders (BSDs) are prevalent and frequently unrecognized and undertreated. This report describes the development and validation of the Brazilian version of the bipolar spectrum diagnostic scale (B-BSDS), a screening instrument for bipolar disorders, in an adult psychiatric population. method: 114 consecutive patients attending an outpatient psychiatric clinic completed the B-BSDS. A research psychiatrist, blind to the B-BSDS scores, interviewed patients by means of a modified version of the mood module of the Structured Clinical Interview for DSM-IV ("gold standard"). Subthreshold bipolar disorders were defined as recurrent hypomania without a major depressive episode or with fewer symptoms than those required for threshold hypomania. Cronbach, foi de 0,89 (IC 95%; 0,91). 70 (61,4%) (IC 95%; 0,85), especificidade de 0,77 (IC 95%; 0,83), valor preditivo positivo de 0,85 (IC 95%; 0,91) e valor preditivo negativo de 0,70 (IC 95%; 0,75
Objetivo: Transtornos do espectro bipolar (TEB) são prevalentes e comumente subdiagnosticados e subtratados. O presente trabalho descreve o desenvolvimento e a validação da versão brasileira da escala diagnóstica do espectro bipolar (B-EDEB), um instrumento de rastreio para transtornos bipolares, em uma população psiquiátrica adulta. Método: 114 pacientes consecutivos de um ambulatório psiquiátrico completaram a versão brasileira da B-EDEB. Um psiquiatra pesquisador, cego para os escores do B-EDEB, entrevistou os participantes por meio de uma versão modificada do módulo de transtornos do humor da entrevista clínica estruturada para o DSM-IV ("padrão--ouro"). Resultados: A consistência interna da B-EDEB, avaliada mediante o coeficiente alfa de
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