OBJECTIVE Describe the process of cross-cultural adaptation of the “Explanatory Model Interview Catalog – Stigma Scale” for people affected by leprosy in Brazil.METHODS After being authorized by the author of the scale to use it in the national context, we initiated the five steps process of cross-cultural adaptation: (1) translation, (2) synthesis meeting, (3) back-translation, (4) committee of experts and (5) pre-test. The internal consistency of the scale was evaluated using Cronbach’s alpha coefficient.RESULTS The 15 items of the scale’s original version were translated into Brazilian Portuguese. The adapted scale showed evidence of a good understanding of its content, attested both by experts and members of the target population. Its internal consistency was 0.64.CONCLUSIONS The adapted instrument shows satisfactory internal consistency. It may be useful in future studies that intend to provide broad situational analysis that supports solid public health programs with a focus on effective stigma reduction. In a later study, the construct’s validity, criterion, and reproducibility will be evaluated.

Background The Stigma Scale of the Explanatory Model Interview Catalogue (EMIC-SS) is a useful option to investigate leprosy-related stigma, but its psychometric qualities are unknown in Brazil. This study investigated the factor structure, the convergent and known-groups validity, and the reliability of the EMIC-SS for Brazilians affected by leprosy. Methodology The Brazilian Portuguese version of the EMIC-SS was validated in 180 persons affected by leprosy at a Reference Center in Rio de Janeiro. Confirmatory factorial analysis (CFA) and Cronbach alpha were used to assess the EMIC-SS internal consistency. The Construct validity was tested using Spearman Correlation, Kruskal-Wallis, and Mann-Whitney tests comparing with the Participation Scale, Rosenberg Self-esteem Scale, Beck Depression Inventory, and a Sociodemographic Questionnaire. Test-retest reliability was evaluated with intra-class correlation (ICC). Main findings CFA confirmed the one- and two-dimensional models of the scale after retaining 12 of the 15 EMIC-SS items. The 12—item EMIC-SS was consistent (α = 0.78) and reproducible (ICC = 0.751, 95% Confidence Interval = 0.657–0.822, p < 0.0001). A significant correlation was observed between the EMIC-SS and the other scales confirming convergent validity. The EMIC-SS and its factors were able to differentiate several hypothesized groups (age, change of occupation, monthly family income, communicating others about the disease, and perception of difficulty to follow treatment) confirming the scale known-groups validity, both in its one and two-dimensional models. Conclusions/Significance Our study found support for the construct validity and reliability of the EMIC-SS as a measure of stigma experienced by people affected by leprosy in Brazil. However, future studies are necessary in other samples and populations with stigmatizing conditions to determine the optimal factor structure and to strengthen the indications of the validated scale.

Esta pesquisa teve por objetivo investigar, através de uma revisão integrativa da literatura, a prática de atividade física por universitários para diminuir sintomas de depressão. A pesquisa foi realizada no ano de 2016 e conta com interesse histórico. Foram utilizadas cinco bases de dados: MedLine (PubMed), Scopus, PsyINFO, BVS e Scielo. Com os descritores: “depress* AND student* (OR colleg*) AND physic* AND activit* (OR exercise*)”. Encontradas 622 investigações científicas, sendo 109 (17,52%) na base de dados MedLine (PubMed), 251 (40,35%) na Scopus, 23 (3,7%) na PsyInfo, 228 (36,65%) na BVS e 11 (1,7%) na Scielo. Após análise e remoção as 46 investigações restantes foram agrupadas em cinco categorias e discutidas. Nossos resultados indicaram que pouco se pesquisa sobre os obstáculos para a prática de atividades físicas em universitários com indicativo de depressão. Contudo, a associação entre prática de atividade/exercício físico e saúde mental positiva em universitários é muito investigada e muitos autores descrevem correlação negativa entre essas variáveis. Neste contexto, nossos resultados apontam para o benefício de diferentes tipos de atividades corporais com diferentes programas de treinamento, desde que realizadas sob orientação adequada, principalmente quando realizadas de forma intensa. Cabe lembrar que nenhuma investigação presente nesta revisão utilizou metodologia qualitativa descritiva o que aponta para carência de informações sobre aspectos particulares em relação a estes sujeitos e às universidades onde realizam seus estudos. Espera-se que nossos resultados possam auxiliar profissionais de saúde, em especial os da educação física, na prescrição de atividade/exercício físico dentro das universidades como tratamento complementar ao psicoterapêutico e/ou medicamentoso da depressão.