introduction: Schizophrenia is a chronic mental disorder associated with impairment in social functioning. The most widely used scale to measure social functioning is the GAF (Global Assessment of Functioning), but it has the disadvantage of measuring at the same time symptoms and functioning, as described in its anchors. objectives: Translation and cultural adaptation of the PSP, proposing a final version in Portuguese for use in Brazil. methods: We performed five steps: 1) translation; 2) back translation; 3) formal assessment of semantic equivalence; 4) debriefing; 5) analysis by experts. Interrater reliability (Intraclass correlation, ICC) between two raters was also measured. results: The final version was applied by two independent investigators in 18 adults with schizophrenia (DSM-IV-TR). The interrater reliability (ICC) was 0.812 (p < 0.001). conclusion: The translation and adaptation of the PSP had an adequate level of semantic equivalence between the Portuguese version and the original English version. There were no difficulties related to understanding the content expressed in the translated texts and terms. Its application was easy and it showed a good interrater reliability. The PSP is a valid instrument for the measurement of personal and social functioning in schizophrenia.
objective: To report a case and to discuss the use of psychodynamic psychotherapy (PD-P) to treat individuals at ultra-high risk (UHR) of psychosis. Methods: An individual at UHR was followed up for 24 months. The baseline evaluation included a psychiatric interview, the Structured Interview for Prodromal Symptoms (SIPS), the Scale of Prodromal Symptoms (SOPS), and neuropsychological assessment. He underwent weekly sessions of PD-P for 12 months and was followed up for 12 months after the end of PD-P. The evaluations were at baseline, after 6-, 12-, and 24-month follow-up. No medication was prescribed during the 24-month follow-up. results: The prodromal symptoms remitted. The initial total score on the SIPS/SOPS was 37 points. After the first 12 months of PD-P, there was a reduction to 12 points on the SIPS/SOPS score, which stabilized in the 24-month follow-up. There was also a slight improvement in his performance on the neuropsychological evaluations. Conclusion: This case report suggests that PD-P can reduce prodromal symptoms; nevertheless, a better understanding of the specificity and efficacy of PD-P as an option of treatment for UHR individuals is needed. resUMo objetivo: Relatar um caso e discutir o uso da psicoterapia psicodinâmica (PD-P) no tratamento de indivíduos com risco ultra-alto (UHR) para psicose. Métodos: Um indivíduo UHR foi acompanhado por 24 meses. A avaliação inicial incluiu entrevista psiquiátrica, aplicação de instrumentos padronizados, Entrevista Estruturada Para Sintomas Prodrômicos (SIPS), a Escala de Sintomas Prodrômicos (SOPS) e avaliação neuropsicológica. O indivíduo teve sessões semanais de PD-P durante os primeiros 12 meses e continuou acompanhamento durante os 12 meses seguintes após o término da PD-P. Avaliações foram feitas no início do estudo e após 6, 12 e 24 meses de seguimento. Nenhuma medicação foi prescrita durante todo o seguimento. resultados: Os sintomas prodrômicos remitiram. Apresentou, ainda, discreta
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