BackgroundThe number of people with disabilities in Brazil and worldwide has grown substantially in recent decades. Cross-cultural quality of life instruments can be helpful in the development of interventions designed to meet the needs of this population and contribute to rational allocation of resources. This study sought to provide evidence of validity and reliability the Brazilian Portuguese version of WHOQOL-Dis-D (a cross-cultural, multicentre instrument developed by the WHOQOL-Group for the assessment of quality of life in persons with physical disability – PD) and WHOQOL-Dis-ID (for persons with intellectual disability – ID).MethodsClassical psychometric methods were used to conduct independent analyses of the PD and ID samples. Criterion groups were established for analysis of construct validity. Concurrent validity was assessed in relation to SWLS and BDI-II scores; discriminant validity, in relation to WHODAS-II. Cronbach alpha was used to test the instrument scales and subscales for reliability. The ID subgroup was retested, and test-retest reliability assessed by means of intraclass correlation coefficients and paired Student’s t-test.ResultsA total of 162 (98 females) people with PD and 156 (55 females) people with ID participated in the study. Cronbach alpha was satisfactory across practically all domains and factors in the PD subsample. In IDs, most factors or domains had coefficients higher than 0.70, but four subscales exhibited less satisfactory performance. Evidence of construct and concurrent validity and reliability were obtained.ConclusionsThe analyses presented herein provide satisfactory evidence of the validity and reliability of the instrument and corroborated the factor structure revealed during cross-cultural research. Further studies with larger sample sizes are required to obtain additional evidence of validity and reliability.

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Introduction: The world's population is often assailed by crises of various orders. Disasters caused by nature and by humans themselves also impact on people's mental health. Psychological crises, such as suicide attempts, represent a growing problem in mental health. When faced with such scenarios, specific strategies of crisis intervention are both appropriate and necessary. Objective: To conduct a systematic review of the literature dealing with online psychological crisis intervention, describing and discussing their operational design, specific characteristics and applications. Method: A systematic review of literature indexed on the PubMed, PsycINFO, and SciELO databases identified by searches conducted from January to June of 2014. Results: The searches identified 17 empirical studies about online crisis interventions which were reviewed. Three crisis contexts emerged: 1) disasters, 2) risk/prevention of suicide, and 3) trauma. Eleven different intervention programs were described and the predominant treatment approach was cognitive behavioral therapy. The results showed that research into online psychological crisis intervention has been conducted in several different countries, especially the Netherlands and Australia, and that the users of these tools benefit from them. Conclusion: Online crisis interventions have been developed and researched in many countries around the world. In Brazil, there is still a lack of investment and research in this area.

OBJECTIVE To analyze evidence of the validity and reliability of a Brazilian Portuguese version of the Quality of Care Scale from the perspective of people with physical and intellectual disabilities.METHODS There were 162 people with physical disabilities and 156 with intellectual disabilities from Porto Alegre and metropolitan region, who participated in the study in 2008. Classical psychometrics was used to independently analyze the two samples. Hypotheses for evidence of criterion validity (concurrent type) were tested with the Mann-Whitney test for non-normal distributions. Principal components analysis was used to explore factorial models. Evidence of reliability was calculated with Cronbach alpha for the scales and subscales. Test-retest reliability was analyzed for individuals with intellectual disabilities through intra-class correlation coefficient and the Willcoxon test.RESULTS The principal components in the group with physical disabilities replicated the original model presented as a solution to the international project data. Evidence of discriminant validity and test-retest reliability was found.CONCLUSIONS The transcultural factor model found within the international sample project seems appropriate for the samples investigated in this study, especially the physical disabilities group. Depression, pain, satisfaction with life and disability may play a mediating role in the evaluation of quality of care. Additional research is needed to add to evidence of the validity of the instruments.

INTRODUÇÃO: Avaliações de qualidade de vida (QV) na fibrose cística (FC) são tão importantes quanto a avaliação da condição clínica do paciente. Porém, há divergências sobre conceitos e teorias de QV. METODOLOGIA: Onze pacientes brasileiros com FC maiores de 18 anos responderam a perguntas sugeridas pela OMS para a exploração conceitual da QV. A pesquisa foi orientada pela abordagem da grounded theory, e os dados sofreram análise qualitativa. RESULTADOS: Apesar da diversidade de domínios valorizados pelos entrevistados estar de acordo com o caráter multidimensional da QV, há domínios ainda não presentes nas escalas. CONCLUSÕES: Nenhuma escala atualmente disponível abrange todos os aspectos valorados pelos pacientes, o que aponta para a importância de questões idiossincráticas e culturais para a QV na FC. O esclarecimento da relação entre saúde e QV ainda depende de pesquisas futuras.

The objective of this study was to investigate the mediating effect of meaning in life on the relationship between intrinsic religiosity and depression symptoms. A non-clinical sample of 279 participants answered an online survey. The mean age of participants was 33.19 years old and 72% of them were female. The participants answered the following self-report measures: Intrinsic Religiosity Inventory, Meaning in Life Questionnaire, and Depression, Anxiety and Stress Scale. Three regression equations were used to test the research hypothesis. In the first regression model, intrinsic religiosity was a statistically significant predictor of meaning in life. In the second model, intrinsic religiosity was a statistically significant predictor of depression symptoms. However, in the third model, when meaning in life was incorporated into the regression model, along with intrinsic religiosity, as possible predictors of depression symptoms, only meaning in life proved to be a statistically significant predictor. The results corroborate the hypothesis that meaning in life mediates the relationship between intrinsic religiosity and depression symptoms. Therefore, intrinsic religiosity has a protective effect against depression symptoms; however, it occurs indirectly, via meaning in life.

O uso de telas por crianças e adolescentes tem se tornado cada vez mais comum e acessível. O fato despertou a atenção da comunidade científica e a preocupação de pais, professores e profissionais em relação aos possíveis efeitos neuropsicológicos e comportamentais. O presente artigo tem por objetivo apresentar e discutir as possíveis implicações neuropsicológicas do uso de telas na infância e na adolescência, a partir do método de revisão bibliográfica narrativa. O estudo evidenciou que a utilização de telas no contexto familiar ocorre de forma crescente e impacta na socialização, na interação e no convívio diário entre pais e filhos, reduzindo estes de forma significativa. Além disso, o cérebro em desenvolvimento sofre impactos a partir de toda e qualquer experiência vivida, inclusive a partir do uso de telas. Os estudos encontrados demonstram impactos em funções neuropsicológicas como: atenção, memória, linguagem, funções executivas, e prejuízos em aspectos sociais, emocionais e comportamentais. Ademais, a utilização desmedida de eletrônicos a partir de telas pode levar a dependência dos mesmos. Novos estudos são necessários para o esclarecimento do impacto real na estruturação do cérebro em formação. Em termos de funções neuropsicológicas, são necessários estudos que esclareçam os efeitos a longo prazo.

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