Abstract:rESUMo objetivo: Investigar as características psicométricas de uma versão traduzida da escala, propondo uma Versão Revisada que atenda aos critérios de adaptação transcultural para o contexto brasileiro. Métodos: Este estudo incluiu 231 sujeitos -deprimidos (45,5%), bipolares (7,8%) e saudáveis (46,7%) -que participaram de uma pesquisa epidemiológica no sul do Brasil. A avaliação de transtornos mentais foi realizada por meio da Clinical Interview for DSM-IV (SCID) e uma versão traduzida da Escala de Avaliação… Show more
“…Low anxiety scores at baseline were identified in the HAM-A (14.29). 36,37 In contrast, participants' state and trait anxiety scores were high. The range of scores for each subtest on the State Anxiety scale is 20-80, and a cutoff score of [39][40] has been suggested to indicate clinically significant symptoms.…”
Section: Mood Scalesmentioning
confidence: 88%
“…-Hamilton Anxiety Scale (HAM-A) 36,37 : a scale of 14 items, each defined by a series of symptoms, that measures Rev Bras Psiquiatr. 2018;00(00) both psychic anxiety (mental agitation and psychological distress) and somatic anxiety (physical complaints related to anxiety).…”
Objective: To investigate the reactions of women with driving phobia to a therapeutic program of scheduled virtual reality exposure treatment (VRET) sessions. Methods: The study intervention consisted of a computer game with car-driving scenarios that included several traffic situations. We investigated the participants' sense of presence, subjective distress, and physiological responses during eight virtual-reality exposures. We also evaluated clinical characteristics, driving cognitions, and quality of life in the participants. Results: Thirteen women were selected. Eight were able to complete the protocol. After VRET, there was a decrease in the frequency of distorted thoughts and state anxiety scores, as well as a slight improvement in quality of life. Subjective discomfort scores, heart rate variation, and sense of presence scores confirmed that there was sense of presence in the virtual reality environment. Conclusion: All patients showed some degree of improvement and demonstrated different levels of anxiety in subsequent in vivo driving experiences. Our findings suggest that VRET could be used to facilitate in vivo exposure, because it can induce presence/immersion and reduce anxiety in patients with specific phobia. Furthermore, VRET is not associated with any type of risk.
“…Low anxiety scores at baseline were identified in the HAM-A (14.29). 36,37 In contrast, participants' state and trait anxiety scores were high. The range of scores for each subtest on the State Anxiety scale is 20-80, and a cutoff score of [39][40] has been suggested to indicate clinically significant symptoms.…”
Section: Mood Scalesmentioning
confidence: 88%
“…-Hamilton Anxiety Scale (HAM-A) 36,37 : a scale of 14 items, each defined by a series of symptoms, that measures Rev Bras Psiquiatr. 2018;00(00) both psychic anxiety (mental agitation and psychological distress) and somatic anxiety (physical complaints related to anxiety).…”
Objective: To investigate the reactions of women with driving phobia to a therapeutic program of scheduled virtual reality exposure treatment (VRET) sessions. Methods: The study intervention consisted of a computer game with car-driving scenarios that included several traffic situations. We investigated the participants' sense of presence, subjective distress, and physiological responses during eight virtual-reality exposures. We also evaluated clinical characteristics, driving cognitions, and quality of life in the participants. Results: Thirteen women were selected. Eight were able to complete the protocol. After VRET, there was a decrease in the frequency of distorted thoughts and state anxiety scores, as well as a slight improvement in quality of life. Subjective discomfort scores, heart rate variation, and sense of presence scores confirmed that there was sense of presence in the virtual reality environment. Conclusion: All patients showed some degree of improvement and demonstrated different levels of anxiety in subsequent in vivo driving experiences. Our findings suggest that VRET could be used to facilitate in vivo exposure, because it can induce presence/immersion and reduce anxiety in patients with specific phobia. Furthermore, VRET is not associated with any type of risk.
“…All of them, except the last, showed homogeneity in their constructs (alpha coefficients between 0.66 and 0.78). The HDRS possesses adequate psychometric properties for use in the investigated population according to the adaptation study (Freire et al, 2014).…”
Depression has a high prevalence in the general population, especially among women. There is no consensus in the scientific literature about differences between men and women in the manifestations of depressive symptoms, nor about psychotherapy indications according to gender. This research aimed to verify differences in depressive symptoms and symptoms improvement between young adult men and women with current Major Depressive Disorder and to identify differences between two brief Cognitive Psychotherapy models. Randomized clinical trial in which participants were randomized between: Cognitive Behavioral Therapy and Narrative Cognitive Therapy. Depressive symptoms pre and post-intervention were evaluated using the Hamilton Depression Rating Scale. The sample was composed of 25 men and 95 women. Genital symptoms and insight were significantly different between genders. Concerning improvement in symptoms according to the psychotherapy model, CBT presented a trend toward being more effective in men. Therefore, the symptoms and improvement in depressive symptoms are manifested differently between genders.Keywords: symptoms, depression, gender, young adults, cognitive therapy
Sintomas Depressivos e Relação entre os Gêneros: Diferenças em Adultos Jovens de um Ensaio Clínico RandomizadoResumo: A depressão apresenta elevada prevalência na população geral, especialmente entre as mulheres. Não existe consenso na literatura científica a respeito de diferenças das manifestações de sintomas depressivos entre homens e mulheres, bem como, quanto à indicações de psicoterapias conforme o gênero. O objetivo deste estudo foi verificar as diferenças na sintomatologia depressiva e melhora dos sintomas em homens e mulheres adultos jovens com Transtorno Depressivo Maior e identificar as diferenças entre dois modelos de Psicoterapia Cognitiva. Em ensaio clínico, os participantes foram randomizados entre: Psicoterapia Cognitivo Comportamental e Psicoterapia Cognitiva Narrativa. A sintomatologia depressiva pré e pós intervenção foi avaliada pela Hamilton Depression Scale. Participaram do estudo 25 homens e 95 mulheres. Os sintomas genitais e de consciência foram significativamente diferentes entre os gêneros. Quanto à melhora dos sintomas de acordo com o modelo psicoterapêutico, a PCC apresentou uma tendência a ser mais eficaz entre os homens. Sendo assim, é possível observar que a sintomatologia e a melhora dos sintomas depressivos manifestam-se diferentemente entre os gêneros.
Palavras-chave: sintomas, depressão, gênero, jovens, terapia cognitiva
Síntomas Depresivos y la Relación entre los Géneros: Diferencias en Adultos Jóvenes de un Ensayo Clinico RandomizadoResumen: La depresión tiene una alta prevalencia en la población general, especialmente entre las mujeres. No hay consenso en la literatura científica sobre las diferencias en las manifestaciones de síntomas depresivos entre hombres y mujeres, ni sobre las indicaciones de las psicoterapias según el género. Este estudio tuvo como objetivo determinar las diferencias en l...
“…Therefore, the need of tools to assess depressive symptoms was needed to establish a universal language of what could be understood by depression. Then, Max Hamilton developed a scale consisting of 17 descriptors initially 3 , which was subsequently validated in different countries 1,[4][5][6][7][8] , among them Brazil which confirm its ability to auxiliary in the diagnosis depressive disorder and severity detection [9][10][11] .…”
Objective: The present study aims to compare the diagnostic ability of the HAMD 17 items with shorter versions of 7 and 6 items. Methods: A total of 133 patients from a 6 month clinical trial diagnosed with mood disorders (60.2% with Major Depressive Disorder and 39.8% with bipolar type I disorder) were recruited. Results: The 17 items HAMD scale showed similar results as compared with shorter versions. Furthermore, almost all patients' diagnosed with Major Depressive Disorder scored more compared to Bipolar Disorder, but the difference was not significant. Conclusion: This study allows that the use of a shorter version of HAMD might be an adequate possibility, and also that depressive symptoms were similar among groups.
RESUMOObjetivo: O presente estudo tem por objetivo investigar a habilidade diagnóstica da HAMD 17 comparada a versões breves de 7 e 6 itens. Métodos: Foram selecionados 133 participantes recrutados de um ensaio clínico (60,2% com Depressão Maior e 39,8% com Transtorno Bipolar tipo I). Resultados: A versão de 17 itens da HAMD mostrou resultados similares quando comparada às versões breves. Ademais, quase todos os pacientes diagnosticados com Depressão Maior apresentaram maiores pontuações, contudo, essa diferença não foi estatisticamente significativa. Conclusão: Este estudo demonstra que o uso de uma versão breve da HAMD pode ser uma possibilidade adequada e que os sintomas depressivos se mostraram similares entre os grupos de bipolares e depressivos.
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