Beatriz de Oliveira Meneguelo Lobo

Transtorno de estresse pós-traumático decorrente de acidente de trabalho: implicações psicológicas, socioeconômicas e jurídicas

Posttraumatic stress disorder resulting from occupational accident: psychological, socioeconomic, and legal implications. Among the possible consequences of occupational accidents, it is emphasized that although the physical damage are more easily perceived, psychiatric symptoms and disorders have been increasingly observed. In this context, Post-Traumatic Stress Disorder (PTSD) is one of the most common, causing injuries to workers and having great impact on their quality of life. The aim of this paper was to present a theoretical review of PTSD resulting from occupational accidents as well as review the psychological, socioeconomic and legal consequences triggered by the disorder. From the review of the literature presented, it is evident the impact of PTSD for the individual’s life, with significant losses in their relationships and in the workplace. Finally, the discussion about PTSD in the work environment raises for consideration about prevention, assessment, treatment and compensation.

Adaptação e validação de conteúdo da versão brasileira do Posttraumatic Cognitions Inventory

OBJECTIVE To translate, adapt and validate the contents of the Brazilian version of the Posttraumatic Cognitions Inventory. METHODS: The process of translation and adaptation of the initial instructions and items involved five steps: (1) translation; (2) back translation; (3) correction and semantic adaptation; (4) content validation by professional experts (judges); and (5) test of final version through a verbal-numbered scale. As performance indicators for understanding, the scores of central tendency (mean) and dispersion (standard deviation) were calculated for each item in step 5. Satisfactory comprehension was defined as a mean score ≥ 3. RESULTS The 36 questions and the initial instructions were translated and adapted to create the Brazilian version of the Posttraumatic Cognitions Inventory. In the final stage of testing, 45 adults answered the items and demonstrated an adequate understanding of the instrument in the verbal-numbered scale (M = 4.13; dp = 0.11). CONCLUSIONS The Posttraumatic Cognitions Inventory is an easily understood and semantically valid instrument. Further studies are needed to verify and evaluate the appropriateness of its psychometric properties for the Brazilian population.OBJECTIVE To translate, adapt and validate the contents of the Brazilian version of the Posttraumatic Cognitions Inventory. METHODS The process of translation and adaptation of the initial instructions and items involved five steps: (1) translation; (2) back translation; (3) correction and semantic adaptation; (4) content validation by professional experts (judges); and (5) test of final version through a verbal-numbered scale. As performance indicators for understanding, the scores of central tendency (mean) and dispersion (standard deviation) were calculated for each item in step 5. Satisfactory comprehension was defined as a mean score ≥ 3. RESULTS The 36 questions and the initial instructions were translated and adapted to create the Brazilian version of the Posttraumatic Cognitions Inventory. In the final stage of testing, 45 adults answered the items and demonstrated an adequate understanding of the instrument in the verbal-numbered scale (M = 4.13; dp = 0.11). CONCLUSIONS The Posttraumatic Cognitions Inventory is an easily understood and semantically valid instrument. Further studies are needed to verify and evaluate the appropriateness of its psychometric properties for the Brazilian population.

Psychometric Properties of the Child Posttraumatic Cognitions Inventory in a Sample of Brazilian Children

Cognitive models of trauma propose that maladaptive cognitions in children and adolescents are causally implicated in the unfolding and maintenance of posttraumatic response. The objective of this study was to evaluate the psychometric properties of the Child Posttraumatic Cognitions Inventory (CPTCI). The sample included 131 children and adolescents. The psychometric properties of the CPTCI were examined, including reliability and convergent validity. The results showed high internal consistency for both CPTCI total scale (α = .90) and its subscales (CPTCI–PC α = .88 and CPTCI–SW α = .79) and a 2-component solution explaining 37.63% of the variance of CPTCI. Convergent validity evidence was obtained through correlations with the Trauma Symptom Checklist for Children and Children’s Depression Inventory. Findings suggest that CPTCI instruments are reliable and had adequate evidence of validity.

Adaptation and content validation of the Brazilian version of the Posttraumatic Cognitions Inventory

OBJECTIVE To translate, adapt and validate the contents of the Brazilian version of the Posttraumatic Cognitions Inventory. METHODS: The process of translation and adaptation of the initial instructions and items involved five steps: (1) translation; (2) back translation; (3) correction and semantic adaptation; (4) content validation by professional experts (judges); and (5) test of final version through a verbal-numbered scale. As performance indicators for understanding, the scores of central tendency (mean) and dispersion (standard deviation) were calculated for each item in step 5. Satisfactory comprehension was defined as a mean score ≥ 3. RESULTS The 36 questions and the initial instructions were translated and adapted to create the Brazilian version of the Posttraumatic Cognitions Inventory. In the final stage of testing, 45 adults answered the items and demonstrated an adequate understanding of the instrument in the verbal-numbered scale (M = 4.13; dp = 0.11). CONCLUSIONS The Posttraumatic Cognitions Inventory is an easily understood and semantically valid instrument. Further studies are needed to verify and evaluate the appropriateness of its psychometric properties for the Brazilian population.OBJECTIVE To translate, adapt and validate the contents of the Brazilian version of the Posttraumatic Cognitions Inventory. METHODS The process of translation and adaptation of the initial instructions and items involved five steps: (1) translation; (2) back translation; (3) correction and semantic adaptation; (4) content validation by professional experts (judges); and (5) test of final version through a verbal-numbered scale. As performance indicators for understanding, the scores of central tendency (mean) and dispersion (standard deviation) were calculated for each item in step 5. Satisfactory comprehension was defined as a mean score ≥ 3. RESULTS The 36 questions and the initial instructions were translated and adapted to create the Brazilian version of the Posttraumatic Cognitions Inventory. In the final stage of testing, 45 adults answered the items and demonstrated an adequate understanding of the instrument in the verbal-numbered scale (M = 4.13; dp = 0.11). CONCLUSIONS The Posttraumatic Cognitions Inventory is an easily understood and semantically valid instrument. Further studies are needed to verify and evaluate the appropriateness of its psychometric properties for the Brazilian population.

Translation and adaptation of the Child Posttraumatic Cognitions Inventory (cPTCI) to Brazilian Portuguese

INTRODUCTION Experiencing a traumatic event is a risk factor for the development of mental illness, especially posttraumatic stress disorder. A childs appraisals of a traumatic event may play a prominent role in the development or maintenance of the disorder. Therefore, subjective responses should be evaluated to understand the impact of a traumatic event on a childs life. This study translated and adapted the Child Posttraumatic Cognitions Inventory (cPTCI) for use in linguistic and cultural contexts in Brazil. METHODS The process included translation, back-translation, language expert evaluation and expert committees evaluation. RESULTS Content validity index scores were good for all dimensions after evaluation by two judges and one reformulation. The back-translation of the final version also showed that the cPTCI items in Brazilian Portuguese maintained the same meanings of the original in English. This version was tested in a sample of the target population, and all the items were above the cut-off point (minimum = 3.6; maximum = 4.0). CONCLUSIONS This study was successful in producing a Brazilian version of the cPTCI. Further studies are underway to examine the reliability and the factorial and concurrent validity of cPTCI subscales.

Reações pós-traumáticas em adultos: como, por que e quais aspectos avaliar?

Exposure to a traumatic situation makes the individual vulnerable to the development of several psychopathologies, including the Post-traumatic Stress Disorder (PTSD). However, other reactions and disorders may be developed after a traumatic event. This article aims to provide a review of the aspects that should be considered in clinical assessment of post-traumatic reactions in adults, with emphasis on PTSD. The psychological consequences for victims who experience a trauma were revised, as well as risk factors for PTSD and comorbidities commonly associated. Finally, suggestions have been made on methods and tools for assessment of post-traumatic reactions in adults. From the evaluation process, it was concluded that it should be possible to identify symptoms and disorders caused by traumatic situation experienced, as well as possible risk and protective factors , so that these aspects can be worked in terms of prevention and/or treatment.

Psychological and Behavioral Indicators in the Forensic Assessment of Child Sexual Abuse

This study evaluated the discriminative ability of behavioral and psychological indicators often associated with child sexual abuse. The sample consisted of 79 children of both genders, 63.3% being female (n = 50), aged between 8 and 12 years (M = 9.92, SD = 1.45). Participants were assigned to three groups: Sexual abuse (n = 34), Maltreatment with no history of sexual abuse (n = 14) and Clinical symptoms with no history of abuse or other traumatic events (n = 31). Assessment measures were administered with the legal guardians and with the children. A multinomial logistic regression analysis was conducted aiming to identify factors for differentiation of the groups. The TSCC Sexual concerns variable emerged as signifi cant in differentiating the Sexual abuse group from both the Maltreatment and Clinical symptoms groups. The model showed overall predictive ability to accurately classify 69.6% of the cases. The investigation of this variable should be included, among other indicators, in forensic procedures for children with suspected sexual abuse. Based on the results, it becomes clear that caution is required in establishing causal relationships between behavioral or psychological manifestations and the hypothesis of child sexual abuse.

Adaptación y validación de contenido de la versión brasileña del Posttraumatic Cognitions Inventory

OBJECTIVE To translate, adapt and validate the contents of the Brazilian version of the Posttraumatic Cognitions Inventory. METHODS: The process of translation and adaptation of the initial instructions and items involved five steps: (1) translation; (2) back translation; (3) correction and semantic adaptation; (4) content validation by professional experts (judges); and (5) test of final version through a verbal-numbered scale. As performance indicators for understanding, the scores of central tendency (mean) and dispersion (standard deviation) were calculated for each item in step 5. Satisfactory comprehension was defined as a mean score ≥ 3. RESULTS The 36 questions and the initial instructions were translated and adapted to create the Brazilian version of the Posttraumatic Cognitions Inventory. In the final stage of testing, 45 adults answered the items and demonstrated an adequate understanding of the instrument in the verbal-numbered scale (M = 4.13; dp = 0.11). CONCLUSIONS The Posttraumatic Cognitions Inventory is an easily understood and semantically valid instrument. Further studies are needed to verify and evaluate the appropriateness of its psychometric properties for the Brazilian population.OBJECTIVE To translate, adapt and validate the contents of the Brazilian version of the Posttraumatic Cognitions Inventory. METHODS The process of translation and adaptation of the initial instructions and items involved five steps: (1) translation; (2) back translation; (3) correction and semantic adaptation; (4) content validation by professional experts (judges); and (5) test of final version through a verbal-numbered scale. As performance indicators for understanding, the scores of central tendency (mean) and dispersion (standard deviation) were calculated for each item in step 5. Satisfactory comprehension was defined as a mean score ≥ 3. RESULTS The 36 questions and the initial instructions were translated and adapted to create the Brazilian version of the Posttraumatic Cognitions Inventory. In the final stage of testing, 45 adults answered the items and demonstrated an adequate understanding of the instrument in the verbal-numbered scale (M = 4.13; dp = 0.11). CONCLUSIONS The Posttraumatic Cognitions Inventory is an easily understood and semantically valid instrument. Further studies are needed to verify and evaluate the appropriateness of its psychometric properties for the Brazilian population.

Post-traumatic reactions in adults: How, why and which aspects evaluate?

Exposure to a traumatic situation makes the individual vulnerable to the development of several psychopathologies, including the Post-traumatic Stress Disorder (PTSD). However, other reactions and disorders may be developed after a traumatic event. This article aims to provide a review of the aspects that should be considered in clinical assessment of post-traumatic reactions in adults, with emphasis on PTSD. The psychological consequences for victims who experience a trauma were revised, as well as risk factors for PTSD and comorbidities commonly associated. Finally, suggestions have been made on methods and tools for assessment of post-traumatic reactions in adults. From the evaluation process, it was concluded that it should be possible to identify symptoms and disorders caused by traumatic situation experienced, as well as possible risk and protective factors , so that these aspects can be worked in terms of prevention and/or treatment.

Reacciones postraumáticas en los adultos: ¿cómo, por qué y qué aspectos a evaluar?

Exposure to a traumatic situation makes the individual vulnerable to the development of several psychopathologies, including the Post-traumatic Stress Disorder (PTSD). However, other reactions and disorders may be developed after a traumatic event. This article aims to provide a review of the aspects that should be considered in clinical assessment of post-traumatic reactions in adults, with emphasis on PTSD. The psychological consequences for victims who experience a trauma were revised, as well as risk factors for PTSD and comorbidities commonly associated. Finally, suggestions have been made on methods and tools for assessment of post-traumatic reactions in adults. From the evaluation process, it was concluded that it should be possible to identify symptoms and disorders caused by traumatic situation experienced, as well as possible risk and protective factors , so that these aspects can be worked in terms of prevention and/or treatment.