Regina Lopes Schimitt

Tradução para o português e validação de conteúdo da Social Rhythm Metric-17 (SRM-17)

OBJECTIVES: To translate the Social Rhythm Metric-17 (SRM-17), a scale that assesses social rhythm, into Portuguese and to validate the content of the Portuguese version. METHODS: An adaptation of the method for validation of instruments was used and it included the following stages: preparation, translation, reconciliation, back translation, revision of back translation, comprehension assessment, review of the results of comprehension assessment and completion, proofreading, and final report. RESULTS: The final Brazilian version has the same number of items as the first English version of the original instrument, and included some enhancements. The adaptation of the alternative instrument developed by the Human Chronobiology Group of Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil, to the SRM-17 did not show any significant discrepancies and revealed that, in spite of being a generic instrument, it is sensitive to the individual differences regarding the assessment of social rhythm. The Portuguese version showed a satisfactory level of understanding and semantic equivalence. CONCLUSION: A version of an instrument to assess social rhythm adapted to the Brazilian reality is presented in this study. The cross-cultural adaptation process must be completed by validation studies of the final instrument in a larger population sample, which will also be able to evaluate the equivalences related to operation, measures, and functionality.

Desenvolvimento da versão breve da Escala de Ritmo Social

OBJECTIVE: The objective of this work was to establish a brief version of the Social Rhythm Metric, aimed at applying it in research. METHODS: Taking the 17-item Social Rhythm Metric as the gold standard, three brief versions were created based on three different criteria. compared the scores of the regularity and quantity of activities carried out in a week for 167 healthy subjects and 25 individuals with juvenile myoclonic epilepy and 16 with depressive disturbance. RESULTS: The brief version of 6 items showed better concordance in relation to the gold standard; k = 0.51, p < 0.001. Bivariate analysis demonstrated a significant correlation between the brief version 6 and the gold standard (r = 0.87; p < 0.001). There was a correlation with age in the brief 6 version (r = 0.2; p < 0.001), even more significant than in the gold standard (r = 0.2; P < 0.01). ANOVA showed higher scores for regularity in the healthy using both scales. However, in relation to the quantity of activities, the healthy group resembled the epilepsy group, and the individuals with depression showed lower means. CONCLUSION: The simplification of the Social Rhythm Metric decreased the percenta-ge of items not filled in and the cost of printed matter and facilitate the standardization. The process involved a careful analysis of suitability of the instrument for the target culture.

Social rhythm and other chronobiological findings in juvenile myoclonic epilepsy

We evaluated the correlation between chronobiological variables and characteristics of juvenile myoclonic epilepsy. Sample: 17 individuals epileptic outpatients and respective controls. Instruments: The Social Rhythm Metric for social zeitgebers, lux meter, and an ACT10® thermistor for activity–rest rhythm, light exposure, and peripheral body temperature. Regularity scores showed an inverse correlation with age at disease onset (r = −0.5; p < 0.05), but not with disease duration or stabilization time. A significant intergroup difference was recorded for mean diurnal peripheral temperature (p < 0.01) and activity amplitude (= 0.06). There was a correlation between activity and temperature means in both groups. These results underscore the relationship between epilepsy and the biological clock on a physiological level. Epilepsy, in turn, is influenced by the circadian rhythm, indicating the potential involvement of the body’s internal clock in the development of the disease or the seizure recurrence pattern.

Relations between social rhythm, sleep phase, and minor psychiatric symptoms in healthy workers

The objective of this study was to determine the correlation of social rhythm, sleep phase, and exposure to light with in healthy workers exhibiting minor psychiatric symptoms. This was a cross-sectional study that included 143 healthy workers. Minor psychiatric symptoms, evaluated by SRQ-20; social rhythm by the SRM Scale; exposure to light and sleep variables, by MCTQ; correlations, analyzed by Pearsons correlation coefficient, and multivariate regression analysis utilized. Quantity of activities correlated with schooling and mean duration of sleep and, inversely, Mid-Sleep-on Free Days (MSF) and minor psychiatric symptoms; daily regularity correlated with age, minor psychiatric symptoms, and number of days worked; minor psychiatric symptoms correlated inversely with quantity of activities and regularity. Social rhythm variables had an inverse correlation with minor psychiatric symptoms. Minor psychiatric symptoms were explained by low levels of activity rather than by low regularity of social rhythm. Age, number of days worked per week, and minor psychiatric symptoms interfere with the regularity of social rhythm.

Adaptação transcultural da versão brasileira da escala Social Rhythm Metric-17 (SRM-17) para a população angolana

INTRODUCTION: Social rhythm is a concept that correlates social Zeitgebers (synchronizers) with endogenous markers of time, and can be assessed with the Social Rhythm Metric-17 (SRM-17). The aim of this study was to adapt the Brazilian version of the SRM-17 to Angolan Portuguese, comparing the two scales in samples that speak the same language but have cultural differences. METHODS: The Brazilian version of the SRM-17 was assessed by 10 Angolan students who analyzed the intelligibility of the 15 sentences contained in the instrument using a 10-cm visual analog scale and proposed changes to the text. Results were reviewed for the generation of a final Angolan version, followed by a reading test and the production of a final report. RESULTS: The final Angolan version of SRM-17 maintained an equivalence of items in relation to the Brazilian Portuguese version. The version assessed by the students showed a satisfactory degree of intelligibility and semantic equivalence in most items. However, some items presented intelligibility results below the mean total scores of the scale (8.38 ± 1.0). CONCLUSION: Although the populations of Brazil and Angola speak the same language, significant cultural differences were found between the two countries. This paper presents an instrument to assess social rhythm adapted to the Angolan culture. The cross-cultural adaptation process herein described should be continued by validating the final version of the instrument in a larger sample and by assessing operational, functional, and measure equivalence.

Espíritos infernais e "astutos encantamentos" em psicoterapia de orientação psicanalítica: a interpretação transferencial

The present article focuses on transference interpretation in the context of psychoanalytic psychotherapy. The first part of this work describes the evolution of the concept of transference until it reaches a central position in the therapeutic work. The second part deals with the concept of transference interpretation, considering it as a widely used technical resource in psychoanalyticEste es un texto sobre la interpretacion transferencial utilizada en el contexto de la Psicoterapia de Orientacion Psicoanalitica. La primera parte trata de la evolucion del concepto de transferencia hasta que dicho concepto ocupara la posicion central en el trabajo terapeutico. La segunda parte aborda el concepto de interpretacion transferencial, considerandolo un recurso tecnico ampliamente utilizado en Psicoterapia de Orientacion Psicoanalitica, y enfoca los criterios e inconveniencias de su utilizacion. Por fin, se presentan dos ejemplos clinicos para ilustracion del tema desarrollado.

Espíritus infernales y "astutos encantamientos" en psicoterapia psicoanalítica: la interpretación transferencial

The present article focuses on transference interpretation in the context of psychoanalytic psychotherapy. The first part of this work describes the evolution of the concept of transference until it reaches a central position in the therapeutic work. The second part deals with the concept of transference interpretation, considering it as a widely used technical resource in psychoanalyticEste es un texto sobre la interpretacion transferencial utilizada en el contexto de la Psicoterapia de Orientacion Psicoanalitica. La primera parte trata de la evolucion del concepto de transferencia hasta que dicho concepto ocupara la posicion central en el trabajo terapeutico. La segunda parte aborda el concepto de interpretacion transferencial, considerandolo un recurso tecnico ampliamente utilizado en Psicoterapia de Orientacion Psicoanalitica, y enfoca los criterios e inconveniencias de su utilizacion. Por fin, se presentan dos ejemplos clinicos para ilustracion del tema desarrollado.

Spirits from the underworld and "cunning spells" in psychoanalytic psychotherapy: transference interpretation

The present article focuses on transference interpretation in the context of psychoanalytic psychotherapy. The first part of this work describes the evolution of the concept of transference until it reaches a central position in the therapeutic work. The second part deals with the concept of transference interpretation, considering it as a widely used technical resource in psychoanalyticEste es un texto sobre la interpretacion transferencial utilizada en el contexto de la Psicoterapia de Orientacion Psicoanalitica. La primera parte trata de la evolucion del concepto de transferencia hasta que dicho concepto ocupara la posicion central en el trabajo terapeutico. La segunda parte aborda el concepto de interpretacion transferencial, considerandolo un recurso tecnico ampliamente utilizado en Psicoterapia de Orientacion Psicoanalitica, y enfoca los criterios e inconveniencias de su utilizacion. Por fin, se presentan dos ejemplos clinicos para ilustracion del tema desarrollado.