Adult Concentration Inventory (ACI) versão em português do Brasil: adaptação transcultural e estudo de validação
DOI:
https://doi.org/10.25118/2763-9037.2022.v12.421Palavras-chave:
transtorno de déficit de atenção e hiperatividade, adulto, autorrelato, psicometria, Sluggish Cognitive TempoResumo
Introdução: O Sluggish Cognitive Tempo (SCT) designa um grupo de sintomas relacionados com deficiências em domínios valiosos da vida. Objetivos: Os objetivos foram traduzir, adaptar e validar uma escala psicometricamente informada de SCT, o Adult Concentration Inventory (ACI), para o contexto brasileiro. Método: A escala foi traduzida, retrotraduzida e avaliada por um painel de especialistas. Após a análise de equivalência semântica, 446 participantes (295 mulheres) com idades entre 18 e 65 anos (M = 34,99, DP = 10,7) responderam a uma pesquisa na Internet. Foi realizada uma Análise Fatorial Exploratória (EFA) com os itens do ACI, Adult Self Report Scale (ASRS-18), o Self-Report Questionnaire (SRQ-20) para avaliar a validade convergente e discriminante dos itens do ACI. Uma Análise Fatorial Confirmatória (CFA) foi realizada para testar a estrutura latente do ACI. Correlações entre ACI, ASRS-18 e SRQ-20 também foram calculadas. Resultados: As análises de equivalência semântica dos especialistas apontaram 85% de concordância média. A EFA com ACI, ASRS-18 e SRQ-20 apresentou 10 itens ACI com validade convergente e discriminante aceitável. A solução mais adequada no CFA foi o modelo de um fator (RMSEA = 0,039 [IC90%: 0,0 – 0,09]; CFI = 0,997; TLI = 0,996). A confiabilidade foi satisfatória (α = 0,920). As correlações entre as medidas do ACI e a desatenção do ASRS-18 foram altas. Por outro lado, as correlações com a hiperatividade-impulsividade do ASRS-18 foram de média intensidade e quando controladas por desatenção tornaram-se não significativas. Conclusão: No geral, os resultados preliminares mostraram a confiabilidade e validade da versão em português do Brasil do ACI. Novos estudos devem se concentrar em determinar a generalização e a invariância de medição desses achados.
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Becker SP, Leopold DR, Burns GL, Jarrett MA, Langberg JM, Marshall SA, McBurnett K, Waschbusch DA, Willcutt EG (2016). The internal, external, and diagnostic validity of Sluggish Cognitive Tempo: a meta-analysis and critical review. Journal of the American Academy of Child & Adolescent Psychiatry. 2016;55(3): 163–178. https://doi.org/10.1016/j.jaac.2015.12.006
Ekinci O, İpek Baş SA, Ekinci N, Doğan Öİ, Yaşöz C, Adak İ. Sluggish cognitive tempo is associated with autistic traits and anxiety disorder symptoms in children with attention-deficit/hyperactivity disorder. Brazilian Journal of Psychiatry. 2021; 43(2):153-159. https://doi.org/10.1590/1516-4446-2020-0965
Brewe AM, Simmons GL, Capriola-Hall NN, White SW. Sluggish cognitive tempo: an examination of clinical correlates for adults with autism. Autism. 2020;24(6):1373–1383. https://doi.org/10.1177/1362361319900422
Mayes SD, Calhoun SL, Waschbusch DA. Sluggish cognitive tempo in autism, ADHD, and neurotypical child samples. Research in Autism Spectrum Disorders. 2020;79:101678. https://doi.org/10.1016/j.rasd.2020.101678
Becker SP, Marshall SA, McBurnett K. Sluggish Cognitive Tempo in abnormal child psychology: an historical overview and introduction to the special section. Journal of Abnormal Child Psychology. 2014;42(1):1–6. https://doi.org/10.1007/s10802-013-9825-x
Becker SP, Burns GL, Smith ZR, Langberg JM. Sluggish Cognitive Tempo in adolescents with and without ADHD: differentiation from adolescent-reported ADHD inattention and unique associations with internalizing domains. Journal of Abnormal Child Psychology. 2020; 48(3):391–406. https://doi.org/10.1007/s10802-019-00603-9
Fredrick JW, Kofler MJ, Jarrett MA, Burns GL, Luebbe AM, Garner AA, Harmon SL, Becker SP. Sluggish cognitive tempo and ADHD symptoms in relation to task-unrelated thought: examining unique links with mind-wandering and rumination. Journal of Psychiatric Research. 2020;123:95–101. https://doi.org/10.1016/j.jpsychires.2020.01.016
Flannery AJ, Luebbe AM, Becker SP. Sluggish Cognitive Tempo is associated with poorer study skills, more executive functioning deficits, and greater impairment in college students. J. Clin. Psychol. 2016;73:1091-1113. https://doi.org/10.1002/jclp.22406
Kamradt JM, Momany AM, Nikolas MA. Sluggish Cognitive Tempo symptoms contribute to heterogeneity in Adult Attention-Deficit Hyperactivity Disorder. Journal of Psychopathology and Behavioral Assessment. 2018;40(2):206–223. https://doi.org/10.1007/s10862-017-9631-9
Barkley RA. Distinguishing sluggish cognitive tempo from attention-deficit/hyperactivity disorder in adults. Journal of Abnormal Psychology. 2012;121(4):978–990. https://doi.org/10.1037/a0023961
Becker SP, Burns GL, Garner AA, Jarrett MA, Luebbe AM, Epstein JN, Willcutt EG. Sluggish cognitive tempo in adults: psychometric validation of the adult concentration inventory. Psychological Assessment. 2018;30(3):296–310. https://doi.org/10.1037/pas0000476
Bolat H, Ercan ES, Ünsel-Bolat G, Tahillioğlu A, Yazici KU, Bacanli A, Pariltay E, Jafari DA, Kosova B, Özgül S, Rohde LA, Akin, H. DRD4 genotyping may differentiate symptoms of attention-deficit/hyperactivity disorder and sluggish cognitive tempo. Brazilian Journal of Psychiatry. 2020;42(6):630-637. https://dx.doi.org/10.1590/1516-4446-2019-0630
Fırat S, Gul H, Aysev A. An open-label trial of methylphenidate treating sluggish cognitive tempo, inattention, and hyperactivity/impulsivity symptoms among 6- to 12-year-old ADHD children: what are the predictors of treatment response at home and school? Journal of Attention Disorders. 2021;25(9):1321-1330. https://doi.org/10.1177/1087054720902846
McBurnett K, Clemow D, Williams D, Villodas M, Wietecha L, Barkley R. Atomoxetine-related change in sluggish cognitive tempo is partially independent of change in attention-deficit/hyperactivity disorder inattentive symptoms. Journal of Child and Adolescent Psychopharmacology. 2017;27(1):38-42. https://doi.org/10.1089/cap.2016.0115
Becker SP. Systematic review: assessment of sluggish cognitive tempo over the past decade. Journal of the American Academy of Child & Adolescent Psychiatry. 2020;60(6):690-709. https://doi.org/10.1016/j.jaac.2020.10.016
International Test Commission. ITC. The ITC huidelines for translating and adapting tests. 2nd. edition. 2017. http://www.InTestCom.org https://www.intestcom.org/files/guideline_test_adaptation_2ed.pdf
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P. Principles of good practice for the translation and cultural adaptation process for Patient-Reported Outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value in Health. 2005;8(2):94–104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
American Psychiatric Association. APA. Diagnostic and statistical manual of mental disorders. 4th ed., text rev. Washington, DC: APA; 2000. https://doi.org/10.1176/appi.books.9780890423349
Adler LA, Spencer T, Faraone SV, Kessler RC, Howes MJ, Biederman J, Secnik K. Validity of pilot adult ADHD Self- Report Scale (ASRS) to rate adult ADHD symptoms. Annals of Clinical Psychiatry. 2006;18(3):145–148. https://doi.org/10.3109/10401230600801077
Mattos P, Segenreich D, Saboya E, Louzã M, Dias G, Romano M. Adaptação transcultural para o português da escala Adult Self-Report Scale para avaliação do transtorno de déficit de atenção/hiperatividade (TDAH) em adultos. Archives of Clinical Psychiatry, São Paulo. 2006;33(4):188-194. https://doi.org/10.1590/S0101-60832006000400004
Harding T, De Arango V, Baltazar J, Climent C, Ibrahim H, Ladrido-Ignacio L, Wig N. Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychological Medicine. 1980;10(2):231-241. https://doi.org/10.1017/S0033291700043993
Mari JJ, Williams P. A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of Sao Paulo. The British Journal of Psychiatry. 1986;148(1):23-26.
https://doi.org/10.1192/bjp.148.1.23
Paraventi F, Cogo-Moreira H, Paula CS, Mari JJ. Psychometric properties of the self-reporting questionnaire (SRQ-20): measurement invariance across women from Brazilian community settings. Comprehensive Psychiatry. 2015;58:213–220. https://doi.org/10.1016/j.comppsych.2014.11.020
Tavakol M, Dennick R. Making sense of Cronbach's alpha. International Journal of Medical Education. 2011;2:53–55. https://doi.org/10.5116/ijme.4dfb.8dfd
Colwell SR. (2016). The composite reliability calculator. Technical Report. https://doi.org/10.13140/RG.2.1.4298.088
Ferrando PJ, Lorenzo-Seva U. (2017). Program FACTOR at 10: origins, development and future directions. Psicothema. 2017; 29(2):236-241. https://doi.org/10.7334/psicothema2016.304
Asparouhov T, Muthen B. Simple second order chi-square correction. 2010. (Unpublished manuscript). https://www.statmodel.com/download/WLSMV_new_chi21.pdf
R Core Team. R: a language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2020. https://www.R-project.org/
Rosseel Y. “lavaan”: an R Package for structural equation modeling. Journal of Statistical Software. 2012;48(2):1–36. https://www.jstatsoft.org/v48/i02/
Watkins MW. Exploratory factor analysis: a guide to best practice. Journal of Black Psychology. 2018;44(3):219–246. https://doi.org/10.1177/0095798418771807
Schreiber JB, Nora A, Stage FK, Barlow EA, King J. Reporting structural equation modeling and confirmatory factor analysis results: a review. The Journal of Educational Research. 2006;99(6):323–338. https://doi.org/10.3200/JOER.99.6.323-338
Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal. 1999;6(1): 1–55. https://doi.org/10.1080/10705519909540118
Takeda T, Burns GL, Jiang Y, Becker SP, McBurnett K. Psychometric properties of a sluggish cognitive tempo scale in Japanese adults with and without ADHD. ADHD Attention Deficit and Hyperactivity Disorders. 2019;11(4):353-362. https://doi.org/10.1007/s12402-019-00300-z
Jung SH, Lee S, Burns GL, Becker SP. Internal and external validity of self-report and parent-report measures of sluggish cognitive tempo in South Korean adolescents. Journal of Psychopathology and Behavioral Assessment. 2021;43:355-366. https://doi.org/10.1007/s10862-020-09821-8
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