A stressful or traumatic event may become a central reference point in the organization of long-term memory, influencing the meaning of other experiences. The Centrality of Event Scale (CES) is an instrument in which participants recall the most traumatic event of their life and endorse 20 items. The CES was translated, adapted and validated for the Brazilian context in a sample of 195 undergraduates (75.8% women). The version obtained good internal consistency and significant correlation with a screening measure of Post-Traumatic Stress Disorder symptoms. New hypotheses on the cognitive processing of traumatic events are explored in the light of a factor analysis of the CES. Opportunities for CES use include monitoring cognitive patterns and therapeutic effectiveness in situations related to trauma. Keywords: Centrality of event, stress, trauma, memory, Post-Traumatic Stress Disorder. ResumoUm evento estressor ou traumático pode tornar-se um ponto de referência central na organização da memória de longo prazo, influenciando a significação das demais experiências. A Escala de Centralidade de Evento (ECE) é um instrumento em que o sujeito recorda o evento mais traumático de sua vida e endossa 20 itens respectivos. A ECE foi traduzida, adaptada e validada mediante aplicação em 195 estudantes universitários (75,8% mulheres). Os resultados indicaram boa consistência interna e correlação significativa com rastreio de sintomas de estresse pós-traumático. Novas hipóteses explicativas do processamento cognitivo de eventos traumáticos são exploradas em resultados de uma análise fatorial exploratória. Oportunidades de aplicação da ECE incluem monitoramento de padrões cognitivos e efetividade terapêutica em situações relacionadas a trauma. Palavras-chave: Centralidade de evento, estresse, trauma, memória, Transtorno de Estresse Pós-Traumático.
Objective: To examine the internal consistency and factor structure of the Brazilian adaptation of the UPPS Impulsive Behavior Scale.Methods: UPPS is a self-report scale composed by 40 items assessing four factors of impulsivity: (a) urgency, (b) lack of premeditation; (c) lack of perseverance; (d) sensation seeking. In the present study 384 participants (278 women and 106 men), who were recruited from schools, universities, leisure centers and workplaces fulfilled the UPPS scale. An exploratory factor analysis was performed by using Varimax factor rotation and Kaiser Normalization, and we also conducted two confirmatory analyses to test the independency of the UPPS components found in previous analysis.Results: Results showed a decrease in mean UPPS total scores with age and this analysis showed that the youngest participants (below 30 years) scored significantly higher than the other groups over 30 years. No difference in gender was found. Cronbach’s alpha, results indicated satisfactory values for all subscales, with similar high values for the subscales and confirmatory factor analysis indexes also indicated a poor model fit. The results of two exploratory factor analysis were satisfactory.Conclusion: Our results showed that the Portuguese version has the same four-factor structure of the original and previous translations of the UPPS.
BackgroundCognitive impairments are common ndings in neuropsychiatric diseases and contribute to restrictions in work and social skills [1,2].Cognitive functioning has been shown to be a predictor of a positive prognosis in psychiatric intervention [1,3].Meta-analytic studies [4,5] [6]. Given that cognitive deficits are predictive of a lower quality of life [7], it is logical that they are a potential treatment target for neuropsychological rehabilitationNR is an active process of capacity building for people with cognitive de cits caused by acquired brain injury or neuropsychiatric disorders [9]. The aim of NR is to maximize cognitive functions through enhancing well being, activity of daily living skills, and social relationships, as well as to minimize the consequences of cognitive de cits [10]. An NR program has been shown to improve the functionality and quality of life of patients with neurological and psychiatric disorders.The goal of using psychological, cognitive, and behavioral techniques in an NR intervention is functional reintegration to academic, professional, and social environments [11]. In view of the functional impact of cognitive impairments caused by BD, the relevance of neuropsychological rehabilitation for this population must be considered [7].The objective of this case study is to examine the e cacy of an NR program for a person with bipolar disorder, where the interventions were focused on rehabilitation of attention, memory, and executive functions. Subject and methods Case EMBEMB is a 61-year-old, divorced female and retired teacher. She provided written informed NEUROPSYCHOLOGICAL REHABILITATION FOR BIPOLAR DISORDER A SINGLE CASE DESIGN AbstractBackground: The cognitive functions that are most impaired by mood disorders are memory, attention, and executive functions that are intrinsically related to functional performance. Cognitive impairment is linked to lower quality of life, and also has a negative impact on functional skills. For these reasons, it is relevant to propose interventions in neuropsychological rehabilitation (NR). Aim: To investigate the efficacy of NR techniques for attention, memory, and executive function impairments in a person with bipolar disorder (BD) type 1. Methods: The NR protocol consisted of fourteen weekly individual sessions divided into three modules. The first was directed toward mood monitoring, the following focused on executive functions, and the third addressed attention and memory rehabilitation. Comparisons were made between the patient's scores in pre-intervention, post-intervention, and follow-up phase. Statistical analysis was conducted using Singlims_ES.exe program. The significance level was set at p<.05. Results: The patient's scores for all functional demands were significantly higher than those of the controls at the baseline (p<.05 for all comparisons). At the post-intervention phase, the effect sizes were lower than the baseline, and the patient demonstrated a level of performance similar to the control sample in two of five functional...
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