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Abstract(s)
Os objetivos da presente investigação consistem na tradução para português europeu de três instrumentos de rastreio da saúde mental e validação à população reclusa portuguesa. Vários estudos efetuados em Estabelecimentos Prisionais são unanimes em referir que, em relação à comunidade em geral, a doença mental na população reclusa está sobre representada (Brink, Doherty, & Boer, 2001; Fazel & Seewald, 2012; Ford & Trestman, 2005; Martin, Colman, Simpson, & McKenzie, 2013; Steadman, Osher, Robbins, Case, & Samuels, 2009; Teplin, 1990), o que estabelece um desafio às instituições prisionais, lidar com o influxo de sujeitos que entram no sistema já com sintomatologia patológica enquanto implementam medidas de controlo e manutenção da ordem prisional. Os instrumentos selecionados incluem as perturbações mentais mais associadas à população reclusa, o MSSI-SA é composto por 16 itens e avalia o abuso e dependência de AOD, o BJMHS é composto por oito itens e é válido para perturbações da esquizofrenia, bipolaridade e depressão major e o CMHS-M/W tem versões distintas para o género, com 8 e 12 itens (mulheres e homens, respetivamente) e está validado para a depressão, ansiedade, PSPT, algumas desordens de personalidade, ou qualquer outra doença mental encoberta. A interpretação dos resultados obtidos nesta investigação permite inferir que as versões experimentais apresentam critérios de consistência interna ajustados para a população reclusa portuguesa, sendo o valor de ? para a escala feminina, escala masculina e escala completa o seguinte: para o MSSI-SA o resultado foi 0.94, 0.96 e 0.95, respetivamente, para o BJMHS foi 0.64, 0.64 e 0.61, respetivamente, para CMHS-W (escala feminina) foi 0.83 e para o CMHS-M (escala masculina) foi 0.79. Verifica-se uma correlação positiva e estatisticamente significativa entre os scores do BJMHS e do CMHS-W/M, tendo sido para mulheres e homens, [r (72) = .74, p < .001] e [r (116) = .69, p < .001], respetivamente, o que permite inferir que apresentam validade de critério concorrente. O cruzamento entre a informação prestada pelos entrevistados e o ponto de corte dos instrumentos de rastreio da saúde mental permitiu identificar que tanto o MSSI-SA como o BJMHS referenciaram todos os sujeitos diagnosticados nos serviços prisionais por abuso ou dependência de AOD e perturbação mental, respetivamente, já no CMHS-W a percentagem de falsos negativos foi 4.2% e no CMHS-M foi 5.2%. Em suma, o análise estatística inferencial dos resultados permitem interpretar que os três instrumentos breves de rastreio da saúde mental estão ajustados para a população reclusa portuguesa, no entanto, futuras investigações deverão incidir no apuramento dos falsos negativos e falsos positivos por meio de entrevistas de diagnóstico de acordo com os critérios do DSM-V ou do CID-10.
The aim of this research consist in the translation into European Portuguese of three screening instruments of mental health and validation to the Portuguese prison population. Several studies conducted in Prisons are unanimous in noting that, in relation to the wider community, the mental illness in the prison population is over represented (Brink et al., 2001; Fazel & Seewald, 2012; Ford & Trestman, 2005; Martin et al., 2013; Steadman et al., 2009; Teplin, 1990), which sets a challenge to correctional institutions to cope with the influx of individuals who enter in the system already with pathological symptoms while implementing control measures and maintaining prison order. The selected instruments include mental disorders more associated with the prison population, the MSSI-SA consists of 16 items and it assesses the abuse and dependence on AOD, the BJMHS consists of eight items and is valid for disorders of schizophrenia, bipolar disorder and major depressive disorder and CMHS-M/W has different versions for the gender, with 8 and 12 items (women and men, respectively) and is validated for depression, anxiety, PTSD, some personality disorders, or the presence of any undetected mental illness. The interpretation of the results obtained in this research allows to infer that the trial versions have internal consistency criteria set for the Portuguese prison population, and the value of ? for the female scale, male scale and full scale as follows: for the MSSI-SA results was 0.94, 0.96 and 0.95, respectively, for BJMHS was 0.64, 0.64 and 0.61, respectively, for CMHS-W (female scale) was 0.83 and the CMHS-M (male scale) was 0.79. There is a positive and statistically significant correlation between the scores of BJMHS and CMHS-W/M, being for women and men, [r (72) = .74, p <.001] and [r (116) = .69, p <.001], respectively, which allows to infer that they have concurrent validity. The cross between the information provided by the interviewed and the cutoff of mental health screening tools allowed to identify that both the MMSI-SA and BJMHS have referred all diagnosed subjects in the prison services for abuse or dependence on ODA and mental disturbance, respectively; however, in W-CMHS the percentage of false negatives was 4.2%, and in CMHS-M it was 5.2%. In sum, the inferential statistical analysis of results allows to interpret that the three brief instruments of mental health screening are set for the Portuguese prison population, however, future research should focus on the clearing of false negatives and false positives through diagnostic interviews according to the DSM-V and ICD-10 criteria.
The aim of this research consist in the translation into European Portuguese of three screening instruments of mental health and validation to the Portuguese prison population. Several studies conducted in Prisons are unanimous in noting that, in relation to the wider community, the mental illness in the prison population is over represented (Brink et al., 2001; Fazel & Seewald, 2012; Ford & Trestman, 2005; Martin et al., 2013; Steadman et al., 2009; Teplin, 1990), which sets a challenge to correctional institutions to cope with the influx of individuals who enter in the system already with pathological symptoms while implementing control measures and maintaining prison order. The selected instruments include mental disorders more associated with the prison population, the MSSI-SA consists of 16 items and it assesses the abuse and dependence on AOD, the BJMHS consists of eight items and is valid for disorders of schizophrenia, bipolar disorder and major depressive disorder and CMHS-M/W has different versions for the gender, with 8 and 12 items (women and men, respectively) and is validated for depression, anxiety, PTSD, some personality disorders, or the presence of any undetected mental illness. The interpretation of the results obtained in this research allows to infer that the trial versions have internal consistency criteria set for the Portuguese prison population, and the value of ? for the female scale, male scale and full scale as follows: for the MSSI-SA results was 0.94, 0.96 and 0.95, respectively, for BJMHS was 0.64, 0.64 and 0.61, respectively, for CMHS-W (female scale) was 0.83 and the CMHS-M (male scale) was 0.79. There is a positive and statistically significant correlation between the scores of BJMHS and CMHS-W/M, being for women and men, [r (72) = .74, p <.001] and [r (116) = .69, p <.001], respectively, which allows to infer that they have concurrent validity. The cross between the information provided by the interviewed and the cutoff of mental health screening tools allowed to identify that both the MMSI-SA and BJMHS have referred all diagnosed subjects in the prison services for abuse or dependence on ODA and mental disturbance, respectively; however, in W-CMHS the percentage of false negatives was 4.2%, and in CMHS-M it was 5.2%. In sum, the inferential statistical analysis of results allows to interpret that the three brief instruments of mental health screening are set for the Portuguese prison population, however, future research should focus on the clearing of false negatives and false positives through diagnostic interviews according to the DSM-V and ICD-10 criteria.
Description
Keywords
Abuso e Dependência de Álcool Ou Outras Drogas Perturbação Mental Psicométrico Reclusos Serviços e Reinserção Prisional Testes Rastreio Breve da Saúde Mental