Simão Talita Prado, Lopes Chaves Erika de Cássia, Campos de Carvalho Emília, Nogueira Denismar Alves, Carvalho Camila Csizmar, Ku Ya-Li, Iunes Denise Hollanda
Ribeirão Preto College of Nursing - EERP-USP, Brazil.
Federal University of Alfenas - UNIFAL-MG, Brazil.
J Clin Nurs. 2016 Jan;25(1-2):231-9. doi: 10.1111/jocn.13060.
To culturally adapt and test the psychometric properties of the Brazilian version of the Spiritual Distress Scale.
In Brazil, there is currently a lack of validated instruments that assess the spiritual dimension, which includes the spiritual distress phenomenon that can be experienced at different moments in a person's life. This can include times when a person is affected by a disease such as cancer, which occurs suddenly and causes significant life changes.
Methodological and cross-sectional study.
Cultural adaptation of the Spiritual Distress Scale was performed using translation and back-translation stages, evaluation of cultural equivalence, committee review and pretesting. An interview using the Brazilian version of the scale was conducted with 170 patients in a cancer treatment unit of a charitable general hospital (not state funded). The following psychometric properties were evaluated: construct validity (divergence and factor analysis) and internal consistency/reliability (Cronbach's α and Kappa).
Reliability analysis in the intra- and inter-rater phase showed that more than half of the items had Kappa values > 0·75. A correlation between the Spiritual Well-Being Scale and the Spiritual Distress Scale was found. Overall, the Spiritual Distress Scale showed a Cronbach's α of 0·87, with three of its four domains showing significant parameters.
The Brazilian version of the Spiritual Distress Scale proved to be a reliable, valid and efficient instrument that is capable of assessing spiritual distress. The Brazilian Spiritual Distress Scale presented reliability and validity parameters that correspond to the original English version of the scale.
The existence of an internationally validated instrument that assesses spiritual distress will assist healthcare professionals and researchers in recognising this phenomenon in clinical practice.
对巴西版精神痛苦量表进行文化调适并测试其心理测量特性。
在巴西，目前缺乏经过验证的评估精神维度的工具，精神维度包括可能在人生不同时刻经历的精神痛苦现象。这可能包括一个人受到诸如癌症等疾病影响的时期，癌症突然发生并导致生活发生重大变化。
方法学横断面研究。
采用翻译和回译阶段、文化等效性评估、委员会审查和预测试对精神痛苦量表进行文化调适。在一家慈善综合医院（非政府资助）的癌症治疗科室，对170名患者进行了使用巴西版量表的访谈。评估了以下心理测量特性：结构效度（区分效度和因子分析）以及内部一致性/信度（克朗巴哈α系数和卡帕系数）。
评分者内和评分者间阶段的信度分析表明，超过半数的条目卡帕值>0.75。发现精神幸福感量表与精神痛苦量表之间存在相关性。总体而言，精神痛苦量表的克朗巴哈α系数为0.87，其四个领域中的三个显示出显著参数。
巴西版精神痛苦量表被证明是一种可靠、有效且高效的评估精神痛苦的工具。巴西精神痛苦量表呈现出与该量表英文原版相对应的信度和效度参数。
存在一种经过国际验证的评估精神痛苦的工具，将有助于医疗保健专业人员和研究人员在临床实践中识别这一现象。
