Ramos Tatiana Dalpasquale, Brito Maria José Azevedo de, Piccolo Mônica Sarto, Rosella Maria Fernanda Normanha da Silva Martins, Sabino Miguel, Ferreira Lydia Masako
BSc. Master's Student, Postgraduate Program on Translational Surgery, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
PhD. Affiliate Professor, College of Health Science, Universidade do Vale do Sapucaí (UNIVÁS), Minas Gerais; Postdoctoral Researcher, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil.
Sao Paulo Med J. 2016 Nov-Dec;134(6):480-490. doi: 10.1590/1516-3180.2016.0068160416. Epub 2016 Jul 21.
: Rhinoplasty is one of the most sought-after esthetic operations among individuals with body dysmorphic disorder. The aim of this study was to cross-culturally adapt and validate the Body Dysmorphic Symptoms Scale.
: Cross-cultural validation study conducted in a plastic surgery outpatient clinic of a public university hospital.
: Between February 2014 and March 2015, 80 consecutive patients of both sexes seeking rhinoplasty were selected. Thirty of them participated in the phase of cultural adaptation of the instrument. Reproducibility was tested on 20 patients and construct validity was assessed on 50 patients, with correlation against the Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder.
: The Brazilian version of the instrument showed Cronbach's alpha of 0.805 and excellent inter-rater reproducibility (intraclass correlation coefficient, ICC = 0.873; P < 0.001) and intra-rater reproducibility (ICC = 0.939; P < 0.001). Significant differences in total scores were found between patients with and without symptoms (P < 0.001). A strong correlation (r = 0.841; P < 0.001) was observed between the Yale-Brown Obsessive Compulsive Scale for Body Dysmorphic Disorder and the Body Dysmorphic Symptoms Scale. The area under the receiver operating characteristic curve was 0.981, thus showing good accuracy for discriminating between presence and absence of symptoms of body dysmorphic disorder. Forty-six percent of the patients had body dysmorphic symptoms and 54% had moderate to severe appearance-related obsessive-compulsive symptoms.
: The Brazilian version of the Body Dysmorphic Symptoms Scale is a reproducible instrument that presents face, content and construct validity.
隆鼻手术是躯体变形障碍患者最常寻求的美容手术之一。本研究旨在对躯体变形症状量表进行跨文化调适和验证。
在一所公立大学医院的整形外科门诊进行的跨文化验证研究。
2014年2月至2015年3月期间，连续选取80例寻求隆鼻手术的患者，男女不限。其中30例参与了该量表的文化调适阶段。对20例患者进行了信度测试，对50例患者进行了结构效度评估，并与耶鲁-布朗躯体变形障碍强迫量表进行相关性分析。
该量表的巴西版本的Cronbach's α系数为0.805，具有出色的评分者间信度（组内相关系数，ICC = 0.873；P < 0.001）和评分者内信度（ICC = 0.939；P < 0.001）。有症状和无症状患者的总分存在显著差异（P < 0.001）。耶鲁-布朗躯体变形障碍强迫量表与躯体变形症状量表之间存在强相关性（r = 0.841；P < 0.001）。受试者工作特征曲线下面积为0.981，表明在区分有无躯体变形障碍症状方面具有良好的准确性。46%的患者有躯体变形症状，54%的患者有中度至重度外貌相关的强迫症状。
巴西版躯体变形症状量表是一种具有可重复性的工具，具有表面效度、内容效度和结构效度。
Zotero 插件
