Pompéia Sabine, Zanini Gislaine de Almeida Valverde, Freitas Rafaella Sales de, Inacio Luanna Maristella Cabanal, Silva Flávia Calanca da, Souza Giovana Ribeiro de, Vitalle Maria Sylvia de Souza, Niskier Sheila Rejane, Cogo-Moreira Hugo
Universidade Federal de São Paulo. Departamento de Psicobiologia. São Paulo, SP, Brasil.
Universidade Federal de São Paulo. Programa de Pós-Graduação em Psicobiologia. São Paulo, SP, Brasil.
Rev Saude Publica. 2019 Aug 15;53:56. doi: 10.11606/s1518-8787.2019053000915.
To determine whether scores in an adapted version of the self-assessment Pubertal Development Scale into Portuguese match those from the gold standard in pubertal development (Tanner scale).
This was a cross-sectional study with a convenience sample of 133 children and adolescents aged nine to 17 years (59 males; mean age of 13 years and six months, with standard deviation = 25 months). Youngsters completed the Pubertal Development Scale and were then examined by specialists in adolescent medicine.
Exact absolute agreement of pubertal stages were modest, but significant associations between measures (correlation; intra-class correlation coefficients of consistency) showed that the Pubertal Development Scale adequately measures changes that map onto pubertal development determined by physical examination, on par with international publications. Furthermore, scores obtained from each Pubertal Development Scale question reflected adequate gonadal and adrenal events assessed by clinical ratings, mostly with medium/high effect sizes. Latent factors obtained from scores on all Pubertal Development Scale questions had excellent fit indices in Confirmatory Factor Analyses and correlated with Tanner staging.
We conclude that self-assessment of body changes by youngsters using the Portuguese version of the Pubertal Development Scale is useful when estimates of pubertal progression are sufficient, and exact agreement with clinical staging is not necessary. The Pubertal Development Scale is, therefore, a reliable instrument for use in large-scale studies in Brazil that aim at investigating adolescent health related to pubertal developmental. The translated version and scoring systems are provided.
确定葡萄牙语版青春期发育自我评估量表的得分是否与青春期发育的金标准（坦纳量表）相匹配。
这是一项横断面研究，采用便利抽样法，选取了133名9至17岁的儿童和青少年（59名男性；平均年龄13岁6个月，标准差=25个月）。青少年完成青春期发育量表，然后由青少年医学专家进行检查。
青春期阶段的精确绝对一致性一般，但测量指标之间存在显著关联（相关性；组内相关系数一致性），表明青春期发育量表能够充分测量与体格检查确定的青春期发育相对应的变化，与国际出版物相当。此外，青春期发育量表各问题所得分数反映了通过临床评级评估的性腺和肾上腺事件，大多具有中/高效应量。在验证性因素分析中，从青春期发育量表所有问题得分中获得的潜在因素具有良好的拟合指数，且与坦纳分期相关。
我们得出结论，当青春期进展的估计足够时，青少年使用葡萄牙语版青春期发育量表对身体变化进行自我评估是有用的，并不需要与临床分期完全一致。因此，青春期发育量表是巴西大规模研究中用于调查与青春期发育相关的青少年健康状况的可靠工具。本文提供了翻译版本和评分系统。
