Núcleo de Pesquisa em Saúde e Uso de Substâncias (NEPSIS), Departamento de Psicobiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Trends Psychiatry Psychother. 2020 Oct-Dec;42(4):358-367. doi: 10.1590/2237-6089-2019-0049.
To assess psychometric properties of the Benzodiazepine Dependence Self-Report Questionnaire - Portuguese Version (BENDEP-SRQ-PV) in a sample of Brazilian chronic hypnotic users.
One hundred and seventy-nine chronic hypnotic users (benzodiazepines and Z-drugs) were recruited, attended a psychiatric evaluation, and answered the BENDEP-SRQ-PV. Factor structure, reliability, and influence of covariates (dependence diagnosis and type of drug consumed) were assessed in a structural equation modelling environment. Discrimination was assessed with receiver operating characteristic (ROC) plots and stability with the test-retest method.
Participants, mostly women (91.6%), aged 51 to 64 years old, had been using hypnotics for an average of 34.8 months, with a mean defined daily dose of 0.72. Psychometric analysis demonstrated construct and criterion validity, reliability, and response stability. The factor structure was maintained as originally proposed: problematic use (ω = 0.73), preoccupation (ω = 0.74), lack of compliance (ω = 0.74), and withdrawal (ω = 0.93).
The BENDEP-SRQ-PV is an adequate measure of hypnotic dependence in the Brazilian population of chronic users. Our results support using the scale for follow-up in clinical and research applications and in correlational studies.
评估苯二氮䓬依赖自评问卷-葡萄牙语版(BENDEP-SRQ-PV)在巴西慢性催眠药物使用者样本中的心理测量特性。
招募了 179 名慢性催眠药物使用者(苯二氮䓬类药物和 Z 类药物),他们接受了精神病学评估,并回答了 BENDEP-SRQ-PV。在结构方程建模环境中评估了因子结构、可靠性以及协变量(依赖诊断和所消耗药物类型)的影响。通过接收者操作特征(ROC)图评估了区分度,通过测试-重测法评估了稳定性。
参与者主要为女性(91.6%),年龄在 51 至 64 岁之间,平均使用催眠药物 34.8 个月,平均定义日剂量为 0.72。心理测量分析显示出结构和标准有效性、可靠性和反应稳定性。因子结构如最初提出的那样保持不变:问题使用(ω=0.73)、困扰(ω=0.74)、不遵守规定(ω=0.74)和戒断(ω=0.93)。
BENDEP-SRQ-PV 是巴西慢性使用者人群中评估催眠药物依赖的一种适当方法。我们的结果支持在临床和研究应用以及相关研究中使用该量表进行随访。