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Previous issue date: 2013-05-10 / the Millon Behavioral Medicine Diagnostic is an instrument, developed from a consensus among health professionals, to identify psychological factors that may compromise the conducting of medical treatment in order to allow a better adhesion. As it has been one of the most used tools to assess bariatric surgery, the objective of this research is to verify the evidence validity of Millon Behavioral Medicine Diagnostic (MBMD) for psychological assessment of candidates for bariatric surgery. Method: males and females volunteers, aged 18 to 70, grouped in 150 patients admitted for surgical procedures or suffering from chronic diseases (control group) and 426 patients candidates for bariatric surgery, contacted in person or by the internet. For the study in the face group were also administered Millon Index of Personality Styles (MIPS), the Millon Clinical Multiaxial Inventory-III (MCMI-III) and the General Health Questionnaire of Goldberg, just in bariatric surgery patients. Results: there are indicators of semantic adaptation of the instrument, with 27 factors in five areas of the instrument, all with satisfactory levels of validity. The reliabitity indicators were satisfactory in 18 of the 32 scales that comprise the MBMD, while relations with the other three instruments showed significant variations compared to the original indicators. The MBMD was sensitive to differences between groups about gender, age, education, marital status, body mass index, comorbidities and chronic disease patients and with or without obesity. The use of this instrument in the assessment of candidates for bariatric surgery presents indicators of validity in view the limitations as to the realiability of certain scales / o Millon Behavioral Medicine Diagnostic ? um instrumento elaborado a partir do consenso entre profissionais de sa?de, visando identificar fatores psicol?gicos que venham a comprometer tratamentos m?dicos para que sejam conduzidos de modo a viabilizar uma melhor ades?o. Como tem sido um dos instrumentos mais utilizados para avalia??o em cirurgia bari?trica em outros pa?ses, o objetivo desta pesquisa ? verificar evid?ncias de validade do Millon Behavioral Medicine Diagnostic (MBMD) para avalia??o psicol?gica de candidatos a cirurgia bari?trica. M?todo: volunt?rios dos sexos masculino e feminino, com idades entre 18 a 70, agrupados em 150 pacientes internados para procedimentos cir?rgicos ou portadores de doen?as cr?nicas (grupo controle) e 426 pacientes candidato ? cirurgia bari?trica, contatados presencialmente ou por interm?dio de uma p?gina na internet. Para os estudos tamb?m foram administrados no grupo presencial de bari?trica o Millon Index of Personality Styles (MIPS), o Millon Clinical Multiaxial Inventory-III (MCMI-III) e o Question?rio de Sa?de Geral de Goldberg, apenas nos pacientes de cirurgia bari?trica. Resultados: h? indicadores de adapta??o sem?ntica do instrumento, com 27 fatores em seus cinco dom?nios, todos com ?ndices satisfat?rios de validade. Os indicadores de precis?o se mostraram satisfat?rios em 18 das 32 escalas que comp?em o MBMD, ao passo que as rela??es com os outros tr?s instrumentos apresentaram varia??es importantes se comparados aos indicadores originais. O MBMD se mostrou sens?vel ?s diferen?as entre grupos quanto ao sexo, faixa et?ria, escolaridade, estado civil, ?ndice de Massa Corporal (IMC), presen?a de comorbidades e em portadores de doen?as cr?nicas com e sem obesidade. O uso deste instrumento nas avalia??es de candidatos ? cirurgia bari?trica apresenta indicadores de validade tendo em vista as limita??es quanto ? precis?o de determinadas escalas
Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/17534 |
Date | 10 May 2013 |
Creators | Lucena, Marianna Carla Maia Dantas de |
Contributors | CPF:34616055068, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4790051D1&dataRevisao=null, Segal, Adriano, CPF:04549262869, http://lattes.cnpq.br/2466057050254897, Bendassolli, Pedro Fernando, CPF:26931410873, http://lattes.cnpq.br/1107978417272282, Alchieri, Jo?o Carlos |
Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Psicologia, UFRN, BR, Psicologia, Sociedade e Qualidade de Vida |
Source Sets | IBICT Brazilian ETDs |
Language | Portuguese |
Detected Language | English |
Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
Format | application/pdf |
Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
Rights | info:eu-repo/semantics/openAccess |
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