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Previous issue date: 2008-02-12 / Bipolar disorder (BD) is associated with ps ychosocial and family relationships disturbing, mortality and economic burden high rates . The treatment aims the acute episodes and prevents new episodes. There are high rates of non-adherence in BD. The objective of this study was to develop and validate a clinical rating scale capable to predict the patient compliance to treatment in BD in both gend ers. The procedure involved the search in pertinent scientific literature for reports of factors of non-adherence of bipolar patients, analysis of patients during pilot studies and contact with professionals who deal with those patients in order to develop a comprehensive list of possible symptoms. This procedure was followed by items' selection and testing of the preliminary form of the clinical rating scale. The scale was analyzed statistically. Reliability study showed a high level of internal consistency. Factor analysis revealed five factors related to the clinical treatment: behaviors and beliefs of the patient, therapeutic alliance, therapeutic procedures, association of psychotherapy interventions and adverse effects of drug therapy. Predictive validation showed that items' factors were able to measure the non - adherence to treatment. It was concluded that the Clinical Rating Scale to Predict the Compliance to Treatment in Bipolar Disorder can be considered a valid instrument to predict the patient compliance to medical treatment . / O Transtorno Bipolar do Humor (TBH) est? associado a altas taxas de desajustes psicossociais e familiares, mortalidade e preju?zos econ?micos. O tratamento visa o controle de epis?dios agudos e preven??o de novos epis?dios. As taxas de n?o - ades?o ao tratamento s?o altas em TBH. Este trabalho teve por objetivo elaborar e validar uma escala de avalia??o clinica , capaz de indicar a probabilidade de ades?o ao tratamento medico clinico dos pacientes bipolares de ambos os g?neros. O procedimento foi constitu?do de levantamento dos fatores ligados a n?o-ades?o ao tratamento em TBH na literatura pertinente, analise de pacientes bipolares durante estudo piloto, analise por juizes, sele??o dos itens e aplica??o da escala em sua fase inicial, para subseq?ente an?lise psicom?trica. A analise de precis?o do instrumento evidenciou n?vel satisfat?rio de consist?ncia interna. Extra?ram-se cinco fatores de acordo com a analise fatorial explorat?ria, ligados ao tratamento medico clinico: atitudes e cren?as do paciente, alian?a terap?utica, procedimentos terap?uticos, associa??o de interven??es psicoter?picas e efeitos adversos dos psicof?rmacos. A valida??o preditiva revelou que os itens referentes a tais fatores medem a n?o-ades?o ao tratamento. Conclui -se que a ECPAT-TBH pode ser considerada um instrumento v?lido para prever a ades?o ao tratamento m?dico.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede.bibliotecadigital.puc-campinas.edu.br:tede/397 |
| Date | 12 February 2008 |
| Creators | Marchi, Renato |
| Contributors | Lipp, Marilda Emmanuel Novaes, Lotufo Neto, Francisco, Paulin, Luiz Fernando Ribeiro da Silva, Figueiredo, Gabriel Roberto, Laloni, Diana Tosello |
| Publisher | Pontif?cia Universidade Cat?lica de Campinas, Programa de P?s-Gradua??o em Psicologia, PUC-Campinas, BR, CCV ? Centro de Ci?ncias da Vida |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_CAMPINAS, instname:Pontifícia Universidade Católica de Campinas, instacron:PUC_CAMP |
| Rights | info:eu-repo/semantics/openAccess |
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