Atualizações das propriedades psicométricas da versão brasileira da escala ASRS-18
DOI:
https://doi.org/10.22235/cp.v17i2.3092Palavras-chave:
TDAH, Adultos, Avaliação Psicológica, PsicometriaResumo
O objetivo desta pesquisa foi apresentar atualizações de evidências de validade com base na estrutura interna da ASRS-18. Foram realizados dois estudos, uma análise fatorial exploratória (AFE), e uma análise fatorial confirmatória (AFC). Em direção oposta ao que a literatura sugere para o instrumento a AFE indicou adequação do modelo de um fator, dado que sustentou a decisão em relação ao número de fatores a serem retidos. Uma vez determinada a estrutura da escala foram realizadas análises AFC e AFC multigrupo para avaliação das características do instrumento. Os resultados obtidos na AFC inicialmente não foram satisfatórios, observando-se itens com altas correlações residuais, explicadas pela redundância de conteúdo entre itens, assim optou-se pela redução da quantidade de itens do instrumento, bem como as análises indicaram adequação da escala tanto para uso em prática clínica quanto em pesquisa. Por fim a AFC multigrupo demonstrou que a variável gênero influenciava no padrão de reposta da escala, mulheres precisavam de maior traço latente para pontuar mais alto nos itens de desatenção e menor traço para os itens de hiperatividade. A ASRS-18 proposta apresenta um modelo preciso e estável para mensuração do transtorno do déficit de atenção e hiperatividade (TDAH). Sugere-se a utilização de uma versão reduzida do instrumento, assim como novas pesquisas para ampliar a avaliação das propriedades psicométricas. No âmbito clínico é recomendável considerar as sugestões apresentadas nas discussões do presente estudo para avaliação de sintomas de TDAH para o critério A de acordo com o DSM.
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Referências
Achenbach, T. M. (2020). Bottom-up and top-down paradigms for psychopathology: A half-century odyssey. Annual Review of Clinical Psychology, 16(1), 1-24. https://doi.org/10.1146/annurev-clinpsy-071119-115831
Achenbach, T. M., & Edelbrock, C. S. (1978). The classification of child psychopathology: A review and analysis of empirical efforts. Psychological Bulletin, 85(6), 1275-1301. https://doi.org/10.1037/0033-2909.85.6.1275
Achenbach, T. M., Conners, C. K., Quay, H. C., Verhulst, F. C., & Howell, C. T. (1989). Replication of empirically derived syndromes as a basis for taxonomy of child/adolescent psychopathology. Journal of Abnormal Child Psychology, 17(3), 299-323. https://doi.org/10.1007/BF00917401
Achenbach, T. M., Howell, C. T., Quay, H. C., & Conners, C. K. (1991). National survey of problems and competencies among four- to sixteen-year-olds: parents' reports for normative and clinical samples. Monographs of the Society for Research in Child Development, 56(3), 1-131. https://doi.org/10.2307/1166156
American Psychiatric Association. (1980). Diagnostic and Statistical Manual of Mental Disorders: DSM-III (3rd ed.).
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders: DSM-III-R (3rd ed., revised).
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV (4th ed.).
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.).
Arnett, A. B., Pennington, B. F., Willcutt, E. G., DeFries, J. C., & Olson, R. K. (2015). Sex differences in ADHD symptom severity. Journal of Child Psychology & Psychiatry, 56(6), 632-639. https://doi.org/10.1111/jcpp.12337
Barry, T. D., Lyman, R. D., & Klinger, L. G. (2002). Academic underachievement and Attention-Deficit/Hyperactivity Disorder: The negative impact of symptom severity on school performance. Journal of School Psychology, 40(3), 259-283. https://doi.org/https://doi.org/10.1016/S0022-4405(02)00100-0
Bornovalova, M. A., Choate, A. M., Fatimah, H., Petersen, K. J., & Wiernik, B. M. (2020). Appropriate use of bifactor analysis in psychopathology research: Appreciating benefits and limitations. Biological Psychiatry, 88(1), 18-27. https://doi.org/10.1016/j.biopsych.2020.01.013
Borsa, J. C., Damásio, B. F., & Bandeira, D. R. (2012). Adaptação e validação de instrumentos psicológicos entre culturas: algumas considerações. Paidéia (Ribeirão Preto), 22, 423-432. https://doi.org/10.1590/S0103-863X2012000300014
Brown, T. A. (2006). Confirmatory factor analysis for applied research. Guilford Press.
Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). The Guilford Press.
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 9(2), 233-255. https://doi.org/10.1207/S15328007SEM0902_5
Clements, S. D., & Peters, J. E. (1962). Minimal brain dysfunctions in the school-age child. Diagnosis and treatment. Archives of General Psychiatry, 6, 185-197. https://doi.org/10.1001/archpsyc.1962.01710210001001
Conselho Federal de Psicologia. (2022). Cartilha Avaliação Psicológica. https://site.cfp.org.br/wpcontent/uploads/2022/08/cartilha_avaliacao_psicologica-2309.pdf
Corbisiero, S., Hartmann-Schorro, R. M., Riecher-Rössler, A., & Stieglitz, R. D. (2017). Screening for adult Attention-Deficit/Hyperactivity Disorder in a psychiatric outpatient population with specific focus on sex differences. Frontiers in Psychiatry, 8, 115. https://doi.org/10.3389/fpsyt.2017.00115
Costello, A. B., & Osborne, J. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research, and Evaluation, 10(1), 7. https://doi.org/10.7275/jyj1-4868
Damásio, B. F. (2012). Uso da análise fatorial exploratória em psicologia. Avaliação Psicológica, 11, 213-228.
DeMars, C. E. (2013). A tutorial on interpreting bifactor model scores. International Journal of Testing, 13(4), 354-378. https://doi.org/10.1080/15305058.2013.799067
Dharmaratne M. A., & Attygalle, M. D. T. (2018). Improving the Statistical Capacity Index: A Statistical Approach. American Journal of Applied Mathematics and Statistics, 6(3), 80-95. https://doi.org/10.12691/ajams-6-3-1
DiStefano, C., & Morgan, G. B. (2014). A comparison of Diagonal Weighted Least Squares Robust Estimation techniques for ordinal data. Structural Equation Modeling: A Multidisciplinary Journal, 21(3), 425-438. https://doi.org/10.1080/10705511.2014.915373
Ferrando, P. J., & Lorenzo-Seva, U. (2018). Assessing the quality and appropriateness of factor solutions and factor score estimates in exploratory item factor analysis. Educational and Psychological Measurement, 78(5), 762-780. https://doi.org/10.1177/0013164417719308
Frick, P. J., & Nigg, J. T. (2012). Current issues in the diagnosis of Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder, and Conduct Disorder. Annual Review of Clinical Psychology, 8(1), 77-107. https://doi.org/10.1146/annurev-clinpsy-032511-143150
Giordano, C., & Waller, N. G. (2020). Recovering bifactor models: A comparison of seven methods. Psychological Methods, 25(2), 143-156. https://doi.org/10.1037/met0000227
Giordano, C., Ones, D. S., Waller, N. G., & Stanek, K. C. (2020). Exploratory bifactor measurement models in vocational behavior research. Journal of Vocational Behavior, 120. https://doi.org/10.1016/j.jvb.2020.103430
Goetz, C., Coste, J., Lemetayer, F., Rat, A. C., Montel, S., Recchia, S., Debouverie, M., Pouchot, J., Spitz, E., & Guillemin, F. (2013). Item reduction based on rigorous methodological guidelines is necessary to maintain validity when shortening composite measurement scales. Journal of Clinical Epidemiology, 66(7), 710-718. https://doi.org/10.1016/j.jclinepi.2012.12.015
Hancock, G. R., & Mueller, R. O. (2001). Rethinking construct reliability within latent variable systems. Structural equation modeling: Present and future, 195, 216.
Hinshaw, S. P. (2018). Attention Deficit Hyperactivity Disorder (ADHD): controversy, developmental mechanisms, and multiple levels of analysis. Annual Review of Clinical Psychology, 14(1), 291-316. https://doi.org/10.1146/annurev-clinpsy-050817-084917
International Test Commission. (2017). The ITC guidelines for translating and adapting tests. https://www.intestcom.org/
Kim, J.-H., Lee, E.-H., & Joung, Y.-S. (2013). The WHO Adult ADHD Self-Report Scale: Reliability and validity of the Korean version. Psychiatry Investigation, 10(1), 41-46. https://doi.org/10.4306/pi.2013.10.1.41
Kline, R. B. (2023). Principles and practice of structural equation modeling (4th ed). Todd D. Little.
Laher, S. (2010). Using exploratory factor analysis in personality research: Best-practice recommendations. SA Journal of Industrial Psychology, 36(1), 1-7. https://doi.org/10.4102/sajip.v36i1.873
Lambert, Z. V., Wildt, A. R., & Durand, R. M. (1991). Approximating confidence intervals for factor loadings. Multivariate Behavioral Research, 26(3), 421-434. https://doi.org/10.1207/s15327906mbr2603_3
Leahy, L. G. (2018). Diagnosis and treatment of ADHD in children vs adults: What nurses should know. Archives of Psychiatric Nursing, 32(6), 890-895. https://doi.org/10.1016/j.apnu.2018.06.013
Leite, W. B. (2011). Avaliação das propriedades psicométricas da escala de autorrelato de sintomas do transtorno do déficit de atenção e hiperatividade ASRS-18 [Master's dissertation]. Universidade Federal de Minas Gerais. http://hdl.handle.net/1843/BUOS-8NFFR5
Lewinsohn, P. M., Shankman, S. A., Gau, J. M., & Klein, D. N. (2004). The prevalence and co-morbidity of subthreshold psychiatric conditions. Psychological Medicine, 34(4), 613-622. https://doi.org/10.1017/s0033291703001466
Li, C. H. (2016). Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods, 48(3), 936-949. https://doi.org/10.3758/s13428-015-0619-7
Lorenzo-Seva, U. (2021). SOLOMON: A method for splitting a sample into equivalent subsamples in factor analysis. Behavior Research Methods, 1-13. https://doi.org/10.3758/s13428-021-01750-y
Lorenzo-Seva, U., & Ferrando, P. J. (2019). Robust Promin: A method for diagonally weighted factor rotation. Liberabit: Revista Peruana de Psicología, 25(1), 99-106. https://doi.org/10.24265/liberabit.2019.v25n1.08
Luo, Y., Weibman, D., Halperin, J. M., & Li, X. (2019). A Review of Heterogeneity in Attention Deficit/Hyperactivity Disorder (ADHD). Frontiers in Human Neuroscience, 13, 42. https://doi.org/10.3389/fnhum.2019.00042
Marcus, D. K., & Barry, T. D. (2011). Does attention-deficit/hyperactivity disorder have a dimensional latent structure? A taxometric analysis. Journal of Abnormal Psychology, 120(2), 427-442. https://doi.org/10.1037/a0021405
Mattos, P., Segenreich, D., Saboya, E., Louzã, M., Dias, G., & Romano, M. (2006). Adaptação transcultural para o português da escala Adult Self-Report Scale para avaliação do transtorno de déficit de atenção/hiperatividade (TDAH) em adultos. Archives of Clinical Psychiatry (São Paulo), 33, 188-194. https://doi.org/10.1590/s0101-60832006000400004
Morin, A. J., Tran, A., & Caci, H. (2016). Factorial validity of the ADHD Adult Symptom Rating Scale in a French community sample: Results from the ChiP-ARD Study. Journal of Attention Disorders, 20(6), 530-541. https://doi.org/10.1177/1087054713488825
Narrow, W. E., & Kuhl, E. A. (2011). Dimensional approaches to psychiatric diagnosis in DSM-5. The Journal of Mental Health Policy and Economics, 14(4), 197-200.
Nigg, J. T., Karalunas, S. L., Feczko, E., & Fair, D. A. (2020). Toward a revised nosology for Attention-Deficit/Hyperactivity Disorder heterogeneity. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 5(8), 726-737. https://doi.org/https://doi.org/10.1016/j.bpsc.2020.02.005
Nigg, J. T., Sibley, M. H., Thapar, A., & Karalunas, S. L. (2020). Development of ADHD: etiology, heterogeneity, and early life course. Annual Review of Developmental Psychology, 2(1), 559-583. https://doi.org/10.1146/annurev-devpsych-060320-093413
Olorunniwo, F., Hsu, M. K., & Udo, G. J. (2006). Service quality, customer satisfaction, and behavioral intentions in the service factory. Journal of Services Marketing, 20(1), 59-72. http://dx.doi.org/10.1108/08876040610646581
Pérez, E. J. P., & García, C. P. (2007). El ASRS v. 1.1. como instrumento de cribado del trastorno por déficit de atención e hiperactividad en adultos tratados por conductas adictivas: propiedades psicométricas y prevalencia estimada. Adicciones, 19(4), 393-407. https://doi.org/10.20882/adicciones.298
Reckase, M. D. (1985). The difficulty of test items that measure more than one ability. Applied Psychological Measurement, 9(4), 401-412. https://doi.org/10.1177/014662168500900409
Regier, D. A., Kuhl, E. A., & Kupfer, D. J. (2013). The DSM‐5: Classification and criteria changes. World Psychiatry, 12(2), 92-98. https://doi.org/10.1002/wps.20050
Rios, J., & Wells, C. (2014). Validity evidence based on internal structure. Psicothema, 26(1), 108-116. https://doi.org/10.7334/psicothema2013.260
Rosler, M., Retz, W., & Stieglitz, R. D. (2010). Psychopathological rating scales as efficacy parameters in adult ADHD treatment investigations - benchmarking instruments for international multicentre trials. Pharmacopsychiatry, 43(3), 92-98. https://doi.org/10.1055/s-0029-1242819
Ruscio, J., Ruscio, A. M., & Carney, L. M. (2011). Performing taxometric analysis to distinguish categorical and dimensional variables. Journal of Experimental Psychopathology, 2(2), 170-196. https://doi.org/10.5127/jep.010910
Scandar, M. G. (2021). Validez y fiabilidad de las escalas ASRS y WURS-25 para el diagnóstico del trastorno por déficit de atención/hiperactividad en población argentina. Revista de Neurología, 72(3), 77-84. https://doi.org/10.33588/rn.7203.2019381
Slobodin, O., & Davidovitch, M. (2019). Gender differences in objective and subjective measures of ADHD among clinic-referred children. Frontiers in Human Neuroscience, 13, 441. https://doi.org/10.3389/fnhum.2019.00441
Somma, A., Borroni, S., & Fossati, A. (2019). Construct validity and diagnostic accuracy of the Italian translation of the 18-Item World Health Organization Adult ADHD Self-Report Scale (ASRS-18) Italian translation in a sample of community-dwelling adolescents. Psychiatry Research, 273, 753-758. https://doi.org/10.1016/j.psychres.2019.02.016
Swanson, J. M., Kinsbourne, M., Nigg, J., Lanphear, B., Stefanatos, G. A., Volkow, N., Taylor, E., Casey, B. J., Castellanos, F. X., & Wadhwa, P. D. (2007). Etiologic subtypes of Attention-Deficit/Hyperactivity Disorder: brain imaging, molecular genetic and environmental factors and the dopamine hypothesis. Neuropsychology Review, 17(1), 39-59. https://doi.org/10.1007/s11065-007-9019-9
Timmerman, M. E., & Lorenzo-Seva, U. (2011). Dimensionality assessment of ordered polytomous items with parallel analysis. Psychological Methods, 16(2), 209-220. https://doi.org/10.1037/a0023353
Ustun, B., Adler, L. A., Rudin, C., Faraone, S. V., Spencer, T. J., Berglund, P., Gruber, M. J., & Kessler, R. C. (2017). The World Health Organization Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5. JAMA Psychiatry, 74(5), 520-527. https://doi.org/10.1001/jamapsychiatry.2017.0298
Valentini, F., & Damásio, B. F. (2016). Variância média extraída e confiabilidade composta: Indicadores de precisão. Psicologia: Teoria e Pesquisa, 32(2). https://doi.org/10.1590/0102-3772e322225
Vogel, S. W., Ten Have, M., Bijlenga, D., de Graaf, R., Beekman, A. T., & Kooij, J. S. (2018). Distribution of ADHD symptoms, and associated comorbidity, exposure to risk factors and disability: Results from a general population study. Psychiatry Research, 267, 256-265. https://doi.org/10.1016/j.psychres.2018.06.017
Willcutt, E. G. (2012). The prevalence of DSM-IV attention-deficit/hyperactivity disorder: a meta-analytic review. Neurotherapeutics, 9(3), 490-499. https://doi.org/10.1007/s13311-012-0135-8
Willcutt, E. G., Nigg, J. T., Pennington, B. F., Solanto, M. V., Rohde, L. A., Tannock, R., Loo, S. K., Carlson, C. L., McBurnett, K., & Lahey, B. B. (2012). Validity of DSM-IV attention deficit/hyperactivity disorder symptom dimensions and subtypes. Journal of Abnormal Psychology, 121(4), 991-1010. https://doi.org/10.1037/a0027347
Zohar, A. H., & Konfortes, H. (2010). Diagnosing ADHD in Israeli adults: the psychometric properties of the adult ADHD Self Report Scale (ASRS) in Hebrew. Israel Journal of Psychiatry and Related Sciences, 47(4), 308-315.
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