Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2013-0027
Trends in Psychiatry and Psychotherapy
Original Article

Brazilian version of the Structured Interview for Disorders of Extreme Stress - Revised (SIDES-R): adaptation and validation process

Versao brasileira da Structured Interview for Disorders of Extreme Stress - Revised (SIDES-R): processo de adaptacao e validacao

Jessica Camargo; Bruno Kluwe-Schiavon; Breno Sanvicente-Vieira; Mateus Luz Levandowski; Rodrigo Grassi-Oliveira

Downloads: 1
Views: 509

Abstract

BACKGROUND: Posttraumatic stress disorder (PTSD) contemplates the impact of acute traumatic events, but the literature indicates that this is not true for chronic exposure to stress. In this sense, the category disorders of extreme stress not otherwise specified (DESNOS) has been proposed to characterize the behavior and cognitive alterations derived from exposure to continuous early life stress. The Structured Interview for Disorders of Extreme Stress - Revised (SIDES-R) was developed to investigate and measure DESNOS. Considering the lack of instruments designed to assess DESNOS, especially in Brazil, the aim of this study was to translate, adapt, and validate the contents of SIDES-R to Brazilian Portuguese (SIDES-R-BR). METHOD: The original interview was subjected to translation, back-translation, semantic equivalence and conceptual correspondence analyses by naive and specialized judges, respectively, an acceptability trial, and inter-rater validity analysis. RESULTS: The interview underwent semantic and structural adaptations considering the Brazilian culture. The final version, SIDES-R-BR, showed a mean understanding score of 4.98 on a 5-point verbal rating scale, in addition to a kappa coefficient of 0.853. CONCLUSION: SIDES-R-BR may be a useful tool in the investigation of DESNOS and contributes a valuable input to clinical research in Brazil. The availability of the instrument allows to test symptoms with adequate reliability, as verified by the kappa coefficient and translation steps.

Keywords

Complex trauma, complex PTSD, psychological stress, early life stress, questionnaire, Trauma complexo, PTSD complexo, estresse psicologico, estresse no inicio da vida, questionario

Resumo

INTRODUÇÃO: O transtorno do estresse pós-traumático (posttraumatic stress disorder, PTSD) contempla o impacto de eventos traumáticos agudos, mas a literatura indica que o mesmo não se aplica a exposição crônica ao estresse. Nesse sentido, foi proposta a categoria transtornos de estresse extremo não especificados (disorders of extreme stress not otherwise specified, DESNOS). Com o objetivo de investigar e medir as alterações comportamentais e cognitivas relacionadas ao diagnóstico de DESNOS, foi desenvolvida a Structured Interview for Disorders of Extreme Stress - Revised (SIDES-R). Considerando a falta de instrumentos construídos para avaliar DESNOS, especialmente no Brasil, o objetivo deste estudo foi traduzir, adaptar e validar os conteúdos da SIDES-R para português brasileiro (SIDES-R-BR). MÉTODO: A entrevista original foi submetida a tradução, retrotradução, análise de equivalência semântica e correspondência conceitual por avaliadores leigos e especializados, respectivamente. Foi realizado teste de aceitabilidade e análise de validade interavaliadores. RESULTADOS: A entrevista passou por adaptações semânticas e estruturais considerando a cultura brasileira. A versão final, SIDES-R-BR, demonstrou um escore médio de compreensão de 4,98 em uma escala de avaliação verbal de 5 pontos, além de um coeficiente de kappa de 0,853. CONCLUSÃO: O SIDES-R-BR pode ser uma ferramenta útil na investigação de DESNOS e contribui com um input valioso para a pesquisa clínica no Brasil. A disponibilidade do instrumento permite testar sintomas com confiabilidade adequada, conforme verificado por meio do coeficiente de kappa e etapas de tradução.

References

Fisher HL, Cohen-Woods S, Hosang GM, Korszun A, Owen M, Craddock N. Interaction between specific forms of childhood maltreatment and the serotonin transporter gene (5-HTT) in recurrent depressive disorder. J Affect Disord. ;145:136-41.

Frodl T, O'Keane V. How does the brain deal with cumulative stress? A review with focus on developmental stress, HPA axis function and hippocampal structure in humans. Neurobiol Dis. ;52:24-37.

Grassi-Oliveira R, Ashy M, Stein LM. Psychobiology of childhood maltreatment: effects of allostatic load?. Rev Bras Psiquiatr. ;30:60-8.

Huang H, Gundapuneedi T, Rao U. White matter disruptions in adolescents exposed to childhood maltreatment and vulnerability to psychopathology. Neuropsychopharmacology. ;37:2693-701.

Thomaes K, Dorrepaal E, Draijer N, de Ruiter MB, Elzinga BM, Sjoerds Z. Increased anterior cingulate cortex and hippocampus activation in Complex PTSD during encoding of negative words. Soc Cogn Affect Neurosci. ;8:190-200.

Bücker J, Kapczinski F, Post R, Ceresér KM, Szobot C, Yatham LN. Cognitive impairment in school-aged children with early trauma. Compr Psychiatry. ;53:758-64.

Ritchie K, Jaussent I, Stewart R, Dupuy AM, Courtet P, Malafosse A. Adverse childhood environment and late-life cognitive functioning. Int J Geriatr Psychiatry. ;26:503-10.

Briere J, Kaltman S, Green BL. Accumulated childhood trauma and symptom complexity. J Trauma Stress. ;21:223-26.

Dorahy MJ, Corry M, Shannon M, Macsherry A, Hamilton G, McRobert G. Complex PTSD, interpersonal trauma and relational consequences: findings from a treatment-receiving Northern Irish sample. J Affect Disord. ;112:71-80.

Dyer KF, Dorahy MJ, Hamilton G, Corry M, Shannon M, MacSherry A. Anger, aggression, and self-harm in PTSD and complex PTSD. J Clin Psychol. ;65:1099-114.

Wanklyn SG, Day DM, Hart TA, Girard TA. Cumulative childhood maltreatment and depression among incarcerated youth: impulsivity and hopelessness as potential intervening variables. Child Maltreat. ;17:306-17.

Terr LC. Childhood traumas: an outline and overview. Am J Psychiatry. ;148:10-20.

Cloitre M, Stolbach BC, Herman JL, van der Kolk B, Pynoos R, Wang J. A developmental approach to complex PTSD: childhood and adult cumulative trauma as predictors of symptom complexity. J Trauma Stress. ;22:399-408.

van der Kolk BA. Developmental trauma disorder: towards a rational diagnosis for chronically traumatized children. Praxis Prax Kinderpsychol Kinderpsychiatr. ;58:572-86.

Manual Diagnóstico e Estatístico de Transtornos Mentais. .

Herman JL. Complex PTSD: a syndrome in survivors of prolonged and repeated trauma. J Trauma Stress. ;5:377-91.

van der Hart O, Nijenhuis ER, Steele K. Dissociation: an insufficiently recognized major feature of complex posttraumatic stress disorder. J Trauma Stress. ;18:413-23.

Viola TW, Kluwe-Schiavon B, Renner AM, Grassi-Oliveira R. Trauma complexo e suas implicações diagnósticas. Rev Psiquiatr Rio Gd Sul. ;33:55-62.

Breslau N. Epidemiologic studies of trauma, posttraumatic stress disorder, and other psychiatric disorders. Can J Psychiatry. ;47:923-29.

McEwen BS. The brain is the central organ of stress and adaptation. Neuroimage. ;47:911-13.

McGowan PO, Sasaki A, D'Alessio AC, Dymov S, Labonté B, Szyf M. Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse. Nat Neurosci. ;12:342-48.

Roestel C, Kersting A. Simple and complex post-traumatic stress disorders. Diagnostic and therapeutic approaches. ;79:845-54.

Pelcovitz D, van der Kolk B, Roth S, Mandel F, Kaplan S, Resick P. Development of a criteria set and a structured interview for disorders of extreme stress (SIDES). J Trauma Stress. ;10:3-16.

Zlotnick C, Pearlstein T. Validation of the structured interview for disorders of extreme stress. Compr Psychiatry. ;38:243-47.

Roth S, Newman E, Pelcovitz D, van der Kolk B, Mandel FS. Complex PTSD in victims exposed to sexual and physical abuse: results from the DSM-IV field trial for posttraumatic stress disorder. J Trauma Stress. ;10:539-55.

Scoboria A, Ford J, Lin HJ, Frisman L. Exploratory and confirmatory factor analyses of the structured interview for disorders of extreme stress. Assessment. ;15:404-25.

van der Kolk BA, Roth S, Pelcovitz D, Sunday S, Spinazzola J. Disorders of extreme stress: the empirical foundation of a complex adaptation to trauma. J Trauma Stress. ;18:389-99.

Pasquali L. Princípios de elaboração de escalas psicológicas. Escalas de avaliação clínica em psiquiatria e psicofarmacologia. .

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. ;25:3186-191.

Grassi-Oliveira R, Stein LM, Pezzi JC. Translation and content validation of the Childhood Trauma Questionnaire into Portuguese language. Rev Saude Publica. ;40:249-55.

Landis JR, Koch GG. An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics. ;33:363-74.

van der Kolk BA. Developmental trauma disorder: towards a rational diagnosis for chronically traumatized children. Prax Kinderpsychol Kinderpsychiatr. ;58:572-86.

Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. ;46:1417-432.

616b274ba9539535824b00e4 trends Articles
Links & Downloads

Trends Psychiatry Psychother

Share this page
Page Sections