Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2017-0062
Trends in Psychiatry and Psychotherapy
Original Article

Adaptation and validation of the Melbourne Decision Making Questionnaire to Brazilian Portuguese

Adaptação e validação do Melbourne Decision Making Questionnaire em português brasileiro

Charles Cotrena; Laura Damiani Branco; Rochele Paz Fonseca

http://dx.doi.org/10.1590/2237-6089-2017-0062 Trends Psychiatry Psychother, vol.40, n1, p.29-37, 2018
PDF
SciELO
Downloads: 1
Views: 617

Abstract

Abstract Introduction: Decision making (DM) is among the most important abilities for everyday functioning. However, the most widely used measures of DM come from behavioral paradigms, whose ecological validity and standalone use has been criticized in the literature. Though these issues could be addressed by the use of DM questionnaires as a complementary assessment method, no such instruments have been validated for use in Brazilian Portuguese. Therefore, the aim of this study was to conduct the translation and validation of the Melbourne Decision Making Questionnaire (MDMQ) for use in a Brazilian population. Methods: The adaptation of the MDMQ involved the following steps: translation, back-translation, expert review and pilot study. These steps were followed by factor analysis and internal consistency measurements, which led to the exclusion of 4 items from the scale. The 18-item version of the MDMQ was then administered to a validation sample consisting of healthy adults, as well as patients with bipolar disorder (BD) and major depressive disorder (MDD). Results: The instrument displayed good internal consistency, with the hypervigilance subscale showing the lowest, though still acceptable, Cronbach's alpha value. Its factor structure was comparable to that of the original MDMQ according to confirmatory factor analysis. Nevertheless, the MDMQ was sensitive to both depression severity and the presence of MDD and BD, both of which are known to have an impact on DM ability. Conclusion: The version of the MDMQ produced in the present study may be an important addition to neuropsychological assessment batteries with a focus on DM and related abilities

Keywords

Decision making, surveys and questionnaires, psychometrics, neuropsychology

Resumo

Resumo Introdução: A tomada de decisão (TD) é uma das habilidades mais relevantes para a funcionalidade. No entanto, esta habilidade é geralmente avaliada por meio de tarefas comportamentais, cuja validade ecológica tem sido questionada. De acordo com a literatura, a avaliação da TD deve ser complementada por questionários ou escalas, instrumentos estes que não estão disponíveis no português brasileiro. Desta forma, o objetivo deste estudo foi a tradução e validação de uma versão do Melbourne Decision Making Questionnaire (MDMQ), o instrumento mais amplamente utilizado na avaliação da TD, para uso em português. Métodos: A adaptação da MDMQ foi realizada através da tradução, retrotradução, avaliação por painel de juízes e estudo piloto. A versão da escala produzida neste processo foi submetida a análise fatorial e avaliação de consistência interna, levando a exclusão de 4 itens da escala original. A versão resultante da MDMQ, contando com 18 itens no total, foi então utilizada em estudo de validação, em que a TD foi comparada entre adultos saudáveis e portadores de depressão e transtorno bipolar. Resultados: O instrumento demonstrou consistência interna satisfatória, apesar da obtenção de alfas de Cronbach relativamente baixos para a subescala de hipervigilância. A estrutura fatorial do questionário traduzido foi semelhante a observada no instrumento original. Todas as medidas derivadas da MDMQ, mostraram-se discriminativas na comparação entre adultos saudáveis e portadores de transtornos mentais. Conclusão: A versão da MDMQ produzida neste estudo poderá realizar uma importante contribuição para a prática clínica e pesquisa neuropsicológica acerca da TD.

Palavras-chave

Tomada de decisões, inquéritos e questionários, psicometria, neuropsicologia

References

Matsuzawa D, Shirayama Y, Niitsu T, Hashimoto K, Iyo M. Deficits in emotion based decision-making in schizophrenia: a new insight based on the Iowa Gambling Task. Prog Neuropsychopharmacol Biol Psychiatry.. 2015;57:52-9.

Dittrich WH, Johansen T. Cognitive deficits of executive functions and decision-making in obsessive-compulsive disorder. Scand J Psychol.. 2013;54:393-400.

Grassi G, Pallanti S, Righi L, Figee M, Mantione M, Denys D. Think twice: Impulsivity and decision making in obsessive-compulsive disorder. J Behav Addict.. 2015;4:263-72.

Martino DJ, Strejilevich SA, Torralva T, Manes F. Decision making in euthymic bipolar I and bipolar {II} disorders. Psychol Med.. 2011;41:1319-27.

Must A, Horvath S, Nemeth VL, Janka Z. The Iowa Gambling Task in depression – what have we learned about sub-optimal decision-making strategies?. Front Psychol.. 2013;4:732.

Sepulveda M, Fernandez-Diez B, Martinez-Lapiscina EH, Llufriu S, Sola-Valls N, Zubizarreta I. Impairment of decision-making in multiple sclerosis: A neuroeconomic approach. Mult Scler.. 2016.

Cotrena C, Branco LD, Zimmermann N, Cardoso CO, Grassi-Oliveira R, Fonseca RP. Impaired decision-making after traumatic brain injury: The Iowa Gambling Task. Brain Inj.. 2014;28:1070-5.

Stevens L, Betanzos-Espinosa P, Crunelle CL, Vergara-Moragues E, Roeyers H, Lozano O. Disadvantageous decision-making as a predictor of drop-out among cocaine-dependent individuals in long-term residential treatment. Front Psychiatry.. 2013;4:149.

Stevens L, Goudriaan AE, Verdejo-Garcia A, Dom G, Roeyers H, Vanderplasschen W. Impulsive choice predicts short-term relapse in substance-dependent individuals attending an in-patient detoxification programme. Psychol Med.. 2015;45:2083-93.

Nejtek VA, Kaiser KA, Zhang B, Djokovic M. Iowa Gambling Task scores predict future drug use in bipolar disorder outpatients with stimulant dependence. Psychiatry Res.. 2013;210:871-9.

Goschke T. Dysfunctions of decision-making and cognitive control as transdiagnostic mechanisms of mental disorders: advances, gaps, and needs in current research. Int J Methods Psychiatr Res.. 2014;23:41-57.

Bull PN, Tippett LJ, Addis DR. Decision making in healthy participants on the Iowa Gambling Task: new insights from an operant approach. Front Psychol.. 2015:6.

Leddy MA, Anderson BL, Schulkin J. Cognitive-behavioral therapy and decision science. New Ideas Psychol.. 2013;31:173-83.

Goudriaan AE, Grekin ER, Sher KJ. Decision making and response inhibition as predictors of heavy alcohol use: a prospective study. Alcohol Clin Exp Res.. 2011;35:1050-7.

Bavolar J, Orosova O. Decision-making styles and their associations with decision-making competencies and mental health. Judgm Decis Mak.. 2015;10:115-22.

Bechara A. Iowa gambling task: professional manual. 2007.

Adida M, Jollant F, Clark L, Besnier N, Guillaume S, Kaladjian A. Trait-related decision-making impairment in the three phases of bipolar disorder. Biol Psychiatry.. 2011;70:357-65.

Zhang L, Dong Y, Ji Y, Zhu C, Yu F, Ma H. Dissociation of decision making under ambiguity and decision making under risk: A neurocognitive endophenotype candidate for obsessive-compulsive disorder. Prog Neuro-Psychopharmacology Biol Psychiatry.. 2015;57:60-8.

Stocco A, Fum D, Napoli A. Dissociable processes underlying decisions in the Iowa Gambling Task: a new integrative framework. Behav Brain Funct.. 2009;5:1.

Okdie BM, Buelow MT, Bevelhymer-Rangel K. It's all in how you think about it: construal level and the Iowa Gambling Task. Front Neurosci.. 2016;10:2.

Isquith PK, Roth RM, Gioia G. Contribution of rating scales to the assessment of executive functions. Appl Neuropsychol Child.. 2013;2:125-32.

Mann L, Burnett P, Radford M, Ford S. The Melbourne Decision Making Questionnaire: an instrument for measuring patterns for coping with decisional conflict. J Behav Decis Mak.. 1997;10:1-19.

Branco LD, Cotrena C, Cardoso CO, Fonseca RP. Avaliação da tomada de decisão utilizando questionários: revisão sistemática da literatura. Aval Psicol.. 2014;13:67-76.

Janis IL, Mann L. Decision making: A psychological analysis of conflict, choice, and commitment. 1977.

Deniz M. An investigation of decision making styles and the five-factor personality traits with respect to attachment styles. Educ Sci Theory Pract.. 2011;11:105-13.

Bouckenooghe D, Vanderheyden K, Mestdagh S, van Laethem S. Cognitive motivation correlates of coping style in decisional conflict. J Psychol.. 2007;141:605-26.

Fabio A Di. Decisional procrastination correlates: personality traits, self-esteem or perception of cognitive failure?. Int J Educ Vocat Guid.. 2006;6:109-22.

Halama P, Gurňáková J. Need for structure and Big Five personality traits as predictors of decision making styles in health professionals. Stud Psychol (Bratisl).. 2014;56:171-9.

Radford MH, Mann L, Kalucy RS. Psychiatric disturbance and decision-making. Aust N Z J Psychiatry.. 1986;20:210-7.

Gorodetzky H, Sahakian BJ, Robbins TW, Ersche KD. Differences in self-reported decision-making styles in stimulant-dependent and opiate-dependent individuals. Psychiatry Res.. 2011;186:437-40.

Phillips JG, Ogeil RP. Cannabis, alcohol use, psychological distress, and decision-making style. J Clin Exp Neuropsychol.. 2017;39:670-81.

Phillips JG, Ogeil RP. Decisional styles and risk of problem drinking or gambling. Pers Individ Dif.. 2011;51:521-6.

Umeh K, Omari-Asor L. Emotional vulnerability and coping styles for resolving decisional conflict. J Psychol.. 2011;145:297-312.

Bailly N, Ilharragorry-Devaux M-L. Adaptation et validation en langue Française d'une échelle de prise de décision. Can J Behav Sci.. 2011;43:143-9.

Nota L, Soresi S. Adattamento italiano del Melbourne Decision Making Questionnaire [Italian adaptation of the Melbourne Decision Making Questionnaire]. GIPO G Ital di Psicol dell'Orientamento.. 2000;3:38-52.

Sáez de Heredia RA, Laca Arocena F, Valencia Gárate J. Decision-making patterns, conflict sytles, and self-esteem. Psicothema.. 2004;16:110-6.

Isaksson U, Hajdarevic S, Jutterström L, Hörnsten Å. Validity and reliability testing of the Swedish version of Melbourne Decision Making Questionnaire. Scand J Caring Sci.. 2014;28:405-12.

Deniz ME. Investigation of the relation between decision making self-esteem, decision making style and problem solving skills of university students. Eurasian J Educ Res.. 2004;15:23-35.

Oguzhan C. Study on the validity and reliability of Melbourne Decision Making Scale in Turkey. Educ Res Rev.. 2015;10:1434-41.

Areias G, Paixão R, Figueira APC. O Iowa Gambling Task: uma revisão crítica. Psicol Teor Pesqui.. 2013;29:201-10.

Myers ND, Ahn S, Jin Y. Sample size and power estimates for a confirmatory factor analytic model in exercise and sport: A Monte Carlo approach. Res Q Exerc Sport.. 2011;82:412-23.

Folstein MF, Folstein SE, McHugh PR. Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res.. 1975;12:189-98.

Chaves MLF, Izquierdo I. Differential diagnosis between dementia and depression: a study of efficiency increment. Acta Neurol Scand.. 1992;85:378-82.

Nascimento E. WAIS-III: Escala de inteligência Wechsler para adultos. 2004.

Amorim P. Mini International Neuropsychiatric Interview (MINI): validation of a short structured diagnostic psychiatric interview. Rev Bras Psiquiatr.. 2000;22:103-15.

Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry.. 1960;23:56-62.

Gorenstein C, Andrade LHSG, Zuardi AW. Escalas de avaliação clínica em psiquiatria e psicofarmacologia. 2000.

Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: Reliability, validity and sensitivity. Br J Psychiatry.. 1978;133:429-35.

Vilela J, Loureiro S. Escala de avaliação de mania de young - estudo das qualidades psicométricas da versão brasileira. Escalas de Avaliação Clínica em Psiquiatria e Psicofarmacologia. 2000:113-24.

Hu L, Bentler PM. Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychol Methods.. 1998;3:424-53.

Cotrena C, Branco LD, Shansis FM, Fonseca RP. Executive function impairments in depression and bipolar disorder: association with functional impairment and quality of life. J Affect Disord.. 2016;190:744-53.

Todd NJ, Jones SH, Lobban FA. What do service users with bipolar disorder want from a web-based self-management intervention? A qualitative focus group study. Clin Psychol Psychother.. 2013;20:531-43.

Gudmundsson E. The bipolar II disorder personality traits, a true syndrome?. J Affect Disord.. 2015;178:107-11.

Ottenbreit ND, Dobson KS, Quigley L. An examination of avoidance in major depression in comparison to social anxiety disorder. Behav Res Ther.. 2014;56:82-90.

Fortgang RG, Hultman CM, Cannon TD. Coping styles in twins discordant for schizophrenia, bipolar disorder, and depression. Clin Psychol Sci.. 2016;4:216-28.

Yang X hua, Huang J, Zhu C ying, Wang Y fei, Cheung EFC, Chan RCK. Motivational deficits in effort-based decision making in individuals with subsyndromal depression, first-episode and remitted depression patients. Psychiatry Res.. 2014;220:874-82.

Diagnostic and statistical manual of mental disorders. 2013.

Hollen PJ, Gralla RJ, Jones RA, Thomas CY, Brenin DR, Weiss GR. A theory-based decision aid for patients with cancer: results of feasibility and acceptability testing of DecisionKEYS for cancer. Support Care Cancer.. 2013;21:889-99.

6169b6b2a9539549f5599733 trends Articles
Links & Downloads
2238-0019 (Electronic)
Trends Psychiatry Psychother ©2024 All rights reserved.

Trends Psychiatry Psychother

Share this page
Page Sections