Adaptación y propiedades psicométricas del inventario de depresión de beck (bdi-ii) en adolescentes ecuatorianos

El Inventario de Depresión de Beck (BDI-II) es uno de los instrumentos más empleados a nivel clínico e investigativo para evaluar la depresión. Objetivo. Adaptar y validar el BDI-II para su uso en la identificación de síntomas depresivos en población adolescente de Ecuador. Método. Estudio instrumental orientado a obtener la adaptación cultural, evidencias de validez y fiabilidad del (BDI-II). Participaron 871 adolescentes entre 13 y 18 años de edad seleccionados por muestreo no probabilístico. La validez del contenido del instrumento se evaluó mediante criterio de jueces y cálculo del Coeficiente de concordancia W de Kendall. Se realizó Análisis Factorial a través del Método de Componentes Principales. La asociación entre variables se analizó con el Coeficiente de correlación de Rho de Spearman. Para evaluar la validez convergente del (BDI-II) se empleó la Escala de Desesperanza de Beck (BHS) y la Escala de Valoración del Estado de Ánimo (EVEA). Resultados. El análisis factorial evidenció la existencia de una matriz de dos factores que explicó el 43.12% de la varianza total observada. Se obtuvieron evidencias favorables sobre validez y consistencia interna del instrumento (a= .86). Conclusiones. La versión ecuatoriana del BDI-II posee estructura bifactorial consistente con la versión original y adaptaciones precedentes realizadas al instrumento en otros países de habla hispana. Es apto para ser utilizado en el diagnóstico de síntomas depresivos en población adolescente en el contexto ecuatoriano. The Beck Depression Inventory (BDI-II) is one of the most widely used clinical and research instruments to assess depression. Objective. To adapt and validate the BDI-II for its use in the identification of depressive symptoms in the adolescent population of Ecuador. Method. Instrumental study oriented to obtain the cultural adaptation, validity and reliability evidences of the BDI-II. A total of 871 adolescents between 13 and 18 years of age selected by non-probabilistic sampling participated. The content validity of the instrument was evaluated by means of judges' criteria and calculation of Kendall's W concordance coefficient. Factorial analysis was performed using the Principal Component Method. The association between variables was analyzed with Spearman's Rho correlation coefficient. The Beck Hopelessness Scale (BHS) and the Mood Rating Scale (EVEA) were used to evaluate the convergent validity of the BDI-II. Results. Factor analysis showed the existence of a two-factor matrix that explained 43.12% of the total variance observed. Favorable evidence was obtained on the validity and internal consistency of the instrument (a= .86). Conclusions. The Ecuadorian version of the BDI-II has a bifactorial structure consistent with the original version and previous adaptations made to the instrument in other Spanish-speaking countries. It is suitable for use in the diagnosis of depressive symptoms in the Ecuadorian adolescent population.

Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study

Background COVID-19 continues to disrupt global health and well-being. In April-May 2020, we generated a digital, remote interactive tool to provide health and well-being resources and foster connectivity among community members through a text messaging platform. Objective This study aimed to prospectively investigate the ability of a health system–based digital, remote, interactive tool to provide health and well-being resources to local community participants and to foster connectivity among them during the early phases of COVID-19. Methods We performed descriptive and nonparametric longitudinal statistical analyses to describe and compare the participants’ mood ratings over time and thematic analysis of their responses to text messages to further assess mood. Results From among 393 individuals seeking care in an urban emergency department in an academic setting, engaged in a two-way text messaging platform, we recorded 287 mood ratings and 368 qualitative responses. We observed no difference in the initial mood rating by week of enrollment [Kruskal-Wallis chi-square H(5)=1.34; P=.93], and the average mood rating did not change for participants taken together [Friedman chi-square Q(3)=0.32; P=.96]. However, of participants providing mood ratings at baseline, mood improved significantly among participants who reported a low mood rating at baseline [n=25, 14.97%; Q(3)=20.68; P<.001] but remained stable among those who reported a high mood rating at baseline [n=142, 85.03%; Q(3)=2.84; P=.42]. Positive mood elaborations most frequently included words related to sentiments of thankfulness and gratitude, mostly for a sense of connection and communication; in contrast, negative mood elaborations most frequently included words related to anxiety. Conclusions Our findings suggest the feasibility of engaging individuals in a digital community with an emergency department facilitation. Specifically, for those who opt to engage in a text messaging platform during COVID-19, it is feasible to assess and respond to mood-related queries with vetted health and well-being resources.

“With You” in the Community During COVID-19: Improving Mood with Connection and Resources Delivered Through an Innovative, Interactive, and Digital Mood Support Platform (Preprint)

BACKGROUND The coronavirus (COVID-19) pandemic continues to disrupt global health and well-being. We built a digital, remote interactive tool for local community patients to engage in wellbeing resources and connection through a text platform during March-May 2020. OBJECTIVE To prospectively investigate the ability of a health-system based, digital, remote, and interactive tool to engage individuals in health and well-being resources and connection during the early phases of the COVID-19 pandemic. METHODS Descriptive and non-parametric longitudinal statistical analyses were used to describe and compare mood ratings over time. Thematic analysis was conducted on mood text responses. RESULTS Of 393 patients seeking care in an urban, academic Emergency Department opted into a text message line. 287 mood ratings and 368 qualitative responses were recorded. No difference in initial mood rating by week of enrollment was seen (H(5)=1.34, P=0.93), and across the intervention per participant, the mood did not change overall (Q(3)=0.32, P=0.96). However, mood improved for participants with baseline low reported mood (n=25, Q(3)=20.68, P<.001) while remaining stable for those with baseline high initial mood (n=142, Q(3)=2.84, P=0.42). Analysis found that that positive mood elaborations most frequently included words related to sentiments of thanks and gratitude, often for connection and communication, while negative mood elaborations most frequently included words related to anxiety. CONCLUSIONS Our findings suggest feasibility for digital community engagement through emergency department facilitation. Specifically, for those who choose to engage in a texting platform amid the challenging times of the COVID-19 pandemic, it is feasible to assess and respond to mood with vetted resources, and such an intervention may even carry benefit.

How to measure mood in nutrition research

Mood is widely assessed in nutrition research, usually with rating scales. A core assumption is that positive mood reinforces ingestion, so it is important to measure mood well. Four relevant theoretical issues are reviewed: (i) the distinction between protracted and transient mood; (ii) the distinction between mood and emotion; (iii) the phenomenology of mood as an unstable tint to consciousness rather than a distinct state of consciousness; (iv) moods can be caused by social and cognitive processes as well as physiological ones. Consequently, mood is difficult to measure and mood rating is easily influenced by non-nutritive aspects of feeding, the psychological, social and physical environment where feeding occurs, and the nature of the rating system employed. Some of the difficulties are illustrated by reviewing experiments looking at the impact of food on mood. The mood-rating systems in common use in nutrition research are then reviewed, the requirements of a better mood-rating system are described, and guidelines are provided for a considered choice of mood-rating system including that assessment should: have two main dimensions; be brief; balance simplicity and comprehensiveness; be easy to use repeatedly. Also mood should be assessed only under conditions where cognitive biases have been considered and controlled.

PRADINIŲ KLASIŲ MOKINIŲ SPALVINIAI PRIORITETAI IR SPALVŲ PASIRINKIMAS SPALVINANT ŽMOGAUS PIEŠINIUS

Tyrimu siekiama nustatyti, ar vaikai sistemingai renkasi spalvas, spalvindami teigiamai ar neigiamai apibūdintų žmonių piešinius, ir įvertinti spalvų pasirinkimo sąsajas su vaiko asmeniniais spalviniais prioritetais ir lytimi. Tyrime dalyvavo 1307 Kauno rajono bendrojo lavinimo mokyklų I–IV klasių mokiniai, 648 berniukai ir 659 mergaitės. Tiriamieji atliko kelias užduotis: 11 spalvų pieštukų rinkinio rangavimo nuo labiausiai patinkančios iki labiausiai nepatinkančios spalvos; trijų schemiškai nupieštų žmogaus siluetų (neutralaus, teigiamai apibūdinto ir neigiamai apibūdinto) spalvinimo; nuotaikos vertinimo – taikant 5 balų „Veidų skalę“. Tyrimo rezultatai parodė, kad berniukų ir mergaičių spalviniai prioritetai skiriasi: mergaitės teikia pirmumą šviesioms spalvoms, berniukai – tamsesnėms. Tačiau tiek berniukams, tiek mergaitėms labiausiai patinka šviesios (rožinė ir žydra) spalvos. Ir berniukams, ir mergaitėms pradinės mokyklos laikotarpiu labiausiai nepatinka juoda spalva, ši spalva dažniausiai pasirenkama ir neigiamai apibūdinto žmogaus piešiniui spalvinti. Tyrimo rezultatai patvirtina bendrą tendenciją, kad piešinio apibūdinimas yra susijęs su jam spalvinti pasirenkama spalva – teigiamai apibūdinto žmogaus piešinys dažniausiai spalvinamas geltonai, o neigiamai apibūdinto – dažniausiai juodai ar rudai. Spalvos pasirinkimas taip pat yra susijęs su asmeniniais vaiko spalviniais prioritetais.Childern’s color preferences and color choices for completing drawings of human figures in primary schoolAistė Pranckevičienė, Kristina Žardeckaitė-Matulaitienė, Indrė Soikinaitė SummaryDrawing techniques are popular tools in children’s psychological assessment. It is supposed that colors in the child’s drawing could reflect the emotional state or feelings which he or she holds towards the topic being drawn. However, there is a lack of research to validate these interpretations.The aim of this work was to analyse pupils’ color preferences in I–IV grades and to investigate whet-her children systematically use specific colors in their drawings in response to emotional characterization of the figure. 1307 children (648 boys and 659 girls) from mainstream schools of Kaunas region, aged between 6 years 4 months and 12 years 3 months, participated in a color preference, mood rating and drawing session. All children rated the set of 11 pencils (from the most liked to the most disliked color) and completed three drawings of differently characterized human figures (neutral, nice, and nasty).The results of the study revealed gender differences in color preferences. Girls preferred bright colors (pink, yellow, sky blue, spring green, orange), while boys preferred darker tones of colors (blue, green, brown, black). All results are significant at p < 0.05. However, the most liked colors for both genders were bright (pink and sky blue), what is in line with color stereotypes used in children’s clothing and toys. The most disliked color for both genders was black; girls chose black as the most disliked color more often (p < 0.001).The results of the study indicate that children use specific colors when completing nice and nasty figures (p < 0.001). The strongest relationship was observed between a nice figure and the yellow color and a nasty figure and the black color. However, the choice of the color was related to a child’s color preference. The more preferred colors were used for completing of neutral and nice figures (p < 0.0001), while less preferred colors were used for nasty figures (p < 0.0001).Although the results of the study confirm the general association between characteristics of the topic being drawn and colors, the observed gender differences and the importance of color preference indicate that color interpretations during child’s psychological assessment should be done with caution. The implications for further research are discussed.