Percorrer por autor "Silva-Nunes, José"
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- Cultural translation and validation of the Stigmatizing Situations Inventory-Brief into European PortuguesePublication . Figueiredo, Inês Rego de; Palmeira, Lara; Silva-Nunes, JoséIntroduction: Stigma is a tendency to exclude people’s perceived difference by society. It can be external or discrimination and internal or self-stigma. There are a variety of tools to assess weight stigma. However, there was a lack of a tool in European Portuguese to assess external stigma. Therefore, the aim of this study was to perform translation, validation, and cultural adaptation of the Stigmatizing Situations Inventory-Brief (SSI-B) questionnaire into European Portuguese. Methods: A cross-sectional study was performed by completion of two questionnaires by patients with obesity followed at a multidisciplinary obesity treatment clinic: SSI-B questionnaire and the validated translated Portuguese version of the Everyday Discrimination Scale. Direct translation followed reviewing, back-translation, comparison, and pilot testing were performed. The retest was done 1 month after the baseline. The following psychometric properties were assessed: convergent validity between SSI-B and the Everyday Discrimination Scale, internal consistency, and reproducibility between test and retest. Results: A total of 175 patients were included, with a mean age of 47 ± 11 years old and a mean BMI of 43±6 kg/m2. The mean stigma scores were 21 ± 18 on the SSI-B and 9 ± 9 on the Everyday Discrimination Scale. Regarding the psychometric properties, convergent validity yielded a Spearman’s r coefficient of 0.727, the Cronbach’s alpha coefficient for internal consistency was 0.88, and reproducibility produced a Spearman’s r coefficient of 0.7 and an intraclass correlation coefficient of 0.699. Conclusion: This translation demonstrates acceptable psychometric properties, supporting its future application in clinical practice in Portugal.
- Psychopathology among patients with obesity who are candidates to bariatric surgeryPublication . Figueiredo, Inês Rego de; Carvalho, Miguel Vasques; Cunha, Nelson; Martins, Diana; Silva-Nunes, JoséIntroduction: Obesity is often associated with disturbed eating patterns and disorders, as well as mental health issues such as personality disorders, and psychological diseases. This is often described as psychopathology of obesity. In this work, we attempted to establish the prevalence of certain psychopathological traits in patients with obesity (PwO) who were candidates for bariatric surgery when compared to lean controls: (1) obsessivity-compulsivity, (2) depression/anxiety, (3) cravings, and (4) impulsivity. Methods: A cross-sectional study was performed by asking patients and controls to fill out the Yale-Brown Obsessive-Compulsive Scale, the Hospital Anxiety and Depression Scale, the State and Trait Food-Cravings Questionnaires, and the Barrat Impulsiveness Scale. Results: We included 253 PwO and 52 lean controls. Obsessive-compulsive (OC) traits, anxiety, cravings, and impulsiveness were more prevalent in the group of PwO, even after adjusting for the age and gender differences between the groups. Anxiety and impulsivity were both correlated with emotional eating, and cravings were associated with emotional and night eating. Conclusion: Most of our results are in line with the literature in this area. However, the high expression of OC traits in this population of PwO might be due to the high prevalence of depression. Surprisingly, high attentional impulsivity (that is reported to be really expressed in PwO) was not observed in our cohort. It is of interest the association observed for most of the psychopathological traits with emotional eating.