Escala APGAR-familiar en adolescentes de Lima. Received: Approved : Scale of family functioning, developed by Smilkstein (). Various efforts. Smilkstein G. The family APGAR: a proposal for a family function test and its use Funcionalidade familiar de idosos com alterações cognitivas: a percepção do. Palavras-Chave: ansiedade e depressão de Zung; APGAR familiar; baremas; . Family Apgar: it is an instrument designed by Gabriel Smilkstein, neurologist.

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In this sense, the division is in charge of the diagnosis of the students at the time of admission, in order to specify, through a bio-psychosocial approach, personality traits, abilities, psychoactive substances consumption habits, physical health, and economic vulnerability. There is a recommendation to continue the process of validation of the instrument with the elderly, specially when dealing with its validity in the construct.

Therefore, functional family systems familiqr a therapeutic resource for the person that is aging 2.

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Services on Demand Article. The scale was created by Zung inbased on affective, physiological and psychological aspects that usually characterize depression.

Takenaka is the corresponding author. Two open questions were designed to contemplate each defining characteristic. This results permits to affirm that Family APGAR classified as a dysfunctional family total results between zero and six points the elders that also achieved family dysfunctionality under the defining characteristics of the nursing diagnose “Discontinued family processes” results between zero and 45 points generated after the application of the instrument specifically designed for this evaluation According to the recommendation for gerontology care 2it is common that, in Brazil, the scientific research use, for the evaluation of functionality of families with elders, the Family APGAR The Zung Depression Scale has been used for a large number of studies in Colombian population.

The scale consists of 20 Likert type reagents ranging from never 1 to always 4where items 2, 5, 6, 11, 12, 14, 16, 17, 18 and 20 are written in inverse sense. Tesis de pregrado, Universidad de Cuenca. A bibliographical research performed in an electronic database, which has scientific articles from many countries in Latin America and in the Caribbean, showed that only one Brazilian study performed in the Southeast region of Brazil demonstrated the evaluation of the psychometric proprieties of Family APGAR, but on the other hand, it is not recognized that the results were also published in an article 8.

Furthermore, such families have limited commitment to family interests, and members are often unable to turn to one another for emotional or practical support or assistance. Ethics Written informed consent was obtained from all subjects.

Analysis of psychometric properties of family APGAR with elderly in northeast Brazil

The scale is structured into 20 affirmations with a Likert-type response scale ranging from never 1 to always 4where questions 5, 9, 13, 17 and 19 are written in inverse sense.


It is possible that excessive or impoverished family cohesion and adaptability are not smilkatein but rather are coping styles for dealing with family issues. In general, the Anxiety, Depression and Family Apgar scales functioned adequately in UIS students, smilkxtein the only variation of the Depression scale that finally consisted of 19 items. Furthermore, it is seen that during the use of Family APGAR by Brazilian researchers, by journals in general, were aimed to classify family functionality 45 Fernanda Rochelly do Nascimento Mota.

Recuperado el 8 de Marzo de apgae, de Apgxr el 8 de Marzo dede http: The Zung Depression Scale does not show a well-defined multidimensional factor structure in the group of university students studied. In Japanese family practice, previous studies have noted that physicians do not like administering the full Family APGAR, despite the fact that it comprises only five questions. The cutting point of the value of Cronbach’s alpha fwmiliar compressed items was 0.

Circumplex model of marital and family systems. For the elders, family is reported as the main responsible to support their social and health demands 12.

Completed questionnaires were then brought to the front desk of the outpatient clinic. To know the functionality of families with elders from the perception of the elder himself is a relevant issue, as it permits to visualize the value this individual gives to his most elemental source of psychosocial support, permitting to evaluate in which level is the family capable to satisfactorily attend the elder’s caring demands 25 The factor identified is the offered family support afmiliar the elder Table 2.

The technique of “Hotelling’s t-square” was also applied, which tests the blank hypothesis that all averages from all items are the same. In the table above see Table 9the psychological va riables anxiety, depression and family Apgar are compared among students aged 17 years or less, between 18 and 19 years and 20 or more years, for which the one-factor ANOVA factor age groupswomen and men were con sidered separately.

The Resolve item may be useful for identifying patients for whom a family conference—wherein the physician assembles family members and encourages them to communicate without employing special techniques—would be beneficial, and can be the first step in implementing a family approach for physicians who might normally avoid it.

Practicing family medicine relies on sufficient understanding of the biopsychosocial aspects of patients. In the analysis of criterion validity, there was the calculation of the correlation between the Family APGAR scores and the scores achieved in the instrument designed to evaluate the defining characteristics of the nursing diagnose “Discontinued family processes”.

Investigations that proposed a psychometric analysis of the qualitative measurement instruments are important, once their reliability and validation are essential aspects to estimate the scientific quality of standardized instruments 13 The scale was validated fajiliar a Mexican sample of pec lie aged between 14 and 60 years. Electronic supplementary material The online version of this article doi: Family function, respiratory illness, and otitis media in urban black infants.


Despite the restrictions found in the analysis of the validity of the contruct, it is possible to state that Family APGAR, when used in elders in the Brazilian Northeast region, is an adequate instrument to evaluate family functionality, as it gathers satisfactory requirements of internal consistency and validity of criterion, which gives it a characteristic of a screening instrument appropriate to the necessary estimate. Hiroaki Takenaka and Nobutaro Ban.

It is worth mentioning that Contributor Information Hiroaki Takenaka, Email: Only after the verification that an instrument has satisfactory psychometric characteristics within a certain context of application it can guarantee that its usage is appropriate 13 Also, it should not be overlooked that the university environment is generally associated with new commitments and responsibilities, stressful situations and forced displa cement, all of which limits access to a social and family support network.

This d may be important to general practitioners who operate busy clinics or are inexperienced with the family approach. I am satisfied, because I can count on my family in the case I need help when there is a disturbance or preoccupation. For the criterion validation, the total scores of the instruments administered by BU were compared with the presence of the associated diagnoses, that is, Zung’s depression apagr patients who were diagnosed with depression in consultation, Zung’s anxiety with the presence or absence of anxiety of the students taken care of, and Family Apgar among students diagnosed with family problems See Table 7.

A further limitation concerns the publication of our results, which has taken a considerable amount of time and effort because of a struggle to translate our findings smilostein English while also performing our clinical duties.

What is coefficient alpha? Following, the values of the area under the ROC curve with their interval estimation for the Zung Anxiety scale are presented see Table 2. How to cite this article. Family Apgar items show an excellent discrimination level with respect to the total score, with areas dw the Emilkstein curve significantly higher than 0,5, at a significance level of 0,01 See Table 4.

Family adaptability and fami,iar evaluation scale. To answer the research questions, the psychometric properties of the scales used were verified through a study of their internal consistency, through Cronbach’s Alpha, followed by an exploratory factor analysis.