ASSESSING MOTOR NEUROLOGICAL SOFT SIGNS IN SCHIZOPHRENIA: CONFIRMATORY FACTOR ANALYSIS OF PORTUGUESE VERSION OF BMS-P
DOI:
https://doi.org/10.47820/recima21.v4i9.3892Palavras-chave:
Confirmatory factor analysis, Motor NeurologicalResumo
Motor Neurological Soft Signs (MNSS) has been increasingly studied in people with schizophrenia spectrum, contributing to the knowledge of psychomotor disorders. However, there is still scarce the availability of valid and reliable instruments for this assessment worldwide, and in Portugal there is none. Objective: The aim of this study was to analyze the factor structure model of the Portuguese version of the Brief Motor Scale. Method: The confirmatory factor analysis was conducted in a sample of 103 participants with schizophrenia, 82 males and 21 females, mean age 44.21 (+11.25). A one-factor model was compared with three two-factor models based on the literature and a previous exploratory factor analysis. Results: The results of this study showed good fit indices and provide evidence to support a two-factor model for the assessment of motor neurological soft signs in persons with schizophrenia. Conclusions: It was proposed a new construct for MNSS assessment consists of 2 domains and 9 items distributed among them.
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Afonso, R., Beles, I., Canseiro, C., Madeira, B., Guimarães, S. & Santos, S. (2021). Os sinais neurológicos motores discretos em indivíduos com e sem esquizofrenia. Revista Portuguesa de Enfermagem em Saúde Mental, 26, 21-39. https://doi.org/10.19131/rpesm.308
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders. 5th ed. APA
Bachmann, S., Degen, C., Geider, F. & Schröder, J. (2014). Neurological Soft Signs in the clinical course of schizophrenia: results of a Meta-Analysis. Frontiers in Psychiatry, 5(185). https://doi.org/10.3389/fpsyt.2014.00185
Bombin I., Arango, C. & Buchanan, R. (2005). Significance and meaning of neurological signs in schizophrenia: two decades later. Schizophrenia Bulletin, 31, 962–977. https://doi.org/10.1093/schbul/sbi028
Buchanan, R. & Heinrichs, D. (1989). The neurological evaluation scale (NES): A structured instrument for the assessment of neurological signs in schizophrenia. Psychiatry Research, 27(3), 335-350. https://doi.org/10.1016/0165-1781(89)90148-0
Chan, R., Rao, H., Ye, B., Chen, E. e Zhang, C. (2006). The neural basis of motor sequencing: an fMRI study of healthy subjects. Neuroscience Letters, 398(3), 189-194. https://doi.org/10.1016/j.neulet.2006.01.014
Chen, E., Shapleske, J., Luque, R., McKenna, P., Hodges, J., Calloway, S., Hymas, N., Dening, T. & Berrios, G. (1995). The Cambridge neurological inventory: a clinical instrument of soft neurological signs and the further neurological examination for psychiatric patients. Psychiatry Research, 56(2), 183-204. https://doi.org/10.1016/0165-1781(95)02535-2
Cho, G., Hwang, H., Sarstedt, M. & Ringle, C. (2020). Cutoff criteria for overall model fit indexes in generalized structured component analysis. Journal of Marketing Analitic, 8, 189–202. https://doi.org/10.1057/s41270-020-00089-1
Collier, J. (2020). Applied Structural Equation Modeling Using AMOS. Basic to Advanced Techniques. Taylor & Francis.
Christensen, A. (1979). Luria’s neuropsychological investigation. 2nd ¬¬edition. Munksgaard.
Fonseca, V. (2010). Manual de Observação Psicomotora, Significação Psiconeurológica dos seus Factores. 3ª ed. Âncara Editora.
Gil, R. (2014). Neuropsicologia. 4ª ed. Santos editora.
Guimarães, S., Santos, S. & Lebre, P. (in press). Sinais neurológicos motores discretos e perfil psicomotor de pessoas com esquizofrenia: comparação entre variáveis sociodemográficas e clínicas em pessoas com e sem esquizofrenia. Revista Iberoamericana de Psicomotricidad y Tecnicas Corporales.
Guimarães, S., Santos, S. & Lebre, P. (2017). EMoB: content validity of Brief Motor Scale' Portuguese version in motor neurological soft signs assessment. In ECPA 14, book of abstracts. Faculty of Psychology of the University of Lisbon.
Guimarães, S., Santos, S. & Lebre, P. (2018). Contribuição para a avaliação psicomotora da pessoa com perturbação do espetro da esquizofrenia: a especificidade dos sinais neurológicos motores discretos. Revista Iberoamericana de Psicomotricidad y Técnicas Corporales, 43, 111-125. http://iberopsicomotricidadum.com/index.php
Guimarães, Santos & Lebre (2020). Validity and reliability of the Portuguese version of Brief Motor Scale in persons with Schizophrenia: a preliminary study. Portuguese Journal of Psychiatry and Mental Health, 6(3), 109-117. https://doi.org/10.51338/rppsm.2020.v6.i3.160
Jahn, T., Cohen, R., Hubmann, W., Mohr, F., Köhler, I., Schkenker, R., Niethammer, R. & Schröder, J. (2006a). The Brief Motor Scale (BMS) for the assessment of motor soft signs in schizophrenic psychoses and other psychiatric disorders. Psychiatry Research, 142(2-3), 177-189. https://doi.org/10.1016/j.psychres.2002.12.002
Jahn, T., Hubmann, W., Karr, M., Mohr, F., Schlenker, R., Heidenreich, T., Cohen, R. & Schöder, J. (2006b). Motoric neurological soft signs and psychopathology symptoms in schizophrenic psychoses. Psychiatry Research, 142(2-3), 191-199. https://doi.org/10.1016/j.psychres.2002.12.003
Janssens, S., Moens,H., Coppens, V., Vandendriessche,F., Hulstijn,W., Sabbe, B. & Morrens, M. (2017). Psychomotor assessment as a tool to differentiate schizophrenia from other psychotic disorders, Schizophrenia Research, 200, 92-96. https://doi.org/10.1016/j.schres.2017.06.047
Krebs, M., Gut-Fayand, A., Bourdel, M., Dischamp, J. & Olie, P. (2000). Validation and factorial structure of a standardized neurological examination assessing neurological soft signs in schizophrenia. Schizophrenia Research, 45, 245–260. https://10.1016/S0920-9964(99)00206-6
Luria, A. (1966). Higher cortical functions in man. 2nd edition. Plenum Publishing Corportation.
Marionneau A, Servant M-L, et Albaret J-M. (2018). Échelle Psychomotrice d’évaluation des Signes neurologiques Doux (EPSID). In Giromini, F., Albaret, J., Scialom, P. (ed.), Manuel d’enseignement de psychomotricité (187-200). De Boeck-Solal.
Schröder, J., Niethammer, R., Geider, F., Reitz, C., Binkert, M., Jauss, M. & Sauer, H. (1991). Neurological soft signs in schizophrenia. Schizophrenia Research, 6, 25-30. https://doi.org/10.1016/0920-9964(91)90017-L
Zakaria, H., Jaafar, N., Baharudin, A., Ibrahim, N. & Midin, M. (2013). Motor neurological soft signs among persons with schizophrenia: a clinical significance. Sains Malaysianna, 42, 381-388. http://journalarticle.ukm.my/5983/1/15%2520Hazli%2520Zakaria.pdf
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