TRIA - Descubra a Revolução na Avaliação Psicológica para Adultos | Vetor Editora

Summary

In this video, André Gonçalves, a psychologist and professor at the Federal University of Bahia, introduces the 'Triage' instrument, developed in collaboration with Professor Lucas de Francisco Carvalho. The tool is grounded in the High Top taxonomic model, offering a dimensional approach to psychopathology. Unlike traditional diagnostic systems, the Triage focuses on symptom intensity, grouping impairments into internalizing, externalizing, and thought disorders. The instrument is validated for clinical use and also includes an incongruence score to ensure the validity of responses. It's suitable for various mental health assessment contexts and is available on a computerized platform for easy report generation.

Takeaways

• 😀 André Gonçalves, a psychologist, developed a psychopathology screening tool called ATRIA, in partnership with Professor Lucas de Francisco Carvalho.
• 😀 The ATRIA tool is based on the High Top model (2017), an alternative to traditional models like SID and DSM.
• 😀 The High Top model addresses criticisms of SID and DSM, such as self-comorbidity and the heterogeneity of mental health diagnoses.
• 😀 One of the main criticisms of traditional diagnostic models is the presence of overlapping symptoms across different disorders.
• 😀 The High Top model focuses on a dimensional approach, which assesses the quantity of symptoms rather than their mere presence or absence.
• 😀 Higher levels of symptoms in the Dimensional model indicate mental health issues, while lower levels indicate healthier functioning.
• 😀 ATRIA evaluates three main types of impairments: internalizing impairments (related to mood disorders), externalizing impairments (related to impulsivity and aggression), and thought disorders (related to delusions and magical thinking).
• 😀 ATRIA's three major factors are further divided into facets that allow for a more individualized assessment of patients.
• 😀 The ATRIA tool has been validated through rigorous studies, ensuring its reliability in clinical settings and other mental health assessments.
• 😀 The ATRIA can be applied using paper and pencil or through the Vall platform, which provides computerized, intuitive reports of results.

Q & A

What is the main purpose of the TRIAGE instrument developed by André Gonçalves and Professor Lucas de Francisco Carvalho?

The main purpose of the TRIAGE instrument is to assess psychopathology in adults, specifically based on the HITOP taxonomic model. It helps in identifying impairments related to internalizing, externalizing, and thought disorders.

What model does the TRIAGE instrument rely on, and why was it developed?

The TRIAGE instrument is based on the HITOP (Hierarchical Taxonomy of Psychopathology) model, developed as an alternative to traditional models like SID and DSM. It was created to address issues such as self-comorbidity among disorders and the heterogeneity in how individuals with the same diagnosis function.

How does the HITOP model differ from traditional diagnostic models like SID and DSM?

Unlike traditional diagnostic models like SID and DSM, which focus on specific diagnostic categories (e.g., depression, schizophrenia), the HITOP model takes a broader approach, focusing on dimensions of impairments rather than strict categories. It emphasizes the quantity of symptoms rather than their presence or absence.

What criticisms have been made about the SID and DSM models?

The SID and DSM models have faced criticisms for issues such as self-comorbidity (where a person meets diagnostic criteria for multiple disorders but doesn't actually have them), heterogeneity (where people with the same diagnosis show vastly different symptoms), and the lack of empirical evidence supporting their appropriateness for understanding psychopathology.

What are the three main scores generated by the TRIAGE instrument?

The three main scores generated by TRIAGE are: internalizing impairments (related to mood disorders), externalizing impairments (linked to impulsivity and aggressiveness), and thought disorders (associated with delusion, magical thinking, and fanciful thinking).

How does the TRIAGE instrument help in individualized assessment?

TRIAGE provides a more individualized assessment by breaking down the three major factors (internalizing, externalizing, and thought disorders) into more specific facets, allowing for a detailed understanding of the patient's impairments.

What type of validity evidence supports the TRIAGE instrument?

The TRIAGE instrument is supported by robust studies of validity evidence, indicating that it is a reliable and suitable tool for use in clinical settings or other contexts involving mental health assessments.

In what environments can the TRIAGE instrument be used?

The TRIAGE instrument was originally designed for clinical environments but is versatile enough to be used in any context where mental health assessment is being conducted.

What is the purpose of the incongruence score in TRIAGE?

The incongruence score in TRIAGE is designed to assess the validity of the protocol, helping to determine whether the results should be interpreted or not. It addresses potential manipulation or response biases, whether intentional or unintentional.

How can the TRIAGE instrument be administered?

The TRIAGE instrument can be administered either on paper or digitally through the Vall platform, which generates intuitive and easy-to-understand reports based on the assessment results.