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  • Evaluation of the Psychometric Properties of NOC Outcomes “Anxiety Level” and “Anxiety Self-Control” in a Portuguese Outpatient Sample
    Publication . Sampaio, Francisco; Araújo, Odete; Sequeira, Carlos; Lluch-Canut, Teresa; Martins, Teresa
    PURPOSE To adopt the language and to evaluate the psychometric properties of “Anxiety level” and “Anxiety self‐control” NOC outcomes in Portuguese adult patients. METHODS Methodological design. FINDINGS The final European Portuguese version of the NOC outcome “Anxiety level,” composed by 16 indicators, proved excellent internal consistency. Exploratory factor analysis (EFA) was forced to three factors. The NOC outcome “Anxiety self‐control,” composed of nine indicators, demonstrated a questionable internal consistency. EFA was forced to two factors. CONCLUSIONS European Portuguese versions of the studied NOC outcomes proved to be tools with acceptable psychometric properties for evaluating anxiety in Portuguese patients. IMPLICATIONS FOR NURSING PRACTICE This study contributed to the development of NOC language and to the enrichment of nursing's body of knowledge.
  • Cognitive insight in psychotic patients institutionalized and living in the community: an examination using the Beck Cognitive Insight Scale
    Publication . Pinho, Lara Guedes de; Sampaio, Francisco; Sequeira, Carlos; Martins, Teresa; Ferré-Grau, Carme
    Improving cognitive insight can reduce delusions in patients with psychotic disorders. Although institutionalized patients usually have more severe delusions than outpatients, little is known about the differences in cognitive insight between these two groups. In this study, we evaluated the psychometric properties of the Beck Cognitive Insight Scale (BCIS) for a sample of Portuguese patients with psychotic disorders and compared the cognitive insight of institutionalized patients with patients living in the community. Participants in this study were 150 patients diagnosed with psychotic disorder (78 institutionalized patients and 72 outpatients). The tested model of the BCIS was a very good fit. Our study shows that patients living in the community showed higher levels of cognitive insight (total BCIS and self-reflectiveness) than institutionalized patients. Future studies assessing cognitive insight should take into account differences between the cognitive insights of institutionalized psychotic patients and psychotic patients living in the community.