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Universidade Federal Do Rio Grande Do Sul Universidade Federal do Rio Grande do Sul Tese de doutorado EVIDÊNCIAS DE VALIDADE DO TESTE DE RETENÇÃO VISUAL DE BENTON EM AMOSTRAS BRASILEIRAS Aluna Joice Dickel Segabinazi Novembro de 2014 Universidade Federal do Rio Grande do Sul Instituto de Psicologia Programa de Pós-Graduação em Psicologia Tese de doutorado Evidências de validade do Teste de Retenção Visual de Benton em amostras brasileiras Tese apresentada como exigência parcial para obtenção do título de Doutor em Psicologia pelo Programa de Pós-Graduação em Psicologia da UFRGS Aluna Joice Dickel Segabinazi Orientadora Profa. Dra. Denise Ruschel Bandeira Coorientadora Profa. Dra. Jerusa Fumagalli de Salles Novembro de 2014 2 Agradecimentos Enfim, Doutora! Foi um longo percurso até chegar aqui: horas e horas de leituras, reflexões, escritos, discussões e, na base de tudo, imensas, intensas e maravilhosas amizades! A finalização do doutorado é muito mais do que a obtenção de um título. Terminá-lo significa consolidar uma identidade profissional, amadurecer posições ontológicas e epistemológicas, desenvolver um olhar crítico diante da realidade, superar desafios, muitos desafios! Ser Doutora para mim significa assumir que ainda que eu finalize o doutorado sempre haverá diversas possibilidades a serem descobertas, infinitos saberes a serem construídos, inúmeras formas de investigar os vários objetos de estudo da Psicologia. Significa assumir que embora eu conheça algumas coisas, desconheço tantas outras! Ressalto a importância de diversas instituições na construção deste caminho. Agradeço à Coordenação de Aperfeiçoamento de Pessoal de Ensino Superior (CAPES) pela bolsa de estudos que permitiu que eu me dedicasse exclusivamente aos estudos e, em especial, ao Programa de Doutorado Sanduíche no Exterior (PDSE) da CAPES, pela experiência na University of Southampton. Agradeço também à Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS) pelo apoio financeiro concedido ao projeto, às escolas privadas e públicas e ao Hospital de Clínicas de Porto Alegre (HCPA) que permitiram a coleta de dados e o contato com os pacientes. Especialmente, agradeço aos professores, funcionários e alunos do Programa de Pós-Graduação em Psicologia da Universidade Federal do Rio Grande do Sul (PPG-Psico UFRGS)! Neste percurso fui inspirada por diversos profissionais. Agradeço aos Professores da Universidade Federal de Santa Maria, pelas orientações ainda na graduação e por incentivarem meu gosto pela pesquisa. Aos Professores da University of Southampton, pelas oportunidades criadas ao longo do doutorado sanduíche. Aos professores da Universidade Federal do Rio Grande do Sul, em especial aos Professores Cesar Augusto Piccinini e William Barbosa Gomes pelos ensinamentos sobre delineamentos quantitativos e qualitativos e por me ensinarem a importância do método na busca pelo conhecimento. Aos Professores Claudio Simon Hutz e Clarissa Marceli Trentini pela parceria e oportunidades de aprimoramento na área da Avaliação Psicológica no Brasil. Especialmente, agradeço à Coorientadora deste trabalho, Professora Jerusa Fumagalli de Salles, pela força, carinho e a chance de me aventurar no campo da Neuropsicologia e à minha Orientadora Professora Denise Ruschel Bandeira, pela confiança, apoio e amizade, e por ser uma fonte eterna de inspiração e ensinamentos! Obrigada também aos integrantes das bancas de qualificação do projeto de tese, Professora Rochele Paz Fonseca e Professor Ricardo Primi, e à Professora Elizabeth 3 Nascimento que gentilmente aceitou o convite para compor a banca de defes da tese. Muito obrigada à todos pelas contribuições. Agradeço aos colegas de grupos de pesquisa (GEAPAP e NEUROCOG), do PPG- Psico UFRGS e da University of Southampton por toda a troca de conhecimentos, e sobretudo, os almoços, os cafés, os bev-days e as conversas filosóficas (e a outras nem tanto). Em especial, àqueles que não mediram esforços durante a coleta, levantamento, tabulação e análise dos dados de todo o processo de adaptação do Teste de Retenção Visual de Benton, e sem os quais este empreendimento científico nunca aconteceria! Ainda, um grande agradecimento aos meus amigos e amigas que, tão perto ou tão longe, entenderam as ausências, aproveitaram as presenças, e sempre me presentearam com a intensidade e a compreensão que só as verdadeiras amizades podem oferecer! E o meu mais sincero agradecimento àqueles que são a minha base forte, àqueles que permitiram que eu sonhasse alto, que apoiaram a minha busca incessante pela felicidade, àqueles que foram a minha fonte de inspiração mais genuína, à minha família querida! Em especial aos meus pais, Laci e Albano, que sempre deram vazão às minhas inquietudes com o conhecimento! Por último, mas certamente não menos importante, muito obrigada ao meu companheiro de todas as horas, meu grande amigo nesta jornada, Max. Muito obrigada pela tua amizade, carinho, por todo o amor que você faz eu sentir e por sempre despertar o melhor em mim! 4 SUMÁRIO APRESENTAÇÃO ................................................................................................................... 12 CAPÍTULO I ............................................................................................................................ 15 INTRODUÇÃO ........................................................................................................................ 15 História da Neuropsicologia na interface com a Psicometria ............................................... 16 A contribuição de Arthur Lester Benton para a Neuropsicologia ........................................ 18 Apresentação do Teste de Retenção Visual de Benton e funções neuropsicológicas avaliadas ............................................................................................................................... 22 Bases neurais das habilidades visuoconstrutivas e da memória visual................................. 30 Desempenho no Teste de Retenção Visual de Benton em pacientes com patologias psiquiátricas e neurológicas .................................................................................................. 33 Estudos psicométricos com o Teste de Retenção Visual de Benton no Brasil ..................... 36 CAPÍTULO II ........................................................................................................................... 38 Aplicação do modelo de Rasch na avaliação das propriedades psicométricas do Teste de Retenção Visual de Benton....................................................................................................... 38 Resumo ................................................................................................................................. 38 Abstract ................................................................................................................................. 38 CAPÍTULO III ......................................................................................................................... 40 Influência da idade, anos de estudo e quociente intelectual: aplicação da Modelagem de Equações Estruturais para o estudo do BVRT.......................................................................... 40 Resumo ................................................................................................................................. 40 Abstract ................................................................................................................................. 41 CAPÍTULO IV ......................................................................................................................... 43 Evidências de validade para o Teste de Retenção Visual de Benton (BVRT): comparação de grupos e série de casos em pacientes pós-AVC ....................................................................... 43 Resumo ................................................................................................................................. 43 Abstract ................................................................................................................................. 44 CONSIDERAÇÕES FINAIS DA TESE .................................................................................. 46 REFERÊNCIAS ....................................................................................................................... 49 ANEXOS .................................................................................................................................. 70 Anexo A: Questionário de dados sociodemográficos (crianças) ...........................................71 Anexo B: Questionário de dados sociodemográficos (adolescentes – 7ª série E.F. a 3º ano E.M.) ......................................................................................................................................73 Anexo C: Aprovação da Pesquisa pelo Comitê de Ética do Instituto de Psicologia ................ 75 5 Anexo D: Ficha de dados socioculturais e de aspectos da saúde (adaptada de Pawlowski, 2011) ......................................................................................................................................... 76 Anexo E: Termo de Consentimento Livre e Esclarecido (grupo normativo) ........................... 79 Anexo F: Carta de Aprovação do Comitê de Ética do Hospital de Clínicas de Porto Alegre .. 80 Anexo G: Termo de Consentimento Livre e Esclarecido (grupo clínico) ................................ 81 Anexo H: Termo de Consentimento Livre e Esclarecido (grupo controle) .............................
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