title: Transcultural Adaptation of GRID Hamilton Rating Scale For Depression (GRID-HAMD) to Brazilian Portuguese and Evaluation of the Impact of Training Upon Inter-Rater Reliability.
abstract: GRID-HAMD is a semi-structured interview guide developed to overcome flaws in HAM-D, and has been incorporated into an increasing number of studies.
  
  
  OBJECTIVE
  Carry out the transcultural adaptation of GRID-HAMD into the Brazilian Portuguese language, evaluate the inter-rater reliability of this instrument and the training impact upon this measure, and verify the raters' opinions of said instrument.
  
  
  METHODS
  The transcultural adaptation was conducted by appropriate methodology. The measurement of inter-rater reliability was done by way of videos that were evaluated by 85 professionals before and after training for the use of this instrument.
  
  
  RESULTS
  The intraclass correlation coefficient (ICC) remained between 0.76 and 0.90 for GRID-HAMD-21 and between 0.72 and 0.91 for GRID-HAMD-17. The training did not have an impact on the ICC, except for a few groups of participants with a lower level of experience. Most of the participants showed high acceptance of GRID-HAMD, when compared to other versions of HAM-D.
  
  
  CONCLUSIONS
  The scale presented adequate inter-rater reliability even before training began. Training did not have an impact on this measure, except for a few groups with less experience. GRID-HAMD received favorable opinions from most of the participants.
authors.affiliation: Dr. Henrique-Araújo is from the Institute of Health Sciences, Federal University of Bahia, Salvador, and Nova Esperança Medical School, João Pessoa, Brazil; Dr. Osório is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. Ribeiro is from Sanatório São Paulo, Salvador, Brazil; Dr. Monteiro is from Orasi Institute, Porto, Portugal; Dr. Williams is from MedAvante Inc. and is a Professor Emerita at Columbia University, New York, New York, USA; Dr. Kalali is from Quintiles Inc., and the University of California, San Diego, California, USA; Dr. Crippa is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, Brazil, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. de Oliveira is from the Department of Neurosciences and Mental Health and the Institute of Health Sciences, Federal University of Bahia, Salvador, and Sanatório São Paulo, Salvador, Brazil.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Henrique-Araújo
authors.affiliation: Dr. Henrique-Araújo is from the Institute of Health Sciences, Federal University of Bahia, Salvador, and Nova Esperança Medical School, João Pessoa, Brazil; Dr. Osório is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. Ribeiro is from Sanatório São Paulo, Salvador, Brazil; Dr. Monteiro is from Orasi Institute, Porto, Portugal; Dr. Williams is from MedAvante Inc. and is a Professor Emerita at Columbia University, New York, New York, USA; Dr. Kalali is from Quintiles Inc., and the University of California, San Diego, California, USA; Dr. Crippa is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, Brazil, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. de Oliveira is from the Department of Neurosciences and Mental Health and the Institute of Health Sciences, Federal University of Bahia, Salvador, and Sanatório São Paulo, Salvador, Brazil.
authors.forename: Flávia L
authors.initials: FL
authors.lastname: Osório
authors.affiliation: Dr. Henrique-Araújo is from the Institute of Health Sciences, Federal University of Bahia, Salvador, and Nova Esperança Medical School, João Pessoa, Brazil; Dr. Osório is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. Ribeiro is from Sanatório São Paulo, Salvador, Brazil; Dr. Monteiro is from Orasi Institute, Porto, Portugal; Dr. Williams is from MedAvante Inc. and is a Professor Emerita at Columbia University, New York, New York, USA; Dr. Kalali is from Quintiles Inc., and the University of California, San Diego, California, USA; Dr. Crippa is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, Brazil, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. de Oliveira is from the Department of Neurosciences and Mental Health and the Institute of Health Sciences, Federal University of Bahia, Salvador, and Sanatório São Paulo, Salvador, Brazil.
authors.forename: Mônica
authors.initials: M
authors.lastname: Gonçalves Ribeiro
authors.affiliation: Dr. Henrique-Araújo is from the Institute of Health Sciences, Federal University of Bahia, Salvador, and Nova Esperança Medical School, João Pessoa, Brazil; Dr. Osório is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. Ribeiro is from Sanatório São Paulo, Salvador, Brazil; Dr. Monteiro is from Orasi Institute, Porto, Portugal; Dr. Williams is from MedAvante Inc. and is a Professor Emerita at Columbia University, New York, New York, USA; Dr. Kalali is from Quintiles Inc., and the University of California, San Diego, California, USA; Dr. Crippa is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, Brazil, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. de Oliveira is from the Department of Neurosciences and Mental Health and the Institute of Health Sciences, Federal University of Bahia, Salvador, and Sanatório São Paulo, Salvador, Brazil.
authors.forename: Ivandro
authors.initials: I
authors.lastname: Soares Monteiro
authors.affiliation: Dr. Henrique-Araújo is from the Institute of Health Sciences, Federal University of Bahia, Salvador, and Nova Esperança Medical School, João Pessoa, Brazil; Dr. Osório is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. Ribeiro is from Sanatório São Paulo, Salvador, Brazil; Dr. Monteiro is from Orasi Institute, Porto, Portugal; Dr. Williams is from MedAvante Inc. and is a Professor Emerita at Columbia University, New York, New York, USA; Dr. Kalali is from Quintiles Inc., and the University of California, San Diego, California, USA; Dr. Crippa is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, Brazil, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. de Oliveira is from the Department of Neurosciences and Mental Health and the Institute of Health Sciences, Federal University of Bahia, Salvador, and Sanatório São Paulo, Salvador, Brazil.
authors.forename: Janet B W
authors.initials: JB
authors.lastname: Williams
authors.affiliation: Dr. Henrique-Araújo is from the Institute of Health Sciences, Federal University of Bahia, Salvador, and Nova Esperança Medical School, João Pessoa, Brazil; Dr. Osório is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. Ribeiro is from Sanatório São Paulo, Salvador, Brazil; Dr. Monteiro is from Orasi Institute, Porto, Portugal; Dr. Williams is from MedAvante Inc. and is a Professor Emerita at Columbia University, New York, New York, USA; Dr. Kalali is from Quintiles Inc., and the University of California, San Diego, California, USA; Dr. Crippa is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, Brazil, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. de Oliveira is from the Department of Neurosciences and Mental Health and the Institute of Health Sciences, Federal University of Bahia, Salvador, and Sanatório São Paulo, Salvador, Brazil.
authors.forename: Amir
authors.initials: A
authors.lastname: Kalali
authors.affiliation: Dr. Henrique-Araújo is from the Institute of Health Sciences, Federal University of Bahia, Salvador, and Nova Esperança Medical School, João Pessoa, Brazil; Dr. Osório is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. Ribeiro is from Sanatório São Paulo, Salvador, Brazil; Dr. Monteiro is from Orasi Institute, Porto, Portugal; Dr. Williams is from MedAvante Inc. and is a Professor Emerita at Columbia University, New York, New York, USA; Dr. Kalali is from Quintiles Inc., and the University of California, San Diego, California, USA; Dr. Crippa is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, Brazil, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. de Oliveira is from the Department of Neurosciences and Mental Health and the Institute of Health Sciences, Federal University of Bahia, Salvador, and Sanatório São Paulo, Salvador, Brazil.
authors.forename: José
authors.initials: J
authors.lastname: Alexandre Crippa
authors.affiliation: Dr. Henrique-Araújo is from the Institute of Health Sciences, Federal University of Bahia, Salvador, and Nova Esperança Medical School, João Pessoa, Brazil; Dr. Osório is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. Ribeiro is from Sanatório São Paulo, Salvador, Brazil; Dr. Monteiro is from Orasi Institute, Porto, Portugal; Dr. Williams is from MedAvante Inc. and is a Professor Emerita at Columbia University, New York, New York, USA; Dr. Kalali is from Quintiles Inc., and the University of California, San Diego, California, USA; Dr. Crippa is from the Department of Neuroscience and Behavior, State University of São Paulo, Ribeirão Preto, Brazil, and the National Institute of Science and Technology (INCT) for Translational Medicine, Brazil; Dr. de Oliveira is from the Department of Neurosciences and Mental Health and the Institute of Health Sciences, Federal University of Bahia, Salvador, and Sanatório São Paulo, Salvador, Brazil.
authors.forename: Irismar Reis De
authors.initials: IR
authors.lastname: Oliveira
keywords: Depression; GRID Hamilton rating scale for depression (GRID-HAMD); reproducibility of results; transcultural adaptation