title: The Affective and Emotional Composite Temperament Scale (AFECTS): Psychometric properties of the Spanish version in a community sample from Mexico City and comparison between remitted psychiatric patients.
abstract: BACKGROUND
  AFECTS is a novel psychometric instrument that provides an integrated framework based on affective temperamental traits and their trait dimensions. It has the potential to be used in clinical and research fields to study psychopathology and mental health. It is now necessary to field-test this instrument with diverse populations and psychopathological entities.
  
  
  OBJECTIVE
  The primary aim was to test the construct validity and the internal consistency of the Spanish Version of the AFECTS instrument on Mexican subjects. AFECTS characteristics were then compared between general population and stable psychiatric patients.
  
  
  METHODS
  A cross-sectional design involving 350 subjects from the general population in México City and 91 stable patients with a bipolar disorder (BPD, n=20), major depressive disorder (MDD, n=35), or with a schizophrenia (n=36) diagnosis.
  
  
  RESULTS
  A six-factor structure in trait dimensions, explaining 61.4% of the variance, with a Cronbach׳s alpha of 0.93 was found. Euthymic (23%) and hyperthymic (12%) affective temperaments were the most frequent, while dysphoric (3%) and apathetic (3%) were the least. Trait dimension differences were found in Volition, Sensitivity, and the Instability Index between the groups, particularly those with a bipolar disorder.
  
  
  CONCLUSIONS
  Use of a self report instrument, and a small sample not representative of the Mexican population or patients with psychiatric conditions.
  
  
  CONCLUSIONS
  The Spanish Version of the AFECTS instrument has adequate psychometric properties. This version of AFECTS will allow the use of this instrument among Spanish speaking populations and contribute to the continued research efforts on integrative models such as AFECT.
authors.affiliation: Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México, Circuito Exterior S/N, Edificio F, Facultad de Medicina-UNAM. Ciudad Universitaria, 04510 Mexico, DF, Mexico; Clínica de Trastornos Afectivos, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico. Electronic address: franciscoromo@yahoo.com.
authors.forename: Francisco
authors.initials: F
authors.lastname: Romo-Nava
authors.affiliation: Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico.
authors.forename: Ana
authors.initials: A
authors.lastname: Fresán-Orellana
authors.affiliation: Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México, Circuito Exterior S/N, Edificio F, Facultad de Medicina-UNAM. Ciudad Universitaria, 04510 Mexico, DF, Mexico.
authors.forename: Virginia
authors.initials: V
authors.lastname: Barragán
authors.affiliation: Clínica de Esquizofrenia, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico; Subdirección de Servicios Clínicos, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Saracco-Álvarez
authors.affiliation: Clínica de Trastornos Afectivos, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico; Subdirección de Servicios Clínicos, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico.
authors.forename: Claudia
authors.initials: C
authors.lastname: Becerra-Palars
authors.affiliation: Servicios de Atención Psiquiátrica, Secretaría de Salud, Mexico, DF Mexico; Universidad Panamericana. Facultad de Ciencias de la Salud, Mexico, DF Mexico.
authors.forename: Yanik
authors.initials: Y
authors.lastname: Osorio
authors.affiliation: Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría "Dr. Ramón de la Fuente", Mexico, DF Mexico.
authors.forename: Emrys
authors.initials: E
authors.lastname: Pérez
authors.affiliation: Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México, Circuito Exterior S/N, Edificio F, Facultad de Medicina-UNAM. Ciudad Universitaria, 04510 Mexico, DF, Mexico.
authors.forename: Gerhard
authors.initials: G
authors.lastname: Heinze
authors.affiliation: Programa de Pós-Graduação da Faculdade de Medicina e Ciências da Saúde da Pontifícia Universidade Católica do Rio Grande do Sul, Brazil.
authors.forename: Diogo R
authors.initials: DR
authors.lastname: Lara
mesh_terms: D000328:Adult; D000368:Aged; D001714:Bipolar Disorder / Q000523:psychology*; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D010551:Personality; D011594:Psychometrics; D011795:Surveys and Questionnaires / Q000592:standards*; D013694:Temperament
keywords: AFECT scale; Affective temperament; Bipolar disorder; Depression; Schizophrenia