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The Brazilian version of CAS is still in the early stages of validation, but demonstrated good psychometric properties and equivalence to the original instrument.
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OBJECTIVES: Culturally adapt and validate the Caregiving Ambivalence Scale (CAS) for Brazil. METHODS: Two independent translations and back-translations were conducted. Conceptual, cultural, and idiomatic equivalence were evaluated (Fleiss' Kappa = 1.0). The Brazilian CAS, a sociodemographic questionnaire, the Depression Anxiety and Stress Scale -21 were administered online to 111 family caregivers of people with Alzheimer's across Brazil. RESULTS: = .430; CFI = 0.999; TLI = 1.000; RMSEA = 0.000). The CAS was significantly associated with depression (β = 0.589), stress (β = 0.653), and anxiety (β = 0.455) when controlling for sociodemographic variables. CONCLUSIONS: The Brazilian version of CAS is still in the early stages of validation, but demonstrated good psychometric properties and equivalence to the original instrument. CLINICAL IMPLICATIONS: The Brazilian version of CAS has the potential to support interventions to promote caregivers' mental health.
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@article{Ferreira2026Cultural,
title = {Cultural Adaptation and Psychometric Properties of the Caregiving Ambivalence Scale for Brazilian Family Caregivers},
author = {Heloísa Gonçalves Ferreira and Andrés Losada-Baltar and María Márquez-González and Deusivânia Vieira da Silva Falcão and Itamara Kelly Cavalcante da Silva and Jeanne dos Santos Oliveira Marques Dantas},
journal = {Clinical Gerontologist},
year = {2026},
doi = {10.1080/07317115.2026.2689613},
url = {https://doi.org/10.1080/07317115.2026.2689613}
}
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