<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1981-5271</journal-id>
<journal-title><![CDATA[Revista Brasileira de Educação Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Bras. Educ. Med.]]></abbrev-journal-title>
<issn>1981-5271</issn>
<publisher>
<publisher-name><![CDATA[Associação Brasileira de Educação Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1981-52712023000400217</article-id>
<article-id pub-id-type="doi">10.1590/1981-5271v47.4-2022-0313</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Tradução, adaptação e validação da escala MICA-4 no Brasil com aplicação para acadêmicos de Medicina]]></article-title>
<article-title xml:lang="en"><![CDATA[Translation, adaptation and validation of the MICA-4 scale in Brazil with application for medical students]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Feijó]]></surname>
<given-names><![CDATA[Lorena Pinho]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[Ranna Jorge de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Motta]]></surname>
<given-names><![CDATA[Sarah Gadelha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramalho Filho]]></surname>
<given-names><![CDATA[Mauro Henrique Nascimento]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kubrusly]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Augusto]]></surname>
<given-names><![CDATA[Kristopherson Lustosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Universitário Christus  ]]></institution>
<addr-line><![CDATA[Fortaleza Ceará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Fortaleza  ]]></institution>
<addr-line><![CDATA[Fortaleza Ceará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Federal do Ceará  ]]></institution>
<addr-line><![CDATA[Fortaleza Ceará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>47</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_arttext&amp;pid=S1981-52712023000400217&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_abstract&amp;pid=S1981-52712023000400217&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://educa.fcc.org.br/scielo.php?script=sci_pdf&amp;pid=S1981-52712023000400217&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: As doenças psiquiátricas estão em crescente prevalência nas últimas décadas, sendo também as patologias nas quais mais se observam atitudes estigmatizantes.  Objetivo: Este estudo teve como objetivos traduzir a escala MICA-4 em língua portuguesa com adaptação de forma transcultural para uso no Brasil e verificar a possibilidade de a ferramenta contribuir para avaliações de melhorias na formação médica por meio da aplicação em estudantes de Medicina.  Método:  Foram sete etapas para sua tradução e validação. Além disso, o trabalho consistiu na aplicação do teste em dois momentos em um grupo de 60 estudantes de Medicina que participaram de um rodízio de estágio em um hospital psiquiátrico do Brasil.  Resultado: A validação da escala MICA-4 consistiu nas etapas de tradução, síntese, back-translation, comitê de experts, pré-teste, averiguação textual e aplicação, que foram executadas com sucesso. A escala obteve concordância entre os experts, e não houve dificuldade entre os estudantes durante a aplicação do teste. Na análise dos dados após aplicação do questionário durante os dois momentos, dentre os 16 itens da escala, o item 9 obteve relevância estatística (p &lt; 0,05).  Conclusão:  Este estudo analisou a percepção dos estudantes em relação a situações estigmatizantes, e a maioria das respostas foi condizente com ações menos preconceituosas antes mesmo da experiência do estágio, sendo corroboradas após esse período. As questões que ainda expressaram atitudes estigmatizantes demonstram a necessidade de aprimoramento de ferramentas de ensino que possam diminuir essas atitudes negativas e contribuir para a formação de bons profissionais e, consequentemente, melhor qualidade de atendimento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Psychiatric diseases are increasing in prevalence in recent decades, being also the pathologies in which stigmatizing attitudes are most often observed.  Objective: To translate the MICA-4 scale into Portuguese with cross-cultural adaptation for use in Brazil and to verify the possibility for the contribution of the tool to assess improvements in medical training through its application to medical students.  Method: Seven steps were required for its translation and validation. Moreover, the work consisted of applying the test in two moments to a group of 60 medical students who participated in an internship rotation in a psychiatric hospital in a Brazilian city.  Result: The validation of the MICA-4 scale consisted of the steps of translation, synthesis, back-translation, expert committee, pre-test, textual verification and application, which were successfully performed. The scale achieved an agreement among the experts and there was no difficulty among the students during the test application. In the data analysis after application of the questionnaire during the two moments, of the 16 items of the scale, item 9 obtained statistical relevance (p&lt;0.05).  Conclusion: This study analyzed the students&#8217; perception of stigmatizing situations, and most of the answers were consistent with less prejudiced actions even before the internship experience, being corroborated after this period. The issues that still showed stigmatizing attitudes demonstrate the need to improve teaching tools that can reduce these negative attitudes and contribute to the training of good professionals and, consequently, better quality of care.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Transtornos Mentais]]></kwd>
<kwd lng="pt"><![CDATA[Estudantes de Medicina]]></kwd>
<kwd lng="pt"><![CDATA[Estigma Social]]></kwd>
<kwd lng="en"><![CDATA[Mental Disorders]]></kwd>
<kwd lng="en"><![CDATA[Medical students]]></kwd>
<kwd lng="en"><![CDATA[Social Stigma]]></kwd>
</kwd-group>
</article-meta>
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