{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T05:14:49Z","timestamp":1770354889648,"version":"3.49.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":34,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Fear of falling can be present in the daily lives of patients with Parkinson's disease (PD) due to their predisposition to falls.<\/jats:p>\n                  <jats:p>The main objective of this study was to translate the Fear of Falls Scale (FFS) into Brazilian Portuguese, adapt it cross-culturally, and validate it.<\/jats:p>\n                  <jats:p>A multicenter, cross-sectional study was conducted with PD patients fluent in Brazilian Portuguese, recruited from five research centers in Brazil. Descriptive analysis characterized the sample and compared the data. Cronbach's \u03b1 and McDonald's \u03c9 coefficients were used to assess the internal consistency of the scale.<\/jats:p>\n                  <jats:p>No significant differences were observed between the translated versions T1 and T2. The B1 and B2 versions did not present significant divergences in the back-translation from the original scale. The Movement Disorder Society \u2013 Unified Parkinson Disease Rating Scale (MDS-UPDRS) part III significantly correlated with motor skills (rho\u2009=\u20090.56, 0.43\u20130.67; p \u2264 0.001) and fear of falling (rho\u2009=\u20090.48, 0.34\u20130.60; p \u2264 0.001). Higher stages on the modified Hoehn &amp; Yahr scale were associated with a greater decline in motor skills and a greater fear of falling (p\u2009&lt;\u20090.001). The total internal consistency of balance-related motor skills and fear of falling was considered sufficiently reliable. Cronbach's \u03b1 values were 0.96, 0.91, and 0.90; while McDonald's \u03c9 values were 0.96, 0.92, and 0.91, respectively.<\/jats:p>\n                  <jats:p>The Brazilian version of the FFS proved to be valid and reliable for assessing fear of falling in people with PD.<\/jats:p>","DOI":"10.1055\/s-0045-1815738","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:05:36Z","timestamp":1770249936000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["Brazilian version of the Fear of Falls Scale: translation, cross-cultural adaptation and validation"],"prefix":"10.1055","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0145-0770","authenticated-orcid":false,"given":"Carla Marineli Saraiva do","family":"Amaral","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1, Faculdade de Medicina, Departamento de Medicina Cl\u00ednica, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0504-4072","authenticated-orcid":false,"given":"Andr\u00e9 Borges Ferreira","family":"Gomes","sequence":"additional","affiliation":[{"name":"Hospital Geral de Fortaleza, Servi\u00e7o de Neurologia, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8256-4833","authenticated-orcid":false,"given":"Rafael Barbosa Mokdeci","family":"Surerus","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora, Faculdade de Medicina, Departamento de Cl\u00ednica M\u00e9dica, Juiz de Fora MG, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8615-7799","authenticated-orcid":false,"given":"Pedro Pigozzo Senra","family":"Lacerda","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora, Faculdade de Medicina, Departamento de Cl\u00ednica M\u00e9dica, Juiz de Fora MG, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5583-3235","authenticated-orcid":false,"given":"Vanessa Fernandes de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1, Faculdade de Medicina, Departamento de Medicina Cl\u00ednica, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6630-8743","authenticated-orcid":false,"given":"Stephanie Suzanne de Oliveira","family":"Scott","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1, Faculdade de Medicina, Departamento de Medicina Cl\u00ednica, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6174-1839","authenticated-orcid":false,"given":"Samuel Brito","family":"de Almeida","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1, Faculdade de Medicina, Departamento de Medicina Cl\u00ednica, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6816-0105","authenticated-orcid":false,"given":"Walberto Silva dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1, Centro de Ci\u00eancias Humanas, Departamento de Psicologia, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6145-9868","authenticated-orcid":false,"given":"Thiago Cardoso","family":"Vale","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora, Faculdade de Medicina, Departamento de Cl\u00ednica M\u00e9dica, Juiz de Fora MG, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6548-7268","authenticated-orcid":false,"given":"Fernanda Martins Maia","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1, Centro de Ci\u00eancias Humanas, Departamento de Psicologia, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9186-9243","authenticated-orcid":false,"given":"Pedro","family":"Braga-Neto","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1, Faculdade de Medicina, Departamento de Medicina Cl\u00ednica, Fortaleza CE, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"78","DOI":"10.3389\/fnagi.2018.00078","article-title":"Effect of fear of falling on turning performance in 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Gorenstein","year":"2024"},{"issue":"01","key":"ref13","doi-asserted-by":"publisher","first-page":"99","DOI":"10.24265\/liberabit.2019.v25n1.08","article-title":"Robust Promin: un m\u00e9todo para la rotaci\u00f3n de factores de diagonal ponderada","volume":"25","author":"U Lorenzo-Seva","year":"2019","journal-title":"Liberabit"},{"issue":"01","key":"ref14","doi-asserted-by":"publisher","first-page":"5","DOI":"10.7275\/dsep-4220","article-title":"Improving your exploratory factor analysis for ordinal data: a demonstration using FACTOR","volume":"19","author":"J Baglin","year":"2014","journal-title":"Pract Assess, Res, Eval"},{"issue":"01","key":"ref15","doi-asserted-by":"publisher","first-page":"409","DOI":"10.3758\/s13428-018-1055-2","article-title":"RMSEA, CFI, and TLI in structural equation modeling with ordered categorical data: The story they tell depends on the estimation methods","volume":"51","author":"Y Xia","year":"2019","journal-title":"Behav Res 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