{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:11:23Z","timestamp":1760145083308,"version":"build-2065373602"},"reference-count":70,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>On 25 May 2023, the Portuguese parliament approved the decriminalisation of euthanasia for incurable illnesses. As the experiences of other countries show us, it will be a matter of time before mental disorders are addressed. Studying the phenomenon, particularly in vulnerable groups, in advance is essential for proper law drafting. Therefore, instruments that allow an objective assessment and comparison between groups must be available. This study aims to explore the validation of Faria\u2019s attitude about euthanasia scale in Portuguese older adults with mixed anxiety\u2013depressive disorder. A sample of 114 older adults with mixed anxiety\u2013depressive disorder collected by convenience in the Psychiatry Department of Senhora da Oliveira Hospital in Portugal was included. The pre-final version of the scale was tested in a small group with good results. The validity of the internal structure was analysed using exploratory factorial analysis. The internal consistency study verified reliability. For construct validity, we assessed the correlation with other validated scales measuring attitudes toward euthanasia, cognitive performance, personality and empathy. The attitude about euthanasia scale showed good internal consistency. One factor was retained in the principal component analysis. Significant correlations verified construct validity. The results support the scale\u2019s usefulness and validity. This study makes available a unique instrument to assess the overall tendency of the attitudes towards euthanasia from the European-Portuguese perspective, which can be used, for example, to compare Portuguese with Brazilian older adults suffering from the same disorder. Furthermore, the adapted scale paves the way for other cross-cultural translations, adaptations, validations, and comparative analyses.<\/jats:p>","DOI":"10.3390\/healthcare12121221","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T04:21:28Z","timestamp":1718770888000},"page":"1221","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cross-Cultural Adaptation and Validation of an Attitude about Euthanasia Scale in Portuguese Older Adults with Mixed Anxiety\u2013Depressive Disorder"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6984-0612","authenticated-orcid":false,"given":"Lu\u00eds","family":"Fonseca","sequence":"first","affiliation":[{"name":"Bioethics Department, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"},{"name":"Psychogeriatrics Unity, Psychiatry Department, Senhora da Oliveira Hospital, 4835-044 Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1312-0154","authenticated-orcid":false,"given":"Lu\u00edsa","family":"Castro","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Information and Health Decisions Sciences, MEDICIS, Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal"},{"name":"Centre for Health Technology and Services Research (CINTESIS@RISE), Faculty of Medicine, University of Porto, 4200-450 Porto, Portugal"}]},{"given":"Andreia","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Psychogeriatrics Unity, Psychiatry Department, Senhora da Oliveira Hospital, 4835-044 Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6813-6789","authenticated-orcid":false,"given":"Francesco","family":"Monteleone","sequence":"additional","affiliation":[{"name":"Psychogeriatrics Unity, Psychiatry Department, Senhora da Oliveira Hospital, 4835-044 Guimar\u00e3es, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8590-9832","authenticated-orcid":false,"given":"Guilhermina","family":"R\u00eago","sequence":"additional","affiliation":[{"name":"Bioethics Department, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1377-9899","authenticated-orcid":false,"given":"Rui","family":"Nunes","sequence":"additional","affiliation":[{"name":"Bioethics Department, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"h4481","DOI":"10.1136\/bmj.h4481","article-title":"Assisted dying: Law and practice around the world","volume":"351","author":"Dyer","year":"2015","journal-title":"BMJ"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1097\/MLR.0b013e3182a0f427","article-title":"Euthanasia and assisted suicide in selected European countries and US states","volume":"51","author":"Steck","year":"2013","journal-title":"Med. 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