Evidence map›Paper›PMID 40617235›Full record

ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2025

Translation and cross-cultural validation of the Flourishing and Secure Flourishing Indexes into Brazilian Portuguese.

Juliane Piasseschi de Bernardin Gonçalves, Marianna de Abreu Costa, Neusa Sica Da Rocha, Gisele Manfro, Willyane de Andrade Alvarenga, Alexander Moreira-Almeida, Bruno Mosqueiro Paz, Marcelo Pio de Almeida Fleck, Giancarlo Lucchetti, Homero Vallada

Abstract readValidation Study
In one paragraph

Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Juliane Piasseschi de Bernardin GonçalvesPrograma de Saúde, Espiritualidade e Religiosidade, Departamento de Psiquiatria, Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Marianna de Abreu CostaNúcleo de Pesquisa em Espiritualidade e Saúde, Faculdade de Medicina, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brazil.
Neusa Sica Da RochaUniversidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. Centro de Pesquisa Clínica e Centro de Pesquisa Experimental, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
Gisele ManfroPrograma de Pós-Graduação em Psiquiatria e Ciências do Comportamento, HCPA, Faculdade de Medicina, UFRGS, Porto Alegre, RS, Brazil.
Willyane de Andrade AlvarengaCentro Universitá rio Santo Agostinho, Teresina, PI, Brasil.
Alexander Moreira-AlmeidaNúcleo de Pesquisa em Espiritualidade e Saúde, Faculdade de Medicina, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brazil.
Bruno Mosqueiro PazUniversidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil. HCPA, Porto Alegre, RS, Brazil.
Marcelo Pio de Almeida FleckPrograma de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Departamento de Psiquiatria, UFRGS, Porto Alegre, RS, Brazil. Departamento de Psiquiatria, HCPA, UFRGS, Porto Alegre, RS, Brazil.
Giancarlo LucchettiDepartamento de Medicina, Faculdade de Medicina, UFJF, Juiz de Fora, MG, Brazil.
Homero ValladaPrograma de Saúde, Espiritualidade e Religiosidade, Departamento de Psiquiatria, Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2022/05018-4John Templeton Foundation 61302
6 · The paper itself

Abstract

objectiveFlourishing, a holistic concept encompassing multiple domains of well-being, has gained significant interest in recent years. However, validated tools for measuring flourishing, mainly using VanderWeele's framework, remain unavailable for Brazilian Portuguese-speaking populations. This article describes the translation into Brazilian Portuguese, cross-cultural adaptation, and validation of the resulting versions of the Flourishing Index (FI) and Secure Flourishing Index (SFI).

methodsThe instruments were translated and adapted following international guidelines for cross-cultural adaptation of self-report measures. In Study 1, psychometric properties were examined using exploratory factor analysis (EFA) in a general-population sample (n=359). Construct validity was assessed by correlating FI/SFI scores with quality of life, depression, anxiety, and posttraumatic growth. In Study 2, confirmatory factor analysis (CFA) was conducted in a sample of individuals with moderate depressive symptoms (n=252) to confirm the factor structure. Reliability and validity were evaluated in both samples.

resultsEFA identified a five-factor structure for the FI and a six-factor structure for the SFI, consistent with prior studies. Cronbach's alpha ranged from 0.60 to 0.86, supporting internal consistency. CFA confirmed the multidimensional structures with appropriate fit indices (root-mean-square error of approximation [RMSEA] < 0.08, standardized root-mean-square residual [SRMR] < 0.08). Construct validity analyses demonstrated significant correlations between FI/SFI and mental health, quality of life, and posttraumatic growth.

conclusionThe Brazilian Portuguese versions of the FI and SFI demonstrated appropriate psychometric properties, enabling comprehensive assessments of flourishing in diverse contexts. These validated tools can now be used to support flourishing research and intervention evaluation in Brazil.

Indexed as

Quality of LifeTranslationsAdolescentAdultAgedAnxietyBrazilCross-Cultural ComparisonDepressionFactor Analysis, StatisticalFemaleHumansLanguageMaleMiddle AgedPsychometricsFlourish indexpsychometric propertiesvalidationwell-being

Identifiers

PMID40617235
PMCPMC12815384

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.