Browsing by Author "Campos, Lucas Arrais"
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- Early psychological impact of the COVID-19 pandemic in Brazil: A sational surveyPublication . Alvares Duarte Bonini Campos, Juliana; Martins, Bianca Gonzalez; Campos, Lucas Arrais; Marôco, João; Saadiq, Rayya Ahmed; Ruano, RodrigoIsolation measures used to contain epidemics generate social interaction restrictions and impose changes in routines of the public that increase negative psychological outcomes. Anxiety and depression are the most common symptoms.
- Mental health in times of pandemic from the perspective of professors and studentsPublication . Campos, Juliana Alvares Duarte Bonini; Campos, Lucas Arrais; Ramos De Azevedo, Maria Antonia; Martins, Bianca Gonzalez; Silva, Bianca Núbia Souza; Marôco, J. P.Introduction: The COVID-19 pandemic brought profound societal changes and disruptions, including in the education system, which underwent swift modifications. It presented unique challenges for both professors and students, contributing to an increase in the prevalence of mental health-related symptoms. Objective: To determine the prevalence of mental health disorders symptoms, coping strategies, and concerns among students (≥18 years) and professors at different times during the COVID-19 pandemic. Methods: This was an online cross-sectional study (Student: N = 6,609; Phase 1 = 3,325; Phase 2 = 1,402; Phase 3 = 1,882; Professor: N = 9,096; Phase 1 = 3,924; Phase 2 = 2,223; Phase 3 = 2,949). Depression, Anxiety, and Stress Scale (DASS-21), Impact of Event Scale-revised (IES-R), and BriefCOPE inventory were used. The probability of presenting the symptoms was calculated by multiple logistic regression and odds ratio (OR). Results: The prevalence of depression, anxiety, stress, and distress symptoms among students and professors was high (≥59.5% and ≥ 33.5%, respectively). Students, women, and those diagnosed with a mental disorder were more likely to have symptoms or distress. In the face of the pandemic, professors used more adaptive coping strategies than students. Health was the focus of professors’ concerns, while for students, future and labor market uncertainty were concerns derived from the health core. Conclusion: The results point to the need to strengthen psychosocial support for both professors and students.
- Pain catastrophizing: rumination is a discriminating factor among individuals with different pain characteristicPublication . Bonafé, Fernanda Salloumé Sampaio; Campos, Lucas Arrais; Maroco, J. P.; Alvares Duarte Bonini Campos, JulianaThe objective of this study was to compare the scores of the Helplessness, Magnification, Rumination, and Catastrophizing factors of the Pain Catastrophizing Scale (PCS) between samples with different pain characteristics. The psychometric properties of the PCS were evaluated in 1,151 Brazilian adults (78.9% female; 38.6 (SD = 10.8) years): 335 had no pain, 390 had been in pain for less than 3 months, 250 had been in recurring pain for more than 3 months, and 176 had been in continuous pain for more than 3 months. Confirmatory factor analysis (CFA) was conducted to verify the fit of the PCS models. Convergent validity and reliability were evaluated. Multi-group analysis was used to estimate the invariance of the factorial model. The global score for the PCS factors was obtained using the regression weight matrix for estimating factor scores from CFA. Analysis of variance was used to compare scores between samples. After excluding three items, the tri-factorial model showed adequate fit. The model parameters were invariant (Δχ2(λ,i,β,Res); p≥0.05). Individuals experiencing pain showed higher scores for catastrophic thoughts. Individuals with pain for less than 3 months had the highest scores for Rumination (p < 0.001). The PCS showed valid, reliable, and invariant results for the sample of Brazilian adults in no pain or with different pain conditions. The PCS adequately discriminated individuals in pain from those without pain. Among those in pain, Rumination was the only discriminating factor.
- Pain perception in orthodontic patients: A model considering psychosocial and behavioural aspectsPublication . Campos, Lucas Arrais; Pinto, Ary Santos; Maroco, J. P.; Alvares Duarte Bonini Campos, JulianaObjectives: To estimate the agreement between orthodontic pain perception, evaluated with the visual analog scale (VAS), and psychosocial and behavioural aspects of pain and to estimate the impact of clinical and demographic characteristics on these aspects. Design: Cross‐sectional design using non‐probabilistic sampling. Setting and Sample Population: Orthodontic patients undergoing treatment at orthodontic clinics (n = 507 [63.3% women], mean age: 26.32 [SD = 11.70] years). Materials and Methods: Psychosocial and behavioural aspects of pain were evaluated using the Multidimensional Pain Inventory (MPI‐Orthodontic). Agreement between the pain impact level assessed according to different methods was estimated using the linear‐weighted Kappa (κp) statistic. Structural models were elaborated to estimate the impact of clinical and demographic characteristics on the psychosocial and behavioural aspects of pain. The fit of the model was evaluated, and the z test (α = 5%) was used to estimate the significance of the impact (β). Results: The agreement between VAS and MPI‐Orthodontic factors was inadequate (κp = 0.028‐0.584). The fit of the structural models was adequate. Women, younger individuals, and those who reported difficulty/pain with feeding exhibited greater perception of both the psychosocial and behavioural aspects. Individuals in lower socioeconomic strata who were not satisfied with treatment and did not seek treatment voluntarily exhibited greater perception of the psychosocial aspect of pain. Conclusions: The impact of orthodontic pain on psychosocial and behavioural aspects of patients’ lives is a relevant issue. Clinical and demographic characteristics contributed to these aspects; however, pain intensity as a sole measure may be insufficient for an adequate understanding of pain perception.
- Psychosocial impact of dental aesthetics on dental patientsPublication . Campos, Lucas Arrais; Costa, Mariana Andrade; Bonafé, Fernanda Saullome Sampaio; Maroco, J. P.; Alvares Duarte Bonini Campos, JulianaObjective: This study aimed to evaluate the contribution of demographic and clinical characteristics on the psychosocial impact of dental aesthetics of dental patients. Methods: The psychosocial impact of dental aesthetics was assessed by the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Data validity was estimated using confirmatory factor analysis (CFA). Reliability was assessed using standardised Cronbach’s alpha coefficient (a). A structural model was developed to assess the contribution of demographic and clinical characteristics to the results. The fit of the model was evaluated and the z test (a = 5%) was used to estimate the significance of the contributions (b). Results: A total of 505 dental patients (80% female; age: 36.3, SD = 11.4) participated in the study. Data showed adequate validity (CFA: v2/ df = 3.3, Tucker–Lewis index [TLI] = 0.92, comparative fit index [CFI] = 0.92 and root mean square error of approximation [RMSEA] = 0.07) and reliability (a = 0.77–0.92). The fit of the structural model was adequate (v2/df = 2.8, TLI = 0.89, CFI = 0.91, RMSEA = 0.06). People of a lower economic level, with incomplete dentition, who did not undergo previous aesthetic dental treatment, and who did not like their own smile showed greater psychosocial impact of dental aesthetics. Conclusions: Demographic and clinical characteristics should be considered in the evaluation of the impact of dental aesthetics on individuals’. Moreover, PIDAQ is an alternative tool for clinical evaluation of the psychosocial impact of dental aesthetics because it provides valid and reliable data.
- Subjective wellbeing of preschool childrenPublication . Silva, Bianca Núbia Souza; Martins, Bianca Gonzalez; Campos, Lucas Arrais; Maroco, J. P.; Alvares Duarte Bonini Campos, JulianaObjective: The aim of the present study was to evaluate the psychometric properties of the Autoquestionnaire Qualité de Vie Enfant Imagé (AUQEI) in pre-school children and estimate the influence of demographic characteristics on their subjective wellbeing. Methods: Construct validity was estimated using confirmatory analysis and the chi-square per degrees of freedom ratio (χ 2 /df), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA). Reliability was assessed by the ordinal alpha (α) and omega (ω) coe cients and the factorial invariance by the dierence in CFI (1CFI). Mean scores for each AUQEI item and the general score were calculated. Results: A total of 443 Preschool children enrolled in public education institutions participated. The original 4-factor AUQEI model showed collinearity between factors and a high correlation between two items. A single factor model was tested, presenting adequate fit to the data (χ 2 /df = 4.47; CFI = 0.98; TLI = 0.98; RMSEA = 0.08; α = 0.98; ω = 0.93; UniCo > 0.95, EVC > 0.85, and MIREAL < 0.30) and strict model invariance (1CFI < 0.01). The AUQEI model proved to be valid in relation to the external variables. Most children (76.7%) had positive subjective wellbeing. Higher scores were observed for items concerning recreation, holidays, and birthdays, and lower scores for those referring to hospitalization, medication, medical consultation, and being away from the family. The relationship between the demographic characteristics of the child or his/her mother and subjective wellbeing was not significant (p > 0.05). Conclusions: The assessment of subjective wellbeing with the single-factor AUQEI model provided valid, reliable, and invariant. Thus, being a relevant and interesting instrument to assess wellbeing in young children.
- Symptoms related to mental disorder in healthcare workers during the COVID-19 pandemic in BrazilPublication . Campos, Juliana Alvares Duarte Bonini; Martins, Bianca Gonzalez; Campos, Lucas Arrais; de Fátima Valadão-Dias, Filomena; Marôco, JoãoBackground Studies of previous pandemics indicate that healthcare workers have a high risk of developing symptoms related to mental health, especially depression, anxiety, and stress. Objective To identify mental disorder symptoms among Brazilian healthcare workers during the Sars-Cov-2 pandemic and compare findings in different work categories. Methods This was an online cross-sectional study. Information related to the pandemic and mental disorder symptoms was collected. The Depression, Anxiety, and Stress Scale and the Impact of Event Scale-revised were used. Associations were estimated by the chi-square test. The mean scores were compared among work categories with ANOVA (α = 5%) and the prevalence of symptoms was estimated. Results 1,609 healthcare workers participated in the survey [mean age: 36.9 (SD = 11.6) years, women = 83.6%]. There was no association between work category and changes in mental health during the pandemic (p = 0.288) or prevalence of unsafe feeling (p = 0.218). A significant relationship was observed between maintaining work activities during the pandemic and work category (p < 0.001). Physicians had the lowest out-of-work prevalence (9.5%) while dentists had the highest (32.3%). Physicians and nurses showed the highest prevalence of in-person work routine. Psychologists presented the highest prevalence of remote work (64.0%) while dentists had the lowest (20.2%). A high prevalence of depression (D), anxiety (A), and stress (S) symptoms was observed in all professional categories (D: 57.2, 95% CI 48.3–66.1%; A: 46.20%, 95% CI = 37.2–55.2%; S: 55.80%, 95% CI = 46.8–64.8%), with physicians (D = 38.4%, A = 25.80%, S = 37.90%), psychologists (D = 50.2%, A = 39.0%, S = 43.1%), and nurses (D = 50.0%, A = 40.9%, S = 49.0%) having significantly lower scores. Psychologists had the lowest pandemic-related psychological impact (42.70%, 95% CI 36.8–48.6%). Conclusion Extreme changes in the work routine of dentists and psychologists and an overall high prevalence of mental symptoms due to the pandemic were found. Researchers should focus on gathering information that can identify workers at increased risk of mental illness to guide discussions and develop actions to minimize the harm of the pandemic. In addition, we suggest that healthcare and support systems urgently adopt mental health care measures with specialized professionals to protect the psychological well-being of the healthcare community.