Percorrer por autor "Karekla, Maria"
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- Best practices and recommendations for digital interventions to improve engagement and adherence in chronic illness sufferersPublication . Karekla, Maria; Kasinopoulos, Orestis; Neto, David Dias; Ebert, David Daniel; Van Daele, Tom; Nordgreen, Tine; Höfer, Stefan; Oeverland, Svein; Jensen, Kit LisbethSupervision is a cross-disciplinary practice among various professional groups. This study focuses on clinical supervision as a practice linked to psychology and psychotherapy. The literature highlights the need to expand and consolidate knowledge in this area. Specifically, in the few existing approaches to research on existential supervision, the need for the systematization of knowledge is clear. The use of qualitative methods is recognized as an approach that is likely to enrich knowledge of supervision. Objective: The aim of this study was to explore the theme of clinical supervision, particularly as it relates to existential psychotherapy, from the supervisor’s perspective to assess insights from the experience of each participant. Method: The three participants are both existential psychotherapists and supervisors that apply the same approach, in group mode, in the context of psychotherapist training. The data were collected using phenomenological interviews. A comprehensive analysis of the transcripts of the interviews was performed using the phenomenological method. Results: Emerging themes presented a general meaning structure that represents eidetic dimensions and how they are related. The eidetic dimensions, relationship and responsiveness, arise in the existential approach as the foundational and promotional aspects of successful supervision.
- Corrigendum: Illness perceptions of COVID-19 in Europe: Predictors, impacts and temporal evolutionPublication . Dias Neto, David; Nunes da Silva, Ana; Roberto, M. S.; Ļubenko, Jeļena; Constantinou, Marios; Nicolaou, Christiana; Lamnisos, Demetris; Papacostas, Savvas; Höfer, Stefan; Presti, Giovambattista; Squatrito, Valeria; S. Vasiliou, Vasilis; Anita McHugh, Louise; Monestès, Jean-Louis; Baban, Adriana; Alvarez-Galvez, Javier; PAEZ BLARRINA, MARISA; Montesinos, Francisco; Valdivia Salas, María Sonsoles; Dorottya, Őri; Lappalainen, Raimo; Kleszcz, Bartosz; Gloster, Andrew; Karekla, Maria; P. Kassianos, Angelos
- Current state of the art and implications for clinical practice of internet- and mobile-based psychological interventionsPublication . Salgado, João; Gomes, Marta; Csabai, Márta; Daele, Tom Van; Doyle, Frank; Eimontas, Jonas; Elster, Rikke Nørgaard; Gosar, David; Haddouk, Lise; Karekla, Maria; Dias Neto, David Manuel; Stankovic, SandaAbstract: In 2018, the European Federation of Psychologists’ Associations (EFPA) published a report summarising the evidence on Internet- and mobile-based psychological interventions (IMIs) for the prevention and treatment of mental health disorders. Given the rapid developments in this field, an updated narrative review was conducted to provide a broad overview of the literature addressing multiple perspectives on the use of IMIs. The review outlines the definition, types, purposes, and current evidence of IMIs; examines the emerging role of AI; and discusses practical considerations, including limitations and challenges (e.g., adverse effects, legal and ethical issues), implementation barriers, inequalities and inclusion, and their current use in routine care. Results across these domains paint a nuanced picture, summarising the potential as well as the pitfalls of IMIs. In the discussion, key conclusions emerge: IMIs that include therapist guidance tend to achieve higher adherence and more reliable clinical outcomes, while matching support to users’ needs is crucial for scalability. Tailoring content and sustaining engagement are critical determinants of success. Effective implementation of IMIs requires careful attention to ethical concerns and thoughtful integration of AI. Practical barriers, such as limited access and the digital divide, must also be addressed to ensure these interventions are adopted fairly and equitably. Overcoming these challenges will require continued cooperation among researchers, clinicians, users, policymakers, and IT stakeholders.
- Illness perceptions of COVID-19 in Europe: Predictors, impacts and temporal evolutionPublication . Neto, David Dias; Silva, Ana Nunes Da; Roberto, M. S.; Ļubenko, Jeļena; Constantinou, Marios; Nicolaou, Christiana; Lamnisos, Demetris; Papacostas, Savvas; Höfer, Stefan; Presti, Giovambattista; Squatrito, Valeria; S. Vasiliou, Vasilis; Anita McHugh, Louise; Monestes, Jean-Louis; Baban, Adriana; Alvarez-Galvez, Javier; Paez Blarrina, Marisa; Montesinos, Francisco; Valdivia Salas, María Sonsoles; Dorottya, Őri; Lappalainen, Raimo; Kleszcz, Bartosz; Gloster, Andrew; Karekla, Maria; Kassianos, Angelos P.Objective: Illness perceptions (IP) are important predictors of emotional and behavioral responses in many diseases. The current study aims to investigate the COVID-19-related IP throughout Europe. The specific goals are to understand the temporal development, identify predictors (within demographics and contact with COVID-19) and examine the impacts of IP on perceived stress and preventive behaviors. Methods: This was a time-series-cross-section study of 7,032 participants from 16 European countries using multilevel modeling from April to June 2020. IP were measured with the Brief Illness Perception Questionnaire. Temporal patterns were observed considering the date of participation and the date recoded to account the epidemiological evolution of each country. The outcomes considered were perceived stress and COVID-19 preventive behaviors. Results: There were significant trends, over time, for several IP, suggesting a small decrease in negativity in the perception of COVID-19 in the community. Age, gender, and education level related to some, but not all, IP. Considering the self-regulation model, perceptions consistently predicted general stress and were less consistently related to Dias Neto et al. Illness Perceptions of COVID-19 preventive behaviors. Country showed no effect in the predictive model, suggesting that national differences may have little relevance for IP, in this context. Conclusion: The present study provides a comprehensive picture of COVID-19 IP in Europe in an early stage of the pandemic. The results shed light on the process of IP formation with implications for health-related outcomes and their evolution.
- Impact of COVID-19 pandemic on mental health: An international studyPublication . Gloster, Andrew T.; Lamnisos, Demetris; Lubenko, Jelena; Presti, Giovambattista; Squatrito, Valeria; Constantinou, Marios; Nicolaou, Christiana; Papacostas, Savvas; Aydın, Gökçen; Chong, Yuen Yu; Chien, Wai Tong; Cheng, Ho Yu; Ruiz, Francisco J.; Garcia-Martin, Maria B.; Obando-Posada, Diana P.; Segura-Vargas, Miguel A.; Vasiliou, Vasilis S.; McHugh, Louise Anita; Höfer, Stefan; Baban, Adriana; Dias Neto, David; Silva, Ana Nunes da; Monestes, Jean-Louis; Alvarez-Galvez, Javier; Paez Blarrina, Mariza; Montesinos, Francisco; Valdivia-Salas, Sonsoles; Ori, Dorottya; Kleszcz, Bartosz; Lappalainen, Raimo; Ivanović, Iva; Gosar, David; Dionne, Frederick; Merwin, Rhonda M.; Kassianos, Angelos P.; Karekla, MariaThe COVID-19 pandemic triggered vast governmental lockdowns. The impact of these lockdowns on mental health is inadequately understood. On the one hand such drastic changes in daily routines could be detrimental to mental health. On the other hand, it might not be experienced negatively, especially because the entire population was affected.
- Mental health status of healthcare workers during the COVID-19 outbreakPublication . Nicolaou, Christiana; Menikou, Joanna; Lamnisos, Demetris; Ļubenko, Jeļena; Presti, Giovambattista; Squatrito, Valeria; Constantinou, Marios; Papacostas, Savvas; Aydın, Gokcen; Chong, Yuen Yu; Chien, Wai Tong; Cheng, Ho Yu; Ruiz, Francisco J.; Segura-Vargas, Miguel A.; Garcia-Martin, Maria B.; Obando-Posada, Diana P.; Vasiliou, Vasilis S.; McHugh, Louise; Höfer, Stefan; Baban, Adriana; Neto, David Dias; Silva, Ana Nunes Da; Monestès, Jean-Louis; Alvarez-Galvez, Javier; Paez-Blarrina, Marisa; Montesinos, Francisco; Valdivia Salas, María Sonsoles; Ori, Dorottya; Kleszcz, Bartosz; Lappalainen, Raimo; Ivanović, Iva; Gosar, David; Dionne, Frederick; Merwin, Rhonda M.; Kassianos, Angelos P.; Karekla, Maria; Gloster, Andrew T.Introduction: The COVID-19 pandemic has impacted individuals, communities, and whole populations. Experts across many different fields contributed their time and efforts in different ways to respond to the pandemic. Psychologists working in healthcare provided support and led many initiatives, both regionally and nationally. However, it is unknown how this has differed across Europe and its full range of activities and contributions. Aim: The current study is a survey of European member associations of EFPA, carried out to understand the current contributions and the impact those psychology contributions have had on the COVID-19 pandemic response, to share lessons learned, and to propose a roadmap for the future. Results: Overall, our study highlights how psychological expertise was integrated into many countries’ policy/decision-making, action-planning, caregiving, and the promotion of health and well-being to health professionals and the general public. Even in places where psychologists were not directly integrated into governmental systems, they played an important role in responding to this pandemic by providing their services and empirical knowledge. Discussion: Many psychologists possess the skills and tools to adapt their practice to the digital provision of services and to provide a continuity of care during the pandemic. Research carried out by psychologists has contributed important and new knowledge on pandemic effects, consequences, and interventions; yet, more research financial support is needed. We make recommendations for augmenting psychologists’ contributions in the future. In a global health crisis, where the main possible treatment is a preventive approach concentrated on sustainable behavior change, psychologists should be included every step of the way – they can make a difference.
- Models of care and associated targeted implementation strategies for cancer survivorship support in Europe: A scoping review protocolPublication . Prue, Gillian; Czamanski-Cohen, Johanna; Kassianos, Angelos P; Pilleron, Sophie; Ladas, Aristea; Can, Aysun Akcakaya; Roldán-Jiménez, Cristina; Csaba Laszlo; Degi, Gökçe Işcan; Arslan, Sevban; Boer, Angela G E M de; Celebic, Aleksandar; Doñate-Martínez, Ascensión; Alhambra-Borrás, Tamara; Mitrevski, Boce; Marzorati, Chiara; Pravettoni, Gabriella; Grasso, Roberto; Nazik, Evsen; Pawlowska, Ewa; Mucalo, Iva; Patrick, John; Tripkovic, Katica; Vojvodic, Katarina; Karekla, Maria; Moschofidou, Maria; Bayram, Sule Biyik; Brandão, Tânia; Arndt, Volker; Jaswal, Poonam Jaswal; Semerci, Remziye Semerci; Bozkul, Gamze; Sahin, Eda; Toygar, Ismail; Frountzas, Maximos; Martins, Rui Miguel; Jefford, Michael; Keane, Danielle; Hegarty, JosephineIntroductionCancer and its treatments can lead to a wide range of side-effects that can persist long after treatments have ended. Across Europe, survivorship care is traditionally hospital-based specialist-led follow-up, leading to gaps in supportive care. Improved screening, diagnosis and treatment increase survival rates. With more individuals living with, through and beyond cancer, the predominance of the hospital-based specialist model is unsustainable, costly and resource-intensive. An understanding of what alternative Models of Care are available and the barriers and facilitators to their implementation is a first step towards enhancing supportive care across the cancer journey. The aim of this scoping review is to source and synthesise information from studies evaluating patient-oriented models of cancer survivorship supportive care for adults in Europe.Methods and analysisThe scoping review will be reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses—Scoping Review Extension guidelines and will be guided by a six-stage methodological framework. A search strategy has been developed according to the Population, Concept and Context structure and will be applied to seven databases. A targeted search of grey literature will be completed. All identified records will be screened using predefined eligibility criteria by at least two researchers and undergo full-text review for inclusion. Data pertaining to the conceptualisation, evaluation and implementation of sourced Models of Care will be extracted.Ethics and disseminationAs there is no primary data, ethical approval is not required. This review will be conducted as part of the EU COST Action CA21152—Implementation Network Europe for Cancer Survivorship Care. The protocol and subsequent scoping review will be published in a peer-reviewed journal. The Action involves representatives from most countries across Europe which will assist with the dissemination of the work to key stakeholders.
- Patterns of psychological responses among the public during the early phase of COVID-19: A cross-regional analysisPublication . Chong, Yuen Yu; Chien, Wai Tong; Cheng, Ho Yu; Lamnisos, Demetris; Ļubenko, Jeļena; Presti, Giovambattista; Squatrito, Valeria; Constantinou, Marios; Nicolaou, Christiana; Papacostas, Savvas; Aydın, Gökçen; Ruiz, Francisco J.; Garcia Lopez, Maria; Obando-Posada, Diana P.; Segura-Vargas, Miguel A.; Vasiliou, Vasilis S.; McHugh, Louise Anita; Höfer, Stefan; Baban, Adriana; Neto, David Dias; Silva, Ana Nunes da; Monestes, Jean-Louis; Alvarez-Galvez, Javier; Paez Blarrina, Marisa; Montesinos, Francisco; Salas, Sonsoles Valdivia; Őri, Dorottya; Kleszcz, Bartosz; Lappalainen, Raimo; Ivanović, Iva; Gosar, David; Dionne, Frederick; Merwin, Rhonda M.; Gloster, Andrew T.; Karekla, Maria; Kassianos, Angelos P.This study aimed to compare the mediation of psychological flexibility, prosociality and coping in the impacts of illness perceptions toward COVID-19 on mental health among seven regions. Convenience sampled online survey was conducted between April and June 2020 from 9130 citizens in 21 countries. Illness perceptions toward COVID-19, psychological flexibility, prosociality, coping and mental health, socio-demographics, lockdown-related variables and COVID-19 status were assessed. Results showed that psychological flexibility was the only significant mediator in the relationship between illness perceptions toward COVID-19 and mental health across all regions (all ps = 0.001–0.021). Seeking social support was the significant mediator across subgroups (all ps range = <0.001–0.005) except from the Hong Kong sample (p = 0.06) and the North and South American sample (p = 0.53). No mediation was found for problem-solving (except from the Northern European sample, p = 0.009). Prosociality was the significant mediator in the Hong Kong sample (p =0.016) and the Eastern European sample (p = 0.008). These findings indicate that fostering psychological flexibility may help to mitigate the adverse mental impacts of COVID-19 across regions. Roles of seeking social support, problem-solving and prosociality vary across regions.
- Predictors of changing patterns of adherence to containment measures during the early stage of COVID-19 pandemic: an international longitudinal studyPublication . Chong, Yuen Yu; Chien, Wai Tong; Cheng, Ho Yu; Lamnisos, Demetris; Ļubenko, Jeļena; Presti, Giovambattista; Squatrito, Valeria; Constantinou, Marios; Nicolaou, Christiana; Papacostas, Savvas; Aydın, Gökçen; Ruiz, Francisco J.; Garcia-Martin, Maria B.; Obando-Posada, Diana P.; Segura-Vargas, Miguel A.; Vasiliou, Vasilis S.; McHugh, Louise Anita; Höfer, Stefan; Baban, Adriana; Neto, David Dias; Silva, Ana Nunes Da; Monestès, Jean-Louis; Alvarez-Galvez, Javier; PAEZ BLARRINA, MARISA; Montesinos, Francisco; Salas, Sonsoles Valdivia; Őri, Dorottya; Kleszcz, Bartosz; Lappalainen, Raimo; Ivanović, Iva; Gosar, David; Dionne, Frederick; Merwin, Rhonda M.; Gloster, Andrew; Kassianos, Angelos P.; Karekla, MariaABSTRACT: Background Identifying common factors that afect public adherence to COVID-19 containment measures can directly inform the development of ofcial public health communication strategies. The present international longitu‑ dinal study aimed to examine whether prosociality, together with other theoretically derived motivating factors (selfefcacy, perceived susceptibility and severity of COVID-19, perceived social support) predict the change in adherence to COVID-19 containment strategies. Method In wave 1 of data collection, adults from eight geographical regions completed online surveys beginning in April 2020, and wave 2 began in June and ended in September 2020. Hypothesized predictors included prosociality, self-efcacy in following COVID-19 containment measures, perceived susceptibility to COVID-19, perceived sever‑ ity of COVID-19 and perceived social support. Baseline covariates included age, sex, history of COVID-19 infection and geographical regions. Participants who reported adhering to specifc containment measures, including physical distancing, avoidance of non-essential travel and hand hygiene, were classifed as adherence. The dependent variable was the category of adherence, which was constructed based on changes in adherence across the survey period and included four categories: non-adherence, less adherence, greater adherence and sustained adherence (which was designated as the reference category). Results In total, 2189 adult participants (82% female, 57.2% aged 31–59 years) from East Asia (217 [9.7%]), West Asia (246 [11.2%]), North and South America (131 [6.0%]), Northern Europe (600 [27.4%]), Western Europe (322 [14.7%]), Southern Europe (433 [19.8%]), Eastern Europe (148 [6.8%]) and other regions (96 [4.4%]) were analyzed. Adjusted
- The effect of psychological flexibility on well-being during the COVID-19 pandemic: The multiple mediation role of mindfulness and copingPublication . Paiva, Thiago; Nunes da Silva, Ana; Neto, David Dias; Karekla, Maria; Kassianos, Angelos P.; Gloster, AndrewThe COVID-19 pandemic involved a complex set of stressors affecting the health and wellbeing of the population. The understanding of the psychological processes that influence well-being in response to the pandemic and their interrelation is vital. A promising process in understanding the emotional impacts of these stressors is psychological flexibility. This study investigated the effect of psychological flexibility on well-being, both directly and indirectly, via mindfulness and coping strategies. A total of 334 Portuguese adults participated in this cross-sectional study. Participants were asked to complete an online questionnaire, including measures of psychological flexibility, wellbeing, mindfulness, and coping strategies. A multiple mediation model studied whether there are conditional indirect effects of mindfulness and coping strategies on well-being. The results showed statistically significant correlations between psychological flexibility, well-being, mindfulness, and coping strategies. Furthermore, we found that mindfulness and coping strategies partly mediate the relationship between psychological flexibility and well-being. Understanding the processes through which psychological flexibility influences well-being in a stressful context is important in comprehending the processes involved in an emotional reaction to a pandemic-like societal event. Mindfulness and coping are shown to be important processes to consider in understanding this phenomenon and designing future responses.