Browsing by Author "Neto, David Dias"
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- 34. Grip strength across Europe –North/ South and East/West dividesPublication . Barros, Pedro Pita; Santos, F. M. Pimentel; Neto, David Dias
- Bereavement support guidelines for caregivers in palliative care: A scoping reviewPublication . Coelho, Alexandra; Albuquerque, Sara; Neto, David DiasPalliative care teams’ support practices for bereavement vary substantially. Clinical guidelines are needed to promote concerted, evidence-based intervention. The goal of the present study is to identify and synthesize the principles and clinical guidelines that ensure best practices in bereavement support for family caregivers accompanied in palliative care. A scoping review was conducted based on a systematic search of articles in academic databases (EBSCO, PsycINFO, PubMed, Web of Science, Psychology and Behavioral Sciences Collection, Scopus) and Google (2010–2024). The review included articles focused on the principles, guidelines, and clinical recommendations for bereavement support for adult family caregivers in palliative care. Quality appraisal of guidelines was conducted using the AGREE II instrument. Of the 1,489 references identified, 20 documents were included, mostly governmental or institutional norms and clinical guidelines from gray literature. Quality appraisal revealed gaps in evidence selection, resource implications, updates and monitoring criteria. Eight fundamental principles were identified, from which several clinical guidelines were derived, organized according to the moments of assessment and intervention throughout the bereavement process, including pre and post-death period: (1) organizing support for the family caregiver; (2) assessing needs and establishing a care plan; (3) ensuring information and support for the family caregiver; (4) preparing for death; (5) support at the time of death; and (6) bereavement support post-death. In addition to universal support and information measures, regular assessment procedures should be adopted for timely referrals based on individual needs.These guidelines cover the temporal variation of care and the multidimensional and multiple-actor nature of palliative care. Implementing these guidelines and evaluating their impact will allow for the standardization of best practices and improve the quality of bereavement support in palliative care.
- 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.
- Contextual similarities in psychological flexibility: The Brazil-Portugal transcultural adaptation of Psy-FlexPublication . Neto, David Dias; Mouadeb, Daniella; Lemos, Nanci; Nunes da Silva, Ana; Gloster, Andrew; Perez, WilliamPsychological Flexibility is an essential concept in Contextual Behavioural Sciences. The development of instruments is vital for its study, and it is an opportunity to reflect on this concept. Among the measures of this construct, Psy-Flex shows promise due to comprehensiveness in assessing the six facets of psychological flexibility and its pragmatic value. In the present study, we sought to translate Psy-Flex to Portuguese and adapt it transculturally for use in Portugal and Brazil. The translation was done independently by Brazilian and Portuguese researchers, and a consensus procedure was done to identify a synthesis. A total of 873 adults from Portugal and Brazil were involved in this study. The participants completed several questionnaires with ACT-related measures (e.g., cognitive fusion, mindful attention) and instruments measuring conceptually related variables (e.g., positive mental health). The results show good psychometric properties of PsyFlex. The one-factor structure of the original instrument was confirmed in both the Portuguese and Brazilian samples. Confirmatory factor analysis revealed a good fit of the model to the data (CFI = 0.985, RMSEA = 0.055) of both countries. Furthermore, the Psy-Flex showed convergent validity with related measures in a conceptually expected way. As a transcultural instrument, we argue that both the similarities and differences across samples suggest the broad human nature of psychological flexibility while retaining its context sensitivity.
- Development and validation of a system of assimilation indices: A mixed method approach to understand change in psychotherapyPublication . Neto, David Dias; Baptista, Telmo Mourinho; Brown, Kim DentAssimilation is an important process in understanding change in psychotherapy. Similar to other psychological processes, assimilation may be traceable in the speech of clients by attending to its signs or indices. In the present research, we aimed to build a system of indices of assimilation.
- Effectiveness of empower-grief for relatives of palliative care patients: Protocol for an exploratory randomized controlled trial.Publication . Neto, David Dias; Coelho, Alexandra; Albuquerque, Sara; Silva, Ana Nunes da; PsychOpenBackground: Grief reactions of relatives of palliative care patients are seldom addressed. Most interventions focus on Prolonged Grief Disorder (PGD) and not on its prevention. This is particularly relevant in palliative care, in which death is the result of a difficult period of a terminal illness, making caregivers particularly vulnerable to psychological distress. The purpose of the present exploratory trial is to test the efficacy of a selective intervention (Empower-Grief) for the initial problematic grief reactions and to study potential predictors of adherence and efficacy. Method: This is an exploratory Randomized Controlled Trial (RCT) studying Empower-Grief compared with Treatment as Usual (TAU). Participants will be relatives or caregivers of palliative and oncological patients with initial indicators of risk of developing PGD and will be randomly allocated to Empower-Grief and TAU. Participants will be assessed prior, at the end and six months after the intervention. The primary outcome considered will be symptoms of PGD. The assessment includes measures of anxiety and depression, coping, attachment, psychological flexibility, posttraumatic growth, social support and therapeutic alliance. Results: The trial is ongoing. Forty-four participants will be invited to participate. Conclusion: This study addresses the need for the development of empirically grounded and feasible interventions aimed at dealing with initial problematic reactions in grief, exploring potential predictors and possible venues for personalizing intervention and understanding the mechanism through which these interventions operate.
- From grief to growth: The role of coping strategies, kinship and cause of deathPublication . Pereira, Marta; Moreira, Ana; Neto, David DiasBackground: Research has predominantly focused on the post-traumatic consequences of grief. Less is known about the factors associated with the capacity for recovery and growth. Objective: The main goal of this study is to analyse the mediating role of coping strategies in the relationship between the impact of the event and posttraumatic growth, considering the degree of kinship and the cause of death. Methods: This exploratory and correlational study, which used a cross-sectional design, involved a community sample of 889 adults who had lost a loved one. Results: Emotion and problem-focused coping strategies mediate the relationship between the impact of loss and posttraumatic growth, specifically when a spouse or a child dies. Conclusions: Individuals who experience greater suffering also undergo higher levels of post-traumatic growth. Coping strategies are crucial in post-trauma reconstruction and growth. Furthermore, the degree of kinship and the cause of death are decisive factors.
- From healthy play to gaming disorder: Psychological profiles from emotional regulation and motivational factorsPublication . Castro, Cátia Martins e; Neto, David DiasBackground and Aims: The widespread popularity of video games eflects their appeal to meet fundamental needs. This study aims to investigate the psychological factors of gaming use, identifying profiles ranging from healthy to gaming disorder. Methods: In this ross-sectional study, 5,222 participants were surveyed. This ternational sample included adolescents and adults (16–69 years, M 5 25.6 years, SD 5 6.44), 48.66% men (n 5 2,541; M 5 26.4, SD 5 7.03), 42.32% women (n 5 2,210; M 5 25.1, SD 5 5.78), and 9.02% non-binary individuals (n 5 471; M 5 23.3, SD 5 5.23), spanning from casual gamers to esports rofessional players. Latent Profile Analysis (LPA) was employed to dentify distinct psychological profiles. The profile indicators included emotional regulation and motivations for playing video games. The profile correlates analysed included gaming disorder symptoms, time spent gaming and sociodemographics. Results: The LPA revealed four profiles labelled as avoidant (20.16%), engaged (38.95%), relational (26.01%), and dysregulated (15.78%). Results suggested that the dysregulated profile had the most emotional regulation difficulties, a low level of general motivation, and less interest in recreational aming, presenting the highest risk for gaming disorder. Discussion and Conclusions: This study’s findings present the first profiles incompassing key detailed psychological factors affecting gamers’ behaviour across all game genres, considering three genders. These profiles can aid researchers and clinicians in developing further research on targeted prevention and intervention programs tailored to each profile’s characteristics to promote healthy gaming habits and mitigate the risks and harm associated with gaming disorder.
- How do healthy women perceive the risk of breast cancer? The role of Illness perceptions and compared risk between Portugal and the U.A.EPublication . Figueiras, Maria Joao; Neto, David Dias; Marôco, J. P.; Carmo, Catarina(1) Background: Breast cancer (BC) shows significant epidemiological differences between Eastern and Western countries. These may arise from socio-cultural factors influencing how healthy young women perceive this condition, their risk of getting cancer, and the implications for preventive screening behaviors. In this study, the illness perceptions, individual risk perception, compared risk, and beliefs about preventive behaviors for BC of female university students were compared using an anonymous online survey between a European country (Portugal) and the United Arab Emirates. (2) Method: A structural equation model (SEM) was developed to investigate the hypothetical relationship between illness perceptions and compared risk as predictors of perceived risk for BC. (3) Results: There were significant differences between the study variables. The SEM was invariant, but the differences between regression coefficients in both countries were highly statistically significant. Mediation analyses revealed a significant indirect effect of compared risk on individual risk and a significantly stronger direct effect for the Emirati sample. (4) Conclusions: These findings suggest that cultural research may help to explain factors that may shape social comparison of individual risk characteristics and influence perceived risk. Moreover, providing culturally appropriate strategies to be designed and implemented can promote early detection behaviors for BC.
- 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.