Browsing by Author "Ramos, Catarina"
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- 12º Congresso Nacional de Psicologia da Saúde: Promover e Inovar em Psicologia da Saúde: ActasPublication . Leal, Isabel Maria Pereira; von Humboldt, Sofia; Ramos, Catarina; Ferreira-Valente, M. Alexandra; Ribeiro, José Luis PaisPromover e inovar em psicologia da saúde é o tema proposto para o Nacional de Psicologia da Saúde, que se realiza em Lisboa, no ISPA – Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, numa organização conjunta da Sociedade Portuguesa de Psicologia do Saúde e do William James Center for Research do ISPA – Instituto Universitário. Como habitualmente, o primeiro objectivo deste congresso que se realiza a cada dois anos, e juntar os investigadores e profissionais que desenvolvem a sua actividade neste extenso campo designado como de Saúde e que, cobrindo os tradicionais contextos de saúde – hospitais e centros de saúde – se espraiam depois em direcções muito diversas em que a saúde e considerada um valor de todos os dias: a educação, o mundo organizacional, as instituições de iniciativa privada, empresarial, social, de apoio e assistenciais. Claro que o juntar num mesmo espaço físico todos estes investiga - dores, académicos, professores, alunos e profissionais da psicologia permitindo interacções directas esta ao serviço daquilo que tem sido apanágio da Sociedade Portuguesa de Psicologia da Saúde nestes mais de 20 anos de actividade: a promoção e divulgação da Psicologia da Saúde e da investigação científica. Serve, sobretudo, como forma de partilha de conhecimento e de experiencias. Pretende-se, assumidamente, possibilitar a partilha do estado da arte daquilo que são as práticas, reflexões, contributos teóricos e dados de investigação em direcção ao desenvolvimento continuado e alicerçado do conhecimento científico adentro da Psicologia da Saúde. A Sociedade Portuguesa de Psicologia da Saúde junta-se na organização deste congresso o William James Center for Research do ISPA – Instituto Universitário, numa pratica já consagrada pelos muitos anos de realização de diferentes congressos e que consiste em rodar por diferentes universidades e unidades de investigação o palco desta iniciativa. Em 2018, o 12o Congresso Nacional de Psicologia da Saúde, contara com 461 comunicações, sendo 6 delas conferencias proferidas por conferencistas convidados e 455, submetidas e aceites pela Comissão Cientifica do congresso e apresentadas em simpósios e comunicações livres nos formatos orais e escritos. Das comunicações apresentadas, cujos resumos são apresentados num suplemento da revista Psicologia, Saúde & Doenças, órgão oficial da SPPS, alguns dos autores submeteram os artigos respectivos a apreciação do Conselho Cientifico que procedeu a revisão de todos os trabalhos e escolheu 29 textos para serem apresentados no 1o numero de 2018 da revista Psicologia, Saúde & Doenças e 88 para serem publicados no livro de Actas do Congresso. Algumas das comunicações submetidas, e ainda um maior numero de artigos, não foram aceites para apresentação e publicação, por diversas razoes que vão desde a não observância das normas propostas, a fragilidade teórica e/ ou metodológica, ate a impossibilidade dos autores procederem as alterações propostas no curto tempo disponível para a preparação dos textos. O desafio que a SPPS coloca a si mesma em cada novo congresso e de conseguir num tempo recorde, disponibilizar o livro de atas do congresso no primeiro dia do mesmo, exigindo da parte da Comissão Cientifica, uma notável colaboração que aqui se reconhece e agradece. Promover a Psicologia da Saúde e inovar, num tempo em que a saúde não tem sido uma prioridade dos poderes estabelecidos, e um desafio que se coloca a todos e que esperamos que este 12o Congresso Nacional de Psicologia da Saúde possa ser um marco de encontros, caminhos e soluções.
- An item-level analysis of the Posttraumatic Stress Disorder Checklist and the Posttraumatic Growth Inventory and Its associations with challenge to core beliefs and ruminationPublication . Ramos, Catarina; Leal, Isabel Maria Pereira; Costa, Pedro Alexandre; Tapadinhas, Ana Rosa; Tedeschi, Richard G.Background: Previous studies have found that rumination and challenge to core beliefs may have a predictive effect on Posttraumatic Stress Disorder (PTSD) and Posttraumatic Growth (PTG) among different samples. In addition, there is some evidence that these variables have different effects on PTSD and PTG, although the latter construct has been the target of a larger body of research and theoretical models. The main objective of the current study is to examine the effect of challenge to core beliefs, intrusive rumination, and deliberate rumination on PTSD and PTG, through an item-level analyses. Methods: The sample was composed of 205 Portuguese women who had been given a breast cancer diagnosis (M = 54.32, SD = 10.05), and who completed the following self-administered questionnaires: the Posttraumatic Stress Disorder Checklist (PCL-C); the Posttraumatic Growth Inventory (PTGI); the Core Beliefs Inventory; and the Event Related Rumination Inventory. Two multivariate multiple regression analyses, using each item of the PCL-C and the PTGI as dependent variables, were conducted. Results: The results demonstrated that challenges to core beliefs predict 17 of the 21 PTGI items and 12 of the 17 PCL-C items. All but one item of the PCL-C are predicted by intrusive rumination, while the variance of only 4 items of the PTGI are explained by deliberate rumination. Conclusion: These findings indicate that women with breast cancer who tend to display higher levels of intrusive rumination are more likely to report PTSD symptoms, and that an examination of one's core beliefs is predictor of both positive and negative outcomes. In spite of the proven effect of challenge to core beliefs on both variables, this study suggests that this effect has only a minor influence on PTSD, in addition to confirming its major impact on PTG.
- Brief cognitive-behavioral therapy for weight loss in midlife women: A controlled study with follow-upPublication . Pimenta, Filipa; Leal, I.; Marôco, J. P.; Ramos, CatarinaObjective: Cognitive-behavioral therapy (CBT) has proven to be effective in weight reduction. This study explores whether individual, 8-session CBT can promote weight loss in midlife women. Methods: Anthropometric (weight, abdominal perimeter, and body mass index calculation), psychological (health-related and sexual quality of life, stress, anxiety, and depression), and behavioral measures (binge eating disorder and restrained, external, and emotional eating) were assessed at baseline (T1), posttreatment (T2), and 4-month follow-up (T3), for a total of 21 women at baseline; the CBT group (n = 11) and the control group (n = 10; waiting list) were comparedResults: Statistically significant effects that were dependent on the intervention were observed on weight (F = 4.402; P = 0.035; ηp2 = 0.404; π = 0.652) and body mass index (F = 3.804; P = 0.050; ηp2 = 0.369; π = 0.585); furthermore, marginally significant effects were observed on external eating (F = 2.844; P = 0.095; ηp2 = 0.304; π = 0.461). At follow-up, women in the CBT group presented with lower weight, abdominal perimeter, body mass index, and external eating; higher health-related quality-of-life and restrained eating were also observed in this group. Most differences identified were at a marginally significant level. Moreover, at follow-up, none of the participants of the CBT group met the criteria for binge eating disorder, whereas the number of women with binge eating disorder in the control group remained the same through all three assessments. Conclusion: An effective, though small, weight loss was achieved. Changes in quality of life were also observed. Moreover, changes in external eating behavior were successful.
- Expressão emocional : análise fatorial e qualidades psicométricas do DDI e Opener ScalePublication . Rocha, Raquel; Antunes, Catarina; Figueiroa, Francisca; Carixas, Inês; Ramos, Catarina; Leal, Isabel
- A expressão emocional, o suporte social e o ajustamento diádico no crescimento pós-traumático em doentes oncológicosPublication . Figueiroa, Francisca; Antunes, Catarina; Carixas, Inês; Rocha, Raquel; Ramos, Catarina; Leal, Isabel
- Group Intervention Program to Facilitate Post-Traumatic Growth and Reduce Stigma in HIVPublication . Santos, Nuno Tomaz; Ramos, Catarina; Almeida, Margarida Ferreira De; Leal, I.Background: Research on post-traumatic growth (PTG) and HIV is scarce and the relationship between PTG and stigma is controversial. Group psychotherapeutic interventions to facilitate PTG in clinical samples are effective but none exist to simultaneously decrease stigma in the HIV population. The main objective was to evaluate the effectiveness of an intervention in increasing PTG and decreasing stigma in HIV, as well as to explore relationships between the variables. Methods: Quasi-experimental design with a sample of 42 HIV-positive adults (M = 46.26, SD = 11.90). The experimental group (EG) was subjected to a 9-week group intervention. Instruments: CBI, PTGI-X, PSS-10, HIV stigma, emotional expression, HIV stress indicators, HIV literacy, and skills. Multiple linear regression analysis was performed to assess the relationship between the variables. Results: There was an increase in PTG and a significant decrease in stigma in all domains and subscales in the EG. Compared to the control group, stigma (t(42) = −3.040, p = 0.004) and negative self-image (W = −2.937, p = 0.003) were significant, showing the efficacy of the intervention. Discussion: The intervention demonstrated success in facilitating PTG, attesting that in order to increase PTG, personal strength, and spiritual change, it is necessary to reduce stigma and negative self-image. The research provides more information on group interventions for PTG in HIV, relationships between variables, and population-specific knowledge for professionals.
- Hot flushes and night sweats in midlife : Why do some women have them and others do not?Publication . Pimenta, Filipa; Marôco, J. P.; Ramos, Catarina; Leal, I.This study investigated what predicts the occurrence of hot fl ushes (HF) and night sweats (NS). A community sample of 992 women (42-60 years) answered a questionnaire to collect socio-demographic, health and menopause-related, as well as lifestyle information. Depressive mood and stress, as well as HF and NS (in terms of presence, frequency and intensity), were also assessed. Structural equation modelling was used to build a structural model to predict the occurrence of both vasomotor symptoms. Results: Stress predicted NS (β =.154; p =.006), whereas depressive mood was linked to the occurrence of HF’s (β =.149; p =.006). Being peri-menopausal and post-menopausal, among several other characteristics, were also signifi cant predictors of the occurrence of both HF and NS. This study supports a distinguished infl uence of stress and depressive mood in NS and HF respectively, probably due to the nature of psychological symptoms. Moreover, signifi cant associations between vasomotor symptoms and socio-demographic, health and menopause-related characteristics, and alcohol were confirmed.
- Meaning in life, meaning-making and posttraumatic growth in cancer patients: Systematic review and meta-analysisPublication . Almeida, Margarida; Ramos, Catarina; Maciel, Laura; Basto-Pereira, Miguel; Leal, I.Introduction: The purpose of this systematic review and meta-analysis is to assess the association between meaning in life (MiL), meaning-making and posttraumatic growth (PTG) in the context of cancer. Methods: A systematic search was conducted in eighteen electronic databases. The screening and selection process followed the PRISMA guidelines. For the purpose of the meta-analysis, the correlation coefficients between meaning in life and posttraumatic growth were extracted from the included studies. The effect size (r) was calculated using the restricted maximum-likelihood estimator, a random-effects model. Heterogeneity was assessed through the Q statistic, I 2 index and forest plot, while publication bias was analyzed with the use of the funnel plot and Egger’s test. Results: 889 records were considered according to the inclusion criteria. A total of nine articles, published between 2006 and 2021, were included in the systematic review. More than half were published in the last five years. The sample was mostly diagnosed with breast cancer. The meta-analysis included five articles (N = 844) and the results indicate a significant moderate correlation between meaning in life and posttraumatic growth (r = 0.43, 95% IC [0.36, 0.50]). Discussion: In conclusion, there is a clear association between meaning in life and posttraumatic growth in cancer patients. Future research should explore this relationship further, in order to better assist and guide meaning centered interventions that can potentiate a positive adjustment and possibly growth from the cancer experience
- Menopausal symptoms: Do life events predict severity of symptoms in peri- and post-menopause?Publication . Pimenta, Filipa; Leal, I.; Marôco, J. P.; Ramos, CatarinaObjective: Hormonal changes during menopausal transition are linked to physical and psychological symptoms’ emergence. This study aims to explore if life events predict menopausal symptoms. Methods: This cross-sectional research encompasses a community sample of 992 women who answered to socio-demographic, health, menopause-related and lifestyle questionnaires; menopausal symptoms and life events were assessed with validated instruments. Structural equation modeling was used to build a causal model. Results: Menopausal status predicted only three symptoms: skin/facial hair changes (B = .136; p = .020), sexual (B = .157; p = .004) and, marginally, vasomotor symptoms (B = .094; p = .054). Life events predicted depressive mood (B = −.391; p = .002), anxiety (B = −.271; p = .003), perceived cognitive impairment (B = −.295; p = .003), body shape changes (B = −.136; p = .031), aches/pain (B = −.212; p = .007), skin/facial hair changes (B = −.171; p = .021), numbness (B = −.169; p = .015), perceived loss of control (B = −.234; p = .008), mouth, nails and hair changes (B = −.290; p = .004), vasomotor (B = −.113; p = .044) and sexual symptoms (B = −.208; p = .009). Conclusions: Although women in peri- and post-menopausal manifested higher symptoms’ severity than their pre-menopausal counterparts, only three of the menopausal symptoms assessed were predicted by menopausal status. Since the vast majority of menopausal symptoms’ severity was significantly influenced by the way women perceived their recent life events, it is concluded that the symptomatology exacerbation, in peri- and post-menopausal women, might be due to life conditions and events, rather than hormonal changes (nonetheless, the inverse influence should be investigated in future studies). Therefore, these should be accounted for in menopause-related clinical and research settings.
- Menopausal symptoms: Is spirituality associated with the severity of symptoms?Publication . Pimenta, Filipa; Marôco, J. P.; Ramos, Catarina; Leal, I.The aim of this study was to explore whether spirituality was associated with menopausal symptoms. Menopausal symptoms, spirituality, health and menopausal status, and socio-demographic variables were assessed in a community sample of 710 peri- and postmenopausal women. A structural model was explored using structural equation modeling. The results evidence spirituality as a significant contributor regarding the severity of most menopausal symptoms. Among others, spirituality had a significant weight in depressive mood (b = -.414; p\.001), anxiety (b = -.308; p<.001), cognitive impairment (b = -.287; p<.001), aches/pain (b = -.148; p<.001), vasomotor (b = -.125; p = .005) and sexual symptoms (b = -.211; p<.001). Some socio-demographic variables, as well as perceived health, also predicted the menopausal symptoms’ severity. Therefore, spirituality can have a positive impact on the menopausal symptoms’ reporting.
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