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Browsing WJCR - William James Center for Research by Sustainable Development Goals (SDG) "03:Saúde de Qualidade"
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- Celebrating more than 26,000 adult attachment interviews: Mapping the main adult attachment classifications on personal, social, and clinical statusPublication . Bakermans-Kranenburg, Marian; Dagan, Or; Cárcamo, Rodrigo A.; van IJzendoorn, Marinus H.Since the development of the Adult Attachment Interview (AAI) in 1985, more than 26,000 AAIs have been administered, coded, and reported, representing 170 (wo-)man-years of work. We used multinomial tests and analyses of correspondence to compare the AAI distributions in various cultural and age groups, in mothers, fathers, high-risk, and clinical samples with the combined samples of North American non-clinical, non-risk mothers (22% dismissing, 53% secure, 8% preoccupied, and 17% unresolved loss or other trauma). Males were more often classified as dismissing and less frequently classified as secure compared to females (except adoptive fathers), and females were more frequently classified as unresolved (but not more often preoccupied) compared to males. A combination of high scores on the unresolved and insecure-preoccupied dimensions was shared by borderline personality disorder, autism spectrum disorders, and gender dysphoria, while combined high scores on the unresolved and insecure-dismissing dimensions characterized anxiety problems, obsessive-compulsive and thought disorders.
- Coping and positive body image in young women with breast cancer: The buffering role of social supportPublication . Almeida, Márcia; Griff, Maria Inês; Pais Brandão, Tânia RaquelBackground/Objectives: Considering the unique body image challenges faced by young women with breast cancer, this study aims to deepen our understanding of how coping strategies and perceived social support contribute to fostering positive body image in this population. This is an important issue as body image is capable of influencing women’s self-esteem and psychological adaptation to breast cancer. Methods: A sample of 157 young women with breast cancer (M age = 41.43; SD = 6.05; Min 26 years, Max 50 years), 43% of whom had undergone breast reconstruction, completed an online survey. The survey included measures of coping strategies, positive body image, and perceived social support. Results: No significant differences in coping strategies, perceived social support, or positive body image were observed based on reconstruction status. Moderation analyses revealed that both avoidant and problem-focused coping were significantly associated with positive body image at moderate and high levels of perceived social support, but not at low levels of perceived social support. Perceived social support moderated the relationship between coping strategies and positive body image in women with breast cancer. Conclusions: These findings highlight the importance of social support in enhancing the effectiveness of both avoidant and problem-focused coping strategies in promoting positive body image. Future interventions should prioritize strengthening social support networks to optimize psychological outcomes in this population.
- Does time matter? The role of time perspective and ageism in mental health along the lifespanPublication . Miguel, Isabel; von Humboldt, Sofia; Leal, Isabel; Thijssen, SandraTime perspective is a consistent personal viewpoint which evolves with age and may influence mental health across the lifespan. This study aims to: (1) compare time perspective, perceived ageism and mental health indicators, in three age cohorts across the lifespan; (2) examine the influence of time perspective on mental health indicators (depression, anxiety, and stress); and (3) assess whether ageism serves as a moderating factor between time perspective and mental health indicators. 1311 participants from three distinct age groups (18–39, 40–59, and 60+) participated in this cross-sectional study. The following instruments were used: (a) Future Time Perspective Scale (FTPS); (b) Perceived Ageism Questionnaire (PAQ); (c) Depression, Anxiety, and Stress Scales (DASS-21); and (d) a sociodemographic, health and lifestyle questionnaire. MANOVAs and moderated regression analyses were performed on the data. Results indicated the highest levels of stress, anxiety and perceived ageism among younger and older participants. A decrease in FTP-Opportunity and an increase of FTP-Limitation, and the perception of increased positive ageism were found throughout the life cycle. FTP-Opportunity was found to negatively impact stress, anxiety, and depression, whereas FTP-Limitation showed a positive effect. Positive ageism also moderated the effects of FTP-Opportunity on anxiety and depression. This study unveils the intricate relationship between time perspective, mental health, and ageism, indicating that time perspective significantly influences mental health outcomes such as depression, anxiety, and stress. Addressing ageism emerges as a crucial component in enhancing mental health in individuals of all ages.
- Examining risk and protective factors for suicidal behaviors: A cross-sectional study among Portuguese Male InmatesPublication . Oliveira, Catarina; Basto Pereira, MiguelBackground/Objectives: Prison inmates face a significantly higher risk of acting on suicidal thoughts than the general population. However, Portuguese studies distinguishing inmates who think about suicide from those who attempt it remain scarce. Given this ideation-to-action distinction, the current cross-sectional study aimed to examine risk and protective factors for suicidal ideation, suicide attempts, and the transition from one outcome to another. Methods: A total of 411 male inmates (M = 37.94 years, SD = 10.91) from 16 Portuguese prisons participated in the study. Data were collected between 2020 and 2024 using four instruments: (1) Sociodemographic Questionnaire; (2) Social and Emotional Competencies Questionnaire (SEC-Q); (3) Predictive Antisocial Spectrum Questionnaire; and (4) Health Risk Behavior Checklist. Results: Among the total sample, 29.1% reported a lifetime history of suicidal ideation, and 19.4% had attempted suicide. Impulsivity/irresponsibility emerged as a key risk factor for suicidal ideation, whereas social and emotional competencies of self-management and motivation were protective factors against suicide attempts. Previous self-harm behavior was the only risk factor for both suicidal ideation and suicide attempts. Conclusions: Our findings provide important insights into risk and protective factors for suicidal behaviors among male inmates, offering key information for policy and practice efforts aimed at reducing mortality in this high-risk population.
- Examining the connection between perceived stress and post-traumatic stress in women who experienced a traumatic childbirthPublication . Brandão, Sónia; Silva, Rosa; Abreu, Wilson; Brandão, Tânia; Prata, Ana Paula; Riklikiene, Olga; Jarasiunaite-Fedosejeva, Gabija; Mesa, Ernesto González; İsbir, Gözde Gökçe; İnci, Figen; Kömürcü-Akik, Burcu; Uriko, Kristiina; Governo, Tatiana; Thomson, GillAim: This study aimed to: (1) explore post-traumatic stress disorder symptoms in relation to sociodemographic, obstetric, and childbirth trauma factors; (2) assess the association between perceived stress levels and post-traumatic stress disorder symptoms; and (3) analyze how the duration of perceived stress affects post-traumatic stress disorder. Design: A cross-sectional study. Methods: Data were collected via an online survey, including demographic and obstetric information, traumatic childbirth events, post-traumatic stress disorder symptoms, and perceived stress levels and duration in the postpartum period. The study was conducted with 202 women who self-identified as having experienced a traumatic childbirth. Results: Post-traumatic stress disorder scores did not differ significantly by most sociodemographic or obstetric factors, but cesarean delivery was linked to higher post-traumatic stress disorder scores compared to vaginal delivery with forceps or vacuum extraction, mediated by increased perceived stress. Perceived stress levels showed a significant positive association with all post-traumatic stress disorder dimensions. Stress duration significantly was related to total post-traumatic stress disorder scores, with longer stress being associated with greater severity of symptoms. Conclusion: Cesarean delivery and prolonged, elevated stress during childbirth are key risk factors for post-traumatic stress disorder symptoms, highlighting the need for targeted postpartum mental health interventions.
- Exploring weight management beliefs during the menopausal transition: A qualitative comparative study based on Health Belief ModelPublication . Leitão, Mafalda; Faustino R. Pérez‐López; Marôco, João; Pimenta, FilipaObjectives: While most women experience weight gain during the menopausal transition, a subset successfully maintains a healthy weight. This study explores the determinants influencing different weight experiences during the menopausal transition, using the Health Belief Model (HBM). Qualitative design. individual interviews with 62 Portuguese post‐menopausal women were performed. Among them, 31 women maintained a normal weight from pre‐menopause to post‐menopause, with a variation not exceeding 5% of pre‐menopausal weight, while another 31 women transitioned from normal weight in pre‐menopause to overweight or obesity in post‐menopause, with an increase above 7% of pre‐menopausal weight. Deductive‐dominant content analysis and multiple correspondence analysis were performed. Prominent differences exist between the Unhealthy Weight Gain Group (UWG‐G) and the Healthy Weight Maintenance Group (HWM‐G). The UWG‐G lacks perceived susceptibility in pre‐menopause and perceives obesity as stigmatizing. They prioritize immediate changes as benefits, while the HWM‐G focuses on self‐concept. Both groups face barriers like food cravings and weight loss challenges in middle‐aged. For cues to action, the UWG‐G emphasizes social support and self‐care resources, while the HWM‐G emphasizes age progression and healthy behaviour adherence. The HWM‐G presents higher self‐efficacy. This study confirms the suitability of the HBM in understanding weight management beliefs among post‐menopausal women, highlighting differences between women who maintain a healthy weight and those who experience weight gain during this life phase. This facilitates identifying key determinants (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action and self‐efficacy) crucial for future interventions in weight management. Health Belief Model, Menopausal transition, Obesity, Post-menopausal women, Weight gain, Weight management
- Impact of parity and salivary hormonal levels on motivation toward infant emotions.Publication . Sinisalo, Hanneli; Hahn, Amanda C.; Jones, Benedict C.; Bakermans-Kranenburg, Marian J.; Peltola, Mikko J.Infant faces have been shown to be particularly motivating stimuli for women. No studies, however, have compared mothers and nonmothers in whether parity modulates approach motivation toward emotional infant faces. We studied 54 Finnish first-time mothers and 42 nonmothers in a pay-per-view key-press task wheretheparticipants wereshown20infantfaceswithsmilingandcryingexpressions.Participantswere able to adjust the time each face was visible. In addition, salivary testosterone, estradiol, and cortisol levels were measured and their impact on motivation toward infants analyzed. When controlling for the hormonal levels, happy infant faces were viewed longer than crying faces and there was no difference in mean viewing times between mothers and nonmothers. An interaction between parity and emotion emerged: Mothers were more motivated to view happy faces and less motivated to view crying infant faces than nonmothers. Testosterone had a significant effect on viewing times: The higher the testosterone levels were, the shorter amount of time infant faces were viewed. This indicates that testosterone is inversely associated with approach motivation to emotional infant stimuli. This study is the first to compare mothers and nonmothers in a task measuring motivational responses to infant stimuli and indicates that the difference between the approach motivation caused by happy and distressed infant emotions might be more heightened in new mothers.
- Intergenerational transmission of attachment: The role of intelligencePublication . Jana Runze; Van IJzendoorn, Marinus H.; Witte, Annemieke M.; Cecil, Charlotte A. M.; Bakermans‐Kranenburg, Marian J.Background: In their recent paper, Del Giudice and Haltigan argue that attachment in childhood and attachment representations in adulthood are influenced by the cognitive capabilities of children and parents, that would causally link parents' attachment states of mind to children's attachment. In the current pre‐registered study, we empirically explored the idea of an association between attachment and cognition using phenotypic child IQ and parent and child IQ‐related polygenic scores as predictors of children's attachment behavior and attachment representations. Methods: We used data from the Leiden Consortium on Individual Development study (L‐CID, n = 992), a two‐cohort longitudinal twin study, in which attachment representations were measured in parents and their 9‐year‐old children using the Attachment Script Assessment (ASA). Polygenic scores of IQ were computed for parents and their children using PRSice‐2 and phenotypic child IQ was measured as well. We split the twin sample in two groups randomly to prevent non‐independence of data and conducted structural equation models. Results: Neither parental nor child polygenic scores of IQ predicted representations of attachment. In one cohort, phenotypically measured IQ predicted attachment. Conclusions: This preliminary study did not find convincing support for a role of IQ in the intergenerational transmission of attachment.
- 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.
- Neural mechanisms of learned suppression uncovered by probing the hidden attentional priority mapPublication . Huang, C; van Moorselaar, D; Foster, J.; Donk, M.; Theeuwes, JAttentional capture by an irrelevant salient distractor is attenuated when the distractor appears more frequently in one location, suggesting learned suppression of that location. However, it remains unclear whether suppression is proactive (before attention is directed) or reactive (after attention is allocated). Here, we investigated this using a ‘pinging’ technique to probe the attentional distribution before search onset. In an EEG experiment, participants searched for a shape singleton while ignoring a color singleton distractor at a high-probability location. To reveal the hidden attentional priority map, participants also performed a continuous recall spatial memory task, with a neutral placeholder display presented before search onset. Behaviorally, search was more efficient when the distractor appeared at the high-probability location. Inverted encoding analysis of EEG data showed tuning profiles that decayed during memory maintenance but were revived by the placeholder display. Notably, tuning was most pronounced at the to-be-suppressed location, suggesting initial spatial selection followed by suppression. These findings suggest that learned distractor suppression is a reactive process, providing new insights into learned spatial distractor suppression mechanisms.