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- Coping strategies for menopausal woman with urinary incontinence: Validation of the coping strategies instrumentPublication . Porto, Marta; Maroco, Joao Paulo; Mascarenhas, Teresa; Leitão, Mafalda; Queiroz-Garcia, Inês; Pimenta, FilipaInexistente
- Predictors of stress and depressive mood in portuguese middle-aged womenPublication . Pimenta, Filipa; Marôco, J. P.; Leitão, Mafalda; Leal, I.This cross-sectional study investigates the predictors of psychological symptoms-stress and depressive mood-in a sample of middle-aged women. A community sample of 1,003 women filled in the questionnaires and instruments, which included the Depression, Anxiety and Stress Scales and the Life Events Survey; sociodemographic, health, and menopause-related and lifestyle information was also collected. Structural equation modeling was used to build the model that had stress and depressive mood as dependent variables. Health status (both physical and psychological), recent life events, income and menopausal phase were significantly associated with the frequency of stress and depressive symptoms. Additionally, educational level and parity were also significant predictors of depressive mood. This study emphasizes that psychological symptoms occurrence in midlife depends not only on personal variables (such as health and menopausal status) but also on contextual ones (including recent stressful events) that can be a strong influence on how middle-aged women feel.
- Menopause and weight loss (ME-WEL) randomised controlled trial: An e-health cognitive-behavioural group intervention for weight management in postmenopausal womenPublication . Leitão, Mafalda; Pérez-López, Faustino; Marôco, João; Pimenta, Filipa; Pimenta, Filipa; Maroco, JoãoBackground: Successful weight management is important for menopausal women, given the high prevalence of overweight and obesity. This study evaluated the efficacy of a cognitive-behavioural e-Health group intervention for weight management in postmenopausal women with overweight or obesity. The intervention incorporates the Health Action Process Approach, Health Belief Model, Oxford Food and Activity Behaviours, and Behaviour Change Techniques. Methods: This randomised controlled trial involved 27 participants − 13 in the intervention group (IG), who received an 8-week intervention, and 14 in the control group (CG), who received an informative leaflet. Five longitudinal assessments were performed. All variables were measured using quantitative instruments, and Body Mass Index was calculated from self-reported weight and height. Latent growth models (LGM) were conducted according to the intention-to-treat principle. Results: The LGM showed that some weight management strategies increase significantly over time in IG (energy compensation, regulation: rule setting) and regarding subjective well-being (positive affect and satisfaction with life). Additionally, the IG showed a decrease in emotional and uncontrolled eating, and an increase in self-esteem and health-related determinants. Discussion: Long-term effects of this cognitive-behavioural intervention were found in some measures, while others only increased for a certain period. Increasing session frequency and incorporating monthly maintenance sessions are recommended to achieve more sustainable results over time.