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- How couple’s relationship lasts over time? A model for marital satisfactionPublication . Abreu-Afonso, José; Ramos, Maria Meireles; Garcia, Inês; Leal, Isabel Maria PereiraHigh rates of divorce seem related to low marital satisfaction levels; however, there is still a lack of a model that can help understand the couple's resilience and fragility throughout the life cycle. This research explores the role of communication patterns, their own and partner's motivation for conjugality, cohesion and flexibility within a couple, and several sociodemographic characteristics (e.g., stage of the family life cycle) that can explain marital satisfaction. A sample of 331 Portuguese in a marital relationship completed a sociodemographic questionnaire and marital satisfaction measures, communication and conflict management competencies, cohesion and flexibility, and motivation. Adequate statistical analysis was performed using descriptive statistics and structural equation modeling. Both measurement and structural model performed in the study presented a good fit, with five significant predictors of marital satisfaction (that accounted for 85% of the variability): intrinsic motivation (β = .64), communication (β = .31), families with young children (β = -.08), families with teenagers (β = -.07) and professional/academic status (β = .06). By identifying a model for marital satisfaction, this research provides clues regarding which aspects might need to be considered in couples' clinical work to promote healthier relationships.
- An international study of pro/antisocial behavior in young adultsPublication . Basto-Pereira, Miguel; Garcia, Inês Queiroz; Maciel, Laura; Leal, Isabel Maria Pereira; Pereira, Maria GouveiaThis article presents an international study of pro/antisocial behavior in young adults (SOCIALDEVIANCE1820). This is an ongoing cross-continental longitudinal research project that includes data and researchers from multiple countries across five continents. It aims to explore the intercultural universality of the risk and protective factors associated with pro/antisocial behavior and psychosocial adjustment during early adulthood. Researchers from all countries involved have already translated their questionnaires, selected an appropriate team, and started the data collection process. It is expected that this intercontinental longitudinal research project will have a tremendous social and scientific impact; this study will allow researchers to overcome many limitations of previous meta-analyses, such as limiting the applicability of data to developed countries and the bias caused by combining different assessment methods. Challenges in implementing cross-national studies, and the importance of this type of study to global policies, are discussed.
- Are prayer-based Interventions effective pain management options? A systematic review and meta-analysis of randomized controlled trialsPublication . Jarego, Margarida; Ferreira-Valente, Maria Alexandra; Queiroz-Garcia, Inês; Day, Melissa A.; Pais-Ribeiro, José; Costa, Rui M.; Pimenta, Filipa; Jensen, MarkThis review examined the efects of private and communal participatory prayer on pain. Nine databases were searched. Six randomized controlled trials were included. For private prayer, medium to large efects emerged for 67% to 69% of betweengroup comparisons; participants in the prayer condition reported lower pain intensity (0.59
- Andropause representations: A mixed-methods study with portuguese womenPublication . Pimenta, Filipa; Meireles Ramos, Maria; Silva, Carolina; Costa, Pedro Alexandre; Queiroz-Garcia, Inês; Maroco, J. P.; Leal, I.Uma vez que os fatores psicossociais têm algum impacto sobre a andropausa, e esse fenómeno pode afetar as relações conjugais (e as mulheres tendem a procurar informação sobre saúde), torna-se importante estudar as representações da andropausa empregando o Modelo de Senso Comum – um modelo usado para entender as representações de menopausa. Este estudo teve como objetivo avaliar as representações de mulheres portuguesas sobre a andropausa, a adequação do modelo de senso comum para explicar essas representações e explorar as diferenças entre participantes com diferentes características (e.g., nível de escolaridade), em relação às representações da andropausa. Trinta mulheres foram entrevistas e posteriormente as entrevistas foram analisadas através da análise de conteúdo qualitativa dirigida. Uma análise de correspondência múltipla explorou a associação entre as categorias emergentes. Os testes U de Mann-Whitney foram realizados para testar as diferenças em relação à frequência das categorias emergentes. A Identidade indefinida foi a característica mais citada em relação à Identidade, enquanto que a Função Sexual foi a Consequência Negativa mais mencionada; poucas Consequências Positivas foram mencionadas, sendo a Ausência de consequências positivas e a Falta de informação as mais frequentes. Foram encontrados dois modelos bidimensionais – um para a Identidade da Andropausa: (1) Mudanças relacionadas com o envelhecimento e (2) Mudanças sexuais/Falta de informação; a outra para Consequências Negativas: (1) Sintomas/Problemas de saúde e (2) Depressão/Falta de informação. Não foram encontradas diferenças na frequência das representações da andropausa entre mulheres com características diferentes (e.g., com um relacionamento romântico vs. sem um relacionamento romântico). A adequação do Modelo de Senso Comum para explicar as representações da andropausa dessas mulheres não diferiu entre os participantes com características distintas. Esta investigação pode ajudar os profissionais de saúde a desenvolverem intervenções mais compreensivas (com base neste modelo teórico), a fim de ajudar os casais a compreender e lidar melhor com a andropausa.
- 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
- The portuguese 35-item survey of pain attitudes applied to portuguese women with endometriosisPublication . Valente, Maria Alexandra Ferreira; Garcia, Inês Queiroz; Rosa, Ana Marques; Pereira, Anabela; Ribeiro, José Luis Pais; Jensen, Mark P.Background and aims endometriosis is a gynecologic recurring persistent condition affecting from 8% to 15% of premenopausal women worldwide. About 80% of women with endometriosis have at least one form of chronic pain - a multidimensional experience influenced by a number of psychosocial factors, including pain-related beliefs. The Survey of Pain Attitudes is the most commonly used measure of pain-related beliefs. This study aims to evaluate the psychometric properties of a Portuguese version of a brief version of the SOPA (the SOPA-35) in a sample of Portuguese women with Endometriosis. Methods A sample of 199 Portuguese women with Endometriosis provided demographic and pain history information, and completed a Portuguese version of the SOPA-35 and measures of pain intensity, disability, and psychological function. Analyses were performed to evaluate the factor structure of the Portuguese SOPA-35 items as well as the internal consistency, composite reliability, convergent validity, and concurrent validity of the scale scores. Results Confirmatory factor analysis supported a six-factor solution for a 19-item version of the Portuguese version of the Survey of Pain Attitudes (SOPA-19-P). The six scales evidenced marginal to good reliability (Cronbach's alphas: between 0.60 and 0.84; composite reliability: between 0.61 and 0.84). Four scales evidenced acceptable to good convergent validity (AVE: between 0.51 and 0.63). The findings also supported the concurrent validity of the SOPA-19-P. Conclusions The results support the use of the Portuguese SOPA-19-P for research and clinical purposes with Portuguese women in chronic pain due to endometriosis. Future research is warranted to further develop a European Portuguese version of SOPA. Implications The findings provide psychometric information about the SOPA-19-P. The results are helpful to researchers wishing to study the role of pain-related beliefs and their association with adjustment and treatment outcomes in women with chronic pain due to endometriosis.
- Prayer as a pain intervention: protocol of a systematic review of randomised controlled trialsPublication . Ferreira-Valente, Maria Alexandra; Jarego, Margarida; Queiroz-Garcia, Inês; Pimenta, Filipa; Costa, Rui Miguel; Day, Melissa A; Pais Brito, José Luis; Jensen, MarkBackground Pain is a universal experience and the most common reason for seeking healthcare. Inadequate pain management negatively impacts numerous aspects of patient health. Multidisciplinary treatment programmes, including psychosocial interventions, are more useful for pain management than purely biomedical treatment alone. Recently, researchers showed increasing interest in understanding the role of spirituality/religiosity and spiritual/religious practices on pain experience, with engagement in religious practices, such as prayer, showing to positively impact pain experience in religious individuals. This systematic review will seek to summarise and integrate the existing findings from randomised controlled trials assessing the effects of prayer and prayerbased interventions on pain experience. Methods The systematic review procedures and its report will follow the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement. Electronic searches in nine databases (Web of Science Core Collection, MEDLINE, SCIELO Citation Index, PubMed, Cochrane Central Register of Controlled Clinical Trial, PsycINFO, Scopus, LILACS and Open-SIGLE) will be performed to identify randomised controlled trials of prayer-based interventions. Two independent researchers will assess studies for inclusion and extract data from each paper. Risk of bias assessment will be assessed independently by two reviewers based on the Consolidated Standards of Reporting Trials statement. Qualitative synthesis of the body of research will be conducted using a narrative summary synthesis method. Meta-analysis will be limited to studies reporting on the same primary outcome. Formal searches are planned to start in June 2021. The final report is anticipated to be completed by September 2021. Discussion Findings will be useful to (1) understand the condition of our knowledge in this field and (2) provide evidence for prayer effectiveness in reducing pain intensity and pain-related stress and increasing pain tolerance in adults experiencing acute or chronic pain.
- Adaptação das versões completa e breve da Escala de Relação Coparental (ERC) em uma amostra comunitária de pais e mães portuguesesPublication . Leal, Isabel Maria Pereira; Tasker, Fiona; Garcia, Inês Queiroz; Costa, Pedro AlexandreA Escala de Relação Coparental (ERC) é uma das medidas mais utilizadas para avaliar a relação de coparentalidade. Pretendeu-se avaliar as propriedades psicométricas das versões completa e breve da ERC numa amostra comunitária de 779 pais e mães portugueses, com idades entre os 23 e os 65 anos (M = 42.73; DP = 5.27). As análises fatoriais confirmatórias forneceram evidências de um bom ajustamento dos dados, fiabilidade interna e validade convergente, ainda que em ambas as versões tenha sido eliminada a dimensão Divisão de tarefas parentais. Quando à validade discriminante, duas das sete dimensões – Acordo nas práticas parentais e Suporte coparental – não evidenciaram validade discriminante. A validade concorrente também foi testada e confirmada através das correlações entre das dimensões da ERC e as dimensões da RDAS (ajustamento diádico) e do SDQ (ajustamento infantil).
- Pain diagnosis, pain coping, and function in individuals with chronic musculoskeletal painPublication . Valente, Maria Alexandra Ferreira; Garcia, Inês; Ribeiro, José Luís Pais.; Jensen, Mark P.Purpose: Research supports a role for coping responses in adjustment to chronic pain. However, it is likely that some coping responses play a larger role in adjustment to pain for some individuals than others. The identification of the factors that moderate the association between coping responses and pain-related outcomes has important clinical implications. This study sought to determine if musculoskeletal pain diagnosis moderates the associations between eight pain-coping responses and both pain and function. Patients and Methods: A non-probabilistic sample of 323 persons with different chronic musculoskeletal pain conditions completed measures of pain intensity, physical function, psychological function, and pain-coping responses. Results: With only one exception, the frequency of use of pain-coping responses was not associated with pain diagnosis. Statistically significant moderation effects of pain diagnosis on the association between coping and pain outcomes were found for two coping responses: 1) support seeking when predicting pain intensity, and 2) resting when predicting both physical and psychological function. Conclusion: The findings indicate that coping responses tend to play a similar role in patients' pain and function across different musculoskeletal pain conditions, with some important exceptions. If the findings are found to replicate in other samples, they would have important implications for determining when psychosocial pain treatments might (and when they might not) need to be adapted for specific diagnostic groups.
- Validation of the parental feeding style questionnaire in a portuguese samplePublication . Pimenta, Filipa; Garcia, Inês Queiroz; Cristina, Sofia; Galvão, Diana; Maroco, João Paulo; Leal, Isabel PereiraPortugal is among the European countries with higher rates of overweight children, and parental feeding practices may affect children weight and eating patterns. A community sample of 252 Portuguese parents was used to study the psychometric properties of the Portuguese version of the Parental Feeding Style Questionnaire. (i.e., structural, convergent and discriminant validity, external and criterion validity, as well as reliability and sensitivity). Regarding construct validity, the measurement model supported a five-factor structure (Emotional, Instrumental, Encouragement, Permissiveness, and Control) with an acceptable fit; Item 24 was excluded since it showed a very low factor weight and was not significantly associated with its subscale (λ=0.274; p=0.065); also, this item’s explained variance was below the recommended (r2=0.018). Discriminant validity was verified in eight of the ten paired factors. Only the emotional eating subscale had a good value of VME (convergent validity; VME = .62). External validity was confirmed, as was internal consistency, where four of the five subscales, with the exception of the emotional eating subscale, had good Cronbach's alphas (.67 <α <.88). The Portuguese sample reported the predominant use of permissiveness and control practices, similar to that reported by previous studies. The Portuguese Parental Feeding Style Questionnaire appears valid and reliable for assessing Portuguese parents feeding styles and can be used in further studies. The existence of culturally adapted and validated instruments is fundamental for an accurate understanding of parental practices, in order to develop strategies to manage children’s dietary intake and prevent health-related problems, subsequent to overweight.