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- Psychometric properties of the parent’s versions of the SDQ and the PANAS-X in a community sample of Portuguese parentsPublication . Costa, Pedro Alexandre; Tasker, Fiona; Ramos, Catarina; Leal, Isabel Maria PereiraThis study examined the psychometric properties of the parent's versions of the Strengths and Difficulties Questionnaire (SDQ) and the Positive and Negative Affect Schedule-Extended Form (PANAS-X) in a community sample of Portuguese parents. A total of 1100 SDQ and PANAS-X were collected from an online sample of 761 parents, whose ages ranged from 23 to 65 years (M = 42, SD = 5). Confirmatory factor analyses provided evidence of the internal factor structure of both the SDQ and the PANAS-X and invariance of the factor structure across age and gender groups, with the exception of the SDQ, which failed to provide evidence of invariance between genders. Internal reliability and discriminant validity were confirmed for both measures, although convergent validity was only confirmed for the PANAS-X. Concurrent validity was also confirmed by comparing the results from the SDQ dimensions and the PANAS-X broad dimensions subscales.
- Posttraumatic growth in adult cancer patients: an updated systematic reviewPublication . Patrao, Ivone; Leal, Isabel Maria Pereira; Rudnicki, Tânia; Santos, Ana Isabel; Costa, Margarida; Pimenta, Filipa; Ramos, CatarinaThe current systematic review is an updated analysis of studies with adult cancer patients, regarding factors associated with posttraumatic growth (PTG), which is defined as perceived positive changes after traumatic event, such as cancer. A systematic review was conducted according to the PRISMA Statement guidelines. Seven electronic databases were searched. Quantitative studies with or without psychosocial group intervention that assessed PTG or similar construct (benefit finding [BF], positive life changes, stress-related growth, growth) as main outcome were included. The initial systematic search yielded 659 papers, published between 2006 and 2015. From those, 81 studies fulfilled the inclusion criteria: 73 studies without intervention and 8 entailing an intervention program. The results suggested that socio-demographic (e.g. age, educational level, household income), clinical (e.g. stage of cancer), cognitive (e.g. intrusiveness, challenge to core beliefs), coping-related (e.g. positive reframing, religious coping) and other psychosocial variables (e.g. social support, optimism, spirituality) are positively associated with PTG. BF is associated with gender, marital status, cancer stage, both cancer and treatment type, positive active coping, positive reappraisal, social support and optimism. Psychosocial group interventions with cancer patients show significant effect on the increase of growth reported (PTG or BF). As conclusion, Growth following a cancer experience is an effect of several variables which might be targeted and promoted in the context of multidisciplinary teams, in hospital and clinical settings. Group interventions are a favorable context to the development of PTG after cancer, but interventions that assess PTG as primary outcome are still needed to evaluate the effect of group on PTG’ facilitation.
- Posttraumatic growth (PTG) and posttraumatic depreciation (PTD) across ten countries: Global validation of the PTG-PTD theoretical modelPublication . Taku, Kanako; Tedeschi, Richard G.; Shakespeare-Finch, Jane; Krosch, Daniel J; David, Georgina; Kehl, Doris; Grunwald, Selina; Romeo, Annunziata; Di Somma, Marialaura; Kamibeppu, Kiyoko; Soejima, Takafumi; Hiraki, Kohichi; Volgin, Rebekah; Dhakal, Sandesh; Zięba, Mariusz; Ramos, Catarina; Nunes, Romina; Leal, Isabel Maria Pereira; Gouveia, Patrícia; Silva, Carolina C.; Chaves, Pamela Núñez Del Prado; Zavala-Oseguera, Claudia; Paz, Andrea; Durak, Emre; Oshio, Atsushi; Canevello, Amy; Cann, Arnie; Calhoun, Lawrence G.
- 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.
- Expressão emocional : análise fatorial e qualidades psicométricas do DDI e Opener ScalePublication . Rocha, Raquel; Antunes, Catarina; Figueiroa, Francisca; Carixas, Inês; Ramos, Catarina; Leal, Isabel
- Perceived control, lifestyle, health, socio-demographic factors and menopause: Impact on hot flashes and night sweatsPublication . Pimenta, Filipa; Leal, I.; Marôco, J. P.; Ramos, CatarinaObjective: To develop a model to predict the perceived severity of hot flashes (HF) and night sweats (NS) in symptomatic middle-aged women. Methods: This was a cross-sectional study of a community-based sample of 243 women with vasomotor symptoms. Menopausal status was ascertained using the ‘Stages of Reproductive Aging Workshop’ criteria. Women’s ‘perceived control’ over their symptoms was measured by a validated Portuguese version of the Perceived Control over Hot Flushes Index. Structural equation modelling was employed to construct a causal model of self-reported severity of both HF and NS, using a set of 20 variables: age, marital status, parity, professional status, educational level, family annual income, recent diseases and psychological problems, medical help-seeking behaviour to manage menopausal symptoms, use of hormone therapy and herbal/soy products, menopause status, intake of alcohol, coffee and hot beverages, smoking, physical exercise, body mass index and perceived control. Results: Significant predictors of perceived severity were the use of hormone therapy for both HF (B = −.245; p = .022) and NS (B = −.298; p = .008), coffee intake for both HF (B = −.234; p = .039) and NS (B = −.258; p = .029) and perceived control for both HF (B = −1.0; p < .001) and NS (B = −1.0; p < .001). The variables explained respectively 67% and 72% of the variability in the perceived severity of HF and NS. Women with high perceived control had a significantly lower frequency (t(235) = 2.022; p = .044) and intensity of HF (t(217) = 3.582; p < .001); similarly, participants with high perceived control presented a lower frequency (t(235) = 3.267; p < .001) and intensity (t(210) = 3.376; p < .001) of NS. Conclusion: Perceived control was the strongest predictor of the self-reported severity of both HF and NS. Other causal predictors were hormone therapy and caffeine intake. All three were associated with less severe vasomotor symptoms.
- 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.
- 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
- 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.
- 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.