CEFH - Contribuições em Revistas Científicas / Contribution to Journals
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- Patients’ perception of medical care in the hospital environment: the reasons of non-hospitalityPublication . Castelhano, Laura Marques; Guimarães, Gilberto de Araújo; Baptista, IsabelBackground: The medical care provided by the physician is an important part of the hospital scene and the action of caring. Assessments of the physician-patient meeting are based on welcome and the physician’s ability to be perceived as hospitable by the patient. By definition, to be hospitable is to have the ability to welcome, care for, reassure, and be courteous, respectful, and trustworthy. This article aims to understand patients’ perceptions of medical care perceived as not hospitable, characterized by a lack of care and welcome, in a hospital environment, based on a complaint’s website. Method: The research method used was qualitative analysis and the research strategy was documentary research. The data were collected on a complaints registration platform. The theoretical framework used was the theory of Hospitality. The study selected, coded, and categorized the complaints of 127 patients at the 09 most renowned private hospitals in Brazil. The Voyant tools assisted in the textual analysis of complaints while coding classified them into categories. Results: After evaluating the reasons and elements of the complaint, the following was analyzed the encounter characterized as hostile and inhospitable and the attitudes perceived by the patients were grouped into what was defined as “the 4 D’s of non-hospitality”: dehumanization, disregard, dereliction of duty, and disability. Each of the attitudes was characterized by the physician’s behavior and the sensations, emotions, and feelings triggered in the patient. Conclusions: Patients’ perception of the not hospitable encounter may be hostile or inhospitable. The physician’s attitude is an important criterion for evaluating the encounter. The physician’s attitude and the form of care are key factors in a culture focused on hospitality in the hospital environment. Hostile and inhospitable attitudes affect the physician-patient relationship and may compromise the patient’s well-being.
- Psychological distress and family stress in Alzheimer’s caregivers: a forgiveness longitudinal mediation modelPublication . Brito, Laura; Leite, Ângela; Pereira, M. GraçaBackground: The present study examined how family stress, distress, and forgiveness influenced the quality of life (QoL) of family caregivers (FCs) of persons living with Alzheimer’s disease over time. Method: Using a longitudinal design, data were collected at baseline (T1), 6 months (T2), and 12 months (T3). Results: Family stress at T1 predicted family stress at T2, while forgiveness at T1 predicted family stress at T2. Forgiveness (T1 and T2) mediated the relationship between distress (T1) and mental QoL (T3). Additionally, forgiveness (T1 and T2), along with mental QoL (T3), were mediators between distress (T1) and physical QoL (T3). Multigroup analysis revealed that the effects of forgiveness on distress and QoL were moderated by disease severity, with stronger mediation effects in the moderate and severe groups. Conclusion: The study underscores the importance of early distress screening and forgiveness-based interventions to enhance both mental and physical QoL in FCs, particularly as the disease progresses.
- Mineral deficiency and cardiovascular risk in women with obesityPublication . Santos, Loanne Rocha dos; Melo, Stéfany Rodrigues de Sousa; Severo, Juliana Soares; Cruz, Kyria Jayanne Clímaco; Oliveira, Emyle Horrana Serafim de; Sousa, Thayanne Gabryelle Visgueira de; Morais, Jennifer Beatriz Silva; Soares, Tamires da Cunha; Oliveira, Francisco Erasmo de; Henriques, Gilberto Simeone; Marreiro, Dilina do NascimentoThis study aims to test the association between magnesium, selenium, and calcium and the increased cardiometabolic risk in women with obesity. This was a cross-sectional study that involved 130 women divided into a group of women with obesity (n=69) and a control group (n=61). Statistical analysis was performed through the GraphPad Prism program. The results shown that women with obesity have a lower concentration of the minerals magnesium, selenium and calcium in blood, as well increase in the excretion of these minerals in the urine when compared to the control group. Addition, thit group showed high concentrations of total cholesterol, TGC, VLDL-C, LDL-C, non-HDL, IC I, IC II, interleukine-6 and interleukine-8, which suggests increased risk for cardiovascular disease in this group. There was also a positive correlation between urinary mineral concentrations and anthropometric parameters. The results suggest that excess adiposity is associated with deficiency of the minerals analyzed, as well as revealing the association of this deficiency with increased cardiometabolic risk in the population evaluated.
- Understanding binge-watching: the role of dark triad traits, sociodemographic factors, and series preferencesPublication . Leite, Ângela; Rodrigues, Anabela; Lopes, Sílvia; Pereira, Ana CatarinaBinge-watching has become a dominant mode of media consumption, yet its psychological underpinnings remain insufficiently explored. This study investigates the influence of dark triad personality traits, sociodemographic factors, and TV series preferences on binge-watching behavior. A Portuguese version of the Binge-Watching Engagement and Symptoms Questionnaire (BWESQ) was validated using a confirmatory factor analysis (CFA), demonstrating strong psychometric properties. Measurement invariance was confirmed across genders through a multigroup CFA, testing configural, metric, scalar, and error variance levels. Model reliability, convergent validity, and discriminant validity were assessed using Cronbach’s alpha, composite reliability, and the average variance extracted (AVE). Multiple linear regression analyses identified significant predictors of binge-watching, including gender, age, professional status, TV series preferences, Machiavellianism, and psychopathy. These findings underscore the role of personality traits and demographic factors in shaping binge-watching behavior, offering insights that may inform psychological interventions to prevent excessive or problematic viewing patterns.
- The impact of contextual constraints on the role of management commitment in safety culture: a moderation analysisPublication . Pinto, Viviana S.; Silva, Isabel S.; Costa, DanielaSafety culture (SC) can play a key role in workers’ health and well-being, as well as in organizational performance. The literature has demonstrated a positive relationship between SC and organizational indicators such as safety performance. However, there is still a need to understand the impact of contextual factors and to identify strategies that promote employee well-being and organizational effectiveness. This cross-sectional study aims to analyze the relationship between different components of SC—management commitment, safety management systems (SMS), and worker participation in safety—and to explore the moderating role of perceived barriers to the use of personal protective equipment (PPE) and the physical demands of the job in these relationships. The study involved 473 Portuguese workers from the construction and industrial sectors. Correlation and moderation analyses were performed. The results revealed positive correlations among the main SC components, highlighting their interconnection within the organizational context. A moderating effect—albeit of small magnitude—was also found for both perceived barriers and physical demands in the relationship between management commitment and the other dimensions of SC. The results are discussed in light of their implications for safety management and the promotion of healthier and more sustainable workplaces.
- Chronic illnesses: varied health patterns and mental health challengesPublication . Leite, ÂngelaBackground/Objectives: Hypertension, diabetes, and cancer are three prevalent chronic conditions with distinct etiologies and significant global health impacts. This study aimed to explore the diverse impacts of different chronic illnesses on health behaviors and psychological well-being, with a focus on identifying and addressing the unique challenges faced by individuals with hypertension, diabetes, and cancer. It was hypothesized that health behaviors and psychological well-being would differ significantly among individuals with hypertension, diabetes, and cancer, reflecting the distinct demands and psychosocial impacts of each condition. Methods: The database of Americans’ Changing Lives, Wave 6, including 767 participants, was used (56.1% hypertension, 20.8% diabetes, and 19.9% cancer cases). Variables concerning physical and mental health issues were chosen. Descriptive statistics summarized the data. Chi-squared and t-tests assessed associations and group differences, with effect sizes reported. Logistic regression examined predictors of hypertension, diabetes, and cancer. Sensitivity analyses excluded outliers. Results: Hypertensive individuals are more likely to show cognitive impairment and unhealthy behaviors, including poor self-rated health, higher BMI, lower physical activity, and altered alcohol use. Risk increases with age, widowhood, retirement, hospital admissions, and poor mental health, while more emergency room or doctor visits slightly reduce it. People with diabetes experience greater depressive symptoms, hopelessness, and financial stress. They also tend to have poorer self-rated health, higher BMI, and less physical activity. Risk is higher for separated individuals and lower for females. Psychological distress is a key factor, while age, employment, and healthcare use show minimal influence. Cancer is linked to chronic stress, poorer perceived health, and mental health challenges. Risk is higher among older adults and those who keep house. Poor self-rated health, high BMI, low fruit and vegetable intake, and psychological distress increase risk, but healthcare use is not a strong predictor. Conclusions: While different chronic illnesses present distinct challenges to health behaviors and psychological well-being, they also share common features-such as increased stress and lifestyle disruptions-underscoring the importance of both tailored and cross-cutting interventions to effectively support individuals across conditions.
- Post-cognitivism and the indissoluble bonding of languaging, embodiment, and thinkingPublication . Batisti, Filippo; Vidal, Marcos G.Classical cognitive science often strips the inherent social character out of language, treating it as a system of internal mental representations, and so does Generative Linguistics. In contrast, post-cognitivist approaches to psychology reject representationalism but struggle with language’s capacity to refer beyond sensory experience. Cognitive Linguistics addresses meaning and embodiment but remains somewhat isolated from broader post-cognitivist thought. The enactive approach overtly problematizes the concept of representation, but tends to marginalize language; when such focus is taken, a coherent account of semantic content remains an unresolved task. This paper surveys philosophical and linguistic perspectives on language within post-cognitivist frameworks and proposes a blueprint for future research based on four points: sociality and interaction, embodiment, ecological validity, and representation-as-praxis.
- Sexual abuse among Mozambican women at risk for HIV/AIDS infection: the temporal stability of self-reportPublication . Patrão, Ana Luísa; McIntyre, Teresa M.; Costa, Eleonora C. V.; Maia, Ângela; Matediana, Eduardo; Azevedo, VanessaMany researchers have expressed concern regarding the reliability and validity of retrospective self-reports of sexual abuse. This study aimed to quantify the frequency of self-reported sexual abuse among vulnerable Mozambican women and evaluate the temporal stability of self-report across assessments. Participants (N = 173) were patients at the gynecology outpatient clinic of a public central hospital in Mozambique who were referred for recruitment by gynecologists and completed measures of sexual abuse, assessed using six items from the National Women's Study survey. Women reported a frequency of sexual abuse ranging from 9.2% (third assessment) to 10.4% (initial assessment). Concerning the temporal stability of self-reports, the percentage of agreement was above 90% for all sexual abuse items, and general sexual victimization achieved almost perfect kappa values, κs =.93–1.00. This work has implications for the promotion of sexual health and the prevention of violence.
- The mediating effect of personality on the relationship between childhood abuse and adult aggression and emotionalityPublication . Silva, Candy; Fávero, Marisalva; Moreira, Diana; Moreira, Patrícia; Gomes, Valéria; Leite, ÂngelaThe relationship between adverse childhood experiences (ACEs), life history, aggressive behaviour, and emotional regulation has been explored extensively, but the moderating role of personality in these dynamics remains insufficiently understood. Hence, the primary aim of this study is to investigate the effects of childhood sexual abuse (CSA) on aggression, emotion regulation, and personality traits in a sample of Portuguese adults. This is a cross-sectional study including 609 individuals of Portuguese descent who are 18 years old or older who were assessed through an online data collection approach. The variables under scrutiny were assessed by the Impulsive and Premeditated Aggression Scale, the Life History of Aggression Questionnaire, the Childhood Adversity History Questionnaire, the Emotional Regulation Difficulties Scale, the NEO-Five Factor Inventory, and the Triarchic Psychopathy Measure Screening. Findings reveal that CSA significantly predicts aggressive behaviour (16.7%) and emotion dysregulation (9.5%), with higher levels observed in individuals exposed to CSA, especially men. Additionally, CSA correlates with neuroticism (3.1%) and psychopathy traits like disinhibition (13.7%) and meanness (13.4%), though not boldness. Gender differences indicate that neuroticism is higher in men, while women show greater openness and conscientiousness. The research underscores that CSA contributes to the development of adverse personality traits and behaviours due to emotional and social disruptions. Also, psychopathic traits mediate the relationship between ACEs and adult aggression through several pathways, and personality mediates the relationship between ACEs and life history strategies as well as emotional regulation through its influence on impulsivity, risk-taking, emotional stability, and coping mechanisms.
- Recipient passives in Mozambican Portuguese: a case of constructional alternation in the makingPublication . Mevis, AliceThe present paper investigates a constructional alternation currently under development in Mozambican Portuguese, arising from the constructionalization of a new passive construction (Recipient passives) alongside its standard counterpart (Theme passives). We argue that beyond the influence of the Bantu substrate that led to the emergence of the innovative variant, variation is conceptually and pragmatically motivated and involves restructuring in accordance with the structural constraints of Portuguese. We show how the alternation proves sensitive to a set of linguistic factors, the most prominent of which are related to information structure and differences in perspectivization, or construal. By adopting a sociocognitive view of language and a network view of grammar, we aim to illustrate the multidimensionality of restructuration and indigenization processes taking place in postcolonial varieties of pluricentric languages in the sequence of their nativization.