CEFH - Contribuições em Revistas Científicas / Contribution to Journals
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- Quality of life and burden during the COVID-19 pandemic: a longitudinal study with family caregivers of persons living with Alzheimer's diseasePublication . Brito, Laura; Faria, Susana; Leite, Angela; Pereira, M. GraçaIntroduction: The COVID-19 pandemic intensified the challenges faced by family caregivers of persons living with Alzheimer’s disease, potentially affecting their psychological, behavioral, and physiological well-being. Understanding how these processes evolve over time is critical for informing targeted interventions. Methods: A longitudinal study was conducted with 130 Portuguese family caregivers assessed at three time points over a 12-month period. Measures included quality of life (QoL), caregiver burden, psychological distress, forgiveness, health behaviors, caregiving competence, family stress, and heart rate variability (HRV). Linear mixed-effects models and mediation analyses were performed while controlling for caregiver age and dementia severity. Results: Physical QoL and health behaviors initially declined but subsequently demonstrated a trend toward recovery over time, whereas mental QoL showed a sustained decline. HRV, caregiving competence, and family stress increased throughout the study period. Forgiveness mediated the relationship between psychological distress and both caregiver burden and physical QoL, but not mental QoL. Health behaviors did not mediate the association between HRV and caregiver burden. Discussion: These findings highlight the dynamic and multifaceted nature of caregiving under prolonged stress conditions. Although caregivers demonstrated adaptive processes over time, the persistent decline in mental QoL underscores their continued psychological vulnerability. The mediating role of forgiveness suggests that it may serve as an important protective mechanism and a promising target for interventions aimed at improving caregiver well-being.
- ICU admission and post-discharge mortality in COVID-19: different risk factors across clinical phasesPublication . Leite, Fernanda; Santos Silva, André; Ferreira, Sara; Brito, Carina; Leite, ÂngelaBACKGROUND: Risk factors for severe COVID-19 and in-hospital mortality are well described, but it remains unclear whether the same factors predict mortality after hospital discharge. Distinguishing risk profiles across clinical phases may improve patient management and follow-up strategies. METHODS: We conducted a retrospective observational cohort study of 595 adults hospitalized with PCR-confirmed SARS-CoV-2 infection in Portugal (September-November 2020). The primary outcome was all-cause mortality during hospitalization and up to 120 days post-discharge. Secondary outcomes included intensive care unit (ICU) admission, maximum disease severity (WHO Clinical Progression Scale), oxygen supplementation, and length of stay. Univariable and multivariable regression analyses were performed using logistic regression for binary outcomes and linear regression for continuous outcomes. RESULTS: Overall mortality was 22.5%, rising from 14.1% in-hospital to 22.5% at 120-day follow-up (p < 0.001), with 37.3% of deaths occurring post-discharge. ICU admission was required in 17.6% of patients and was significantly associated with obesity (OR = 2.12, 95% CI: 1.39-3.23, p < 0.001) and male sex (OR = 1.78, 95% CI: 1.14-2.78, p = 0.010) in univariable analysis. In contrast, post-discharge mortality was associated with longer hospital stay (18.4 vs. 9.9 days, p < 0.001) and a higher prevalence of malignancy (28.0% vs. 13.1%, p = 0.032), but not with ICU admission. In multivariable logistic regression, oxygen supplementation was the strongest predictor of 120-day mortality (OR = 2.50, 95% CI: 1.38-4.51, p = 0.002). Only pulmonary diseases and obesity were independently associated with maximum disease severity. CONCLUSIONS: Risk factors for acute COVID-19 severity differ from those for post-discharge mortality. These findings support a phase-specific approach to risk stratification, suggesting that patients with obesity are at increased risk of early respiratory deterioration, while patients with malignancy may benefit from closer post-discharge follow-up regardless of ICU admission status.
- Cyber dating abuse and the dark triad: exploring the role of sociodemographic, relational and psychological factorsPublication . Barros, Vanessa; Leite, Ângela; Monteiro, Ana P.Objective: This study examined the association between cyber dating abuse (CDA), Dark Triad personality traits, loneliness, and hostility, as well as the moderating role of sociodemographic variables (e.g., sex and age) and psychosocial variables (loneliness and hostility) in the relationship between dark triad traits and CDA. Method: A quantitative crosssectional design was employed with a sample of 603 Portuguese participants. The following instruments were administered: a Sociodemographic Questionnaire, the Cyber Dating Abuse Questionnaire, the Dirty Dozen, the Hostility subscale of the Brief Symptom Inventory, and the UCLA Loneliness Scale – Short Form. Results: The findings indicated a high prevalence of CDA, with 20.3% of participants reporting perpetration. Dark triad traits, hostility, and loneliness were significantly associated with both victimization and perpetration. Moderation analyses showed that loneliness and social network use moderated the relationship between dark triad traits and CDA. Conclusions: Although victims and perpetrators shared several psychosocial characteristics, perpetrators were more likely to report involvement in noncommitted relationships lasting longer than one year and higher levels of loneliness.
- Validation of the Portuguese version of the Gaming Disorder and Hazardous Gaming Scale: psychometric properties and measurement invariance based on ICD-11Publication . Leite, Ângela; Rodrigues-Maia, BertaObjective: Gaming Disorder is characterized by persistent and recurrent gaming behavior that takes precedence over daily activities, whereas Hazardous Gaming refers to gaming patterns that increase the risk of mental and physical harm. This study aimed to adapt the Gaming Disorder and Hazardous Gaming Scale to Portuguese, based on ICD-11 criteria, and to examine its psychometric properties. Method: In Study 1, exploratory and confirmatory factor analyses were conducted to examine the scale's factorial structure and to test measurement invariance across sex, educational level, age, and gaming duration. Study 2 assessed associations between gaming-related problems and psychological symptoms using the Brief Symptom Inventory. Results: The scale demonstrated robust psychometric properties and evidence of measurement invariance across the examined groups. Greater gaming duration and older age were associated with higher disorder scores. Between 7% and 18% of participants reported gaming-related functional impairments. The association between somatization symptoms and gaming disorder/hazardous gaming was moderated by sex, with stronger effects observed in men. Conclusion: The Portuguese version of the scale represents a valid and reliable instrument for assessing gaming-related problems, supporting its use in both research and clinical settings.
- Philosophy and neuroscience: tango or solo dancing?Publication . Gouveia, Steven S.; Leite, ÂngelaIn this paper, we want to briefly introduce how four approaches that relate (or not) philosophical investigation with the neuroscientific research can be considered in order to achieve a methodology that can effectively investigate the phenomenon of the conscious mind and its relationship with the brain. The traditional way of defining philosophical work seems to be clearly opposed to the traditional way of conceiving neuroscientific work. That raises the question that serves as the title of the paper: should we conceive the relationship between philosophy and neuroscience as a kind of “solo dancing”, that is, isolated without any kind of interaction? Or should we conceive that relationship as a “tango”, that is, an actively continuous relationship that complements each other? The Isolationist Approach argues for a “solo dancing” relationship, denying any kind of interaction. Next, rejecting this “solo dancing” approach, the Reductionist Approach (RA) will focus on specifying how philosophical work can be reduced to neuroscientific work. Arguing against the reductive aspect of (RA), but maintain a “tango” relationship, the Neurophenomenological Approach (NA) will demonstrate the importance of an embodied approach to the study of the conscious mind. Finally, the Non-Reductive Neurophilosophical Approach (NRNA) will expose a particular methodology that conceives the epistemic utility of both philosophical and neuroscientific work to investigate the conscious brain.
- Editorial: empowerment through education innovative interventions for higher education studentsPublication . Chianese, Gina; Manuti, Amelia; Oliveira, Íris M.; Pinto, Joana Carneiro; Silva, Ana Daniela
- Reflections on the neuroscience and musical performancePublication . Conceição, Maria; Morgado, Elsa; Silva, Levi; Cardoso, MárioThe neuroscience is a vast and fertile field for studies of musical performance because it established the understanding of musicality and nervous system to understand the process of functioning of the human mind in its most diverse potentialities. Since Music is a human manifestation and construction, its cognitive function makes it possible to capture the modulations of the feelings and the creative act and has been an excellent pivot for neuro scientific study in the understanding of how the brain processes the sound stimuli and organizes the musical functions. As the success in musical performance requires an exceptional excellent motor control, in addition to an in-depth knowledge of the musical structure demands a high demand of corporal work.
- Guardians of journalism and free expression: Brazil's CDJor coalition in democratic fluxPublication . Novais, Rui Alexandre; Christofoletti , RogérioThis article analyzes the interplay between civic activism and communicative resilience in safeguarding freedom of expression and journalistic integrity, centering on the understudied Brazil's Coalition in Defense of Journalism (CDJor) that emerged to counteract systemic persecution of the press, and eroding public trust under Jair Bolsonaro's authoritarian regime. Using a multi-dimensional qualitative approach, the study explores two intertwined strands: the social movements dynamics, which include the coalition's lifecycle, collaborative partnerships, and governance models; and communicative resilience, which examines how CDJor has strategized to overcome challenges and achieve initial achievements despite structural barriers. It concludes that a defining feature of CDJor's communicative resilience lies in its refusal to normalize the belligerent press-state relations institutionalized by Bolsonaro. Instead, it championed democratic restoration, cultivating shared narratives about journalism's societal role and mobilizing cross-organizational communication channels for counter-repression. Following the political transition to Lula da Silva's administration, CDJor has strategically pivoted from reactive resistance to proactive adaptation, prioritizing dialogue and institutional collaboration in a more pluralistic yet still precarious democratic environment. This shift underscores its flexibility and dual imperative: ensuring vigilance against ongoing threats to freedom of expression while leveraging its political influence to enhance media integrity and restoring public trust in journalism.
- O carácter histórico-hermenêutico da revelação e da sua formulação dogmática como manifestação da realidade mistérica e inefável da verdade divinaPublication . Dimas, SamuelAtravés de um diálogo interdisciplinar entre teologia e filosofia, pretendemos explicar nesta investigação por que razão os conteúdos da Revelação sagrada e as formulações dogmáticas da Tradição da Igreja nem sempre se apresentam em conformidade com o bem e a verdade que o ser humano procura em diálogo com Deus. A partir de uma fundamentação gnosiológica assente na noção de inadequação entre o pensar e o mistério inefável do Ser divino, procuramos justificar a necessidade da alteração das significações e das formulações concetuais acerca da fé e dos costumes religiosos ao longo da História através dos diversos sínodos e concílios. Tentaremos evidenciar o impacto da apropriação histórico- -cultural de determinados modelos filosófico-teológicos e o impacto do condicionamento sociopolítico na interpretação da Revelação e na sua formulação dogmática. Concluímos que através da aplicação do método fenomenológico-hermenêutico e do reconhecimento do carácter histórico-cultural da Revelação e da Tradição é possível uma aproximação à Verdade sem cedermos aos relativismos niilistas e sem cairmos no anacronismo da apropriação literal de ideias teológico-filosóficas do passado que já não dão sentido às vivências do presente. A fundamentação teológico-filosófica do carácter histórico-hermenêutico da verdade da Revelação e do carácter evolutivo da verdade dos dogmas, com o consequente questionamento da infalibilidade do Papa e da Igreja, apresenta-se como a principal originalidade deste estudo.
- Media narratives and the construction of meaning in times of war: evidence from the MeInWar projectPublication . Silveira, Patrícia; Pessôa, Clarisse; Petrella, SimoneArmed conflicts are at the epicentre of an information war, amplified by false claims about the motivations of the conflicts and refugees. The spread of narratives, especially in digital media, challenges the European Union to implement effective strategies to combat misinformation and to adopt measures to scrutinise and hold the main communication channels accountable, in order to prevent hostile narratives from influencing public opinion and political decision-makers. In this context, this article seeks to analyse the implications of media discourses and misinformation in the development of social representations about the Russian–Ukrainian war and refugees, as well as the use of social networks by individuals to share this type of content. The research is based on an exploratory study as part of the R&D Project MeInWar—Study on the media and social representations of the Russian-Ukrainian conflict, funded by Europeia University. The study employed a survey method and an online questionnaire applied to a non-probabilistic convenience sample of 222 individuals aged between 18 and 38. The results revealed that media narratives influence attitudes towards refugees and migration policies, and it is clear that factors such as age and gender have an impact on content-sharing practices and the motivations behind them.