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- Psychometric properties and convergent and divergent validity of the Portuguese Yale Food Addiction Scale 2.0 (P-YFAS 2.0)Publication . Gonçalves, Sónia Ferreira; Moreira, Célia; Machado, Bárbara; Bastos, Beatriz; Vieira, Ana IsabelPurpose: The construct of food addiction has been gaining increased attention as a research topic. Currently, the Yale Food Addiction Scale 2.0 is the only measure to operationalize the addictive-like eating behavior according to addiction criteria proposed by the Diagnostic and Statistical Manual of Mental Disorders. The present study aimed at examining the psychometric properties of the Portuguese version of the Yale Food Addiction Scale 2.0, as well as investigating the convergent and divergent validity between this scale and the following measures: Eating Disorders Examination Questionnaire, Body Investment Scale, and Difficulties in Emotion Regulation Scale. We also sought to explore the moderator role of difficulties in emotion regulation in the relationship between food addiction and binge eating. Methods: A sample of 302 female college students (Mage = 21.37, SD= 3.24) completed selfreport measures. Results: Sixteen (5.3%) participants were diagnosed as having food addiction. The confirmatory factor analysis suggested that the original onedimensional structure is adequate to represent the Portuguese Yale Food Addiction Scale 2.0. The symptom count scores of the scale were correlated with body mass index, eating disordered behavior, body investment and difficulties in emotion regulation. The severity level of the scale also discriminated the severity of eating disordered behaviors, body investment and difficulties in emotion regulation. Finally, the relationship between food addiction and binge eating was moderated by difficulties engaging in goal-directed behavior when experiencing negative emotions. Conclusion: The Portuguese version of the Yale Food Addiction Questionnaire 2.0 may be a useful tool to investigate food addiction.
- Eating disorders and non-suicidal self-injury: cluster analysis considering eating pathology, emotion dysregulation, and negative urgencyPublication . Gonçalves, Sónia Ferreira; Ramalho, Sofia; Machado, Bárbara; Vieira, Ana IsabelPurpose: Research on the interplay between eating pathology, difficulties in emotion regulation and negative urgency is needed to better inform and tailor the current intervention approaches for patients with eating disorders and non-suicidal self-injury. The current study aimed to investigate the phenotypic characterization of patients with eating disorders and history of lifetime non-suicidal self-injury when considering eating pathology, emotion dysregulation and negative urgency. Methods: This is a cross-sectional study evaluating 73 patients with eating disorders and history of lifetime non-suicidal self-injury (14-55 years; 68 Female). A cluster analysis (K-means) was performed using eating pathology, difficulties in emotion regulation and negative urgency. Differences between clusters were explored on sociodemographic/psychological variables, distribution of the DSM-5 eating disorder diagnostics and past/current non-suicidal self-injury engagement Results: Three clusters were identified. Cluster 1 (n = 29) (moderate severity) was characterized by high levels of eating pathology, but moderate emotion dysregulation and negative urgency. Cluster 2 (n = 29) (high severity) was characterized by the highest scores in eating pathology, emotion dysregulation and negative urgency. Within this cluster there was the highest prevalence of patients with current non-suicidal self-injury. Cluster 3 (n = 15) (low severity) was characterized by the lowest levels of eating pathology, emotion dysregulation and negative urgency and included more patients with past nonsuicidal self-injury. Conclusion: The three distinctive profiles highlights the importance of emotion dysregulation and negative urgency as a personalized treatment target for eating disorders patients with current NSSI. Level III: Evidence obtained from well-designed cohort or case-control analytic studies
- City-level drug policies in Portugal: the COVID-19 pandemic as an analyser of harm reduction intervention responsiveness in Porto and LisbonPublication . Pires, Cristiana Vale; Curado, Adriana; Fuertes, Ricardo; Carvalho, Maria Carmo; Valente, HelenaBackground: The COVID-19 pandemic health crisis and its potential implications for people who use drugs (PWUD) created permissive conditions toward social innovation and experimentation. Still, it also exposed gaps in harm reduction approaches. The local level situations informed the harm reduction responsiveness, so it was not applied uniformly in different regions. This paper intends to contribute to the analysis of harm reduction responsiveness during the COVID-19 outbreak by comparing the adaptations and implementation of harm reduction and municipal services to support street-involved PWUD in two Portuguese cities – Porto and Lisbon. This study aims to shed light on the city-level implementation of drug policies in Portugal. Methods: This study is based on a comparative qualitative analysis based on the experiences of PWUD and HR professionals regarding the implementation of harm reduction responses during the COVID-19 pandemic in Porto and Lisbon. The study is based on interviews with street-involved (SI) PWUD (n=22, 12 in Porto and 10 in Lisbon) and online focus groups with harm reduction professionals (N=12, 6 in Porto and 6 in Lisbon). Results: Harm reduction teams in Porto and Lisbon implemented contingency plans and proactive adaptations to respond to the pandemic-related emerging needs. However, the study revealed contrasting experiences in the city-level support to harm reduction and responsiveness to the impacts of COVID-19 among SI PWUD in Porto and Lisbon. There were relevant differences in the support they received from the City Council and the city-level responses implemented to support street-involved (SI) PWUD. While the approach in Porto was described as restrictive and zero-tolerance towards drug use, in Lisbon, the responses were harm reduction-focused. The harm reduction-focused approach implemented in Lisbon revealed better results regarding the harm reduction responsiveness to the pandemic health crisis and adherence of SI PWUD to services, mostly because of their inclusive approaches. Conclusion: The pandemic constraints and adaptations must be contextualized in an overall process of disinvestment in harm reduction in Portugal. Moreover, beyond the Portuguese drug policy model, citylevel drug policies are crucial in the design and implementation of local drug policies.
- Mental health literacy questionnaire short-version: psychometric properties in young adults from Brazil, Germany, Greece, Lithuania, Malaysia, Nepal, Nigeria, Pakistan, Poland, Serbia and TurkeyPublication . Costa, Diogo; Costa, Marisa; Moreira, Wanderson Carneiro; Nobrega, Maria do Perpétuo S.S.; Fritz, Birthe; Wessa, Michèle; Kalaitzaki, Argyroula; Meintani, Flora; Aturu, Olamide; Yong, Teresa Sui Mien; Johari, Mohammad Zabri; Dhakal, Sandesh; Poudel, Dev Bandhu; Ashraf, Mujeeba; Soroko, Emilia; Lepojevic, Marina Kovacevic; Radanovic, Ana; Gunaydin, Nevin; Özpulat, Funda; Campos, Luísa; Dias, PedroObjectives: The prevalence of mental health disorders has increased in recent years, representing a major public health concern. Increasing the literacy about mental health signs and symptoms is paramount for effective prevention. Having previously studied the psychometric properties of the Mental Health Literacy Questionnaire for young adults – short version (MHLq-SVa) in six countries, we now extend the validity study of this 16-item scale to eleven countries, namely Brazil, Germany, Greece, Lithuania, Malaysia, Nepal, Nigeria, Pakistan, Poland, Serbia and Turkey. Study Design: Multicentre cross-sectional study Methods: Translated and adapted versions of the MHLq-SVa were administered to young adults aged 17-25 years in all countries, totalling 5054 (72% women) with full information for all scale items. Confirmatory factor analysis and internal consistency (Cronbach’s alphas) were computed to test the scales’ four-dimensional structure (Knowledge of mental health problems; Erroneous beliefs/stereotypes; First-aid skills and help-seeking behaviour; Self-help strategies) and reliability. Results: Goodness-of-fit indices for the four-factor solution model suggested good fit in all countries. Exceptions were Pakistan with higher Root mean squared error of approximation and Standardized root mean squared residual, and Brazil with a higher chi-square value and lower Comparative fit index. Conclusions: The construct validity of the MHLq-SVa was supported by data from eleven countries, adding to previous research on the MHLq-SVa psychometrics, suggesting cross-cultural reliability as a Mental Health Literacy assessment tool.
- A avaliação ao serviço de todas as aprendizagens, com base no PASEOPublication . Braga, Fátima
- Abandono oculto: desafios que se colocam às escolasPublication . Oliveira, António Branco
- Os mecanismos do mérito e a promoção das (des)igualdadesPublication . Ferreira, Marylin Regal