Extending the Common Sense Model to Explore the Impact of the Fear of COVID-19 on Quality of Life in an International Inflammatory Bowel Disease Cohort

The aim of this cross-sectional study was to use an extended common sense model (CSM) to evaluate the impact of fear of COVID-19 on quality of life (QoL) in an international inflammatory bowel disease cohort. An online study involving 319 adults (75% female, mean (SD) 14.06 (15.57) years of symptoms) completed the Gastrointestinal Symptom Rating Scale, Brief Illness Perceptions Questionnaire, Fear of Contracting COVID-19 Scale, Brief-COPE, Depression, Anxiety and Stress Scale, and the EUROHIS-QOL. The extended CSM had an excellent fit (χ² (9)?=?17.06, p?=?.05, χ²/N?=?1.90, RMSEA?=?0.05, SRMR?=?0.04, CFI?=?.99, TLI?=?.97, GFI?=?0.99), indicating the influence of gastrointestinal symptoms on QoL was mediated by illness perceptions, fear of COVID-19, adaptive and maladaptive coping, and psychological distress. Interventions targeting the fear of COVID-19 in the context of an individual’s perceptions will likely enhance QoL during the pandemic.

     

The weariness of the hero: depression and the self in a civilization in transition

According to the World Health Organization, depression is currently the leading cause of disability, which is of great concern worldwide; however there is much dispute about depression and its causes. This article raises the hypothesis that depression could be related to an increase or inflation of ego‐consciousness, which, in turn, is inseparable from the development of modernity. The ‘hero’, symbol of this historical process of self‐consciousness and autonomy, stands now wearied and disoriented. The paper outlines how, in this cultural scene, certain ideas from Carl Jung's and James Hillman's depth psychologies may be useful in addressing the issue: the rediscovery of figures of the other through the analysis of the unconscious (Jung) and associating with others in groups imbued with communal sense (Hillman) could help the depressed individual to mitigate his or her inflated ego‐consciousness. These are two complementary ways of experiencing the conglomerate nature of the self, thus promoting the process of individuation.     

‘Do-It-Yourself’ Healthcare? Quality of Health and Healthcare Through Wearable Sensors

Wearable sensors are an integral part of the new telemedicine concept supporting the idea that Information Technologies will improve the quality and efficiency of healthcare. The use of sensors in diagnosis, treatment and monitoring of patients not only potentially changes medical practice but also one’s relationship with one’s body and mind, as well as the role and responsibilities of patients and healthcare professionals. In this paper, we focus on knowledge assessment of the online communities of Fitbit (a commercial wearable device) and the Quantified Self movement. Through their online forums, we investigate how users’ knowledge claims, shared experiences and imaginations about wearable sensors interrogate or confirm the narratives through which they are introduced to the publics. Citizen initiatives like the Quantified Self movement claim the right to ‘own’ the sensor generated data. But how these data can be used through traditional healthcare systems is an open question. More importantly, wearable sensors trigger a social function that is transformative of the current idea of care and healthcare, focused on sharing, socialising and collectively reflecting about individual problems. Whether this is aligned with current policy making about healthcare, whose central narrative is focused on efficiency and productivity, is to be seen.     

Family and Systems Therapy and Training in Portugal

The history of systemic family therapy in Portugal since its appearance until the present is discussed. Some data on systemic family therapists’ training is provided in the context of the Portuguese Society of Family Therapy and Academic Institutions. In Portugal, family therapy has been extended to various contexts, including medical and community services. Finally, future directions for family and systems therapy practice and training in Portugal are provided emphasizing the importance of family interventions as an important resource to empower families living with health chronic conditions. The Portuguese Family Therapy Society, every 2 years, organizes a scientific Iberian conference with Portuguese and Spanish speakers. This allows the exchange of clinical experience and research about family and systems theory.     

Lenguaje y pensamiento en el desarrollo: Un nuevo modelo teórico

Resumen

Los modelos tradicionales que pretenden explicar las relaciones entre pensamiento y lenguaje no parecen adecuados, al no poder integrar los datos-obtenidos en las numerosas investigaciones realizadas últimamente sobre el tema. Se propone un nuevo modelo más integrador, que se inscribe dentro de la linea interaccionista, pero desarrollándola y matizándola.     

La atención a factores intralingüísticos en la adquisición del lenguaje

Resumen

Se argumenta mediante una serie de ejemplos cruciales que los niños trabajan sobre sus propios esquemas lingüísticos, que modifican, a lo largo de su desarrollo, y que son sensibles a la información estrictamente lingüística en ese proceso de construcción. Los casos aquí presentados de errores posteriores a un uso aparentemente correcto son indicativos de procesos que revelan la insuficiencia de las explicaciones sociocomunicativas de carácter reduccionista. Los que se aportan acerca de la construcción de clases de palabras, concordancia de género, y coherencia en el relato, ponen de manifiesto cómo los niños toman en cuenta claves intralingüísticas en sus intentos por dominar el lenguaje, que constituye en sí mismo un área de experiencia que suscita el interés y esfuerzo intelectual de los niños.     

Mother's personality and infant temperament

We examined if perfectionism and the perception of being an anxious person were associated with more negative infant temperament ratings by the mothers. 386 women (mean age = 30.08; standard deviation = 4.21) in their last trimester of pregnancy completed the Multidimensional Perfectionism Scale (MPS), the Beck Depression Inventory-II (BDI-II) and an item about their perception of being or not an anxious person. The Portuguese version of the Diagnostic Interview for Genetic Studies and the Operational Criteria Checklist for Psychotic Illness were used to generate diagnoses according to DSM-IV and ICD-10 criteria. After delivery, women completed eight items of the Difficult Infant Temperament Questionnaire (developed by our team) and filled in, again, the BDI-II and were interviewed with the DIGS. Women with depression (DSM-IV/ICD-10) and probable cases of depression using different cut-offs adjusted to Portuguese prevalence (BDI-II), in pregnancy and postpartum, were excluded. The Difficult Infant Temperament Questionnaire showed to have factorial validity and internal consistency. There was a statistically significant negative correlation between perfectionism total scale score and item 6 from the temperament scale (“is your baby irritable or fussy?”). Considering MPS 3-factor solution found for pregnancy there was also a statistically significant negative correlation between SOP and the same item. Women with low SOP differed from those with medium and high SOP in the total temperament score. Moreover, the low SOP group differed from the medium group on items three and four scores. There were no significant associations with SPP, which is the dimension more closely associated with negative outcomes. There was an association between anxiety trait status (having it or not) and scoring low, medium or high in the infant temperament scale. The proportion of anxious vs. non-anxious women presenting a high score on the infant temperament scale was higher (24.2% vs. 12.9%). Linear regressions showed that SOP (low vs. medium/high) offered a significant contribution to the prediction of total temperament scale score and items 3 and 4 scores, but a logistic regression did not confirm trait anxiety as a significant predictor of mother's infant temperament perception. Concluding, a major result concerns the fact that higher levels of adaptive perfectionism (i.e. SOP) are associated (and predict) a less negative view of their infant's temperament. These results on the effect of mother's anxiety and perfectionism on the child temperament perception might have treatment implications. As perfectionism is not always maladaptive, some of its positive features could be used to enhance women's self-efficacy/sense of parental competence in their role as mothers and positive affect towards their infants. Also, antenatal interventions aimed at minimising anxiety could help to optimise infant temperament outcomes, which could, eventually, also, lead to subsequent maternal and infant mental health better outcomes.     

Perceptions of breastfeeding in mothers of babies born preterm in comparison to mothers of full-term babies

The purpose of the present study was: a) to describe the theme of verbalizations about breastfeeding in mothers' pre-term (M-PT) and full-term (M-FT) infants; b) to examine the association between these themes and mother's anxiety and depression indicators and socio-demographic characteristics and, neonatal characteristics of the infants. The sample consisted of 50 M-PT and 25 M-FT. The mothers were assessed through State-Trait Anxiety Inventory and Beck Depression Inventory and were interviewed using a Guide focusing breastfeeding issues. The M-PT group had significantly more mothers with clinical symptom of anxiety than the M-FT group. The M-PT reported more uncertainties and worries about breastfeeding and figured out more obstacles for the successful breastfeeding than the M-FT. These reports were associated positively with the infants' risk neonatal status; lower birth-weight, higher neonatal clinical risk, and more length time stay in NICU were associated with more mothers' worries and seeing obstacles for breastfeeding. In conclusion, the strategies to enhance the breastfeeding rate in the preterm population have to take into account the mothers' psychological status and their ideas in addition to offering information about the advantages of breastfeeding for child development.     

Essentialism and the expression of social stereotypes: a comparative study of Spain, Brasil and England

Over the past few years, one of the most productive directions in the study of the activation and application of stereotypes has been provided by the essentialist concept of categorization. The research presented here studied the impact of two dimensions of essentialist beliefs--naturalism and entitativity-by using data collected from Brazil, Spain and England. The aim was to test whether there was a greater degree of essentialization among the naturalizable categories (sex, age and race) than among the entitative categories (economic condition, religion, political orientation, nationality and social condition). The results not only showed that participants hold more essentialist beliefs with regard to naturalistic categories but also showed the differences in the degree of essentialization across the three cultures. A discussion is conducted on the implications of the present findings, and on the heuristic value of the theoretical model (of the bidimensional nature of essentialism) adopted by this research.     

From prejudice to discrimination: The legitimizing role of perceived threat in discrimination against immigrants

This research analyses the mediational role of threat perception in the relationship between prejudice and discrimination (opposition to immigration and opposition to naturalization of immigrants). In the first study, using representative samples in 21 European countries (N = 36 566) from European Social Survey (2002), we showed that the relationship between prejudice and opposition to immigration was more strongly mediated by realistic than by symbolic threat perceptions. In Study 2, using representative samples in two countries with different traditions of immigration (Switzerland, N = 940; Portugal, N = 1514), we showed that realistic threat more strongly mediated the relationship between prejudice and opposition to immigration, while only symbolic threat perception mediated the link between prejudice and opposition to naturalization. The theoretical implications of considering threat perceptions as factors that legitimize discrimination are discussed. Copyright © 2009 John Wiley & Sons, Ltd.