ESS - LRP – Laboratório de Reabilitação Psicossocial
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- Adaptação cultural, tradução e avaliação psicométrica do questionário de estigma sobre a perturbação de hiperatividade e défice de atenção para países de língua portuguesaPublication . Couto, Beatriz; Trigueiro, Maria João; Simões-Silva, Vítor; Almeida, Raquel Simões de; Trigueiro, Maria João; Simões-Silva, Vitor; Simões de Almeida, RaquelApesar do crescente conhecimento sobre a Perturbação de Hiperatividade e Défice de Atenção (PHDA), estas pessoas ainda enfrentam estigmas da sociedade. A pesquisa sobre o estigma associado à PHDA é limitada pela falta de instrumentos válidos e fiáveis. Este estudo teve como objetivo validar o Questionário de Estigma sobre a PHDA (ASQ) para a população portuguesa e perceber os níveis de estigma numa amostra comunitária. A amostra consistiu em 762 indivíduos, com idades entre 11 e 64 anos (média = 32,41 ±14,59 anos). A validação incluiu a tradução e adaptação cultural da versão original e a análise das propriedades psicométricas: fiabilidade (teste-reteste e consistência interna), validade de conteúdo e de construto. A consistência interna do ASQ foi excelente (α = 0,93) e os valores de teste-reteste (r = 0,86) suportam a fiabilidade do instrumento. Na validade de construto, a análise fatorial explicou 50,25% da variância e indicou uma nova distribuição dos itens 2, 3, 9 e 15 no instrumento. As mulheres (p<0,001) e os residentes em áreas costeiras (p=0,015) apresentaram níveis mais elevados de estigma. A utilização do ASQ para a pesquisa e prática clínica em Portugal é adequadamente suportada pelas suas propriedades psicométricas. Campanhas direcionadas de literacia e estigma da PHDA podem ser uma via importante para melhorar as atitudes da comunidade em geral em relação à PHDA
- Art as a therapeutic medium: the SuperART project mediumPublication . Alves, Isa; Almeida, Raquel Simões de; Algado, Salvador Simó; Marques, António; Simões de Almeida, Raquel; Pereira da Silva Marques, António JoséEvidence of the role of the arts in mental health is growing, but artistic approaches are still developing in rehabilitation services. The SuperART project is based on the therapeutic potential of art, proposing an innovative intervention, combining arts, nature and virtual reality to promote well-being in individuals with mental illness. This mixed study evaluated the effectiveness of an artistic intervention on the well-being of people with mental illness. Methods Eight participants took part in activities such as art exhibitions, creating outdoor art and using virtual reality. The Non-pharmacological Therapy Experience Scale (NPT-ES) assessed participants' experiences during sessions, and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) measured well-being before and after the intervention. At the end, a focus group was conducted. Most of the study participants were male, aged between 35 and 56, with a predominant diagnosis of Schizophrenia. Significant changes were observed in the well-being reported by the participants (p-value = .011). There were no differences in engagement and participation across sessions, but overall interest in the intervention increased. Qualitative feedback was promising and participants were satisfied with the project. Conclusion The study highlights the potential of museums as therapeutic contexts for the use of art to promote well-being in individuals with mental illness. The intervention demonstrated encouraging results, including greater well-being and evoked memories. More research with more representative samples is needed to develop effective strategies to promote well-being and provide individuals with genuine opportunities to contribute to the community. growing services wellbeing well being illness exhibitions Nonpharmacological Non pharmacological NPTES NPT ES (NPT-ES sessions WarwickEdinburgh Warwick Edinburgh WellBeing Well Being WEMWBS (WEMWBS end conducted male 3 56 Schizophrenia pvalue p value .011. 011 .011 . .011) increased results memories community 5 01 .01 0 .0 Resumo Introdução A evidência do papel das artes na saúde mental está crescendo, mas as abordagens artísticas ainda estão em desenvolvimento nos serviços de reabilitação. O projeto SuperART baseia-se no potencial terapêutico da arte, propondo uma intervenção inovadora, combinando artes, natureza e realidade virtual para promover o bem-estar em indivíduos com doença mental. Objetivo Este estudo misto avaliou a eficácia de uma intervenção artística no bem-estar de pessoas com doença mental. Métodos Oito participantes participaram de atividades como exposições de arte, criação de arte ao ar livre e uso de realidade virtual. A Non-pharmacological Therapy Experience Scale (NPT-ES) avaliou as experiências dos participantes durante as sessões, e a escala Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) mediu o bem-estar antes e após a intervenção. No final foi conduzido um grupo focal. A maioria dos participantes eram homens, entre 35 e 56 anos, com diagnóstico predominante de Esquizofrenia. Observaram-se mudanças significativas no bem-estar relatado pelos participantes (p-value = .011). Não houve diferenças no envolvimento e na participação ao longo das sessões, mas o interesse geral pela intervenção aumentou. O feedback qualitativo foi promissor e os participantes mostraram-se satisfeitos com o projeto. Conclusão O estudo realça o potencial dos museus como contextos terapêuticos para a utilização da arte na promoção do bem-estar em indivíduos com doença mental. A intervenção demonstrou resultados encorajadores, incluindo um maior bem-estar e memórias evocadas. É necessária mais investigação com amostras mais representativas para desenvolver estratégias eficazes de promoção do bem-estar e proporcionar aos indivíduos oportunidades genuínas de contribuição na comunidade. crescendo reabilitação baseiase baseia se inovadora bemestar bem estar Nonpharmacological Non pharmacological NPTES NPT ES (NPT-ES sessões WarwickEdinburgh Warwick Edinburgh WellBeing Well Being WEMWBS (WEMWBS focal homens 3 5 anos Esquizofrenia Observaramse Observaram pvalue p value .011. 011 .011 . .011) aumentou mostraramse mostraram encorajadores evocadas comunidade 01 .01 0 .0
- Effectiveness of virtual reality in reducing public speaking anxiety: A pilot studyPublication . Oliveira, Maria; Almeida, Raquel Simões de; Gomes, Paulo Veloso; Donga, João; Marques, António; Teixeira, Bruno; Pereira, Javier; Simões de Almeida, Raquel; Machado Veloso Gomes, Paulo Sérgio; Rucha das Dores da Costa Donga, João Paulo; Pereira da Silva Marques, António JoséPublic speaking anxiety (glossophobia) is a manifestation of social anxiety that affects a significant portion of the population, jeopardizing performance in academic, professional, and social contexts. This pilot study examines the effectiveness of virtual reality (VR) as a therapeutic tool for reducing public speaking anxiety. Over six VR simulation sessions, the physiological responses of 30 participants, including heart rate (HR) and electrodermal activity, were monitored alongside psychometric assessments. Results demonstrated a significant reduction in HR and improved self-efficacy. These findings recommend combining VR with traditional therapeutic approaches and emerging neuroscience-based methods, such as neurofeedback, to create more personalized treatment interventions.
- Forest bathing environments in virtual reality: enhancing well-being through immersive nature experiencesPublication . Almeida, Raquel Simões de; Gomes, Paulo Veloso; Marques, António; Pereira, JavierThe present study proposes an innovative approach to promote wellbeing by developing forest bathing environments in virtual reality (VR). Forest bathing, a practice rooted in traditional Japanese culture, involves immersing oneself in a forest atmosphere to enhance physical and mental health. VR technology enables the opportunity to recreate and simulate these natural environments, allowing individuals to experience the benefits of forest bathing regardless of their physical location and limitations of physical access to natural environments. This study aims to design and evaluate the effectiveness of a VR forest bathing environment in improving well-being, stress reduction, and overall relaxation.
- Impact of VR-Based Cognitive Training on working memory and inhibitory control in IDD young adultsPublication . Trigueiro, Maria João; Lopes, Joana; Simões-Silva, Vítor; Melo, Bruno Bastos Vieira de; Almeida, Raquel Simões de; Marques, António; Trigueiro, Maria João; Simões-Silva, Vitor; Simões de Almeida, Raquel; Pereira da Silva Marques, António José; Bastos Vieira de Melo, BrunoYoung people with intellectual developmental disabilities have a persistent delay in the development of executive functions. Virtual reality (VR) is increasingly being used as a cognitive intervention tool, with significant effectiveness demonstrated in different types of populations. This pilot study aims to investigate the impact of a cognitive training program utilizing VR on young adults diagnosed with intellectual developmental disabilities (IDDs). The participants (N = 15) served as their own control group and were assessed three times: weeks 0, 8, and 16, with a rest period (0–8 weeks) and an intervention period (8–16 weeks). The assessments included measures of cognitive function provided by E-Prime® (Version 3). Overall, an improvement in working memory and inhibitory control was found after the intervention, but not in sustained attention. These findings suggest that VR-based cognitive training holds promise as an effective intervention for enhancing cognitive abilities in young adults with intellectual developmental disabilities. This study provides a foundation for future investigations into VR’s role in cognitive rehabilitation and its potential to support daily living skills and overall quality of life for individuals with IDDs. Further research is needed to explore the long-term effects and broader applicability of VR interventions.
- Mobile applications for self-management in psychotic disordersPublication . Almeida, Raquel Simões de; Marques, António; Queirós, Cristina; Sousa, Tiago; Martins, Constantino; Benevides, Daniel; Almeida, Alexandre; Pereira da Silva Marques, António José; Simões de Almeida, RaquelMental illnesses, such as psychotic disorders, have a great impact on individuals affected and on society, being one of the leading causes of disability [1]. In addition, 60% of people with such problems remain without access to mental health care and, in particular, rehabilitation programs, impairing their functionality, quality of life and social inclusion [2]. This is mainly due to the lack of resources to allow access to a comprehensive and early intervention, dedicated to not only to control symptoms, but also to enable people to live satisfactorily in the contexts they choose to live, work and socialize, enhancing their life project. With the increased economic pressure on mental health services, mHealth could reduce treatment gaps, reduce waiting time for patients and deliver interventions at lower costs. Technology advocates altering how health care is delivered in general, and in particular for chronic diseases like mental illnesses.
- Nature-based interventions targeting elderly people’s health and well-being: an evidence mapPublication . Catissi, Giulia; Gouveia, Gabriela; Savieto, Roberta Maria; Silva, Cristiane Pavanello Rodrigues; Almeida, Raquel Simões de; Borba, Gustavo Benvenutti; Rosario, Kaue Alves; Leão, Eliseth Ribeiro; Simões de Almeida, RaquelHealthy aging encompasses more than the absence of disease, emphasizing the preservation of functional abilities for enhanced well-being and quality of life. Nature-based interventions are scientifically proven contributors to healthy aging. To develop an evidence map showcasing nature-based interventions targeting older individuals’ health and well-being. The evidence map was developed through critical analysis of systematic reviews and clinical trials utilizing the tools AMSTAR2 and CONSORT. A systematic search spanning the past decade was conducted across databases: Cochrane, SCOPUS, PubMed, Web of Science, Embase, and LILACS. Twelve articles met the eligibility criteria. Nature-based interventions such as forest bathing, hiking, therapeutic gardens, virtual reality, and forest sounds were identified. Outcomes were categorized into physical aspects (cardiovascular and pulmonary; neuro-immuno-endocrinological) and mental/behavioral aspects. The final map integrated interventions, outcomes, and quality assessments. The survey highlights the positive impact of nature-based interventions on the health of the elderly. This study provides insights across various domains, fostering the development of programs and policies in management to promote healthy aging. Regarding healthcare, it encourages discourse among professionals regarding the integration of nature-based practices for equitable care in both individual and group settings. Furthermore, it underscores the need for research in the Southern Hemisphere, particularly in Brazil, where the study was conducted.
- Self-management web application for persons with schizophreniaPublication . Domingues, José; Gomes, Paulo Veloso; Almeida, Raquel Simões de; Martins, Constantino; Fonseca, Nuno; Santos, Joaquim; Marques, António; Pereira, JavierThis paper describes a web-based application with the purpose of improving the selfmanagement of people with schizophrenia. The main objective with the creation of a web application for mental health management was to provide easy and convenient access to resources, information, and tools that can help individuals manage their mental health issues more effectively and with greater autonomy. The application integrates different functionalities, such as stress management system, problem solving tools, medication control, symptoms monitoring and social interaction. In addition to self-management, the application facilitates interaction between the person with schizophrenia and the health professional through telemonitoring systems, reducing risks and increasing the patient’s quality of life.
- Stigma and discrimination among professionals in portuguese integrated continuing care units: stigma and discrimination in ICCUsPublication . Rocha, Patrícia Castro; Sousa, Sara de; Marques, António; Almeida, Raquel Simões de; Trigueiro, Maria João; Campos, Filipa; Portugal, Paula; de Sousa, Sara; Pereira da Silva Marques, António José; Simões de Almeida, Raquel; Trigueiro, Maria João; Campos, Filipa; Portugal, PaulaStigma surrounding mental illness (MI) poses a significant obstacle to treatment access, hinders recovery, and may lead to suboptimal care. Breaking the chains of prejudice and embracing tolerance are essential steps in fostering understanding and compassion for those living with MI. This study aims to describe the levels of stigma and discrimination against individuals suffering from MI among professionals in Portuguese Integrated Continuing Care Units (ICCUs). A quantitative, observational, cross-sectional study involving 163 participants utilized a sociodemographic questionnaire, alongside two assessment instruments – the Attribution Questionnaire (AQ-27) and Com-munity Attitudes Toward Mental Illness (CAMI). Revealed significant differences in stigma levels based on education (pprejudice = .001; ptolerance = .007) and occupation (pprejudice = .025), higher stigma being associated with lower education levels and specific healthcare occupations (medical assistant). Additionally, a positive correlation was found between age and stigma perception (r = -236, pprejudice = .002; r = -167, ptolerance = .033). The findings underscore the urgent necessity for targeted an-ti-stigma interventions within Portuguese integrated continuing care units, focusing on mitigating education-based disparities, and addressing specific healthcare occupations that exhibit heightened stigma. Effectively combat-ing stigma among professionals is crucial for fostering a more inclusive and compassionate environment in these care settings.
- The use of artificial intelligence in interactive virtual reality adaptive environments with real-time biofeedback applied to phobias psychotherapyPublication . Gomes, Paulo Veloso; Sá, Vítor J.; Donga, João; Marques, António; Gomes, Bárbara; Almeida, Raquel Simões de; Pereira, JavierExposure therapy is a type of psychotherapy where the patient is gradually exposed to a fear situation. Patients may present different degrees of phobia, and the degree of phobia of each patient changes throughout the treatment. The use of Interactive Virtual Reality Adaptive Environments, where the interaction is personalized through real-time biofeedback mechanisms, allows the environment to adapt to the patients and their evolution throughout the treatment. The Artificial Intelligence affective algorithms continuously monitor the patient’s behavioral data and physiological responses to adjust the intensity and number of the stimuli. This real-time adaptation aims to personalize and optimize the exposure process, gradually desensitizing patients to their fears