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Browsing by Issue Date, starting with "2023-03-03"

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  • The relationship between childhood abuse and adult attachment styles: the mediator role of sensory over-responsivity
    Publication . Silva, Alexandra; Ferreira, Simão; Pinto, Élia Silva; Rocha, Susana Aguiar; Rocha, Nuno Barbosa
    Child abuse portrays health and well-being issues that can last for several years, including altering interpersonal behavior. Evidence has shown that these early negative experiences may cause changes in sensory modulation. This study aimed to understand if sensory over-responsivity (SOR) plays an important role in mediating the association between childhood abuse (emotional abuse, emotional neglect, sexual abuse, physical abuse, physical neglect) and attachment-related anxiety or avoidance in adult romantic relationships. An online survey was conducted to examine these associations in a Portuguese community sample (N = 500) aged 18–62 years. The presented mediation models shown a higher mediation percentage for attachment-related anxiety rather than avoidance. All variables predicted the mediator, except sexual abuse which did not predict the overall model when the mediator was included. Our results have implications for individual treatment approaches regarding child abuse victims and can certainly influence intervention strategies.
    2023-03-03Journal article Open access Show more
  • Empowerment and knowledge as determinants for quality of life: a contribution to a better type 2 diabetes self-management
    Publication . Ferreira, Pedro L.; Morais, Carminda; Pimenta, Rui; Ribeiro, Inês; Amorim, Isabel; Alves, Sandra Maria
    The purpose of this study was to assess how knowledge and empowerment impact the quality of life (QoL) of a person with type 2 diabetes, leading to better communication and disease management. We conducted a descriptive and observational study of individuals with type 2 diabetes. The Diabetes Empowerment Scale-Short Form (DES-SF), Diabetes Knowledge Test (DKT), and EQ-5D-5L were used, in addition to sociodemographic and clinical characteristics. Evaluating the variability in the DES-SF and DKT in relation to the EQ-5D-5L and identifying possible sociodemographic and clinical determinants were conducted using univariate analyses followed by a multiple linear regression model to test whether the factors significantly predicted QoL. A total of 763 individuals were included in the final sample. Patients aged 65 years or older had lower QoL scores, as well as patients who lived alone, had less than 12 years of education, and experienced complications. The insulin-treated group showed higher scores in DKT than the non-insulin-treated group. It was also found that being male, being under 65 years of age, having no complications present, and having higher levels of knowledge and empowerment predicted higher QoL. Our results show that DKT and DES are still determinants of QoL, even after adjusting for sociodemographic and clinical characteristics. Therefore, literacy and empowerment are important for the improvement of the QoL of people with diabetes, by enabling them to manage their health conditions. New clinical practices focused on education, increasing patients’ knowledge, and empowerment may contribute to better health outcomes.
    2023-03-03Journal article Open access Show more