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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
- Adaptive model for biofeedback data flows management in the design of interactive immersive environmentsPublication . Gomes, Paulo Veloso; Marques, António; Donga, João; Sá, Catarina; Correia, António; Pereira, JavierThe interactivity of an immersive environment comes up from the relationship that is established between the user and the system. This relationship results in a set of data exchanges between human and technological actors. The real-time biofeedback devices allow to collect in real time the biodata generated by the user during the exhibition. The analysis, processing and conversion of these biodata into multimodal data allows to relate the stimuli with the emotions they trigger. This work describes an adaptive model for biofeedback data flows management used in the design of interactive immersive systems. The use of an affective algorithm allows to identify the types of emotions felt by the user and the respective intensities. The mapping between stimuli and emotions creates a set of biodata that can be used as elements of interaction that will readjust the stimuli generated by the system. The real-time interaction generated by the evolution of the user’s emotional state and the stimuli generated by the system allows him to adapt attitudes and behaviors to the situations he faces.
- Allostatic interoception in frontotemporal dementia: A scoping review protocolPublication . Carneiro, Fábio; Hazelton, Jessica L.; Campos, Carlos; Ibáñez, Agustín; Ferreira-Santos, FernandoFrontotemporal dementia (FTD) encompasses a spectrum of disorders characterized by distinct behavioral, cognitive, and motor symptoms. Deficits in interoception and allostasis have garnered attention, considering the involvement of the allostatic-interoceptive network in FTD, their contribution to canonical social cognitive and affective deficits, and the identification of whole-body biomarkers related to autonomic and allostatic processes. Traditionally, interoception has been defined as the perception of visceral signals, yet contemporary understandings broaden this to encompass both the representation and regulation of the physiological state across bodily tissues. Consequently, interoceptive deficits in FTD extend beyond classical viscerosensory paradigms to include pain, temperature, autonomic, metabolic, immune, and neuroendocrine phenomena. Allostasis involves the prospective regulation of energy balance, as well as the anticipation and adaptive response to homeostatic challenges. These repeated challenges result in physiological consequences measurable by markers of allostatic load, spanning various bodily systems. Despite emerging evidence highlighting dysfunction in interoception and allostasis in FTD, the literature remains fragmented, lacking cohesive reviews addressing the diverse mechanisms comprehensively. Thus, this scoping review examines the reciprocal interaction between brain and bodily physiology (interoception) and the physiological responses to environmental demands (allostatic load) in FTD. Following the principles outlined in the PRISMA statement, we will systematically search and screen quantitative primary research studies on patients with FTD, utilizing interoceptive or allostatic metrics. By synthesizing the existing literature, we aim to identify active research areas, delineate primary deficits across physiological systems, uncover syndrome-specific patterns of dysfunction, and identify the most promising and understudied domains in this field.
- 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
- Assessing the efficacy of the ‘Bicho De 7 Cabeças’ B-learning school-based program in enhancing mental health literacy and reducing stigmaPublication . Meilsmeidth, Gislene; Trigueiro, Maria João; Simões-Silva, Vítor; Simões de Almeida, Raquel; Portugal, Paula; Gomes, Paulo Veloso; Sousa, Sara; Campos, Filipa; Monteiro, Pedro; Soutelo, Ana Paula; Marques, AntónioThe prevalence of mental disorders in adolescents has a considerable impact on daily life, restricting tasks and diminishing overall quality of life while potentially leading to stigmatization. This study aims to measure the impact of a mental health literacy intervention program, called “Bicho de 7 Cabeças” project, in b-learning format, on the increase of knowledge and the decrease of stigma in young people from Póvoa de Varzim, in Portugal. A quasi-experimental study was conducted, from November 2022 to May 2023, involving an experimental group (“Bicho de 7 Cabeças” protocol) and an active control group (informational brochures), utilizing a pre-test/post-test design. Mental Health Literacy Measure-MHLM, Mental Health Promoting Knowledge Scale-MHPK-10, Mental Illness Knowledge Schedule-MAKS, Reported and Intended Behaviour Scale-RIBS, and Community Attitudes toward People with Mental Illness-CAMI were used. A total of 504 young students from the 9th grade enroll in this study, with a mean age around 14 years old. There is a significant difference between stigma (p <.001) and knowledge (p <.001) scores at baseline and follow-up. The results of this study shows that interventions aimed at young people for the promotion of mental health literacy and stigma reduction are needed and more initiatives should be implemented in schools to address these problems.
- Challenges of ICT use for nurse-patient communication in Portugal: a mixed methods researchPublication . Peres, Marlene; Almeida, Raquel Simões de; Moreira, António; Simões de Almeida, RaquelThe future of digital health holds enormous potential to improve communication with patients and optimize the delivery of care. The current study aims to answer the central question of which knowledge, skills, and competencies in the use of Information and Communication Technologies (ICT), health professionals should develop to promote efficient remote communication processes with patients. A mixed-method approach was used for data collection, combining an online survey with semi-structured interviews. The study was structured into four key phases/question groups: professional context, practices related to the use of ICT in patient communication, training needs, and other relevant information. Qualitative data from open-ended responses were analysed using thematic analysis and triangulated with quantitative findings where applicable. The target population consisted of nursing professionals with patient care experience. The survey was distributed electronically, with 194 nurses fully or partially completing the questionnaire. Additionally, 24 interviews were conducted. The data shows that around 25.85% of professionals do not establish distance communication and 95.4% do not use telehealth. Telephone and cellular contact are the most used means of communication with patients (62.60%). Despite the predominance of face-to-face care, 62.5% stated that they do not experience difficulties or concerns, recognizing ICT as an increasingly integrated and advantageous tool for remote communication. Most professionals (80.1%) believe that there should be more training and courses in digital communication with patients and the use of ICT in healthcare, to address gaps in academic training. The growth of telemedicine and the digitalization of healthcare services reinforce the need for continuous professional training in this area. Most professionals have a positive perception of the opportunities created by emerging technologies, but they also express concerns about the ethical, social, safety and technical challenges that need to be addressed. The introduction of mandatory ICT courses in academic education and the implementation of continuous training are essential to prepare professionals for the challenges of telehealth and digital communication in healthcare. They emphasize the need for a well-structured digital transition, ensuring that technologies complement healthcare rather than replace human care.
- Critical review of multisensory integration programs and proposal of a theoretical framework for its combination with neurocognitive trainingPublication . Pinto, Joana O.; Dores, Artemisa Rocha; Peixoto, Bruno; Vieira De Melo, Bruno; Barbosa, FernandoThe main purpose of this manuscript is to critically review the Multisensory Integration (MI) training programs applied to older adults, their characteristics, target sensory systems, efficacy, assessment methods, and results. We also intend to propose an integrated framework to support combined interventions of neurocognitive and sensory training. A critical review was conducted covering the most relevant literature on the MI training programs applied to older adults. Two MI training programs applied to cognitively healthy older adults were found: (a) audio-visual temporal discrimination training and (b) simultaneity judgment training. Both led to the improvement of the MI between pre- and post-training. However, only the audio-visual temporal discrimination training led to the generalization of the improvements to another MI task. Considering the relationship between sensory and cognitive functioning, this review supports the potential advantages of combining MI with neurocognitive training in the rehabilitation of older adults. We suggested that this can be achieved within the framework of Branched Programmed Neurocognitive Training (BPNT). Criteria for deciding the most suitable multisensory intervention, that is, MI or Multisensory Stimulation, and general guidelines for the development of MI intervention protocols with older adults with or without cognitive impairment are provided.
- Development of a pandemic resilience competence model for healthcare professionals—individual and organisational aspectsPublication . Lorenzoni, Nina; Almeida, Raquel Simões de; Wimmer, Daniela; Simbrig, Ines; Simbrig, Ines; Moscon, Veronica; Carnelli, Fabio; Sulkowski, Nadine; Malaka, Elohor Pamela; Schober, Paul; Michel, Katharina; Sá, Vítor J.; Raich, Margit; Sá, Vítor J.; Simões de Almeida, RaquelThe COVID-19 pandemic highlighted the critical importance of resilience and adaptability at both individual and organisational levels in navigating unprecedented challenges. This study introduces a novel Pandemic Resilience Competence Model, a framework that articulates eight key competences each for individuals and organisations to enhance preparedness and response in pandemic scenarios. Employing a qualitative approach, the research identifies the essential skills and organisational capacities required to mitigate the impacts of pandemics. Using 50 semi-structured interviews with professionals and managers working in healthcare services in Austria, Germany, Italy, Portugal and the United Kingdom, the model provides actionable insights for implementing processes to improve preparedness and response in pandemic scenarios for stakeholders, including policymakers, educators, and organisational leaders. Findings highlight the interdependence of individual and organisational competences, reinforcing the need for integrated strategies to build pandemic resilience. The conclusions advocate for embedding the competences within training and development initiatives, aiming to enhance collective readiness for future global health crises.
- Dissociating cognitive and affective empathy across psychopathy dimensions: the role of interoception and alexithymiaPublication . Campos, Carlos; Rocha, Nuno Barbosa; Barbosa, FernandoThis study examined the associations between psychopathy dimensions (triarchic phenotypes and classical factors), empathy domains (cognitive and affective), and interoception (interoceptive attention and accuracy) while accounting for the putative role of alexithymia. A community sample (n = 515) completed an online survey encompassing: Triarchic Psychopathy Measure (boldness, meanness, disinhibition); Levenson Self-Report Psychopathy Scale (primary and secondary psychopathy); Body Perception Questionnaire (interoceptive attention); Interoceptive Accuracy Scale; Toronto Alexithymia Scale. Hierarchical linear regression models were implemented for hypothesis-driven analyses examining the associations between psychopathy, empathy, and interoception while controlling for sex, age, and alexithymia. Exploratory path models were employed to investigate alexithymia and/or cognitive empathy as mediators between interoception and psychopathy. Our results largely confirmed the postulated empathy profiles across psychopathy dimensions, as meanness and primary psychopathy displayed a broad empathy impairment, while disinhibition and secondary psychopathy were only associated with diminished cognitive empathy. Importantly, boldness displayed a unique pattern (enhanced cognitive empathy and reduced affective empathy), further reinforcing its importance within the constellation of psychopathy traits. Contrary to our hypotheses, self-perceived interoceptive attention and accuracy were not associated with either psychopathy dimension after controlling for alexithymia. However, interoceptive accuracy and alexithymia were associated with cognitive empathy, while alexithymia was also positively related to all psychopathy dimensions (as expected), despite the unexpected strong and negative association with boldness. Exploratory analyses suggested significant indirect effects (mediation) between interoceptive accuracy and psychopathy via alexithymia and/or cognitive empathy. These mediating effects must be interpreted with caution and future studies should be designed to formally test this model.
- EEG signatures during pregnancy and their role on parenting-related measures: scoping reviewPublication . Braga, Patrícia Vilela; Amaoui, Sofia; Lamela, Diogo; Jongenelen, Inês; Costa, Raquel; Oliveira, Jorge; Pasion, Rita; Pinto, Tiago Miguel; Paiva, Tiago Oliveira; Campos, Carlos; Campos, CarlosThis scoping review aims to map and synthesise the current research evidence targeting the electroencephalography (EEG) neural correlates during pregnancy and its association with parenting-related measures during pregnancy and postpartum period. Pregnancy is characterised by a wide range of biological changes associated with adaptation to parenthood. A growing body of literature has examined the neural correlates of pregnancy using EEG, revealing distinct patterns in pregnant females, with these EEG metrics changing throughout gestation and postpartum. Due to the heterogeneity of the evidence, the current literature lacks an organised synthesis, making it difficult to understand the neural correlates during pregnancy and their association with parentingrelated measures during pregnancy and postpartum period. Studies will be included if they contain a quantitative EEG metric in their assessment in pregnant women. Studies will be included if they involve clinical or community samples. No sociodemographic, obstetric, or health exclusion criteria will be applied. The scoping review will be conducted following the Joanna Briggs Institute’s (JBI) guidelines and will be reported following Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Searches will be conducted in 7 databases (Cochrane for Trials and Reviews, PsycInfo, PubMed, Psychological and Behavioural Science Collection, Scopus and Web of Science Core Collection) for articles published in English, Portuguese, or Spanish with no limitation on the region or publication time frame. Two independent reviewers will screen each record following a standardised flowchart using asreview lab. Data extraction will be performed by the two reviewers using charting tables in Excel. Disagreements at any step will be resolved via consensus or by a third reviewer. Results will be reported using tables and graphs along with a descriptive analysis, according to the research questions.