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- The impact of teleworking in psychologists during COVID-19: Burnout, depression, anxiety, and stressPublication . Serrão, Carla; Rodrigues, Ana Rita; Teixeira, Andreia; Castro, Luísa; Duarte, IvoneBackground: The COVID-19 pandemic has forced mental health professionals to adapt quickly. The pandemic has created multiple new tasks for the psychologist. In addition to the various stressors closely linked to the COVID-19 pandemic, psychologists were forced to make their services more flexible. Teleworking was a way of continuing to work. Objective: This study aimed to identify the impact of working pattern on the levels of burnout, depression, anxiety, and stress. Methods: This was a cross-sectional study based on an online questionnaire applied to eighty-three Portuguese psychologists. Data were collected from May 9 to June 8, 2020, a period comprising the declaration of a national calamity and then state of emergency, and the subsequent ease of lockdown measures. The Copenhagen Burnout Inventory Scale and Depression Anxiety and Stress Scale were used. Univariate multiple linear regression models were estimated for each mental health outcome. Results: Significant differences were found between psychologists working in the workplace and in teleworking at the personal burnout, work-related burnout, client-related burnout, depression, and stress. In multiple linear regression, teleworking, not working, and being unmarried was significantly associated with higher levels of depression. Teleworking was significantly associated with higher stress scores and client-related and work burnout. Conclusions: This exceptional time of sudden, mandatory, and high-intensity teleworking, required rapid adaptation, giving rise to new stressors that might have been responsible for burnout levels in psychologists.
- Mediation of Self-Compassion on Pathways from Stress and Anxiety to Depression among Portuguese Higher Education StudentsPublication . Serrão, Carla; Valquaresma, A.; Rodrigues, Ana Rita; Duarte, IvoneHigher education is a context that requires students to develop academic, social and institutional tasks. As a result of this complex and multidimensional process, students tend to experience greater stress, anxiety and depression, making it crucial for students to mobilize a set of essential personal, social and instrumental resources, for a more positive adaptation to the academic context. Self-compassion is an adaptative emotion-regulation strategy and may help students to better adjust to academic issues. The purpose of this study was to investigate the role of self-compassion as a mediator in the relationship between anxiety and depression, as well as stress and depression. Methods: A cross-sectional study was conducted using an online questionnaire distributed through social media. Stress and anxiety were found to be positively related to depression scores and negatively related to self-compassion. A bootstrapped mediation model confirmed the existence of a significant positive partial mediation effect exerted by self-compassion on the relationship between stress and depression (b = 0.12, 95% CI [0.05, 0.18]). The analysis also showed a significant positive partial mediation effect exerted by self-compassion in the relationship between anxiety and depression (b = 0.13, 95% CI [0.08, 0.18]). Conclusions: Self-compassion might partially mediate the relationship between stress and depression and between anxiety and depression. Findings underscore self-compassion as a potentially protective factor against negative psychological symptoms.
- A network approach to emotion regulation and symptom activation in depression and anxietyPublication . Rodrigues, Ana Rita; Castro, Daniel; Cardoso, Joana; Ferreira, Filipa; Serrão, Carla; Coelho, Carlos M.; Meira, Liliana; Ferreira, Tiago B.Background: Emotions can be regulated through several regulatory strategies that are involved in the development of psychopathological symptoms. Despite the well-established association between psychopathology and emotion dysregulation, little is known about the relationship between individual symptoms of depression and anxiety and emotion regulation strategies (ERS), as well as between ERS themselves. Method: We conducted a cross-sectional study and examined the interactions between six ERS (reappraisal, engagement, rumination, suppression, arousal control, and distraction) and assessed their distinctive association with the activation of specific symptoms of depression and anxiety in a community sample of 376 adults (80.4% female; Mage = 32.70; SDage = 11.80). The Regulation Emotion Systems Survey (RESS) was used to measure ERS. The Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) were used to assess psychological symptoms. An exploratory graph analysis was performed to examine the structural properties of the network of interactions between these behaviors. Additionally, to test the association of ERS with the activation of the depression symptoms network, an expected symptoms activity (ESA) was conducted. Results: Six communities were found that correspond to the six ERS. Rumination and suppression have a significant association with symptom activation (particularly low self-esteem), whereas reappraisal reduces symptomatic activation. The effect of arousal control, engagement, and distraction appears to depend on the remaining ERS rather than having much influence on their own. Conclusion: This study provides insight into how ERS interact with each other and with individual symptoms of depression and anxiety. Understanding the effects of these interactions on symptom activation and comorbidity can improve our understanding of psychopathology.
- The mediating role of life satisfaction in the relationship between depression, anxiety, stress and burnout among Portuguese nurses during COVID-19 pandemicPublication . Martins, Vera; Serrão, Carla; Teixeira, Andreia; Castro, Luísa; Duarte, IvoneBackground The COVID-19 pandemic had a large consequence on healthcare systems, increasing the risks of psychological issues in health professionals. Nurses, in particular, have been exposed to multiple psychosocial stressors and struggled with intensive work, insufficiency of resources and uncertainty in the face of an unknown disease. Life satisfaction might protect nurses from the consequences of chronic stress. The aim of this study was to explore the mediating role of satisfaction with life in the relationship between depression, stress, anxiety and burnout (personal, work-related, and client-related). Methods A cross-sectional, descriptive, correlational study design was performed, using an online questionnaire distributed via social networks. A total of 379 nurses completed the survey, comprising standardized measures of satisfaction with life, resilience (Resilience Scale), depression, anxiety, stress (Depression Anxiety Stress Scales), and burnout (Copenhagen Burnout Inventory Scale). A hierarchical regression model was estimated for each burnout dimension. Results Participants showed high levels of work, personal and client-related burnout, 57.3%, 57%, and 35.1%, respectively. More than 70% of the respondents had a normal level of depressive symptoms, 66.8% presented normal level of anxiety and 33.5% of the respondents reported mild, moderate, severe or extremely severe symptoms of stress. The results revealed that life satisfaction partially mediated the association between stress and personal burnout, depression and work-related burnout, and the association between anxiety and client-related burnout in nurses. Conclusions The COVID-19 pandemic brought added difficulties for nurses’ work conditions, whereby it became necessary to develop adaptative measures that reduce stressors in work environment and promote nurses’ life satisfaction.
- Burnout among Portuguese healthcare workers during the COVID-19 pandemicPublication . Duarte, Ivone; Teixeira, Andreia; Castro, Luísa; Marina, Sílvia; Ribeiro, Carla; Jácome, Cristina; Martins, Vera; Ribeiro-Vaz, Inês; Pinheiro, Hugo Celso; Silva, Andreia Rodrigues; Ricou, Miguel; Sousa, Bruno; Alves, Cristiana; Oliveira, Andreia; Silva, Paula; Nunes, Rui; Serrão, CarlaDuring COVID-19 pandemic, healthcare workers (HCWs) have had high workload and have been exposed to multiple psychosocial stressors. The aim of this study was to evaluate HCWs in terms of the relative contributions of socio-demographic and mental health variables on three burnout dimensions: personal, work- related, and client-related burnout.
- The effects of a mindfulness-based program on higher education studentsPublication . Serrão, Carla; Rodrigues, Ana Rita; Ferreira, TiagoBackground: Entering higher education is a process with multiple challenges that requires the mobilization of personal, social and instrumental resources. As a result, students tend to experience grater stress, anxiety, and depression. In this regard, mindfulness-based interventions (MBIs) can serve as a useful tool to help students deal with these demands. Objective: This study aimed to evaluate the effect of a Mindfulness in Education program in reducing stress, anxiety, and depression symptoms among students. Methods: Forty-four students of higher education from four degrees in the fields of Social and Cultural Sciences participated and finished surveys before and after the 12-weeks intervention, measuring stress, depression, anxiety, mindfulness, and self-compassion. Twenty-three students (82.61% female; Mage = 20.35 DPage = 3.24) participated in Mindfulness in Education. These participants were paired with 21 students (90.48% female; Mage = 18.67, DPage = 0.73), which constituted the control condition. Results: The results showed a session × condition interaction that was statistically significant for depression (p < 0.012) and stress (p < 0.026). In the follow-up exploration, the experimental condition revealed a statistically significant and moderate change in the severity of the symptoms of depression [t(14) = –2.315, p = 0.036, ξ = 0.304, 95% CI (–0.023, –0.499)] but not at the stress level [t(14) = –1.443, p = 0.171, ξ = 0.223, 95% CI (–0.006, –0.364)]. Conclusion: Outcomes were promising, adding to evidence that MBIs can play an important role in helping students manage stress and depression. However, it is still necessary to investigate the mechanisms underlying this type of interventions.
- Mediation of Self-Compassion on Pathways from Stress and Anxiety to Depression among Portuguese Higher Education StudentsPublication . Serrão, Carla; Valquaresma, Andreia; Rodrigues, Ana Rita; Duarte, IvoneHigher education is a context that requires students to develop academic, social and institutional tasks. As a result of this complex and multidimensional process, students tend to experience greater stress, anxiety and depression, making it crucial for students to mobilize a set of essential personal, social and instrumental resources, for a more positive adaptation to the academic context. Self-compassion is an adaptative emotion-regulation strategy and may help students to better adjust to academic issues. The purpose of this study was to investigate the role of self-compassion as a mediator in the relationship between anxiety and depression, as well as stress and depression. Methods: A cross-sectional study was conducted using an online questionnaire distributed through social media. Stress and anxiety were found to be positively related to depression scores and negatively related to self-compassion. A bootstrapped mediation model confirmed the existence of a significant positive partial mediation effect exerted by self-compassion on the relationship between stress and depression (b = 0.12, 95% CI [0.05, 0.18]). The analysis also showed a significant positive partial mediation effect exerted by self-compassion in the relationship between anxiety and depression (b = 0.13, 95% CI [0.08, 0.18]). Conclusions: Self-compassion might partially mediate the relationship between stress and depression and between anxiety and depression. Findings underscore self-compassion as a potentially protective factor against negative psychological symptoms.