Percorrer por autor "Morais, Ana"

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    Are measures of marital satisfaction valid for women with depressive symptoms? The examination of factor structure and measurement invariance of the Couple Satisfaction Index-4 across depression levels in Portuguese women
    (John Wiley and Sons Ltd, 2020-03-01) Lamela, Diogo; Figueiredo, Bárbara; Morais, Ana; Matos, Paula Cristina Bessa; Jongenelen, Inês; HEI-LAB - Human Environment Interaction Lab
    Marital satisfaction (MS) is a key indicator of mental and physical health. Factor structure of MS measures in individuals with clinical levels of depression as well as their measurement invariance across groups with different levels of depressive symptoms were not yet explored. The lack of evidence of measurement invariance might compromise valid comparisons between individuals with elevated and minimal depressive symptoms in MS. This study examined the factor structure of the Couple Satisfaction Index-4 (CSI-4) among women with clinical levels of depression, tested the CSI-4 measurement invariance across depression levels groups, and investigated CSI-4 convergent and divergent validity. Participants were 891 heterosexual married/cohabiting women who were assigned into one of two groups based on assessment of their levels of depressive symptoms. Participants completed the CSI-4 and self-reported measures used to examine convergent and divergent validity. Support was found for the factor structure of the CSI-4 for the total sample and both elevated depressive symptoms and minimal depressive symptoms groups. Subsequent multigroup confirmatory factor analyses supported the measurement invariance of the CSI-4 across depression levels groups. The CSI-4 revealed excellent values of internal consistency and convergent and divergent validity. Our findings suggest that CSI-4 produces comparable response patterns across depression groups and thus meaningful comparisons between groups can be performed.
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    Coparenting and relationship satisfaction in mothers : the moderating role of sociosexuality
    (Springer New York, 2020-04-01) Lamela, Diogo; Figueiredo, Bárbara; Jongenelen, Inês; Morais, Ana; Simpson, Jeffry A.; HEI-LAB - Human Environment Interaction Lab
    This study explored the moderating effect of sociosexual orientation on the association between coparenting alliance/coparenting conflict and relationship satisfaction in mothers in a romantic relationship. Sociosexuality is defined as a personality trait that reflects the individual difference in willingness to engage in uncommitted sexual relations. The study examined a community sample of 635 Portuguese mothers with a monogamous heterosexual relationship. Data on coparenting, relationship satisfaction, and sociosexual orientation were collected. The results revealed the moderating effect of sociosexuality on the significant associations between both coparenting alliance and coparenting conflict predicting relationship satisfaction. For the association between coparenting alliance and relationship satisfaction, mothers with a more restricted sociosexual orientation reported the highest levels of satisfaction when their coparenting alliance was high, but the lowest levels of satisfaction when coparenting alliance was low. For the association between coparenting conflict and relationship satisfaction, mothers with a more restricted sociosexual orientation reported the highest levels of satisfaction when their coparenting conflict was low, but the lowest levels when coparenting conflict was high. Together, the results suggest that especially for women with a more restricted sociosexual orientation, coparenting quality explains significant interindividual variability in relationship satisfaction.
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    History of mental health problems moderates the association between partner support during childbirth and women's mental health in the postpartum period
    (Churchill Livingstone, 2025-05) Tavares, Daniela; Fidalgo, Daniela; Sousa, Matilde; Morais, Ana; Jongenelen, Inês; Lamela, Diogo; Alves, Stephanie; Costa, Raquel; Pinto, Tiago Miguel; HEI-LAB - Human Environment Interaction Lab
    Background: Partner support during childbirth is an important protective factor for women's perinatal mental health. However, its protective role in women experiencing vulnerabilities is largely unknown, namely in those with history of mental health problems. Aim: This study analysed (1) the association between partner support during childbirth and depressive, anxiety, and childbirth-related post-traumatic stress disorder symptoms in the postpartum period; and (2) the moderating role of previous diagnosis of mental health problems in those associations. Design: Cross-sectional study with 284 women. Methods: At 2 months postpartum, participants reported on sociodemographic, obstetric, and mental health-related data, partner support during childbirth, and depressive (Edinburgh Postnatal Depression Scale), anxiety (State Anxiety Inventory), and childbirth-related post-traumatic stress disorder (City Birth Trauma Scale) symptoms. Findings: More partner support during childbirth was associated with lower depressive, anxiety, and childbirth-related post-traumatic stress disorder symptoms. Previous diagnosis of mental health problems was associated with higher depressive, anxiety, and childbirth-related post-traumatic stress disorder symptoms and moderated the association between partner support during childbirth and depressive and anxiety symptoms. Higher partner support during childbirth was associated with lower depressive and anxiety symptoms, only in women without a previous diagnosis of mental health problems. Discussion: Findings suggest that partner support during childbirth can be a protective factor for women's postpartum mental health, particularly for women without a previous diagnosis of mental health problems. However, for those with a previous diagnosis of mental health problems, this support was not associated with symptoms. Conclusion: Women with a history of mental health problems may require additional support beyond that provided by their partners to prevent or mitigate postpartum mental health problems.
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    Systematic review of the factor structure and measurement invariance of the patient health questionnaire-9 (PHQ-9) and validation of the Portuguese version in community settings
    (Elsevier B.V., 2020-11-01) Lamela, Diogo; Soreira, Cátia; Matos, Paula; Morais, Ana; HEI-LAB - Human Environment Interaction Lab
    Background: This research sought to review studies that examined the factor structure of the PHQ-9 using a confirmatory factor analysis approach (Study 1); to review studies that tested the measurement invariance of the PHQ-9 (Study 2); to examine the psychometric properties of the European Portuguese version in the general population (Study 3). Methods: Using PRISMA guidelines, a search was performed on Web of Science, PsycINFO, and Scopus from 2001 to August 2019. Assessment of eligibility criteria and data extraction were conducted by two independent researchers (Studies 1 and 2). In Study 3, data were collected from 1479 Portuguese adults, using a cross-sectional design. The BDI-II and the GDS-15 were administered to examine convergent validity. Results: The systematic review identified four-factor models of the PHQ-9 (Study 1). Nineteen studies supported a one-factor model, whereas 12 found evidence for a two-factor model. Both models were supported in general, clinical, psychiatric, and international samples. Study 2 identified ten studies that examined PHQ-9 measurement invariance across 18 groups. The PHQ-9 measurement invariance was fully supported across studies. Study 3 revealed that a two-factor model showed a close fit to data in the European Portuguese version of the PHQ-9. Measurement invariance, reliability, and convergent and divergent validity were also established. Limitations: Study 3 did not include a gold standard measure of depression to evaluate PHQ-9 diagnostic properties. Conclusions: Conceptual implications of the findings are discussed, and recommendations for using the Portuguese version of the PHQ-9 as a screening measure in community settings are also highlighted