EPCV - Artigos de Revistas Internacionais com Arbitragem Científica
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Item The Sexology Clinic at the Faculty of Psychology of the University of Lisbon(2017) Pascoal, Patricia; Florindo, Joana; Raposo, Joana; Oliveira, Leonor; Beato, AnaThe Faculty of Psychology in Lisbon has a Sexology Clinical service working half a day per week that is available to the whole community. Its main goal is to deliver highly qualified sexual psychotherapeutic service to people who present sexual problems and difficulties as well as to support research in the field. All people working in our service are qualified in Clinical Psychology. The current study aims to present data from its first 6 years of functioning concerning the socio-demographic characteristics of the patients as well as the main measures used for assessment and research purposes and the main outputs of the research developed. Data was collected after the patients filled in an informed consent form. We received a total of 204 requests. Of this 83 were men, 108 women and 12 were couples. About half of the requests were referred to another specialist (Psychiatrist, Urologist, Gynaecologist, Family therapist). The questionnaires used included measures of personality, psychopathology, satisfaction with life, cognitive distraction, body image, sexual beliefs, sexual functioning, sexual satisfaction, sexual pleasure, relationship satisfaction, sexual self-disclosure. There are more than 10 research outputs linked to the service, including collaboration in research who has received competitive funding. Our experience demonstrates that sex therapy is necessarily a multidisciplinary work and that a service at a university is an important contribution to build a strong bridge between clinical and research work.Item Escala de avaliação da ansiedade e superprotecção parentais: estudo psicométrico numa amostra de pais e mães de crianças em idade escolar.(2013) Pereira, Ana Isabel; Barros, Luisa; Beato, AnaDifferent theoretical models emphasize the role of parental control in the development of children's anxiety disorders. This literature has been criticized because of its lack of specific evaluation measures of different components of parental control and parental overprotection in particular. The main objective of this study was to develop a scale for the evaluation of Parental Anxiety and Overprotection (EASP). The sample consisted of 246 children (7-13 years old), who answered to SCARED-R to evaluate anxiety symptoms, and their parents (203 fathers and 243 mothers) who answered to EASP, SCARED-R and EMBU-P. The principal component analysis identified three components that are conceptually consistent with the proposed dimensions: (1) parental anxiety and worry; (2) parental overprotection; and (3) support of children's coping behaviors. The scale revealed good psychometric qualities: both content and construct validity, and adequate internal consistency of its different subscales.Item Father's and mother's beliefs about children's anxiety(Willey, 2018-09) Beato, Ana; Barros, Luisa; Pereira, Ana IsabelPrevious research has focused on parenting styles and parental behaviors associated with children's anxiety. Parental beliefs about their child's anxiety have scarcely been studied, in spite of their probable influence in parents seeking help. The present study intended to fil that gap, by exploring what parents think about their children's anxiety and whether these cognitions are related or not to their use of professional help. Method: In‐depth semistructured interviews were conducted with 48 parents (50% fathers) of children (9–12 years old) with anxiety problems. Theoretical thematic analysis was performed on the transcripts. Results: Three dimensions were derived from the analysis, concerning (a) the causes of child's anxiety, (b) the impact of anxiety in the child's functioning, and (c) the evolution of anxiety. Most parents perceived the child's anxiety as a permanent condition, attributing it to external and parental factors and considering that the anxiety problems have a negative impact on the child's well‐being. Plus, parents who had previously sought professional help for the child's emotional problems tended to believe that anxiety could improve with child's or parents' efforts and with professional guid ance, contrarily to those who had not. Implications for research and clinical practice are discussed. Conclusion: The present study highlighted important parental beliefs about their children's anxiety that might influence their attitudes and decisions (e.g., seek for professional help). Other parental cognitions should be investigated in order to understand parenting in the context of childhood anxietyItem Sexology in Portugal: Narratives by Portuguese Sexologists(Taylor & Francis, 2015-12-18) Alarcão, Violeta; Beato, Ana; Almeida, Joana; Machado, Fernando Luís; Giami, AlainThis article presents the emergence and development of modern sexology in Portugal through the analysis of Portuguese sexologists’ narratives, to explore how they commit to a professional identity as sexologists, and to discuss how they integrate their professional role into the vast multidisciplinary field of sexology. In-depth interviews were conducted with 44 key profes sionals, purposefully recruited to uarantee heterogeneity concerning generation, gender, train ing, and practice. Content analysis focused on highlighting differences and articulations among the main professionals making up the field. The findings indicate that sexology is not seen as a full-fledged profession but rather as a specialization or a secondary field of action. The sexual medicine perspective is prevalent and more visible among physicians, thus reflecting the gap between psychosocial and biomedical approaches. A close link between clinical work and research and a gap between clinical work and health promotion were found. Despite the multidisciplinary nature of sexology being acknowledged, it is not fully implemented by the experts in the field. However, it is this characteristic that permitted sexology to institutionalize and to legitimate itself as a discourse of truth about sex, in Portugal as in other countries.Item The relationship between different parenting typologies in fathers and mothers and children’s anxiety(Springer, 2015-11-28) Beato, Ana; Pereira, Ana Isabel; Barros, Luisa; Muris, PeterResearch on the role of parental rearing behaviors in the development of children’s anxiety prob lems has predominantly adopted a dimensional approach studying the effects of isolated parenting behaviors such as overprotection and rejection, while mainly focusing on the mother. Our study was set up to identify parenting typologies of both mothers and fathers, and to explore their relationship with children’s anxiety symptoms. Three hundred-and-ninety non-clinical Portuguese children aged 8–12 years completed a self-report questionnaire on anxi ety disorder symptoms, while their fathers (27–64 years of age) and mothers (24–65 years of age) filled in two scales on parental rearing behaviors as well as an index of par ental anxiety. Cluster analysis revealed three parenting typologies that were similar for mothers and fathers, and were labeled as overinvolved, disengaged, and supportive parenting. Only the disengaged typology of mothers was associated with higher levels of anxiety symptoms on children. Disengaged parents and Overinvolved fathers were associated with higher levels of parental anxiety whereas overinvolved parents evidenced more anxiety/worry about the child. These results suggest that the study of parenting typologies, contextualized within a cultural background, are an invaluable approach because it can be used to explore the effects that different combinations of various parenting behaviors may have on childhood anxietyItem Parenting Strategies to Deal with Children’s Anxiety: Do Parents Do What They Say They Do?(Springer, 2016-08) Beato, Ana; Pereira, Ana Isabel; Barros, LuisaParents’ perceptions about their strategies to deal with children’s anxiety have been minimally explored. Based on a mixed-method approach, the current study compared the strategies that parents said they use more frequently to deal with their child’s anxious behaviors and the strategies they actually used during two mildly anxio genic interactions with their child. Forty-two parents of children with anxiety disorders, aged 9–12 years, partici pated in the study. Semi-structured interviews were administered to identify parental perceptions about their strategies to deal with their children’s anxiety. Subse quently dyadic interactions were observed and coded by two independent coders. We found discrepancies relating to four strategies. Significantly more parents used strategies based on overinvolvement and anxious behavior during the interactions than had been reported by them in the inter views. In contrast, reassurance and reinforcement of avoidance/dependence were used in interactions by fewer parents than would be expected, according to the interviews. Relevant implications for assessment and interven tion with families of anxious children are suggested.Item The Impact of COVID-19 on Sexual Health: A Preliminary Framework Based on a Qualitative Study With Clinical Sexologists(PMC, 2021-02-09) Pascoal, Patrícia; Carvalho, Joana Patrícia Pereira de; Raposo, Catarina F.; Almeida, Joana; Beato, AnaIntroduction: In recent months, some attempts were made to understand the impact of COVID-19 on sexual health. Despite recent research that suggests COVID-19 and lockdown measures may eventually impact sexual response and sexually related behaviors, we are missing clinical sexologists' perspectives on the impact of COVID-19 in sexual health. Such perspectives could inform a preliminary framework aimed at guiding future research and clinical approaches in the context of COVID-19. Aim: To explore the perspectives of clinical sexologists about the impact of COVID-19 on their patients' sexual health, as well as the professional challenges they have faced during the current pandemic. Findings are expected to inform a preliminary framework aimed at understanding the impact of COVID-19 on sexual health. Methods: We conducted an online qualitative exploratory survey with 4 open-ended questions with 39 clinical sexologists aged between 32 and 73 years old. The survey was advertised among professional associations' newsletters. We performed a Thematic Analysis using an inductive, semantic, and (critical) realist approach, leading to a final thematic map. Main outcome measures: The outcome is the thematic map and the corresponding table that aggregates the main themes, subthemes, and codes derived from participants' answers and that can serve as a preliminary framework to understand the impact of COVID-19 on sexual health. Results: The final thematic map, expected to serve as a preliminary framework on the impact of COVID-19 in sexual health, revealed 3 main themes: Clinical Focus, Remapping Relationships, and Reframing Technology Use. These themes aggregate important interrelated issues, such as worsening of sexual problems and dysfunctions, mental health, relationship management, the rise of conservatism, and the use of new technology that influences sexuality and sexual health-related services. Conclusion: The current study allowed us to develop a preliminary framework to understand the impact of COVID-19 on sexual health. This framework highlights the role of mental health, as well as the contextual nature of sexual problems, and subsequently, their relational nature. Also, it demonstrates that the current pandemic has brought into light the debate of e-Health delivery within clinical sexology.Item A psychosocial approach to erectile dysfunction : position statements from the European Society of Sexual Medicine (ESSM)(2021) Dewitte, Marieke; Bettochi, Carlo; Carvalho, Joana Patrícia Pereira de; Corona, Giovanni; Flink, Ida; Limoncin, Erika; Pascoal, Patrícia; Reisman, Yacov; Van Lankveld, JacquesIntroduction: Although erectile dysfunction (ED) involves an interaction between physiological and psychological pathways, the psychosocial aspects of ED have received considerably less attention so far. Aim: To review the available evidence on the psychosocial aspects of ED in order to develop a position statement and clinical practice recommendations on behalf of the European Society of Sexual Medicine (ESSM). Method: A comprehensive, narrative review of the literature was performed. Main outcome measures: Specific statements and recommendations according to the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence criteria were provided. Results: A multidisciplinary treatment, in which medical treatment is combined with a psychological approach, is preferred over unimodal treatment. There is increasing evidence that psychological treatments of ED can improve medical treatments, the patient’s adherence to treatment, and the quality of the sexual relationship. The main components of psychological treatment of ED involve cognitive and behavioral techniques aimed at reducing anxiety, challenging dysfunctional beliefs, increasing sexual stimulation, disrupting sexual avoidance, and increasing intimacy and communication skills in a relational context. When applicable and possible, it is strongly recommended to include the partner in the assessment and treatment of ED and to actively work on interpartner agreement and shared decision-making regarding possible treatment options. To ensure a better integration of the biopsychosocial model into clinical practice, developing concrete treatment protocols and training programs are desirable. Conclusion: Because the psychosocial approach to ED has been underexposed so far, this position statement provides valuable information for clinicians treating ED. Psychological interventions on ED are based on existing theoretical models that are grounded in empirical evidence. However, the quality of available studies is low, which calls for further research. The sexual medicine field would benefit from pursuing more diversity, inclusivity, and integration when setting up treatments and evaluating their effectItem Association of positive and negative life events with cognitive performance and psychological status in late life : a cross- sectional study in Northern Portugal(Elsevier, 2021) Castanho, Teresa Costa; Santos, Nadine Correia; Meleiro-Neves, C.; Neto, S.; Moura, Gabriela; Santos, Manuel António da Silva; Cruz, Ana Rita Pereira da; Cunha, Olga Cecília Soares da; Rodrigues, Andreia de Castro; Rodrigues, Ana João; Sousa, NunoObjectives: Life events have important effects on psychological well-being. Yet, studies have mainly focused on exploring the impact of traumatic and negative experiences on health and well-being, with positive events receiving marginal attention. In this study, we investigated the association between negative and positive life events, cognitive performance and psychological status in older individuals. Method: A cross-sectional approach with a sample of 97 community-dwelling adults, recruited from a network of 23 centres/institutions in Northern Portugal, and aged between 56 and 85 years, was conducted. All participants were evaluated through a battery of tests assessing for depressive mood, perceived stress, and cognitive functioning. Life events were measured using the Lifetime Experiences Scale (LIFES) which covers 75 life experiences organized in eight domains. Results: A total of 95.9% of the participants reported more positive life events than negative throughout life. Participants reporting more positive experiences had lower scores in the depressive mood and perceived stress measures. At the domain-level of LIFES scale, more negative experiences in the Work and Health domains were associated with a depressed mood and more perceived stress. Significant positive associations were found between positive life experiences and most cognitive measures, after controlling for sex, education, age and depressive symptoms. Namely, more positive experiences at School, Leisure, and Living conditions were positively associated with better performance across cognitive tests. Discussion: This study adds important evidence on the association between of life events, both negative and positive experiences, on cognition and psychological well-being, providing a more balanced view of the field.