Humboldt, Sofia Caetano de Almeida Freifrau von; Leal, Isabel Pereira
Background: Older adults experience varying challenges in old age. This study aims to explore the indicators
of adjustment to aging (AtA) and to examine the potential explanatory mechanisms of a
correlational model for AtA for the old and oldest-old adults.
Methods: This qualitative study comprised demographics and semistructured interviews. Complete information
on 152 older adults aged between 75 years and 102 years (mean ¼ 83.76 years; standard
deviation ¼ 6.458). Data was subjected to content analysis. The correlational model of indicators of AtA
was analyzed using a multiple correspondence analysis.
Results: “Occupation and achievement” was the most mentioned indicator of AtA by the old participants
(17.7%), whereas “existential...
Carvalho, Cláudia Maria Constante Ferreira de; Joaquim António Machado Caetano; Cunha, Lidia; Rebouta, Paula; Kaptchuk, Ted J.; Kirsch, Irving
This randomized controlled trial was performed to investigate whether placebo effects in chronic low back pain could be harnessed ethically by adding open-label placebo (OLP) treatment to treatment as usual (TAU) for 3 weeks. Pain severity was assessed on three 0- to 10-point Numeric Rating Scales, scoring maximum pain, minimum pain, and usual pain, and a composite, primary outcome, total pain score. Our other primary outcome was back-related dysfunction, assessed on the Roland-Morris Disability Questionnaire. In an exploratory follow-up, participants on TAU received placebo pills for 3 additional weeks. We randomized 97 adults reporting persistent low back pain for more...
Carvalheira, Ana Alexandra; Gomes, Francisco Allen
The present article is about a particular form of sexual activity on the Internet: cybersex in chatrooms-in Portuguese by Portuguese people. This study aims to identify the reasons for engaging in cybersex on chats and the behavioral domains that characterize this activity. To carry out the study, we developed a self-report questionnaire that we made available on a website. The sample was collected online (n = 400) through the Portuguese Internet Relay Chat. Factor analyses revealed seven domain structures: (a) social skills, (b) preference for cybersex, (c) filter for a later date, (d) sex by phone, (e) fantasies, (f) using...
Stulhofer, Aleksandar; Traeen, Bente; Carvalheira, Ana Alexandra
Introduction. Epidemiological evidence for the association between job-related stress and sexual difficulties in men
is largely lacking. Little is known about the factors that may mediate or moderate this relationship.
Aim. This study analyzes the association between job-related difficulties and men’s sexual difficulties.
Main Outcome Measures. Job-related difficulties were measured by 10 yes/no questions that addressed a range of
adverse workplace situations. The experience of sexual difficulties in the past 12 months was assessed by using seven
dichotomous indicators developed in the National Study of Sexual Attitudes and Lifestyles (NATSAL) 2000.
Method. Analyses were carried out using data from a 2011 online study of Portuguese, Croatian,...
Martins, José Manuel Costa; Ramos, Mariana Moura; Cascais, Maria João; Silva, Carlos Fernandes da; Martins, Henriqueta Maria Ramalhinho Ginja da Costa; Pereira, Marco Daniel de Almeida; Coelho, Rui Manuel Bento de Almeida; Tavares, Jorge Mergulhão
Suporte financeiro e não financeiro da Maternidade Alfredo da Costa, Lisboa, Portugal
Melo, Graça; Maroco, João; Lima-Basto, Marta; Mendonça, Alexandre de
Personality of family caregiver is an important factor influencing the caregiver's burden, depression and distress. We now hypothesized that the personality is associated with specific strategies used by family caregivers to deal with the behavioral and psychological symptoms of demented relatives (BPSD). Participants were 98 consecutive persons with dementia and their family caregivers. Assessments included: Personality (NEO-FFI), Burden (ZBI), Depression (CES-D), Cognitive Function (MMSE), BPSD (NPI), Distress (NPI-D), and an open question to identify the strategies used by caregivers when faced with BPSD. Caregivers used different strategies to cope with their relatives' behavior: avoiding conflict; confronting; reassuring; orienting; responding coercively;...
Costa, Rui Miguel; Oliveira, Rui Filipe
O presente artigo contém uma errata, disponível em: http://www.tandfonline.com/doi/full/10.1080/15294145.2015.1108503
Spexoto, Maria Cláudia Bernardes; Serrano, Sergio Vicente; Halliday, Vanessa; Maroco, João; Campos, Juliana Alvares Duarte Bonini
Appetite and symptoms, conditions generally reported by the patients with cancer, are
somewhat challenging for professionals to measure directly in clinical routine (latent conditions).
Therefore, specific instruments are required for this purpose. This study aimed to perform
a cultural adaptation of the Cancer Appetite and Symptom Questionnaire (CASQ), into
Portuguese and evaluate its psychometric properties on a sample of Brazilian cancer
This is a validation study with Brazilian cancer patients. The face, content, and construct
(factorial and convergent) validities of the Cancer Appetite and Symptom Questionnaire,
the study tool, were estimated. Further, a confirmatory factor analysis (CFA) was conducted.
The ratio of chi-square and degrees of...
Castro, Elisa Kern de; Peuker, Ana Carolina; Lawrenz, Priscila; Figueiras, Maria João
Prevention plays a central role in early detection of cervical cancer. Common Sense Model proposes
that the nature and organization of illness representations can guide actions related to health and
how self-care is exercised. The aim of this study was to describe and compare illness perception,
knowledge and self-care in women with and without cancer precursor lesions. Participants were 92
women (aged 18-59) from primary care unity divided into two groups: women with and without
premalignant lesion. Measures for illness perception, knowledge and self-care were used. There
was no statistically signifi cant difference (t test e chi-square test) between groups in the variables
analyzed. Despite the risk...
Carvalheira, Ana Alexandra; Santana, Rita
The inability to reach orgasm is probably the least common and least understood of all male sexual dysfunctions. The present study aims to investigate the incidence of the inability to reach orgasm, and the psychological and interpersonal factors associated with this sexual difficulty. A total of 3,672 heterosexual men from three European countries (1,937 Portuguese, 1,215 Croats, 520 Norwegians) participated in this web survey (M age = 36.6 years, SD = 18-75 years). A total of 354 (9.6%) reported the inability to reach orgasm. Among those men, 89.8% reported moderate to extreme distress regarding this sexual difficulty. A multivariate assessment revealed that...
Campos, Juliana Alvares Duarte Bonini; Carrascosa, Andréa Corrêa; Zucoloto, Miriane Lucindo; Maroco, João
The aim of this study was to estimate the reliability, validity
and factorial invariance of the Portuguese version of the Geriatric/
General Oral Health Assessment Index (GOHAI) as applied to
Brazilian women. A total 701 women over 18 years of age participated
in this study. Telephone interviews were conducted. We evaluated
the construct-related validity through factorial, convergent and
discriminant validity. We carried out a confirmatory factor analysis
using the χ2/df, CFI, GFI and RMSEA indexes. The invariance of the
model in a second independent sample was estimated by multi-group
analysis and internal consistency using Cronbach’s alpha coefficient.
Items 5 and 9 presented factor weights below the adequate value
and were removed....
Brody, Stuart; Weiss, Petr
Introduction. Previous multivariate research found that satisfaction was associated positively with frequency of
specifically penile–vaginal intercourse (PVI; as opposed to other sexual activities) as well as with vaginal orgasm. The
contribution to satisfaction of simultaneous orgasm produced by PVI merited direct examination in a large representative
Aims. To examine the associations of aspects of satisfaction (sexual, life, own mental health, partner relationship)
with consistency of simultaneous orgasm produced by PVI (as well as with PVI frequency and vaginal orgasm
Methods. A representative sample of Czechs (N = 1,570) aged 35–65 years completed a survey on aspects of
satisfaction, PVI frequency, vaginal orgasm consistency, and consistency of...
Weiss, Petr; Brody, Stuart
Introduction. Sexual medicine would benefit from large representative surveys examining the prevalence of genital
female sexual arousal disorder (FSAD) symptoms (with and without the increasingly controversial distress criterion),
as well as novel FSAD correlates and potential “protective” factors.
Aims. To examine the extent to which genital FSAD symptoms, with and without a distress criterion, are associated
with both historical and current aspects of sexual behavior.
Methods. In a representative sample of the Czech population (aged 15–88), 1,000 women were asked whether they
currently have impaired lubrication and vaginal swelling (and if so, if this produces marked distress or interpersonal
difficulty). They provided details of vaginal orgasm (induced...
Costa, Rui Miguel; Brody, Stuart
Introduction. Disturbances in intimate relationships are among the risk factors for female sexual dysfunction.
Insecure styles of anxious attachment (preoccupations about abandonment) and avoidant attachment (avoidance of
closeness in relationships) are robustly associated with sexual problems, relationship difficulties, and several indices
of poorer physical and mental health. Similar indices of poorer sexual, relationship, and health functioning are
associated with impairment of orgasm triggered by penile-vaginal stimulation (vaginal orgasm), but unrelated or
related to greater frequency of other sexual behaviors. However, research examining the differential association of
sexual activities with insecure attachment styles has been lacking.
Aims. The aim of this study was to test the hypotheses that...
Costa, Rui Miguel; Correia, Mónica; Oliveira, Rui Filipe
Research shows that testosterone (T) is lower among partnered women, but not for women with a more
unrestricted sociosexuality. There are fundamental personality traits, which are indices of mating effort
and might moderate the association between T and relationship status. Two such traits are extraversion
(E) and sensation seeking (SS). The present study tests if E and SS moderate the association of women’s T
with relationship status and parental care. Seventy-three Portuguese women completed a short form of
the NEO-FFI and the Sensation Seeking Scale (SSS-V). Salivary T was assayed using luminescence immunoassays.
Being involved in a committed relationship was related to lower T for the...
Costa, Rui Miguel; Brody, Stuart
Objective: Given that adiposity is related to poorer female sexual function, among many other health
problems, the present study aimed at testing the hypothesis that larger waist circumference, an index of
subcutaneous and abdominal fat mass, is associated with lack of specifically vaginal orgasm.
Study design One hundred and twenty Portuguese women of reproductive age had their waist
measured and reported their past month frequency of penile–vaginal intercourse (PVI), vaginal orgasm,
orgasm from clitoral masturbation during PVI, non-coital partnered sex (in the absence of same-day PVI),
non-coital partnered sex orgasm (regardless of same-day PVI), masturbation, and masturbation orgasm.
Results: In both simple and partial correlations (controlling for...
Gouveia, José Augusto Pinto; Costa, Joana; Maroco, João
The influence of acceptance in the progression of pain, physical limitation and depression was explored in
the first 2 years of rheumatoid arthritis. Latent growth curve models showed significant increases in pain,
physical limitation and depression. Besides that, the levels of pain and physical limitation at the baseline
were associated with acceptance but not its progression across time. Therefore, patients with higher scores
of acceptance reported less pain and physical limitation. The progression of depression was associated with
acceptance; higher acceptance patients had slower growth rates of depression across time, even when pain
and physical limitations increased. The inclusion of pain acceptance in clinical practice is...
Beeken, Rebecca J.; Croker, Helen; Morris, Stephen; Leurent, Baptiste; Omar, Rumana; Nazareth, Irwin; Wardle, Jane
Trial Registration: ISRCTN16347068
Phillippa, Lally; Jaarsveld, Cornelia H. M. Van; Potts, Henry W. W.; Wardle, Jane
To investigate the process of habit formation in everyday life, 96 volunteers chose an eating, drinking or activity behaviour
to carry out daily in the same context (for example ‘after breakfast’) for 12 weeks. They completed the self-report habit
index (SRHI) each day and recorded whether they carried out the behaviour. The majority (82) of participants provided
sufficient data for analysis, and increases in automaticity (calculated with a sub-set of SRHI items) were examined over the
study period. Nonlinear regressions fitted an asymptotic curve to each individual’s automaticity scores over the 84 days.
The model fitted for 62 individuals, of whom 39 showed a good...
von Humboldt, Sofia; Leal, Isabel Pereira; Pimenta, Filipa
This study intended to analyze the indicators of adjustment to aging (AtA)
and to investigate the latent constructs that can work as major determinants in
spirituality for a cross-national older community-dwelling population. Questionnaires
were completed to assess the participants’ background information. Interviews were
performed, addressing one core area: indicators of AtA. Complete data were available
for 154 older adults from two nationalities (German and Portuguese), aged between
75 and 103 years (M = 86.6; SD = 6.98). The data were subjected to content analysis.
Representations of the associations and latent constructs were analyzed using a
multiple correspondence analysis (MCA). The most prevalent response of the interviewed
participants for indicators...