A. Rui Gomes

Estresse ocupacional em profissionais de saúde: um estudo com enfermeiros portugueses

This work analyses occupational stress in 286 nurses from hospitals and health care centres in Portugal. The following dimensions were evaluated: stress, burnout, physical health problems, satisfaction and professional fulfilment. Results revealed significant stress experiences in 30% of the professionals, and emotional exhaustion problems in 15%. Multiple regression analysis pointed out stress as an important predictor of emotional exhaustion, physical health, satisfaction and professional fulfilment. Comparative analysis suggested more occupational stress and professional negative experiences in the following groups: female nurses, younger and less experienced nurses, those with short-term working contracts, nurses working on a shift-basis system, and nurses working during long hours.

Exercising for weight and shape reasons vs. health control reasons: the impact on eating disturbance and psychological functioning.

The aim of this study was to determine the prevalence and correlates of exercise motivated by health and weight/shape reasons. In total, 301 participants (53.5% males) completed questionnaires assessing eating behaviors, affect, self-esteem and attitudes toward exercise. Almost 48% of the participants reported that their exercise is motivated by weight/shape reasons. These individuals were more likely to report eating problems and more positive affect after exercising. For both groups, gender, ideal weight, and the impact of weight gain on self-esteem significantly predict disordered eating. Body mass index, affect, and attitudes toward exercise also emerged as predictors for the health reasons group. Weight and shape control reasons for exercise participation were very common and related to eating disturbance.

Cognitive Appraisal as a Mediator in the Relationship Between Stress and Burnout

The relation between job stressors and burnout is well established in the literature. However, the mechanisms behind this relationship are still not clear. This study has the main goal of analysing the mediating role of cognitive appraisal in the relation between occupational stress and burnout. Cognitive appraisals comprise primary appraisals, which are of the significance of a situation to the individual, and secondary appraisals, which involve evaluating the individuals ability to cope with stressors. To test the relationship between appraisals, stress and burnout, structural equation modelling was used in a sample of academic teaching staff (N = 333) working at a public university in Portugal. The participants completed a survey with measures that included their level of stress, cognitive appraisals of aspects of their work, and the Maslach Burnout Inventory–Educators Survey. The results indicated perceptions of distinct sources of stress on their work activity and a relation between stress, cognitive appraisal and burnout. Most importantly, the results showed that primary and secondary cognitive appraisals partially mediated the relationship between occupational stress and burnout at work, making the relationship between these variables a promising underlying mechanism for explaining responses to work-related stress.

Disordered Eating among Preadolescent Boys and Girls: The Relationship with Child and Maternal Variables

Objective: (i) To analyze the eating behaviors and body satisfaction of boys and girls and to examine their mothers’ perceptions of these two domains; and (ii) to evaluate eating problem predictors using child body mass index (BMI), self-esteem, and body satisfaction as well as maternal BMI, eating problems, and satisfaction with their child’s body. The participants included 111 children (54.1% girls aged between 9 and 12 years old) and their mothers. Assessment measures included the Child Eating Attitude Test, the Self-Perception Profile for Children, the Eating Disorders Questionnaire, and the Child Eating Behavior Questionnaire. Child and maternal measures also included BMI and Collins Figure Drawings. Results: (i) No association between child and maternal BMI for either sex was found; (ii) no difference was found between boys and girls with regard to eating behavior; (iii) most children revealed a preference for an ideal body image over their actual body image; (iv) most mothers preferred thinner bodies for their children; (v) greater BMI was related to higher body dissatisfaction; and (vi) child BMI and dissatisfaction with body image predicted eating disturbances in boys, whereas self-esteem, maternal BMI, and eating behavior predicted them in girls. Discussion: Maternal eating problems and BMI were related to female eating problems only.

Life Skills in Educational Contexts: Testing the Effects of an Intervention Programme.

This study examined the effects of a training programme on students’ acquisition of life skills, life satisfaction, life orientation and expectations about academic achievement. Participants were allocated to either an intervention group (n = 41) that took part in a life skills programme, or a control group (n = 43). Participants completed the Youth Experiences Scale 2.0, the satisfaction with life scale, the life orientation test-revised and the expectations about academic achievement. Results showed that students who received the intervention reported having more developmental experiences related to life skills, greater life satisfaction and a stronger tendency to be optimistic. Expectations about academic achievement were higher for the intervention group before and after the intervention. In conclusion, there are benefits to providing life skills training to adolescents in educational contexts.

Eating-Disordered Behaviour in Adolescents with Type 1 Diabetes

OBJECTIVES To evaluate dysfunctional eating behaviour, self-esteem, social physique anxiety and quality of life in adolescents with type 1 diabetes who have differing desired weights and to evaluate the predictors of dysfunctional eating behaviour in these adolescents, with a focus on personal and psychological variables. METHODS We evaluated 79 adolescents with type 1 diabetes (mean age of 15.71 years) of both sexes (58.2% females) using the Eating Disorders Examination Questionnaire (EDE-Q), the Rosenberg Self-Esteem Scale (RSES), the Social Physique Anxiety Scale (SPAS-R) and the Diabetes Quality of Life (DQoL) measure. RESULTS Of the adolescents, 44 with type 1 diabetes reported the desire to maintain or increase their current weight, and 35 reported the desire to reduce their current weight. The participants with the desire to weigh less were mainly females who exercised regularly and demonstrated more frequent binge eating and purging. Additionally, this group exhibited an increased frequency of eating disturbances, such as restraint and eating, weight and shape concerns. Moreover, this group demonstrated increased social physique anxiety and decreased diabetes quality of life in relation to the impact of diabetes, worries about diabetes and satisfaction with life. Finally, predictors of eating disturbances included the desire for lower weight, higher social physique anxiety and lower diabetes-related quality of life. CONCLUSIONS The desire for a lower weight in adolescents with type 1 diabetes may increase problems related to eating behaviour and general quality of life.

Stress ocupacional e alteração do Estatuto da Carreira Docente português

This study was carried out with 1162 teachers with the objective of analyzing their experiences of stress and burnout syndrome before and after the change to the Portuguese Statute of the Teaching Career. Two assessments were made at different moments, with the adoption of a transversal plan of data gathering (2004/2005, n= 689; 2008/2009, n= 473). The assessment protocol included measurements of the sources of stress and burnout. Results indicate that the experiences of stress and burnout increased between the two assessments. In 2008/2009 stress and burnout levels were higher in areas related to time pressure, excessive work, and bureaucratic and administrative work; inversely, there were reductions in areas related to the different capacities and motivations of the pupils. As to the prediction of burnout syndrome, there were no substantial changes in the predicting variables between the two moments. In synthesis, results indicate increases in the professional demands made of teachers, but it cannot be affirmed that these are due to the changes in the Statute of the Teaching Career, since no changes were observed in the stress associated to the teaching career.

Stress and psychological health: testing the mediating role of cognitive appraisal

This study tested the mediating role of primary (e.g., threat and challenge perceptions) and secondary (e.g., coping potential and control perception) cognitive appraisal in the relationship between occupational stress and psychological health. This mediation was tested using a cross-sectional study based on self-reported measures. The total sample consisted of 2,302 nurses, 1,895 females (82.3%) and 407 males (17.7%), who completed an evaluation protocol with measures of occupational stress, cognitive appraisal, and psychological health. To test the mediating role of cognitive appraisal in the relationship between cognitive appraisal and psychological health, we used Structural Equation Modeling (SEM). The results confirmed that primary and secondary cognitive appraisals partially mediated the relationship between occupational stress and psychological health; however, the direct effects of stress on psychological health cannot be ignored. The findings indicated that cognitive appraisal is an important underlying mechanism in explaining adaptation at work.

Burnout and occupational stress in the medical residents of Oncology, Haematology and Radiotherapy: a prevalence and predictors study in Portugal.

Abstract Burnout is a professional syndrome associated with stress caused by overwork. Our aim was to calculate the prevalence of burnout and stress on medical residents of Oncology, Haematology and Radiotherapy in Portugal, as well as to determine predictors of burnout and stress. An anonymous questionnaire was applied (n = 118). Statistical analysis consisted of a descriptive and inferential analysis. The prevalence of burnout and stress was calculated to be 45.2 and 50%, respectively. The dimensions that generated higher levels of stress were ‘dealing with patients’ and ‘overwork’. Burnout was directly related with stress dimension ‘overwork’. The prevalence of burnout in Portuguese oncological residents is high as in other European countries and in the U.S. Therefore, interventional strategies can be designed.

The Influence of BMI and Predictors of Disordered Eating and Life Satisfaction on Postmenopausal Women

This study aims to compare eating behaviors, body satisfaction, exercise, and life satisfaction between normal-weight and overweight postmenopausal women and to examine the predictors of disordered eating and life satisfaction among postmenopausal women (n = 294). The overweight group had more eating disordered behavior, more body dissatisfaction, and lower physical quality of life. The increase of age predicted less disordered eating. Higher BMI, the perception of an ideal weight lower than the current one, lower body satisfaction, and physical quality of life predicted disordered eating. Higher body satisfaction, less psychosocial discomfort, and a greater degree of sexual symptom discomfort predicted life satisfaction.