Ana Laura Mendes

Exploring the effect of external shame on body appreciation among Portuguese young adults: The role of self-compassion

Studies on body image-related disturbances have recently embraced a fresh and innovative construct: body appreciation. Body appreciation, an aspect of positive body image, defines as the detention of a balanced, affectionate and health-conscious relationship with ones own bodys features. Its exploration is considered to be essential to the success of upcoming prevention and intervention programs in the area of body image and eating disorders. The role of shame, although widely studied in negative body image and eating psychopathology, is yet unknown regarding body appreciation. In this line, a main goal of this study was to explore the effect of external shame on body appreciation in a sample of Portuguese young adults. Also, taking into account the similarities between body appreciation and self-compassion, and since self-compassion is known as a powerful tool against the impact of shame on body image-related disturbances, this study also intended to test the role of self-compassion in the relationship between external shame and body appreciation. Results revealed body mass index and external shame as negative correlates, and self-compassion as a positive correlate of body appreciation. Also, path analysis showed that external shame holds a significant effect on body appreciation, both directly and indirectly. Specifically, this analysis revealed that self-compassion acts as a mediator between shame and body appreciation. Present findings seem to support the pertinence of programs to promote an affectionate and healthy relationship with ones own body image, which may benefit from the target of shame and the inclusion of self-compassion practices.

Self-compassion: An adaptive link between early memories and women's quality of life.

Research has emphasized the important role of recalling childhood experiences on adult mental health, and also the benefits of self-compassion on well-being. This study explored self-compassion as a mediator between early memories with family and peers and quality of life, on a wide age range female sample (N = 645). Path analysis revealed that self-compassion mediated the impact of both types of memories on women’s perceived quality of life. Overall, results revealed that the recall of early positive memories, either with family and peers, associate with a more compassionate self-to-self relationship, and the perception of greater psychological and social well-being.

Do shame and perfectionistic self-presentation explain the link between early affiliative memories and eating psychopathology?

Abstract This study tested a model examining the impact that early affiliative memories (both with family and peers) on eating psychopathology, and whether these links are carried by the mechanisms of external shame and body image-related perfectionistic self-presentation, in a sample of 480 female college students. Path analyses’ results revealed that this model accounted for 48% of disordered eating’s variance and suggests that the lack of early positive emotional memories is associated with higher levels of shame (feelings of inferiority and unattractiveness), and with higher tendency to adopt body image-related perfectionistic strategies, that seem to explain excessive eating concern and rigid control of one’s eating behaviors. This study offers important insights for future research and for the development of intervention programs, by revealing the importance of assessing and targeting shame and perfectionistic strategies and suggesting the importance of promoting adaptive emotion regulation strategies.

Exploring the paths between self-compassionate attributes and actions, body compassion and disordered eating

The relationship between self-compassion and well-being and health (e.g. a lower proneness for eating-related disturbances) is well stressed in the literature. However, the specific contribution of self-compassionate attributes, actions, and body compassion remains scarcely studied. The main aim of the present study was to examine whether the link between self-compassionate attributes and disordered eating attitudes and behaviours is mediated by self-compassionate actions and body compassion, in a sample of 299 Portuguese women from the general population. The tested model explained 44% of eating psychopathology’s variance and presented excellent fit indices. The most interesting contribution of this study was the suggestion that the ability to act in accordance with self-compassionate attributes is associated with higher levels of body compassion, that is, an attitude of appreciation, acceptance, warmth toward body-related thoughts, perceptions and feelings, which reflects in a lower susceptibility to adopt disordered eating attitudes and behaviours. These results seem to offer an important contribution for research and clinical practice by supporting the importance of including strategies to develop self-compassionate skills and body compassion competencies in prevention and treatment programs in the area of eating psychopathology. Level of evidence Level III, evidence obtained from a well-designed cohort.

How do warmth, safeness and connectedness-related memories and experiences explain disordered eating?

Literature suggested that the recall of early positive experiences have a major impact on the promotion of feelings of connectedness and social safeness, and seems to protect individuals against psychopathology. Recent research has also demonstrated that the absence of these positive rearing memories play a key role on disordered eating-related behaviours. The impact of early affiliative memories on disordered eating do not seem to be direct, and the mechanisms underlying this relationship are scarcely investigated. The present study aimed to clarify how memories of warmth and safeness explain the adoption of disordered eating attitudes, and tested the mediator role of social safeness, external shame and appearance-focused social comparison on aforementioned relationship, in a sample of 277 young women. The tested model explained 36% of eating psychopathology’s variance and presented an excellent fit. Path analysis results indicated that the impact of rearing memories on eating psychopathology was fully mediated through the mechanisms of social safeness, external shame and appearance-focused social comparison. Specifically, these findings suggested that the extent to which positive rearing memories are associated with lower levels of disordered eating attitudes is influenced by the current feelings of social safeness and connectedness, which in turn are totally carried by decreased feelings of external shame and by lower endorsement on unfavourable comparison based on physical appearance with proximal targets (peers). These results seem to offer important insights for research and clinical work on body image and eating-related difficulties, suggesting the relevance of promoting warm and safe interactions with others.Level of evidenceLevel V, descriptive study.

Steps toward understanding the impact of early emotional experiences on disordered eating: The role of self-criticism, shame, and body image shame

In research, it has been suggested that early threatening emotional experiences, characterized by abuse, rejection, neglect or absence of affiliative signals may activate maladaptive defensive responses. Further, several studies have emphasised the association between the recall of early emotional experiences and eating psychopathology. However, this relationship does not seem to be direct. Thus, the current study explored the mediator roles of self-criticism and shame (general and body image-focused shame) in the link between early emotional experiences and the engagement in disordered eating, while controlling for the effect of body mass index. The sample of this study included 552 female participants, aged between 18 and 40 years old. The path analysis indicated that the absence of early positive emotional experiences was associated with disordered eating behaviours, through an increased perception of being negatively perceived as inferior or unattractive by others, self-critical attitudes, and body image-focused shame. The tested model accounted for 63% of body image shame and for 67% of disordered eatings variance, and showed an excellent model fit. These findings suggest that shame and self-criticism are defensive mechanisms associated with early threatening emotional experiences, which may trigger disordered eating behaviours. These data appear to offer important research and clinical implications supporting the development of intervention community programs for body and eating difficulties, that specifically target shame (general and body image-focused shame) and self-criticism, through the development of more adaptive emotional regulation strategies.

Emotion regulation and disordered eating: The distinct effects of body image-related cognitive fusion and body appreciation

Diferentes processos de regulacao emocional parecem estar envolvidos na relacao entre a avaliacao negativa da imagem corporal e a psicopatologia alimentar. O presente estudo pretendeu clarificar, numa amostra de 369 mulheres, os efeitos distintos da fusao cognitiva e do apreco pela imagem corporal na relacao entre a discrepância sentida entre o corpo real e idealizado e o comportamento alimentar perturbado, quando controlado o efeito do IMC. Os resultados indicaram que mulheres que percecionam o seu corpo como significativamente discrepante do padrao valorizado na sociedade atual tem uma maior tendencia para apresentar comportamentos alimentares perturbados. No entanto, esta relacao e parcialmente explicada por maiores niveis de fusao cognitiva em relacao a aparencia fisica e por um menor apreco pela propria imagem corporal. Estes resultados constituem um contributo significativo ao sublinharem a relevância da promocao de desfusao cognitiva e de atitudes autocompassivas enquanto estrategias de regulacao emocional protetoras da psicopatologia alimentar.

Validation of the Body Appreciation Scale-2 for Portuguese women

Table of contentsS1 Health literacy and health education in adolescenceCatarina Cardoso TomásS2 The effect of a walking program on the quality of life and well-being of people with schizophreniaEmanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. FerreiraS3 Diagnosis and innovative treatments - the way to a better medical practiceCeleste AlvesS4 Simulation-based learning and how it is a high contributionStefan GisinS5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and PríncipeElisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina SilvaS6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathologyDébora FrancoS7 About wine, fortune cookies and patient experienceJesús Alcoba GonzálezO1 The psychological impact on the emergency crews after the disaster event on February 20, 2010Helena G. Jardim, Rita SilvaO2 Musculoskeletal disorders in midwivesCristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. CardosoO3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescenceMarina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida CoutoO4 Optimal age to give the first dose of measles vaccine in PortugalJoão G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme GonçalvesO5 Functional assessment of elderly in primary careConceição Castro, Alice Mártires, Mª João Monteiro, Conceição RainhoO6 Smoking and coronary events in a population of Spanish health-care centre: An observational studyFrancisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. RamirezO7 Prevalence of musculoskeletal injuries in Portuguese musiciansAndrea Ribeiro, Ana Quelhas, Conceição MansoO8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in SpainFrancisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. RamirezO9 The role of self-criticism and shame in social anxiety in a clinical SAD sampleDaniel Seabra, Mª Céu SalvadorO10 Obstruction and infiltration: a proposal of a quality indicatorLuciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana HenriquesO11 Balance and anxiety and depression symptoms in old age peopleJoana Santos, Sara Lebre, Alda MarquesO12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José LuminiO13 Ischemic stroke vs. haemorrhagic stroke survival rateAna G. FigueiredoO14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescentsFrancisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-VeraO15 Risk of malnutrition in the elderly of BragançaAlexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel BrásO16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing interventionMª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. MónicoO17 Medication adherence in elderly peopleGilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita VasconcelosO18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo BordinO19 Oncologic assistance of high complexity: evaluation of regulating accessesRosiane Kniess, Josimari T. LacerdaO20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological PlanJoana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar RibeiroO21 Sleep difficulties and depressive symptoms in college studentsAna P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui CruzO22 Psychopathological symptoms and medication use in higher educationAna P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui CruzO23 Sexually transmitted diseases in higher education institutionsSandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando MendesO24 Alcohol consumption and suicide ideation in higher education studentsLídia Cabral, Manuela Ferreira, Amadeu GonçalvesO25 Quality of life in university studentsTatiana D. Luz, Leonardo Luz, Raul MartinsO26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sampleAlice Morgado, Maria L. Vale-DiasO27 Risk factors for mental health in higher education students of health sciencesRui Porta-NovaO28 International classification of functioning disability and health as reflexive reasoning in primary attention in healthTânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. CarvalhoO29 Risk factors and cardiovascular disease in PortalegreDaniel Guedelha, P. Coelho, A. PereiraO30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal studyAntónio Calha, Raul CordeiroO31 Student’s sleep in higher education: sleep quality among students of the IPBAna Gonçalves, Ana Certo, Ana Galvão, Mª Augusta MataO32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia KretzerO33 Adherence to treatment in the elderly in an urban environment in SpainJuan-Fernando Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez, Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-RodriguesO34 Beira Baixa Blood Pressure Study (Study PABB)Patrícia Coelho, Tiago Bernardes, Alexandre PereiraO35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia KretzerO36 Sleep problems among Portuguese adolescents: a public health issueOdete Amaral, António Garrido, Nélio Veiga, Carla Nunes, Ana R. Pedro, Carlos PereiraO37 Association between body fat and health-related quality of life in patients with type 2 diabetesAntónio Almeia, Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M. João Monteiro, Romeu MendesO38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, PortugalIsabel C. Pinto, Tânia Pires, João GamaO39 Prevalence of surgical site infection in adults at a hospital unit in the North of PortugalVera Preto, Norberto Silva, Carlos Magalhães, Matilde MartinsO40 Frailty phenotype in old age: implications to interventionMafalda Duarte, Constança Paúl, Ignácio MartínO41 Portuguese women: sexual symptoms in perimenopauseArminda A. PinheiroO42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approachSandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana Marques, António Macedo, Ana T. PereiraO43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysisJosé P. Almeida, António Almeida, Josiane Alves, Nelson Sousa, Francisco Saavedra, Romeu MendesO44 Accessibility of the elderly in the prevention of hypertension in a family health unitAna S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C. SantiagoO45 Community Health screenings and self-reported chronic diseasesSílvia Monteiro, Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho CruzO46 Evaluation of indoor air quality in KindergartensAna Ferreira, Catarina Marques, João P. Figueiredo, Susana PaixãoO47 Atmospheric exposure to chemical agents under the occupational activity of pathology techniciansAna Ferreira, Carla Lopes, Fernando Moreira, João P. FigueiredoO48 Occupational exposure to air pollutants in night entertainment venues workersAna Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana PaixãoO49 Beliefs and attitudes of young people towards breastfeedingTelma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo, Sónia RamalhoO50 Profiling informal caregivers: surveying needs in the care of the elderlyCatarina Mangas, Jaime Ribeiro, Rita GonçalvesO51 Visual health in teenagersAmélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. ForteO52 Amenable mortality and the geographic accessibility to healthcare in PortugalCláudia Costa, José A. Tenedório, Paula SantanaO53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in BrazilJ. A. Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco, B. Alves, F. Mendes, C. Jesus, F. Fonseca, F. GehrkeO54 Adherence of patients to rehabilitation programmesCarlos Albuquerque, Rita Batista, Madalena Cunha, António Madureira, Olivério Ribeiro, Rosa MartinsO55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S projectTeresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo Santos, Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Nicola, João G. ClaraO56 Relation between emotional intelligence and mental illness in health studentsJoão Gomes, Ana Querido, Catarina Tomás, Daniel Carvalho, Marina CordeiroP1 Fall risk factors in people olObjectives: Dietary restraint, the intentional restriction of caloric intake for the purpose of weight loss, is linked to maladaptive eating and lower mental and physical health. This study aimed to validate for the Portuguese population the Dietary Intent Scale (DIS), a measure of dietary restraint. Methods The sample comprised 1077 participants (415 males), aged between 14 and 34 years old. Males presented a mean age of 18.09 (SD=3.32) and a mean BMI of 22.03 (SD=3.28), and females showed a mean age of 17.73 (SD=3.38) and a mean BMI of 21.32 (SD=2.86). No differences were found between genders regarding age. Results A reliability analysis revealed that DIS presented a Cronbach’s alpha of .92 and that three items did not contribute for the scale’s internal consistency. Therefore, and since their content was similar to other items, these three items were excluded. A confirmatory factor analysis revealed the adequacy of the final 6-item DIS, showing good local (SRWs between .64 and .94) and global adjustments (X(8)=12.07, p=.148; CFI=1.00; TLI=1.00; RMSEA=.03, p=.876). Furthermore, the model showed invariance between genders. Finally, DIS revealed a good convergent validity (eating psychopathology, eating restraint, inflexible eating, body image-related experiential avoidance, body imagerelated cognitive fusion, depression, anxiety, and stress) and temporal validity (r = .82) Discussion DIS seems to be a short and valid measure of eating restraint, highly correlated with an important measure of eating psychopathology (EDE-Q). The DIS may represent an advantage in relation to other existing measures, particularly for research and community interventions regarding eating difficulties.Introduction: Continuous blood pressure (BP) monitoring provides important information about the cardiovascular system condition. Invasive methods are accurate but denote increased risk. Non-invasive methods are safe but less reliable and don ́t provide continuous information. An alternative approach for a continuous, non-invasive measurement of BP is based on changes in pulse transit time (PTT). PTT is defined as the time delay between the R-wave of the electrocardiogram (ECG) and the peak value of the photoplethysmogram (PPG) signal acquired in the patient finger on the same cardiac cycle.

The Portuguese validation of the Dietary Intent Scale

Table of contentsS1 Health literacy and health education in adolescenceCatarina Cardoso TomásS2 The effect of a walking program on the quality of life and well-being of people with schizophreniaEmanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. FerreiraS3 Diagnosis and innovative treatments - the way to a better medical practiceCeleste AlvesS4 Simulation-based learning and how it is a high contributionStefan GisinS5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and PríncipeElisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina SilvaS6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathologyDébora FrancoS7 About wine, fortune cookies and patient experienceJesús Alcoba GonzálezO1 The psychological impact on the emergency crews after the disaster event on February 20, 2010Helena G. Jardim, Rita SilvaO2 Musculoskeletal disorders in midwivesCristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. CardosoO3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescenceMarina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida CoutoO4 Optimal age to give the first dose of measles vaccine in PortugalJoão G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme GonçalvesO5 Functional assessment of elderly in primary careConceição Castro, Alice Mártires, Mª João Monteiro, Conceição RainhoO6 Smoking and coronary events in a population of Spanish health-care centre: An observational studyFrancisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. RamirezO7 Prevalence of musculoskeletal injuries in Portuguese musiciansAndrea Ribeiro, Ana Quelhas, Conceição MansoO8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in SpainFrancisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. RamirezO9 The role of self-criticism and shame in social anxiety in a clinical SAD sampleDaniel Seabra, Mª Céu SalvadorO10 Obstruction and infiltration: a proposal of a quality indicatorLuciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana HenriquesO11 Balance and anxiety and depression symptoms in old age peopleJoana Santos, Sara Lebre, Alda MarquesO12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto)Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José LuminiO13 Ischemic stroke vs. haemorrhagic stroke survival rateAna G. FigueiredoO14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescentsFrancisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-VeraO15 Risk of malnutrition in the elderly of BragançaAlexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel BrásO16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing interventionMª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. MónicoO17 Medication adherence in elderly peopleGilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita VasconcelosO18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo BordinO19 Oncologic assistance of high complexity: evaluation of regulating accessesRosiane Kniess, Josimari T. LacerdaO20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological PlanJoana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar RibeiroO21 Sleep difficulties and depressive symptoms in college studentsAna P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui CruzO22 Psychopathological symptoms and medication use in higher educationAna P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui CruzO23 Sexually transmitted diseases in higher education institutionsSandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando MendesO24 Alcohol consumption and suicide ideation in higher education studentsLídia Cabral, Manuela Ferreira, Amadeu GonçalvesO25 Quality of life in university studentsTatiana D. Luz, Leonardo Luz, Raul MartinsO26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sampleAlice Morgado, Maria L. Vale-DiasO27 Risk factors for mental health in higher education students of health sciencesRui Porta-NovaO28 International classification of functioning disability and health as reflexive reasoning in primary attention in healthTânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. CarvalhoO29 Risk factors and cardiovascular disease in PortalegreDaniel Guedelha, P. Coelho, A. PereiraO30 Health status of the elderly population living in Portalegre historic city centre: A longitudinal studyAntónio Calha, Raul CordeiroO31 Student’s sleep in higher education: sleep quality among students of the IPBAna Gonçalves, Ana Certo, Ana Galvão, Mª Augusta MataO32 Trend in mortality from cervical cancer in the metropolitan area of Florianópolis, state of Santa Catarina, Brazil, 2000 to 2013Aline Welter, Elayne Pereira, Sandra Ribeiro, Marcia KretzerO33 Adherence to treatment in the elderly in an urban environment in SpainJuan-Fernando Jiménez-Díaz, Carla Jiménez-Rodríguez, Francisco-José Hernández-Martínez, Bienvenida-Del-Carmen Rodríguez-De-Vera, Alexandre Marques-RodriguesO34 Beira Baixa Blood Pressure Study (Study PABB)Patrícia Coelho, Tiago Bernardes, Alexandre PereiraO35 Trends in cervical cancer mortality statistics in Santa Catarina State, Brazil, by age group and macro-region, from 2000 to 2013Patrícia Sousa, João G. Filho, Nazare Nazario, Marcia KretzerO36 Sleep problems among Portuguese adolescents: a public health issueOdete Amaral, António Garrido, Nélio Veiga, Carla Nunes, Ana R. Pedro, Carlos PereiraO37 Association between body fat and health-related quality of life in patients with type 2 diabetesAntónio Almeia, Helder M. Fernandes, Carlos Vasconcelos, Nelson Sousa, Victor M. Reis, M. João Monteiro, Romeu MendesO38 Therapy adherence and polypharmacy in non-institutionalized elderly from Amares county, PortugalIsabel C. Pinto, Tânia Pires, João GamaO39 Prevalence of surgical site infection in adults at a hospital unit in the North of PortugalVera Preto, Norberto Silva, Carlos Magalhães, Matilde MartinsO40 Frailty phenotype in old age: implications to interventionMafalda Duarte, Constança Paúl, Ignácio MartínO41 Portuguese women: sexual symptoms in perimenopauseArminda A. PinheiroO42 Predictive ability of the Perinatal Depression Screening and Prevention Tool – preliminary results of the categorical approachSandra Xavier, Julieta Azevedo, Elisabete Bento, Cristiana Marques, Mariana Marques, António Macedo, Ana T. PereiraO43 Aging and muscle strength in patients with type 2 diabetes: cross sectional analysisJosé P. Almeida, António Almeida, Josiane Alves, Nelson Sousa, Francisco Saavedra, Romeu MendesO44 Accessibility of the elderly in the prevention of hypertension in a family health unitAna S. Maia, Michelle T. Oliveira, Anderson R. Sousa, Paulo P. Ferreira, Luci S. Lopes, Eujcely C. SantiagoO45 Community Health screenings and self-reported chronic diseasesSílvia Monteiro, Ângelo Jesus, Armanda Colaço, António Carvalho, Rita P. Silva, Agostinho CruzO46 Evaluation of indoor air quality in KindergartensAna Ferreira, Catarina Marques, João P. Figueiredo, Susana PaixãoO47 Atmospheric exposure to chemical agents under the occupational activity of pathology techniciansAna Ferreira, Carla Lopes, Fernando Moreira, João P. FigueiredoO48 Occupational exposure to air pollutants in night entertainment venues workersAna Ferreira, Diana Ribeiro, Fernando Moreira, João P. Figueiredo, Susana PaixãoO49 Beliefs and attitudes of young people towards breastfeedingTelma Fernandes, Diogo Amado, Jéssica Leal, Marcelo Azevedo, Sónia RamalhoO50 Profiling informal caregivers: surveying needs in the care of the elderlyCatarina Mangas, Jaime Ribeiro, Rita GonçalvesO51 Visual health in teenagersAmélia F Nunes, Ana R. Tuna, Carlos R. Martins, Henriqueta D. ForteO52 Amenable mortality and the geographic accessibility to healthcare in PortugalCláudia Costa, José A. Tenedório, Paula SantanaO53 Bacterial contamination of door handles in a São Paulo See Metropolitan Cathedral public restrooms in BrazilJ. A. Andrade, J. L. Pinto, C. Campofiorito, S. Nunes, A. Carmo, A. Kaliniczenco, B. Alves, F. Mendes, C. Jesus, F. Fonseca, F. GehrkeO54 Adherence of patients to rehabilitation programmesCarlos Albuquerque, Rita Batista, Madalena Cunha, António Madureira, Olivério Ribeiro, Rosa MartinsO55 Prevalence of malnutrition among Portuguese elderly living in nursing homes: preliminary results of the PEN-3S projectTeresa Madeira, Catarina Peixoto-Plácido, Nuno Santos, Osvaldo Santos, Astrid Bergland, Asta Bye, Carla Lopes, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Nicola, João G. ClaraO56 Relation between emotional intelligence and mental illness in health studentsJoão Gomes, Ana Querido, Catarina Tomás, Daniel Carvalho, Marina CordeiroP1 Fall risk factors in people olObjectives: Dietary restraint, the intentional restriction of caloric intake for the purpose of weight loss, is linked to maladaptive eating and lower mental and physical health. This study aimed to validate for the Portuguese population the Dietary Intent Scale (DIS), a measure of dietary restraint. Methods The sample comprised 1077 participants (415 males), aged between 14 and 34 years old. Males presented a mean age of 18.09 (SD=3.32) and a mean BMI of 22.03 (SD=3.28), and females showed a mean age of 17.73 (SD=3.38) and a mean BMI of 21.32 (SD=2.86). No differences were found between genders regarding age. Results A reliability analysis revealed that DIS presented a Cronbach’s alpha of .92 and that three items did not contribute for the scale’s internal consistency. Therefore, and since their content was similar to other items, these three items were excluded. A confirmatory factor analysis revealed the adequacy of the final 6-item DIS, showing good local (SRWs between .64 and .94) and global adjustments (X(8)=12.07, p=.148; CFI=1.00; TLI=1.00; RMSEA=.03, p=.876). Furthermore, the model showed invariance between genders. Finally, DIS revealed a good convergent validity (eating psychopathology, eating restraint, inflexible eating, body image-related experiential avoidance, body imagerelated cognitive fusion, depression, anxiety, and stress) and temporal validity (r = .82) Discussion DIS seems to be a short and valid measure of eating restraint, highly correlated with an important measure of eating psychopathology (EDE-Q). The DIS may represent an advantage in relation to other existing measures, particularly for research and community interventions regarding eating difficulties.Introduction: Continuous blood pressure (BP) monitoring provides important information about the cardiovascular system condition. Invasive methods are accurate but denote increased risk. Non-invasive methods are safe but less reliable and don ́t provide continuous information. An alternative approach for a continuous, non-invasive measurement of BP is based on changes in pulse transit time (PTT). PTT is defined as the time delay between the R-wave of the electrocardiogram (ECG) and the peak value of the photoplethysmogram (PPG) signal acquired in the patient finger on the same cardiac cycle.