Joana Marta-Simões

Defensive Responses to Early Memories with Peers: a Possible Pathway to Disordered Eating.

Childhood and early adolescence experiences, specifically those that provide an adulthood enriched with warm and safe memories, are consistently stated in literature as powerful emotional regulators. In contrast, individuals who scarcely recall positive experiences may begin to believe that others see the self as inferior, inadequate and unattractive. In order to cope with a perceived loss of social desirability and achieve others acceptance, individuals may become submissive, and women, particularly, may resort to the presentation of a perfect body image. Both mechanisms are defensive responses suggested to be associated with mental health difficulties, particularly disordered eating behaviors. The present study aimed at exploring the association between early memories of warmth and safeness with peers and eating psychopathology. Also, a path analysis was conducted to investigate the mediator role of submissiveness and perfectionistic self-presentation focused on body image on this association, in a sample of 342 female students. Results revealed that the absence of early positive memories with peers holds a significant effect over eating psychopathologys severity, and also that this effect is mediated through submissiveness and body image-related perfectionistic self-presentation. This model accounted for 13%, 19% and 51% of submissiveness, perfectionistic self-presentation of body image and eating psychopathologys variances, respectively, and showed excellent model fit.

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.

Seeking a perfect body look: feeding the pathogenic impact of shame?

Shame feelings often lead individuals to adopt compensatory mechanisms, such as the minimization of the public display or disclosure of mistakes and the active promotion of perfect qualities, conceptualized as perfectionistic self-presentation. Although perfectionism is considered a central characteristic of disordered eating, the investigation on the specific domain of body image-related perfectionistic self-presentation and on its relationship with psychopathology is still scarce. The main aim of the present study was exploring the moderator effect of body image-related perfectionistic self-presentation on the associations of shame with depressive symptomatology, and with eating psychopathology, in a sample of 487 women. Results revealed that body image-related perfectionistic self-presentation showed a significant moderator effect on the relationships of external shame with depressive symptomatology, and with eating psychopathology severity, exacerbating shame’s impact on these psychopathological indices. These findings appear to offer important clinical and investigational implications, highlighting the maladaptive character of such body image-focused 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.

Developments on committed action: Validity of the CAQ-8 and analysis of committed action's role in depressive symptomatology in breast cancer patients and healthy individuals

Committed action, a process of acceptance and commitment therapys psychological flexibility model, is considered an understudied construct that currently can only be measured by one instrument, the Committed Action Questionnaire (CAQ-8). This study aims at analysing the psychometric properties of the CAQ-8 in healthy individuals and breast cancer patients. This study also aims to explore the specific meditational role of committed action in the well-established relationship between experiential avoidance and depression symptoms. The healthy sample comprised 294 adults from the general population, and the breast cancer samples comprised 82 participants. Both groups completed the validated self-report measures. CAQ-8s robustness was examined through validity analyses, confirmatory factor analyses, and multigroup analysis. The meditational model was conducted using structural equation modelling. The CAQ-8 presented good internal consistency and construct, convergent, concurrent, and divergent validity in both samples. Further, the CAQ-8 showed incremental validity over a measure of engaged living. Findings also demonstrated measurement invariance between healthy individuals and breast cancer patients. Regarding the conducted meditational model that was also invariant between the two analysed groups, it was demonstrated that part of the effect that experiential avoidance holds on depressive symptomatology is explained by committed action. This study suggests that the CAQ-8 is adequate for use in healthy and cancer populations. Moreover, it provides novel, empirical support regarding the links between committed action, experiential avoidance, and depressed mood, being also the first investigation to particularly study committed action in a cancer population. Implications for theory and practice are discussed.

Understanding the Role of Self-Judgment in the Association between Body Dissatisfaction and Quality of Life on Normal-Weight and Overweight Portuguese Women

Literature has demonstrated the negative impact of body image dissatisfaction on womens quality of life. Nonetheless, it has been suggested that the relationship between body dissatisfaction and womens well-being is not linear, and that the processes that mediate this association remain unclear. This study aims to clarify the mediator role of self-judgment in the association between negative body image and psychological quality of life, in two groups: normal-weight and overweight women. This cross-sectional study comprised 200 normal-weight and 92 overweight female college students, aged between 18 and 24 years old, that completed self-report instruments of body dissatisfaction, self-judgment, and quality of life. Results showed that women who presented harsher self-judgment about their perceived failures tended to present lower levels in all quality of life domains. Also, results from mediation analyses indicated the relationship between body dissatisfaction and psychological quality of life was significantly mediated by the mechanisms of self-judgment in the two BMI groups (95% CI [-2.41 to -0.04]; 95% CI [-6.35 to -.89]). This mediational model accounted for 28.3% and 40.7% of psychological quality of life in the normal-weight and overweight groups, respectively. These results suggest that a lower ability to deal with ones failures or inadequacies (e.g., negative evaluation of body image) in a kind and accepting manner may significantly increase the negative impact of body dissatisfaction on ones psychological quality of life. In this way, it seems that, the focus of interventions should go beyond body dissatisfaction and also target the development of adaptive attitudes (opposed to self-critical attitudes) to deal with negative body-related experiences.

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.