Luis Calmeiro

Alcohol use and abuse in adolescence: proposal of an alternative analysis

BACKGROUND A national, representative, school-based sample of Portuguese youths was used to examine the prevalence of alcohol use in this population and to analyse differences between demographic variables such as gender and age, as well as to propose a statistical procedure that optimally quantifies categorical variables. METHODS Data on 6109 state school students from Portugal, in the 6th, 8th and 10th grades, aged 11-18, who participated in the 2002 (Health Behaviour in School-aged Children/WHO) survey of adolescent health, were analysed. Adolescents aged between 11 and 14 were placed in the younger group, and those 15-18 years old were placed in the older group. Optimal scaling was used to optimize the computation of factor scores, which were subsequently submitted to multiple regression analysis in order to analyse the impact of gender and age on alcohol use. RESULTS The results of this study show that the majority of Portuguese school-aged adolescents attending regular school at 6th, 8th and 10th grades do not drink alcoholic beverages (beer, wine or spirits) on a regular basis (at least once a month). However, about 8% of these adolescents do drink beer, 3% do drink wine and 12% do drink spirits on a regular basis. With regard to age and gender, about a quarter of the older boys stated that they drink beer or spirits regularly. The multiple regression analysis showed that age and gender had a significant impact on alcohol use. CONCLUSION Alcohol - in particular spirits - is a substance used by some Portuguese adolescents. Alcohol use and abuse is more frequent in boys and increases with age. The importance of these findings for health promotion strategies is discussed.

A conceptual framework for studying emotions–cognitions–performance linkage under conditions that vary in perceived pressure

A unified conceptual framework, which integrates the structural components of human performance, such as emotional processes (i.e., feelings, mood), cognitive processes and structures (e.g., knowledge architecture, long-term working memory), motor processes (coordination, endurance), and the neurophysiologic basis of these structural components (i.e., activation of cortical areas) is introduced. Recent developments in the cognitive, neurological, expertise, and emotion sciences provide a sound evidence for this conceptualization. The unified conceptual framework enables a better understanding of human performance, and allows generating applications, which share scientific validity.

Precompetitive Achievement Goals, Stress Appraisals, Emotions, and Coping Among Athletes

Grounded in Lazaruss (1991, 1999, 2000) cognitive-motivational-relational theory of emotions, we tested a model of achievement goals, stress appraisals, emotions, and coping. We predicted that precompetitive achievement goals would be associated with appraisals, appraisals with emotions, and emotions with coping in our model. The mediating effects of emotions among the overall sample of 827 athletes and two stratified random subsamples were also explored. The results of this study support our proposed model in the overall sample and the stratified subsamples. Further, emotion mediated the relationship between appraisal and coping. Mediation analyses revealed that there were indirect effects of pleasant and unpleasant emotions, which indicates the importance of examining multiple emotions to reveal a more accurate representation of the overall stress process. Our findings indicate that both appraisals and emotions are just as important in shaping coping.

Event-sequence analysis of appraisals and coping during trapshooting performance

This study describes appraisal and coping patterns of Portuguese trapshooters during competition, via post-performance retrospective verbal reports. Probabilities that an event (e.g., missed target) is followed by another event (e.g., negative appraisal) were calculated and state transitional diagrams were drawn. Event-sequences during critical and non-critical performance periods were compared. Negative appraisals were most likely before and after missed targets and hits with the second shot. Positive appraisals were most likely before problem-focused coping and after emotion-focused coping. These findings support the process view of coping by illustrating that athletes cope with a variety of situations via a complex set of appraisals.

Managing pressure: patterns of appraisals and coping strategies of non-elite and elite athletes during competition

Abstract The purpose of this study was to compare moment-to-moment appraisals and coping strategies of 4 non-elite and 2 elite male trap shooters during competitions and in particular during periods of competition perceived as critical to performance. Appraisals and coping patterns of trap shooters were captured via verbal reports of thinking provided between sets of shots during major competitions. Verbal reports were coded according to an appraisal and coping typology. Coded data as well as shooting performance data were subjected to a sequential analysis of probabilities of pairs of events. Fewer reports of negative appraisals (NEGAs) and more frequent reports of problem-focused coping (PFC) were observed among both elite athletes compared to non-elite athletes. After making a NEGA, non-elite shooters often progressed to the next target without attempting to cope, whereas elite shooters used both PFC and emotion-focused coping (EFC) before proceeding to the next target. After missing a target, the non-elite athletes used more EFC than expected. These results indicate that elite athletes are more likely to cope with NEGAs than non-elite athletes using a wider variety of coping strategies. Athletes might benefit from increased awareness of the potentially detrimental impact of NEGAs on performance and by integrating coping strategies within preparatory routines.

Effet de l’activité physique sur l’anxiété et la dépression

The advantages of physical activity are widely recognised from both a physiological and a psychological perspective. Evidence seems to demonstrate that physical activity is associated with decreases in depression and anxiety in clinical and non-clinical populations. There are a number of physiological, biochemical and psychological explanations which should be considered to understand the psychological effects of exercise. Physical activity may be considered as an adjunct to psychotherapeutic and pharmacological treatments of depression and anxiety. Physical activity appears to be a non-specific form of treatment with psychotherapeutic potential that should not be ignored.

Moral Reasoning in Sport: Validation of the Portuguese Version of the RSBH Value-Judgement Inventory in Adolescents

Abstract The purpose of this study was to examine the validity and reliability of the Portuguese version of the Rudd Stoll Beller Hahm Value-judgement Inventory (RSBHVI) in a sample of adolescents. The RSBHVI, which measures moral and social reasoning, was translated using a back translation method. A sample of 238 10th to 12th grade high school students (age mean value 16.93 years, s = 1.34) completed the Portuguese versions of RSBH, and the Task and Ego-orientation Questionnaire. Partial support for the original structure of the moral reasoning scale, but not the social reasoning scale, was found. Females, and non-athletes and individual sport athletes scored significantly higher than males and team sport athletes in moral reasoning, respectively. Moral reasoning was negatively correlated with ego-orientation (r = −30; p <. 001) and uncorrelated with task-orientation (r = .10, p > .05). Participants who were low-ego scored higher in moral reasoning than those who were high-ego. It is suggested that decreasing levels of ego-orientation may be necessary to improve athletes’ moral reasoning.

Effect of physical activity on anxiety and depression

The advantages of physical activity are widely recognised from both a physiological and a psychological perspective. Evidence seems to demonstrate that physical activity is associated with decreases in depression and anxiety in clinical and non-clinical populations. There are a number of physiological, biochemical and psychological explanations which should be considered to understand the psychological effects of exercise. Physical activity may be considered as an adjunct to psychotherapeutic and pharmacological treatments of depression and anxiety. Physical activity appears to be a non-specific form of treatment with psychotherapeutic potential that should not be ignored.

Health related behaviours: grouped risks across adolescence

Purpose: Adolescence can be associated with a tendency to engage in health damaging behaviour. The purpose of this study is to test whether cardiovascular disease (CVD) risk factors are present in this age group, and to explore possible moderator variables. Methods: The database of the Portuguese Health Behaviour in School-Aged Children (HBSC; Currie, Hurrelmann, Settertobulte, Smith & Todd, 2000) study was used comprising a nationally representative sample of 6131 adolescents attending the 6th, 8th and 10th grades (M = 14 years, SD = 1.85). Students answered a self-report questionnaire concerning health behaviours. Results: An Exploratory Factor Analysis with Promax Rotation yielded a factor solution consisting of four types of risk behaviours: psychological symptoms, substance use, weight inducers, and body concerns and inactivity. Younger students demonstrated the least risky behaviours. Females scored highest in psychological symptoms and body concerns, whereas males scored highest in substance abuse and weight inducers.Psychological symptoms and body concerns are higher among overweight and obese adolescents compared to normal weight adolescents. Conclusions: Adolescents already present a number of risk behaviours associated with CVD. This association is moderated by gender, age and Body Mass Index (BMI). Implications are discussed

Health Assets and Active Lifestyles During Preadolescence and Adolescence: Highlights From the HBSC/WHO Health Survey and Implications for Health Promotion

Abstract The present chapter discusses the assets model as a theoretical approach to the study of health behavior and health promotion. The model emphasizes people’s talents, competences, and resources. In this chapter, a health asset is defined as any factor or resource that maximizes the opportunities for individuals, local communities, and populations to attain and maintain health and well-being. This perspective expands and complements the current medical model as it focuses on the development of a sense of empowerment in community members to prevent and manage their own health. Therefore, in this chapter we address the concepts of salutogenesis, social support, resilience, coping, self-regulation, social capital, and personal and social competence, which are central to the development of individuals’ potential to manage and savor their own health, creating the conditions for self-fulfillment. Additionally, we demonstrate how the assets model guides the study of children’s and adolescents’ health in the Portuguese Health Behaviour in School-aged Children study ( www.hbsc.org ), concentrating on areas such as active lifestyles and quality-of-life perception. Finally, we present a roadmap for action that emphasizes the need to identify the factors that make children and adolescents happy and healthy individuals, while minimizing risks and problems they naturally encounter throughout their development. We also argue for the need to involve young people in discussions concerning their health and health promotion practices, focusing on the development of talents, capabilities, and positive expectations for the future.