Abstract Background: Extracranial internal carotid aneurysms are extremely rare and usually diagnosed as incidental findings although thromboembolic events or rupture can occur. Historically treated by open surgery, endovascular repair is emerging as an alternative. We present our center’s experience with both approaches. Case reports: Four internal carotid aneurysm cases are presented: Case 1 - 60-year-old male presented with an asymptomatic 20mm saccular aneurysm of the carotid bifurcation. He underwent arterial reconstruction with a bypass using a 6mm ePTFE graft and reimplantation of the external carotid artery. Case 2 - 61-year-old female presents with an asymptomatic 17mm saccular aneurysm of the internal carotid artery. Aneurismectomy and direct reconstruction through an end-to-end anastomosis was possible due to artery redundancy. Case 3 - 36-year-old patient with a history of Cushing's syndrome due to a secretory adenoma of the pituitary gland presented with an 19mm fusiform aneurysm of the internal carotid artery. After pituitary gland tumor recession, he underwent arterial reconstruction with an inlay saphenous vein bypass. Case 4 - 77-year-old female presents with a 27mm saccular aneurysm of the internal carotid artery. Endovascular aneurysm exclusion using a self-expandable covered stent was performed through a cervical carotid surgical approach. Stent occlusion was observed in the postoperative period but without neurological symptoms. Conclusion: Existing data on endovascular treatment’s short- and medium-term outcomes are comparable to surgery, but long-term results are unknown and high rates of technical failure have been associated to artery tortuosity. There are no specific guidelines to guide decision-making and treatment decisions must be individualized according to the morphology and location of the aneurysm and patient's comorbidities.

Abstract Introduction: The femoropopliteal biomechanical characteristics make the endovascular treatment of complex lesions particularly challenging. Despite several studies reporting longer patency of femoropopliteal stenting when compared to balloon angioplasty, long-term outcomes are still marginal due to the high rate of restenosis, stent fracture, and thrombosis. This study aims to review the current literature on the outcomes of the endovascular treatment of the femoropopliteal sector with the Supera® stent. Materials and methods: A literature search was carried on the PubMed database using the search terms [“Supera” AND “femoropopliteal”]. Prospective and retrospective original studies were selected after title and abstract analysis. A comprehensive narrative review was constructed using the selected publications as references. Results: Thirteen studies were analyzed, comprising a total of 1441 limbs with femoropopliteal obstructive disease treated with the Supera® stent. The 12-month primary-patency rate (PPR) ranged from 72.6% to 94.1%, the 24-month PPR ranged from 60.8% to 83.1% and the 36-month PPR ranged from 69.5% to 76.7%. For high-complexity anatomies, including TASC C and D lesions, the 12-month PPR was >64%. There were no stent fractures reported in any of the included studies. Conclusion: The Supera® stent showed promising results for the endovascular treatment of the femoropopliteal sector, highlighting its performance in high-complexity anatomic patterns.

Abstract Introduction: Light induced amaurosis refers to a transient monocular or binocular vision loss triggered by bright lights. Like amaurosis fugax, light induced amaurosis is associated with carotid artery stenosis but they differ from each other in presentation and pathophysiology. It is thought to be an impairment in the regeneration of retinal visual pigments caused by the inability of carotid circulation to sustain the increased metabolic activity occurring when the retina is exposed to bright lights. With this report we aim to present a case of light induced amaurosis and its management. Case report: We describe a 74-year-old man with the isolated complaint of monocular visual loss from his left eye when exposed to bright lights. These episodes were self-limited and lasted for several minutes. His vision was reportedly good between episodes. He also complained of headache and dizziness. There were no other focal neurological deficits present. The patient had a history of peripheral artery disease, chronic heart failure, hypertension, dyslipidaemia, permanent atrial fibrillation and had a history of heavy smoking in the past. Chronic medical therapy included anticoagulation with rivaroxaban, antiplatelet therapy with acetylsalicylic acid and atorvastatin. Imaging studies (doppler ultrasonography and Computed tomography angiography) revealed a significant morphologic stenosis of the left common carotid artery, left internal carotid artery with sub occlusive disease and right internal carotid artery with 70-75% stenosis (North American Symptomatic Carotid Endarterectomy Trial - NASCET). The vertebral arteries study did not reveal significant morphologic disease. The patient was submitted to left common and internal carotid artery endarterectomy and Dacron patch angioplasty. The visual symptoms progressively improved after surgical treatment. The dizziness and headache were completely gone. Conclusion: Light induced amaurosis is a rare and less known symptom associated with severe carotid artery stenosis. Its timely recognition is important to not deprive patients of timely treatment.

Abstract Introduction: Congenital vascular malformations are entities with a broad spectrum of presentations and variable prognosis. They typically present at a young age and are historically associated with extensive resection surgeries and with high morbidity. This study aims to evaluate the results of arteriovenous malformations (AVMs) embolization as a first-line approach in lesions which are not suitable for surgical resection. Methods: A retrospective analysis of the clinical records of patients with infiltrative arteriovenous malformations who underwent embolization at our center between 2019 and 2021 was performed. The Schobinger Classification was applied to categorize the clinical stage. Angiographic findings were reported according to the Yakes classification. The decrease in the Schöbinger grade after treatment, the need for reintervention and the associated complications were the main outcomes. A descriptive statistical analysis was performed. Results: Nine patients undergoing embolization of infiltrative arteriovenous malformations were evaluated, accounting for a total of seventeen interventions. There was a preponderance of females (n=6; 66.7%) and the mean age of referral to the Vascular Surgery consultation and the first treatment was 16.8 (±12.9) and 20.9 (± 14.5) years, respectively. All patients were in stage II (n=4; 44.4%) or III (n=5; 55.6%) of Schöbinger. The angiographic pattern of the AVMs was classified according to the Yakes Classification, which guided the approach. Yakes type IIa was found most frequently (n=6; 55.6%), followed by type IV (n=2; 22.2%) and type IIb (n=1; 1.1%). Patients underwent AVM embolization via transarterial, transvenous or direct nidus puncture with sclerosing agents, liquid embolizers, microparticles and microcoils, separately or in combination. The median number of interventions per patient was 1 (1 - 5) and Yakes type IV appears to be associated with a higher rate of reintervention. Reduction of the Schöbinger stage was achieved in 7 (77.8%) patients with clinical resolution in 3 (33.3%). Tissue necrosis was the only complication reported in this series (n=2; 11,8%). Conclusion: The endovascular approach of arteriovenous malformations through nidus and/or afferent/efferent embolization requires a detailed angiographic characterization but seems to be an effective strategy with a low risk of complications. The Yakes classification, can be useful both in guiding the approach and in predicting the need for reintervention.

Abstract The present work aims to discuss the so-called “populism” from a triple point of view: 1) That of its examination as an effect of cleavage in the community and in the common (common world and knowledge), as well as the logic of exclusion and segmentation of the social, in the very extent to which it defines itself as negative against others, in an anti-pluralist way; 2) In terms of political thought, as a modality of political opportunism and discursively an empty signifier, through its controversial rationality and as a discursive empty labeling operation; and, finally, 3) From the perspective of the nature of the relationship between populism and the media. From this triple approach, and finally, a fragment of the feedback logic between media and populism is illustratively presented, taking an example from the last presidential election campaign in Portugal, in 2021.

Resumo O presente trabalho visa discutir o designado “populismo” num triplo ponto de vista: 1) O do seu exame enquanto efeito de clivagem na comunidade e no comum (mundo e conhecimento comuns), tanto quanto lógica de exclusão e de segmentação do social, na própria medida em que se define pela negativa contra os outros, de modo anti-pluralista; 2) Em termos politológicos, como uma modalidade de oportunismo político e discursivamente um significante vazio, através da sua racionalidade controversa e enquanto operação discursiva de rotulagem vazia; e, por último, 3) Mediante a perspetiva da natureza das relações entre populismo e média. A partir dessa tríplice abordagem e por fim, apresenta-se ilustrativamente um fragmento da lógica de retroalimentação entre media e populismo, tomando um exemplo da última campanha eleitoral presidencial em Portugal, em 2021.

Resumo A pandemia COVID-19 impôs aos profissionais de saúde (PS) uma sobrecarga inédita, mas existe pouca evidência sobre o seu impacto no contexto profissional do cuidar e nas suas vidas. Este estudo teve como objetivo descrever as vivências dos PS infetados com COVID-19 ou que tiveram contactos de alto risco durante a atividade profissional. Realizou-se um estudo qualitativo fenomenológico, com entrevistas semiestruturadas, individualizadas, a enfermeiros, médicos e assistentes operacionais, de um hospital universitário da região centro de Portugal. Participaram 23 PS (15 enfermeiros; 10 COVID+). Emergiram três temas centrais - Pessoa, Hospital, Sociedade - e cinco subtemas - “Eu” (pessoa/profissional), “Eu e os Outros” (doentes/familiares), “Eu e os Outros como Eu” (equipa), “Eu e os Meus” (família), e “Liderança/Gestão”. Descrevem-se alterações emocionais, adaptações no cuidar e na comunicação, o impacto do isolamento/separação e dos mass media. Pesaram particularmente as dificuldades em ser “testado” e saber os resultados, o sentimento de apoio ou de desamparo institucional e de estigma na comunidade. Conclui-se que o conhecimento das alterações emocionais, físicas, socio-relacionais e do cuidar, descritas por estes PS, pode facilitar o processo adaptativo do sistema, garantindo um apoio mais efetivo aos PS e, consequentemente, assegurando melhores cuidados de saúde, doravante.

Abstract The pandemic COVID-19 imposed an unprecedented burden on health professionals (HP), but there is little evidence about its impact on the professional context of care and on their lives. This study aimed to describe the HP’s experiences infected with COVID-19 or who had high-risk contacts during their professional activity. We performed a qualitative phenomenological study. Semi-structured, individual interviews were conducted with nurses, doctors, and operational assistants, from a university hospital at the central region in Portugal. A total of 23 PS participated (15 nurses; 10 COVID+). Three central themes emerged - Person, Hospital, Society - and five sub-themes: “Me” (person/professional), “Me and the Others” (patients/families), “Me and Others like Me” (team), “Me and Mine” (family), and “Leadership/Management”. Emotional changes, adaptations to care and communication, the impact of isolation/separation and mass media are described. The difficulties in being “tested” and knowing the results, the feeling of institutional helplessness and stigma in the community were also a burden. We concluded that the knowledge of emotional, physical, socio-relational and care changes, described by these HP, can facilitate the adaptive process of the system and health care, ensuring effective support for PS and, consequently, ensuring the best health care, from now on.

Resumo Desconhece-se o impacto da pandemia COVID-19 na saúde mental, perceção de stress e qualidade de vida/QV do/a(s) profissionais de saúde (PS). Pretende-se avaliar as variáveis referidas, na primeira vaga da pandemia. 680 PS [mulheres, 78.5%; enfermeiro/a(s), 46,3%; trabalharam em serviços COVID, 48,2%] responderam à BSI-18, PSS e EUROHIS-QOL-8. As mulheres apresentaram maior stress, ansiedade e somatização; o/a(s) assistentes técnico/a(s) e operacionais, médico/a(s) e enfermeiro/a(s) maior somatização [do que técnico/a(s) superiores, técnico/a(s) superiores de saúde e farmacêutico/a(s)]; o/a(s) enfermeiro/a(s) e assistentes operacionais maior somatização do que o/a(s) médico/a(s); quem trabalhou em serviços COVID e ficou em quarentena/isolamento maior ansiedade e somatização; quem não ficou em quarentena menor depressão; quem ficou infetado menor QV, maior ansiedade, depressão e somatização. Demonstrou-se o impacto da pandemia nas variáveis centrais nestes PS. Futuramente, em circunstâncias igualmente aversivas, importa monitorizar a saúde mental do/a(s) PS e oferecer planos específicos de apoio psicológico.

Abstract It is still unknown the impact of the COVID pandemic in the mental health, stress perception and quality of life, of health professionals. We wish to assess the variables mentioned above, in the first wave of the pandemic. 680 health professionals (women, 78,5%; nurses, 46,3%; worked in COVID-19 services, 48,2%) answered the BSI-18, the PSS and the EUROHIS-QOL-8. Women presented higher levels of stress, anxiety and somatization; technical assistants, operational assistants, doctors and nurses referred higher somatization (than senior technicians, health senior technicians and pharmacists); nurses and operational assistants had higher levels of somatization than doctors; health professionals that worked at COVID services and were on quarantine/isolation presented higher anxiety and somatization; professionals that were on quarantine referred lower levels of depression; those that were infected presented less quality of life, higher anxiety, depression and somatization. The impact of the pandemic in the central variables was demonstrated, in these health professionals. In the future, considering equally aversive circunstances, it might be important to monitor the mental health of the health professionas and to offer specific plans of psychological support.

Resumo: Introdução: O aneurisma da aorta abdominal é uma entidade prevalente no mundo ocidental, com elevada mortalidade associada à rotura do aneurisma. Os programas de rastreio assim como a cirurgia eletiva podem prevenir este evento com elevado risco de vida. Com este trabalho pretendemos avaliar se os internos de Medicina Interna são capazes de realizar ecografia abdominal para rastreio de aneurisma da aorta abdominal, e com isso aumentar a nossa precisão diagnóstica desta condição potencialmente ameaçadora de vida. Material e Métodos: Cinco internos de Medicina Interna, sem experiência prévia em ecografia, rastrearam para aneurisma da aorta abdominal, homens com mais de 65 anos, admitidos no internamento de Medicina Interna. Os doentes foram avaliados em dois tempos diferentes por dois internos de Medicina Interna, e um conjunto de doentes foi também avaliado por um cirurgião vascular ou por tomografia computadorizada abdominal (sendo ambas consideradas as avaliações gold standard). A concordância entre ambas avaliações dos internos de Medicina, e dos internos de Medicina e as avaliações gold standard foram analisadas. Resultados: Foram avaliados 98 doentes e diagnosticados um total de 8 aneurismas da aorta abdominal, perfazendo uma prevalência de 8,2%. Foi obtida uma boa concordância no que diz respeito à presença de aneurisma da aorta abdominal e à sua medição entre as avaliações dos internos de Medicina Interna (κ = 0,918, p < 0,01) e entre os internos de Medicina Interna e as avaliações gold standard (κ = 0,950, p < 0,01). Discussão e Conclusão: A prevalência do aneurisma da aorta abdominal no nosso estudo foi elevada. Os internos de Medicina Interna são capazes de diagnosticar esta entidade com precisão. O rastreio oportunístico e à cabeceira do doente, pode ser realizado durante o internamento na Medicina Interna, providenciando um diagnóstico precoce, com possibilidade de referenciação para cirurgia eletiva de reparação.

Abstract Introduction: Abdominal aortic aneurysm is a prevalent disease in western world, with a high mortality rate when rupture occurs. Screening programs and elective surgery may prevent such a life-threatening event. We pretend to evaluate if internal medicine residents would be able to perform quality abdominal ultrasound for abdominal aortic aneurysm screening, and therefore increase our diagnostic accuracy of this life-threatening condition. Material and Methods: Five internal medicine residents without previous experience in ultrasound screened men over 65 years admitted to Internal Medicine wards for Abdominal Aortic Aneurysm. The patients were evaluated in different times by two internal medicine residents, and a subset of patients was also evaluated by vascular surgery attendant or abdominal computed tomography scan (established as gold standard evaluations). Agreement between both internal medicine resident’s observations and internal medicine residents’ and gold standard evaluations were analyzed. Results: A total of 98 patients were evaluated, with 8 abdominal aortic aneurysms diagnosed, resulting in an 8.2% prevalence. There was good agreement regarding Abdominal Aortic Aneurysm presence and measurement between internal medicine residents’ examinations (κ = 0.918, p < 0.01) and internal medicine residents’/gold standard (κ = 0.950, p < 0.01). Discussion and Conclusion: Abdominal aortic aneurysm prevalence in our study was high. Internal medicine residents were able to accurately diagnose aortic abdominal aneurysm. Point of care opportunistic aortic abdominal aneurysm screening can be performed in Internal Medicine wards, providing an early diagnosis and referral for elective repair surgery.

ABSTRACT Objective: Permanent access in the form of a fistula is the preferred form of vascular access for most pediatric patients on maintenance hemodialysis (HD) therapy; however, the technical aspects of the procedure that are unique to the pediatric population, the expectation of a short waiting time for kidney transplantation and the need to cannulate every other day (with the pain and fear associated with it) limit its use. Our objective was to analyze the long-term outcomes of pediatric arteriovenous fistulas in our institution. Methods: A retrospective review was performed of all arteriovenous fistula (AVF) created in a HD population aged 0 to 18 years at a single institution from 2007 to 2019. Data abstracted included age, weight, etiology of renal failure, time on dialysis, central venous catheter history and transplantation history. Data were analyzed to determine the primary and secondary patency. Results: During the study period, 19 AVFs were performed in 16 patients, of whom 9 patients (56.3%) were male. Mean patient age was 12.3 years (range 5-17 years), and mean weight was 38.3kg (range 12-83kg). At the time of AVF creation, 9 patients were on dialysis and 7 patients had a central venous catheter (CVC), with a median length of CVC dependence of 10 months. Procedures performed included 4 radiocephalic fistulas, 11 brachiocephalic fistulas and 4 brachiobasilic. Five accesses failed to mature (26.3%). Mean follow-up was 6 years. The 2-year primary and secondary patency rates were 92.3% and 100%, respectively. The 4-year primary and secondary patency rates were 76.9% and 100%, respectively. No thrombosis was documented during follow-up. During the postoperative period, 10 patients (62.5%) received a kidney transplant, in a mean time of 23 months. Conclusions: AVFs demonstrate excellent long-term patency in pediatric HD patients. No significant complications were reported and no thrombosis occurred.

Resumen Marco contextual: La evaluación del posicionamiento ante la adaptación a la jubilación constituye un indicador relevante del estado de salud en una de las transiciones vitales más críticas de la edad adulta. Objetivo: Validar la Escala de Posicionamiento de Adaptación a la Jubilación (EPFAR). Metodología: Estudio metodológico de validación de la escala realizado con una muestra aleatoria de 115 portugueses recién jubilados. Se evaluó la calidad del instrumento de medida. Para evaluar la validez de constructo se realizó un análisis factorial exploratorio y se evaluó la fiabilidad mediante la consistencia interna. Resultados: Los factores retenidos llevaron a considerar una solución con 4 factores que explicaba el 56,41% de la varianza. El análisis de consistencia interna se realizó mediante el alfa de Cronbach, y los resultados de todos los ítems de la escala mostraron un ( = 0,90. Conclusión: La EPFAR constituye un instrumento válido y fiable para evaluar el posicionamiento ante la jubilación.

Resumo Enquadramento: A avaliação do posicionamento face à adaptação à reforma constitui um relevante indicador do estado de saúde, numa das mais críticas transições da vida ocorridas na idade adulta. Objetivo: Validar a Escala de Posicionamento Face à Adaptação à Reforma (EPFAR). Metodologia: Estudo metodológico de validação de escala efetuado com amostra aleatória de 115 recém-aposentados portugueses. Avaliou-se a qualidade do instrumento de medida. Para avaliar a validade de constructo procedeu-se a uma análise fatorial exploratória e a fiabilidade avaliou-se através da consistência interna. Resultados: Os fatores retidos levaram a considerar uma solução com 4 fatores explicativa na globalidade de 56,41% da variância. A análise de consistência interna realizou-se com recurso ao alfa de Cronbach, tendo os resultados apurados para a totalidade dos itens da escala apresentado um ( = 0,90. Conclusão: A EPFAR constitui um instrumento válido e fiável para avaliar o posicionamento face à reforma.

Abstract Background: Assessing individuals’ positioning regarding their adaptation to retirement is a relevant indicator of health status in one of the most critical life transitions occurring in adulthood. Objective: To validate the Positioning Scale for Adaptation to Retirement (EPFAR). Methodology: Methodological study of scale validation carried out with a random sample of 115 Portuguese retirees. The quality of the instrument was assessed. An exploratory factor analysis assessed construct validity, and an internal consistency analysis assessed reliability. Results: The retained factors resulted in a 4-factor solution that explained 56.41% of the variance. The internal consistency analysis was performed using Cronbach’s alpha, and the results obtained for all items of the scale revealed an ( = 0.90. Conclusion: The EPFAR is a valid and reliable instrument for assessing individuals’ positioning towards retirement.

Resumen Marco contextual: Estudios nacionales e internacionales muestran la escasa alfabetización en salud mental de los adolescentes respecto a la ansiedad y la necesidad de desarrollar intervenciones psicoeducativas en entornos escolares. Objetivo: Identificar los componentes de una intervención psicoeducativa para promover la alfabetización en salud mental (LSM en portugués) sobre la ansiedad de los adolescentes en el contexto escolar. Metodología: Se llevó a cabo un estudio exploratorio, descriptivo y de naturaleza cualitativa mediante 2 grupos focales y un análisis de contenido. En el primer grupo focal, participaron 6 profesionales de la salud o de la educación y, en el segundo, 6 adolescentes del 9.º grado de escolaridad. Resultados: Se identificaron los componentes de una intervención psicoeducativa de promoción de la LSM sobre la ansiedad en adolescentes en el contexto escolar, que contribuyeron a su diseño preliminar e incluyeron 4 sesiones de 90 minutos, con diferentes métodos y técnicas pedagógicas. Conclusión: Este estudio contribuyó al diseño preliminar de la intervención psicoeducativa “ProLiSMental”, cuyo objetivo es capacitar a los adolescentes para acceder, comprender y utilizar información útil que les ayude a prevenir, reconocer y gestionar la ansiedad.

Resumo Enquadramento: Estudos nacionais e internacionais evidenciam reduzida literacia em saúde mental (LSM) dos adolescentes sobre a ansiedade e a necessidade de serem desenvolvidas intervenções psicoeducacionais em contexto escolar. Objetivo: Identificar as componentes de uma intervenção psicoeducacional de promoção da LSM sobre a ansiedade para adolescentes em contexto escolar. Metodologia: Realizou-se um estudo exploratório, descritivo e de natureza qualitativa, recorrendo a 2 grupos focais e à análise de conteúdo. No primeiro grupo focal, participaram 6 profissionais de saúde ou da educação e, no segundo, 6 adolescentes do 9º ano de escolaridade. Resultados: Foram identificadas as componentes de uma intervenção psicoeducacional de promoção da LSM sobre a ansiedade para adolescentes em contexto escolar, que contribuíram para o seu desenho preliminar, integrando 4 sessões de 90 minutos, com diferentes métodos e técnicas pedagógicas. Conclusão: Este estudo contribuiu para o desenho preliminar da intervenção psicoeducacional “ProLiSMental”, que pretende capacitar os adolescentes para o acesso, a compreensão e a utilização de informação útil que os ajude na prevenção, no reconhecimento e na gestão da ansiedade.

Abstract Background: National and international studies have revealed low mental health literacy (MHL) on anxiety among adolescents and the need to develop psychoeducational interventions at schools. Objective: To identify the components of a psychoeducational intervention to promote MHL on anxiety among adolescents in the school context. Methodology: An exploratory, descriptive, and qualitative study was conducted using 2 focus groups and the content analysis technique. Six health or education professionals participated in the first focus group, and 6 9th-grade adolescents participated in the second focus group. Results: The components of a psychoeducational intervention to promote MHL on anxiety among adolescents in the school context were identified, contributing to its preliminary design. The intervention consists of 4 90-minute sessions using different pedagogical methods and techniques. Conclusion: This study contributed to the preliminary design of the “ProLiSMental” psychoeducational intervention, which aims to enable adolescents to access, understand, and use relevant information that helps them to prevent, recognize, and manage anxiety.

CONTEXTO: La alfabetización en salud mental se definió como el conocimiento y las creencias sobre los trastornos mentales que ayudan en su reconocimiento, manejo o prevención. Estudios nacionales e internacionales muestran un bajo nivel de alfabetización en la salud mental de los adolescentes y la necesidad de desarrollar intervenciones psicoeducativas sobre la ansiedad en el contexto escolar. OBJETIVO: Evaluar la validez de contenido de la intervención psicoeducativa promotora de la alfabetización en salud sobre la ansiedad de los adolescentes en el contexto escolar: “ProLiSMental”. METODOLOGÍA: Intervenciones complejas de acuerdo a Medical Research Council Framework. El diseño de la intervención psicoeducativa “ProLiSMental” fue sometido a evaluación de validez de contenido a través de un e-Delphi modificado con expertos. Se definieron criterios de selección de expertos, criterios de consenso y preguntas orientadoras. Se garantizaron las consideraciones éticas. RESULTADOS: Participaron 25 expertos nacionales e internacionales con alto nivel de especialización y se obtuvieron criterios de consenso en la 1a ronda, registrándose acuerdo en las respuestas a todas las preguntas (100%) y alto acuerdo en las respuestas a 8 preguntas (57,1%) . CONCLUSIONES: Se validó el contenido de la intervención psicoeducativa “ProLiSMental”, que consta de 4 sesiones de 90 minutos, utilizando diferentes métodos y técnicas de enseñanza. Se espera que esta intervención psicoeducativa promueva la formación de los adolescentes para que accedan, comprendan y utilicen información sobre salud mental que les ayude a prevenir, reconocer y manejar la ansiedad.

CONTEXTO: A literacia para a saúde mental foi definida como o conhecimento e as crenças sobre as perturbações mentais que ajudam no seu reconhecimento, gestão ou prevenção. Estudos nacionais e internacionais evidenciam reduzida literacia em saúde mental dos adolescentes e a necessidade de serem desenvolvidas intervenções psicoeducacionais sobre a ansiedade em contexto escolar. OBJETIVO: Avaliar a validade de conteúdo da intervenção psicoeducacional promotora da literacia em saúde mental sobre a ansiedade dos adolescentes em contexto escolar: “ProLiSMental”. MÉTODOS: Intervenções complexas segundo a Medical Research Council Framework. O desenho da intervenção psicoeducacional “ProLiSMental” foi submetido à avaliação da validade de conteúdo através de um e-Delphi modificado com peritos. Foram definidos os critérios de seleção dos peritos, os critérios de consenso e as questões orientadoras. Foram garantidas as considerações éticas. RESULTADOS: Participaram 25 peritos nacionais e internacionais com elevado nível de perícia e obtiveram-se os critérios de consenso na 1ª ronda, registando concordância nas respostas a todas questões (100%) e concordância elevada nas respostas a 8 questões (57,1%). CONCLUSÕES: Validou-se o conteúdo da intervenção psicoeducacional “ProLiSMental”, constituída por 4 sessões de 90 minutos, com recurso a diferentes métodos e técnicas pedagógicas. Espera-se que esta intervenção psicoeducacional promova a capacitação dos adolescentes para aceder, compreender e usar informação sobre a saúde mental que os ajude na prevenção, no reconhecimento e na gestão da ansiedade.

BACKGROUND: Mental health literacy was defined as knowledge and beliefs about mental disorders that help in their recognition, management or prevention. National and international studies show low mental health in adolescents' mental health and the need to develop psychoeducational interventions on anxiety in the school context. AIM: To evaluate the content validity of the psychoeducational intervention to promote mental health literacy on anxiety of adolescents in a school context: “ProLiSMental”. METHODS: Complex interventions according to the Medical Research Council Framework. The design of the “ProLiSMental” psychoeducational intervention was submitted to content validity assessment through a modified e-Delphi with experts. Criteria for selecting experts, consensus criteria and guiding questions were defined. Ethical considerations were guaranteed. RESULTS: 25 national and international experts with a high level of expertise participated and consensus criteria were obtained in the 1st round, registering agreement on the answers to all questions (100%) and high agreement on the answers to 8 questions (57,1%). CONCLUSIONS: The content of the “ProLiSMental” psychoeducational intervention was validated, consisting of 4 sessions of 90 minutes, using different teaching methods and techniques. It is expected that this psychoeducational intervention will promote the empowerment of adolescents to access, understand and use information about mental health that will help them to prevent, recognize and manage anxiety.

INTRODUCCIÓN: La transición hacia la enseñanza superior y el consiguiente proceso de adaptación corresponde a un período crítico y complejo que conlleva cambios significativos en la vida de los jóvenes que pueden tener implicaciones en su salud y bienestar y consecuentemente en el éxito académico. OBJETIVOS: Caracterizar la alfabetización en salud mental asociada a la depresión y ansiedad; analizar comparativamente la alfabetización asociada a la depresión y la ansiedad. METODOLOGÍA: Estudio descriptivo-correlacional, realizado a partir de los datos recolectados en una muestra de 246 estudiantes, inscritos en el primer año del curso de licenciatura en Enfermería, habiendo sido aplicado el Cuestionario de Evaluación de la Alfabetización en Salud Mental. RESULTADOS: Los resultados revelan niveles modestos de alfabetización en salud mental, con deficiencias más acentuadas en el caso de la depresión. Un margen de jóvenes señala que no sabe y / o no tiene conocimiento en este ámbito, como es el caso de las estrategias de primera ayuda. CONCLUSIONES: Es necesario intervenir precozmente, en el sentido de aumentar sus niveles de alfabetización de salud mental de los estudiantes. Estas intervenciones, con foco en la acogida e integración, pueden contribuir a la adaptación y éxito académico de los estudiantes.

INTRODUÇÃO: A transição para o Ensino Superior e consequente processo de adaptação corresponde a um período crítico e complexo que acarreta mudanças significativas na vida dos jovens que podem vir a ter implicações na sua saúde e bem-estar e consequentemente no sucesso académico. OBJETIVOS: Caracterizar a literacia em saúde mental associada à depressão e ansiedade; analisar comparativamente a literacia associada à depressão e ansiedade. MÉTODOS: Estudo descritivo-correlacional, realizado a partir dos dados colhidos junto de uma amostra aleatória de 246 estudantes, inscritos no 1.º ano do curso de licenciatura em Enfermagem, tendo sido aplicado o Questionário de Avaliação da Literacia em Saúde Mental. RESULTADOS: Os resultados revelam níveis modestos de literacia em saúde mental, com deficits mais acentuados no caso da depressão. Uma margem de jovens refere de modo explicito que não sabe e/ou não tem conhecimento em termos de primeira ajuda. CONCLUSÕES: Torna-se necessário intervir precocemente, no sentido de aumentar os níveis de literacia de saúde mental dos estudantes. Estas intervenções, com foco no acolhimento e integração, podem contribuir para a adaptação e sucesso académico dos estudantes.

INTRODUCTION: The transition to higher education and the consequent adaptation process corresponds to a critical and complex period that brings significant changes in the lives of young people that may have implications for their health and well-being and consequently academic success. AIMS: To characterize the mental health literacy associated with depression and anxiety; analyze comparatively the literacy associated with depression and anxiety. METHODS: Descriptive-correlational study, based on data collected from a random sample of 246 students, enrolled in the 1st year of a bachelor in Nursing, and the Questionnaire for Evaluation of Mental Health Literacy was applied. RESULTS: The results reveal modest levels of mental health literacy, with a more pronounced deficiency in the case of depression. A margin of young people indicates that they do not know and/or do not have knowledge in this area, as is the case of first aid strategies. CONCLUSIONS: It is necessary to intervene early in order to increase students’ mental health literacy levels. These interventions, with a focus on reception and integration, can contribute to the students’ academic adaptation and success.