Resumen Introducción: Algunas investigaciones han confirmado que la inteligencia emocional (IE) es un importante constructo teórico y empírico asociado al bienestar psicológico y la salud física y mental. Uno de los instrumentos de evaluación de la IE más utilizados en investigación es la escala de Inteligencia Emocional de Wong y Law. La finalidad de este estudio es analizar las propiedades psicométricas de la versión peruana de la escala WLEIS-P. Método: La muestra es de 2574 adultos: 1859 eran mujeres (72.2 %), 715 hombres (27.8 %). La edad de los participantes oscilo entre los 18 y los 30 años (M = 20.83, DT = 2.46). Los participantes completaron una batería que incluía la WLEIS-P y una escala sobre bienestar subjetivo. Resultados: Los resultados evidenciaron una estructura de cuatro factores con buen ajuste, una adecuada consistencia interna, y una validez convergente en línea con el instrumento original y las adaptaciones realizadas en otros contextos. Por último, los resultados confirmaron la invariancia escalar tanto para el sexo como para la edad. Conclusión: En resumen, nuestros resultados proporcionan evidencias de que la WLEIS-P podría ser una herramienta útil para la evaluación de la inteligencia emocional en población adulta peruana.

Abstract Introduction: Research has confirmed that emotional intelligence (EI) is an important theoretical and empirical construct associated with psychological well-being and physical and mental health. One of the most used EI assessment instruments in research is the Wong and Law Emotional Intelligence Scale. This study aims to analyse the psychometric properties of the Peruvian version of the WLEIS-P scale. Method: The sample consisted of 2,574 adults: 1,859 were women (72.2%), and 715 were men (27.8%). The age of the participants ranged between 18 and 30 years (M = 20.83, DT = 2.46). Participants completed a test battery that included the WLEIS-P and a subjective well-being scale. Results: The results showed a four-factor structure with a good fit, adequate internal consistency, and convergent validity in line with the original instrument and the adaptations made in other contexts. Conclusion: Finally, the results confirmed scalar invariance for both sex and age. In summary, our results provide evidence that the WLEIS-P could be a helpful tool for evaluating emotional intelligence in the Peruvian adult population.

Frente a um cenário de aumento dos adoecimentos mentais relacionados ao trabalho, torna-se cada vez mais popular a expressão “riscos psicossociais no trabalho” para se referir a aspectos no trabalho que devem ser observados na preservação da saúde mental dos trabalhadores. Institutos de pesquisa públicos governamentais estabelecem definições sobre o que são estes riscos psicossociais e seus impactos na saúde e se tornam referência para a atuação em seus países. No entanto, constata-se nelas uma mistura entre os fatores causadores de violências, e os danos e agravos à saúde propriamente ditos. A partir dos estudos sobre saúde mental e trabalho presentes na literatura científica recente, destacamos na discussão do que são os riscos psicossociais, duas questões centrais não podem faltar: a organização do trabalho e seu impacto na subjetividade do trabalhador e as relações sociais que estruturam a sociedade e também estão presentes no cotidiano do trabalho, marcando e diferenciando socialmente trabalhadores e trabalhadoras, influenciando a distribuição de poder e de melhores e piores condições de trabalho conforme raça, classe social, gênero, capacidades, entre outras formas de separação e identificação de coletivos humanos.

We are facing a crisis of an increasing work-related mental illnesses, which makes the expression “psychosocial risks at work” increasingly popular to refer to aspects at work that must be observed to preserve workers' mental health. Public government research institutes establish definitions of what these psychosocial risks are and their impacts on health and become references for action in their countries. However, there is a mix between the factors that cause violence and the damage and health problems themselves. Based on studies on mental health and work present in recent scientific literature, we highlight two central issues cannot be missed: the organization of work and its impact on the worker's subjectivity and the social relations that structure the society marking and socially differentiating male and female workers, influencing the distribution of power and better and worse working conditions according to race, social class, gender, capabilities, among other forms of separation and identification of collectives humans.

Ante un escenario de aumento de las enfermedades mentales relacionadas con el trabajo, la expresión “riesgos psicosociales en el trabajo” se está volviendo cada vez más popular para referirse a aspectos en el trabajo que deben ser observados para preservar la salud mental de los trabajadores. Los institutos de investigación de los gobiernos públicos establecen definiciones acerca de cuáles son estos riesgos psicosociales y sus impactos en la salud y se convierten en referentes para la acción en sus países. Sin embargo, existe una mezcla entre los factores que causan la violencia y los daños y problemas de salud mismos. Con base en estudios sobre salud mental y trabajo presentes en la literatura científica reciente, resaltamos en la discusión acerca de qué son los riesgos psicosociales, no pueden faltar dos temas centrales: la organización del trabajo y su impacto en la subjetividad del trabajador y que las relaciones sociales que estructuran la sociedad también están presentes en el trabajo cotidiano, marcando y diferenciando socialmente a trabajadores y trabajadoras, influyendo en la distribución del poder y en las mejores y peores condiciones laborales según raza, clase social, género, capacidades, entre otras formas de separación e identificación de colectivos humanos.

Abstract Metaphors are an all-pervasive feature of legal language that reflects and shapes the perception, interpretation, and application of the law across jurisdictions. This study aims to map and enhance the understanding of the cognitive structure and overall usage of metaphors in legal discourse, focusing specifically on the genre of judgments of the European Court of Justice. To this end, the Eur-Lex judgments corpus has been scrutinized by using the corpus-based methods and the Sketch Engine corpus query tool for determining the most frequently used conceptual metaphors for five target domains: LAW, COURT, RIGHTS, DISCRIMINATION, and COMPANY. Along with unearthing the most typically used metaphoric conceptualizations for the target domains, the data suggest that the analyzed metaphors are not incidental, isolated, mental conceptualizations, but rather part of a conceptual cluster forming a variety of relations. Additionally, some implications have been drawn for teaching legal English by advocating the introduction of metaphors while illustrating the use of the corpus-based methodology for the development of effective evidence-based authentic ESP teaching materials to foster metaphoric competence, an area surprisingly neglected in legal English textbooks.

Resumen Las metáforas constituyen una herramienta omnipresente del lenguaje legal que reflejan y moldean la percepción, interpretación y aplicación de la normativa legal en las respectivas jurisdicciones. Este estudio tiene por objetivo analizar y ayudar a comprender mejor la estructura cognitiva y el uso en general de la metáfora en el discurso legal con un enfoque específico en las sentencias de la Corte de Justicia Europea. Para estos fines, el cuerpo de sentencias de Eur-Lex ha sido examinado empleando métodos basados en el corpus y utilizando también el motor de búsqueda Sketch Engine para determinar las conceptualizaciones metafóricas más frecuentemente usadas en cinco acepciones-objeto: LEYES, TRIBUNAL, DERECHOS, DISCRIMINACIÓN y COMPAÑÍA. A la par de revelar las conceptualizaciones metafóricas más empleadas para las acepciones-objeto, los datos obtenidos reflejan que las metáforas analizadas no son conceptualizaciones mentales incidentales o aisladas, sino más bien parte de un conjunto conceptual integrado en una variedad de relaciones. Adicionalmente, algunas implicaciones han sido derivadas para la enseñanza del inglés legal al promoverse el uso de las metáforas mientras se emplea la metodología sustentada en el corpus para el desarrollo de un auténtico y efectivo material de enseñanza ESP basado en la evidencia, de forma que se fomente la competencia metafórica, área esta que ha quedado sorprendentemente descuidada en los textos legales en inglés.

Abstract Objective: To describe the acute care of patients with bilateral thalamic infarctions in primary and advanced stroke centers in different regions of Colombia. Methods: Multicenter retrospective descriptive study of a series of cases of patients with an imaging diagnosis of bilateral thalamic infarction, in Colombia. 14 hospitals located in seven cities of the country participated. Results: 28 cases were registered, the mean age was 66.8 years with 53.6% men and 96.3% had a favorable previous mRs (0-2). Mean NIHSS at admission was 14 points, the most frequent clinical presentation was altered mental status in 82.1%. The most compromised structure was the bilateral anterior region of the thalamus in 12 patients (42.85%). The most common etiology was undetermined cause (39.3%). 1 patient underwent reperfusion therapy with intravenous thrombolysis (3.6%). Mean hospital stay was 19 days. Conclusions: Bilateral thalamic infarcts are a diagnostic challenge in the emergency department, due to their low reported incidence and the variable clinical presentations, stroke and research centers should be strengthened to contribute to clinical outcomes.

Resumen Objetivo: Describir la atención aguda de pacientes con infartos bilaterales del tálamo en centros de atención primaria y avanzada de ataque cerebrovascular en diferentes regiones de Colombia. Métodos: Estudio descriptivo retrospectivo multicéntrico de serie de casos de pacientes con diagnóstico por imágenes de infarto talámico bilateral, en Colombia. Participaron 14 hospitales ubicados en siete ciudades del país. Resultados: Se registraron 28 casos, la edad promedio fue de 66.8 años con un 53.6% genero masculino; el 96.3% tenía un mRs previo favorable (0-2). La escala NIHSS al ingreso promedio de 14 puntos; la presentación clínica más frecuente fue el estado mental alterado en un 82.1%. La estructura más comprometida fue la región anterior bilateral del tálamo en 12 pacientes (42.85%). La etiología más común fue de causa indeterminada (39.3%). Un paciente recibió terapia de reperfusión con trombólisis intravenosa (3.6%). Estancia hospitalaria promedio de 19 días. Conclusiones: Los infartos talámicos bilaterales representan un desafío diagnóstico en el departamento de emergencias, debido a su baja incidencia reportada y la variabilidad en las presentaciones clínicas. Se debe fortalecer la capacidad de los centros de atención de ataques cerebrovasculares e investigación, para contribuir a los resultados clínicos.

Resumen Contexto: El Consejo de Enfermería es una Intervención que reúne un conjunto de contenidos específicos y una estructura determinada, teniendo en cuenta los conocimientos científicos. La Enfermera Especialista en Salud Mental y Psiquiatría (EESMP) proporciona cuidados de apoyo, permitiendo a las mujeres embarazadas hacer frente a los cambios emocionales asociados al embarazo. Objetivo: Crear un programa de asesoramiento de enfermería en salud mental perinatal. Metodología: Estudio cualitativo, exploratorio y descriptivo mediante Scoping Review y Focus Group. Resultados: Programa aplicado en atención primaria, a partir de las 20 semanas de embarazo. Se celebraron sesiones individuales presenciales o un formato híbrido (inicial, final y de seguimiento) y sesiones de asesoramiento en grupo (con un máximo de ocho a diez participantes), en las que se trataron los siguientes temas: Promoción de la salud mental perinatal; Estrategias para el bienestar; Afrontamiento del puerperio. Conclusiones: El programa demostró la importancia de la enfermería de salud mental perinatal en la promoción de la salud de las mujeres y la contribución del EESMP a la formación, el cambio de comportamiento y la alfabetización en este periodo tan específico del ciclo vital.

Abstract Background: Nursing Counselling is an Intervention that brings together a set of specific contents and a certain structure, taking scientific knowledge into account. The Mental Health and Psychiatric Nurse Specialist (MHPSS) provides supportive care, enabling pregnant women to cope with the emotional changes associated with pregnancy. Aim: To create a perinatal mental health nursing counselling programme. Methods: A qualitative, exploratory and descriptive study using a Scoping review and Focus Group. Results: Programme implemented in primary healthcare, starting at 20 weeks of pregnancy. Individual face-to-face sessions or a hybrid format (initial, final and follow-up) and group counselling sessions (maximum eight to 10 participants) were held, covering the following topics: Perinatal Mental Health Promotion; Strategies for well-being; Coping with the postpartum period. Conclusions: The programme demonstrated the importance of perinatal mental health nursing in promoting women's health and the contribution of the MHPSS to training, behaviour change and literacy in this very specific period of the life cycle.

Resumo Contexto: O Aconselhamento em Enfermagem é uma Intervenção que reúne um conjunto de conteúdos próprios e uma determinada estrutura, tendo em conta o conhecimento científico. O Enfermeiro Especialista Enfermagem Saúde Mental e Psiquiátrica (EEESMP) presta cuidados de apoio e suporte, permitindo a capacitação das grávidas para lidar com as mudanças emocionais associadas à gravidez. Objetivo: Criar programa de aconselhamento em enfermagem de saúde mental perinatal. Metodologia: Estudo qualitativo, exploratório e descritivo através da scoping review e Focus Group. Resultados: Programa implementado nos cuidados de saúde primários, a iniciar-se a partir das 20 semanas de gravidez. Realizadas sessões individuais presenciais e ou formato híbrido (inicial, final e follow-up) e por sessões de aconselhamento em grupo (máximo oito a 10 participantes) em que foram abordadas as temáticas: Promoção da Saúde Mental Perinatal; Estratégias para o bem-estar; Lidar com o pós-parto. Conclusões: O Programa demostrou a importância da Enfermagem de Saúde Mental Perinatal na promoção da saúde da mulher e o contributo do EEESMP na capacitação, na mudança de comportamento e na literacia neste período tão específico do ciclo vital.

RESUMEN Introducción: durante las últimas dos décadas, el concepto de capital social se ha utilizado con creciente frecuencia en las ciencias de la salud debido a las relaciones directas e indirectas entre el capital social y la salud física y mental de las poblaciones. Por tanto, es necesario construir un instrumento para cuantificar este concepto con seguridad y confiabilidad. Objetivo: analizar la consistencia interna y dimensionalidad de una escala de siete ítems para medir el capital social en adultos de la población general de Colombia. Metodología: se realizó un estudio de validación en línea, que incluyó una muestra de 700 adultos de entre 18 y 76 años, el 68 % eran mujeres. Los participantes completaron una escala de siete ítems llamada Escala de Capital Social Cognitivo (ECSC). El alfa de Cronbach y el omega de McDonald se calcularon para probar la consistencia interna. Se realizaron análisis factoriales exploratorios y confirmatorios para explorar la dimensionalidad de la ECSC. Resultados: la ECSC presentó una consistencia interna baja (alfa de Cronbach de 0,56 y omega de McDonald de 0,59) y pobre dimensionalidad. Seguidamente, se probó una versión de cinco ítems (ECSC-5). La ECSC-5 mostró una alta consistencia interna (alfa de Cronbach de 0,79 y omega de McDonald de 0,80) y una estructura unidimensional con indicadores de bondad de ajuste aceptables. Discusión: la ECSC-5 presenta alta consistencia interna y una estructura unidimensional para medir el capital cognitivo social en adultos colombianos. Se recomienda la ECSC-5 para la medición del capital social en la población general colombiana. Futuras investigaciones deben corroborar estos hallazgos en aplicaciones de lápiz y papel y explorar otros indicadores de confiabilidad y validez.

ABSTRACT Introduction: During the last two decades, the concept of social capital has been used increasingly frequently in health sciences due to the direct and indirect relationships between social capital and populations' physical and mental health. Therefore, it is necessary to build an instrument to quantify this concept confidently and reliably. Objective: The study aimed to internal consistency and dimensionality of a seven-item scale to measure social capital in Colombia's general population of adults. Methods: An online validation study included a sample of 700 adults aged between 18 and 76 years; 68% were females. Participants completed a seven-item scale called the Cognitive Social Capital Scale (CSCS). Cronbach's alpha and McDonald's omega were computed to test internal consistency. The authors explore the internal consistency and dimensionality of the CSCS. Results: The CSCS presented a low internal consistency (Cronbach's alpha of 0.56 and McDonald's omega of 0.59) and poor dimensionality. Then, the researchers tested a five-item version (CSCS-5). The CSCS-5 showed high internal consistency (Cronbach's alpha of 0.79 and McDonald's omega of 0.80) and a one-dimension structure with acceptable goodness-of-fit indicators. Discussion: The CSCS-5 presents high internal consistency and a one-dimensional structure to measure cognitive capital social in the Colombian sample. Authors can recommend measuring social capital in the general Colombian population. Further research should corroborate this pencil and paper application findings and explore other reliability and validity indicators.

Resumen: Antecedentes: En la actualidad, la ansiedad y la depresión son los problemas de salud mental más comunes. Debido a su comorbilidad, resulta necesario disponer de instrumentos que los midan simultáneamente. Además, dado que su prevalencia varía en función del género y la edad, es importante examinar la invarianza factorial de tales instrumentos. El objetivo del presente estudio fue analizar la dimensionalidad y la invarianza factorial de la versión en euskera del Cuestionario Educativo-Clínico: Ansiedad y Depresión (CECAD) en función del género y la edad, y recabar evidencias adicionales de validez. Método: La muestra estuvo compuesta por 2131 participantes (54.2 % mujeres) con edades comprendidas entre los 7 y 24 años (M= 13.2; DT= 3.52). Resultados: El CECAD mostró una estructura de dos dimensiones invariantes al género y la edad, con medias latentes más altas para las chicas en ambas dimensiones, y para mayores de 14 años en depresión, pero con tamaños del efecto pequeños. Tanto las estimaciones de los índices de fiabilidad como las evidencias de validez convergente fueron buenas. Conclusiones: La versión en euskera del CECAD posee adecuadas evidencias de validez y fiabilidad para evaluar la ansiedad y la depresión en niños y adolescentes vascoparlantes.

Abstract: Background: Anxiety and depression are the most common current mental health problems. Due to their comorbidity, there is a need for instruments that measure them simultaneously. Moreover, given that their prevalence varies by gender and age, it is important to examine the factorial invariance of such instruments. The present study aimed to analyze the dimensionality and factorial invariance of the Basque version of the Educational-Clinical Questionnaire: Anxiety and Depression (CECAD) as a function of gender and age, and to gather additional evidence of its validity. Method: The sample comprised 2131 participants (54.2 % female) between 7 and 24 years old (M= 13.2; SD= 3.52). Results: The CECAD was found to have a two-dimensional structure invariant to gender and age, with higher latent means for girls in both dimensions, and for those aged 14 and over in depression, but with small effect sizes. Both reliability and convergent validity values were good. Conclusions: The Basque version of the CECAD has good evidence of validity and reliability for assessing anxiety and depression in Basque-speaking children and adolescents.

Abstract Objective Borderline personality disorder (BPD) is a serious and extremely prevalent mental disorder. Early diagnosis is vital for treatment. However, there are no specific screening instruments validated for Brazilian Portuguese. This study aimed to adapt the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) to the Brazilian context. The MSI-BPD is a self-report instrument based on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), that enables fast and reliable assessment of BPD, with measures of sensitivity (SN) and specificity (SP) similar to the diagnostic interview for the DSM-5 (Structured Clinical Interview for DSM-V Axis II Disorders [SCID-II]), taken as the gold standard. Methods Two independent translations, a synthesis version, back-translation, and analysis by experts were employed to create the final version of the instrument in Brazilian Portuguese. The translated instrument was administered to 1,702 adults aged 18-59 years to verify evidence of validity relating to content, internal structure, relationship with other variables, and reliability. Results The exploratory and confirmatory factor analyses show that the one-factor structure is adequate. The scale showed satisfactory internal consistency (Kuder-Richardson coefficient [KR-20] of Cronbach’s alpha = 0.691) and good test-retest reliability (intraclass correlation coefficient [ICC] = 0.802). Logistic regression analysis using the Personality Inventory for the DSM-5-Brief Form (PID-5-BF) (DSM-5) as reference established an ideal cut-off point of eight symptoms, with adequate SN (0.79) and SP (0.75), similar to the original instrument. The area under the curve (AUC) was 0.830 (95% confidence interval: 0.802-0.858), with a positive predictive value of 89.2%. Conclusion The Brazilian version of the MSI-BPD has adequate psychometric properties for use as a BPD screening tool by clinicians. (BPD treatment However Portuguese MSIBPD MSI (MSI-BPD context selfreport self report th DSM5, DSM5 DSM 5 , (SN (SP DSM- Structured DSMV V SCIDII, SCIDII SCID [SCID-II]) standard translations backtranslation, backtranslation back translation, translation back-translation 1702 1 702 1,70 1859 18 59 18-5 content variables onefactor one KuderRichardson Kuder Richardson KR20 KR 20 [KR-20 Cronbachs Cronbach s 0.691 0691 0 691 testretest test retest intraclass ICC [ICC 0.802. 0802 0.802 . 802 0.802) DSM5Brief DSMBrief Brief PID5BF PIDBF PID BF (PID-5-BF (DSM-5 cutoff cut off symptoms 0.79 079 79 (0.79 0.75, 075 0.75 75 (0.75) AUC (AUC 0830 830 0.83 95% 95 (95 interval 0.8020.858, 08020858 0.858 858 0.802-0.858) 892 89 2 89.2% clinicians [SCID-II] 170 70 1,7 185 18- KR2 [KR-2 0.69 069 69 080 0.80 80 (DSM- 0.7 07 7 (0.7 (0.75 083 83 0.8 9 (9 8020 0.8020.858 0802085 0858 0.85 85 0.802-0.858 8 89.2 [SCID-II 17 1, [KR- 0.6 06 6 08 (DSM 0. (0. ( 0.8020.85 080208 085 0.802-0.85 89. [KR (0 0.8020.8 08020 0.802-0.8 0.8020. 0.802-0. 0.8020 0.802-0 0.802-

Abstract Background Depression and anxiety are two of the most prevalent and disabling mental disorders worldwide, both in the general population and in outpatient clinical settings. Objective This study aimed to analyze the psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) based on network analysis metrics. Methods A total of 911 Paraguayans (23.71% women and 76.29% men; mean age 31.25 years, SD = 10.63), selected by non-probabilistic convenience sampling, participated in the study. Network analysis was used to evaluate the internal structure, reliability, and measurement invariance between men and women. Results The results revealed that the PHQ-4 is a unidimensional measure through Exploratory Graph Analysis (EGA). Reliability, through structural consistency, identified that 100% of the time, only a single dimension was obtained, and all items remained stable, as they were always replicated within the empirical dimension. The unidimensional structure has shown evidence of configural invariance; therefore, the network structure functioned equally among the different sex groups. Conclusion The PHQ-4 presented optimal preliminary evidence of validity based on its internal structure, reliability, and invariance between sexes. Therefore, it may be useful as an accurate and brief measure of anxiety and depressive symptoms in the Paraguayan context. worldwide settings Questionnaire4 Questionnaire 4 Questionnaire- PHQ4 PHQ (PHQ-4 metrics 91 23.71% 2371 23 71 (23.71 7629 76 29 76.29 3125 31 25 31.2 years 10.63, 1063 10.63 , 10 63 10.63) nonprobabilistic non probabilistic sampling reliability PHQ- EGA. EGA . (EGA) Reliability consistency 100 time obtained stable therefore groups sexes Therefore context (PHQ- 9 23.71 237 2 7 (23.7 762 76.2 312 3 31. 106 10.6 1 6 (EGA (PHQ 23.7 (23. 76. 10. 23. (23 (2 (

RESUMEN Se trata de un estudio teórico dirigido a reflexionar sobre la contribución del concepto de mito familiar a los cuidados de enfermería a niños con sufrimiento psicológico. Metodológicamente se estructura en torno a tres temas: la importancia de la familia en el cuidado de los niños; la perspectiva de los cuidados de enfermería centrados en la familia para niños con sufrimiento psicológico; y la contribución de la comprensión del mito familiar a los cuidados de enfermería a niños con sufrimiento psicológico. Se plantea la dialéctica: la familia, considerada por la literatura actual como una unidad armoniosa, también desencadena conflictos familiares que pueden ser causa de sufrimiento psicológico. El concepto de mito familiar emerge como anclaje teórico para los cuidados de enfermería a los niños en malestar psicológico, ya que permite a las enfermeras considerar los significantes que marcan la estructura psicológica del niño y construyen sus síntomas. Desvelar el lugar que la familia asigna al niño permite a las enfermeras ayudarle a construir y elaborar su propio lugar como sujeto en su subjetividad. psicológico temas dialéctica armoniosa síntomas subjetividad

ABSTRACT This is a theoretical study aimed at reflecting on the contribution of the concept of family myth to nursing care for children in psychological distress. It is methodologically structured around three topics: the importance of the family in caring for children; the perspective of family-centered nursing care for children in psychological distress; and the contribution of the understanding of family myth to nursing care for children in psychological distress. The following dialectic is considered: the family, considered by current literature to be a harmonious unit, also triggers family conflicts that can be the cause of psychological suffering. The concept of family myth emerges as a possible theoretical anchor for nursing care for children in psychological distress, as it allows nurses to consider the signifiers that mark the child’s psychological structure and construct their symptoms. Uncovering the place that the family assigns to the child enables nurses to help them construct and elaborate their own place as a subject in their subjectivity. distress topics familycentered centered unit suffering childs s symptoms subjectivity

RESUMO Trata-se de um estudo teórico com o objetivo de refletir sobre a contribuição do conceito de mito familiar para o cuidado de enfermagem à criança em sofrimento psíquico, sendo metodologicamente estruturado em três tópicos: importância da família no cuidado de crianças; perspectiva do cuidado de enfermagem centrado na família de crianças em sofrimento psíquico; e contribuição do entendimento de mito familiar para o cuidado de enfermagem à criança em sofrimento psíquico. Considera-se a dialética: a família, tida pela literatura atual como unidade harmônica, também desencadeia conflitos familiares que podem ser a causa de sofrimentos psíquicos. O conceito de mito familiar surge como possibilidade de ancoragem teórica ao cuidado de enfermagem à criança em sofrimento psíquico ao permitir que o enfermeiro considere os significantes que marcam a estruturação psíquica da criança e constroem seu sintoma. Desvendar o lugar que a família destina à criança viabiliza ao enfermeiro auxiliá-la a construir e elaborar um local próprio enquanto sujeito em sua subjetividade. Tratase Trata se tópicos Considerase Considera dialética harmônica psíquicos sintoma auxiliála auxiliá la subjetividade

Abstract Background A meta-analysis of randomized controlled trials has suggested a bidirectional relationship between sleep problems and mental health issues. Despite these findings, there is limited conclusive evidence on the relationship between sleep quality, depression, anxiety, and burnout. Objective The current study aimed to evaluate the relationships between sleep quality symptoms, anxiety, depression, and burnout in samples of adult individuals from two Latin American countries, Peru and El Salvador, through network analysis and to identify key symptoms that reinforce the correlation and intensify the syndromes. Methods A total of 1012 individuals from El Salvador and Peru participated, with an average age of 26.5 years (SD = 9.1). Symptom networks were constructed for both countries based on data from the Jenkins Sleep Scale, Patient Health Questionnaire-2, General Anxiety Disorder-2, and a single burnout item. Results The results indicated that Depressed Mood, Difficulty Falling Asleep, and Nervousness were the most central symptoms in a network in the participating countries. The strongest conditional associations were found between symptoms belonging to the same construct, which were similar in both countries. Thus, there is a relationship between Nervousness and Uncontrollable Worry, Anhedonia and Depressed Mood, and Nighttime Awakenings and Difficulty in Staying Asleep. It was observed that burnout is a bridge symptom between both countries and presents stronger conditional associations with Tiredness on Awakening, Depressed Mood, and Uncontrollable Worry. Other bridge symptoms include a Depressed Mood and Nervousness. The network structure did not differ between the participants from Peru and El Salvador. Conclusion The networks formed by sleep quality, anxiety, depression, and burnout symptoms play a prominent role in the comorbidity of mental health problems among the general populations of Peru and El Salvador. The symptombased analytical approach highlights the different diagnostic weights of these symptoms. Treatments or interventions should focus on identifying central and bridge symptoms. metaanalysis meta issues findings depression anxiety syndromes 101 participated 265 26 5 26. SD 9.1. 91 9.1 . 9 1 9.1) Scale Questionnaire2, Questionnaire2 Questionnaire 2, 2 Questionnaire-2 Disorder2, Disorder2 Disorder Disorder-2 item Asleep construct Thus Worry Awakening 10 9. Questionnaire- Disorder-

Abstract Background Contemporary diagnostic frameworks in the realm of mental health have garnered criticism due to their categorical paradigm. Given the propensity of emotional disorders to manifest overlapping features, these frameworks fall short in comprehensively encapsulating their intricate nature. As a strategic response, Brown and Barlow introduced an innovative composite approach, amalgamating dimensions and categorical classifications, to adress this concern. Their strategic implementation hinged on the Multidimensional Emotional Disorder Inventory (MEDI), a transdiagnostic self-report instrument. Objective: this study undertakes the task of refining and validating the applicability of the MEDI within a non-clinical sample of Colombian university students (n = 808). Methods This study employed Exploratory Structural Equation Modeling (ESEM) to explore the structure of the measure. Results: ESEM suggested that the 8-dimension model with 48 items was the best-fitting solution, aligning with most dimensions identified by the original MEDI validation. Reliability was adequate for almost all dimensions (α: 0.69 – 0.92). An 8-dimension model with 48 items emerged as the most fitting solution, aligning with most dimensions identified by the original MEDI validation. Conclusion The ensuing validation and contextual adaptation of the MEDI for use in the Colombian population augments the transdiagnostic evaluation of emotional disorders, with potential implications for enhanced stratification of targeted therapeutic interventions. By optimizing the assessment of both dimensional and cross-diagnostic paradigms, the MEDI portends a noteworthy impact in realms encompassing both academic inquiry and clinical practice. paradigm features nature response approach classifications concern MEDI, , (MEDI) selfreport self report instrument Objective nonclinical non n 808. 808 . 808) (ESEM measure Results 8dimension dimension 8 4 bestfitting best solution α (α 069 0 69 0.6 0.92. 092 0.92 92 0.92) interventions crossdiagnostic cross paradigms practice (MEDI 80 06 6 0. 09 0.9 9

Resumen: Este estudio transversal evaluó las estructuras configural y métrica del Intersectional Discrimination Index (InDI), un instrumento que mide la discriminación anticipada (InDI-A), diaria (InDI-D) y mayor (InDI-M). Se utilizaron datos de una encuesta más amplia, centrada en los impactos de la discriminación en la salud mental de las mujeres que viven en Brasil. Aproximadamente 1.000 mujeres, seleccionadas por conveniencia, respondieron el InDI y preguntas sobre características sociodemográficas en formulario electrónico, aplicado en el 2021. Mientras que en la primera mitad de la muestra se realizaron análisis factoriales exploratorios y se realizó un modelado por ecuaciones estructurales exploratorias, en la segunda se realizó un análisis factorial confirmatorio. En conjunto, los hallazgos sugieren que cada una de las tres medidas es unidimensional. Sin embargo, a diferencia del estudio que originalmente propuso el InDI para su uso en Canadá y Estados Unidos, observamos la presencia de correlaciones residuales en las tres subescalas evaluadas, todas ellas sugestivas de redundancia de contenido entre pares específicos de ítems. Las tres medidas presentaron cargas factoriales de moderadas a fuertes e índices de ajuste aceptables. El InDI exhibió indicadores de validez interna razonables, convirtiéndose potencialmente en un instrumento valioso para investigar los efectos de la discriminación interseccional para la salud en Brasil. Los estudios futuros deben evaluar la consistencia de estos hallazgos, examinar la estructura escalar del instrumento y analizar su invariancia entre diferentes grupos marginados.

Abstract: This cross-sectional study evaluated the configural and metric structures of the Intersectional Discrimination Index (InDI), an instrument that measures anticipated (InDI-A), dat-to-day (InDI-D), and major (InDI-M) discrimination. Data from a broader study, focused on the impacts of discrimination on the mental health of women living in Brazil, were used. Approximately 1,000 women, selected according to a convenience sampling scheme, answered the InDI and questions about sociodemographic characteristics in an electronic form that was administered in 2021. Exploratory factor analyses and exploratory structural equation modeling were applied to the first half of the sample; for the second, confirmatory factor analysis was conducted. Taken together, the findings suggest that each of the three measures is one-dimensional. However, unlike the study that originally proposed the InDI for use in Canada and the United States, we observed the presence of residual correlations in the three subscales evaluated, all of which were suggestive of content redundancy between specific pairs of items. The three measures showed moderate to strong factor loadings and acceptable fit to the data. InDI exhibited reasonable internal validity, potentially becoming a valuable instrument for investigating the health effects of intersectional discrimination in Brazil. Future studies should evaluate the consistency of these findings, examine the scalar structure of the instrument, and analyze its invariance among different marginalized groups.

Resumo: Este estudo transversal avaliou as estruturas configural e métrica do Intersectional Discrimination Index (InDI), um instrumento que afere discriminação antecipada (InDI-A), cotidiana (InDI-D) e maior (InDI-M). Dados de uma pesquisa mais ampla, voltada para os impactos da discriminação na saúde mental de mulheres residentes no Brasil, foram utilizados. Aproximadamente mil mulheres, selecionadas por conveniência, responderam ao InDI e a perguntas sobre características sociodemográficas em formulário eletrônico, aplicado em 2021. Enquanto na primeira metade da amostra foram realizadas análises fatoriais exploratórias e executada modelagem por equações estruturais exploratórias, na segunda foi conduzida análise fatorial confirmatória. Em conjunto, os achados sugerem que cada uma das três medidas é unidimensional. No entanto, diferentemente do estudo que originalmente propôs o InDI para uso no Canadá e nos Estados Unidos, observamos a presença de correlações residuais nas três subescalas avaliadas, todas elas sugestivas de redundância de conteúdo entre pares específicos de itens. As três medidas apresentaram cargas fatoriais moderadas a fortes e índices aceitáveis de ajuste. O InDI exibiu indicadores de validade interna razoáveis, potencialmente se tornando um valioso instrumento para a investigação dos efeitos para a saúde da discriminação interseccional no Brasil. Estudos futuros devem avaliar a consistência desses achados, examinar a estrutura escalar do instrumento e analisar sua invariância entre diferentes grupos marginalizados.

Abstract: This cross-sectional study evaluated the configural and metric structures of the Intersectional Discrimination Index (InDI), an instrument that measures anticipated (InDI-A), dat-to-day (InDI-D), and major (InDI-M) discrimination. Data from a broader study, focused on the impacts of discrimination on the mental health of women living in Brazil, were used. Approximately 1,000 women, selected according to a convenience sampling scheme, answered the InDI and questions about sociodemographic characteristics in an electronic form that was administered in 2021. Exploratory factor analyses and exploratory structural equation modeling were applied to the first half of the sample; for the second, confirmatory factor analysis was conducted. Taken together, the findings suggest that each of the three measures is one-dimensional. However, unlike the study that originally proposed the InDI for use in Canada and the United States, we observed the presence of residual correlations in the three subscales evaluated, all of which were suggestive of content redundancy between specific pairs of items. The three measures showed moderate to strong factor loadings and acceptable fit to the data. InDI exhibited reasonable internal validity, potentially becoming a valuable instrument for investigating the health effects of intersectional discrimination in Brazil. Future studies should evaluate the consistency of these findings, examine the scalar structure of the instrument, and analyze its invariance among different marginalized groups. Abstract crosssectional cross sectional InDI, , (InDI) InDIA, InDIA A (InDI-A) dattoday dat day InDID, InDID D (InDI-D) InDIM M (InDI-M Brazil used 1000 1 000 1,00 scheme 2021 sample second conducted together onedimensional. onedimensional one dimensional. dimensional one-dimensional However States items data validity groups (InDI (InDI-A (InDI-D 100 00 1,0 202 10 0 1, 20 2

Resumen: Este estudio transversal evaluó las estructuras configural y métrica del Intersectional Discrimination Index (InDI), un instrumento que mide la discriminación anticipada (InDI-A), diaria (InDI-D) y mayor (InDI-M). Se utilizaron datos de una encuesta más amplia, centrada en los impactos de la discriminación en la salud mental de las mujeres que viven en Brasil. Aproximadamente 1.000 mujeres, seleccionadas por conveniencia, respondieron el InDI y preguntas sobre características sociodemográficas en formulario electrónico, aplicado en el 2021. Mientras que en la primera mitad de la muestra se realizaron análisis factoriales exploratorios y se realizó un modelado por ecuaciones estructurales exploratorias, en la segunda se realizó un análisis factorial confirmatorio. En conjunto, los hallazgos sugieren que cada una de las tres medidas es unidimensional. Sin embargo, a diferencia del estudio que originalmente propuso el InDI para su uso en Canadá y Estados Unidos, observamos la presencia de correlaciones residuales en las tres subescalas evaluadas, todas ellas sugestivas de redundancia de contenido entre pares específicos de ítems. Las tres medidas presentaron cargas factoriales de moderadas a fuertes e índices de ajuste aceptables. El InDI exhibió indicadores de validez interna razonables, convirtiéndose potencialmente en un instrumento valioso para investigar los efectos de la discriminación interseccional para la salud en Brasil. Los estudios futuros deben evaluar la consistencia de estos hallazgos, examinar la estructura escalar del instrumento y analizar su invariancia entre diferentes grupos marginados. Resumen InDI, , (InDI) InDIA, InDIA A (InDI-A) InDID D (InDI-D InDIM. InDIM M . (InDI-M) amplia Brasil 1000 1 000 1.00 conveniencia electrónico 2021 exploratorias confirmatorio conjunto unidimensional embargo Unidos evaluadas ítems aceptables razonables marginados (InDI (InDI-A (InDI-M 100 00 1.0 202 10 0 1. 20 2

Resumo: Este estudo transversal avaliou as estruturas configural e métrica do Intersectional Discrimination Index (InDI), um instrumento que afere discriminação antecipada (InDI-A), cotidiana (InDI-D) e maior (InDI-M). Dados de uma pesquisa mais ampla, voltada para os impactos da discriminação na saúde mental de mulheres residentes no Brasil, foram utilizados. Aproximadamente mil mulheres, selecionadas por conveniência, responderam ao InDI e a perguntas sobre características sociodemográficas em formulário eletrônico, aplicado em 2021. Enquanto na primeira metade da amostra foram realizadas análises fatoriais exploratórias e executada modelagem por equações estruturais exploratórias, na segunda foi conduzida análise fatorial confirmatória. Em conjunto, os achados sugerem que cada uma das três medidas é unidimensional. No entanto, diferentemente do estudo que originalmente propôs o InDI para uso no Canadá e nos Estados Unidos, observamos a presença de correlações residuais nas três subescalas avaliadas, todas elas sugestivas de redundância de conteúdo entre pares específicos de itens. As três medidas apresentaram cargas fatoriais moderadas a fortes e índices aceitáveis de ajuste. O InDI exibiu indicadores de validade interna razoáveis, potencialmente se tornando um valioso instrumento para a investigação dos efeitos para a saúde da discriminação interseccional no Brasil. Estudos futuros devem avaliar a consistência desses achados, examinar a estrutura escalar do instrumento e analisar sua invariância entre diferentes grupos marginalizados. Resumo InDI, , (InDI) InDIA, InDIA A (InDI-A) InDID D (InDI-D InDIM. InDIM M . (InDI-M) ampla Brasil utilizados conveniência eletrônico 2021 confirmatória conjunto unidimensional entanto Unidos avaliadas itens ajuste razoáveis marginalizados (InDI (InDI-A (InDI-M 202 20 2

ABSTRACT Objective: To assess the potential and challenges in caring for users of psychoactive substances in a Family Health Strategy through the perception of professionals. Method: A qualitative case study was carried out using the Fourth Generation Evaluation, developed in 2023, in a Family Health Strategy in a municipality in Rio Grande do Sul, Brazil, with 19 professionals. Previous ethnographic techniques were used, interviews were conducted using the hermeneutic-dialectic circle, and the constant comparative method was used to analyze the data. Results: Team commitment and matrix support are potentialities. The challenges are difficulties establishing bonds with users, fears, and stigmas, the team’s lack of preparation, and the lack of physical structure and professionals. Conclusion: This study has helped to uncover the challenges encountered in caring for drug users and aims to promote care that embraces and integrates the individual. Objective professionals Method Evaluation 2023 Sul Brazil 1 hermeneuticdialectic hermeneutic dialectic circle data Results potentialities fears stigmas teams team s preparation Conclusion individual 202 20 2

RESUMO Objetivo: Avaliar as potencialidades e desafios existentes no cuidado a usuários de substâncias psicoativas em uma Estratégia de Saúde da Família através da percepção dos profissionais. Método: Estudo de caso qualitativo, realizado por meio da Avaliação de Quarta Geração, desenvolvido em 2023, numa Estratégia de Saúde da Família de um município do Rio Grande do Sul, Brasil, com 19 profissionais. Foram utilizadas técnicas de etnografia prévia, entrevistas com aplicação do círculo hermenêutico-dialético, para análise dos dados utilizou-se o método comparativo constante. Resultados: ão potencialidades o comprometimento da equipe e matriciamento. Os desafios são as dificuldades dos vínculos com os usuários, os medos, os estigmas, os despreparos da equipe, a falta de estrutura física e profissionais. Conclusão: Este estudo contribuiu para o desvelamento dos desafios encontrados no cuidado à usuários de drogas e pretende fomentar um atendimento voltado para o acolhimento e integralidade do sujeito. Objetivo profissionais Método qualitativo Geração 2023 Sul Brasil 1 prévia hermenêuticodialético, hermenêuticodialético hermenêutico dialético, dialético hermenêutico-dialético utilizouse utilizou se constante Resultados matriciamento medos estigmas Conclusão sujeito 202 20 2

RESUMEN Objetivo: Evaluar las potencialidades y desafíos en la atención a usuarios de sustancias psicoactivas en una Estrategia de Salud Familiar a través de la percepción de los profesionales. Método: Estudio de caso cualitativo, realizado utilizando la Evaluación de Cuarta Generación, desarrollada en 2023, en una Estrategia de Salud Familiar en un municipio de Rio Grande do Sul, Brasil, con 19 profesionales. Se utilizaron técnicas etnográficas previas, así como entrevistas con la aplicación del círculo hermenéutico-dialéctico, y se empleó el método comparativo constante para analizar los datos. Resultados: El compromiso del equipo y el apoyo de la matriz son potencialidades. Los retos son las dificultades para establecer vínculos con los usuarios, los miedos, los estigmas, la falta de preparación por parte del equipo, la falta de estructura física y de profesionales. Conclusión: Este estudio ha contribuido a desvelar los retos a los que se enfrenta la atención a los consumidores de drogas y pretende promover una atención orientada a acoger e integrar al individuo. Objetivo profesionales Método cualitativo Generación 2023 Sul Brasil 1 previas hermenéuticodialéctico, hermenéuticodialéctico hermenéutico dialéctico, dialéctico hermenéutico-dialéctico datos Resultados miedos estigmas Conclusión individuo 202 20 2