Resumo O uso de preservativos pode ser influenciado por aspectos psicológicos e socioculturais, que podem ser modulados por atitudes individuais. O objetivo foi propor uma versão em português brasileiro da Short-Form Condom Attitude Scale (Short-Form CAS), descrevendo os procedimentos de tradução, adaptação transcultural e avaliação das propriedades psicométricas em uma amostra de universitários. Trata-se de estudo transversal com estudantes matriculados na Universidade de São Paulo (USP), Campus Ribeirão Preto (n = 491; 61,2% feminino; média de idade: 22 anos; desvio-padrão: quatro anos). Foi realizada análise fatorial confirmatória. O modelo unifatorial com sete itens apresentou boa validade fatorial e confiabilidade, sugerindo ser a melhor solução fatorial para a Short-Form CAS. Há poucos estudos sobre os fatores comportamentais associados ao uso de preservativos em populações-chave, o que pode ser influenciado pela falta de instrumentos. A principal contribuição deste estudo foi propor uma versão simples e adaptada transculturalmente da Short-Form CAS com algumas propriedades psicométricas verificadas. Uma vez que o uso de preservativos é um componente do comportamento sexual de risco, a escala se apresenta como uma nova opção para futuros estudos na população brasileira. socioculturais individuais ShortForm Short Form CAS, , CAS) tradução universitários Tratase Trata USP, USP (USP) n 491 612 61 2 61,2 feminino idade anos desviopadrão desvio padrão desvio-padrão anos. . anos) confirmatória confiabilidade populaçõeschave, populaçõeschave populações chave, chave populações-chave instrumentos verificadas risco brasileira (USP 49 6 61, 4

Abstract The condom use can be influenced by psychological and sociocultural aspects, which can be modulated by individual’s attitudes. The aim was to propose a Brazilian Portuguese version of the Short-Form Condom Attitude Scale (Short-Form CAS), describing all procedures of translation, transcultural adaptation, and psychometric properties evaluation when applied to undergraduate students. A cross sectional study was conducted among students enrolled at University of São Paulo (USP), Campus Ribeirão Preto (n = 491; 61.2% female; average age: 22 years; standard deviation: four years). Confirmatory factor analysis was performed. A one-factor model with seven items exhibited good factorial validity and reliability, suggesting to be a better factorial solution of the Short-Form CAS in the sample. Few studies have been carried out on the behavioral factors associated with condom use in key populations, which can be exacerbated by a lack of appropriate scales. Therefore, the main contribution of the present study was to propose a simplified and transculturally adapted version of the Short-form CAS with some psychometric properties verified. Since the use of condoms is a component of the study of sexual risk behavior, this scale might be an option to be applied in various Brazilian population segments for this purpose. aspects individuals individual s attitudes ShortForm Short Form CAS, , CAS) translation adaptation USP, USP (USP) n 491 612 61 2 61.2 female age years deviation years. . years) performed onefactor one reliability sample populations scales Therefore Shortform form verified behavior purpose (USP 49 6 61. 4

Resumen: La intención de comportamiento se ha estudiado desde la teoría de la acción razonada para predecir el comportamiento de los individuos. El objetivo de esta investigación fue desarrollar y validar una escala para medir la intención de uso del comercio móvil, a partir de las variables de la teoría unificada de aceptación y uso de tecnología como impulsores, y las variables riesgo percibido y tradición como inhibidores. El instrumento fue aplicado en línea a 211 consumidores del estado de Baja California, México. Se utilizó el análisis compuesto confirmatorio para verificar la fiabilidad del instrumento, así como la validez convergente, discriminante, nomológica y predictiva. Se obtuvo un instrumento válido y confiable para medir la influencia de las variables expectativa de rendimiento, influencia social, motivación hedónica, riesgo percibido, condiciones facilitadoras y tradición en la intención de uso del comercio móvil. La escala desarrollada satisface los criterios exigibles a un modelo de medición reflectivo.

Abstract: Behavioral intention has been studied from the theory of reasoned action to predict the behavior of individuals. The objective of this research was to develop and validate a scale to measure the intention to use m-commerce, based on the variables of unified theory of acceptance and use of technology as drivers, and the variables of perceived risk and tradition as inhibitors. The instrument was applied on-line to 211 consumers in the state of Baja California, Mexico. Confirmatory composite analysis was used to verify the reliability of the instrument, as well as convergent, discriminant, nomological and predictive validity. A valid and reliable instrument was obtained to measure the influence of the following variables: performance expectancy, social influence, hedonic motivation, perceived risk, facilitating conditions and tradition on the intention to use m-commerce. The developed scale meets the criteria required for a reflective measurement model.

Abstract Objective: To evaluate the effectiveness of a family intervention in grief complicated by a couple breakup. Materials and method: Research with a mixed intervention approach in three stages (diagnosis-implementation-evaluation). In the first, an observational, cross-sectional, descriptive study was carried out, with a simple random sample with replacement n=99. Field's "Romantic Breakup Distress Scale" and Smilkstein's family APGAR were applied, with prior informed consent. Five families with complicated grief and family dysfunction were included. Methods and techniques of working with family were used. In the third stage, a quasi-experimental design was used with pretest and posttest of complicated grief and family APGAR. SPSS V25 was used to capture and analyze data, with descriptive and analytical statistics with Student's t test. Results: They were women 81.8%, with age Ⱦ=34.19-29 37.4%, high school 37.4%, separated 59.6%, divorced 49.4%. With complicated grief 14%, family dysfunction 13%. Families with complicated grief were dysfunctional 53.8%. Risk factors: conflict in paternalfilial subsystem, addictions, economy. Protective factors: religious, artistic, educational and medical groups. The actions focused on cognitive-behavioral-emotional intervention. In pretest/posttest evaluation, complicated grief presented a mean difference of Ⱦ=8.500, ŝ± 8.925, and 95% CI: Li: 3.347 Ls:13.653, with student's t=3.564 and df=13 and p value=0.003, statistically significant, mean difference for family Apgar of Ⱦ= 3.357 with ŝ±1.946, 95% CI: Li:2.234, Ls:4.481 with student's t=6.456 and df=13, p value=0.001, statistically significant. Conclusions: The effect of the family intervention modified complicated grief and improved family dynamics and functionality. Conclusions: The effect of the family intervention modified complicated grief and improved family dynamics and functionality.

Resumen Objetivo: Evaluar la eficacia de una intervención familiar en duelo complicado por ruptura de pareja. Materiales y método: Investigación con enfoque mixto de intervención en tres etapas (diagnóstica-implementación-evaluación). En la primera se realizó estudio observacional, transversal, descriptivo, con muestra aleatoria simple con remplazo n=99. Se aplicó “Escala de Distrés por Ruptura Amorosa” de Field y APGAR familiar de Smilkstein, previo consentimiento informado. Se incluyeron cinco familias con duelo complicado y disfunción familiar. Se emplearon métodos y técnicas de trabajo con familia. En la tercera etapa se utilizó diseño cuasi experimental con pretest y postest de duelo complicado y APGAR familiar. Para la captura y análisis de datos se empleó el SPSS V25, con estadística descriptiva y analítica con prueba t de student. Resultados. Fueron mujeres 81.8%, con edad Ⱦ=34,19-29 37.4%, bachillerato 37.4%, separados 59.6%, divorciados 49.4%. Con duelo complicado 14%, disfunción familiar 13%. Las familias con duelo complicado fueron disfuncionales 53.8%. Los factores de riesgo: conflicto en subsistema paterno filial, adicciones, economía. Factores protectores: grupos religiosos, artísticos, educativos y médicos. Las acciones se centraron en intervención cognitivo-conductual-emocional. En evaluación pretest/postest, el duelo complicado presentó diferencia de medias de Ⱦ=8.500, ŝ± 8.925, e IC95%: Li: 3.347 Ls:13.653, con t de student=3.564 y gl=13 y valor de p=0.003, estadísticamente significativo, diferencia de medias para Apgar familiar de Ⱦ= 3.357 con ŝ±1.946, IC95%: Li:2.234, Ls:4.481 con t de student=6.456 y gl=13, valor de p=0.001, estadísticamente significativo. Conclusiones: El efecto de la intervención familiar modificó el duelo complicado y mejoró la dinámica y funcionalidad familiar.

Abstract Cognitive profile of students with low intellectual performance. Associations between intelligence and creativity. Summary: Students with low intellectual performance are characterized by presenting alterations in different areas of cognitive, academic and behavioral functioning, which is why it is essential to know their cognitive profiles to make curricular adjustments and achieve better development in the individual. Based on the above, the objective of this article was to identify if there is a relationship between the levels of intelligence and creativity in a group of students with low intellectual performance, based on a psychopedagogical evaluation that helps determine their educational needs. This is a quantitative and correlational research. 23 students participated (M age 9.04, SD = 1.51) from three public primary schools located in Tlaxcala, Mexico, who were referred by their teachers to a psycho-pedagogical evaluation during the 2022-2023 school year. The Raven Colored Form Progressive Matrices Test, Wechsler Intelligence Scale for Children WISC-IV and the Creative Thinking Test Figural Version A were applied. The results found that the Raven test correlated with the titles dimension of the creativity test (rs = .462*, sig = .027), it was also observed that perceptual reasoning evaluated with the WISC-IV was associated with total creativity (rs = .498*, sig = .016) and with the fluency indicator (rs = .482*, sig = .020). The results found that the Raven test correlated with the titles dimension of the creativity test (rs = .462*, sig = .027), it was also observed that perceptual reasoning evaluated with the WISC-IV was associated with total creativity (rs = .498*, sig = .016) and with the fluency indicator (rs = .482*, sig = .020). The previous results allow us to recognize the cognitive profile of the students and serve as a basis for intervention proposals within the classroom.

Resumen El estudiantado con bajo rendimiento intelectual se caracteriza por presentar alteraciones en distintas áreas del funcionamiento cognitivo, académico y conductual. Por ello es indispensable conocer los perfiles cognitivos para realizar las adecuaciones curriculares pertinentes y lograr un mejor desarrollo en la persona. Con base en lo anterior, el objetivo del presente artículo fue identificar si existía relación entre los niveles de inteligencia y creatividad en un grupo de estudiantes con bajo rendimiento intelectual a partir de una evaluación psicopedagógica que ayudara a determinar sus necesidades educativas. Se trató de una investigación cuantitativa y correlacional en la que participaron 23 estudiantes (M edad 9.04, D. E = 1.51) de tres escuelas primarias públicas de Tlaxcala, México, que fueron remitidos por sus docentes a una evaluación psicopedagógica durante el ciclo escolar 2022-2023. Se aplicaron el Test de Matrices Progresivas de Raven Forma Coloreada, Escala Wechsler de Inteligencia para Niños WISC-IV y la Prueba de Pensamiento Creativo Versión Figural A. En los resultados se encontró que la prueba Raven correlacionó con la dimensión de títulos de la prueba de creatividad (rs = .462*, sig = .027), también se observó que el razonamiento perceptual evaluado con el WISC-IV se asoció con la creatividad total (rs = .498*, sig = .016) y con el indicador de fluidez (rs = .482*, sig = .020). Los resultados anteriores permitieron reconocer el perfil cognitivo del estudiantado y constituyeron la base para las propuestas de intervención dentro del aula de clase.

RESUMEN Las relaciones intrafamiliares incluyen el equilibrio emocional, cognitivo y conductual, que permite al ser humano desenvolverse de manera responsable en su entorno familiar y social, así como gozar de bienestar y calidad de vida. El objetivo de la investigación fue evaluar la relación en el contexto de las relaciones intrafamiliares y la salud mental en los adolescentes de una unidad educativa del cantón Pelileo, Ecuador. Para ello, se realizó una investigación desde el paradigma positivista, no experimental utilizando muestreo por conveniencia, manejando un enfoque cuantitativo, de alcance correlacional y corte transversal. Se trabajó con una muestra de 600 estudiantes entre hombres y mujeres, entre los 15 a 17 años. Para la recolección de datos se aplicó la Escala de Evaluación de Relaciones Intrafamiliares (ERI) y General Health Questionnaire (GHQ-28) de Goldberg y para el procesamiento de datos se trabajó con el paquete estadístico SPSS, con resultados de predominio en ansiedad, en relaciones interpersonales moderadas. Por medio de la prueba de Kruskal Wallis se identificó relación entre las variables de estudio, por ello, se concluye que las relaciones familiares funcionales poseen un papel relevante en la salud mental.

ABSTRACT Intrafamily relationships include emotional, cognitive and behavioral balance, which allows human beings to develop responsibly in their family and social environment, as well as to enjoy well-being and quality of life. The objective of the research was to evaluate the relationship in the context of intrafamily relationships and mental health in adolescents of an educational unit in the Pelileo canton, Ecuador. To do this, a positivist, non-experimental research was carried out using convenience sampling, with a quantitative, correlational and cross-sectional approach. We worked with a sample of 600 male and female students between 15 and 17 years of age. For data collection, the Goldberg's Intrafamily Relations Evaluation Scale (ERI) and General Health Questionnaire (GHQ-28) were applied, and for data processing the SPSS statistical package was used, with results of predominance in anxiety, in moderate interpersonal relationships. By means of the Kruskal Wallis test, a relationship between the study variables was identified; therefore, it is concluded that functional family relationships play a relevant role in mental health.

RESUMEN Introducción: La investigación es un proceso intencional de construcción de nuevos conocimientos e ideas, que impulsan la trasformación de la sociedad. Los profesionales de la salud deben desarrollar actitudes positivas hacia la investigación, toda vez que esto mejora su desempeño profesional y, por ende, la calidad de atención al paciente. Objetivo: Identificar las actitudes hacia la investigación en médicos residentes de un hospital pediátrico público. Métodos: Estudio descriptivo transversal; se incluyeron 200 médicos residentes. Se aplicó el instrumento “Escala de actitudes hacia la investigación (EACIN)”, de 39 ítems. Se empleó la prueba t de Student para muestras independientes para determinar la diferencia de los puntajes de las actitudes de investigación y las variables sexo, tipo de especialidad y experiencia laboral; mientras que para la variable horas de trabajo semanal, se empleó la prueba U de Mann-Whitney. Resultados: El 58,5 % fue de sexo femenino; el 25 % (48) mostró una actitud afectiva positiva; el 98 % (196) una actitud cognitiva positiva; el 94 % (188) una actitud conductual positiva. En general, el 96 % (192) tuvo una actitud positiva y el 4 % (8) neutral. El puntaje obtenido por los médicos residentes que realizaban especialidades quirúrgicas fue mayor que el quienes realizaban especialidades clínicas (115,69 ± 6,02 vs. 113,29 ± 5,93; p= 0,012). Conclusiones: La mayor parte de los médicos residentes presentan actitudes positivas hacia la investigación, lo cual podría ser beneficioso para implementar programas de capacitación y actividades relacionadas con la investigación en el hospital.

ABSTRACT Introduction: Research is an intentional process of constructing new knowledge and ideas, promoting the transformation of society. Health professionals must develop positive attitudes towards research since this will improve their professional performance and therefore improve the quality of patient care. Objective: Identify the attitudes towards research in resident doctors of a public pediatric hospital. Methods: The study was descriptive cross-sectional; 200 resident doctors were included. The “Research Attitudes Scale (EACIN)” of 39 items was applied. The T-Student test for independent samples was used to determine the difference in the scores of research attitudes, and the variables sex, type of specialty and work experience, while the Mann Whitney U test was used for the weekly work hours variable. Results: 58.5% were female, 25% (48) showed a positive affective attitude, 98% (196) a positive cognitive attitude, 94% (188) a positive behavioral attitude. In general, 96% (192) had a positive attitude and 4% (8) had a neutral attitude. The score obtained by resident physicians who performed surgical specialties was higher than that of those who performed clinical specialties (115.69 ± 6.02 versus 113.29 ± 5.93; p= 0.012). Conclusions: Most resident doctors have positive attitudes towards research, which could be beneficial to implement training programs and/or activities related to research in the hospital.

ABSTRACT Pain is defined as an unpleasant sensory and emotional experience associated with damage. It is a multifactorial and subjective phenomenon with an incidence of up to 60 % in critically ill patients, which may lead to negative consequences at cardiovascular, respiratory, digestive, muscular, hematological, and psychological levels. The gold standard for pain assessment is the patient’s report, who can indicate the presence of pain by answering the simple question «Do you have pain?» or express its intensity using the numeric pain rating scale (NRS). Patients who can communicate may also provide information regarding other characteristics of pain. In patients unable to communicate but capable of responding to stimuli, it is appropriate to use behavioral scales, which are based on observing the presence of behaviors associated with pain. The objective of this study is to describe the pain assessment in critically ill adult patients.

RESUMEN El dolor se define como una experiencia sensorial y emocional desagradable que se asocia con el daño. Es un fenómeno multifactorial y subjetivo que presenta una incidencia de hasta el 60 % en los pacientes críticos y que puede ocasionar consecuencias negativas a nivel cardiovascular, respiratorio, digestivo, muscular, hematológico y psicológico. El estándar de oro para la evaluación del dolor es el reporte del paciente, quien puede indicar la presencia de dolor respondiendo a la pregunta simple «¿Tenés/tiene dolor?» o expresar la intensidad mediante la escala numérica del dolor (NRS, por sus siglas en inglés). El paciente capaz de comunicarse puede brindar también información sobre otras características del dolor. En pacientes que no pueden comunicarse pero pueden manifestar respuesta a estímulos, es apropiado utilizar escalas conductuales, las cuales se basan en observar la presencia de comportamientos asociados al dolor. El objetivo del presente paso a paso es describir la evaluación del dolor en pacientes adultos críticos.

Resumen: La adicción a Internet es cada vez más habitual, puesto que esta herramienta es esencial para el trabajo remoto, el entretenimiento, la educación domiciliar y el fácil acceso a la información. Sin embargo, su uso exagerado afecta a la vida de las personas de diferentes maneras, incluso en el desarrollo de trastornos psiquiátricos. El objetivo de este estudio fue evaluar la adicción a Internet, depresión, ansiedad, hiperactividad, atención, impulsividad y estrés en 48 adolescentes (26 muchachas y 22 muchachos), de entre 15 y 18 años, con una edad promedio de 16,74 (0,61), en su mayoría estudiantes de escuelas públicas del Sur de Brasil, durante la pandemia de la COVID-19, para investigar las correlaciones entre las variables mencionadas según género y aspectos sociodemográficos. Para evaluar los factores, se aplicaron el Test de Adicción a Internet (TAI), un test de atención, la escala SNAP IV, la Escala de Depresión, Ansiedad y Estrés para adolescentes (EDAE-A), la escala de impulsividad de Barratt y un cuestionario sociodemográfico. Los resultados indicaron que 12 adolescentes fueron considerados adictos a Internet, además, la adicción a Internet fue un predictor de la depresión en el análisis de regresión (p<0,001). Igualmente, los participantes clasificados como más adictos a Internet tuvieron promedios más bajos en atención general (p<0,035), y más altos en síntomas conductuales de falta de atención e hiperactividad (p<0,050), estrés (p<0,003), ansiedad (p<0,016) y depresión (p<0,015), con efectos que varían de moderado a alto. Por lo tanto, el uso intenso podría producir consecuencias psicológicas como la depresión en los adolescentes. Tener un buen apoyo familiar e intervención profesional puede ayudar a reducir los síntomas y las consecuencias de la adicción a Internet, así como prevenirla. Resumen habitual remoto entretenimiento información embargo maneras psiquiátricos 4 26 (2 2 muchachos, muchachos , muchachos) 1 años 1674 16 74 16,7 0,61, 061 0,61 0 61 (0,61) Brasil COVID19, COVID19 COVID 19, 19 COVID-19 sociodemográficos factores TAI, TAI (TAI) IV Depresión EDAEA, EDAEA EDAE A (EDAE-A) sociodemográfico además p<0,001. p0001 p p<0,001 . 001 (p<0,001) Igualmente p<0,035, p0035 p<0,035 035 (p<0,035) p<0,050, p0050 p<0,050 050 (p<0,050) p<0,003, p0003 p<0,003 003 (p<0,003) p<0,016 p0016 016 (p<0,016 p<0,015, p0015 p<0,015 015 (p<0,015) alto tanto prevenirla ( 167 7 16, 06 0,6 6 (0,61 COVID1 COVID-1 (TAI (EDAE-A p000 p<0,00 00 (p<0,001 p003 p<0,03 03 (p<0,035 p005 p<0,05 05 (p<0,050 (p<0,003 p<0,01 p001 01 (p<0,01 (p<0,015 0, (0,6 COVID- p00 p<0,0 (p<0,00 (p<0,03 (p<0,05 (p<0,0 (0, p0 p<0, (p<0, (0 p<0 (p<0 p< (p< (p

Abstract: Addictive behaviors related to Internet are becoming more common and this tool has been essential once it enables home office, entertainment, homeschooling, and easy access to information. Despite the easiness brought by technology, the exaggerated use has affected users in different ways, including in the development of psychiatric disorders. This study aimed to assess internet addiction, depression, anxiety, attention-deficit/hyperactivity disorder (ADHD), attention, impulsivity, and stress in 48 adolescents (26 young women and 22 young men), aged from 15 to 18 years, with a mean age of 16.74 (0.61), mostly students of public schools, during COVID-19, to investigate correlations between these variables according to sex and sociodemographic aspects. To assess the factors, the Internet Addiction Test (IAT); the Swanson, Nolan, and Pelham Rating Scale (SNAP-IV) Questionnaire ; the Depression, Anxiety, and Stress scale for brazilian adolescents (EDAE-A); the Barratt Impulsiveness Scale (BIS-11); and a sociodemographic questionnaire were applied. The data collection was performed in schools located in southern Brazil. The results indicated that 12 out of 48 adolescents were considered addicted to the Internet. Moreover, Internet addiction was a predictor of depression in regression analysis (p<0.001). In addition, participants classified as more addicted to the Internet scored lower averages in general attention (p<0.035) and higher averages in behavioral symptoms of inattention and ADHD (p<0.050), stress (p<0.003), anxiety (p<0.016), and depression (p<0.015), with effect sizes ranging from moderate to high. Therefore, the intense internet use by adolescents might cause psychological consequences such as depression in adolescents. Family support and professional intervention might help in the reduction of symptoms and consequences of internet addiction as well as in its prevention. Abstract office entertainment homeschooling information technology ways disorders attentiondeficit/hyperactivity attentiondeficithyperactivity deficit/hyperactivity deficit hyperactivity ADHD, , (ADHD) impulsivity 4 26 (2 2 men, men men) 1 years 1674 16 74 16.7 0.61, 061 0.61 0 61 (0.61) COVID19, COVID19 COVID 19, 19 COVID-19 aspects factors IAT (IAT) Swanson Nolan SNAPIV SNAP IV (SNAP-IV Depression Anxiety EDAEA EDAE A (EDAE-A) BIS11 BIS 11 (BIS-11) applied Brazil Moreover p<0.001. p0001 p p<0.001 . 001 (p<0.001) addition p<0.035 p0035 035 (p<0.035 p<0.050, p0050 p<0.050 050 (p<0.050) p<0.003, p0003 p<0.003 003 (p<0.003) p<0.016, p0016 p<0.016 016 (p<0.016) p<0.015, p0015 p<0.015 015 (p<0.015) high Therefore prevention attentiondeficit deficithyperactivity (ADHD ( 167 7 16. 06 0.6 6 (0.61 COVID1 COVID-1 (IAT (EDAE-A BIS1 (BIS-11 p000 p<0.00 00 (p<0.001 p<0.03 p003 03 (p<0.03 p005 p<0.05 05 (p<0.050 (p<0.003 p001 p<0.01 01 (p<0.016 (p<0.015 0. (0.6 COVID- (BIS-1 p00 p<0.0 (p<0.00 (p<0.0 (p<0.05 (p<0.01 (0. (BIS- p0 p<0. (p<0. (0 (BIS p<0 (p<0 p< (p< (p

Resumo: A dependência de internet é cada vez mais comum, pois essa ferramenta tem se tornado imprescindível, uma vez que possibilita home office, entretenimento, educação domiciliar e fácil acesso às informações. No entanto, o uso exagerado da tecnologia afeta os usuários de diversas formas, inclusive no desenvolvimento de transtornos psiquiátricos. Este estudo visou avaliar a dependência de internet, depressão, ansiedade, hiperatividade, atenção, impulsividade e estresse em 48 adolescentes (26 meninas e 22 meninos) de 15 a 18 anos, com idade média de 16,74 (0,61), estudantes de escolas públicas do Sul do Brasil durante a covid-19, para investigar correlações entre as variáveis anteriores de acordo com gênero e aspectos sociodemográficos. Para avaliar, aplicou-se o Internet Addiction Test (IAT), um teste de atenção, escala SNAP IV, escala de depressão, ansiedade e estresse para adolescentes (EDAE-A), escala de impulsividade de Barratt e um questionário sociodemográfico. Os resultados indicaram que 12 adolescentes foram considerados viciados em internet, e que a dependência desta foi preditora da depressão na análise de regressão (p < 0,001). Ainda, os participantes classificados como adictos tiveram médias mais baixas em atenção geral (p < 0,035) e mais altas em sintomas comportamentais de desatenção e hiperatividade (p < 0,050), estresse (p < 0,003), ansiedade (p < 0,016) e depressão (p < 0,015), com efeitos que variaram de moderado a alto. Portanto, o uso intenso da internet por adolescentes pode ter consequências psicológicas, como a depressão. Bom apoio familiar e intervenção profissional podem ajudar na redução dos sintomas e consequências, bem como na prevenção da dependência. Resumo comum imprescindível office entretenimento informações entanto formas psiquiátricos 4 26 (2 2 meninos 1 anos 1674 16 74 16,7 0,61, 061 0,61 , 0 61 (0,61) covid19, covid19 covid 19, 19 covid-19 sociodemográficos aplicouse aplicou IAT, IAT (IAT) IV EDAEA, EDAEA EDAE (EDAE-A) sociodemográfico p 0,001. 0001 0,001 . 001 0,001) Ainda 0,035 0035 035 0,050, 0050 0,050 050 0,050) 0,003, 0003 0,003 003 0,003) 0,016 0016 016 0,015, 0015 0,015 015 0,015) alto Portanto psicológicas ( 167 7 16, 06 0,6 6 (0,61 covid1 covid-1 (IAT (EDAE-A 000 0,00 00 0,03 03 005 0,05 05 0,01 01 0, (0,6 covid- 0,0 (0, (0

Objetivo: el objetivo de este estudio fue investigar la relación entre la ansiedad ante la muerte, el ajuste psicológico, el optimismo, el pesimismo y el estrés percibido entre los profesionales de enfermería que trabajaron durante la pandemia de COVID-19. Método: este estudio se diseñó como un estudio transversal/de cohortes. La población del estudio incluía a 408 profesionales de enfermería del Chipre del Norte registrados como miembros de pleno derecho del Consejo de Enfermería. La muestra consistió en 214 profesionales de enfermería que se ofrecieron voluntariamente a participar en el estudio. Los datos del estudio se recogieron a través de una encuesta online basada en la web (formulario demográfico, Medida de Estrés por Coronavirus, Cuestionario de Optimismo y Pesimismo, Escala Breve de Adaptación-6 y Escala de Sufrimiento por Muerte). Resultados: los resultados indicaron que el estrés percibido predecía significativa y negativamente el optimismo (β = -0,21, p < 0,001) y pesimismo (β = 0,38, p < 0,001). El estrés percibido tuvo efectos predictivos significativos y positivos sobre el ajuste psicológico (β = 0,31, p < 0,001) y angustia de muerte (β = 0,17, p < 0,01). Los resultados de otros análisis revelaron que el pesimismo es mediador en la asociación del estrés con el ajuste psicológico y la angustia de muerte; sin embargo, el optimismo sólo es mediador del efecto del estrés sobre el ajuste psicológico entre los profesionales de enfermería. Conclusión: un bajo nivel de pesimismo es eficaz para reforzar las habilidades de ajuste psicológico de los profesionales de enfermería frente al estrés percibido y la angustia por la muerte. Los profesionales de enfermería deberían considerar estrategias conductuales para ayudar a reducir el nivel de pesimismo durante periodos como las pandemias. Objetivo COVID19. COVID19 COVID 19. 19 COVID-19 Método transversalde transversal cohortes 40 Enfermería 21 formulario demográfico Coronavirus Pesimismo Adaptación6 Adaptación 6 Adaptación- Muerte. Muerte . Muerte) Resultados β 0,21, 021 0 -0,21 0,001 0001 001 038 38 0,38 0,001. 031 31 0,31 017 17 0,17 0,01. 0,01 01 0,01) embargo Conclusión pandemias COVID1 1 COVID-1 4 2 0,21 02 -0,2 0,00 000 00 03 3 0,3 0,1 0,0 COVID- 0,2 -0, 0, -0 -

Objective: the aim of this study is to investigate the relationship between death distress, psychological adjustment, optimism, pessimism and perceived stress among nurses working during the COVID-19 pandemic. Method: this study was designed as cross-sectional/cohort. The population of the study involved 408 nurses from Northern Cyprus, which are registered as full members of the Nurse Council. The sample comprised 214 nurses, who volunteered to participate in the study. The study data was collected using a web-based online survey (Demographic form, the Coronavirus Stress Measure, The Optimism and Pessimism Questionnaire, The Brief Adjustment Scale-6, The Death Distress Scale). Results: the results indicated that perceived stress significantly and negatively predicted optimism (β = -0.21, p < 0.001) and pessimism (β = 0.38, p < 0.001). Perceived stress had significant and positive predictive effects on psychological adjustment (β = 0.31, p < 0.001) and death distress (β = 0.17, p < 0.01). Further analysis results revealed that pessimism mediates the association of stress with psychological adjustment and death distress; however, optimism only mediates the effect of stress on psychological adjustment among nurses. Conclusion: a low level of pessimism is effective in strengthening nurses’ psychological adjustment skills againt perceived stress and death distress. Nurses should consider behavioral strategies to help reduce the level of pessimism during periods such as pandemics. Objective COVID19 COVID 19 COVID-1 pandemic Method crosssectional/cohort. crosssectionalcohort cross sectional/cohort. sectional cohort cross-sectional/cohort 40 Cyprus Council 21 webbased web based Demographic form Measure Questionnaire Scale6, Scale6 Scale 6, 6 Scale-6 Scale. . Scale) Results β 0.21, 021 0 -0.21 0.001 0001 001 038 38 0.38 0.001. 031 31 0.31 017 17 0.17 0.01. 0.01 01 0.01) however Conclusion pandemics COVID1 1 COVID- crosssectional crosssectional/cohort sectionalcohort sectional/cohort 4 2 Scale- 0.21 02 -0.2 0.00 000 00 03 3 0.3 0.1 0.0 0.2 -0. 0. -0 -

Objetivo: o objetivo deste estudo é investigar a relação entre angústia de morte, ajuste psicológico, otimismo, pessimismo e estresse percebido entre profissionais de enfermagem que trabalham durante a pandemia de COVID-19. Método: este estudo foi concebido como estudo transversal/coorte. A população do estudo envolveu 408 profissionais de enfermagem do Chipre do Norte, que estão registrados como membros plenos do Conselho de Enfermagem. A amostra foi composta por 214 profissionais de enfermagem que se ofereceram para participar do estudo. Os dados do estudo foram coletados por meio de uma pesquisa online baseada na web (formulário demográfico, Medida de Estresse por Coronavírus, Questionário de Otimismo e Pessimismo, Escala Breve de Ajuste-6 e Escala de Sofrimento por Morte). Resultados: os resultados indicaram que o estresse percebido previu significativa e negativamente o otimismo (β = -0,21, p < 0,001) e pessimismo (β = 0,38, p < 0,001). O estresse percebido teve efeitos preditivos significativos e positivos sobre o ajuste psicológico (β = 0,31, p < 0,001) e angústia de morte (β = 0,17, p < 0,01). Os resultados de outras análises revelaram que o pessimismo é mediador da associação do estresse com o ajuste psicológico e a angústia de morte; no entanto, o otimismo é mediador apenas do efeito do estresse sobre o ajuste psicológico entre os profissionais de enfermagem. Conclusão: um baixo nível de pessimismo é eficaz para fortalecer as habilidades de ajuste psicológico dos profissionais de enfermagem contra o estresse percebido e a angústia por morte. Os profissionais de enfermagem devem considerar estratégias comportamentais para ajudar a reduzir o nível de pessimismo durante períodos como os de pandemias. Objetivo COVID19. COVID19 COVID 19. 19 COVID-19 Método transversalcoorte transversal coorte transversal/coorte 40 Norte Enfermagem 21 formulário demográfico Coronavírus Pessimismo Ajuste6 Ajuste 6 Ajuste- Morte. Morte . Morte) Resultados β 0,21, 021 0 -0,21 0,001 0001 001 038 38 0,38 0,001. 031 31 0,31 017 17 0,17 0,01. 0,01 01 0,01) entanto Conclusão pandemias COVID1 1 COVID-1 4 2 0,21 02 -0,2 0,00 000 00 03 3 0,3 0,1 0,0 COVID- 0,2 -0, 0, -0 -

Abstract Objectives To assess the prevalence and pattern of behavioral problems in children and adolescents with atopic dermatitis (AD) and to study their associations with clinical data and severity. Methods This was a single-center, cross-sectional study of patients (6-17 years) with AD. Assessment of competencies and syndrome scale scores of behavioral problems was performed by applying the Child Behavior Checklist 6-18 (CBCL 6-18) and AD severity using the Eczema Area Severity Index (EASI) score. Results Of the 100 patients with AD, 56% were male, with a mean age of 11±3 years, and 43% had moderate/severe AD. Borderline or abnormal values were found in 75% of the patients for total social competence, 57% for internalization, 27% for externalization, and 18% for aggressive behavior. A higher prevalence of aggressive behavior (27.9% vs. 10.5%; p= 0.02) and sleep disorders (32.6% vs. 15.8%; p= 0.04) was observed in patients with moderate/severe AD than in those with mild AD. Children with current or previous use of immunosuppressants/immunobiological tests had a lower frequency of normal social competence (53% vs. 83%, p= 0.012). Regarding the critical questions, 8% responded affirmatively to suicidal ideation. Conclusion A high prevalence of behavioral problems was observed among children and adolescents with AD, with a predominance of internalizing profiles, mainly anxiety and depression. Children with moderate/severe AD have a higher prevalence of aggressive behaviors and sleep disorders. These findings highlight the importance of multidisciplinary teams, including mental health professionals, in caring for patients with AD. (AD singlecenter, singlecenter single center, center single-center crosssectional cross sectional 617 6 17 (6-1 years 618 18 6-1 CBCL EASI (EASI score 10 56 male 113 11 3 11± 43 moderatesevere moderate severe 75 57 internalization 27 externalization 27.9% 279 9 (27.9 vs 10.5% 105 5 p 0.02 002 0 02 32.6% 326 32 (32.6 15.8% 158 15 8 0.04 004 04 immunosuppressantsimmunobiological immunosuppressants immunobiological 53% 53 (53 83 83% 0.012. 0012 0.012 . 012 0.012) questions ideation profiles depression teams professionals 61 1 (6- 6- 4 7 2 27.9 (27. 10.5 0.0 00 32.6 (32. 15.8 (5 001 0.01 01 (6 27. (27 10. 0. 32. (32 15. ( (2 (3

ABSTRACT Purpose: This study aimed to screen the ocular surface of children with attention deficit hyperactivity disorder and identify the adverse effects of methylphenidate related to dry eye disease. Methods: This cross-sectional study included children with attention deficit hyperactivity disorder and healthy children (all aged 5-18 years). They were randomized into Group A (without methylphenidate treatment), Group B (with methylphenidate treatment), and Group C (healthy children). Tear film break-up time, Ocular Surface Disease Index questionnaire, tear meniscus height, tear meniscus area, and Schirmer test results were evaluated. Furthermore, symptom severity in attention deficit hyperactivity disorder was assessed by Turgay DSM-IV-based Child and Adolescent Behavioral Disorders Screening and Rating Scale and Conners Parent Rating Scale-48. Results: Groups A, B, and C consisted of 34, 40, and 60 individuals (n=34, 40, and 60 eyes; age=11.44 ± 2.79, 11.70 ± 2.83, and 11.96 ± 3.63 years, median age=12, 12, and 11.5 years), respectively. Tear film break-up time, Ocular Surface Disease Index, tear meniscus height, tear meniscus area, and Schirmer test results were not significantly different between Groups A and C (p=0.964, 0.336, 0.445, 0.439, and 0.759, respectively). However, Group B showed a significant decrease in tear film break-up time (10.50 ± 3.39 vs. 12.52 ± 2.46 s; p=0.005), tear meniscus height (307.40 ± 5.53 vs. 310.82 ± 7.30 µm; p=0.025), tear meniscus area (0.024 ± 0.0037 vs. 0.026 ± 0.0046 mm2; p=0.010) and Schirmer test (12.75 ± 3.96 vs. 15.41 ± 3.75 mm; p=0.004) results compared with Group A. Conclusion: Compared with healthy children, children with attention deficit hyperactivity disorder showed ocular surface parameters suggestive of dry eye disease despite taking methylphenidate. Thus, they require close ophthalmologic follow-up to prevent sight-threatening dry eye complications. Purpose Methods crosssectional cross sectional all 518 5 18 5-1 years. years . years) without treatment, treatment , treatment) children. children) breakup break up questionnaire evaluated Furthermore DSMIVbased DSM IV based Scale48. Scale48 48. 48 Scale-48 Results 34 40 6 n=34, n34 n (n=34 eyes age1144 age 11 44 age=11.4 279 2 79 2.79 1170 70 11.7 283 83 2.83 1196 96 11.9 363 3 63 3.6 age12 12 age=12 115 11. respectively p=0.964, p0964 p 0 964 (p=0.964 0336 336 0.336 0445 445 0.445 0439 439 0.439 0759 759 0.759 respectively) However 10.50 1050 10 50 (10.5 339 39 3.3 vs 1252 52 12.5 246 46 2.4 s p=0.005, p0005 p=0.005 005 p=0.005) 307.40 30740 307 (307.4 553 53 5.5 31082 310 82 310.8 730 7 30 7.3 µm p=0.025, p0025 p=0.025 025 p=0.025) 0.024 0024 024 (0.02 00037 0037 0.003 0026 026 0.02 00046 0046 0.004 mm2 mm p=0.010 p0010 010 12.75 1275 75 (12.7 396 3.9 1541 15 41 15.4 375 3.7 p=0.004 p0004 004 Conclusion Thus followup follow sightthreatening sight threatening complications 51 1 5- Scale4 4 Scale-4 n=34 n3 (n=3 age114 age=11. 27 2.7 117 28 8 2.8 119 9 36 3. age1 age=1 p=0.964 p096 (p=0.96 033 33 0.33 044 0.44 043 43 0.43 075 0.75 10.5 105 (10. 125 12. 24 2. p000 p=0.00 00 307.4 3074 (307. 55 5. 3108 31 310. 73 7. p002 p=0.02 02 002 (0.0 0003 003 0.00 0.0 0004 p=0.01 p001 01 12.7 127 (12. 154 15. 37 Scale- n=3 (n= age11 age=11 age= p=0.96 p09 (p=0.9 03 0.3 04 0.4 07 0.7 10. (10 p00 p=0.0 307. (307 (0. 000 0. (12 n= (n p=0.9 p0 (p=0. (1 p=0. (30 (0 (p=0 ( p=0 (3 (p= p= (p

RESUMO Objetivos: Este estudo teve como objetivo examinar a superfície ocular de crianças com transtorno de déficit de atenção com hiperatividade e identificar os efeitos adversos do metilfenidato relacionados à síndrome do olho seco. Métodos: Este estudo transversal incluiu crianças com transtorno de déficit de atenção e hiperatividade e crianças saudáveis (todas entre 5-18 anos de idade). Elas foram randomizadas no Grupo A (sem tratamento com metilfenidato), Grupo B (com tratamento com metilfenidato) e Grupo C (crianças saudáveis). Foram avaliados o tempo de ruptura do filme lacrimal, questionário sobre Índice de Doenças de Superfície Ocular (IDSO), altura do menisco lacrimal, área do menisco lacrimal e os resultados do teste de Schirmer. Além disso, a gravidade dos sintomas no transtorno de déficit de atenção com hiperatividade foi avaliada usando a Turgay DSM-IV-based Child and Adolescent Behavioral Disorders Screening and Rating Scale com base na escala de Conners Parent Rating Scale-48. Resultados: Os Grupos A, B e C consistiram de 34, 40 e 60 indivíduos (n=34, 40 e 60 olhos; idade=11,44 ± 2,79, 11,70 ± 2,83 e 11,96 ± 3,63 anos, idade média=12, 123 e 11,5 anos), respectivamente. O tempo de ruptura do filme lacrimal, o Índice de Doença da Superfície Ocular, as altura do menisco lacrimal, a área do menisco lacrimal e o teste de Schirmer não foram significativamente diferentes entre os Grupo A e C (p=0,964, 0,336, 0,445, 0,439 e 0,759, respectivamente). Entretanto, o Grupo B mostrou uma redução significativa no tempo de ruptura do filme lacrimal (10,50 ± 3,39 vs 12,52 ± 2,46 seg; p=0,005), altura do menisco lacrimal (307,40 ± 5,53 vs 310,82 ± 7,30 µm; p= 0,025), área do menisco lacrimal (0,024 ± 0,0037 vs 0,026 ± 0,0046 mm2; p=0,010) e teste de Schirmer (12,75 ± 3,96 vs 15,41 ± 3,75 mm; p=0,004), resultados com0arados com o Grupo A. Conclusão: Em comparação com crianças saudáveis, crianças com transtorno de déficit de atenção com hiperatividade apresentaram parâmetros de superfície ocular sugestivos de olho seco, apesar do uso de metilfenidato. Assim, elas requerem um acompanhamento oftalmológico próximo para evitar complicações oculares de olho seco que ameaçam a visão. Objetivos Métodos todas 518 5 18 5-1 idade. . idade) sem metilfenidato, , saudáveis. saudáveis) IDSO, IDSO (IDSO) disso DSMIVbased DSM IV based Scale48. Scale48 48. 48 Scale-48 Resultados 34 4 6 n=34, n34 n (n=34 olhos idade1144 11 44 idade=11,4 279 2 79 2,79 1170 70 11,7 283 83 2,8 1196 96 11,9 363 3 63 3,6 média12 média 12 média=12 115 11, anos) respectivamente p=0,964, p0964 p 0 964 (p=0,964 0336 336 0,336 0445 445 0,445 0439 439 0,43 0759 759 0,759 respectivamente) Entretanto 10,50 1050 10 50 (10,5 339 39 3,3 1252 52 12,5 246 46 2,4 seg p=0,005, p0005 p=0,005 005 p=0,005) 307,40 30740 307 (307,4 553 53 5,5 31082 310 82 310,8 730 7 30 7,3 µm 0,025, 0025 0,025 025 0,025) 0,024 0024 024 (0,02 00037 0037 0,003 0026 026 0,02 00046 0046 0,004 mm2 mm p=0,010 p0010 010 12,75 1275 75 (12,7 396 3,9 1541 15 41 15,4 375 3,7 p=0,004, p0004 p=0,004 004 p=0,004) comarados arados Conclusão Assim visão 51 1 5- (IDSO Scale4 Scale-4 n=34 n3 (n=3 idade114 idade=11, 27 2,7 117 28 8 2, 119 9 36 3, média1 média=1 p=0,964 p096 (p=0,96 033 33 0,33 044 0,44 043 43 0,4 075 0,75 10,5 105 (10, 125 12, 24 p000 p=0,00 00 307,4 3074 (307, 55 5, 3108 31 310, 73 7, 002 02 (0,0 0003 003 0,00 0,0 0004 p=0,01 p001 01 12,7 127 (12, 154 15, 37 Scale- n=3 (n= idade11 idade=11 média= p=0,96 p09 (p=0,9 03 0,3 04 0, 07 0,7 10, (10 p00 p=0,0 307, (307 (0, 000 (12 n= (n idade1 idade=1 p=0,9 p0 (p=0, (1 p=0, (30 (0 idade= (p=0 ( p=0 (3 (p= (p

ABSTRACT BACKGROUND AND OBJECTIVES: Taking into account the complexity and subjectivity of pain for the patient and the need for constant updating of the healthcare team, the objective was to verify the knowledge and care practices of the nursing team regarding pain management in hospitalized adult patients in the Intensive Care Unit (ICU) before and after carrying out an educational activity. METHODS: 32 nurses and nursing technicians who had been working in the ICU for more than six months participated. The stages included the application of the pre-test, educational activity and post-test, addressing assessment scales and pharmacological and non-pharmacological management methods. RESULTS: Regarding the concepts of chronic pain and acute pain, 68% responded that they knew the differences, however 15% answered questions related to acute pain correctly and 3% answered questions related to chronic pain correctly in the pre-test. Regarding prior knowledge about pain assessment scales, 84% knew the Numerical Verbal Scale, 15% knew the Behavioral Pain Scale, and 6% knew the Advanced Dementia Pain Scale; 62% said they had difficulty assessing pain in patients with advanced dementia and/or on mechanical ventilation. In questions related to pharmacological management, 44% got the questions right in the pre-test and 71% got them right in the post-test. Regarding non-pharmacological management, 31% always perform it, and 96% use adequate positioning in bed as a measure. CONCLUSION: After the educational activity, there was an increase in the number of correct answers regarding questions related to assessment scales, pharmacological and non-pharmacological management. OBJECTIVES (ICU METHODS 3 participated pretest, pretest pre test, test posttest, posttest post post-test nonpharmacological non methods RESULTS 68 differences 15 pretest. test. 84 Scale 6 62 andor or ventilation 44 71 posttest. 31 it 96 measure CONCLUSION 1 8 4 7 9

RESUMO JUSTIFICATIVA E OBJETIVOS: Levando em consideração a complexidade e subjetividade da dor para o paciente e a necessidade de atualização constante da equipe de saúde, objetivou-se verificar o conhecimento e as práticas assistenciais da equipe de enfermagem acerca do manejo da dor de pacientes adultos internados na Unidade de Terapia Intensiva (UTI) antes e após a realização de uma atividade educativa. MÉTODOS: Participaram do estudo 32 enfermeiros e técnicos de enfermagem alocados em UTI há mais de seis meses. As etapas compreenderam a aplicação do pré-teste, atividade educativa e pós-teste, abordando escalas de avaliação e métodos de manejo farmacológico e não farmacológico. RESULTADOS: Quanto aos conceitos de dor crônica e dor aguda, 68% responderam que conheciam as diferenças, porém 15% acertaram questões relacionadas à dor aguda e 3% acertaram questões relacionadas à dor crônica no pré-teste. Quanto ao conhecimento prévio sobre as escalas de avaliação da dor, 84% conheciam a Escala Verbal Numérica, 15% conheciam a Behavioral Pain Scale, e 6% conheciam a Escala de dor na Demência Avançada; 62% afirmaram sentirem dificuldade em avaliar a dor em pacientes com demência avançada e/ou em ventilação mecânica. Nas questões relacionadas ao manejo farmacológico, 44% acertaram as questões no pré-teste e 71% acertaram no pós-teste. Em relação ao manejo não farmacológico, 31% realizam sempre, e 96% utilizam como medida o posicionamento adequado no leito. CONCLUSÃO: Após a atividade educativa, houve aumento no número de acertos referente às questões relacionadas às escalas de avaliação, manejo farmacológico e não farmacológico. OBJETIVOS saúde objetivouse objetivou se (UTI MÉTODOS 3 meses préteste, préteste pré teste, teste pósteste, pósteste pós pós-teste RESULTADOS 68 diferenças 15 préteste. teste. 84 Numérica Scale 6 Avançada 62 eou ou mecânica 44 71 pósteste. 31 sempre 96 leito CONCLUSÃO 1 8 4 7 9

Resumo O objetivo deste estudo é apresentar as evidências de validade da Escala de Proteção e Risco de Superendividamento (EPRIS). O instrumento foi construído para avaliar aspectos atitudinais (comportamentais, cognitivos e afetivos) que previnem ou estimulam o superendividamento, considerado um grave problema social. Participaram 444 adultos na modalidade online. A análise Fatorial Exploratória revelou a presença de dois fatores: proteção ao superendividamento (13 itens) e risco de superendividamento (21 itens), com bons níveis de ajuste. A validade de critério mostrou que ambos os fatores diferenciaram grupos quanto ao estresse autopercebido, preocupação financeira, presença/ausência de dívidas e perfil de consumo. Considera-se que a EPRIS tem o potencial de contribuir na formulação de políticas públicas voltadas à abordagem do fenômeno do superendividamento. EPRIS. . (EPRIS) comportamentais, comportamentais (comportamentais afetivos social 44 online 13 (1 itens 21 (2 itens, , ajuste autopercebido financeira presençaausência ausência consumo Considerase Considera se (EPRIS 4 1 ( 2

Abstract This study aims to present evidence for the validity of the Over-indebtedness Protection and Risk Scale (OPRIS). The instrument was constructed to assess attitudinal aspects (behavioral, cognitive, and affective) that prevent or encourage over-indebtedness, considered a serious social problem. Four hundred and forty-four adults participated in the online version. Exploratory Factor Analysis revealed the presence of two factors: protection against over-indebtedness (13 items) and risk of over-indebtedness (21 items), with good levels of adjustment. Criterion validity showed that both factors differentiated groups in terms of self-perceived stress, financial concern, presence/absence of debt, and consumption profile. OPRIS is considered to have the potential to help formulate public policies aimed at addressing the phenomenon of over-indebtedness. Overindebtedness Over indebtedness OPRIS. . (OPRIS) behavioral, behavioral (behavioral cognitive affective overindebtedness, overindebtedness over indebtedness, problem fortyfour forty four version 13 (1 items 21 (2 items, , adjustment selfperceived self perceived stress concern presenceabsence absence debt profile overindebtedness. indebtedness. (OPRIS 1 ( 2

ABSTRACT BACKGROUND: During development, children face a number of demands and cognitive, behavioral, and social challenges necessary for growth. Cognitive skills make individuals competent and allow them to interact with their environment. OBJECTIVE: To identify the cognitive skills that promote better social insertion in children with autism spectrum disorder within 12 months. DESIGN AND SETTING: Prospective cohort study METHODS: In this study, 21 children aged 3–12 years were assessed, and their mothers were interviewed. Children were enrolled in regular or special autistic schools. Twelve months after the first assessment, the same children participated in the second assessment. In individual interviews, mothers provided data by answering the Vineland Adaptive Behavior Scale. Each child was assessed individually using the fourth edition of the Stanford Binet Intelligence Scale 4th Edition. RESULTS: In the first assessment, the Stanford Binet areas and total scores correlated with the communication domains, daily life abilities, socialization, and total score of the Vineland Scale. After 12 months, a correlation was observed between the Stanford Binet areas and the total and communication domains, daily life abilities, socialization, motor abilities, and total score on the Vineland Scale. CONCLUSION: Logic mathematics and memory promote better social insertion in children with autism spectrum disorder. General cognitive ability promotes communication. BACKGROUND development behavioral growth environment OBJECTIVE 1 SETTING METHODS 2 312 3 3–1 interviewed schools assessment interviews th Edition RESULTS domains abilities socialization CONCLUSION 31 3–

RESUMO JUSTIFICATIVA E OBJETIVOS: A dor crônica tem um impacto significativo na qualidade de vida dos pacientes e o uso de terapia farmacológica muitas vezes é insuficiente. As terapias baseadas em Mindfulness (Atenção Plena) apresentam-se de diversas formas e têm sido utilizadas como estratégia no manejo dessa condição. As práticas podem conduzir a atenção ao presente, auxiliar na reinterpretação da dor e aprimorar habilidades de controle físico e emocional via córtex cingulado, somatossensorial, opérculo parietal, cúneo e ínsula anterior. O objetivo deste estudo foi avaliar a Mindfulness quanto a sua influência na qualidade de vida dos pacientes com dor crônica não oncológica e as alterações neurais que essa prática promove, como maior ou menor ativação ou variação de tamanho de áreas como a ínsula e córtex cingulado, e como estas interferem na percepção da dor, tendo como finalidade verificar a aplicabilidade da Atenção Plena como método complementar ao tratamento nesse grupo de pacientes. CONTEÚDO: Revisão Sistemática submetida no banco de dados PROSPERO sob o número 359011. Realizou-se a busca nas bases de dados Pubmed, Medline, LILACS e DIALNET entre 2019 e 2022 com os descritores e operador booleano [(MINDFULNESS) AND (CHRONIC PAIN)]. Incluiu-se na seleção de artigos ensaios clínicos randomizados, estudos de coorte e estudos de caso controle nos idiomas inglês, espanhol e português. O risco de viés foi avaliado pelo ROB2 e a qualidade de evidência por meio do GRADE. Após análise, 10 estudos foram avaliados como essenciais para esta revisão. Foram incluídos os artigos que abordavam intervenção em Mindfulness para dor crônica que responderam e agregaram informações à pergunta da pesquisa e excluídos os artigos que não possuem o foco em “Mindfulness” e “dor crônica”, estudos sem livre acesso e textos cujos resultados não foram publicados até a data da busca. Para analisar as terapias de Mindfulness, os estudos, em sua maioria, abordam mais de 50 pacientes e usam escalas como o Brief Pain Inventory (BPI-DPN Q4), Patient Global Impression of Change (PGIC), Five Facet Mindfulness Questionnaire (FFMQ), Chronic Pain Acceptance Questionnaire (CPAQ) e Pain Catastrophizing Scale (PCS). CONCLUSÃO: A prática de Mindfulness é capaz de diminuir a dor crônica e melhorar sua percepção, aceitabilidade e qualidade de vida ao possibilitar a redução do sofrimento, ansiedade e estresse associados à dor por meio de alterações neurais. Por haver limitações nos estudos com relação à população-alvo específica e à padronização de avaliação, recomenda-se que artigos futuros abordem a prática em crianças, idosos e atletas com dor crônica, além de metodologia detalhada para avaliar e promover as sessões. Ressalta-se que a Mindfulness não é uma cura para a dor crônica, no entanto apresenta segurança e eficácia em seus diferentes protocolos de aplicação, com nível de evidência similar à terapia cognitiva comportamental. OBJETIVOS insuficiente apresentamse apresentam se condição presente cingulado somatossensorial parietal anterior promove CONTEÚDO 359011 Realizouse Realizou Pubmed Medline 201 202 MINDFULNESS [(MINDFULNESS CHRONIC PAIN. PAIN . PAIN)] Incluiuse Incluiu randomizados inglês português ROB GRADE análise 1 revisão “Mindfulness , crônica” maioria 5 BPIDPN BPI DPN Q4, Q4 Q Q4) PGIC, PGIC (PGIC) FFMQ, FFMQ (FFMQ) CPAQ (CPAQ PCS. PCS (PCS) CONCLUSÃO sofrimento populaçãoalvo população alvo avaliação recomendase recomenda crianças sessões Ressaltase Ressalta aplicação comportamental 35901 20 PAIN) (PGIC (FFMQ (PCS 3590 2 359 35 3

ABSTRACT BACKGROUND AND OBJECTIVES: Chronic pain has a significant impact on patients’ quality of life and the use of drug therapy is often insufficient. Therapies based on Mindfulness come in different forms and have been used as a strategy to manage this condition. Practices can guide attention to the present, help reinterpret pain and improve physical and emotional control skills via the cingulate cortex, somatosensory cortex, parietal operculum, cuneus, and anterior insula. This study seeks to evaluate the results of Mindfulness in terms of its influence on the quality of life of patients with chronic non-cancer pain and the neural changes that this practice promotes, such as greater or lesser activation or variation in size of areas as insula and cingulate cortex, and how these interfere with the perception of pain, with the aim of verifying the applicability of Mindfulness as a complementary method to treatment in this group of patients. CONTENTS: Systematic Review submitted to PROSPERO datadase under number 359011. The search was carried out in the Pubmed, Medline, LILACS and DIALNET databases between 2019 and 2022 with the descriptors and Boolean operator [(MINDFULNESS) AND (CHRONIC PAIN)]. The selection of articles includes randomized clinical trials, cohort studies and case control studies in English, Spanish and Portuguese languages. The risk of bias was assessed using ROB2 and the quality of evidence using GRADE. After analysis, ten studies were assessed as essential for this review. Articles that addressed Mindfulness intervention for chronic pain that responded and added information to the research question were included and articles that did not focus on “Mindfulness” and “chronic pain”, studies without free access and texts whose results were not published up to the date of the search were excluded. To analyze Mindfulness therapies, the majority of studies cover more than 50 patients and use scales such as the Brief Pain Inventory (BPI-DPN Q4), Patient Global Impression of Change (PGIC), Five Facet Mindfulness Questionnaire (FFMQ), Chronic Pain Acceptance Questionnaire (CPAQ) and Pain Catastrophizing Scale (PCS). CONCLUSION: The practice of Mindfulness can reduce chronic pain and improving its perception, acceptability and quality of life by enabling the reduction of suffering, anxiety and stress associated with pain through neural changes. As there are limitations in the studies regarding the specific target population and standardization of assessment, it is recommended that future articles address the practice in children, the elderly and athletes with chronic pain, in addition to a detailed methodology to evaluate and promote the sessions. It should be noted that Mindfulness is not a cure for chronic pain, however it presents safety and effectiveness in its different application protocols, with a level of evidence similar to cognitive behavioral therapy. OBJECTIVES insufficient condition present cortex operculum cuneus noncancer non cancer promotes CONTENTS 359011 Pubmed Medline 201 202 MINDFULNESS [(MINDFULNESS CHRONIC PAIN. PAIN . PAIN)] trials English languages ROB GRADE analysis review “Mindfulness , pain” excluded therapies 5 BPIDPN BPI DPN Q4, Q4 Q Q4) PGIC, PGIC (PGIC) FFMQ, FFMQ (FFMQ) CPAQ (CPAQ PCS. PCS (PCS) CONCLUSION suffering assessment children sessions protocols 35901 20 PAIN) (PGIC (FFMQ (PCS 3590 2 359 35 3