Predictors of stress and depressive mood in portuguese middle-aged women

This cross-sectional study investigates the predictors of psychological symptoms-stress and depressive mood-in a sample of middle-aged women. A community sample of 1,003 women filled in the questionnaires and instruments, which included the Depression, Anxiety and Stress Scales and the Life Events Survey; sociodemographic, health, and menopause-related and lifestyle information was also collected. Structural equation modeling was used to build the model that had stress and depressive mood as dependent variables. Health status (both physical and psychological), recent life events, income and menopausal phase were significantly associated with the frequency of stress and depressive symptoms. Additionally, educational level and parity were also significant predictors of depressive mood. This study emphasizes that psychological symptoms occurrence in midlife depends not only on personal variables (such as health and menopausal status) but also on contextual ones (including recent stressful events) that can be a strong influence on how middle-aged women feel.

Impacto(s) da gestão de recursos humanos na gestão do conhecimento em organizações industriais

Focalizando as dimensões humana e comportamental da gestão do conhecimento, a presente investigação visa uma análise do(s) impacto(s) (facilitador ou inibidor) dos pressupostos da gestão de recursos humanos no grau de aplicação da gestão do conhecimento em organizações industriais. Em particular, explora a(s) dinâmica(s) de influência entre a sofisticação dos pressupostos da formação profissional, da avaliação de desempenho e da gestão de recompensas na aplicação da gestão do conhecimento. Tendo em vista a medição dos constructos centrais do presente estudo, de acordo com a revisão de literatura efectuada, desenvolveram-se acções conducentes à adaptação de um questionário de gestão do conhecimento (GC), à construção, validação e desenvolvimento de três novos questionários (PPFP, PPAD e PPSR) que visaram aceder à percepção dos agentes organizacionais acerca dos pressupostos da gestão de recursos humanos vigentes ou culturalmente característicos do seu contexto laboral. O presente estudo envolveu múltiplas análises aos dados de 1364 questionários individuais auto-administrados e recolhidos em 55 empresas de quatro sub-sectores da cerâmica em Portugal. Para o estudo da relação linear entre um conjunto de variáveis preditoras e uma variável critério optou-se por realizar equações de regressão múltipla hierárquica, considerando-se dois blocos de variáveis. Num primeiro modelo foram introduzidas, apenas, as duas dimensões relativas à formação profissional medidas pelo instrumento PPFP e num segundo modelo aduziram-se as variáveis de avaliação de desempenho e de sistema de recompensas, especificamente, o primeiro factor retido na análise psicométrica dos instrumentos PPAD e PPSR.

Open-label placebo treatment in chronic low back pain: A randomized controlled trial

This randomized controlled trial was performed to investigate whether placebo effects in chronic low back pain could be harnessed ethically by adding open-label placebo (OLP) treatment to treatment as usual (TAU) for 3 weeks. Pain severity was assessed on three 0- to 10-point Numeric Rating Scales, scoring maximum pain, minimum pain, and usual pain, and a composite, primary outcome, total pain score. Our other primary outcome was back-related dysfunction, assessed on the Roland-Morris Disability Questionnaire. In an exploratory follow-up, participants on TAU received placebo pills for 3 additional weeks. We randomized 97 adults reporting persistent low back pain for more than 3 months' duration and diagnosed by a board-certified pain specialist. Eighty-three adults completed the trial. Compared to TAU, OLP elicited greater pain reduction on each of the three 0- to 10-point Numeric Rating Scales and on the 0- to 10-point composite pain scale (P < 0.001), with moderate to large effect sizes. Pain reduction on the composite Numeric Rating Scales was 1.5 (95% confidence interval: 1.0-2.0) in the OLP group and 0.2 (-0.3 to 0.8) in the TAU group. Open-label placebo treatment also reduced disability compared to TAU (P < 0.001), with a large effect size. Improvement in disability scores was 2.9 (1.7-4.0) in the OLP group and 0.0 (-1.1 to 1.2) in the TAU group. After being switched to OLP, the TAU group showed significant reductions in both pain (1.5, 0.8-2.3) and disability (3.4, 2.2-4.5). Our findings suggest that OLP pills presented in a positive context may be helpful in chronic low back pain.