Evidências de validade do Millon Behavioral Medicine Diagnostic: avaliação de indicadores de adesão ao tratamento em pacientes com hipertensão

Systemic Arterial Hypertension – SAH – is defined as the syndrome which its main feature is the presence of high tensional levels, associated with alterations of functional or structural levels in the organs that it strikes. Its specific causes are not very well bounded and have an asymptomatic character. Due to its chronicity it requires adherence to the treatment plan in a systematic and permanent manner, implicating in lifestyle changes, combined or not with the use of medication. The personality inventories have been largely used in the lineation of indicative traits of difficulties with the adherence to the treatment. In this sense, developed by Theodore Millon, the Millon Behavioural Medicine Diagnostic – MBMD is an instrument made from the consensus among healthcare professionals, aiming at identifying psychological factors that may compromise medical treatment so that they can be conducted in a way to enable a better adherence. Objective: evaluation of the evidence of validity of the Millon Behavioural Medicine Diagnostic – MBMD for a public of patients with hypertension, aiming at investigating the indicators implicated in the adherence or not to the anti-hypertensive treatment. Method: there was a group of 200 participants in a university hospital in the city of Natal/RN, males and females, ranging from 20 to 70 years old. An interview protocol was administered in order to obtain information about socio-demographic data, clinical history, healthcare habits and way of conducting treatment, and after, the administration of the MBMD followed. Results: by means of Factor Analysis it was verified that the organization proposed by the factors is favorable and it adjusts to the theory, allowing the visualization of other underlying constructs to the scales, with adequate adjustment indexes and satisfactory Cronbach’s alpha indicators. Besides, the MBMD revealed itself sensitive to the intragroup differences relative to the sex, age, schooling, marital status, profession, income, SAH history, diagnostic time, medication use, comorbidity presence, hyposodic diet, social support and adherence criteria variables. The utilization of such instrument in the evaluation of the adherence to the anti-hypertensive treatment show, therefore, indicators of validity.

Evidências de validade do Millon Behavioral Medicine Diagnostic na avaliação de aderência terapêutica em pacientes com insuficiência cardíaca crônica

Chronic heart failure (CHF) is the final common pathway of most diseases affecting the heart, being responsible for a high level of mortality and hospitalization, as well as significant reduction in quality of life of those affected. Interventions that claim to optimize patient adherence to their medical regimen, and improve self-care behavior, have proven effective in preventing unplanned admissions and improves the outcome for patients, however, studies have shown the problem of non-adherence, and some psychological instruments have been used to show that traces indicate difficulties with treatment adherence. Having shown this, the aim of this work is to evaluate the evidence of validity of the Millon Behavioral Medicine Diagnostic (MBMD) in a population of patients with CHF. The study included individuals with CHF, males and females, between the age of 18 and 85 years, treated in a reference hospital in the city of NatalRN. A total of 120 patients answered, in addition to the MBMD, another questionnaire structured with sociodemographic aspects and clinical itens. The results indicated that the parameter of the MBMD reliability was satisfactory the most of extracted factors, and some scale. In terms of the population studied, we could verify that the disease was more prevalent in men, but women had the highest average in indicators related to negative health habits and depressed mood. Younger pacients and those who had no partner had the highest averages in groups of items that dealt with feelings of sadness and discouragement. Hasn’t been observed differences related to negative health habits and problematic adherence among patients in different functional classes. More studies in this research line, with a larger population and from other regions of the country, are needed in order to expand the data presented here

Representações discursivas de Câmara Cascudo por Mário de Andrade

This piece of research aims to address the issue on the construction and reconstruction of Câmara Cascudo´s discursive representations in Mário de Andrade´s discourse. In order to describe, analyze and interpret these representations, we recur to some semantic categories from the Discourse Textual Analysis (DTA) by articulating them with other categories, notably, Grize´s Logic (1996,1997), Text Linguistics and Semantics. Therefore, the purpose is to analyze how these representations are constructed discursively, in written letters, by means of semantic categories such as referentiation, predication, modification, connection and spatial and temporal locations. In the theoretical foundation, proposals of Textual Analysis of Discourses, conceived by the linguist Jean-Michel Adam (1990, 2008a, 2011a), Text Linguistics, Semantics and Logic, focusing, especially, on the phenomenon of discursive representations, are articulated. The research approach is of qualitative nature supported by some quantitative data (OLIVEIRA, 2012); option which makes the analysis richer and comprehensive. As a hypothesis, it is presented the fact that these categories used by Mário de Andrade, in his discourse, do not only enable the (re)construction of the interlocutor´s images, discursively constructed, but they also provide a multiplicity of information and viewpoints about the RN writer´s personality. The study corpus is constituted of 20 texts written by Mário de Andrade and sent to Câmara Cascudo between 1924 and 1944, of which 35 fragments were selected and analyzed. However, it can be verified that, in the analyzed corpus, a set of discursive representations is constructed for Câmara Cascudo, from semantic categories proposed for analysis and used in Mário de Andrade´s discourse. These categories enable to construct and reconstruct the representations that emerge in the texts. Therefore, the analysis points out the construction of a set of different representations, highlighting the representation of the writer, the intellectual and the friend.

Assédio moral na administração pública e a responsabilidade civil do estado

The social and economic changes of the last decades have enhanced the dehumanization of labor relations and the deterioration of the work environment, by the adoption of management models that foster competitiveness and maximum productivity, making it susceptible to the practice of workplace bullying. Also called mobbing, bullying can occur through actions, omissions, gestures, words, writings, always with the intention of attacking the self-esteem of the victim and destroy it psychologically. In the public sector, where relations based on hierarchy prevail, and where the functional stability makes it difficult to punish the aggressor, bullying reaches more serious connotations, with severe consequences to the victim. The Federal Constitution of 1988, by inserting the Human Dignity as a fundamental principle of the Republic, the ruler of the entire legal system, sought the enforcement of fundamental rights, through the protection of honor and image of the individual, and ensuring reparation for moral and material damage resulting from its violation. Therefore, easy to conclude that the practice of moral violence violates fundamental rights of individuals, notably the employee's personality rights. This paper therefore seeked to analyze the phenomenon of bullying in the workplace, with emphasis on the harassment practiced in the public sector as well as the possibility of state liability for harassment committed by its agents. From a theoretical and descriptive methodology, this work intended to study the constitutional, infra and international rules that protect workers against this practice, emphasizing on the fundamental rights violated. With this research, it was found that doctrine and jurisprudence converge to the possibility of state objective liability for damage caused by its agents harassers, not forgetting the possibility of regressive action against the responsible agent, as well as its criminal and administrative accountability.

Características psicológicas do paciente obeso grave e suas implicações pós-operatórias na cirurgia bariátrica

Obesity is a chronic disease that has multi-factorial aetiology, characterized by high degree of body fat; the degree of obesity will vary according to the Body Mass Index (BMI=m2 /kg). The severe degree of obesity is characterized by BMI>40 and it is regularly associated to endocrine-metabolic or mechanic clinical alterations, and to psychological disorders. Binge Eating (BE) results were overly high for this population. The Bariatric Surgery has been the treatment chosen by those diagnosed with severe obesity as this intervention provides prompt outcomes for loss of weight and clinical improvement conditions. However, recent research has acquiesced that after two years between 20% and 30% of people subject to this intervention gained weight. The main objective of this research is to assess the psychological and behavioral characteristics of those diagnosed with severe obesity that have been subject to Gastric Bypass Surgery in the past 24 months. Specific aspects were investigated: (1) characteristics of different personalities and diagnose of clinic and personality disorders; (2) BE and its relation with loss of weight; (2) the difference between the groups regarding post-surgery care, e.g. physical activity, psychological and dietician input. Method: 40 adults (women and men) aged 23 and 60 year-old who went through a bariatric surgery in the past 24 months, in the city of Natal-RN (Brazil); they were assembled in two groups n=20, Gain group displaying loss of < 50% of their initial surplus of weight, and the Loss group displaying loss of >50%. The research protocol is made of a socio-demographic questionnaire and 3 psychometric instruments: Rorschach – Comprehensive System; Millon Personality Inventory (MCMI-III); and the Binge Eating Scale (Escala de Compulsão Alimentar Periódica (ECAP). Through Rorschach significant differences between these groups were verified according to the kind of personality (EB) - more EB Extratensivo in Gain group and Intratensivo in Loss group – and the lack of control to express affect, increasing the answer for Color Pure at Group I. Concerning the people standardization, the sample as a whole tends to show psychic pain, denigrated selfperception, high levels of self-criticism, distorted perceptions, vulnerability to develop mood disorders and high scores regarding Suicide. MCMI-III results showed more clinic and personality disorders in Group I: Depressive Disorder and Schizotypal, Anxiety, Dysthymia, Major Depressive Disorder; Thought Disorder, Bipolar- Manic and Posttraumatic Stress Disorder. In relation to ECAP, the results indicated significant differences, showing increased BE results in Gain group. There were found significant differences between BE severity and the presence of clinic and personality disorders. Concerning the post-surgery care, the observed differences are statistically significant regarding physical activities with median-increased differences in Loss group. There is a difference between the initial weight and the time post-surgery, indicating that the higher the initial weight and the time after the surgery the higher the re-gain of weight post-surgery. Finally, the results show that the participants with more than 3 years of surgery will have Clinic and Major Depressive Disorders; Somatoform Disorder; Dysthymia. These results confirm prior studies related to BE post-surgery and re-gain of weight as well as the proneness of clinic disorders in severe obesity people. That means the results reinforce that the surgery process is a facet of the severe obesity treatment. The post-surgery process needs to be the main focus of attention and have a long-term input to sustain the care of the surgery results and the quality of life of the patients.

A influência da relevância social no viés de grupo

Behaviors found in every culture, general human tendencies, are knew in Evolutionary Psychology as evolved psychological mechanisms. Those behaviors date back the Environment of Evolutionary Adaptedness, and a well know example of such behavior is the group bias (or intergroup bias). This bias consists of recognizing members of your own group and favor them, while disregarding or even harming outsiders. This behavior was and still is extensively studies, among the most important conclusions about this phenomenon is the Minimal Groups Paradigm, in which it was discovered that the group bias could trigger even when the groupings were done in following very arbitrary criteria. In the current study, our goal was to test if the participants, when playing an economic game, would behave in a similar fashion under a minimal group situation and real groups, with social meaning. With this in mind we made two experimental conditions, a Low Social Meaning one (LSM) where the groups were represented by letters (H, B, O and Y) in which participants would be ramdomly assorted to each group; and the High Social Meaning condition (HSM) in which religion was used as a group marker, containing the two most dominating religious groups in Brazil, catholic and evangelic, another group containing all the other affiliations e the fourth and last group representing atheists and agnostics. The ratio of donations in-group/out-group was roughly the same across both conditions. However, the amount of wafers donated to ingroup was significantly bigger in the HSM condition. By verifying which aspects of the individual best predicted the observed group bias, we discovered that the in-group Entitativity perception as well as the Group Identification were the most relevant variables, however, only in the HSM condition. Simultaneously, by verifying the generosity, biased or not, we observed that the agreeableness personality factor was the only variable able to predict it, and only in the LSM condition. We conclude that our generosity, or the lack of it, is for most part defined by our personality, the Agreeableness factor in particular. But this very generosity can be biased by the social meaning of the involved groups and that, if the social meaning is big enough, even people who, thanks to their personality, normally wouldn’t show generosity, are able to do so when the receiver is an in-group member.

O romance em baixo d’água: tipos comportamentais e escolha de parceiros em Betta splendens

Cada indivíduo apresenta uma respostas comportamental diferente diante de um desafio ambiental, muitas vezes mesmo quando comparado a outro indivíduo da mesma espécie, sexo e idade, essas diferenças são chamadas tipos comportamentais e quando consistentes ao longo do tempo caracterizam uma síndrome comportamental ou personalidade animal. Evidências apontam que a personalidade animal pode interferir na aptidão reprodutiva do indivíduo. Tendo isso em vista, no presente estudo machos e fêmeas adultos de Betta splendens foram observados em três contextos (exploratório, social e avaliação de risco), para identificar a existência de tipos comportamentais e diferenças entre os sexos nos tipos comportamentais nessa espécie. Os indivíduos foram classificados em três níveis em cada contexto: contexto social (social; intermediário e não-social), contexto exploratório (explorador, intermediário e não-explorador) e avaliação de risco (bold, intermediário e shy). Após essa classificação, machos sociais e nãosociais, exploradores e não-exploradores de coloração vermelha e azul foram utilizados no experimento de escolha de parceiro pelas fêmeas. Nossos resultados apontam que a maioria dos indivíduos testados possui fenótipos intermediários para os três contextos avaliados, e uma minoria de machos e fêmeas apresentaram tipos comportamentais. E a análise de correlação mostra que machos e fêmeas se comportaram de modo diferente em relação aos contextos. No experimento de escolha de parceiro, os resultados mostram que os tipos comportamentais da fêmea e do macho influenciam no processo de escolha de parceiro e que, mesmo na presença de pistas visuais (coloração corporal dos machos), o tipo comportamental continua sendo importante no processo de escolha.

O romance em baixo d’água: tipos comportamentais e escolha de parceiros em Betta splendens

Cada indivíduo apresenta uma respostas comportamental diferente diante de um desafio ambiental, muitas vezes mesmo quando comparado a outro indivíduo da mesma espécie, sexo e idade, essas diferenças são chamadas tipos comportamentais e quando consistentes ao longo do tempo caracterizam uma síndrome comportamental ou personalidade animal. Evidências apontam que a personalidade animal pode interferir na aptidão reprodutiva do indivíduo. Tendo isso em vista, no presente estudo machos e fêmeas adultos de Betta splendens foram observados em três contextos (exploratório, social e avaliação de risco), para identificar a existência de tipos comportamentais e diferenças entre os sexos nos tipos comportamentais nessa espécie. Os indivíduos foram classificados em três níveis em cada contexto: contexto social (social; intermediário e não-social), contexto exploratório (explorador, intermediário e não-explorador) e avaliação de risco (bold, intermediário e shy). Após essa classificação, machos sociais e nãosociais, exploradores e não-exploradores de coloração vermelha e azul foram utilizados no experimento de escolha de parceiro pelas fêmeas. Nossos resultados apontam que a maioria dos indivíduos testados possui fenótipos intermediários para os três contextos avaliados, e uma minoria de machos e fêmeas apresentaram tipos comportamentais. E a análise de correlação mostra que machos e fêmeas se comportaram de modo diferente em relação aos contextos. No experimento de escolha de parceiro, os resultados mostram que os tipos comportamentais da fêmea e do macho influenciam no processo de escolha de parceiro e que, mesmo na presença de pistas visuais (coloração corporal dos machos), o tipo comportamental continua sendo importante no processo de escolha.

Identidade pessoal em Hume e em Kant

The issue of this dissertation is the problem of personal identity. More specifically, the objective of this work is to investigate and compare how Hume and Kant construct, within their own philosophical systems, their theories of personal identity (of the self), so that these theories can set the grounds for the construction of theoretical knowledge. Hume’s theory of personal identity is closely connected to his empirical model of investigation, according to which no metaphysical conclusion can be accepted. This implies a very specific limitation to the humean description of personal identity. Because he can’t find a safe empirical reference for the self, Hume is obliged to describe it as a mere fiction, which the imagination creates to try to give unity to the set of perceptions that composes the mind. Kant, on the other hand, constructs his theory of the self with the aim of explaining the possibility of the a priori knowledge in Mathematics and in Physics. Kant tries to find which attributes must necessarily belong to the self so that this self can be, at the same time, the a priori transcendental condition of a subjectivity in general and the equally a priori transcendental condition for the construction of objective knowledge. Moreover, Kant shows the impossibility of objectively knowing, as intuition, the self, and limits himself to the description of the self as a mere subjective consciousness of the synthetic capacities of the understanding. Several disparities, thus, can be perceived between the theories of personal identity of these two authors. Based on these differences, the present work also examines the possibility of making an interpretation of the humean theory of the self by using elements of the kantian philosophy. The purpose of this kind of interpretation is to propose a solution to the difficulties faced by Hume in the description of his theory of personal identity.

A docência na educação superior: narrativas das diferenças políticas de sujeitos surdos

Deaf teachers presence at superior education triggers a series of reactions due to cultural differences. They feel the discomfort. The cultural difference defies the established power relations. From that emerge the trading spaces with their constant shocks about problems that affect the deaf teacher participation. The thesis goes through practice, resistance, resilience and political thinking of the deaf teacher at the Superior Education. Authors like: Foucault (2004), Hall (2009), Bhabha (1998), Touraine (2009) and Veiga-Netto (2010) underlie the concept of power relations that permeate this study. Perlin (2003); Ladd (2002) subsidize with the cultural focus. The investigation came from the question: How deaf teachers make their political stands in power relations established to the construction of their narratives at Superior Education? It had the goal of identify and chart the deaf teachers narratives at Superior Education. Leaving from the interview-narrative qualitative approach it was constituted a corpus with the collected narratives. These narratives were identified in order to achieve a thematic map express in the last chapter where the constant facts of the trading spaces of Superior Education shocks unfolds. The results point to an infinity of debates. The deaf teachers do not only present initial conditions of distress, doubt and difficulty at Superior Education, but also the disposition to discuss more the everyday power chains, waged by trading spaces. The identification of the narratives was vitally important to confirm the value of cultural and linguistic recognition as strategy for new politics to the structural power relations at the university context.

Determinantes da intenção de compra de marcas de automóveis de passageiros

No mercado automóvel as diferenças de qualidade nos vários produtos tem vindo a esbater-se ao longo dos últimos anos, desta forma, o desempenho das marcas resulta cada vez mais do esforço e das estratégias de marketing. Apesar da decisão de compra do automóvel ser exigente e requerer um elevado envolvimento dos consumidores, os fatores hedónicos assumem um protagonismo crescente, afinal o automóvel é, para a maioria das pessoas, uma extenção da sua personalidade ou da imagem que pretendem transmitir para a sociedade, não sendo somente um meio de transporte. Cada marca de automóveis e cada modelo transmite uma mensagem e um simbolismo que o consumidor deseja ou despreza e que condicionam a sua Intenção de Compra. Assim, interessa conhecer os fatores que influenciam a Intenção de Compra do automóvel. Nesse sentido, com base numa amostra de 861 potenciais compradores de automóvel realizou-se um estudo quantitativo, de natureza descritiva e conclusiva, com a finalidade de confirmar em que medida as variáveis selecionadas: Brand Equity, Brand Experience, Publicidade, Experiência Anterior, Word-of-Mouth Recebido e Imagem do País de Origem, determinam, direta ou indiretamente, a intenção de compra da marca de automóveis. Os resultados da estimação do modelo estrutural, através do PLS, evidenciaram que as experiências sensoriais e comportamentais explicam 22% da avaliação das experiências anteriores com a marca; a experiência anterior com a marca, a imagem do país de origem e o WOM explicam 52,8% da qualidade percecionada; a experiência anterior com a marca, a publicidade e o WOM recebido contribui para determinar 18,8% das associações à marca; a lealdade à marca, a qualidade percecionada e as associações à marca explicam 57,4% do brand equity; por fim, a lealdade à marca, a experiência anterior e o brand equity explicam 47,6% da intenção de compra de uma determinada marca de automóveis. Acresce ainda que o grupo de marcas de maior prestígio se destacam por uma maior promoção do marketing relacional e experiencial. Deste estudo, conclui-se que práticas do marketing relacional e experiencial devem ser usadas para estreitar o relacionamento com clientes e potenciais clientes e para promover o valor da marca. As experiências de marketing devem ser objeto de uma boa estratégia de comunicação integrada, suportada nas novas tecnologias.

Relatório de Estágio em Psicologia Clínica e da Saúde - Um estudo de caso de depressão

O objetivo deste relatório, é descrever todo o percurso do estágio realizado no Hospital Batista de Sousa (HBS). Este trabalho é imprescindível, para obtenção do grau de licenciatura no curso de psicologia. Durante o período de estágio em psicologia clínica e da saúde (sete meses), procuramos, estudar e compreender a caraterização dos serviços, intervenções e atividades realizadas no referido hospital. Este trabalho baseia-se fundamentalmente, na recolha, perceção e compreensão de vários casos que deram entrada no HBS, durante o período de estágio, e que tiveram de uma certa forma, o nosso envolvimento em maior ou menor grau. Cada caso tem por referência as suas hipóteses diagnosticadas, associada com a respetiva fundamentação teórica. No nosso estudo, em particular, destacamos dois casos, que formam a espinha dorsal do nosso trabalho. Em relação as hipóteses diagnosticas, o primeiro caso fundamenta-se teoricamente, no transtorno de personalidade Narcísico. (TPN). Já o segundo, abarca o transtorno da Depressão. Na conclusão do trabalho, procuramos através de nossas reflexões próprias, apresentar novas ideias e deixar um modesto contributo, como forma de participar no processo de desenvolvimento desta área de conhecimento no HBS.

Representações Sociais da Cannabis no Concelho de Góis

A cannabis permanece como a substância ilícita mais consumida no mundo. Defendida por uns e “diabolizada” por outros, constitui uma das substâncias psicoactivas mais polémicas. Alguns autores destacaram já, a importância do estudo das representações sociais das substâncias psicoactivas. No entanto, desconhecem-se investigações que abordem a representação social desta substância num espaço rural. São objectivos deste estudo: 1) conhecer as representações sociais da cannabis no que diz respeito à substância, ao consumidor e ao contexto da utilização, 2) identificar as diferenças existentes entre utilizadores e não utilizadores desta substância da amostra em estudo. Para concretizar estes objectivos, foi realizado um estudo qualitativo que recorreu a uma dupla abordagem etno-metodológica e fenomenológica. Foram realizadas 30 entrevistas a indivíduos residentes nas duas maiores freguesias do concelho de Góis que, depois de transcritas, foram objecto de análise de conteúdo. No espaço rural considerado, a cannabis é maioritariamente representada como uma “droga”, indutora de uma sensação de mal-estar e causadora de dependência. Para os participantes o utilizador é percebido como detentor de características de personalidade negativas, que o induzem ao consumo. Relativamente ao eixo espacial, o espaço rural, e mais especificamente o concelho de Góis é representado como local de consumo e de produção da cannabis herbácea. Há uma distinção clara entre a representação social dos participantes que não utilizam a substância e os que utilizam. O último grupo representa-a como uma “droga leve”, e mostra-se esclarecido sobre as possíveis consequências da sua utilização. Neste grupo é ainda evidente a valorização da cannabis herbácea, em detrimento dos seus derivados. /

Vinculação, Estilos Educativos Parentais e Esquemas Precoces Mal Adaptativos em Reclusos

Introdução: Sobretudo estudos internacionais focam a importância da vinculação e dos estilos educativos parentais no desenvolvimento de comportamentos delinquentes e antissociais. Em Portugal, alguns estudos focados na população reclusa, analisam, separadamente, estilos educativos parentais, personalidade e esquemas precoces mal adaptativos mas, segundo sabemos, nenhum explora, simultaneamente, a vinculação, os estilos educativos parentais e os esquemas precoces mal adaptativos nesta população. São nossos objetivos caracterizar uma amostra de reclusos quanto à vinculação em diferentes relacionamentos, estilos educativos parentais e esquemas precoces mal adaptativos (EPM) e, sobretudo, explorar associações entre estas três variáveis (e destas com variáveis sociodemográficas, familiares, clínicas e relativas à pena). Metodologia: 44 reclusos do sexo masculino (M = 37,3 anos; DP = 10,98; variação = 23-67) preencheram voluntariamente um questionário sociodemográfico e os seguintes instrumentos: EMBU – Memórias de Infância, Experiências em Relações Próximas - Questionário de Estruturas Relacionais e Questionário de Esquemas de Young (QEY). Resultados: Verificou-se, quanto às associações entre vinculação e estilos educativos parentais que: menor suporte emocional paterno associou-se a maior evitamento pai, evitamento mãe e evitamento companheira; menor suporte emocional materno associou-se a maior evitamento mãe, evitamento pai, ansiedade mãe e ansiedade pai; maior rejeição paterna associou-se a maior evitamento mãe, evitamento pai, ansiedade mãe e ansiedade pai; maior rejeição materna associou-se a maior evitamento pai e evitamento mãe. No que toca às associações entre as dimensões de vinculação e EPM, é de enfatizar a associação positivas entre os EPM do domínio distanciamento e rejeição com o evitamento mãe, ansiedade mãe e ansiedade pai, particularmente, os EPM de abandono, desconfiança/abuso e isolamento social, por consistentemente se associaram às dimensões de vinculação. No domínio autonomia e desempenho deteriorados, o fracasso e a dependência/incompetência associaram-se positivamente ao evitamento mãe, a dependência/incompetência à ansiedade pai e o fracasso ao evitamento companheira. Quanto ao domínio limites deteriorados, a grandiosidade associou-se positivamente à ansiedade pai. No domínio vigilância e inibição o pessimismo/negativismo correlacionou-se positivamente com a ansiedade mãe e pai e a autopunição com a ansiedade mãe. Quanto às associações entre dimensões de estilos educativos parentais e os EPM, o domínio distanciamento e rejeição apresentou, de novo resultados relevantes: menores níveis de suporte emocional materno associaram-se a maiores níveis de privação emocional; maiores níveis de rejeição e sobreproteção materna e paterna a maiores os níveis de abandono; maiores níveis de rejeição materna e paterna a maiores níveis de desconfiança/abuso; maiores níveis de rejeição materna e sobreproteção materna e paterna a maiores níveis de isolamento social; maiores níveis de rejeição e sobreproteção paterna a maiores níveis de defeito. Enfatiza-se, também, a associação entre níveis maiores de rejeição paterna e os EPM de grandiosidade, padrões excessivos e pessimismo. Maiores níveis de rejeição materna associaram-se a maiores níveis de pessimismo e autopunição. Discussão: Embora numa amostra pequena, este estudo explorou, pela primeira vez, numa amostra de reclusos portugueses, em simultâneo, associações entre a vinculação, os estilos educativos parentais e os esquemas precoces mal adaptativos. O domínio esquemático distanciamento e rejeição parece ser o mais influenciado pela vinculação estabelecida em diferentes relacionamentos e pelos estilos educativos parentais. / Introduction: Mainly international studies focus on the importance of attachment and parental rearing styles in the development of delinquent and antisocial behaviors. In Portugal some studies focused in the inmate population analyze, separately, parental rearing styles, personality and early maladaptive schemas but, to our knowledge, none simultaneously explores attachment, parental rearing styles and early maladaptive schemas in this population. It is our objective to characterize a sample of inmates concerning attachment in different relationships, parental rearing styles and early maladaptive schemas (EMS) and, above all, explore associations between this three variables (and also with sociodemographic, family, clinic and sentence related variables). Methodology: 44 male inmates (M = 37,3 years; SD = 10,98; variation = 23-67) voluntarily filled in a sociodemographic questionnaire and the following instruments: EMBU – Childhood Memories, Experiments in Close Relationships – Structural Relationship Form and the Young Schema Questionnaires (YSQ) Results: we verified, regarding associations between attachment and parental rearing styles that: less paternal emotional support associated with higher father avoidance (in attachment), mother avoidance and partner avoidance; less maternal emotional support associated with higher mother avoidance, father avoidance, mother anxiety and father anxiety; higher paternal rejection associated with higher mother avoidance, father avoidance, mother anxiety and father anxiety; higher mother rejection associated with father avoidance and mother avoidance. Regarding associations between attachment dimensions and EMS, we emphasize positive associations between EMS in the disconnection and rejection domain with mother avoidance, mother anxiety and father anxiety, particularly, the abandonment, distrust/abuse and social isolation EMS, as they were consistently associated with the this attachment dimension. In the impaired autonomy and performance domain, the failure and dependency/incompetence EMS are positively associated with mother avoidance, the dependence/incompetence EMS to father anxiety and failure to partner avoidance. About the impaired limits domain, grandiosity EMS positively associated with father anxiety. In the overvigilance and inhibition domain, pessimist/negativism EMS positively correlated with mother and father anxiety and self-punishment EMS with mother anxiety. About the associations between parental rearing styles and the EMS, the disconnection and rejection domain presented again relevant results: lower levels of maternal emotional support associated with higher levels of emotional deprivation; higher levels of maternal and paternal rejection and overprotection associated with higher levels of abandonment; higher levels of maternal and paternal rejection associated with higher levels of distrust/abuse; higher levels of maternal rejection and maternal and paternal overprotection associated with higher levels of social isolation; higher levels of paternal rejection and overprotection associated with higher levels of defectiveness. We also emphasize the association between higher levels of paternal rejection and the grandiosity, excessive patterns and pessimism EMS. Higher levels of maternal rejection associated with higher levels of pessimism and self-punishment EMS. Discussion: Although in a small sample, this study explored, for the first time, in sample of Portuguese inmates, simultaneously, the associations between attachment, parental rearing styles and early maladaptive schemas. The schematic domain of disconnection and rejection seems to be the most influenced by the established attachment in different relationships and by parental rearing styles.

Ansiedade em face da morte em Agentes Funerários

Ao pensar na morte há um reconhecimento da vulnerabilidade humana e da própria fragilidade da vida. A morte é universal, mas experienciada de uma forma individualizada por cada um de nós, a partir da personalidade, experiências de vida, variáveis pessoais, idade, sexo, religião. Vivenciar a morte e o morrer poderá conduzir a sensações de medo e ansiedade. Os agentes funerários que lidam diariamente com a morte e com o “luto” (do corpo morto e dos familiares em relação ao ente querido que perderam) poderão estar expostos a sentimentos de ansiedade depressiva pela ativação diária do confronto com a própria morte, ou com a morte de pessoas a quem estão intimamente ligados. É objetivo deste estudo avaliar os níveis de ansiedade em face da morte em agentes funerários, e ainda explorar a eventual associação entre fatores sociodemográficos e profissionais selecionados e esta variável. A amostra é composta por 60 sujeitos de uma empresa funerária em Portugal. Os instrumentos psicométricos utilizados foram a Escala de Ansiedade face à Morte (DAQ), e um questionário sociodemográfico desenhado para o presente estudo. Os resultados globais mostram que os Agentes Funerários apresentam níveis de ansiedade face à morte estatisticamente significativos (M = 35,88; DP = 9,02). O género, a idade, religião, anos de experiência, estado civil, terem filhos, ter morrido alguém próximo ou significativo, especificidade de trabalho: ser comercial ou operacional o número de contatos, não marcam significativamente a forma como os sujeitos em estudo percecionam a sua ansiedade em face da morte. Os níveis de ansiedade aumentam entre aqueles que não tiveram formação específica para lidar com estas situações. / When thinking about death there is recognition of human vulnerability and fragility of life itself. Death is universal but experienced individually by each of us, through personality, life experiences, personal variables, age, sex, religion. Experiencing death and dying can lead to feelings of fear and anxiety. Funeral Agents who daily deal with death and with the "mourning" (the dead body and the family of the deceased) may be exposed to feelings of depressive anxiety activated by the daily confrontation with death itself or death of people who are close to them. The aim of this study is to assess the levels of anxiety in Funeral Agents when facing death, and also explore the eventual association of social-demographic and professional factors with this variable. The sample consisted of 60 subjects of a Portuguese Funeral company. The instruments used were the Death Anxiety Questionnaire (DAQ) and a socialdemographic questionnaire designed for the present study. The overall results show that Funeral Agents present anxiety levels statistically significant when facing death (M = 35.88, SD = 9.02). Gender, age, religion, years of experience, marital status, having children, the death of someone close or important, and the specificity of the job (commercial or operational agent), the number of contacts, show no statistically significant association with anxiety when facing death. However, the levels of anxiety increase among those who had had no specific formation to deal with these situations.