A inserção da família no processo socioeducativo de adolescentes em privação de liberdade

This master thesis has the main goal investigate how families are inserted in the socioeducational process of teenagers who are undergoing social measures of liberty deprivation. The specific objectives are: to characterize the family´s living together of adolescents deprived of their freedom and their families, from the actions and routines of the socio-educational system; to assess the professional working links in the context of socio-education, in order to care and strengthening families of the adolescents; to investigate how families evaluate the operation of socio-educational process in which adolescents are met. Method: to achieve the proposed objectives, data collection occurred in complementary steps: the first phase took place from visits to socioeducational units of liberty deprivation of RN, and dialogues with professionals working in socio-education. Subsequently, action research stage was carried out, from the insertion of the researcher in the extension project Family and the struggle for the effectiveness of the National Socio Service System, that aimed to strengthen monitoring the adolescents socio-education by their families, and had as methodology the conversation circles and thematic workshops. Lastly, were performed reading and analysis of the references to the family in the Individual Care Plans (PIAs) for adolescents. The information gathered was recorded in field diaries and subjected to thematic content analysis. This research was guided by the Marxist theoretical framework, structured on the understanding of the involvement of adolescents with illegal acts as a development and expression of the social question. From this theoretical framework, the prevailing view in the capitalist society of adolescents in conflict with the law as individuals who are treated by means of repression and segregation and the weakness of social policies is questioned, both in the execution of their own socioeducational measures as the articulation of network services for adolescent protection and strengthening your family. Results: in relation to the operation of the socioeducational system in RN in general, it was observed a state of unhealthy physical spaces and institutional practices that violate human rights, idleness and lack of access to social rights, and criminalization and institutionalization of poor young people and their families. With regard to family´s living together, it was noticed great distance between principles and guidelines recommended by the SINASE, about acquaintanceship and family strengthening, and every day practices of socio-education in RN: serious violations were observed that undermine the family´s living together, as the distance between the socio-educational units of deprivation of liberty and the cities where families live; absence, irregularity and poor conditions in carrying out the family visits; lack of conjugal visits; restricted and unarticulated actions for the care and strengthening of the families of adolescents, most of whom live in poverty or extreme poverty. Finally, it was found a number of blamefully and punishments to the family, including practices such as inward inspection (visual inspection while naked and squant), plus a series of violence and omissions care that sick family members and weaken the links between adolescents and their families.

Motivational, volitional and multiple goal predictors of walking in people with type 2 diabetes

Acknowledgment MN's PhD scholarship was provided by Ministry of Health and Medical Education (Islamic Republic of Iran). This study was funded by the University of Aberdeen. FFS is funded by Fuse, the UK Clinical Research Collaboration Centre of Excellence for Translational Research in Public Health. The researchers gratefully acknowledge all the Type 2 diabetic patients and their household members who participated in the study for their contribution to this study; without them there would be no data. The researchers gratefully acknowledge the SDRN for providing the list of Type 2 diabetes and helping for sampling.

Motivational, volitional and multiple goal predictors of walking in people with type 2 diabetes

Acknowledgment MN's PhD scholarship was provided by Ministry of Health and Medical Education (Islamic Republic of Iran). This study was funded by the University of Aberdeen. FFS is funded by Fuse, the UK Clinical Research Collaboration Centre of Excellence for Translational Research in Public Health. The researchers gratefully acknowledge all the Type 2 diabetic patients and their household members who participated in the study for their contribution to this study; without them there would be no data. The researchers gratefully acknowledge the SDRN for providing the list of Type 2 diabetes and helping for sampling.

On-line puzzle game based assessment & training for ADHD

Attention-deficit hyperactivity disorder (ADHD) is the most prevalent and impairing neurodevelopmental disorder, with worldwide estimates of 5.29%. ADHD is clinically characterized by hyperactivity-impulsivity and inattention, with neuropsychological deficits in executive functions, attention, working memory and inhibition. These cognitive processes rely on prefrontal cortex function; cognitive training programs enhance performance of ADHD participants supporting the idea of neuronal plasticity. Here we propose the development of an on-line puzzle game based assessment and training tool in which participants must deduce the ‘winning symbol’ out of N distracters. To increase ecological validity of assessments strategically triggered Twitter/Facebook notifications will challenge the ability to ignore distracters. In the UK, significant cost for the disorder on health, social and education services, stand at £23m a year. Thus the potential impact of neuropsychological assessment and training to improve our understanding of the pathophysiology of ADHD, and hence our treatment interventions and patient outcomes, cannot be overstated.

Constructing the Vulvar Pain Assessment Questionnaire Inventory

The goals of this program of research were to examine the link between self-reported vulvar pain and clinical diagnoses, and to create a user-friendly assessment tool to aid in that process. These goals were undertaken through a series of four empirical studies (Chapters 2-6): one archival study, two online studies, and one study conducted in a Women’s Health clinic. In Chapter 2, the link between self-report and clinical diagnosis was confirmed by extracting data from multiple studies conducted in the Sexual Health Research Laboratory over the course of several years. We demonstrated the accuracy of diagnosis based on multiple factors, and explored the varied gynecological presentation of different diagnostic groups. Chapter 3 was based on an online study designed to create the Vulvar Pain Assessment Questionnaire (VPAQ) inventory. Following the construct validation approach, a large pool of potential items was created to capture a broad selection of vulvar pain symptoms. Nearly 300 participants completed the entire item pool, and a series of factor analyses were utilized to narrow down the items and create scales/subscales. Relationships were computed among subscales and validated scales to establish convergent and discriminant validity. Chapters 4 and 5 were conducted in the Department of Obstetrics & Gynecology at Oregon Health & Science University. The brief screening version of the VPAQ was employed with patients of the Program in Vulvar Health at the Center for Women’s Health. The accuracy and usefulness of the VPAQscreen was determined from the perspective of patients as well as their health care providers, and the treatment-seeking experiences of patients was explored. Finally, a second online study was conducted to confirm the factor structure, internal consistency, and test-retest reliability of the VPAQ inventory. The results presented in these chapters confirm the link between targeted questions and accurate diagnoses, and provide a guideline that is useful and accessible for providers and patients.

Psychosocial Functioning in Women with Symptoms of Persistent Genital Arousal

Persistent genital arousal disorder (PGAD) is characterized by physiological sexual arousal (vasocongestion, sensitivity of the genitals and nipples) that is described as distressing, and sometimes painful. Although awareness of PGAD is growing, there continues to be a lack of systematic research on this condition. The vast majority of published reports are case studies. Little is known about the symptom characteristics, biological factors, or psychosocial functioning associated with the experience of persistent genital arousal (PGA) symptoms. This study sought to characterize a sample of women with PGA (Study One); compare women with and without PGA symptoms on a series of biopsychosocial factors (Study Two); and undertake an exploratory comparison of women with PGA, painful PGA, and genital pain (Study Three)—all within a biopsychosocial framework. Symptom-free women, women with PGA symptoms, painful PGA, and genital pain, completed an online survey of biological factors (medical history, symptom profiles), psychological factors (depression, anxiety) and social factors (sexual function, relationship satisfaction). Study One found that women report diverse symptoms associated with PGA, with almost half reporting painful symptoms. In Study Two, women with symptoms of PGA reported significantly greater impairment in most domains of psychosocial functioning as compared to symptom-free women. In particular, catastrophizing of vulvar sensations was related to symptom ratings (i.e., greater severity, distress) and psychosocial outcomes (i.e., greater depression and anxiety). Finally, Study Three found that women with PGA symptoms reported some overlap in medical comorbidities and symptom expression as those with combined PGA and vulvodynia and those with vulvodynia symptoms alone; however, there were also a number of significant differences in their associated physical symptoms. These studies indicate that PGA symptoms have negative consequences for the psychosocial functioning of affected women. As such, future research and clinical care may benefit from a biopsychosocial approach to PGA symptoms. These studies highlight areas for more targeted research, including the role of catastrophizing in PGA symptom development and maintenance, and the potential conceptualization of both PGA and vulvodynia (and potentially other conditions) under a general umbrella of ‘genital paraesthesias’ (i.e., disorders characterized by abnormal sensations, such as tingling and burning).

Bridging the Gap: Developing a Palliative Approach to Care for Young Adults with Life Limiting Conditions

Bridging the Gap: Developing a Palliative Approach to Care for Young Adults with Life Limiting Conditions

More young adults (YAs) with life limiting conditions (LLC) are surviving into adulthood as earlier diagnosis and improved medical management in pediatric care lead to higher rates of survival for cancer, congenital heart and neuromuscular conditions. When these YAs leave pediatric care, they leave behind comprehensive and coordinated health, social and education services for uncoordinated adult systems, with limited access to palliative services they received in pediatric care.

YAs with LLCs will benefit from a public health palliative approach to care. This approach better matches their chronic disease trajectories of a series of declining plateaus over a period of months to years, punctuated by unpredictable periodic crises. Public health palliative care is a blended provision of health care and community services based on evidence that health care is most effective and least expensive when offered in conjunction with a complement of services that reflects social determinants of health and well-being. For YAs with LLCs, these resources will support their health, social, vocational, independent living, and educational goals to maximize their opportunities in an abbreviated time frame.


The objectives of this workshop are to:

1. Provide an overview of the young adult population with palliative care needs.
2. Discuss current care of this population.
3. Highlight results from three recent projects to examine and address needs of this population.
4. Dialogue with audience about other programs, initiatives, or ideas to address the needs of this population.

We look forward to robust conversations and ideas from your practice and research.

Healthy Ireland Survey 2015 - Summary of Findings

The Healthy Ireland Survey is an interviewer-administered survey with interviews conducted on a face-to-face basis with individuals aged 15 and over. The initial wave of this survey involved 7,539 interviews. Fieldwork was conducted between November 2014 and August 2015.

Propriedades Psicométricas da Figura Complexa de Rey numa Amostra de Adultos da População Portuguesa

A Figura Complexa de Rey-Osterrieth (FCR-O) é um teste de avaliação neuropsicológica realizado em três momentos, que avalia a habilidade visuoespacial, organização percetiva, aptidão visuoespacial construtiva, memória visual, atenção, planificação e função motora. Esta investigação tem como objetivo avaliar as propriedades psicométricas da FCR-O, numa amostra de adultos da população portuguesa. O protocolo de investigação incluiu uma bateria de testes neuropsicológicos: Figura Complexa de Rey (FCR-O), Teste do Desenho do Relógio (TDR), Bateria de Avaliação Frontal (FAB), Rey 15 Item, Matrizes Progressivas de Raven (MPR) e a Escala de Auto-Avaliação da Ansiedade de Zung. A amostra deste estudo abrangeu 453 sujeitos, 192 homens e 261 mulheres, com idades compreendidas entre os 18 e os 90 anos (M = 40,44; DP = 19,78). Os resultados principais deste estudo indicam que a FCR-O é influenciada por diversas variáveis, tais como a idade, sexo, escolaridade, profissão, residência e regiões, apresentando uma validade convergente adequada, com correlações positivas com o TDR, FAB e MPR. A título conclusivo, verificámos que a FCR-O tem caraterísticas psicométricas satisfatórias, especificamente da consistência interna, concordância entre juízes e estabilidade temporal, sugerindo a sua utilização em populações não clínicas. / The Rey–Osterrieth complex figure (ROCF) is a neuropsychological test which was conducted in three phases to assess visuospatial ability, perceptive organization, constructive visuospatial ability, visual memory, attention, planning and motor function. This investigations aims to evaluate the psychometric properties of ROCF, in an adult sample of the Portuguese population. The investigation protocol includes a battery of neuropsychological tests: Complex Figure of Rey, Clock Drawing Test, Frontal Assessment Battery, Rey Item 15, Raven Progressive Matrices and the Zung Self-Rating Anxiety Scale. The sample of this study consisted of 453 subjects, 192 men and 261 women, aged between 18 and 90 years old (M = 40.44, SD = 19.78). The result of this study indicate that the ROCF is influenced by several variables, such as age, sex, education, profession, residence and regions. It also has adequate convergent validity, with positive correlations with TDR, FAB and MPR. In conclusion, we verified that the ROCF is a useful instrument to early detect some neuropsychological deficits. It revealed satisfactory psychometric characteristics, specifically in internal consistency, agreement between judges and temporal stability, suggesting its usage in no clinical populations.

Propriedades Psicométricas do Teste Stroop numa Amostra de Adultos da População Portuguesa: estudo preliminar

Objetivos: O presente estudo insere-se no Projeto - Estudos Normativos de Instrumentos Neuropsicologicos (ENIN) e tem por objetivo analisar as propriedades psicométricas do Teste Stroop, fornecendo dados normativos de uma amostra da População Portuguesa. Métodos: Selecionámos e inquirimos 671 sujeitos. As variáveis independentes estudadas foram idade, sexo, escolaridade e profissão. Foram utilizados vários testes neste estudo, contribuindo para a obtenção de validade convergente: Bateria de Avaliação Frontal-FAB, Figura Complexa de Rey-Osterrieth e Teste do Relógio. Foram estudadas a consistência interna e a estabilidade temporal do Teste Stroop. Resultados: A nossa amostra ficou constituída por 310 sujeitos (46,2%) do sexo masculino e 361 (53,8%) do sexo feminino, com idades compreendidas entre os 18 e 100 anos (M = 41,12; DP = 20,85). No que se refere ao nível de escolaridade (M = 5,71; DP = 1,45), este variou entre o 1º Ciclo do Ensino Básico e o Ensino Superior. As profissões, exercidas inseriram-se maioritariamente na categoria das profissões intelectuais (N = 281; 84,9%). Relativamente às variáveis sociodemográficas, verificámos que a idade, sexo, escolaridade e profissão influenciam nas provas de Leitura e Nomeação de Cor do Teste Stroop. No que diz respeito à validade convergente, observámos que a prova de Nomeação de Cor apresentou correlações positivas fracas com o FAB, Figura Complexa de Rey-Cópia (FCR-Cópia) e Teste do Relógio, e correlações positivas moderadas com a prova de Leitura. A consistência interna do Teste Stroop apresentou uma elevada confiabilidade (α = 0,99). A correlação teste-reteste apenas se mostrou significativa para a prova de Nomeação de Cor. Conclusão: Este estudo mostra que o Teste Stroop é promissoriamente confiável como instrumento de avaliação neuropsicológica, podendo potencialmente ser utilizado para qualquer faixa etária da população. Em estudos futuros são necessárias amostras com números mais elevados de participantes nas faixas etárias acima dos 30 anos, representativas dos níveis de escolaridade abaixo do 9ºano, a exercerem profissões manuais, e com residência noutras regiões geográficas para além do Centro. / Objectives: The present study is part of the Project - Estudos Normativos de Instrumentos Neuropsicologicos (ENIN) and aims to analyze the psychometric properties of the Stroop test. Methods: We have selected, and we also enquired 671 subjects. The independent variables studied were age, gender, education and profession. Several tests were used in this study for analysis of convergent validity: convergent validity: Frontal Assessment Battery-FAB, Complex Figure Rey-Osterrieth and the clock test. We also studied the internal consistency and the temporal stability of the Stroop test. Results: Our sample was composed of 310 subjects (46.2%) male and 361 (53.8%) females, with ages between 18 and 100 years (M = 41.12; SD = 20.85). The level of schooling (M = 5.71; SD = 1.45) ranged between the 1st cycle and the Higher Education. The professions were mainly intellectual ones (N = 281; 84.9%). On sociodemographic variables, we found that the age, sex, education and profession influenced reading and Color naming of Stroop test. Regarding convergent validity, Color naming showed weak positive correlations with the FAB, Complex Figure Rey-Copy, and the clock test. Color naming moderate positive correlations with the reading. The internal consistency of the Stroop test was high (α = 0.99). The test-retest correlation was significant only for Color naming. Conclusion: This study shows that the Stroop test is promissory reliable instrument of neuropsychological assessment and may potentially be used for any age range of the population. In future research, it is necessary to enroll samples with higher numbers of participants above 30 years, representative of the levels of schooling below the 9º grade, with more manual professions represented, and with residence in other geographic regions in addition to the Center region of Portugal.

Estudo Preliminar das Propriedades Psicométricas e dos Dados Normativos da Forma Geral das Matrizes Progressivas de Raven numa Amostra da Comunidade

Objetivo: Estudar as propriedades psicométricas e os dados normativos da Forma Geral das Matrizes Progressivas de Raven numa amostra da comunidade da população portuguesa. Método: A amostra é constituída por 697 pessoas (314 homens e 383 mulheres), com idades compreendidas entre os 12 e os 90 anos. Todos os participantes preencheram uma declaração de consentimento informado e uma bateria de testes neuropsicológicos, incluindo a Forma Geral das Matrizes Progressivas de Raven (FG-MPR), Teste de Memória de 15-Item de Rey, Escala de Autoavaliação de Ansiedade de Zung, Bateria de Avaliação Frontal e Figura Complexa de Rey. Resultados: A média na FG-MPR foi de 44,47 (DP = 10,78). Os resultados demonstraram que todas as variáveis sociodemográficas (idade, sexo, escolaridade, profissão, regiões e tipologia de áreas urbanas), exceto o estado civil, apresentaram ter influência significativa nas pontuações da FG-MPR. A confiabilidade e a estabilidade temporal da FG-MPR revelaram-se adequadas. A análise fatorial exploratória e confirmatória mostrou que o modelo para um fator não é adequado. Um modelo a quatro fatores continua a não ser adequado. Conclusão: Os dados do presente estudo sugerem que se trata de um instrumento com potencialidades na sua utilização junto da população portuguesa. / Purpose: To study the psychometric properties and date normative of the Raven’s Standard Progressive Matrices in a Portuguese community sample. Method: The sample consists of 697 people (314 men and 383 women), aged between 12 and 90 years. All participants filled an informed consent form and a battery of neuropsychological tests, which included Raven’s Standard Progressive Matrices (RSPM), Rey 15-Item Memory Test, Zung Self-Rating Anxiety Scale, Frontal Assessment Battery, and Rey Complex Figure Test. Results: The average in RSPM was 44.47 (SD = 10.78). The results showed that all of the sociodemographic variables (age, sex, education, profession, region, and typology of urban areas), with the exception of civil status, showed significant influence on RSPM scores. The reliability and temporal stability of RSPM were adequate. Exploratory and Confirmatory factor analysis showed that the model is not better explained by one factor. A two-factor model was not also suitable. Conclusion: The data from this study suggest that it is an instrument with potential for its use among the Portuguese population.

Qualidade Subjetiva do Sono, Sintomas Depressivos e Sentimentos de Solidão em Idosos Institucionalizados e Não Institucionalizados

Parece existir uma associação entre solidão e uma pobre qualidade subjetiva do sono. Em reforço desta ideia, alguns estudos mostraram que os sentimentos de solidão se associam a uma menor satisfação do sono, mesmo que a sua duração não esteja diminuída. Outros mostraram que a solidão se associa a sintomas depressivos. Sabe-se que na institucionalização são frequentes os problemas de sono, depressão e solidão. No entanto, falta saber o que se passa nas respostas sociais portuguesas. Assim foram os nossos principais objetivos descrever a qualidade subjetiva do sono e analisar a intensidade dos sintomas depressivos e dos sintomas de solidão em idosos institucionalizados, comparar com uma subamostra de idosos não institucionalizados e analisar a relação entre estas variáveis nas duas subamostras. Cento e quarenta idosos, com 70 institucionalizados e 70 não institucionalizados foram emparelhados por idade, sexo, escolaridade, estado civil e sem défice cognitivo. A média de idades foi de 76,58 (DP = 6,10), sendo 104 mulheres e 36 homens. Como instrumentos para a análise utilizámos um Questionário Sociodemográfico, o Questionário sobre o Sono na Terceira Idade, o Inventário de Depressão Geriátrica e a Escala de Solidão da Universidade da Califórnia, Los Angeles. Verificou-se que os idosos institucionalizados apresentavam mais sentimentos de solidão do que os não institucionalizados. Contudo, não se verificaram diferenças entre as duas subamostras em relação aos sintomas depressivos e à qualidade subjetiva do sono. Através de uma análise correlacional verificou-se nas duas subamostras que quanto pior a qualidade subjetiva do sono mais sintomas depressivos se observavam e quanto mais sintomas depressivos, mais sentimentos de solidão. Concluímos que não houve diferenças na qualidade subjetiva do sono pelo tipo de resposta social ainda que haja mais sintomas depressivos e sintomas de solidão nos idosos institucionalizados. Não encontrámos também relação entre o sono e a solidão nos idosos institucionalizados. / There seems to be an association between loneliness and poor subjective sleep quality. In support of this idea, some studies have shown that feelings of loneliness are associated with less satisfaction sleep, even if your life is not diminished. Others have shown that loneliness is associated with depressive symptoms. It is known that in the institutionalization are frequent problems with sleeping, depression and loneliness. However, lack know what is happening in the Portuguese social responses. So were our main objectives describe the subjective quality of sleep and analyze the intensity of depressive symptoms and loneliness symptoms in institutionalized elderly, compared with a non-institutionalized elderly subsample and analyze the relationship between these variables in both subsamples. One hundred and forty older adults, with 70 institutionalized and 70 non-institutionalized were matched by age, sex, education, marital status and without cognitive impairment. The average age was 76.58 (SD = 6.10), including 104 women and 36 men. As tools for the analysis we used a sociodemographic questionnaire, the Questionnaire About Sleep in the Older Adults, Geriatric Depression Inventory and the Loneliness Scale of the University of California, Los Angeles. It was found that the institutionalized older adults had more feelings of loneliness than noninstitutionalized. However, there were no differences between the two subsamples in relation to depressive symptoms and subjective sleep quality. Through a correlational analysis it was found in the two subsamples that the worse the subjective sleep quality more depressive symptoms were observed and the more depressive symptoms, more feelings of loneliness. We concluded that there no differences in subjective sleep quality by the type of social response even though there are more depressive symptoms and symptoms of loneliness in the elderly. Also we did not find relationship between sleep and loneliness in the elderly.

Qualidade subjetiva do sono, sintomas depressivos, sentimentos de solidão e institucionalização em pessoas idosas

RESUMO Objetivos: A presente investigação teve como principais objetivos descrever a qualidade subjetiva do sono e as perturbações do sono e analisar a intensidade dos sintomas depressivos e dos sentimentos de solidão em idosos institucionalizados; comparar estes dados com um grupo de idosos não institucionalizados e analisar a relação entre estas variáveis nos dois grupos. Métodos: Este estudo insere-se no Projeto Trajetórias do Envelhecimento de Idosos em Resposta Social de onde foi retirada uma amostra de cento e quarenta idosos sem défice cognitivo, com 70 institucionalizados e 70 não institucionalizados emparelhados por idade, sexo, escolaridade e estado civil. A média de idades foi de 76,58 (DP = 6,10), incluindo 104 mulheres e 36 homens. Como instrumentos foram utilizados um Questionário Sociodemográfico, o Questionário sobre o Sono na Terceira Idade, a Escala Geriátrica de depressão e a Escala de Solidão da Universidade da Califórnia, Los Angeles. Resultados: Verificou-se que os idosos institucionalizados apresentavam mais sentimentos de solidão do que os não institucionalizados. Contudo, não se verificaram diferenças entre os dois grupos em relação aos sintomas depressivos, qualidade subjetiva do sono ou perturbações do sono, com algumas exceções: os idosos residentes na comunidade mostraram ter a perceção de demorar mais tempo a adormecer, de acordar mais cedo e de ter mais pesadelos. Através de uma análise correlacional verificou-se, na amostra global, que quanto pior a qualidade subjetiva do sono mais sintomas depressivos se observavam e quanto mais sintomas depressivos, mais sentimentos de solidão, não havendo, contudo, relação entre o sono e a solidão. Conclusões: Concluímos que a situação de institucionalização se acompanha de mais sentimentos de solidão, mas não de sintomas depressivos ou de pior qualidade de sono. Por esse motivo, sugere-se que se desenvolvam programas de intervenção dirigidos à solidão em idosos institucionalizados. ABSTRACT Aims: The main objectives of this investigation were to describe the subjective quality of sleep and sleep disorders and analyze the intensity of depressive and loneliness symptoms in institutionalized elderly people; compare these data against a non-institutionalized elderly people subsample and analyze the relationship between these variables in both subsamples. Method: This study is part of Trajectories of Elderly Aging in Social Response Project from which a sample of one hundred and forty elderly people with no cognitive impairment was taken, with 70 institutionalized and 70 non-institutionalized matched by age, sex, education, and marital status. The average age was 76.58 (SD = 6.10), including 104 women and 36 men. The tools used for this analysis were a sociodemographic questionnaire, the Questionnaire About Sleep in the Older Adults, Geriatric Depression Scale, and the Loneliness Scale of the University of California, Los Angeles. Results: The study confirmed that institutionalized elderly people had more feelings of loneliness than those non-institutionalized. However, there were no differences between the two subsamples regarding depressive symptoms and subjective sleep quality or sleep disturbances, with some exceptions: Elderly people living in the community showed to have the perception of taking more time to fall asleep, waking up earlier, and having more nightmares. Through a correlational analysis it was found, in both subsamples, that the worse the subjective sleep quality the more depressive symptoms were observed; and the more depressive symptoms, the more feelings of loneliness, despite of not existing a relation between sleep and loneliness. Conclusions: We concluded that institutionalization is linked to more feelings of loneliness but not to depressive symptoms nor to worse quality of sleep. For this reason, it is suggested that intervention programs are developed with a focus on elderly institutionalized populations.

Memória e envelhecimento: Qual o real impacto da idade?

RESUMO Objetivos. O défice mnésico é uma das alterações cognitivas que mais afeta as pessoas idosas. A idade é considerada um dos fatores de relevo nas alterações de memória, inclusivamente pelas próprias pessoas idosas. A investigação tem mostrado que existem outros fatores além da idade que afetam a memória das pessoas idosas. Contudo, fica por esclarecer qual o real papel da idade sobre a memória quando é controlada a influência de outras variáveis. Assim, o presente estudo pretende analisar o impacto da idade no funcionamento mnésico de pessoas idosas e verificar se, ao controlar o papel de outras variáveis (sexo, escolaridade, profissão, situação civil, situação residencial e situação clínica), esse potencial impacto se mantém. Métodos. A amostra global foi constituída por 1126 participantes (283 homens e 843 mulheres; 226 residentes na comunidade e 900 em resposta social dirigida à população idosa) com idades compreendidas entre os 60 e os 100 anos. A avaliação foi realizada com recurso aos itens do Mini-Mental State Examination (memória de trabalho), o fator do Montreal Cognitive Assessment (memória declarativa verbal) e Figura Complexa de ReyOsterrieth (memória visuoespacial). Resultados. Globalmente, a idade, escolaridade, profissão, situação civil, residencial e clínica influenciaram a memória de forma diferenciada consoante o tipo de memória. As análises de regressão hierárquica mostraram que a idade é um fator preditivo em todos os tipos de memória. Emergiram ainda outros fatores preditivos com coeficientes de regressão superiores à idade conforme o tipo de memória (exceto na memória de trabalho). Conclusões. A idade, a escolaridade e a profissão influenciam a memória, assim como os fatores que potencialmente estimulam cognitiva e socialmente (como ter um companheiro e residir na comunidade). Os resultados apontam para a importância de intervir em pessoas em respostas sociais, mais idosas, sem companheiro, com baixa escolaridade e profissão manual. ABSTRACT Goals. Memory impairment is one of the types of cognitive impairment that most affects the elderly. Age is considered one of the major factors in memory impairment, including by the elderly themselves. Research has shown that there are other factors affecting memory of elderly persons. It remains, however, unclear what is the real impact of age in memory when controlling the influence of other variables. Thus, this study aims to analyze the impact of age on memory functioning of elderly persons and check if the potential impact remains when controlling the role of other variables (sex, education, profession, marital status, residential status, and clinical situation). Methods. The global sample comprised 1126 subjects (283 men and 843 women, 226 residents in the community and 900 institutionalized elderly) aged from 60 to 100 years. The assessment included items from the MiniMental State Examination (working memory), the Montreal Cognitive Assessment factor (verbal declarative memory), and Rey-Osterrieth Complex Figure (visuospatial memory). Results. Overall, age, education, profession, marital, residential, and clinical condition have differently influenced memory, depending on the type of memory. The hierarchical regression analysis showed that age is a predictive factor in all types of memory. However, other predictors have emerged with higher regression coefficients compared to age, according to the type of memory (except in working memory). Conclusions. Age, education and profession influence memory, as well as factors that potentially stimulate cognitively and socially (like having a partner and living in the community). The results indicate the importance of intervening, especially among institutionalized elderly, older, unmarried, with low education, and manual profession.

Impactos sociais da atividade turística: um estudo de caso em Tibau do Sul/RN

This study has been presented for the Master in business of the Universidade Federal do Rio Grande do Norte, the objectives are evaluate the social impacts of the tourism in the community of Tibau do Sul in the state of Rio Grande do Norte. The research is a study of case and the analysis is qualitative and quantitative. The tourism is considerate for many people as an important source of richness, job and an important economic activity. However, for being an activity that involves as main element people, It can cause impacts, could these are beneficial or malign. To evaluate the community's perception about these impacts, it was applied a questionnaire returned to the perceptions of them about the next social indicators: health, job, security, education and life quality. Considering the advent of the tourist activity in a period fifteen year. Through the research could conclude that, of general form the population realizes the changes occurred in the municipal district of positive way. Except for some indicators that receive negative evaluation