Objective This study examined how the COVID-19 pandemic and associated social restrictions influenced the work-life balance of working-age adults in terms of gender equality.Background Increased occupational demands during the pandemic may have disrupted the balance between work and home life. For example, mandatory teleworking during the pandemic posed additional challenges and may have caused friction between work and personal commitments, obligations that enhanced gender disparities.Method Qualitative interview data were collected from 47 working-age adults from Portugal (aged between 30 and 61 years; 55% women) and analyzed using codebook thematic analysis.Results Two main themes were identified: (a) work and family conflicts (i.e., participants' conflicts between their work and family dimensions and the challenge of achieving a balance) and (b) disruptions to self, family, and social relationships during lockdown (i.e., interpersonal relationships during the lockdown periods).Conclusion Families struggled to achieve a balance between family and work, especially parents of young children, with women more impacted by the imbalance than men.Implications We hope that this work will encourage stakeholders to consider appropriate strategies for addressing work and family conflicts. Initiatives aimed at strengthening gender equity are encouraged.

Disability prejudice, that is, disablism, generates multiple forms of oppression magnified when intersecting with other forms of discrimination. Discrimination and violence are two forms of disablist hate crime and end results of disablism. Data about this phenomenon in Portugal are scarce. This study aimed to characterizing these two manifestations of hate crime experienced by disabled people in Portugal. A nonprobabilistic sample of 392 Portuguese disabled adults completed an online survey on the living conditions of disabled people in Portugal, including a sociodemographic questionnaire, and questions about previous experiences of discrimination and violence. Analysis reveals high levels of discrimination and violence against disabled people in Portugal, with 71% of the participants declaring to have been discriminated against and 20% to have experienced some form of violence.

Objective Chronic pain is a global health concern and often interferes with multiple aspects of individuals' lives (eg, physical activities), diminishing a person's ability to engage in activities that promote meaning in life. However, it is not well understood how believing that one can live a meaningful life despite pain could contribute to improved function among individuals with chronic pain. The aim of the present study was to better understand the role that belief in living a meaningful life despite pain might have on adjustment to chronic pain.Methods Participants (n = 164) were individuals with chronic pain who completed baseline data from 2 closely related randomized clinical trials. Hierarchical regression analyses were used to examine the hypotheses that one's belief in living a meaningful life despite pain will be associated with function (pain interference and symptoms of posttraumatic stress disorder, depression, and anxiety) and that the belief in living a meaningful life despite pain would moderate the associations between pain intensity and function.Results Belief in living a meaningful life despite pain was significantly associated with less pain interference and less severe symptoms of posttraumatic stress disorder, anxiety, and depression, supporting the potential role of this variable in adaptive adjustment to chronic pain. However, one's belief in living a meaningful life despite pain did not moderate the associations between pain intensity and function.Conclusions Results provide important theoretical and clinical information about how believing that one can live a meaningful life despite pain might serve as an important process for adjustment to chronic pain.

Research has shown that both the COVID-19 pandemic and the governmental measures implemented to tackle it severely impacted people’s mental health worldwide. This study aimed at monitoring adults’ mental health status during the first year of the COVID-19 pandemic and assessing demographic, socioeconomic, and psychosocial variables as mental health status development's potential predictors. A total of 105 adults (79

Objective: Received social support undermining engagement in life activities of individuals with chronic pain (e.g., solicitousness, support for functional dependence) is consistently correlated with worse physical functioning, pain severity, and disability. Whether such responses lead to worse pain outcomes (operant model of pain) or the latter lead to more supportive responses undermining activity engagement (social communication and empathy models of pain) is unknown, given the lack of cross-lagged panel studies. Furthermore, the mediating role of activity patterns in such relationships over time is entirely unclear. This study aimed to bridge these gaps. Method: This was a 3-month prospective study with three waves of data collection (T1-T3; 6-week lag in-between), including 130 older adults (71% women; M-age = 78.26) with musculoskeletal chronic pain attending day-care centers. At every time point, participants filled out self-report measures of staff social support for functional dependence, activity patterns, physical functioning, pain severity, and interference. Scales showed good/very good test-retest reliability (ICC = .74-.96) and internal consistency (all alpha > .90). Results: Parsimonious cross-lagged panel mediation models showed the best fit (chi(2)/df < 2.44; CFI > .96; GFI > .93; RMSEA < .09). Bidirectional effects were found over time, but poorer pain outcomes at T1 (higher pain severity/interference, lower physical functioning) more consistently predicted higher social support for functional dependence than vice versa. Poorer pain outcomes (T1) predicted more avoidance/less overdoing (T3), via increased received support for functional dependence (T2). Conclusion: Further research on the cyclical relationships between the study variables across chronic pain trajectories is needed to harness the power of interpersonal relationships in future self-management interventions.

Abstract: Introduction: Research into the first phase of the COVID-19 lockdown in Italy showed an association with an increased susceptibility to adverse mental health (MH) in the general population. We investigated in the same population the correlations between the various demographic, socioeconomic, biological/clinical history and psychological dimensions and MH in the second,“opening-up”, phase of the lockdown. Methods: An anonymous online survey collected data from 26 May to 4 July 2020 on demographic, socioeconomic, perceived risk, general health and quality of life appraisals, worry, interference in life, life satisfaction, perceived happiness and MH by using Mental Health Inventory-5 (MHI-5). Results: Of the 300 participants, only 195 responded to MH questions. Older age was positively associated with better MH (r=.15), as was education (r=.19). A negative correlation with MH, with medium-high effect size, was found with quality of life (r=.40) and health (r=.34) appraisals, and the factors “worry about sustenance” (r=.23) and “interference with life” (r=.32). A positive correlation, with strong effect size, was found between MH and life satisfaction (r=.53) and perception of happiness (r=.64). Discussion: During phase two of the lockdown, rather the real impact of COVID-19 restrictions on employment or economic resources, it was worry about finances that was associated with worse MH. Mental distress was associated with the loss of some positive psychological factors. From a homeostatic and biopsychosocial perspective of MH, life satisfaction and perceivedhappiness represent important mental resources for counteracting the effects of lockdown on MH.

The ways in which couples in South Europe manage their money has received little attention. This study uses regression analysis to evaluate the allocative systems of Portuguese couples and their predictors. To do this we use a sample of 3,331 households in Portugal with at least one heterosexual couple. Couples' allocative systems were classified based on Pahl's typology. The results confirm what has been found in previous studies regarding the prevalence of joint pooling management and the predictors of the different models for managing money. However, some particularities have been found: decisions taken in multi-generational familes favour partial joint pooling, as the distinctive characteristics of households in South Europe play a role in assigning intra-family resources.

Several measures were undertaken by governments globally to prevent the dissemination of COVID-19.However, little is known about how populations perceived these measures and their implementation.Thus, this study aims to explore how adults residing in Portugal perceived the management of the COVID-19 pandemic by governmental entities.A sample of 88 adults were interviewed (n = 45; 51%; age range: 19 to 92 years).Semi-structured interviews were conducted between Jan-Sep 2022, transcribed, and analyzed according to codebook Thematic Analysis.Three main themes were identified: 1) Indispensable measures in the fight against the COVID-19 pandemic;2) The government did the best it could; and 3) The dark side of the COVID-19 pandemic's management in Portugal.Our findings suggest that participants perceived the COVID-19 pandemic's management as successful, stating that the government adopted well-conceived measures, even with limited information and resources.However, adults complained about not understanding the reasoning behind some of the measures, the off-timing of some measures' implementation, and failures in governmental communication.Thus, governments should increase transparency in the decision-making process, as well as improve communication with the population, thus potentially increasing adherence to the necessary measures and feelings of safety and tranquility during a public health crisis.

Older adults were found to be the most susceptible group to suffer the physical health consequences of a COVID-19 infection and were considered vulnerable to the negative effects of the lockdowns due to the COVID-19 pandemic, yet unlike many young adults did not generally experience an increased rate of mental health problems. Our study explored the strategies older adults in Portugal deployed during the mandatory lockdowns in 2020 and 2021. Qualitative interview data were collected with 22 older adults in relatively good health (aged between 66 and 92 years old; 36

Abstract Background Older adults are one of the most vulnerable groups to severe illness associated with the SARS-COV-2 virus. Therefore, it would be expected that the elderly would suffer great impact of the COVID-19 pandemic on their mental health. However, it seems not to be the case, possibly due to contextual aspects and the strategies used by them to deal with the COVID-19 pandemic. Our study aimed at exploring the strategies older adults in Portugal deployed during the mandatory lockdowns in 2020 and 2021 to protect their mental health. Methods A total of 22 older adults were interviewed and included in this study (36% women; age range between 66 and 92 years old). Qualitative data was collected through semi-structured interviews between Jan-Sept 2020 and analysed according to codebook thematic analysis. Results Three main themes were identified. The first theme - ‘finding things to do and activities that can protect me’ - referred to behavioural coping strategies adopted to deal with the pandemic (e.g., preventing behaviours to avoid COVID-19 infection, social support). The second theme - ‘identifying how my thoughts can protect me’ - encompassed cognitive coping strategies, such as engaging in meaning-making processes to make sense out of the circumstances. Finally, the third theme - ‘counting myself lucky: me and my home advantages’ - included aspects perceived as beneficial to the wellbeing of participants during lockdowns (e.g., being healthy, living in a rural area). Conclusions The thematic strategies identified by older adults to manage the pandemic and lockdown-related stresses could be linked to meaning-centred coping and could be further developed via existential therapy. Key messages • As older adults with health problems and living in urban areas may be at a disadvantage when facing lockdowns, they should be identified by government health entities and forward to psychologists. • The efficacy of preventing behaviours to avoid COVID-19 dissemination, distraction, social support, and meaning-making processes during health hazards should be targeted by treatment programmes.

Chronic pain is a multidimensional experience and pain treatments targeting psychosocial factors reduce pain and improve function. These treatments often overlook the sociocultural factors that influence pain and the psychological factors associated with function in people with chronic pain. Although preliminary findings suggest that cultural background may influence pain and function via their effects on beliefs and coping, no previous study has directly tested if the country of origin mod-erates the associations between these psychological factors and pain and function. This study sought to address this knowledge gap. Five hundred sixty-one adults with chronic pain, born and living in the USA (n = 273) or Portugal (n = 288), completed measures of pain, function, pain-related beliefs, and coping. Between-country similarities were found in the endorsement of beliefs related to disability, pain control, and emotion, and in asking for assistance, task persistence, and coping self-statement responses. Portuguese participants reported greater endorsement of harm, medication, solicitude, and medical cure beliefs, more frequent use of relaxation and support seeking, and less frequent use of guarding, resting, and exercising/stretching. In both countries, disability and harm beliefs and guarding responses were associated with worse outcomes; pain control and task persistence were associated with better out-comes. Six country-related small effect-size moderation effects emerged, such that task persistence and guarding are stronger predictors of pain and function in adults from the USA, but pain control, disability, emotion, and medication beliefs are more important in adults from Portugal. Some modifications may be needed when adapting multidisciplinary treatments from one country to another. Perspective: This article examines the similarities and differences in beliefs and coping endorsed by adults with chronic pain from 2 countries, and the potential moderation effects of country on the associations between these variables and pain and function. The findings suggest that some modifications may be needed when culturally customizing psychological pain treatments.(c) 2023 The Author(s). Published by Elsevier Inc. on behalf of the American Pain Society This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

The novelty and uncertainty of the pandemic nourished a generalized fear of the COVID-19, which seems to have exacerbated the pandemic’s negative impact. It is thus relevant to monitor fear of COVID-19 and its association with individuals’ mental health, well-being, and behaviors. Valid and reliable measures of fear of COVID-19 are necessary for that purpose. This study aimed at assessing the psychometric properties of a European Portuguese version of the Fear of COVID-19 scale (FCV-19S-P). A secondary aim was to assess FCV-19S-P’s multigroup measurement invariance (female vs. male). A sample of 572 Portuguese adults (72 % female) completed the FCV-19S-P and measures of depression, anxiety, and stress. The study results supported this version validity and reliability (Cronbach’s alpha = .84; Composite Reliability = .83), and a factorial structure similar to the original version. Fear of COVID-19 was positively associated (.23 < r < .31) with depression, anxiety, and stress. Results of the multigroup invariance analysis supported the FCV-19S-P total scalar invariance and its partial residual invariance, suggesting that this measure may be used to reach valid conclusions in respect to gender comparisons in samples of Portuguese adults in regard to group observed composite means. El miedo generalizado de la COVID-19 parece haber exacerbado el impacto negativo de la pandemia. Por eso, es relevante monitorear el miedo de la COVID-19 y su asociación con la salud mental, el bienestar y los comportamientos de las personas, siendo necesarias medidas válidas y fiables de miedo de la COVID-19. Este estudio tuvo como objetivo evaluar las propiedades psicométricas de una versión en portugués europeo de la escala Fear of COVID-19 (FCV-19S-P). Un objetivo secundario fue evaluar la invariancia de medición transversal multigrupo de FCV-19S-P (mujeres vs. hombres). Una muestra de 572 adultos portugueses (72 % mujeres) completaron el FCV-19S-P y medidas de depresión, ansiedad y estrés. Los resultados del estudio respaldaron la validez de esta versión y fiabilidad (alfa de Cronbach = .84; confiabilidad compuesta = .83) y una estructura factorial similar a de la versión original. El miedo de la COVID-19 se asoció positivamente (.23 < r < .31) con depresión, ansiedad y estrés. Los resultados del análisis transversal de invariancia multigrupo respaldaron la invariancia escalar total de la FCV-19S-P y su invariancia residual parcial, lo que sugiere que esta medida puede usarse para llegar a conclusiones válidas con respecto a las comparaciones de género en muestras de adultos portugueses.

Research has shown that the confinement measures implemented to curb the spread of COVID-19 can have negative effects on people's lives at multiple levels. The objective of this cross-sectional study was to better understand the mental, physical, and socio-economic status of adults living in Spain during the late stages of the state of emergency caused by COVID-19. Five hundred and forty-four individuals responded to an online survey between 3 June and 30 July 2020. They were asked to report data about their mental and physical health, financial situation, and satisfaction with the information received about the pandemic. Means, percentages, t-test, ANOVAs, and logistic regressions were computed. A third of the participants reported symptoms of anxiety, depression, and stress, and worries about their health and the future. Participants also described mild levels of fatigue and pain during lockdown (66%), and a reduction in household income (39%). Respondents that were female, younger, single, and with lower levels of education reported experiencing a greater impact of the COVID-19 pandemic. The data showed that the negative effects of lockdown were present in the late stages of the state of emergency. The findings can be used to contribute to the development of programs to prevent or mitigate the negative impact of confinement measures.

Purpose:Previous research supports the usefulness of hypnosis (HYP), mindfulness meditation (MM), and prayer as pain self-management strategies in adults with chronic pain. However, their effects on acute pain have been less researched, and no previous head-to-head study compared the immediate effects of these three approaches on pain-related outcomes. This study compared the immediate effects of HYP, MM, and Christian prayer (CP) on pain intensity, pain tolerance, and stress as assessed by heart rate variability (HRV).Participants and Methods:A total of 232 healthy adults were randomly assigned to, and completed, a single 20-minute session of MM, SH, CP, or an attention control (CN), and underwent two cycles (one pre- and one post-intervention) of Cold Pressor Arm Wrap (CPAW). Sessions were audio-delivered. Participants responded to pre- and post-intervention pain intensity measurements. Pain tolerance (sec) was assessed during the CPAW cycles. HRV was assessed at baseline, and at pre- and post-intervention CPAW cycles. The study protocol was pre-registered at the ClinicalTrials.gov registry (NCT04491630).Results:Small within-group decreases in pain intensity and small increases in pain tolerance were found for HYP and MM from the pre- to the post-intervention. Small within-group improvements in the LH/HF ratio were also found for HYP. The exploratory between-group pairwise comparisons revealed a medium effect size effects of HYP on pain tolerance relative to the control condition. The effects of CP were positive, but small and not statistically significant. Only small to medium, though non-significant, Time × Group interaction effects were found.Conclusion:Study results suggest that single short-term HYP and MM sessions, but not biblical-based CP, may be useful for acute pain self-management, with HYP being the slightly superior option. Future research should compare the effects of different types of prayer and examine the predictors and moderators of these pain approaches' effects on pain-related outcomes.

OBJECTIVESThis study aimed to better understand the associations between both sleep disturbance and psychological dysfunction (i.e., anxiety and depressive symptoms, and anger), and pain intensity and pain interference, in a sample of children with chronic pain.DESIGNCross-sectional design.METHODSThree hundred and forty-two children with chronic pain (8-18 years) completed measures assessing pain intensity, pain interference, sleep disturbance, anxiety, depressive symptoms, and anger. Regression analyses examined the direct, interaction (with sex), and mediation effects of sleep quality and psychological dysfunction on pain intensity and interference.RESULTSSleep disturbance was significantly associated with both pain intensity and pain interference. However, measures of psychological dysfunction were associated significantly only with pain interference. Sex did not moderate these associations. The measures of psychological dysfunction mediated the associations between sleep disturbance and pain interference, but not those between sleep disturbance and pain intensity.CONCLUSIONSThe results confirmed significant cross-sectional associations between both sleep disturbance and psychological dysfunction and pain outcomes in children with chronic pain. Future research to test for causal associations is warranted.

There is mounting evidence to suggest that individuals with chronic pain adjusted poorly to and were impacted negatively by social distancing measures during the lockdown. However, there is limited data on the factors that might protect against the negative effects associated with social distancing measures, as most research has been conducted in the general population and in the initial stages of the lockdown. The aim of this study was to improve the understanding of the role that resilience, happiness, and social support, all factors that are thought to have a protective role, played in the psychological function (measured as anxiety, depression, and stress) to the social distancing measures during the late stages of the lockdown in a sample of adults with and without chronic pain living in Spain. A group of 434 adults responded to an online survey and provided information on sociodemographic issues, which included measures of pain, perceived health and quality of life, depression, anxiety, stress, resilience, happiness, and social support. The data showed that individuals with chronic pain (N = 200; 46%) reported statistically significant worst psychological function, that is to say, they reported higher levels of anxiety, depression, and stress (all ps < 0.001). Resilience, social support, and happiness proved to be significant predictors of anxiety, depression, and stress, after controlling for the effects of age, gender, and chronic pain. Although the effect sizes were small to medium, they are consistent with the findings of other studies. The findings from this study provide important additional new information regarding the associations between resilience, happiness, and social support and the adjustment to the social distancing measures during the late stages of the lockdown. These findings can be used to develop programs to improve adjustment to and coping with the demands of social distancing measures.

The COVID-19 pandemic is a stressful long-lasting event with an increasingly negative impact upon individuals. This study aimed at assessing the magnitude of depression, anxiety, and stress among adults living in Portugal during the first mandatory lockdown of 2020, and the psychosocial and health-related factors associated with these symptoms. A sample of 484 adults (73% women) with an average age of 40 years old (Standard Deviation, SD = 14.03) responded to an online survey. The survey included measures of depression, anxiety, stress, social support, COVID-19 interference in daily life, attitudes towards COVID-19, and health perception. The impact of the lockdown on psychological well-being was large, with up to 36% of the participants showing signs of at least mild psychological discomfort (i.e., depression, anxiety, and stress). Social support, COVID-19 interference on daily life, health perception, and age, explained all the dependent variables. Education level, income, attitudes towards COVID-19, and gender explained some of the dependent variables. These results suggest that the COVID-19 pandemic has a serious impact on the psychological health of Portuguese adults. The role of the procedures to control the pandemic on the mental health of Portuguese adults should not be underestimated.

This review examined the effects of private and communal participatory prayer on pain. Nine databases were searched. Six randomized controlled trials were included. For private prayer, medium to large effects emerged for 67% to 69% of between-group comparisons; participants in the prayer condition reported lower pain intensity (0.59 < d < 26.17; 4 studies) and higher pain tolerance (0.70 < d < 1.05; 1 study). Pre- to post-intervention comparisons yielded medium to large effects (0.76 < d < 1.67; 2 studies); pain intensity decreased. Although firm conclusions cannot be made because meta-analysis was based on only two studies, the analysis suggested prayer might reduce pain intensity (SMD = − 2.63, 95% CI [− 3.11, − 2.14], I = 0%). (PROSPERO: CRD42020221733).

Introduction The global COVID-19 pandemic has had an unprecedented effect on human behaviour and wellbeing. However, researchers have not yet considered how coping responses to stress related to COVID-19 could influence mental health. Objectives This study aims to evaluate the mental health status of Portuguese during the national lockdown; examine how study participants cope with stress during the national lockdown; and assess the association between coping and mental health status. Methods We cross sectionally analysed data from a convenience sample of 430 adults living in Portugal. Mental health was measured using the five-item Mental Health Inventory. Coping strategies were assessed using the Brief COPE. We examine the univariate associations between mental health status and coping responses. We performed a multiple hierarchical regression analysis controlling for sex and age, to test the predictive importance of coping responses on mental health status. Results Participants’ mental health was lower than the cut-off point for poor mental health (p<.001). The use of instrumental support, emotional support, self-blame, venting, denial, behavioral disengagement, and substance use were positively significantly associated with mental health, while active coping, positive reframing, acceptance, and humor were negatively significantly associated with mental health. The multiple hierarchical regression analyses showed that sex and age accounted for 6% of the variance of mental health. Coping strategies accounted for an additional and statistically significant 30% of the variance of mental health. Conclusions The findings provide support for the impact of the coping strategies on mental health. We encourage future research on the present topic.