Objective: To translate and validate the PTSD & Complex PTSD Diagnostic Interview Schedule for ICD-11 with a sample of IPV victims in a crisis situation.Method: Application of an evaluation protocol, comprising an informed consent form, a sociodemographic questionnaire and four instruments, followed by the application of the PTSD & Complex PTSD Diagnostic Interview Schedule for ICD-11. Cronbach’s alpha was calculated to calculate the reliability of this interview. Cohen’s kappa was also calculated to assess interrater concordance levels.Results: Cronbach’s alpha results between 0.800 and 0.897 indicate a high level of internal consistency.Cohen’s kappa results ranged from -0.364 to 0.545.Discussion: This interview proved to have good discriminatory value, but its questions might need to be revised in order to provide a better assessment of some of the symptoms, such as impairment, and to provide a less confusing experience for applicators and raters. Scoring keys should also be revised to better address symptom presence across criteria.

Despite global pressure for deinstitutionalization of children in care, and recent legislative changes, Portugal remains a country with very high prevalence of residential care amongst at-risk children. These children were exposed to multiple traumatic events that can disrupt development. Thus, the expansion toward a truly sensitive approach to trauma is valuable, as it aims to increase awareness of its effects and ensure the best empathic care, providing a safe and healthy environment, with consequences also for the wellbeing of residential care staff. The present study aims to characterize the quality of residential care environments in Portugal through the lens of trauma-sensitive care, and to map professionals understanding of main domains, priorities and obstacles to change in this area. The study adopts a mixed method design, reporting on the perceptions of 85 professionals. Main findings show that professionals demonstrate better perceptions regarding physical environment but consider training and supervision as fragile dimensions. Qualitative data bring detail to these views, reinforcing the call for training to all staff and for continuous support to demanding job roles. This exploratory study highlights major aspects that urge to ensure trauma-sensitive residential care - supportive of professionals, to meet the needs of children and youth.Practice ImplicationsThe need to invest in training as the cornerstone to gather staff consensus around the importance of trauma-sensitive care and leverage change.The value of supervision in order to strengthen all residential care community.The importance of a shared theoretical background, common to all staff, to ensure secure and restorative relations with children and youth in line with trauma-sensitive care.The added value of the Trauma-Sensitive Care Evaluation Questionnaire for Welfare System as a tool to guide and monitor organizational change and its multilevel impact.

The importance of grief symptoms in children and adolescents assessment is crucial and few studies have examined the phenomenology and correlates of prolonged grief disorder (PGD) among these groups to Portuguese population. This paper is based on two studies: a) CRIES-8 and CRIES-13; b) IPG-A and IPG-C.The Children’s Revised Impact of Event Scale (CRIES) is a brief child-friendly measure designed to screen children at risk for Posttraumatic Stress Disorder (PTSD), and has been used to screen very large samples of at-risk-children following a wide range of traumatic events. The Inventory of Prolonged Grief for Children (IPG-C) and The Inventory of Prolonged Grief for Adolescents (IPG-A) are a child-friendly measures designed, respectively, for children and adolescents assessment of prolonged grief symptoms. It’s very important validation of grief instruments for child and adolescents because since the earlier the intervention, the greater the effectiveness and benefits for the person. We aim to translate these instruments to Portuguese and verify their psychometric characteristics. Based on snow-ball sampling strategy, we included to study a) children and adolescents (n=66) with ages between 12 and 17 years; b) children and adolescents (n=121) with ages between 8 and 18 years, in northern Portugal. The importance of grief symptoms in children and adolescents assessment is emphasized, with special applicability in support organizations, healthcare systems and schools, considering its relevance on children and adolescents well-being, mental health and academic achievement.

Intervention in Palliative Care aims to provide physical, psychosocial, and spiritual relief for patients and family members. Brief interventions with a psycho-existential approach have shown positive responses; however, cultural adaptations are needed.This pilot study aimed to develop the Meaning of Life Therapy (MLT), a novel psycho-existential intervention, rooted in the Dignity Therapy, Life Review, and Meaning-Centered Psychotherapy. MLT was culturally adapted to the Portuguese context to include questions about forgiveness, apology, reconciliation, farewell, and a legacy document, i.e., the Life Letter. Nine PC cancer patients answered a 14-question MLT protocol, intended to help patients find purpose and meaning in life. Eight themes emerged: Family, Preservation of Identity, Life Retrospective, Clinical Situation, Achievements, Socio-Professional Valorization, Forgiveness/Apology/Reconciliation, and Saying Goodbye. MLT has proved its ability to respond to the psycho-existential needs of PC patients. Further studies should be conducted to gain extensive knowledge of the effectiveness of culturally responsive interventions.

letalidade no ambiente hospitalar.Inobstante o aumento na taxa de morbidade e mortalidade,

Objectives: The psychosocial impact of psoriasis is well documented. However, the contributing role of clinical disease characteristics is not satisfactorily explored. This study aimed to validate the Self-administered Psoriasis Area and Severity Index (SAPASI) to a Portuguese population (SAPASI-PT) and to perform its cross-validation, assessing how the results will generalize to an independent data set, with the Psoriasis Area and Severity Index (PASI), in order to assess the influence of psoriasis' severity on psychosocial disability and psychopathology. Methods: A cross-sectional study with 228 patients with psoriasis was carried out. Data was collected through a sociodemographic and clinical questionnaire, SAPASI-PT, the Psoriasis Disability Index (PDI) and the Brief Symptoms Inventory (BSI). The cultural and linguistic adaptation of SAPASI to a Portuguese version and the cross validation with PASI was carried out. Multiple associations between psychosocial disability, psychopathology and severity, discomfort and location of lesions were investigated through logistic regression models. Results: A good adjustment model for SAPASI-PT is found. Also, associations between psychosocial disability, psychopathology and the psoriasis severity and discomfort are found. The existence of lesions is positively associated with the severity of the disease. Patients with lesions in hands or genitals are those reporting a greater discomfort. The presence of lesions in hands is positively associated with PDI, i.e., with leisure and with treatment, marginally. Additionally, patients scoring higher in the personal dimension are found to have a significantly greater percentage of lesions in the genitals. Conclusions: The psoriasis severity and location of lesions are important determinants of patients acute accent quality of life. Lesions on face, hands and genitals are associated with a higher impact on psychosocial wellbeing of patients. Psychological counselling should be considered within psoriasis treatment context in patients with the described disease manifestations.

The objective is to test the efficacy of cognitive-narrative therapy in the treatment of depression, post-traumatic stress disorder (PTSD), complex posttraumatic stress disorder (CPTSD) and borderline symptoms on a sample of women who suffered from intimate partner violence (IPV). Trial design is a longitudinal randomized controlled trial with a sample of 19 battered women allocated in two groups, a control group and treatment group, assessed twice at baseline before intervention, and at follow-up. The outcome measures were the Patient Health Questionnaire, International Trauma Questionnaire, PTSD and CPTSD Diagnostic Interview Schedule for International Classification of Diseases (ICD)-11, Conjugal Violence Exposure Scale (CVES), Life Events Checklist and Intervention Program Satisfaction Assessment Instrument. The treatment group received a four-session cognitive-narrative manualized intervention. There were no statistically significant differences between groups at baseline and follow-up, however, positive effect sizes ranging between 0.04 and 0.43 were found in depression, PTSD, and borderline, as well in some CPTSD dimensions when analyzing baseline-follow-up deltas between groups. There was also a negative effect size of -0.28 in the CPTSD total. This intervention is effective in the treatment of depression, PTSD and borderline and is an important tool in the treatment of these disorders.

Temporomandibular disorders (TMD) and headache are complex. This study aims to assess the association between TMD, headache, and psychological dimensions such as psychological inflexibility and pain acceptance. The sample consisted of 120 participants following a non-probabilistic convenience sampling strategy through a direct invitation to the patients attending our facilities and their relatives (n = 61 diagnosed with headache, n = 34 diagnosed with TMD-headache, n = 25 control group). Diagnostic Criteria for Temporomandibular Disorders (DC-TMD), International Classification of Headache Disorders (ICHD-3 beta version), Chronic Pain Acceptance Questionnaire (CPAQ-8), and Psychological Inflexibility in Pain Scale (PIPS) were used as assessment tools. One-way ANOVA, multiple regression analysis (MRA), and the Johnson-Neyman approach were run by IBM SPSS, version 27 (IBM® Company, Chicago, IL, USA). The significance level was 0.05. One third of our sample presented with headache with TMD. Females were predominant. Males with headache, no systemic disease, less pain severity but higher frequency, living longer with the disease and having sensitive changes, showed higher pain acceptance. When headache occurs with TMD, women with higher education, no headache family history, less pain, and no motor changes showed higher pain acceptance. Patients with both conditions are more liable to have chronic pain and pain inflexibility. Pain intensity and willingness explain 50% of the psychological inflexibility in the headache group. In our sample, individuals suffering from both conditions show greater pain inflexibility, implicating more vivid suffering experiences, leading to altered daily decisions and actions. However, further studies are needed to highlight this possible association.

Objetivo: O International Trauma Questionnaire (ITQ) da CID-11 foi desenvolvido como esforço conjunto de pesquisadores de vários países para avaliar os sintomas de estresse pós-traumático (TEPT) e TEPT complexo (TEPT-C). Este estudo é parte de um projeto de pesquisa colaborativo internacional multicêntrico que visa fornecer suporte psicométrico para o instrumento inicial em diferentes línguas, considerando os contextos específicos relacionados a traumatismo complexo. Este estudo verificou as características psicométricas da versão em português do ITQ, avaliando sintomas além daqueles descritos na literatura existente. Métodos: Examinamos os resultados de uma amostra de conveniência, totalizando 268 participantes portugueses e angolanos. Aplicaram-se dois instrumentos: o ITQ, que avalia os sintomas resultantes de eventos traumáticos da vida, e a Life Events Checklist (LEC), que avalia eventos estressantes da vida. Descrevem-se as características gerais das escalas e realizaram-se análises de confiabilidade e estudos de validade.Resultados: O alfa de Cronbach variou entre 0,84 e 0,88 e os resultados da análise fatorial exploratória foram consistentes com o conceito de TEPT-C, com cinco componentes explicando 61,58% da variação da escala. Conclusão: Os resultados sugerem boas características psicométricas para a versão do ITQ em português e assim pode ser incluído em protocolos destinados a avaliar sintomas traumáticos complexos.

Aim: The Numerical Activities of Daily-Living-Financial (NADL-F) is a new test to assess financial capacity in the context of cognitive aging. The present study aims to determine the psychometric characteristics of the Portuguese version of NADL-F and identify a relationship of financial capacity with different sociodemographic, clinical and neuropsychological variables. Methods: The sample consisted of 16 participants, organized into two groups: Mild Neurocognitive Disorder (n = 11) and Major Neurocognitive Disorder (n = 5). All participants were applied NADL-F, the Addenbrooke's Cognitive Examination, the INECO Frontal Screening, the Arithmetic task from the Wechsler Adult Intelligence Scale-III, the Instrumental Activities of Daily Living and the Geriatric Depression Scale. Results: The Portuguese version of NADL-F showed good acceptability, with missing data below 10% and ceiling and floor effects below 80%. Revealed a reasonable internal consistency (Cronbach's alpha = .791). All domains of the scale correlated significantly with the total value of the test and inter domain correlations were found. As a complement, correlations were obtained between the NADL-F and the different neuropsychological assessment tests and continuous sociodemographic variables. Conclusion: This study of the Portuguese version of NADL-F reveals promising psychometric characteristics for the specific assessment of financial capacity in the context of Mild and Major Neurocognitive Disorder.

[Background] Prolonged grief disorder (PGD) is a new disorder included in the 11th edition of the International classification of diseases (ICD-11). An important remit of the new ICD-11 is the global applicability of the mental health disorder guidelines or definitions. Although previous definitions and descriptions of disordered grief have been assessed worldwide, this new definition has not yet been systematically validated. [Method] Here we assess the validity and applicability of core items of the ICD-11 PGD across five international samples of bereaved persons from Switzerland (N = 214), China (N = 325); Israel (N = 544), Portugal (N = 218) and Ireland (N = 830). [Results] The results confirm that variation in the diagnostic algorithm for PGD can greatly impact the rates of disorder within and between international samples. Different predictors of PGD severity may be related to sample differences. Finally, a threshold for diagnosis of clinically relevant PGD symptoms using a new scale, the International Prolonged Grief Disorder Scale (IPGDS), in three samples was confirmed. [Conclusions] Although this study was limited by lack of questionnaire data points across all five samples, the findings for the diagnostic threshold and algorithm iterations have implications for clinical use of the new ICD-11 PGD criteria worldwide.

Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal, Clinical, Research and Training Center “PIN—em todas as fases da vida”, Lisbon, Portugal, HEI-Lab, Universidade Lusófona, Lisbon, Portugal, 4 Behavioral and Social Sciences Department, Cooperativa de Ensino Superior Politécnico e Universitário (CESPU), Porto, Portugal, Center for Grief and Trauma

Introduction: The purpose of this article was to develop and validate a scale to assess common knowledge about temporomandibular disorders (TMDs) in the general population, evaluate the status of TMDs knowledge in the Portuguese population, quantify the severity and prevalence of TMDs-related symptoms in the general population, and assess the association between TMDs-related symptoms’ severity and demographic, medical and oral associated factors. Materials and Methods: This study was an analytical cross-sectional survey design. The sample consisted of 2165 participants selected through a snowball sampling method. The participants completed an online questionnaire regarding social and demographic characteristics, medical history, oral habits, Fonseca’s Anamnestic Index, a scale about difficulties on impulsiveness control and also the TMDs knowledge scale developed. The psychometric properties of the scale developed was tested on a small number of participants (n = 210). The P value set was 0.05. Results: Concerning psychometric properties all items showed a moderate-to-strong positive association with the loading factor. The Cronbach’s alpha was 0.956, showing good reliability. TMDs knowledge was positive in 1295 participants (59.8%). Multivariate-adjusted odds showed that female gender, diagnosis of tension-type headache, migraine, anxiety, impulsiveness, facial trauma, and parafunctional habits increased the risk of developing TMDs (adjusted odds ratios from 1.84 to 49.38). Conclusion: The scale developed is psychometrically valid and reliable and the participants had an overall positive knowledge about TMDs. A high prevalence of TMDs-related symptoms among the Portuguese population was found and the associated factors were female gender, impulsiveness, tension-type headache, migraine, anxiety, facial trauma, and parafunctional habits.

Objective: The ICD-11 Trauma Questionnaire (ITQ) was developed as a joint effort by researchers from several countries to evaluate post-traumatic stress (PTSD) and complex-PTSD (C-PTSD) symptoms. This study is part of a multi-center international collaborative research project that aims to provide psychometric support for this initial instrument in different languages, considering the specific contexts related to complex traumatization. This study verified the psychometric characteristics of the Portuguese version of the ITQ, evaluating symptoms beyond those described the existing literature. Methods: We examined the results of a convenience sample totaling 268 Portuguese and Angolan participants. Two instruments were applied: the ITQ, which evaluates symptoms resulting from a traumatic life event, and the Life Events Checklist (LEC), which evaluates stressful life events. The general characteristics of the scales are described, and reliability analysis and validity studies were performed. Results: Cronbach's alpha varied between 0.84 and 0.88, and the exploratory factorial analysis results were consistent with the concept of C-PTSD, with five components explaining 61.58% of scale variance. Conclusion: The results suggest good psychometric characteristics for the Portuguese version of the ITQ, and thus it can be included in protocols intended evaluating complex traumatic symptoms.