La importancia del sueño en los adolescentes: impacto de variables sociodemográficas y de factores personales / The Importance of Sleep in Adolescents: Impact of Sociodemographic Variables and Personal Factors

Resumen Objetivo: Ante la escasez de investigaciones que traten de manera conjunta el conocimiento, la calidad y la higiene del sueño en el adolescente, el objetivo del presente estudio es analizar las diferencias y las relaciones que existen entre estas variables en función de características sociodemográficas y personales. Método: A través de los instrumentos Sleep Beliefs Scale (SBS), Spanish Adolescents and Young Adults Pittsburgh Sleep Quality Index (AYA-PSQI-S) y Adolescents Sleep Hygiene Scale Revied (ASHSr), se midieron las características del sueño de 140 estudiantes (M = 16,75; DE = 0,75). Resultados: El 89,3% de los adolescentes presentaban problemas de sueño, subyacentes de la mejorable higiene del sueño por parte del 62,2% y de un escaso conocimiento general del sueño. El sexo femenino y el alumnado en cursos superiores presentaron mayores problemas para conciliar el sueño, somnolencia y una baja gestión cognitiva-emocional (p < 0,05). La higiene del sueño (β = - 0,344), la edad (β = 0,154) y el autoconcepto (β = -0,349) son los factores que predijeron significativamente (p < 0,05) la calidad del sueño del adolescente. Conclusiones: La adquisición de una adecuada higiene del sueño se vuelve fundamental para mejorar la calidad del descanso y la funcionalidad diurna en adolescentes, destacando su importancia, sobre todo, en niveles académicos avanzados y en el caso específico de las mujeres.

Abstract Objective: Given the scarcity of research addressing the intersection of knowledge, sleep quality, and hygiene among adolescents, the primary objective of this study is to analyse the variations and correlations among these variables based on socio-demographic and personal characteristics. Method: The Sleep Beliefs Scale (SBS), the Spanish Adolescents and Young Adults Pittsburgh Sleep Quality Index (AYA-PSQI-S), the Adolescents Sleep Hygiene Scale Revied (ASHSr) were used to measure the sleep characteristics of the 140 Spanish students (M = 16,75; SD = 0,75). Results: Sleep problems were found in 89,3% of the adolescents, underlying poor sleep hygiene in 62,2% and poor general sleep knowledge (SBS = 12,04). Females and students in higher grades presented greater problems in falling asleep, sleepiness, and poor cognitive-emotional management (p < 0,05). Sleep hygiene (β = - 0,344), age (β = 0,154), and self-concept (β = -0,349) were the factors that significantly (p < 0,05) predicted adolescent sleep quality. Conclusions: The acquisition of proper sleep hygiene becomes crucial to enhance the quality of rest and daytime functionality in adolescents, emphasizing its significance, especially in advanced academic levels and specifically in the case of females.

Autoestima e qualidade de vida em pacientes submetidos a cirurgia plástica / Self-esteem and quality of life in patients undergoing plastic surgery

Introdução: A autoestima é definida pelo valor que as pessoas dão a si mesmas. É um componente avaliativo do autoconhecimento. A cirurgia plástica tem sido uma alternativa para as pessoas melhorarem a visão de si mesmas, sentindo-se mais confiantes e satisfeitas com seus aspectos corporais. Dessa forma, com a elevação da autoestima nessas pessoas, a cirurgia é capaz de interferir de forma positiva não somente na autoavaliação corporal, mas também na dimensão psicossocial. Método: Foi realizado um estudo observacional descritivo e analítico longitudinal prospectivo no qual foi avaliado o impacto da cirurgia plástica na autoestima e nos relacionamentos pessoais e profissionais. Aplicamos um questionário sociodemográfico, a Escala de Autoestima de Rosenberg, além do Questionário de Qualidade de Vida da OMS abreviado (WHOQOL-bref) em pacientes no pré-operatório e que serão submetidos a cirurgia plástica com, pelo menos, 3 meses de pós-operatório, graduando, desta forma, a melhora ou não da autoestima e qualidade de vida. Resultados: Participaram da pesquisa 52 pacientes, sendo 48 mulheres (92,3%), apresentando idade média de 37±11 anos. Através da aplicação da Escala de Autoestima de Rosenberg, pudemos notar uma evolução da autoestima, em que os pacientes apresentaram uma média de 29,87±2,10 pontos no escore do período pré-operatório, passando para 34,92±1,84 pontos no período pós-operatório. (p<0,001). Já no WHOQOL-bref, foi obtida uma melhora da autoestima através dos escores dos 4 domínios. Conclusão: Através deste estudo, foi evidenciado um aumento da autoestima e qualidade de vida.

Introduction: Self-esteem is defined by the value people place on themselves. It is an evaluative component of self-knowledge. Plastic surgery has been an alternative for people to improve their vision of themselves, feeling more confident and satisfied with their body aspects. Therefore, by increasing self-esteem in these people, surgery is capable of positively interfering not only with body self-assessment but also in the psychosocial dimension. Method: A prospective longitudinal descriptive and analytical observational study was carried out in which the impact of plastic surgery on self-esteem and personal and professional relationships was assessed. We applied a sociodemographic questionnaire, the Rosenberg Self-Esteem Scale, in addition to the abbreviated WHO Quality of Life Questionnaire (WHOQOL-bref) in patients in the preoperative period and who will undergo plastic surgery at least 3 months after surgery. surgery, thus determining whether or not self-esteem and quality of life improve. Results: 52 patients participated in the research, 48 of whom were women (92.3%), with a mean age of 37±11 years. Through the application of the Rosenberg Self-Esteem Scale, we were able to notice an evolution in self-esteem, in which patients presented an average of 29.87±2.10 points in the preoperative period score, rising to 34.92±1.84 points in the postoperative period (p<0.001). In the WHOQOL-bref, an improvement in self-esteem was obtained through the scores of the 4 domains. Conclusion: Through this study, an increase in self-esteem and quality of life was evidenced.

Narrative resilience: exploring the role of personal narratives in shaping self-concept and psychological resilience in cancer patients and survivors

Maintaining the continuity of the 'self' is crucial for finding meaning and ensuring psychological well-being. However, the traumatic encounter with cancer disrupts the normal flow of life stories, challenging coherence. Beyond its physical toll, cancer challenges one's sense of self, identity and overall psychological resilience. As personal narratives unfold, encompassing evolving life stories from one's reconstructed past to the present and envisioned future, inherently reflecting the dynamic conception of self, it becomes imperative to investigate how these narratives shape self-concept and resilience throughout the intricate emotional and psychological landscape of the cancer journey. This narrative review explores the intricate relationship among personal narratives, self-concept and psychological resilience in the context of cancer. The study draws on various theoretical constructs, encompassing self-concept, coping, narrative identity, and psychological resilience theories, to provide a comprehensive exploration of the psychological processes involved. Incorporating insights from both Western and Indian philosophical traditions, the review not only enriches the theoretical framework but also emphasizes the practical implications for healthcare practices. Integrating narrative resilience principles into medical education and advocating for culturally sensitive approaches are deemed essential for advancing patient-centred care. The study underscores both practical and theoretical contributions to psycho-oncology, emphasizing the need for personalized narrative interventions, empathetic healthcare strategies, longitudinal studies and innovative technologies that recognize and support the intricate interplay between personal narratives, self-concept and psychological resilience in the cancer survivorship journey.

Self-perceived oral health: a study with patients wearing removable dentures

Aim: This study aimed to investigate the relationship between self-perceived oral health and the prosthetic status of individuals who seek care in prosthodontics clinics. Methods: Self-perceived oral health was analyzed through the Geriatric Oral Health Assessment Index (GOHAI). Abutment tooth mobility was assessed, and denture status was determined by clinical assessment of stability, retention, occlusal balance, vertical dimension, and integrity of dentures. The frequency of individuals in each variable was determined for the low and very low GOHAI conditions. Chi-square, Pearson, and stepwise logistic regression tests were used for the statistical analyses (α = 0.05). Results: Ninety wearers of removable dentures with a mean age of 55.1±9.1 years were evaluated. None of the variables was related to GOHAI values (p > 0.05). The regression analysis showed that age predicts (p = 0.006) the variation of GOHAI conditions (OR = 0.924, CI = 0.873- 0.978), showing only 7.6% protective effect against very low GOHAI. Unsatisfactory stability showed the opposite effect (p = 0.034) and the individuals with this characteristic are more likely (OR = 3.055) to have very low GOHAI scores (CI = 1.085- 8.602). Conclusions: The self-perceived oral health of wearers of removable dentures worsens with age and unsatisfactory stability of dentures

Relação entre o autoconceito de pré-adolescentes e resolução de conflitos interpessoais / The relationship between pre-adolescent children's self-concept and interpersonal conflict resolution / Relations entre le concept de soi des preadolescents et la résolution des conflicts / Relación entre el autoconcepto en preadolescentes y la resolución de conflictos interpersonales

Resumo: Pesquisas têm evidenciado relações entre estratégias de resolução de conflitos e variáveis como idade, sexo, nível socioeconômico e cultura. Porém, a relação das estratégias com aspectos do funcionamento psicológico como o autoconceito tem sido pouco investigada, especialmente na pré-adolescência. Esta pesquisa tem como objetivo verificar a existência de relações entre as estratégias de resolução de conflitos de pré-adolescentes e o seu autoconceito. Estas foram analisadas por meio das respostas dos participantes sobre o que fariam em situações de conflito descritas no Children's Action Tendency Scale (CATS). O questionário contém dez situações de conflito, ao final dos quais se pede que seja descrita a reação a cada uma. O autoconceito foi avaliado por meio das respostas dos participantes às vinte afirmações da Escala Multidimensional de Autoconceito para pré-adolescentes (AF5) sobre autoconceito e relações interpessoais. Os dados obtidos passaram por testes de correlação, verificando-se a associação entre estratégias como a assertiva e dimensões do autoconceito.

Abstract: Studies have shown relationships between conflict resolution strategies and variables including age, socioeconomic status, sex, and culture. However, the relationship between these strategies and aspects of psychological functioning such as self-concept has been little investigated, especially in pre-adolescence. This research aimed to verify the existence of relationships between the conflict resolution strategies reported by pre-adolescent children and their self-concept. The strategies were analyzed by the participants' answers about what they would do in ten conflict situations described in a questionnaire. These answers were categorized according to the type of reaction informed. Self-concept was assessed using the participants' responses to the 20 statements from the AF5 Self-Concept Questionnaire on self-concept and interpersonal relationships. The data obtained were tested for correlation, verifying the association between reported strategies such as assertiveness and self-concept dimensions.

Résumé : La recherche a montré des relations entre stratégies de résolution des conflits et des variables telles qu'âge, sexe, et culture. Cependant, la relation entre les stratégies et des aspectes du fonctionnement psychologique tels que concept de soi a été peut étudié, notamment à la préadolescence. Cette recherche visait à vérifier l'existence de relations entre les stratégies de résolution de conflits rapportées par les préadolescents et leur concept de soi. Les stratégies ont été vérifiées à travers les réponses des participants sur ce qu'ils feraient dans des situations conflictuelles décrites dans le Children's Action Tendency Scale, Le questionnaire contient dix situations conflictuelles et on leur a demandé de décrire leur réaction à chacune d'elles. Le concept de soi a été mesuré à travers de réponses des participants à l'Échelle multidimensionnelle du concept de soi pour des préadolescents sur leur autoreprésentation et leur relations interpersonnelles. Les données obtenues ont été soumis à des tests de corrélation, vérifiant la relation entre les stratégies rapportées comme la afirmation et la dimension du concept de soi.

Resumen: Estudios han demostrado las relaciones entre las estrategias de resolución de conflictos y las variables como edad, sexo, nivel socioeconómico y cultura. Sin embargo, la relación de estas estrategias con aspectos del funcionamiento psicológico como el autoconcepto ha sido poco investigada, sobre todo en cuanto a la adolescencia. Esta investigación tuvo como objetivo comprobar la existencia de relaciones entre las estrategias de resolución de conflictos de preadolescentes y su autoconcepto. Las estrategias se analizaron desde las respuestas de los participantes sobre qué harían en situaciones de conflictos descritas en Children's Action Tendency Scale . El cuestionario contiene diez situaciones de conflicto, y el participante describía su reacción ante la situación. El autoconcepto se evaluó mediante las respuestas de los participantes a veinte afirmaciones de la Escala Multidimensional de Autoconcepto para preadolescentes respecto al autoconcepto y relaciones interpersonales. Los datos obtenidos se sometieron a pruebas de correlación para comprobar si existe relación entre algunas estrategias, como la asertividad y las dimensiones del autoconcepto.

Qualidade de vida, funcionalidade e autoestima de pessoas no pós-alta por cura de hanseníase / Quality of life, functionality, and self-concept of people post-discharge from leprosy / Calidad de vida, funcionalidad y autoestima de las personas tras el alta del tratamiento contra la lepra

RESUMO: Objetivo: avaliar a qualidade de vida, funcionalidade e autoestima de pessoas no pós-alta por cura de hanseníase. Métodos: estudo epidemiológico transversal, desenvolvido numa instituição de referência para hanseníase na Paraíba-Brasil, de maio a agosto de 2021. Utilizaram-se quatro instrumentos para caracterização sociodemográfica e clínica, avaliação da qualidade de vida, da funcionalidade e da autoestima. Os dados foram analisados pelos testes qui-quadrado de Pearson, exato de Fisher, Mann-Whitney e Kruskal-Wallis. Resultados: participaram 131 pessoas, dos quais 86 (65,6%) eram do sexo masculino e 72 (55%) com 41 a 60 anos. Houve impacto negativo da qualidade de vida relacionada à saúde em não escolarizados e com baixa renda familiar. Limitação da funcionalidade em quem não pratica atividade física, afetado por neurite e com algum grau de incapacidade física. Contudo, elevada autoestima. Conclusão: torna-se imprescindível capacitar profissionais e organizar medidas assistenciais frente ao cuidado longitudinal e interdisciplinar nessa fase terapêutica.

ABSTRACT Objective: to evaluate the quality of life, functionality, and self-concept of people after discharge from leprosy. Methods: This was a cross-sectional epidemiological study carried out in a reference institution for leprosy in Paraíba, Brazil, from May to August 2021. Four instruments were used for sociodemographic and clinical characterization, assessment of quality of life, functionality, and self-concept. The data was analyzed using Pearson's chi-square, Fisher's exact, Mann-Whitney, and Kruskal-Wallis tests. Results: 131 people took part, of whom 86 (65.6%) were male and 72 (55%) were aged between 41 and 60. There was a negative impact on health-related quality of life among those with no schooling and low family income. Limitation of functionality in those who do not practice physical activity, are affected by neuritis, and have some degree of physical disability. However, high self-concept. Conclusion: It is essential to train professionals and organize assistance measures in the face of longitudinal and interdisciplinary care in this therapeutic phase.

RESUMEN: Objetivo: evaluar la calidad de vida, la funcionalidad y la autoestima de las personas después del alta de la lepra. Métodos: Se trató de un estudio epidemiológico transversal realizado en una institución de referencia para lepra en Paraíba, Brasil, de mayo a agosto de 2021. Se utilizaron cuatro instrumentos para caracterización sociodemográfica y clínica, evaluación de la calidad de vida, funcionalidad y autoestima. Los datos se analizaron mediante las pruebas chi-cuadrado de Pearson, exacta de Fisher, Mann-Whitney y Kruskal-Wallis. Resultados: Participaron 131 personas, de las cuales 86 (65,6%) eran hombres y 72 (55%) tenían entre 41 y 60 años. Se observó un impacto negativo en la calidad de vida relacionada con la salud entre las personas sin estudios y con bajos ingresos familiares. Limitación de la funcionalidad en los que no practican actividad física, afectados por neuritis y con algún grado de discapacidad física. Sin embargo, alta autoestima. Conclusión: Es fundamental formar a los profesionales y organizar medidas asistenciales de cara a la atención longitudinal e interdisciplinar en esta fase terapéutica.

Factors associated with positive self-perception of oral health in pregnant and postpartum women / Fatores associados à autopercepção positiva de saúde bucal em gestantes e puérperas

Abstract Objectives: to evaluate the associated factors with positive self-perception of oral health in pregnant and postpartum women treated at a reference maternity hospital in the north of Minas Gerais, Brazil. Methods: cross-sectional study with women assisted in an extension project. The sample consisted of women evaluated in the period from 2012 to 2022 who passedthe inclusion and exclusion criteria. The outcome variable was self-perception of oral health, which was dichotomized after the participants' response options. The analyses were performed using the SPSS 20.0 software. Results: a total of 711 women participated. The positive self-perception of oral health was present in 50.2% of the sample. The associated factors were women without a partner (PR=1.07; CI95%=1.00-1.14; p=0.042), who went to the dentist during pregnancy (PR=1,12; CI95%=1.05-1.19; p<0.001), who brushed their teeth three times or more a day (PR=1.08; CI95%=1.01-1.15; p=0.028), with no dental caries (PR=1.10; CI95%=1.03-1.18; p=0.005) and who did not notice oral changes during the gestational period (RP=1.16; CI95%=1.09-1.24; p<0.001). Conclusions: positive self-perception of oral health was associated with better oral hygiene habits and visits to the dentist during the gestational period.

Resumo Objetivos: avaliar os fatores associados à autopercepção positiva de saúde bucal em gestantes e puérperas atendidas em uma maternidade referência no norte de Minas Gerais, Brasil. Métodos: estudo transversal realizado com mulheres atendidas em um projeto de extensão. A amostra foi composta de mulheres avaliadas no período de 2012 a 2022 que passaram por critérios de inclusão e exclusão. A variável desfecho foi a autopercepção em saúde bucal, que foi dicotomizada após as opções de respostas das participantes. As análises foram realizadas pelo programa SPSS 20.0. Resultados: participaram 711 mulheres, sendo que a autopercepção positiva de saúde bucal foi presente em 50,2%. Os fatores associados foram mulheres sem companheiro (RP=1,07; IC95%=1,00-1,14; p=0,042), que foram ao dentista durante a gestação (RP=1,12; IC95%=1,05-1,19; p<0,001), que escovavam os dentes três vezes ou mais ao dia (RP=1,08; IC95%=1,01-1,15; p=0,028), com ausência de cárie dentária (RP=1,10; IC95%=1,03-1,18; p=0,005) e que não perceberam alterações bucais durante o período gestacional (RP=1,16; IC95%=1,09-1,24; p<0,001). Conclusões: autopercepção positiva de saúde bucal foi associada com melhores hábitos de higiene bucal e consultas com o dentista durante o período gestacional.

Assessment of sexual and body esteem in postpartum women with or without perineal laceration: a cross-sectional study with cultural translation and validation of the Vaginal Changes Sexual and Body Esteem Scale

Objective: We aimed to translate and determine cultural validity of the Vaginal Changes Sexual and Body Esteem Scale (VSBE) for Brazilian Portuguese language in postpartum women who underwent vaginal delivery with or without perineal laceration and cesarean section. Methods: A cross-sectional study conducted virtually, with online data collection through a survey with 234 postpartum women of 975 that were invited. Clinical, sociodemographic, and psychometric variables from the VSBE questionnaire were analyzed (content validity index, internal consistency, test-retest reliability, construct/structural and discriminant validity). Multivariate analysis was performed to explore associated factors with the presence of perineal laceration. Results: One-hundred fifty-eight women experienced vaginal delivery, of which 24.79% had an intact perineum, 33.33% had perineal laceration, and 9.4% underwent episiotomy; and 76 participants had cesarean sections. Women with perineal laceration were older, presented dyspareunia and previous surgeries than women without perineal laceration (p<0.05). For VSBE, a high internal consistency (Cronbach's α > 0.7) was observed, but it did not correlate with Body Attractiveness Questionnaire and Female Sexual Function Index; however, it correlated with the presence of women sutured for perineal laceration. Moreover, VSBE presented good structural validity with two loading factors after exploratory factor analysis. VSBE also demonstrated discriminant validity between the presence or absence of perineal laceration. The presence of urinary incontinence (UI) (OR=2.716[1.015-4.667];p=0.046) and a higher VSBE total score (OR=1.056[1.037-1.075];p<0.001) were the only factors associated with perineal laceration. Conclusion: Vaginal Changes Sexual and Body Esteem Scale demonstrated appropriate translation and good internal consistency, discriminant/construct validity and reliability. Vaginal Changes Sexual and Body Esteem Scale total score and presence of UI were associated with women that underwent perineal laceration.

Influence of vitamin D on muscle strength and botulinum toxin dosage through surface electromyography

ABSTRACT Purpose: To evaluate the influence of patients' serum vitamin D levels on muscle strength characteristics and whether it impacts the durability of botulinum toxin (BT) treatment. Methods: The muscle strength of the frontal and corrugator muscles was evaluated before and after the application of TB with pre- and post-application control measurements, and at weeks 2, 5 and 12. The effect of vitamin D on muscle strength and its interaction with BT were investigated in 20 patients. The muscle contraction force was measured by surface electromyography. Results: The results revealed statistically significant differences between the frontal measurement groups at weeks 2 and 5, as well as for the corrugator in the same weeks and at week 12. Regarding vitamin D, significant differences were observed only in the initial group with vitamin D > 30 ng/mL compared to < 30 ng/mL for the frontal muscles. Patients with higher levels of vitamin D had higher average muscle strength compared to those with lower levels in all evaluations. Conclusions: It was observed that vitamin D influences muscle strength and the necessary dosage of BT.

Los hábitos de vida saludables en relación al autoconcepto físico en taekwondokas ecuatorianos en tiempos de la pandemia "COVID 19"

La práctica de taekwondo, en el confinamiento de la pandemia del COVID 19, guarda relación con los hábitos de vida saludables y autoconcepto físico. En tal sentido, se determinó como el objetivo de esta investigación identificar las relaciones que puedan producirse entre las respuestas al CAF (Cuestionario de autoconcepto físico) y hábitos de vida saludables de los practicantes de taekwondo a nivel nacional. Se implementó un diseño ex post facto de carácter retrospectivo y correlacional, donde las variables independientes no son susceptibles de manipulación, se utilizó un muestreo no probabilístico discrecional, cuya muestra la componen 423 deportistas de taekwondo entre 12 y 58 años. Los participantes cumplimentaron el Cuestionario de autoconcepto físico (CAF) y el Cuestionario de hábitos de vida saludables. Los resultados, comprueban la importancia de los entrenamientos en confinamiento de taekwondo como aporte de una vida saludable, en relación con su propia percepción del autoconcepto físico de los participantes. Se concluyó que la práctica del taekwondo en época de pandemia aportó significativamente en el cuidado y desarrollo de los hábitos de vida saludables.

A prática do Taekwondo, no confinamento da pandemia da COVID-19, está relacionada a hábitos de vida saudáveis e ao autoconceito físico. Nesse sentido, o objetivo desta pesquisa foi identificar as relações que podem ocorrer entre as respostas ao CAF (Questionário de Autoconceito Físico) e os hábitos de vida saudável dos praticantes de Taekwondo em nível nacional. Foi implementado um projeto retrospectivo e correlacional ex post facto, em que as variáveis independentes não são suscetíveis de manipulação. Foi utilizada uma amostragem não probabilística discreta, com uma amostra de 423 atletas de taekwondo entre 12 e 58 anos de idade. Os participantes preencheram o Questionário de Autoconceito Físico (CAF) e o Questionário de Hábitos de Estilo de Vida Saudável. Os resultados comprovam a importância do treinamento de confinamento do taekwondo como contribuição para um estilo de vida saudável, em relação à percepção dos próprios participantes sobre seu autoconceito físico. Concluiu-se que a prática do taekwondo em tempos de pandemia contribuiu significativamente para o cuidado e o desenvolvimento de hábitos de vida saudáveis.

The practice of Taekwondo, in the confinement of the COVID19 pandemic, is related to healthy lifestyle habits and physical self-concept. In this sense, the objective of this research was determined to identify the relationships that may occur between the responses to the CAF (Physical Self-Concept Questionnaire) and healthy lifestyle habits of Taekwondo practitioners nationwide. An ex post facto design of a retrospective and correlational nature was implemented, where the independent variables are not susceptible to manipulation, a discretionary non-probabilistic sampling was used, which sample is made up of 423 taekwondo athletes between 12 and 58 years old. The participants completed the Physical Self-Concept Questionnaire (CAF) and the Healthy Life Habits questionnaire. The results prove the importance of Taekwondo confinement training as a contribution to a healthy life, in relation to their own perception of the participants' physical self-concept. It was concluded that the practice of taekwondo during the pandemic contributed significantly to the care and development of healthy lifestyle habits.

Vivencias sexuales y autoestima en mujeres mexicanas con histerectomía / Sexual experiences and self-esteem in Mexican women with hysterectomy

RESUMEN La histerectomía es la segunda cirugía más frecuente dentro de la ginecología a nivel mundial. En México se calcula que una de cada tres mujeres, antes de los 60 años, se someterá a dicho procedimiento. Las mujeres con histerectomía atraviesan por una serie de cambios que pueden afectarlas en distintos aspectos de su vida, repercutiendo en lo psicológico, social y anatómico. El objetivo de la presente investigación fue interpretar las vivencias sexuales y autoestima de mujeres mexicanas con histerectomía. Se utilizó una metodología cualitativa fenomenológica-hermenéutica, en la que participaron 11 mujeres con histerectomía abdominal. Los resultados se agruparon en 2 categorías principales: sexualidad y autoestima, y sus respectivas subcategorías. En la primera, se reporta una disminución de la lubricación y en consecuencia afectaciones en el deseo, satisfacción y orgasmo. En la segunda, se documentaron alteraciones que se presentaban con cambios de percepción y pensamientos, así como en sus capacidades, sentimientos y actitud. El proceso que transitaron las mujeres, tras la histerectomía, influyó en los componentes de su sexualidad y autoestima. El tiempo de afrontamiento y su resultado favorable estuvo asociado con lograr anteponer la autoestima a la afectación vivida en su sexualidad.

ABSTRACT Hysterectomy is the second surgery with more frequency inside gynecology at a worldwide level. In Mexico it is calculated that one of every three women before 60 years old will be subjected to that procedure. Women with hysterectomy undergo a series of changes that could affect them in different aspects of their lives, impacting in the psychological, social, and anatomical. The objective of this investigation was to interpret the sexual experiences and self-esteem of Mexican women with hysterectomy. A qualitative phenomenological-hermeneutic methodology was used where 11 women with abdominal hysterectomy participated. Results were grouped in 2 main categories: sexuality and self-esteem, and their respective subcategories. In the first category, a decrease on lubrication, which consequently had negative effects on desire, satisfaction, and orgasm was reported. In the second, some alterations characterized by changes on the participants' perception and thoughts were documented, as well as on their capacities, feelings, and attitudes. The process that women went through after the hysterectomy, influenced the components of their sexuality and self-esteem. The coping time and its favorable result were associated with putting self-esteem above the negative impact in their sexual life.

Atividade física, sintomatologia depressiva e autopercepção do envelhecimento em idosas ativas de Porto Alegre-RS / Physical activity, depressive symptoms and self-perception of aging in active elderly women in Porto Alegre-RS

Objetivo: analisar a relação entre a atividade física, a sintomatologia depressiva e a autopercepção do envelhecimento em idosas socialmente ativas do município de Porto Alegre/RS. Método: os instrumentos utilizados foram o questionário geral, a Escala Geriátrica de Depressão (GDS), o Questionário de Autopercepção do Envelhecimento (APQ); Questionário Internacional de Atividade Física (IPAQ). A pesquisa foi composta por amostra 167 idosas, realizada entre 2016 a 2017. Resultados: na autopercepção de envelhecimento, as subescalas controle positivo e consequência positiva apresentaram as maiores médias na amostra total. Na GDS, 22,2% das idosas apresentaram sintomatologia depressiva, não tendo relação com a faixa etária. No nível de atividade física, as tarefas domésticas e que as mantém ativa. Conclusões: houve associação significativa inversa da prática de atividade física, com os escores de consequência negativa e controle negativo. Também da prática de atividade física no domínio do lazer com os escores de consequência negativa e sintomas depressivos.(AU)

Objective: to analyse the relationship between physical activity, depressive symptoms, and self-perception of aging in socially active elderly women in the city of Porto Alegre/RS. Method: the instruments used were the general questionnaire, the Geriatric Depression Scale (GDS), the Aging Self-Perception Questionnaire (APQ); International Physical Activity Questionnaire (IPAQ). The research consisted of a sample of 167 elderly women, carried out between 2016 and 2017. Results: in self-perception of aging, the positive control and positive consequence subscales presented the highest means in the total sample. In the GDS, 22.2% of elderly women presented depressive symptoms, unrelated to age group. In terms of physical activity, household chores keep them active. Conclusions: there was a significant inverse association between physical activity and negative consequence and negative control scores. Also, the practice of physical activity in the leisure domain with negative consequence scores and depressive symptoms.(AU)

Objetivo: analizar la relación entre la actividad física, los síntomas depresivos y la autopercepción del envejecimiento en mujeres mayores socialmente activas de la ciudad de Porto Alegre / RS. Método: los instrumentos utilizados fueron el cuestionario general, la Escala de Depresión Geriátrica (GDS), el Cuestionario de Autopercepción del Envejecimiento (APQ); Cuestionario Internacional de Actividad Física (IPAQ). La investigación estuvo compuesta por una muestra de 167 mujeres mayores, realizada entre 2016 y 2017. Resultados: en la autopercepción del envejecimiento, las subescalas de control positivo y consecuencia positiva presentaron las medias más altas en la muestra total. En el GDS, el 22,2% de las ancianas presentaron síntomas depresivos, no relacionados con el grupo de edad. En cuanto a la actividad física, las tareas del hogar los mantienen activos. Conclusiones: hubo una asociación inversa significativa entre la actividad física y las puntuaciones de consecuencias negativas y de control negativo. También la práctica de actividad física en el ámbito del ocio con puntuaciones de consecuencias negativas y síntomas depresivos.(AU)

Autoconcepto y estilos de socialización parental según grupos socioeconómicos en adolescentes chilenos / Self-concept and parental socialization styles according to socioeconomic groups in Chilean adolescents

Resumen Introducción: el autoconcepto corresponde a distintas percepciones sobre sí mismo y en la adolescencia es fundamental para el logro de la identidad. Esta autopercepción puede estar relacionada a distintos factores: crianza por medio de los estilos de socialización parental y niveles socioeconómicos de la familia. El estudio tiene como finalidad relacionar el autoconcepto en cinco dimensiones (académico, social, emocional, familiar y físico) con los estilos de socialización parental (autoritario, democrático, negligente e indulgente) según nivel socioeconómico. Método: se utilizó un diseño no experimental de alcance comparativo/correlacional transversal con una muestra no probabilística intencionada; participaron 867 adolescentes entre 11 y 18 años (M = 14.11 y DE = 1.80), de los cuales 444 (51 %) eran hombres de nueve centros educativos de distintas ciudades de Chile, quienes respondieron el cuestionario de Autoconcepto AF5 y la Escala de Socialización Parental en la Adolescencia (ESPA29), además de preguntas sociodemográficas. Resultados: la dimensión familiar del autoconcepto presentó la mayor puntuación, seguida de lo social, físico, académico y emocional. Los varones presentan mayores puntajes en el autoconcepto con excepción de la dimensión académica. Se encontraron diferencias en las cinco dimensiones del autoconcepto según los estilos de socialización parental (autoritario, democrático, negligente e indulgente) y grupos socioeconómicos de pertenencia (bajo, medio bajo, medio y medio alto). Conclusión: se aporta evidencia en la relación entre el autoconcepto, estilos de socialización parental y grupos socioeconómicos al que pertenece la familia.

Abstract Introduction: Self-concept corresponds to different perceptions about oneself and in adolescence is fundamental for the achievement of identity. This self-perception can be related to different factors; to parenting through parental socialization styles and socioeconomic levels of family belonging. The purpose of the study was to relate self-concept in five dimensions (academic, social, emotional, family, and physical) with parental socialization styles (authoritarian, democratic, negligent and indulgent) according to socioeconomic level. Method: A non-experimental design of comparative/correlational cross-sectional scope was used with an intentional non-probabilistic sample, involving 867 adolescents between 11 and 18 years old (M = 14.11 and SD = 1.80), of which 444 (51 %) were men from nine educational centers of different cities in Chile, who answered the questionnaire of Autoconcepto AF5 and the Scale of Parental Socialization in Adolescence (ESPA29), in addition to sociodemographic questions. Results: The family dimension of the self-concept presented the highest score, followed by the social, physical, academic and emotional. Males have higher scores in self-concept with the exception of the academic dimension. Differences were found in the five dimensions of self-concept according to parental socialization styles (authoritarian, democratic, negligent, and indulgent) and socioeconomic groups of belonging (low, medium low, medium, and medium high). Conclusion: Evidence is provided in the relationship between self-concept, parental socialization styles and socioeconomic groups to which the family belongs.

Promoção da empatia, autoconceito e valores básicos: uma intervenção no cárcere feminino

O encarceramento feminino é permeado por inúmeras problemáticas estruturais e pela ineficiência na garantia de direitos fundamentais e assistência psicológica às mulheres. Neste artigo, analisam-se os efeitos de oficinas de intervenção para a promoção do autoconceito, da empatia e de valores básicos em mulheres encarceradas. Participaram do estudo 56 mulheres, em uma Cadeia Pública, com idades entre 18 e 63 anos (M = 32,23; DP = 9,25). Quinze destas mulheres participaram do programa de intervenção, enquanto que o restante da amostra compôs o grupo controle. Ambos os grupos foram avaliados no período pré e pós-intervenção, por meio da Escala de Autoconceito, o Interpersonal Reactivity Index e o Questionário de Valores Básicos. Notas de campo e a observação participante foram utilizadas para descrever experiências significativas vivenciadas durante os encontros. Não foram encontradas variações estatisticamente significativas nos escores das escalas empregadas, o que pode estar relacionado à necessidade de adequação desses instrumentos para públicos com baixa escolarização. Em contrapartida, avalia-se que o uso de oficinas possibilitou a construção de um espaço pedagógico, com contingências muito distintas do ambiente carcerário, no qual as mulheres foram estimuladas a experimentar suas emoções e sentimentos.

El encarcelamiento femenino es permeado por muchas problemáticas estructurales y por la falta de eficacia en la garantía de los derechos fundamentales y la asistencia psicológica a las mujeres. En este artículo se analizan los efectos que tiene los talleres de intervención para la promoción del autoconcepto, de la empatía y de los valores básicos en mujeres encarceladas. Participaron del estudio 56 mujeres, en una cárcel pública, con edades entre de 18 a 63 años (M = 32.23; DE = 9.25). Quince de estas mujeres participaron del programa de intervención, las demás de la muestra compusieron el grupo control. Ambos grupos fueron evaluados en el período de pre y posintervención por medio de la Escala de Autoconcepto, el Interpersonal Reactivity Index y el Cuestionario de Valores Básicos. Las notas de campo y la observación participante fueron utilizadas para describir experiencias significativas vividas durante los encuentros. No fueron encontradas variaciones estadísticamente significativas en los resultados de las escalas empleadas, lo que puede estar relacionado a la necesidad de adecuación de esos instrumentos para públicos con baja escolarización. En cambio, se evalúa que el uso de talleres posibilitó la construcción de un espacio pedagógico con contingencias muy distintas al ambiente carcelario, en el cual las mujeres fueron estimuladas a experimentar sus emociones y sentimientos.

Incarceration of women is permeated by countless structural problems and inefficiency in guaranteeing fundamental rights and psychological assistance to women. In this article, the effects of intervention workshops aimed to promote self-concept, empathy, and basic values for incarcerated women are reviewed. The study comprised 56 women aged between 18 and 63 years, incarcerated in a Public Prison (M = 32.23; SD = 9.25). Fifteen of these women participated in the intervention program, while the remaining sample comprised the control group. Both groups were evaluated in the pre- and post-intervention period, using the Self-Concept Scale, the Interpersonal Reactivity Index and the Basic Values Questionnaire. During the meetings field notes and participant observations were used to describe meaningful experiences. No statistically significant variations were found in the scores of the scales used, which may be related to the need to adapt these instruments to groups with low levels of education. On the other hand, the study found that the use of workshops enabled the construction of a pedagogical space, with very different contingencies compared to the prison environment, in which women were encouraged to experience their emotions and feelings.

Autoestima de trabalhadores terceirizados do setor de conservação de higiene e limpeza de hospitais privados / Self-esteem of outsourced workers in the hygiene conservation and cleaning of private hospitals / Autoestima de trabajadores subcontratados en el sector de higiene y limpieza de hospitales privados

Objetivo: analisar aspectos positivos e negativos relacionados à autoestima de trabalhadores terceirizados de serviços de higiene e limpeza hospitalar. Método: estudo exploratório, de abordagem qualitativa, realizado em duas instituições hospitalares privadas. Os participantes foram trabalhadores terceirizados dos serviços de higiene e limpeza. Para a coleta de dados, utilizou-se um questionáriosociodemográfico e um roteiro de entrevista semiestruturada. Realizada análise temática indutiva. Resultados: a amostra constitui-se de 15 trabalhadores, do sexo feminino, que expressaram aspectos positivos e negativos que afetam sua autoestima, que estão relacionados à organização e ambiente de trabalho, às relações interpessoais e benefícios trabalhistas. Conclusão: aspectos positivos e negativos estão presentes entre esses trabalhadores e os gestores hospitalares devem refletir sobre o serviço de higiene e limpeza, estabelecendo estratégias educativas e coletivas para os trabalhadores relacionadas às práticas de trabalho realizadas neste contexto(AU)

Objective: to analyze positive and negative aspects related to the self-esteem of outsourced workers in hospital hygiene and cleaning services. Method: exploratory study, with a qualitative approach, carried out in two private hospital institutions. Participants were outsourced workers from hygiene and cleaning services. For data collection, a sociodemographic questionnaire and a semi-structured interview script were used. Inductive thematic analysis was performed. Results: the sample consisted of 15 female workers, who expressed positive and negative aspects that affect their self-esteem, which are related to the organization and work environment, interpersonal relationships and work benefits. Conclusion: positive and negative aspects are present among these workers and hospital managers should reflect on the hygiene and cleaning service, establishing educational and collective strategies for workers related to work practices carried out in this context(AU)

Objetivo: analizar aspectos positivos y negativos relacionados con la autoestima de trabajadores subcontratados en los servicios de higiene y limpieza hospitalaria. Método: estudio exploratorio, con enfoque cualitativo, realizado en dos hospitales privadas. Los participantes eran trabajadores subcontratados de los servicios de higiene y limpieza. Para la recolección de datos, se utilizó un cuestionario sociodemográfico y un guion de entrevista semiestructurada. Se realizó un análisis temático inductivo. Resultados: la muestra estuvo conformada por 15 trabajadoras, quienes expresaron aspectos positivos y negativos que inciden en su autoestima, los cuales están relacionados con la organización y clima laboral, las relaciones interpersonales y las prestaciones laborales. Conclusión: los aspectos positivos y negativos están presentes entre estos trabajadores y los administradores de hospitales deben reflexionar sobre el servicio de higiene y limpieza, estableciendo estrategias educativas y colectivas para los trabajadores, relacionadas con las prácticas de trabajo realizadas en este contexto(AU)

Orientação sexual e sintomas depressivos: papel mediador da autoestima e satisfação com a vida / Sexual orientation and depressive symptoms: mediating role of self-esteem and life satisfaction / Orientación sexual y síntomas depresivos: papel mediador de la autoestima y la satisfacción con la vida

Objetivo: verificar se autoestima e satisfação com a vida exercem efeitos mediadores na relação entre orientações sexuais minoritárias e sintomatologia depressiva em amostra de pós-graduandos stricto sensu. Método: estudo analítico, transversal, conduzido com 321 pós-graduandos stricto sensu entre março/abril de 2021. Utilizou-se o Patient Health Questionnaire-9 para avaliação de sintomas depressivos, Escala de Autoestima de Rosemberg e Escala de Satisfação com a Vida. Análises de mediação simples foram conduzidas por meio da macro PROCESS. Resultados: pós-graduandos de orientações sexuais minoritárias apresentaram maior severidade de sintomas depressivos e menores indicadores de autoestima e satisfação com a vida do que seus pares heterossexuais. Autoestima e satisfação com a vida mediaram parcialmente a relação entre orientação sexual e severidade de sintomas depressivos em uma proporção de, respectivamente, 48,26% e 37,54%. Conclusão: autoestima e satisfação com a vida apresentaram-se como importantes mediadores da relação entre orientações sexuais minoritárias e sintomas depressivos entre pós-graduandos(AU)

Objective: to verify whether self-esteem and satisfaction with life exert mediating effects on the relationship between minority sexual orientations and depressive symptoms in a sample of graduate students. Method: analytical, cross-sectional study conducted with 321 Brazilian graduate students between March/April 2021. The Patient Health Questionnaire-9 was used to assess depressive symptoms, was used too, Rosemberg´s Self-Esteem Scale and the Life Satisfaction Scale. Simple mediation analyzes were conducted using the PROCESS macro. Results: graduate students with minority sexual orientations had more severe depressive symptoms and lower indicators of self-esteem and life satisfaction than their heterosexual peers. Self-esteem and satisfaction with life partially mediated the relationship between sexual orientation and severity of depressive symptoms in a proportion of, respectively, 48.26% and 37.54%. Conclusion: self-esteem and life satisfaction were important mediators of the relationship between minority sexual orientations and depressive symptoms among graduate students(AU)

Objetivo: verificar si la autoestima y la satisfacción con la vida ejercen efectos mediadores en la relación entre las orientaciones sexuales minoritarias y la sintomatología depresiva en una muestra de estudiantes de posgrado stricto sensu. Método: estudio transversal analítico realizado junto a 321 estudiantes de posgrado stricto sensu entre marzo y abril de 2021. Para evaluar los síntomas depresivos, se utilizó el Patient Health Questionnaire-9, la Escala de Autoestima de Rosemberg y la Escala de Satisfacción con la Vida. Los análisis de mediación simple se realizaron utilizando la macro PROCESS. Resultados: los estudiantes de posgrado con orientaciones sexuales minoritarias presentaron síntomas depresivos más severos y menores indicadores de autoestima y satisfacción con la vida que sus pares heterosexuales. La autoestima y la satisfacción con la vida mediaron parcialmente la relación entre la orientación sexual y la severidad de los síntomas depresivos en una proporción de, respectivamente, 48,26% y 37,54%. Conclusión: la autoestima y la satisfacción con la vida fueron importantes mediadores de la relación entre la orientación sexual minoritaria y los síntomas depresivos entre estudiantes de posgrado(AU)

Depressão associada à autopercepção de saúde: estudo de base populacional no Brasil / Depression associated with self-rated health: a population-based study in Brazil

Objetivo: avaliar a associação entre a autopercepção de saúde e a depressão de adultos brasileiros. Método: estudo transversal de base populacional, realizado no ano de 2019 em 26 estados e Distrito Federal, envolvendo 81.851 informantes de adultos respondentes da Pesquisa Nacional de Saúde. Foi adotado o modelo de regressão logística bivariada e múltiplo com medida de associação Odds Ratio (OD) e intervalo de confiança (IC) de 95% no Stata versão 11. Resultado: a prevalência de depressão entre adultos no Brasil foi de 9,01%. Pessoas com autopercepção de saúde ruim tiveram 1,87 vez maior chance de ter a doença quando comparadas àquelas com autopercepção de saúde boa (IC 95%: 1,69- 2,07). Dentre os fatores de risco para depressão, destacaram-se ser mulher, ter idade acima de 30 anos, não ter cônjuge, prática de atividade física semanal inferior a 150 minutos, não fazer esforço físico no trabalho e assistir televisão por mais de duas horas. Conclusão: este estudo apresenta os fatores associados à depressão, o que possibilita implementação de ações de prevenção da doença mental. Recomenda-se a realização de pesquisas longitudinais que propiciem a avaliação causal entre o desfecho e outras exposições.

Objective: to evaluate the association between self-perceived health and depression in Brazilian adults. Method: cross-sectional population-based study, carried out in 2019, in 26 states and the Federal District, involving 81,851 with informants from adult respondents to the National Health Survey. The bivariate and multiple logistic regression model was performed using the Odds Ratio (OD) association measure, and 95% confidence interval (CI) in Stata version 11. Result: the prevalence of depression among adults in Brazil was 9.01%. People with self-perceived poor health were 1.87 times more likely to have depression when compared to those with self-perceived good health (95% CI: 1.69-2.07). Among the risk factors for depression was being a woman, being over 30 years of age, not having a spouse, practicing weekly physical activity of less than 150 minutes, not doing physical effort at work, and watching television for more than two hours. Conclusion: this study presents the factors associated with depression, which makes it possible to implement actions to prevent mental illness. It is recommended to carry out longitudinal studies that provide a causal assessment between the outcome and other exposures.

Necesidad de tratamiento ortodóntico y su relación con el rendimiento académico, la autoestima y el bullying: revisión de la literatura / Need for orthodontic treatment and its relationship with academic performance, self-esteem and bullying: a review of the literature / Necessidade de tratamento ortodôntico e sua relação com o desempenho acadêmico, a autoestima e o bullying: uma revisão da literatura

RESUMEN La finalidad del presente estudio fue llevar a cabo un análisis de la literatura sobre la autopercepción de la necesidad de tratamiento ortodóntico relacionado al rendimiento académico, la autoestima y el bullying. Se realizó una búsqueda electrónica de artículos originales (estudios transversales) que cumplan con los criterios de inclusión y exclusión, elaborados desde el 2018 hasta el 2022, de las siguientes bases de datos: PubMed, Web of Science, Scopus, SciELO y ScienceDirect, en idiomas inglés, español y portugués. Finalmente, se seleccionaron 17 artículos que cumplían los criterios de exclusión y el diseño del estudio.

ABSTRACT The purpose of the present study was to conduct a literature review on the self-perception of the need for orthodontic treatment related to academic performance, self-esteem, and bullying. An electronic search was conducted for original articles (cross-sectional studies), meeting the inclusion and exclusion criteria, produced from 2018 to 2022, from the following databases: PubMed, Web of Science, Scopus, SciELO, and ScienceDirect, in English, Spanish, and Portuguese languages. Finally, 17 articles were selected that met the exclusion criteria and the study design.

RESUMO O objetivo deste estudo foi conduzir uma revisão da literatura sobre a autopercepção da necessidade de tratamento ortodôntico, considerando sua relação com o desempenho acadêmico, a autoestima e o bullying. Para atingir esse objetivo, uma busca eletrônica de artigos originais (estudos transversais) foi conduzida, com inclusão de trabalhos produzidos entre 2018 e 2022. Essa busca foi realizada em diversas bases de dados, incluindo PubMed, Web of Science, Scopus, SciELO e ScienceDirect. Foram considerados artigos em inglês, espanhol e português, seguindo critérios de inclusão e exclusão. No decorrer desse processo, foram selecionados 17 artigos que atendiam aos critérios pré-estabelecidos de exclusão e ao desenho do estudo.

Exam Anxiety and Its Associated Risk Factors Among Indian Medical Undergraduates

Background: Exam anxiety is a global troublesome psychological problem, impairing the academic perfor-mance of medical students. This study was planned to estimate the prevalence and associated risk factors of Exam anxiety among Indian medical students Methodology: A cross-sectional analytical study was conducted among 230 Indian medical undergraduate students. Westside Test Anxiety Inventory (WTAI) was used to estimate the level of Exam anxiety among medical students. We utilized multivariable logistic regression to identify independent risk factors among medical students. Results: The prevalence of high Exam Anxiety among medical students was 49.6 % (95% CI 43.9-57.0). The mean age of the students was 21.3 years. Multivariable logistic regression revealed the presence of excessive course load [AOR=2.22,95% CI:(1.03,4.78)], the presence of psychological stress [AOR=2.89,95% CI:(1.51,5.48)] and low self-esteem [AOR=8.15,95% CI:(1.51,43.96)] to be independent risk factors for exam anxiety. Conclusions: Our studyfindings suggest that the prevalence of Exam anxiety is very high among Indian un-dergraduate medical students. Our study also showed that the perception of excessive course load, psycholog-ical stress and low self-esteem were the independent risk factors in medical students.

Prevalencia del síndrome del impostor y nivel de autoestima en estudiantes de una facultad de medicina del Ecuador / Prevalence of impostor syndrome and level of self-esteem in students of a medical school in Ecuador

INTRODUCCIÓN. El síndrome del impostor es un trastorno caracterizado por la incapacidad del individuo para reconocer sus habilidades e interiorizar sus logros, lo cual impacta negativamente en la salud mental y desempeño académico-laboral. OBJETIVO. Identificar la prevalencia del síndrome del impostor y nivel de autoestima en estudiantes de una facultad de medicina del Ecuador. MATERIALES Y MÉTODOS. Estudio transversal descriptivo, aplicado en los estudiantes de medicina de segundo a décimo nivel, de la facultad de medicina de la Pontificia Universidad Católica del Ecuador en el periodo febrero a junio de 2022. Para el análisis estadístico se aplicaron frecuencias absolutas y relativas, tablas cruzadas, razón de prevalencia, chi cuadrado como contraste de hipótesis. RESULTADOS. La mayoría de estudiantes con síndrome de impostor fueron mujeres (74,2%); pertenecer al sexo femenino aumentó dos veces su probabilidad (Razón de prevalencia: 2,12; Índice de confianza: 95% 1,66-2,17; p: <0,001). Para el sexo masculino autopercibirse como perfeccionista incrementó dos veces la probabilidad (Razón de prevalencia: 2,3; Índice de confianza: 95% 1,53-3,46; p: < 0,001). La autoestima baja no se asoció a mayor probabilidad de desarrollar este síndrome. En contraste, no percibir apoyo social incrementó al doble su probabilidad (Razón de prevalencia: 1,72; Índice de confianza: 95% 1,16-2,55; p 0,007). DISCUSIÓN. Estudios previos muestran elevada prevalencia de este síndrome en estudiantes medicina, con predominio en mujeres. En concordancia con la literatura citada, no existió asociación entre nivel de carrera y síndrome del impostor; el perfeccionismo se asocia a mayor probabilidad de síndrome del impostor. CONCLUSIÓN. El síndrome del impostor es frecuente en estudiantes de medicina, existen factores determinantes que incrementan la probabilidad del síndrome como ser mujer, autopercibirse como perfeccionista en la población masculina y no percibir apoyo social, la importancia de su reconocimiento reside en la prevención del distrés psicológico y la deserción académica.

INTRODUCTION. Impostor syndrome is a disorder characterized by an individual's inability to recognize his or her abilities and internalize his or her accomplishments, which negatively impacts mental health and academic and occupational performance. OBJECTIVE. To identify the prevalence of impostor syndrome and level of self-esteem in students of a medical school in Ecuador. MATERIALS AND METHODS. Descriptive cross-sectional study, applied to medical students from second to tenth level, of the medical school of the Pontificia Universidad Católica del Ecuador in the period January to June 2022. For the statistical analysis, absolute and relative frequencies, cross tables, prevalence ratio, chi-square and hypothesis testing were applied. RESULTS. The majority of students with impostor syndrome were female (74.2%); belonging to the female sex increased their probability twice (Prevalence ratio: 2.12; Confidence index: 95% 1.66-2.17; p: < 0.001). For the male sex, self-perceiving oneself as a perfectionist increased the probability twice (Prevalence ratio: 2.3; Confidence index: 95% 1.53-3.46; p: < 0.001). Low self-esteem was not associated with a higher probability of developing this syndrome. In contrast, not perceiving social support doubled its probability (Prevalence ratio: 1.72; Confidence index: 95% 1.16-2.55; p 0.007). DISCUSSION. Previous studies show a high prevalence of this syndrome in medical students, with a predominance in women. In agreement with the literature cited, there was no association between career level and impostor syndrome; perfectionism is associated with a higher probability of impostor syndrome. CONCLUSIONS. Impostor syndrome is frequent in medical students, there are determinant factors that increase the probability of the syndrome such as being a woman, self-perceived perfectionism in the male population and not perceiving social support, the importance of its recognition lies in the prevention of psychological distress and academic desertion.