Case report: Assessment of linguistic, cognitive, and sensory profile competencies in a child with ASD and epilepsy.

Introduction: Autism Spectrum Disorder (ASD) and epilepsy pose significant challenges for early diagnosis during childhood. Current scientific literature does not reflect robust action protocols that allow for a detailed screening of difficulties in this population, especially in areas such as language, cognition, and sensory profile. Additionally, detecting epilepsy before the age of 4 is established as a major current public health challenge in our society. Objective: The aim was to evaluate a patient exhibiting symptoms compatible with both ASD and epilepsy, determining the linguistic, cognitive, and sensory profile through a clinical assessment protocol. Furthermore, the objective included establishing a diagnosis of ASD. Method: This single-case study (N = 1) presents the evaluation of a 7-year-old patient with suspected ASD, experiencing a decline in linguistic and cognitive competencies following a documented epileptic episode. Evaluation was conducted using instruments such as CELF-5, PROLEC-R, WISC-V, ENFEN, PS-2, ADI-R, and ADOS-2. Results: Following assessment of language, cognition, sensory aspects, and behaviors associated with ASD, the diagnosis of ASD was confirmed in the patient, along with impairments in expressive and receptive language, executive functioning, and alterations in the sensory profile. Conclusion: Diagnosing ASD and epilepsy, as well as their evaluation, is a complex process requiring interdisciplinary assessment involving a detailed exploration of all functional competencies in individuals with this comorbidity. Future studies should focus on creating and improving existing protocols to develop optimal and effective evaluation strategies for assessing this population during childhood.

How Are You Feeling? Interpretation of Emotions through Facial Expressions of People Wearing Different Personal Protective Equipment: An Observational Study.

(1) Background: The perception of others' emotions based on non-verbal cues, such as facial expressions, is fundamental for interpersonal communication and mutual support. Using personal protection equipment (PPE) in a work environment during the SAR-CoV-2 pandemic challenged health professionals' ability to recognise emotions and expressions while wearing PPE. The working hypothesis of this study was that the increased limitation of facial visibility, due to the use of a personal protective device, would interfere with the perception of basic emotions in the participants. (2) Methods: Through a cross-sectional descriptive study, the present research aimed to analyse the identification of four basic emotions (happiness; sadness; fear/surprise; and disgust/anger) through three types of PPE (FFP2 respirator, protective overall and powered air-purifying respirator (PAPR)), by using 32 photographs. The study was conducted using volunteer participants who met the inclusion criteria (individuals older than 13 without cognitive limitations). Participants had to recognise the emotions of actors in photographs that were randomly displayed in an online form. (3) Results: In general, the 690 participants better recognised happiness and fear, independently of the PPE utilised. Women could better identify different emotions, along with university graduates and young and middle-aged adults. Emotional identification was at its worst when the participants wore protective overalls (5.42 ± 1.22), followed by the PAPR (5.83 ± 1.38); the best scores were obtained using the FFP2 masks (6.57 ± 1.20). Sadness was the least recognised emotion, regardless of age. (4) Conclusions: The personal protective devices interfere in the recognition of emotions, with the protective overalls having the greatest impact, and the FFP2 mask the least. The emotions that were best recognised were happiness and fear/surprise, while the least recognised emotion was sadness. Women were better at identifying emotions, as well as participants with higher education, and young and middle-aged adults.

Measurement invariance of the Illness Invalidation Inventory (3*I) across language, rheumatic disease and gender.

OBJECTIVES: The Illness Invalidation Inventory (3*I) assesses patients' perception of responses of others that are perceived as denying, lecturing, not supporting and not acknowledging the condition of the patient. It includes two factors: 'discounting' and 'lack of understanding'. In order to use the 3*I to compare and pool scores across groups and countries, the questionnaire must have measurement invariance; that is, it should measure identical concepts with the same factor structure across groups. The aim of this study was to examine measurement invariance of the 3*I across rheumatic diseases, gender and languages. METHODS: Participants with rheumatic disease from various countries completed an online study using the 3*I, which was presented in Dutch, English, French, German, Portuguese and Spanish; 6057 people with rheumatic diseases participated. Single and multiple group confirmatory factor analyses were used to test the factorial structure and measurement invariance of the 3*I with Mplus. RESULTS: The model with strong measurement invariance, that is, equal factor loadings and thresholds (distribution cut-points) across gender and rheumatic disease (fibromyalgia vs other rheumatic diseases) had the best fit estimates for the Dutch version, and good fit estimates across the six language versions. CONCLUSIONS: The 3*I showed measurement invariance across gender, rheumatic disease and language. Therefore, it is appropriate to compare and pool scores of the 3*I across groups. Future research may use the questionnaire to examine antecedents and consequences of invalidation as well as the effect of treatments targeting invalidation.

Risk factors for fibromyalgia: the role of violence against women.

The objectives of the study were to analyse the association between fibromyalgia (FM) and violence against women and to explore the association between FM and sociodemographic factors, social support and psychological distress. A case-control study was conducted in a Spanish hospital. Cases were women diagnosed with FM, with no signs of any other type of inflammatory rheumatic disorder, who were seen at the Rheumatology Department of the hospital. Controls were women not diagnosed with FM who were seen at the Ear, Nose and Throat Department of the same hospital. A self-administered anonymous questionnaire was used to gather data on sociodemographic characteristics, violence, social support and psychological distress. Uni-, bi- and multivariate logistic regression analyses were conducted; 287 cases and 287 controls were recruited. The multivariate analysis showed that the probability of presenting FM increased with age (odds ratios (OR) = 1.06; CI95% = 1.03-1.09); that employed women and housewives were more likely to have the syndrome than unemployed women or students (OR = 4.97; CI95% = 1.45-17.02, and OR = 3.47; CI95% = 0.98-12.22, respectively); that the lower the educational level, the higher the probability of having FM; and that psychological distress was positively associated with the syndrome (OR = 4.62; CI95% = 2.68-7.97). Although abuse was more prevalent in cases than in controls, the differences were not statistically significant. However, frequency of abuse was positively and significantly correlated with FM. Although the aetiology of FM is still uncertain, it seems that certain psychosocial factors may be associated with the syndrome. Therefore, an interdisciplinary approach to the treatment of patients affected with this syndrome should be considered.

Propiedades psicométricas de la Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE) / Psychometric properties of the Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE)

Se presenta en este trabajo el constructo de «autoeficacia específica para el afrontamiento del estrés» así como un instrumento para su evaluación, la Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE), y los resultados sobre sus propiedades psicométricas. Participaron en este estudio 812 adultos de 18 a 64 años (M= 26.46; dt= 9.93; 62.6% mujeres y 37.4% hombres) procedentes de diferentes contextos. Los participantes contestaron la EAEAE junto con otras medidas de constructos teóricamente relacionados con esta autoeficacia específica. Tanto la escala completa como sus dos subescalas de Expectativas de Eficacia y Expectativas de Resultado muestran una adecuada fiabilidad, así como una apropiada validez de constructo factorial, que señala la bidimensionalidad del instrumento, y validez convergente con el resto de medidas. Las características de brevedad y facilidad de administración de la escala y la constatación de sus adecuadas propiedades psicométricas indican que la EAEAE es un instrumento apropiado para la evaluación e investigación sobre la autoeficacia específica para el afrontamiento del estrés en contextos de investigación y clínicos (AU)

This paper presents the theoretical construct of «coping with stress specific self-efficacy» and an instrument for its assessment, the Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE; in English, Coping with Stress Self-Efficacy Scale), as well as the results obtained concerning its psychometric properties from an adult population. 812 individuals, aged 18 to 64 years old (M= 26.46, SD= 9.93, 62.6% females and 37.4% males), recruited from various contexts, participated in this study. Participants completed the EAEAE along with other measures of constructs theoretically related to this specific self-efficacy. The EAEAE shows appropriate reliability in its complete form as well as in its two subscales of Efficacy Expectations and Outcome Expectations, and adequate factorial construct validity (which reveals the bi-dimensionality of the instrument), and convergent validity with the remaining measures. The characteristics of brevity and ease of application of the scale, in addition to its adequate psychometric properties, indicate that the EAEAE is an appropriate tool to assess and investigate coping with stress self-efficacy in research as well as clinical settings (AU)

[Psychometric properties of the Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE)]. / Propiedades psicométricas de la Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE).

This paper presents the theoretical construct of <> and an instrument for its assessment, the Escala de Autoeficacia para el Afrontamiento del Estrés (EAEAE; in English, Coping with Stress Self-Efficacy Scale), as well as the results obtained concerning its psychometric properties from an adult population. 812 individuals, aged 18 to 64 years old ( M = 26.46, SD = 9.93, 62.6% females and 37.4% males), recruited from various contexts, participated in this study. Participants completed the EAEAE along with other measures of constructs theoretically related to this specific self-efficacy. The EAEAE shows appropriate reliability in its complete form as well as in its two subscales of Efficacy Expectations and Outcome Expectations, and adequate factorial construct validity (which reveals the bi-dimensionality of the instrument), and convergent validity with the remaining measures. The characteristics of brevity and ease of application of the scale, in addition to its adequate psychometric properties, indicate that the EAEAE is an appropriate tool to assess and investigate coping with stress self-efficacy in research as well as clinical settings.