Metallosis After Oxinium Total Knee Arthroplasty in a Patient With Rheumatoid Arthritis: A Case Report.

Metallosis is a late uncommon complication of knee arthroplasties due to prosthetic loosening or component displacement. Oxinium prosthesis used to have components that attempted and proved to decrease prosthetic wear and consequent metallosis in the past. However, new studies showed that a combination of a shallow anterior tab snap-fit locking mechanism and thin dovetail lips make it susceptible to polyethylene dislocation and prosthesis loosening. The following case report show metallosis development in a 69-year-old female patient with a 20-year history of stage IV left gonarthrosis (Kellgren and Lawrence classification) who underwent a total knee arthroplasty (TKA) with a high-flex PS Genesis II prosthesis (Smith & Nephew, Hertfordshire, UK). We discuss the role of the material and her rheumatoid arthritis background in orthopedic mechanical failure. It is crucial that designers focus on the improvement of locking mechanisms and polyethylene properties.

La consecución del funcionamiento psicológico pleno: la dimensión de crecimiento personal / Achieving full psychological functioning: the dimension of personal growth

Los grandes avances médicos logrados en las últimas décadas han posibilitado un inusitado aumento de la esperanza de vida en buena parte de la población mundial, especialmente en los países desarrollados. Sin embargo, este notable incremento de la salud física de las personas contrasta con las elevadas cifras de enfermedades mentales que asolan en numerosas sociedades contemporáneas. En aras de prevenir y reducir la alta incidencia de problemas de salud mental, en los últimos años estamos asistiendo a un creciente interés por el estudio científico de los recursos psicológicos personales como garante de un funcionamiento psicológico pleno. En consonancia con este planteamiento, numerosos enfoques psicológicos enfatizan la importancia de promover el desarrollo de las capacidades y potencialidades individuales, en la medida en que esta dimensión de crecimiento personal se erige en uno de los factores más genuinos y representativos del bienestar psicológico. El presente trabajo pretende profundizar en la comprensión de este pilar esencial del bienestar humano. En primer lugar, se realiza un sucinto recorrido histórico del constructo crecimiento personal, desde su pionera concepción aristotélica hasta su operativización por parte de psicólogos relevantes como Maslow, Rogers, Jung o Frankl, entre otros. Estas aportaciones conforman la raíz por la que se nutre la psicología contemporánea a la hora de explicar y definir este tópico. En concreto, y apoyándonos en diferentes teorías, enfoques y corrientes psicológicas ampliamente aceptadas en la actualidad, analizamos en este artículo aquellos recursos más estrechamente asociados al crecimiento personal, entre los que se encuentran la autodeterminación, el estado de fiujo, el mindfulness, la compasión y el capital psicológico.(AU)

The great medical advances achieved in the last decades have allowed an unusual increase in life expectancy in a large part of the world population, especially in developed countries. However, this remarkable improvement in the physical health of people contrasts with the high numbers of mental illnesses that plague in many contemporary societies. In order to prevent and reduce the high incidence of mental health problems, in recent years we are witnessing a growing interest in the scientific study of personal psychological resources as a guarantor of full psychological functioning. In line with this approach, numerous psychological proposals emphasize the importance of promoting the development of individual capacities and potentialities, to the extent that this dimension of personal growth stands as one of the most genuine and representative factors of psychological well-being. This paper aims to deepen the understanding of this core pillar of human well-being. Firstly, there is a brief historical journey of the personal growth construct, from its pioneering Aristotelian conception to its operationalization by relevant psychologists such as Maslow, Rogers, Jung or Frankl, among others. These contributions constitute the root for which contemporary psychology is nourished when explaining and defining this topic. In particular, and relying on different theories, approaches, and psychological currents widely accepted today, secondly, we analyze in this paper those resources most closely associated with personal growth, among which are self-determination, fiow, mindfulness, compassion, and psychological capital.(AU)

Mortalidade materna: perfil clínico e epidemiológico de uma maternidade pública do Amazonas / Maternal mortality: clinical and epidemiological profile of a public maternity hospital in Amazonas

Objetivo: Avaliar o perfil clínico e epidemiológico das mortes maternas ocorridas em uma maternidade pública de Manaus no período de janeiro de 2016 a dezembro de 2019. Métodos: Trata-se de um estudo do tipo descritivo e retrospectivo realizado a partir de dados contidos em prontuários médicos do Serviço de Arquivo Médico e Estatística (SAME) da Maternidade Ana Braga na cidade de Manaus-AM. A amostra foi constituída por pacientes admitidas na Maternidade Ana Braga e que evoluíram com óbito no ciclo gravídico puerperal, que consiste em grávidas, em trabalho de parto, que deram à luz ou que abortaram dentro de um período de até 42 dias. Resultados: Foram avaliados 29 prontuários de pacientes que foram a óbito no ciclo gravídico puerperal. Essas mulheres tinham entre 14 e 42 anos de idade. Quanto à escolaridade, 56,3% delas tinham ensino médio. Quanto à etnia, as mulheres negras e pardas representaram a maioria, as solteiras, o maior percentual. No óbito materno, observou-se que 10 mulheres realizaram menos de seis consultas pré-natal, a principal via de parto foi a cesariana e o choque séptico foi o mais prevalente como causa de morte. Conclusão: Esse resultado sugere a necessidade de avaliação do acesso oportuno das gestantes à assistência pré-natal, ao parto e ao puerpério adequada, além de melhorias na promoção de políticas públicas que busquem a redução da mortalidade materna.(AU)

Objective: To evaluate the clinical and epidemiological profile of maternal deaths that occurred in a public maternity hospital in Manaus from January 2016 to December 2019. Methods: This is a descriptive and retrospective study carried out based on data contained in medical records doctors from the Medical Archive and Statistics Service (SAME) of the Ana Braga Maternity Hospital in the city of Manaus-AM. The sample consisted of patients admitted to the Ana Braga Maternity Hospital and who died in the pregnancy-puerperal cycle, which consists of pregnant women, in labor, who gave birth or who aborted within a period of up to 42 days. Results: Were evaluated 29 records of patients who died in the pregnancy-puerperal cycle, these women were between 14 and 42 years old, and 56.3% had high school education. As for ethnicity, black and brown women represented the majority, single women the highest percentage. In maternal death, it was observed that 10 women had less than six prenatal consultations, the main mode of delivery was cesarean section and septic shock was the most prevalent cause of death. Conclusion: This result suggests the need to assess the timely access of pregnant women to adequate prenatal care, childbirth and postpartum care, in addition to improvements in the promotion of public policies that seek to reduce maternal mortality.(AU)

Psychometric properties of the Spanish version of the Patient Health Questionnaire-9 in users of the Ecuadorian public health care system

Introduction: Depression is one of the most prevalent public health problems worldwide and remains an underdiagnosed disease, especially in developing countries. The availability of instruments that permit detecting this problem is essential for reducing the burden of this disorder. The aim of this study was to examine the psychometric properties (factor structure, sex invariance, internal consistency, and convergent and divergent validity) of the Spanish version of the PHQ-9 (Patient Health Questionnaire-9). Method: A sample of 366 public hospital users in Ecuador was recruited and accordingly completed a survey that included sociodemographic data, the PHQ-9, and other standards of measurement such as the Beck Depression Inventory-II (BDI-II), the Generalised Anxiety Disorder Scale (GAD-7), the Positive and Negative Affect Scale (PANAS), and the Quality-of-Life Index (QLI). Results: The unidimensional factor model of the PHQ-9 provided the best fit for the data. The PHQ-9 assesses depressive symptoms equivalently in both sexes, and presents high internal consistency, as well as good convergent and divergent validity with the other constructs. Conclusion: The application of the PHQ-9 could aid in the screening of patients with depressive symptomatology in the Ecuadorian public health system (EPHS).

Introducción: La depresión es uno de los problemas de salud pública más prevalentes a nivel mundial, y suele ser subdiagnosticada especialmente en países en vías de desarrollo. Contar con instrumentos que permitan realizar un cribado de este problema es fundamental para reducir el costo de este trastorno. El objetivo de este artículo fue examinar las propiedades psicométricas (estructura factorial, invarianza en función del sexo, consistencia interna, validez convergente y divergente) de la versión española del PHQ-9 (Patient Health Questionnaire-9). Método: Se reclutó una muestra de 366 usuarios de un hospital público en Ecuador, los cuales respondieron una encuesta que incluía datos sociodemográficos, el PHQ-9, el inventario de depresión de Beck-II (BDI-II), la Escala de Trastorno de Ansiedad Generalizada-7 (GAD-7), la Escala de Afecto Positivo y Negativo (PANAS), y el índice de calidad de vida (QLI). Resultados: El modelo unidimensional del PHQ-9 proporcionó mejor ajuste de los datos. El PHQ-9 evalúa síntomas depresivos de forma equivalente en ambos sexos y presenta una elevada consistencia interna, así como una buena validez convergente y divergente con el resto de los constructos. Conclusión: La administración del PHQ-9 podría apoyar el cribado de pacientes con sintomatología depresiva en el sistema público de salud ecuatoriano (SSPE).

Pictorial size perception in schizophrenia.

In this study, we compared visual pictorial size perception between healthy volunteers (CG) and an experimental group (EG) of people diagnosed with schizophrenia. We have been using paintings by Salvador Dalí and Rorschach plates to estimate visual pictorial size perception. In this transversal, ex post facto, and quasi-experimental study, we observed differences between EG and CG. Schizophrenic in-patients perceived sizes about 1.3-fold greater than healthy volunteers (p=0.006), implying that pictorial size perception is altered in some way in schizophrenia. Considering the present and previous results, this measurement of diameter size of first pictorial perception may be a useful estimate of some aspects of perceptual alterations that may be associated with psychotic symptoms in prodromal and acute schizophrenic episodes and other related mental states. Eventually, this may help in preventing people from evolving to acute episodes.

Performance of (Instrumental) Activities of Daily Living and Physical Capacity in Spanish Adults with Intellectual Disabilities: A Cross-Sectional Pilot Study.

Performance in basic and instrumental activities of daily living (ADL; IADL) is an essential indicator of daily functioning and health of people with intellectual disabilities (ID). The aims of this pilot study were to describe the profile of ADL and IADL performance in Spanish adults with ID, and to examine its association with functional physical skills. The Waisman Activities of Daily Living Scale for adolescents and adults with developmental disabilities (W-ADL) scale was administered to the caregivers of twenty adults with ID (mean age = 41.0, SD = 10.1; women = 75.0%). In addition, dynamic balance and maximum walking speed (MWS), lower-body strength, aerobic capacity and manual dexterity of participants were individualized assessed. The results showed that 40% of adults with ID were completely independent in ADL, but all participants reported activity limitations in at least one IADL. Dynamic balance and MWS, lower-body strength and manual dexterity showed significant and moderate-to-strong correlations with daily functioning (r = 0.495-0.814; p < 0.05). Linear regression analysis indicated that lower-body strength and manual dexterity significantly predicted activity performance in adults with ID (adjusted R2 = 0.816, p = 0.004-0.016). This study highlights the need to support the performance of both ADL and IADL and to promote physical fitness in Spanish community-based care centers for adults with ID.

Cultural adaptation of the Smiling is Fun program for the treatment of depression in the Ecuadorian public health care system: A study protocol for a randomized controlled trial.

BACKGROUND: Depression is one of the world's major health problems. Due to its high prevalence, it constitutes the first cause of disability among the Americas, where only a very low percentage of the population receives the adequate evidence-based psychological treatment. Internet-Based Interventions (IBIs) are a great alternative to reduce the treatment gap for mental disorders. Although there are several studies in low-and middle-income countries proving IBIs' feasibility and acceptability, there is still little evidence of the effectiveness in diverse social and cultural contexts such as Latin America. METHODS: Two studies will be described: Study 1 is focused on the cultural adaptation of a cognitive-behavioral IBI Smiling is Fun (Botella et al. 2012, 2015) for Ecuadorian population with depression based on the procedure by Salamanca-Sanabria et al. (2018). Study 2 describes the design of a randomized controlled trial to test the preliminary efficacy of the culturally adapted intervention in a Public Health Care setting. A total of 153 patients with mild to moderate degree of depression as assessed with the Mini-International Neuropsychiatric Interview (M.I.N.I.) and the Patient Health Questionnaire-9 (PHQ-9) will be randomly assigned to either an IBI group using only automated support by the system; an IBI group including also minimal human support; or a waiting list group. The primary outcome (depression) and secondary outcomes (e.g., anxiety, affect, quality of life) will be collected at baseline, 3, 6 and 12 months. Mixed-model analyses with no ad hoc imputations will be conducted. DISCUSSION: This paper is pioneering in exploring the role of an Internet-based culturally adapted intervention for depression in a public care context in Ecuador. Results obtained will offer new insights into the viability and effectiveness of digital technologies for the psychological treatment of mental illnesses in developing countries.

Pictorial size perception in schizophrenia

In this study, we compared visual pictorial size perception between healthy volunteers (CG) and an experimental group (EG) of people diagnosed with schizophrenia. We have been using paintings by Salvador Dalí and Rorschach plates to estimate visual pictorial size perception. In this transversal, ex post facto, and quasi-experimental study, we observed differences between EG and CG. Schizophrenic in-patients perceived sizes about 1.3-fold greater than healthy volunteers (p=0.006), implying that pictorial size perception is altered in some way in schizophrenia. Considering the present and previous results, this measurement of diameter size of first pictorial perception may be a useful estimate of some aspects of perceptual alterations that may be associated with psychotic symptoms in prodromal and acute schizophrenic episodes and other related mental states. Eventually, this may help in preventing people from evolving to acute episodes.

Psychological Capital and Burnout in Teachers: The Mediating Role of Flourishing.

In keeping with the growth in the development of healthy environments in organizational contexts, in recent years, there has also been increasing interest in the identification of personal psychological resources that contribute to improved worker mental health. From this proactive approach, this study examines the mediating role of flourishing in the relationship between psychological capital (PsyCap) and burnout in teachers, a professional group that is particularly prone to suffering from this syndrome. A total of 1379 teachers from pre-school, primary, secondary, and vocational education systems participated in the study. The mediating effect of flourishing was determined via mediation analysis using the PROCESS macro. The results showed that flourishing partially mediates the negative effect of PsyCap on the three symptoms of burnout (emotional exhaustion, depersonalization, and lack of professional accomplishment). These findings indicate that both PsyCap and flourishing may be effective personal resources in reducing teacher burnout. Therefore, in order to prevent burnout, it is advisable to design interventions that combine PsyCap and flourishing.

Avaliação das condições higiênico-sanitárias no açougue de um hipermercado em um município da baixada santista / Evaluation of hygienic-sanitary conditions in the butcher of a hypermarket in a municipality of baixada santista

As boas práticas nos serviços de alimentação são imprescindíveis para a garantia de qualidade e segurança dos alimentos. Objetivou-se nesta pesquisa avaliar as condições higiênico-sanitárias de um açougue em hipermercado no município de Guarujá-SP. O estudo de caráter observacional foi realizado in loco, e teve como ferramenta de pesquisa o check-list baseado nas portarias RDC 275/2002 e RDC 216/2004 da ANVISA, e logo após a avaliação foi coletado dez amostras dos principais pontos críticos do setor para análise microbiológica. Observou-se no estabelecimento que, mesmo atendendo uma grande porcentagem de conformidades em relação às boas práticas, foram detectadas dez amostras positivas para diversas bactérias Gram ­ e Gram +, o que pode representar risco eminente à segurança dos alimentos

Good practices in food services are essential for quality assurance and food safety. The objective of this research was to evaluate the hygienic-sanitary conditions of a butcher shop in a hypermarket in Guarujá-SP. The observational study was carried out on site, and had as research tool the checklist based on ANVISA RDC 275/2002 and RDC 216/2004, and shortly after the evaluation was collected ten samples of the main critical points of the sector. for microbiological analysis. It was observed that even meeting a high percentage of compliance with good practices, the establishment presented the ten positive samples for several gram ­ and gram + bacteria which may represent an imminent risk to food safety

Avaliação das condições higiênico-sanitárias no açougue de um hipermercado em um município da Baixada Santista / Evaluation of hygienic-sanitary conditions in the butcher of a hypermarket in a municipality of Baixada Santista

As boas práticas nos serviços de alimentação são imprescindíveis para a garantia de qualidade e segurança dos alimentos. Objetivou-se nesta pesquisa avaliar as condições higiênico-sanitárias de um açougue em hipermercado no município de Guarujá-SP. O estudo de caráter observacional foi realizado in loco, e teve como ferramenta de pesquisa o check-list baseado nas portarias RDC 275/2002 e RDC 216/2004 da ANVISA, e logo após a avaliação foi coletado dez amostras dos principais pontos críticos do setor para análise microbiológica. Observou-se no estabelecimento que, mesmo atendendo uma grande porcentagem de conformidades em relação às boas práticas, foram detectadas dez amostras positivas para diversas bactérias Gram – e Gram +, o que pode representar risco eminente à segurança dos alimentos.

Good practices in food services are essential for quality assurance and food safety. The objective of this research was to evaluate the hygienic-sanitary conditions of a butcher shop in a hypermarket in Guarujá-SP. The observational study was carried out on site, and had as research tool the checklist based on ANVISA RDC 275/2002 and RDC 216/2004, and shortly after the evaluation was collected ten samples of the main critical points of the sector. for microbiological analysis. It was observed that even meeting a high percentage of compliance with good practices, the establishment presented the ten positive samples for several gram – and gram + bacteria which may represent an imminent risk to food safety.

Coping Strategies and Self-Efficacy in University Students: A Person-Centered Approach.

In daily academic life, students are exposed to a wide range of potentially stressful situations which could negatively affect their academic achievement and their health. Among the factors that could be weakened by academic stress, attention has been paid to expectations of self-efficacy, which are considered one of the most important determinants for student engagement, persistence, and academic success. From a proactive perspective, research on academic stress has emphasized the importance of coping strategies in preventing harmful consequences. In recent years, there has been a growing interest in discovering the extent to which individuals are able to combine different coping strategies and the adaptive consequences this flexibility entails. However, studies using this person-centered approach are still scarce in the academic context. On that basis, this current study had two objectives: (a) to examine the existence of different profiles of university students based on how they combined different approach coping strategies (positive reappraisal, support seeking, and planning) and (b) to determine the existence of differences in general expectations of self-efficacy between those coping profiles. A total of 1,072 university students participated in the study. The coping profiles were determined by latent profile analysis (LPA). The differences in the self-efficacy variable were determined using ANCOVA, with gender, university year, and degree type as covariates. Four approach coping profiles were identified: (a) low generalized use of approach coping strategies; (b) predominance of social approach coping approaches; (c) predominance of cognitive approach coping approaches; and (d) high generalized use of approach coping strategies. The profile showed that a greater combination of the three strategies was related to higher general self-efficacy expectations and vice versa. These results suggest that encouraging flexibility in coping strategies would help to improve university students' self-efficacy.

Time spent and time management in homework in elementary school students: a person-centered approach / Tiempo y gestión del tiempo dedicado a los deberes en Educación Primaria: un enfoque centrado en la persona

BACKGROUND: Based on a person-centered approach, the aim ofthis study is to identify different profiles of students based on the time they spend on homew he differences between them in the amount of homework done and academic achievement. METHOD: With a sample of 968 students of Primary Education analysis of latent profiles (LPA) and ANOVA were carried out. Once the student profiles were identified, a MANOVA was conducted to analyze the differences between the motivational profiles in the amount of homework assignments done and in academic achievement. RESULTS: We differentiated four profiles of students that differentially combine the time they dedicate to their homework and the use they make of that time. CONCLUSIONS: Of the profiles identified, two can be considered more effective (those that manage time better), and two can be classified as less effective (those that manage time worse). The two profiles that best manage the time spent on homework are also those that do the most homework, and have higher academic achievement. Likewise, the two profiles of students who manage time worst are those who do the least homework, and who have lower academic achievement

ANTECEDENTES: partiendo de un enfoque centrado en la persona, el propósito de este trabajo es identificar diferentes perfiles de estudiantes en función del tiempo que dedican a los deberes escolares y de la gestión que hacen de ese tiempo; así como también analizar las diferencias entre ellos en la cantidad de deberes realizados y en el rendimiento académico. MÉTODO: con una muestra de 968 estudiantes de Educación Primaria, se llevaron a cabo análisis de perfiles latentes (LPA) y ANOVA. Una vez identificados los perfiles de estudiantes se realizó un MANOVA para analizar las diferencias entre los perfiles motivacionales en la cantidad de deberes realizados y en el rendimiento. RESULTADOS: se han podido diferenciar cuatro perfiles de estudiantes que combinan de manera distinta el tiempo que dedican a los deberes y la gestión que hacen de ese tiempo. CONCLUSIONES: de los perfiles identificados, dos pueden considerarse más eficaces (los que gestionan mejor el tiempo) y otros dos pueden catalogarse como menos eficaces (los que gestionan peor el tiempo). Los dos perfiles que gestionan mejor el tiempo son también los que realizan más cantidad de deberes y tienen un rendimiento académico más alto; y los dos que gestionan peor el tiempo son los que realizan menos cantidad de deberes y tienen un rendimiento académico más bajo

Time spent and time management in homework in elementary school students: A person-centered approach.

BACKGROUND: Based on a person-centered approach, the aim ofthis study is to identify different profiles of students based on the time they spend on homew he differences between them in the amount of homework done and academic achievement. METHOD: With a sample of 968 students of Primary Education analysis of latent profiles (LPA) and ANOVA were carried out. Once the student profiles were identified, a MANOVA was conducted to analyze the differences between the motivational profiles in the amount of homework assignments done and in academic achievement. RESULTS: We differentiated four profiles of students that differentially combine the time they dedicate to their homework and the use they make of that time. CONCLUSIONS: Of the profiles identified, two can be considered more effective (those that manage time better), and two can be classified as less effective (those that manage time worse). The two profiles that best manage the time spent on homework are also those that do the most homework, and have higher academic achievement. Likewise, the two profiles of students who manage time worst are those who do the least homework, and who have lower academic achievement.

Associations between Profiles of Self-Esteem and Achievement Goals and the Protection of Self-Worth in University Students.

The high demands of academia and the fear of failure lead some university students to prioritize defending their personal worth through the use of complex strategies such as self-handicapping or defensive pessimism. Adopting a person-centered approach, this study established two objectives: First, to analyze the conformation of different motivational profiles based on the combination of self-esteem and achievement goals (learning, performance approach, and performance avoidance); and second, to determine if the identified profiles differ from one another in the use of self-handicapping and defensive pessimism. A total of 1028 university students participated in the research. Four motivational profiles were obtained: (a) High self-esteem, low learning goals, high performance approach goals, and high performance avoidance goals; (b) high self-esteem, high learning goals, low performance approach goals, and low performance avoidance goals; (c) low self-esteem, low learning goals, high performance approach goals, and high performance avoidance goals; and (d) low self-esteem, high learning goals, high performance approach goals, and medium performance avoidance goals. Profiles (c) and (d) were significantly related to self-handicapping and defensive pessimism, respectively. These results suggest that students with low self-esteem are more vulnerable to self-protection strategies. Additionally, under self-handicapping and defensive pessimism, the achievement goals are slightly different.

Relationship Between Students' Prior Academic Achievement and Homework Behavioral Engagement: The Mediating/Moderating Role of Learning Motivation.

The interest of assigning homework is frequently discussed due to its alleged low impact on student achievement. One of the current lines of research is to emphasize the quality of student homework engagement rather than the amount of time spent on homework. The aim of this study was to determine (a) the extent to which students' prior achievement affects their homework engagement (i.e., time spent, time management, and amount of teacher-assigned homework done), and (b) how students' intrinsic motivation toward homework may mediate or moderate the relationship between prior achievement and the homework engagement variables. A large sample of students from the first 4 years of Secondary Education (N = 1899) completed questionnaires. The results showed that intrinsic motivation partially mediates, but does not moderate, the effect of prior achievement on the three variables related to homework engagement (time spent, time management, and amount of teacher-assigned homework done). These results highlight the importance of considering both students' current level of achievement and their motivation toward homework engagement when assigning homework.

The Role of Prior Achievement as an Antecedent to Student Homework Engagement.

The benefits of homework on student learning and academic achievement, to a large extent, depend on the degree of student engagement. Motivational engagement (my intention or why I do the homework), cognitive engagement (how I get involved in homework), and behavioral engagement (how much homework I do, how much time I devote to it, how I manage that time) are key aspects that condition the quality of the process of doing homework, learning, and academic achievement. Prior academic achievement is one of the variables that seems to be positively related to student engagement (both due its motivational component and to the training to do homework). The main purpose of this work was to study in detail this relationship in students of the last stage of Primary Education (N = 516). The results showed that (i) as achievement levels rise, the use of a shallow focus to doing homework decreases (and the use of a deep approach increases); (ii) there is also a progressive increase in the amount of homework done and in the management of the time dedicated to homework. On another hand, as in previous research, (iii) no relationship was observed between the levels of prior achievement and the amount of time spent doing homework.

Eudaimonic Well-Being and Coping with Stress in University Students: The Mediating/Moderating Role of Self-Efficacy.

The importance of personal psychological resources in preventing academic stress has enjoyed little attention to date, despite the high rates of stress that exist among university students. This article analyzes the effect of eudaimonic well-being on the use of adaptive strategies for coping with academic stress. Moreover, it analyzes the role of self-efficacy as a mediator and moderator of this relationship. In the mediation model, gender is included as a co-variable; in the moderation model, gender is included as a moderator. A total of 1402 university students participated in the study. The data were gathered through validated self-report instruments. The mediation analyses were performed using the PROCESS module of the statistical package, SPSS. The moderating effects of self-efficacy and gender were analyzed through hierarchical regression analysis. The results indicate that self-efficacy partially mediates but does not moderate the relationship between eudaimonic well-being and adaptive coping strategies. This finding reveals the benefits of using these two personal resources to enhance effective coping with academic stress while attending university.

Perfiles de self-handicapping y autoestima y su relación con las metas de logro / Profiles of self-handicapping and self-esteem, and its relationship with achievement goals

El presente trabajo pretende profundizar en el conocimiento del self-handicapping académico. Dos son los objetivos de este estudio: (a) identificar posibles perfiles de estudiantes a partir de la combinación del self-handicapping (conductual y alegado) y la autoestima; y (b) analizar las diferencias entre estos perfiles en cuanto a sus metas de logro (aprendizaje, aproximación al rendimiento, evitación del rendimiento y evitación del trabajo). Participaron en la investigación 1028 estudiantes universitarios. Para la obtención de los perfiles se realizó un análisis de perfiles latentes. Las diferencias entre perfiles en las metas de logro se analizaron mediante un MANCOVA, tomando como covariables el género y el curso. Se obtuvieron cinco perfiles de estudiantes: BA/ASH (baja autoestima y alto self-handicapping); BA/ASHA (baja autoestima y alto self-handicapping alegado); BA/ASHC (baja autoestima y alto self-handicapping conductual); MA/MSH (moderada autoestima y moderado self-handicapping); y MA/BSH (moderada autoestima y bajo self-handicapping). Estos perfiles se diferenciaron entre sí significativamente en cuanto a sus metas de logro. Los resultados de este trabajo contribuyen a la comprensión de las características motivacionales de los estudiantes self-handicappers. Dado lo disfuncional que resultan estas estrategias, se plantean algunas pautas psicoeducativas dirigidas a la prevención del self-handicapping en el contexto académico

The present work aims to deepen the knowledge of academic self-handicapping. This study has two objectives: a) to identify different profiles of students according to the combination of self-handicapping (behavioral and claimed) and self-esteem; and (b) to analyze the differences between these profiles in the use of achievement goals (learning, performance-approach, performance-avoidance, and work-avoidance). 1,028 university students participated in the research. Latent profile analysis was applied to obtain the profiles. We conducted a MANCOVA to examine the differences between profiles in achievement goals. Gender and course were estimated as covariates. Five student profiles were obtained: LSE/HSH (low self-esteem and high self-handicapping); LSE/HCSH (low self-esteem and high claimed self-handicapping); LSE/HBSH (low self-esteem and high behavioral self-handicapping); MSE/MSH (medium self-esteem and medium self-handicapping); and MSE/LSH (medium self-esteem and low self-handicapping). These profiles differed significantly from each other in terms of their achievement goals. The results of this study contribute to understanding the motivational characteristics of self-handicappers students. Given the dysfunctional nature of these strategies, some psychoeducational guidelines are proposed for the prevention of academic self-handicapping

Coping flexibility and eudaimonic well-being in university students.

Despite the growing interest in the relationship between coping strategies and eudaimonic well-being, few studies have examined this issue from the perspective of coping flexibility. Therefore, the present study aimed to: (1) identify approach coping profiles in the university context and (2) analyze the differences between these profiles in terms of eudaimonic well-being. A prospective ex post facto design was used and 1,402 university students were selected through convenience sampling. Data were collected using validated self-reported instruments. A latent profile analysis was conducted to identify the participants' coping profiles. The relationship between profiles and eudaimonic well-being was determined using a multivariate analysis of covariance (MANCOVA), with gender, age, and university degree as covariates. Six student profiles were identified based on the degree to which they combined positive reappraisal, support seeking, and planning strategies. The profiles that involved the use of these three strategies to a greater extent experienced more eudaimonic well-being, and vice versa. To analyze the impact of coping on eudaimonic well-being, it is necessary to consider students' ability to combine different approach coping strategies.