Validation of the Ten-Item Internet Gaming Disorder Test (IGDT-10) and Its Association with Functional Impairment in Brazilian Gamers.

INTRODUCTION: Despite the growing recognition of gaming disorder as a mental disorder, there is still debate about how it should be best screened for. This is especially relevant in countries where prevalence studies that could support evidence-based policymaking are still to be conducted. This study aims to evaluate the psychometric properties of the Brazilian Portuguese version of the Ten-Item Internet Gaming Disorder Test (IGDT-10) and to explore its association with functional impairment. METHODS: An online convenience sample of 805 Brazilian adults who reported playing games completed the adapted version of IGDT-10 and World Health Organization Disability Assessment Schedule 2.0, as well as the Problematic Internet Use Questionnaire, the Center for Epidemiologic Studies-Depression Scale, the Rosenberg Self Esteem Scale and socio-demographic questions. RESULTS: The Brazilian Portuguese version of IGDT-10 demonstrated a unidimensional structure in both confirmatory and exploratory factor analysis, with satisfactory internal consistency and adequate temporal stability. Participants who scored five or more on IGDT-10 presented higher levels of functional impairment compared to those who scored positive for four symptoms or less. The difference between the two groups was statistically significant and showed a moderate effect size. Network analysis showed a direct connection between IGDT-10 and functional impairment, and identified "negative consequences" as the most relevant item connecting these variables. CONCLUSION: The IGDT-10 is a brief, easy-to-understand, valid, and reliable instrument, proving to be a suitable candidate for screening gaming disorder in future epidemiological studies.

Evidências de validade e fidedignidade da escala de Gratidão (G-20) / Evidence of validity and reliability of the Gratitude scale (G-20) / Evidencias de validez y confiabilidad de la escala de Gratitud (G-20)

Este estudo teve como objetivo proporcionar evidências de validade e fidedignidade da Escala de Gratidão (G-20) para a população de adultos brasileiros. Especificamente, verificar a estrutura do questionário através da análise fatorial confirmatória, explorar a consistência interna da escala e as validades de critério concorrente e convergente. Trata-se de um estudo quantitativo, correlacional com delineamento transversal. A amostra por conveniência está composta por 348 adultos entre 18 e 59 anos das cinco regiões brasileiras. Os instrumentos utilizados foram questionário de dados sociodemográficos, G-20, GQ-6, DASS-21, PANAS e P-DURELL. A escala total demonstrou confiabilidade satisfatória (α = 0,92 e Ω = 0,71) e em todas as dimensões do instrumento. Além disso, a análise do ajustamento dos dados para a estrutura de quatro fatores apontou valor aceitável para uma boa adequação do modelo (RMSEA = 0,068, CFI= 0,956 e TLI= 0,949) e a predominância das correlações entre os instrumentos utilizados no estudo mostrou-se significativas. (AU)

This study aimed to provide evidence of validity and reliability of the Gratitude Scale (G-20) for the Brazilian adult population. Specifically, the study sought to verify the questionnaire's structure using confirmatory factor analysis, explore the scale's internal consistency, and establish concurrent and convergent criteria validities. This was a quantitative, correlational study with a cross-sectional design. The convenience sample comprised 348 adults between 18 and 59 years old from all five Brazilian regions. The instruments used were a sociodemographic data questionnaire, G-20, GQ-6, DASS-21, PANAS, and P-DURELL. The total scale demonstrated satisfactory reliability (α = 0.92 and Ω = 0.71) across all dimensions of the instrument. Furthermore, analysis of the data adjustment for the four-factor structure showed an acceptable fit for the model (RMSEA = 0.068, CFI = 0.956, and TLI = 0.949) and significant correlations between the instruments were predominantly observed. (AU)

Este estudio tuvo como objetivo proporcionar evidencias de validez y confiabilidad de la Escala de Gratitud (G-20) para la población adulta brasileña. Específicamente, verificar la estructura del cuestionario mediante el análisis factorial confirmatorio, explorar la consistencia interna del instrumento y la validez de criterios concurrente y convergente. Es un estudio cuantitativo, correlacional con diseño transversal. La muestra por conveniencia está compuesta por 348 adultos entre 18 y 59 años de las cinco regiones brasileñas. Los instrumentos utilizados fueron el cuestionario de datos sociodemográficos, G-20, GQ-6, DASS-21, PANAS y P-DURELL. La escala total demostró una fiabilidad satisfactoria (α = 0,92 y Ω = 0,71) y en todas dimensiones del instrumento. El análisis del ajuste de datos para la estructura de cuatro factores demostró un valor aceptable para adecuación del modelo (RMSEA = 0.068, CFI = 0.956 y TLI = 0.949) y el predominio de correlaciones entre los instrumentos se demostró significativo. (AU)

Transcultural Comparison of Mental Health and Work-Life Integration Blurring in the Brazilian and Spanish Populations during COVID-19.

The study aimed to compare the impact of Role Blurring on mental health and Work-Life Integration in the Brazilian and Spanish populations during COVID-19. Role Blurring, which is related to resources and demands in the work context, affects coping with stressors arising from role overlapping and impacts individuals' perception of work overload and mental health. The sample consisted of 877 adults from Spain (n = 498) and Brazil (n = 372), and various statistical analyses were conducted to compare the groups. Results showed that Role Blurring is linked to symptoms of anxiety, depression, and stress, as well as suicidal ideation. Therefore, it is essential to promote working conditions that limit expectations on availability and favor disconnection from work during leisure time. Public policies that intervene, promote, and prevent psychosocial risk factors in emergent contexts are crucial to prevent suicidal ideation and attempts. Considering the high expected influence of Blurring as a focus of interventions can be reflected in the medium term in the indicators of well-being and satisfaction of companies, institutions and organizations. This can result in the reduction of health costs aimed at cushioning post-COVID-19 impacts on mental health. The study is relevant to understand the impact of the pandemic and technology on mental health and suggests the need for interventions to promote work-life balance and prevent psychosocial risks.

Adherence to online psychotherapy during the COVID-19: a scoping review / Adesão à psicoterapia on-line durante a COVID-19: uma revisão de escopo / Adherencia a la psicoterapia online durante el COVID-19: una revisión del alcance

Evidence suggests that changes in online psychotherapy adherence factors occurred during the COVID-19 pandemic. Thus, this study aimed to review the perception of patients and psychotherapists regarding factors associated with adherence to online psychotherapy during the pandemic. Thus, 18 articles remained for analysis after searches in five databases and 25 factors associated with adherence to online psychotherapy were identified. The main factors for psychotherapists were confidence in professional skills and connection stability. For the patients, basic informatics skills and finding an adequate setting to participate in sessions. Furthermore, the factors fear of contagion, tiredness and the impossibility of face-to-face meetings emerged during the pandemic. Modifications of factors associated with pre-pandemic adherence were identified and strategies to overcome barriers related to online sessions were presented and discussed. The pandemic has increased adherence to online psychotherapy, although not everyone intends to follow this modality in the post-pandemic. (AU)

Evidências sugerem que ocorreram modificações nos fatores de adesão a psicoterapia online durante a pandemia de COVID-19. Assim, este estudo objetivou revisar a percepção dos pacientes e psicoterapeutas sobre fatores associados a adesão à psicoterapia online durante a pandemia. Restaram 18 artigos para análise após as buscas em cinco bases de dados. Foram identificados 25 fatores associados a adesão a psicoterapia on-line. Para os psicoterapeutas, os principais fatores foram a confiança nas habilidades profissionais e estabilidade da conexão. Para os pacientes, foram o conhecimento básico de informática e encontrar setting adequado para participar das sessões. Ademais, os fatores medo do contágio, cansaço e a impossibilidade de reuniões presenciais surgiram durante a pandemia. Modificações em fatores associados a adesão pré-pandemia foram identificadas e estratégias para contornar barreiras relacionadas aos atendimentos on-line foram apresentadas e discutidas. A pandemia aumentou a adesão a psicoterapia on-line, mas nem todos pretendem seguir nessa modalidade no pós-pandemia. (AU)

Evidencias sugieren que se produjeron cambios en los factores de adherencia a la psicoterapia en línea durante la pandemia del COVID-19. Por lo tanto, este estudio busca revisar las percepciones de pacientes y psicoterapeutas sobre los factores asociados a la adherencia a la psicoterapia en línea durante la pandemia. Se analizaron 18 artículos seleccionados tras una búsqueda en cinco bases de datos. Se identificaron 25 factores de la adherencia a la psicoterapia en línea. Para los psicoterapeutas, los principales factores fueron la confianza en las competencias profesionales y la estabilidad de la conexión. Ya para los pacientes, los factores básicos fueron las habilidades informáticas básicas y la búsqueda del entorno adecuado para participar en las sesiones. Además, durante la pandemia surgieron los factores miedo al contagio, cansancio y la imposibilidad de encuentros físicos. Se identificaron modificaciones en los factores asociados a adherencia prepandémica y se presentaron y discutieron estrategias para superar las barreras relacionadas con las sesiones en línea. La pandemia aumentó la adhesión a la psicoterapia en línea, aunque no todos tengan la intención de seguir esta modalidad en la pospandemia. (AU)

Effectiveness of mobile applications as intervention tools in suicidal ideation: a systematic review and meta-analysis / Eficácia dos aplicativos móveis como ferramentas de intervenção na ideação suicida: uma revisão sistemática e meta-análise

Objective Evaluate the effectiveness of mobile applications developed for intervention in suicide risk in adults. Method Searches for articles were carried out in four databases (PubMed, Web of Science, Scopus and PsychINFO). For the meta-analyses, we used fixed effect modelling to assess the primary outcome. The PROSPERO register is CRD42020163876. Results After applying inclusion and exclusion criteria, six studies remained in the systematic review, of which four were eligible to the meta-analysis. There was no difference, or a little tendency in favor of control condition (usual treatment) comparing with applications. Conclusion Applications can be as effective as standard treatments in reducing suicide ideation. The results should be interpreted with caution once all studies presented at least one bias in their study design.

Objetivo Avaliar a eficácia dos aplicativos desenvolvidos para intervenção no risco de suicídio em adultos. Método As buscas por artigos foram realizadas em quatro bancos de dados (PubMed, Web of Science, Scopus e PsychINFO). Para a meta-análise, utilizamos modelagem de efeito fixo para avaliar o desfecho primário. O registro no PROSPERO é CRD42020163876. Resultados Após aplicação dos critérios de inclusão e exclusão, seis estudos permaneceram na revisão sistemática, dos quais quatro foram elegíveis para a meta-análise. Não houve diferença, ou uma pequena tendência a favor da condição de controle (tratamento usual) em comparação com aplicativos. Conclusão Os aplicativos parecem ser tão eficazes quanto os tratamentos padrões na redução de ideação suicida. Os resultados devem ser interpretados com cautela, pois todos os estudos apresentaram viés em seu desenho.

Burnout at the hospital: Healthcare workers coping with COVID-19 stress / Burnout no hospital: enfrentamento do estresse da COVID-19 por trabalhadores da saúde

Objective The first wave of COVID-19 was challenging for healthcare workers. This study analyzed the ways of coping with stress at a university hospital. Method A Sociodemographic Characterization, Risk and Exposure Assessment, Burnout Assessment Tool (BAT-23), and COVID-19 Coping Scale were responded online by 181 professionals. Results The sample was composed mainly of women, white, married, physicians, with one job. Over 80% of the sample were at high exposure and risk for infection, with 17.1% having tested positive. The most reported stressors were risks of transmitting the disease, being hospitalized, and being separated from loved ones; 11% presented the risk of/probable burnout, with exhaustion and emotional impairment. They presented adaptive coping strategies, such as problem-solving and information-seeking, with a negative correlation between adaptive coping and burnout. Being a physician with maladaptive coping, in psychiatric care, and having religious beliefs were predictors of burnout. Conclusion Promoting adaptive coping may improve the mental health of these workers.

Objetivo A primeira onda da COVID-19 foi desafiadora para os profissionais de saúde. Este estudo analisou o enfrentamento do estresse em um hospital universitário. Método De forma online, 181 profissionais responderam: Caracterização Sociodemográfica, Avaliação do Risco e Exposição, Burnout Assessment Tool (BAT-23) e Escala de Coping da COVID-19. Resultados A amostra foi composta principalmente por mulheres, caucasianos, casados, médicos, com um emprego. Tiveram alta exposição e risco à infecção mais de 80% da amostra, com 17,1% positivos. Os estressores mais relatados foram: riscos de transmitir a doença, ser hospitalizado e separado de pessoas queridas; 11% apresentaram risco/provável de burnout, com exaustão e prejuízo emocional. Apresentaram estratégias mais adaptativas, como Resolução de Problemas e Busca de Informações, havendo uma correlação negativa entre coping adaptativo e burnout. Ser médico, com coping mal adaptativo, em atendimento psiquiátrico e ter crença religiosa foram preditores de burnout. Conclusão Promover um coping adaptativo poderá melhorar a saúde mental desses trabalhadores.

Uso excessivo de internet e smartphone e problemas emocionais em estudantes de psicologia e psicólogos / Excessive Internet and smartphone use and emotional problems in students of psychology and psychologists

Objetivo Este estudo teve por objetivo avaliar a prevalência de dependência de internet, seus principais preditores e a associação com problemas emocionais em estudantes de psicologia (n = 1.916) e psicólogos (n = 4.359). Método Os indivíduos preencheram um questionário sociodemográfico e outros instrumentos específicos. Observou-se que 9,3% dos estudantes e 4,0% dos psicólogos foram detectados com uso excessivo de internet. Resultados Todos os participantes com uso excessivo de internet apresentaram uma frequência significativamente maior de sintomas de depressão, ansiedade e estresse, e estes problemas foram preditores para a dependência de internet somente entre os psicólogos. Conclusão Compreender o padrão de dependência de internet pode ajudar no desenvolvimento de políticas públicas específicas para esses indivíduos.

Objective This study aimed to investigate the prevalence of Internet Addiction, its main predictors, and associations with psychological problems in psychology students (n = 1,916) and psychologists (n = 4,359). Method Participants completed a sociodemographic questionnaire and measures of interest. It was observed that 9.3% of the students and 4.0% of the psychologists screened positive for internet addiction. Results All participants with internet addiction presented a significantly higher frequency of depression, anxiety, and stress symptoms, however, these problems were predictors for internet addiction only among the professionals. Conclusion Understanding the pattern of internet addiction can help to support the development of specific public policies for these individuals.

Positive attributes in elderly people with different degrees of depression: a study based on network analysis

Abstract Introduction Depression in aging may lead to loss of autonomy and worsening of comorbidities. Understanding how positive attributes contribute to healthier and happier aging has been one ofthe purposes of Positive Psychology. However, the literature still lacks studies that evaluate how depression in the elderly is related to constructs considered positive. Objective The present study aimed comparing scores of constructs of spiritual well-being, social support, selfesteem, life satisfaction, affection, optimism, and hope in the elderly with minimal, mild, moderate, and severe depression and healthy controls in order to investigate possible indirect and mediated relationships between positive constructs and depression. Methods A cross-sectional study was conducted with elderly, 62 of whom were diagnosed with different severity of Major Depression (DSM-V) (minimum, mild, moderate, and severe according to the Beck Depression Inventory - BDI) and 66 healthy controls matched by age, sex and schooling. The instruments used were adapted and validated versions of the Spirituality Self-Rating Scale, the Rosenberg Self-Esteem Scale, the Medical Outcomes Social Scale of Support, the Life Satisfaction Scale, the Positive and Negative Affect Schedule, the Revised Life Orientation Test, and the Adult Dispositional Hope Scale. After comparing the means of scores between groups, an analysis of normalized partial association networks was performed to investigate the direct and mediated relationships between depression and other evaluated constructs. Results Scores of spiritual well-being, social support, self-esteem, life satisfaction, positive affect, optimism, negative affects, and hope differed significantly between the control group and the degrees of depression (p < 0.001). The analysis of normalized partial association networks has shown that the relations of depression with the constructs of life satisfaction, self-esteem, and social support are mediated, while the constructs of dispositional hope, positive affect, spiritual well-being, and optimism are indirectly related to depression. The social class was also positively related to depression. Conclusion Depression in different degrees is associated with a reduction in the scores of instruments that evaluate positive attributes. The constructs directly associated with depression are spiritual well-being, optimism, positive affect, and dispositional hope. The others had mediated relationship. These results may contribute to the planning of future interventions for the prevention of depression among the elderly.

Burnout and resilience in intensive care Nursing professionals in the face of COVID-19: A multicenter study. / Burnout e resiliência em profissionais de enfermagem de terapia intensiva frente à COVID-19: estudo multicêntrico.

OBJECTIVE: to analyze the relationship between the Burnout dimensions and the work resilience of intensive care Nursing professionals in the COVID-19 pandemic in four hospitals from southern Brazil. METHOD: this is a multicenter and cross-sectional study, composed of 153 nurses and nursing technicians of the Intensive Care Units. Sociodemographic, health and work-related questions were collected, and the Maslach Burnout Inventory and Resilience at Work Scale 20 instruments were applied. The data were submitted to descriptive analysis and to bivariate and partial correlations (network analysis). RESULTS: work resilience presented an inverse correlation to emotional exhaustion (r=-0.545; p=0.01) and depersonalization (r=-0.419; p=0.01) and a direct one to professional achievement (r=0.680; p=0.01). The variable with the greatest influence on the correlation network was the perception of the impact of the pandemic on mental health. CONCLUSION: resilience interferes in the emotional exhaustion and low professional achievement domains of Burnout. Emotional exhaustion is conducted through minor psychological disorders, with an impact on the workers' physical and mental health variables. The development of institutional resilience should be encouraged in order to moderate the illness.

Evidências de validade do Inventário de Compensação de Young (YCI) para a população do Rio Grande do Sul / Validity evidence of the Young Compensation Inventory (YCI) for the population of Rio Grande do Sul / Evidencias de validez del Inventario de Compensación Young (YCI) para la población de Rio Grande do Sul

O objetivo deste estudo foi examinar a estrutura fatorial e as evidências de validade do Inventário de Compensação de Young (YCI) para a população do Rio Grande do Sul. Contou-se com a participação de 504 adultos da população geral, com média de idade de 34,2 anos (DP = 12,9). Os instrumentos utilizados foram o Questionário de Esquemas de Young - Versão Breve (YSQ-S3), a Escala de Avaliação dos Sintomas (SCL-90-R) e o YCI. Os dados foram coletados através de plataforma online. Realizou-se a análise fatorial exploratória, para verificar a distribuição dos itens em fatores comuns, e a validade convergente, com correlação não paramétrica de Spearman com a SCL-90-R e o YSQ-S3. Foram interpretados quatro fatores: Dominação e Manipulação (α =0,85 ω=0,71); Obsessão e Organização (α =0,75 ω=0,75); Rebeldia e Independência (α =0,73 ω=0,69); e Busca de Reconhecimento (α =0,81 ω=0,91). A validade de construto mostrou-se adequada conforme a teoria. Concluiu-se que a versão adaptada apresenta boas propriedades psicométricas. (AU)

This study aimed to examine the factorial structure and evidence of validity of the Young Compensation Inventory (YCI) for the population of the state of Rio Grande do Sul. For this purpose, 504 adults from the general population participated, with a mean age of 34.2 years (SD = 12.9). The instruments used were the Young Schema Questionnaire - Brief Version (YSQ-S3), the Symptom Checklist-90 (SCL-90-R), and the YCI. Data were collected using an online platform. Exploratory factor analysis was performed to verify the distribution of items in common factors, and convergent validity, with a non-parametric Spearman correlation with SCL-90-R and YSQ-S3. Four factors were interpreted: Domination and Manipulation (α = 0.85 ω = 0.71); Obsession and Organization (α = 0.75 ω = 0.75); Rebellion and Independence (α = 0.73 ω = 0.69); and Search for Recognition (α = 0.81 ω = 0.91). The result of construct validity proved to be adequate according to the theory. It was concluded that the adapted version has good psychometric properties. (AU)

El objetivo de este estudio fue examinar la estructura factorial y las evidencias de validez del Young Compensation Inventory (YCI) para la población de Rio Grande do Sul. Participaron 504 adultos de la población general, con una edad media de 34,2 años (DS = 12,9). Los instrumentos utilizados fueron el Young Scheme Questionnaire - Versión breve (YSQ-S3), la Escala de Evaluación de Síntomas (SCL-90-R) y el YCI. Los datos se recogieron a través de una plataforma online. Se realizó un análisis factorial exploratorio para verificar la distribución de los ítems en factores comunes, y la validez convergente, con la correlación no paramétrica de Spearman con SCL-90-R y YSQ-S3. Se interpretaron cuatro factores: Dominación y Manipulación (α =0,85 ω=0,71); Obsesión y Organización (α =0,75 ω=0,75); Rebeldía e Independencia (α =0,73 ω=0,69); y Búsqueda de Reconocimiento (α =0,81 ω=0,91). La validez de constructo demostró ser adecuada según la teoría. Se concluyó que la versión adaptada presenta buenas propiedades psicométricas. (AU)

Fatores de Risco Associados ao Suicídio em Universitários: Uma Revisão de Escopo / Risk Factors Associated with Suicide in University Students: A Scoping Review / Factores de Riesgo Asociados al Suicidio en Estudiantes Universitarios: Una Revisión de Alcance

Este artigo consiste em uma revisão de escopo que objetivou investigar os fatores de risco acadêmicos associados a ideação e tentativas de suicídio em estudantes universitários. Foram recuperados inicialmente 1901 estudos em setembro de 2020 em seis bases de dados (Pubmed, BVS, PsycINFO, Web of Science, Science Direct e Scopus). Após a aplicação dos critérios de inclusão e exclusão, restaram 10 estudos para análise. Os principais resultados sugerem a existência de três fatores de risco acadêmicos associados a ideação e tentativas de suicídio: 1) relacionamento social com pares; 2) relacionamento social com professores ou orientador; e 3) adaptação ao ambiente acadêmico. Observou-se que em ambientes universitários os estudantes são vulneráveis a experiências de estresse e frustração relacionadas com a falta de adaptação à nova rotina acadêmica. Além disso, a dinâmica de interação com os pares, professores ou orientadores pode gerar situações de sofrimento ou desconforto emocional, contribuindo para o surgimento de ideação e tentativas de suicídio. Conclui-se que as universidades devem proporcionar espaços de adaptação aos novos estudantes (e.g. centros de acolhimento e orientação psicológica, encontros de convivência social e cultural) e incentivar os professores e orientadores à postura acolhedora.

This article is a scoping review that aimed to investigate the academic risk factors associated with suicidal ideation and behavior in university students. 1901 studies were initially retrieved in September 2020 in six databases (Pubmed, BVS, PsycINFO, Web of Science, Science Direct and Scopus). After applying the inclusion and exclusion criteria, 10 studies remained for analysis. The main findings suggest the existence of three academic risk factors associated with suicide ideation and attempt: 1) social relationship with peers; 2) social relationship with teachers or advisor; and 3) adaptation to the academic environment. It was observed that in university environments students are vulnerable to experiences of stress and frustration related to the lack of adaptation to the new academic routine. In addition, the dynamics of interaction with peers, teachers or advisors can generate situations of suffering or emotional discomfort contributing to the emergence of suicidal ideation and suicide attempt. It is concluded that universities should provide spaces for adaptation to new students (e.g. reception centers and psychological counseling, social and cultural meetings) and encourage the welcoming attitude of teachers and advisors.

Este artículo consiste en una revisión de alcance que tuvo como objetivo investigar los factores de riesgo académico asociados a la ideación y conducta suicida en estudiantes universitarios. Inicialmente fueron recuperados 1901 estudios en septiembre de 2020 en seis bases de datos (Pubmed, BVS, PsycINFO, Web of Science, Science Direct y Scopus). Después de aplicar los criterios de inclusión y exclusión, quedaron 10 estudios para análisis. Los principales resultados sugieren la existencia de tres factores de riesgo académico asociados a la ideación e intento de suicidio: 1) relación social con los compañeros; 2) relación social con profesores o asesores; y 3) adaptación al entorno académico. Se observó que en entornos universitarios los estudiantes son vulnerables a experiencias de estrés y frustración relacionadas con la falta de adaptación a la nueva rutina académica. Además, la dinámica de interacción con compañeros, profesores o asesores puede generar situaciones de sufrimiento o malestar emocional contribuyendo a la aparición de ideación y intento de suicidio. Se concluye que las universidades deben brindar espacios de adaptación a los nuevos estudiantes (por ejemplo, centros de acogida y asesoramiento psicológico, encuentros sociales y culturales) y fomentar la actitud acogedora de profesores y asesores.

Psychometric evaluation of the Resilience at Work Scale (RAW Scale - Brazil).

OBJECTIVES: to analyze the validity of the Resilience at Work Scale (RAW Scale - Brazil), 25 and 20-item versions, based on its internal structure (dimensional and correlation), with professors and health workers from a public university in southern Brazil. METHODS: methodological study, developed in 2018, with 526 participants. For psychometric tests, the following were used: Confirmatory Factor Analysis; composite reliability, and convergent validity against the Engagement at work; Occupational self-efficacy; Overall resilience; General Health Questionnaire; and Social support at work scales. RESULTS: both versions had factor loadings > 0.30, adequate fit indices and satisfactory composite reliability. In both versions, strong and direct correlations with general Resilience and Self-efficacy were evidenced; moderate and direct with social Engagement and Support; and moderate and inverse with General Health. CONCLUSIONS: the RAW Scale 25 and 20 - Brazil meets the validity requirements with potential for assessing resilience at work within the studied context.

Minor psychiatric disorders and the work context of Civil Police: a mixed method study / Distúrbios psíquicos menores e o contexto de trabalho da Polícia Civil: um estudo de método misto

ABSTRACT Objective: To analyze the association between the work context and the presence of Minor Psychiatric Disorders (MPD) in Civil Police officers from Porto Alegre, Brazil. Methods: This is a mixed, sequential and exploratory study. The sample was constituted by 237 police officers for the quantitative stage, and 20 for the qualitative stage. General worker's data, lifestyle and information about the work were asked, and the Self-Report Questionnaire-20 instrument was applied. In the qualitative stage, semi-structured interviews and thematic analysis were carried out. For quantitative data, descriptive and inferential statistics were used. Results: The prevalence of minor psychiatric disorders was 26.2% (n = 62). Accelerated work pace (PR = 1.535; 95%CI = 0.911-2.605), health treatment (PR = 1.752; 95%CI = 0.987-3.010) and psychological treatment (PR = 2.704; 95%CI = 1.604-4.516) were associated with a higher prevalence of MPD. While, police officers with the following characteristics: most motivation at work (PR = 0.721; 95%CI = 0.579-0.897), more eight hours of sleep per day (PR = 0.747; 95%CI = 0.574-0.971), healthy eating (PR = 0.545; 95%CI = 0.320-0.946) and having children (PR = 0.731; 95%CI = 0.523-0.986) were associated with a lower prevalence of MPD. In the qualitative stage, two categories and four subcategories emerged related to the work context and the psychiatric changes in the police officers: "Work context of the Civil Police" and "Work and psychiatric changes". Conclusion: A high prevalence of MPDs was evidenced, as well as their association with the work context.

RESUMO Objetivo: Analisar a associação entre o contexto de trabalho e a presença de Distúrbios Psíquicos Menores (DPM) em Policiais Civis de Porto Alegre, Brasil. Métodos: Estudo misto, sequencial e exploratório. A amostra foi de 237 policiais para a etapa quantitativa e de 20 para a etapa qualitativa. O instrumento de pesquisa continha dados gerais do trabalhador e do estilo de vida, informações laborais e o Self-Reporting Questionnaire-20. Na etapa qualitativa, foram realizadas entrevistas semiestruturadas e análise temática. Para os dados quantitativos, utilizou-se estatística descritiva e inferencial. Resultados: A prevalência de distúrbios psiquiátricos menores foi de 26,2% (n = 62). As variáveis ritmo de trabalho acelerado (RP = 1,535; IC95% = 0,911-2,605), tratamento de saúde (RP = 1,752; IC95% = 0,987-3,010) e tratamento psicológico (RP = 2,704; IC95% = 1,604-4,516) associaram-se a maior prevalência de DPM. Os policiais com maior motivação no trabalho (RP = 0,721; IC95% = 0,579-0,897), mais de oito horas de sono por dia (RP = 0,747; IC95% = 0,574-0,971), alimentação saudável (RP = 0,545; IC95% = 0,320-0,946) e com filhos (RP = 0,731; IC95% = 0,523-0,986) associaram-se a menor prevalência de DPM. Na etapa qualitativa, emergiram duas categorias e quatro subcategorias relacionadas ao contexto de trabalho e às mudanças psiquiátricas nos policiais: "Contexto de trabalho da Polícia Civil" e "Trabalho e mudanças psiquiátricas". Conclusão: Evidenciou-se a alta prevalência de DPM, bem como sua associação com o contexto de trabalho.

Psychometric Evidence of the Coping Inventory for Brazilian Paralympic Athletes in Competition Situations / Evidências Psicométricas do Inventário de Coping para Atletas Paralímpicos Brasileiros em Situação de Competição / Evidencias Psicométricas del Inventario de Afrontamiento para Atletas Paralímpicos Brasileños en Situación de Competición

Abstract Paralympic athletes face stressful situations in sports competitions daily, and assessing how they cope with these situations is important. This study aimed to evaluate the psychometric properties of the Coping Inventory for Brazilian Paralympic Athletes in Competition Situations. This study included 531 Brazilian Paralympic athletes aged 18 years or older, of both sexes, living in different Brazilian regions. They competed nationally or internationally and had physical or visual disabilities. Athletes with cerebral palsy were excluded. The participants answered a data questionnaire and the coping inventory. A confirmatory factor analysis confirmed a 12-theoretical dimension structure: six adaptive (Self-Reliance, Support-Seeking, Problem-Solving, Information-Seeking, Accommodation, Negotiation) and six maladaptive dimensions (Delegation, Social Isolation, Helplessness, Escape, Submission, and Opposition). Reliability indexes ranged between 0.60 and 0.94. The conclusion is that the instrument is reliable for assessing coping strategies among Brazilian Paralympic athletes.

Resumo Atletas paralímpicos lidam diariamente com situações estressantes na competição, sendo importante avaliar como as enfrentam. Este estudo teve como objetivo avaliar as propriedades psicométricas do Inventário de Coping para Atletas Paralímpicos Brasileiros em Situação de Competição. Participaram 531 atletas paralímpicos brasileiros, a partir de 18 anos de idade, de ambos os sexos, residentes em diferentes regiões do Brasil. Competiam em nível nacional e internacional e apresentavam deficiência física e visual. Foram excluídos atletas com paralisia cerebral. Participantes responderam a um questionário de dados e ao inventário de coping. A análise fatorial confirmou a estrutura de 12 dimensões teóricas, sendo seis adaptativas (Autoconfiança, Busca de Suporte, Resolução de Problemas, Busca de Informações, Acomodação, Negociação) e seis mal-adaptativas (Delegação, Isolamento, Desamparo, Fuga, Submissão e Oposição). Os índices de fidedignidade para as dimensões variaram entre 0,60 e 0,94. Conclui-se que o instrumento é confiável para avaliar as estratégias de coping de atletas paralímpicos brasileiros.

Resumen Los deportistas paralímpicos se enfrentan a diario a situaciones estresantes en competición, y es importante evaluar cómo las afrontan. El objetivo de este estudio fue evaluar las propiedades psicométricas del Inventario de Afrontamiento para Atletas Paralímpicos Brasileños en Situación de Competición. El estudio incluyó a 531 atletas paralímpicos brasileños, mayores de 18 años, de ambos os sexos, residentes en diferentes regiones de Brasil. Competían a nivel nacional e internacional y presentaban deficiencias físicas y visuales. Respondieron un cuestionario de datos y el inventario de afrontamiento. Se excluyeron los deportistas con parálisis cerebral. El análisis factorial confirmó la estructura de 12 dimensiones teóricas, siendo seis adaptativas (Autosuficiencia, Búsqueda de apoyo, Resolución de problemas, Búsqueda de información, Acomodación, Negociación) y seis desadaptativas (Delegación, Aislamiento social, Desamparo, Escape, Sumisión y Oposición). La confiabilidad varió entre 0,60 y 0,94. Se concluye que el instrumento es confiable para evaluar estrategias de afrontamiento en atletas paralímpicos brasileños.

Burnout e resiliência em profissionais de enfermagem de terapia intensiva frente à COVID-19: estudo multicêntrico / Burnout and resilience in intensive care Nursing professionals in the face of COVID-19: A multicenter study / Burnout y resiliencia en profesionales de enfermería de cuidados intensivos ante el COVID-19: estudio multicéntrico

Resumo Objetivo: analisar a relação entre as dimensões do Burnout e a resiliência no trabalho dos profissionais de enfermagem de terapia intensiva na pandemia de COVID-19, em quatro hospitais do Sul do Brasil. Método: trata-se de um estudo multicêntrico, de delineamento transversal, composto por 153 enfermeiros e técnicos de enfermagem das Unidades de Terapia Intensiva. Foram coletadas questões sociodemográficas, de saúde e laborais e aplicados os instrumentos Maslach Burnout Inventory e Resilience at Work Scale 20. Os dados foram submetidos à análise descritiva e a correlações bivariadas e parciais (análise de rede). Resultados: a resiliência no trabalho apresentou correlação inversa ao desgaste emocional (r= -0,545; p=0,01) e à despersonalização (r= -0,419; p=0,01) e direta à realização profissional (r= 0,680; p=0,01). A variável com maior influência sobre a rede de correlações foi a percepção do impacto da pandemia sobre a saúde mental. Conclusão: a resiliência interfere nos domínios desgaste emocional e baixa realização profissional do Burnout. O desgaste emocional é conduzido por meio dos distúrbios psíquicos menores, com impacto sobre as variáveis de saúde física e mental dos trabalhadores. Deve-se fomentar o desenvolvimento da resiliência no âmbito institucional, a fim de moderar o adoecimento.

Abstract Objective: to analyze the relationship between the Burnout dimensions and the work resilience of intensive care Nursing professionals in the COVID-19 pandemic in four hospitals from southern Brazil. Method: this is a multicenter and cross-sectional study, composed of 153 nurses and nursing technicians of the Intensive Care Units. Sociodemographic, health and work-related questions were collected, and the Maslach Burnout Inventory and Resilience at Work Scale 20 instruments were applied. The data were submitted to descriptive analysis and to bivariate and partial correlations (network analysis). Results: work resilience presented an inverse correlation to emotional exhaustion (r=-0.545; p=0.01) and depersonalization (r=-0.419; p=0.01) and a direct one to professional achievement (r=0.680; p=0.01). The variable with the greatest influence on the correlation network was the perception of the impact of the pandemic on mental health. Conclusion: resilience interferes in the emotional exhaustion and low professional achievement domains of Burnout. Emotional exhaustion is conducted through minor psychological disorders, with an impact on the workers' physical and mental health variables. The development of institutional resilience should be encouraged in order to moderate the illness.

Resumen Objetivo: analizar la relación entre las dimensiones del Burnout y la resiliencia en el trabajo de los profesionales de enfermería de cuidados intensivos durante la pandemia de COVID-19, en cuatro hospitales del sur de Brasil. Método: se trata de un estudio multicéntrico, transversal, compuesto por 153 enfermeros y técnicos en enfermería de las Unidades de Cuidados Intensivos. Se recolectaron datos sociodemográficos, de salud y laborales y se aplicaron los instrumentos Maslach Burnout Inventory y Resilience at Work Scale 20. Los datos fueron sometidos a análisis descriptivo y a correlaciones bivariadas y parciales (análisis de redes). Resultados: la resiliencia en el trabajo tiene una correlación inversa con el agotamiento emocional (r= -0,545; p=0,01) y la despersonalización (r= -0,419; p=0,01) y directa con la realización profesional (r= 0,680; p=0,01). La variable con mayor influencia en la red de correlaciones fue la percepción del impacto de la pandemia en la salud mental. Conclusión: la resiliencia afecta los dominios agotamiento emocional y baja realización profesional del Burnout. El agotamiento emocional se manifiesta a través de trastornos psíquicos menores e impacta en las variables de salud física y mental de los trabajadores. Se debe fomentar el desarrollo de la resiliencia a nivel institucional para moderar la enfermedad.

Psychometric evaluation of the Resilience at Work Scale (RAW Scale - Brazil) / Evaluación psicométrica de la Escala de Resiliencia Laboral (RAW Scale - Brasil) / Avaliação psicométrica da Escala de Resiliência no Trabalho

ABSTRACT Objectives: to analyze the validity of the Resilience at Work Scale (RAW Scale - Brazil), 25 and 20-item versions, based on its internal structure (dimensional and correlation), with professors and health workers from a public university in southern Brazil. Methods: methodological study, developed in 2018, with 526 participants. For psychometric tests, the following were used: Confirmatory Factor Analysis; composite reliability, and convergent validity against the Engagement at work; Occupational self-efficacy; Overall resilience; General Health Questionnaire; and Social support at work scales. Results: both versions had factor loadings > 0.30, adequate fit indices and satisfactory composite reliability. In both versions, strong and direct correlations with general Resilience and Self-efficacy were evidenced; moderate and direct with social Engagement and Support; and moderate and inverse with General Health. Conclusions: the RAW Scale 25 and 20 - Brazil meets the validity requirements with potential for assessing resilience at work within the studied context.

RESUMEN Objetivos: analizar evidencia de validez basada en estructura interna (dimensional y de correlación) de la Escala de Resiliencia Laboral (RAW Scale - Brasil), versiones 25 y 20 ítems, con docentes y trabajadores de salud de una universidad pública del Sur brasileño. Métodos: estudio metodológico, desarrollado en 2018, con 526 participantes. En las pruebas psicométricas, se utilizaron: Análisis Factorial Confirmatorio; confiabilidad compuesta y validez convergente con Compromiso laboral; Autoeficacia ocupacional; Resiliencia general; Encuesta General de Salud; y Apoyo social laboral. Resultados: las dos versiones presentaron cargas factoriales > 0,30, índices de ajuste adecuados y confiabilidad compuesta satisfactoria. En las dos versiones, evidenciadas correlaciones fuerte y directa con Resiliencia general y Autoeficacia; moderada y directa con Compromiso y Apoyo social; y moderada e inversa con Salud general. Conclusiones: la RAW Scale 25 y 20 - Brasil atiende a los requisitos de validez, con potencial para la evaluación de resiliencia laboral en el contexto estudiado.

RESUMO Objetivos: analisar a evidência de validade baseada na estrutura interna (dimensional e de correlação) da Escala de Resiliência no Trabalho (RAW Scale - Brasil), versões 25 e 20 itens, com docentes e trabalhadores da saúde de uma universidade pública do Sul do Brasil. Métodos: estudo metodológico, desenvolvido em 2018, com 526 participantes. Nos testes psicométricos, utilizaram se: Análise Fatorial Confirmatória; confiabilidade composta e validade convergente com Engajamento no trabalho; Autoeficácia ocupacional; Resiliência geral; Questionário Geral de Saúde; e Apoio social no trabalho. Resultados: as duas versões apresentaram cargas fatoriais > 0,30, índices de ajuste adequados e confiabilidade composta satisfatória. Nas duas versões, evidenciaram-se correlações forte e direta com Resiliência geral e Autoeficácia; moderada e direta com Engajamento e Apoio social; e moderada e inversa com Saúde geral. Conclusões: a RAW Scale 25 e 20 - Brasil atende aos requisitos de validade, com potencial para a avaliação de resiliência no trabalho no contexto estudado.

O tear psicanalítico: uma pesquisa sobre as práticas da psicanálise na saúde mental / The psychoanalytic loom: investigating the psychoanalysis practices of a mental health care team / Le métier à tisser psychanalytique: enquête sur les pratiques de psychanalyse d'une équipe de santé mentale / El telar psicoanalítico: una investigación sobre las prácticas del psicoanálisis en un equipo de salud mental

Resumo Este artigo discute as práticas da psicanálise em equipes de saúde mental pública, investigando o modo como psicanalistas atuam fora do modelo ambulatorial individualizado. A pesquisa foi realizada a partir de uma perspectiva etnográfica, por meio do acompanhamento da rotina de trabalho de dois psicanalistas em uma equipe de saúde mental. O registro detalhado das rotinas em diário de campo foi utilizado como material de análise. Em decorrência disso, propõe-se o modelo do tear psicanalítico para ilustrar o modo como a psicanálise opera em interlocução com os demais saberes que compõem a saúde mental pública.

Abstract This article discusses the psychoanalysis practices employed by public mental health care teams, investigating how psychoanalysts act outside the individualized ambulatory model. An ethnographic research was carried out by monitoring the work routines of two psychoanalysts from a mental health care team. Detailed recordings of the routines in the field diary were used as material for analysis. Hence, this essay proposes the psychoanalytic loom approach to illustrate how psychoanalysis operates in dialogue with other knowledge that make up public mental health.

Résumé Cet article traite des pratiques de psychanalyse utilisées par les équipes publiques de santé mentale, en examinant comment les psychanalystes agissent en dehors du modèle ambulatoire individualisé. Une recherche ethnographique a été menée en suivant les routines de travail de deux psychanalystes d'une équipe de santé mentale. Les enregistrements détaillant des routines dans le journal de bord ont été utilisé comme matériel d'analyse. Cet essai propose donc l'approche du métier à tisser psychanalytique pour illustrer comment la psychanalyse opère en interaction avec les autres savoirs qui composent la santé mentale publique.

Resumen Este artículo discute las prácticas del psicoanálisis en equipos de salud mental pública, investigando el modo de actuar de los psicoanalistas fuera del modelo ambulatorio individualizado. La investigación se realizó a partir de la perspectiva etnográfica por medio del seguimiento de la rutina de trabajo de dos psicoanalistas en un equipo de salud mental. El registro detallado de las rutinas en diario de campo se utilizó como material de análisis. Con eso, se propone el modelo del telar psicoanalítico como ilustración del modo como se opera el psicoanálisis en interlocución con los demás saberes que componen la salud mental pública.

Detect-S: an mHealth application to assist health professionals to identify suicide risk in hospitalized patients.

INTRODUCTION: Suicide is a serious public health problem that affects the whole world. This study describes development of the prototype for an mHealth application (app) intended to assist healthcare professionals to identify suicide risk in hospitalized patients and reports on testing of the app by some of these professionals, conducted to confirm its functionality. METHOD: This is applied exploratory research into use of Information Technology within the healthcare field, based on application prototyping for mobile devices. The research was conducted at the Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) from 2017 to 2019. Six healthcare professionals, one data scientist, and three undergraduate students in Biomedical Informatics took part in the study. All research participants signed the free and informed consent form. RESULTS: The main findings show that the development team created a prototype named Detect-S, which became a cross-platform application (iOS and Android) offering 16 functions. CONCLUSION: It can be concluded that Detect-S has the potential to be a positive technological instrument that can be tested in a hospital setting to assist healthcare professionals to identify and manage patients with at risk of suicide.

Detect-S: an mHealth application to assist health professionals to identify suicide risk in hospitalized patients

Abstract Introduction Suicide is a serious public health problem that affects the whole world. This study describes development of the prototype for an mHealth application (app) intended to assist healthcare professionals to identify suicide risk in hospitalized patients and reports on testing of the app by some of these professionals, conducted to confirm its functionality. Method This is applied exploratory research into use of Information Technology within the healthcare field, based on application prototyping for mobile devices. The research was conducted at the Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) from 2017 to 2019. Six healthcare professionals, one data scientist, and three undergraduate students in Biomedical Informatics took part in the study. All research participants signed the free and informed consent form. Results The main findings show that the development team created a prototype named Detect-S, which became a cross-platform application (iOS and Android) offering 16 functions. Conclusion It can be concluded that Detect-S has the potential to be a positive technological instrument that can be tested in a hospital setting to assist healthcare professionals to identify and manage patients with at risk of suicide.

VALIDITY OF THE INSTRUMENT interRAI EMERGENCY SCREENER FOR PSYCHIATRY FOR THE BRAZILIAN CONTEXT

Objective: The aim of this study was to carry out the translation and present the evidence of validity of the Brazilian version of the interRAI Emergency Screener for Psychiatry (ESP). Method: this is a cross-sectional study conducted in a municipal hospital in the metropolitan region of Porto Alegre, Rio Grande do Sul. A total of 161 patients were evaluated in the first 24 hours of emergency arrival using ESP. Exploratory factor analyses of the sections of the instrument and reliability analyses were conducted using Cronbach's alpha and McDonald's Omega. Results: the analyses suggested an appropriate structure to the purpose of the instrument, two sections containing two factors instead of the expected one-dimensional structure. However, sections with two factors have interpretability and theoretical consistency. The factors presented internal consistency. Conclusion: the Brazilian version of the interRAI Emergency Screener for Psychiatry (ESP) demonstrates adequate psychometric properties through the internal structure of the instrument. Future studies should investigate the relationship of the scores produced by the instrument with clinical diagnosis and with covariates relevant to mental health outcomes.

Objetivo: El objetivo de este estudio era realizar la traducción y presentar la evidencia de validez del examinador de emergencia interRAI para psiquiatría (ESP). Método: se trata de una encuesta transversal realizada en un hospital municipal de la región metropolitana de Porto Alegre, Rio Grande do Sul. Un total de 161 pacientes fueron evaluados en las primeras 24 horas de llegada de emergencia utilizando ESP. Los análisis exploratorios de factores de las secciones del instrumento y los análisis de fiabilidad se llevaron a cabo utilizando Cronbach's alpha y McDonald's Omega. Resultados: los análisis sugirieron una estructura adecuada a los propósitos del instrumento, dos secciones que contienen dos factores en lugar de la estructura unidimensional esperada. Sin embargo, las secciones con dos factores tienen interpretabilidad y consistencia teórica. Los factores presentaron consistencia interna. Conclusión: la versión brasileña del Examinador de Emergencia InterRAI para Psiquiatría (ESP) demuestra propiedades psicométricas adecuadas a través de la estructura interna del instrumento. Los estudios futuros deben investigar la relación de las puntuaciones producidas por el instrumento con el diagnóstico clínico y con covariables relevantes para los resultados de salud mental.

Objetivo: O objetivo do estudo foi realizar a tradução e apresentar as evidências de validade do interRAI Emergency Screener for Psychiatry (ESP). Método: trata-se de uma pesquisa transversal realizada em um hospital municipal da região metropolitana de Porto Alegre, Rio Grande do Sul. Foram avaliados 161 pacientes nas primeiras 24 hs da chegada a emergência utilizando o ESP. Foram conduzidas análises fatoriais exploratórias das seções do instrumento e análises de fidedignidade por meio do alfa de Cronbach e Ômega de McDonald. Resultados: as análises sugeriram uma estrutura adequada ao propósito do instrumento, sendo duas seções contendo dois fatores ao invés da estrutura unidimensional esperada. Contudo, as seções com dois fatores possuem interpretabilidade e consistência teórica. Os fatores apresentaram consistência interna. Conclusão: a versão brasileira do interRAI Emergency Screener for Psychiatry (ESP) demonstra adequadas propriedades psicométricas por meio da estrutura interna do instrumento. Estudos futuros deverão investigar a relação dos escores produzidos pelo instrumento com diagnóstico clínico e com covariáveis relevantes para os desfechos de saúde mental.