Adaptación lingüística al español y validación de la estructura factorial de la Escala para el Manejo de la Tristeza CSMS-E / Linguistic adaptation and Validation of the Spanish Children's Sadness Management Scale CSMS-E

Entre los países de habla hispana existen limitantes cuando se desea investigar el rol de la tristeza en la adolescencia debido a que no existen instrumentos en español válidos y confiables que permitan evaluar la regulación de ésta emoción en población en desarrollo. Por esta razón se realizó la adaptación lingüística y validación psicométrica de la Escala Infantil para el Manejo de la Tristeza CSMS (Zeman, Shipman, & Penza-Clyve, 2001) con una muestra de 597 adolescentes Colombianos entre 11 y 18 años de edad (48% sexo femenino). A partir del método del comité se hicieron adecuaciones en el lenguaje de la prueba para su ajuste cultural a la población hispanoparlante. El comportamiento psicométrico de la escala fue analizado en dos pasos: en el primero se observaron diez modelos factoriales posibles (Análisis Factorial Exploratorio), y en el segundo se descartaron los de menor ajuste (Análisis Factorial Confirmatorio), hasta elegir el óptimo. Los resultados señalan que la versión en español del CSMS-E ("E" por Español), mantiene validez de constructo comparable a la original, con una estructura de tres componentes que revisan estrategias adaptativas y maladaptativas para regular la tristeza: afrontamiento, inhibición y desregulación. Se ofrece un baremo para su corrección

Among the Spanish-speaking countries there are constraints for studying the roll of sadness in adolescence due to the absence of valid instruments in Spanish for evaluating the regulation of this emotions during the development. For this reason, following the committee procedure we adapted to Spanish the Children's Sadness Management Scale CSMS (Zeman et al., 2001), and conducted its psychometric validation with a sample of 597 Colombian adolescents, between 11 and 18 years of age (48% girls). The psychometric analyses were performed in two steps: (a) observing ten possible models (Exploratory Factor Analysis), (b) discarding those with least adjustment (Confirmatory Factor Analysis), and retaining the structure of best statistical fit. The results indicated that the optimal factorial model is a structure of three components, comparable to the original CSMS. The CSMS-E scale (E for Spanish) maintains comparable construct validity as the American version, and has attested to be a reliable tool in the assessment of adaptive and maladaptive strategies for the regulation of sadness: coping, inhibition and dysregulation. We offer a scoring notation table

Atención en domicilio a pacientes no COVID-19 en la era COVID: tres experiencias diferentes / Home care for non-COVID-19 patients in the COVID era: three different experiences

La población con enfermedad avanzada al final de la vida, la más vulnerable, ha sufrido sobremanera la escasa atención presencial durante la pandemia. Describimos tres experiencias diferentes en relación con la atención domiciliaria de esta población no COVID

The population with advanced disease at the end of life, the most vulnerable one, has suffered greatly from the limited in-person care during the pandemic. We describe three different experiences in relation to home care for this non-COVID population

Shadowing patients: experimentar empatía en estudiantes de Medicina / Shadowing patients: Experiencing empathy in medical students

INTRODUCCIÓN: Shadowing patients es una de las propuestas educativas para mantener y experimentar empatía en estudiantes de Medicina. Se trata de observar, sin intervenir, a un paciente durante una visita médica. El objetivo de este estudio piloto es analizar las emociones percibidas y observadas en los pacientes durante la experiencia de shadowing patients y su relación con la empatía médica. MÉTODOS: Veintitrés estudiantes de quinto de Medicina (69,6% mujeres, edad 22,6 ± 1,1 años) participaron en el taller teórico-práctico basado en la observación e identificación de las emociones de los pacientes en una sala de espera hospitalaria. Se aplicó la Jefferson Scale of Physician Empathy (Hojat, 2002) y la Self-Assessment Manikin (Bradley y Lang, 1994) RESULTADOS: La mayoría de los estudiantes experimentaron tristeza (87%) y observaron en los pacientes tristeza (87%) e impaciencia (8,7%). No se objetivó correlación estadísticamente significativa entre empatía médica y valencia/arousal de las emociones experimentadas. DISCUSIÓN: El taller de shadowing patients es de bajo coste y de fácil implementación, consigue estimular la capacidad de observación para identificar las emociones de los pacientes y ayuda al estudiante de Medicina a ser más consciente de sus habilidades empáticas, por lo que complementa la formación teórica de este

INTRODUCTION: Shadowing patients is one of the educational proposals to maintain and experience empathy in medical students. It is about observing, from the sidelines, a patient during a medical visit. The objective of this pilot study is to analyze the perceived and observed patients' emotions during the experience of shadowing patients, and their relationship with medical empathy. METHODS: Twenty-three fifth-year medical students (69.6% women, aged 22.6±1.1 years) participated in the theoretical-practical workshop based on the observation and identification of patients' emotions in a hospital waiting room. The Jefferson Scale of Physician Empathy (Hojat, 2002) and the Self-Assessment Manikin (Bradley and Lang, 1994) were applied. RESULTS: Most students experienced sadness (87%), and observed sadness (87%) and impatience (8.7%) in the patients. No statistically significant correlation between medical empathy and valence/arousal of experienced emotions was observed. DISCUSSION: The workshop of shadowing patient was low cost and easy to implement, stimulated the observation ability to identify the patients' emotions, helped medical student to be more aware of their empathic skills, and complemented the theoretical training of medical students

Interpreting foreign smiles: language context and type of scale in the assessment of perceived happiness and sadness

The current study focuses on how different scales with varying demands can affect our subjective assessments. We carried out 2 experiments in which we asked participants to rate how happy or sad morphed images of faces looked. The two extremes were the original happy and original sad faces with 4 morphs in between. We manipulated language of the task-namely, half of the participants carried it out in their native language, Spanish, and the other half in their foreign language, English-and type of scale. Within type of scale, we compared verbal and brightness scales. We found that, while language did not have an effect on the assessment, type of scale did. The brightness scale led to overall higher ratings, i.e., assessing all faces as somewhat happier. This provides a limitation on the foreign language effect, as well as evidence for the influence of the cognitive demands of a scale on emotionality assessments

El estudio actual se centra en cómo escalas diferentes con demandas cognitivas variadas pueden afectar nuestras evaluaciones subjetivas. Se realizaron dos experimentos en los que se les pidió a los participantes que evaluaran cuán felices o tristes les resultaban las expresiones de algunas caras. Los dos extremos eran las caras tristes y felices originales, con cuatro variaciones en el medio. Manipulamos el idioma de la tarea, de tal manera que la mitad de los participantes realizaron el estudio en su idioma nativo (español) y la otra mitad en su idioma extranjero (inglés), y también variamos el tipo de escala. Comparamos dos tipos de escalas de valoración: verbales y de brillo (gris). Encontramos que, si bien la lengua no tuvo un efecto en la evaluación, el tipo de escala sí lo tuvo: la escala de brillo llevó a calificaciones más altas en general. Es decir, los participantes evaluaron todas las caras como algo más felices con la escala de brillo. Esto ofrece una limitación al impacto de los efectos de lenguas extranjeras, proporcionando evidencia sobre la influencia que tienen las demandas cognitivas de la escala en las evaluaciones de emocionalidad

Sentimentos de tristeza e desesperança em jovens portugueses / Sadness and hopelessness feelings in Portuguese youngers

Introduction: Sadness as a basic of the human being emotion. It can be associated with the intrinsic of the younger's characteristics and their context. It may manifest as discouragement, unwillingness to perform routine and social activities, low self-esteem or aloneness. Hopelessness arises when there is no sight of possibilities, confi-dence in others or future, enthusiasm for life being. That can inhibit the set goals and energy mobilization. These feelings may be signs of more complex problems, such as depressive disorders when associated with loss of interest or pleasure, changes in appetite, sleep and concentration and suicidal ideation thoughts. Aims: To identify the sadness and hopelessness feelings perceived by the younger ́s and the associations between these feelings and demographic, educational and family characteristics. Method: Descriptive correlational study with 1377 Portuguese younger ́s, which go into high school, aged 14-21 years, average age 17 years and mostly female. Was used the survey "Comportamentos de saúde, comportamentos de risco e envolvimento dos jovens com a escola e a família". Results: Sadness and hopelessness were not noticed by most younger ́s. However, there is a higher risk in younger's with negative school performance, who relate good relationship with colleagues, have never felt threatened by their colleagues, when they become involved with school and family and even if they are perceived the family as functional. Conclusions: Health professionals should identify early, value feelings of sadness and hopelessness in younger ́s and have a transdisciplinary and inclusive practice in health education, in school and family contexts

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¿Es posible detectar casos de acoso escolar a través de la presencia de problemas psicosomáticos? / Is it possible to detect cases of bullying through the presence of psychosomatic problems?

Introducción: la elevada prevalencia del acoso escolar y sus consecuencias lo convierten en un problema de salud pública. Objetivo: analizar, en una población de adolescentes escolarizados, la prevalencia de acoso escolar y su asociación con problemas psicosomáticos. Material y métodos: estudio transversal de una muestra representativa de 844 estudiantes en cinco institutos de educación secundaria (IES) de Cuenca (España). Mediciones principales: acoso escolar mediante la subescala aceptación social del KIDSCREEN-52 y problemas psicosomáticos con la escala PSP. Resultados: la prevalencia de acoso escolar fue del 29,5%, sin deferencias significativas por sexo ni edad. Las chicas y los adolescentes de mayor edad presentaron problemas psicosomáticos significativamente más altos. Tanto en chicas como en chicos, una mayor presencia de estos se asoció con ser víctima de acoso escolar. Las ecuaciones de regresión realizadas para cada uno de los problemas psicosomáticos mostraron que, además de la influencia del sexo y la edad, ser víctima de acoso escolar es un predictor de peor salud psicosomática y de peor calidad de vida. Los modelos que explicaron mayor porcentaje de la varianza fueron el índice de psicosomáticos (21%), sentirse triste (15%), dolor de cabeza (10%) y dolor de estómago (11%). Conclusiones: los problemas psicosomáticos son frecuentes en adolescentes y especialmente entre las víctimas de acoso escolar. Es aconsejable que los profesionales de la salud, especialmente médicos y enfermeras, consideren seriamente la posibilidad de estar ante una víctima de acoso cuando un adolescente exhibe sintomatología psicosomática, especialmente la relacionada con tristeza, dolor de cabeza o de estómago sin causa orgánica aparente

Introduction: the high prevalence of school bullying and its consequences make it a public health problem. Objective: to analyse the prevalence of school bullying and its association with psychosomatic problems in a population of adolescent students. Materials and methods: we conducted a cross-sectional study in a representative sample of 844 students enrolled in 5 secondary education schools (SESs) in the city of Cuenca (Spain). The main assessment instruments were the social acceptance subscale of the KIDSCREEN-52 (bullying) and the PSP scale (psychosomatic problems). Results: the prevalence of being subject to school bullying was 29.5%, with no differences based on age or sex. We found a higher frequency of psychosomatic problems in female and older adolescents. In students of both sexes, a higher frequency of these problems was associated with being bullied. The regression models built for each of the psychosomatic problems showed that, correcting for the influence of sex and age, being bullied is a predictor of psychosomatic problems and a poorer quality of life. The models that explained the largest percentages of the variance where those for the total score in the psychosomatic problem scale (21%), feelings of sadness (15%), headache (10%) and stomach ache (11%). Conclusions: psychosomatic problems are frequent in adolescents, especially those who are victims of school bullying. Health care professionals, especially doctors and nurses, should strongly consider the possibility of bullying when an adolescent exhibits psychosomatic symptoms, especially sadness, headache or stomach ache, with no apparent organic cause

Subjective wellbeing, sense of humor and psychological health in hemodialysis patients

Objective: To investigate the relationship between satisfaction with life in general, sense of humor, and anxiety, depression and stress with subjective happiness in chronic kidney disease patients undergoing hemodialysis. Material and Methods: A cross-sectional and correlational study was developed in two units of the Diaverum dialysis clinic and one hospital unit, with 183 chronic kidney disease patients undergoing hemodialysis. An instrument was used to characterize the sociodemographic and clinical profile of the sample (age, gender, nationality, education, occupation, marital status, dialysis sessions length, presence of hypertension and diabetes): the subjective happiness scale; the satisfaction with life in general; depression, anxiety and stress scale 21; and multidimensional sense of humor scale. Inferential procedures included Spearman correlation coefficients, and multiple linear regression adjusting to age, marital status, professional activity and diabetes. Results: Subjective Happiness was positively correlated with satisfaction with life in general, and the three dimensions of Sense of Humor. Nevertheless, subjective happiness was negatively correlated with stress / anxiety and depression. Satisfaction with life in general, humor production and social use of humor, and attitude towards humor had a positive relationship with subjective happiness. However, depression had a negative relationship with subjective happiness. Conclusions: Higher levels of subjective happiness were associated with higher levels of satisfaction with life in general, and sense of humor, however they were also associated with lower levels of depression in patients undergoing hemodialysis

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Programa de actuación con niños en duelo / Clinical intervention in children's grief

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