Patients' contribution to drug safety in Catalonia: the interest of personal feelings on adverse drug reactions.

PURPOSE: There are few studies on the personal view retrieved by patients in the spontaneous reports' free-text section of suspected adverse drug reactions. METHODS: We analysed the suspected adverse drug reactions (ADRs) spontaneous reports sent to the Catalan Centre of Pharmacovigilance between 2013 and 2017. The information provided in the free-text section was classified as (1) temporal sequence, (2) description of symptoms, (3) description of psychological impact, (4) withdrawal effects, (5) alternative causes, and (6) rechallenge. The concordance level between the perceived severity by the reporter and the pharmacovigilance team was assessed by the Kappa index (ƙ). Usual descriptive statistics were used to describe variables. RESULTS: Nationally, 190 spontaneous reports described 383 ADRs, which 28.6% were unknown or poorly known in the literature, and 52.1% were serious. The most frequent ADRs were gastrointestinal (19.3%) and neurological (19.1%), and among the most common 213 suspected medicines, there were those used for nervous system conditions (18.8%). The agreement on the perception of ADRs' severity between citizens and centre's technicians was 'good' (K = 0.62 (0.51-0.72)). An analysis of the free-text section of reports showed that one-quarter of the reports provided useful additional data, like the psychobiosocial impact, which could explain the discrepancy between patients and health professionals in the classification of the severity of some ADRs. CONCLUSIONS: Patients' report free-text section provides relevant information, mainly about symptoms description, psychobiosocial impact and feelings. Therefore, it is a section to be enhanced and analysed. These findings should encourage the strengthening of citizens reporting.

Perfectionism and performance-related psychobiosocial states: The mediating role of competition appraisals.

Using the multi-states (MuSt) theory as a framework, the present study focused on the individual (personality) antecedents of psychobiosocial states. Psychobiosocial states comprise emotional subjective experiences and their correlates (cognitive, motivational, volitional, bodily, motor-behavioural, operational, and communicative), that can be functional for performance (helpful) or dysfunctional (harmful). Specifically, we examined the relationships between two perfectionism dimensions (perfectionistic strivings and concerns) and functional and dysfunctional psychobiosocial states. The hypothesized mediational role of competitive appraisals was also tested. Participants (N = 271, 138 female, 133 male, M age = 22.74 ± 7.01) completed questionnaires assessing the targeted variables. Structural equation modelling revealed that perfectionistic strivings were positive predictors of functional states directly and via challenge appraisals. On the other hand, perfectionistic concerns were positive predictors of dysfunctional states directly and via threat appraisals. Results provide support to MuSt theory and extend the literature on the antecedents of athletes' performance-related feeling states. Findings also provide support for the holistic conceptualization of psychobiosocial states encompassing the functionality dimension. The results highlight the importance of developing interventions aimed at helping athletes high in perfectionistic concerns evaluate situations as a challenge (and less of a threat) and increasing their perceived resources.Highlights Perfectionistic strivings positively related to functional psychobiosocial statesPerfectionistic concerns positively related to dysfunctional psychobiosocial statesCompetitive challenge appraisals mediated the relationship between perfectionistic strivings and functional psychobiosocial statesCompetitive threat appraisals mediated the relationship between perfectionistic concerns and dysfunctional psychobiosocial states.

Athletes' basic psychological needs and emotions: the role of cognitive reappraisal.

In sport, where high achievements are at stake, athletes often feel pressure and emotions that hinder their performance. Emotion regulation becomes essential for athletes to handle stress, achieve optimal performance, and enhance their overall well-being. To advance both research and practical applications, it is crucial to examine the antecedents of emotion regulation and the impact on emotions and other feelings associated with performance. Specifically, the purpose of this cross-sectional study was to examine the role of athletes' emotion regulation strategies (i.e., cognitive reappraisal and expressive suppression) in the relationship between basic psychological needs satisfaction, emotions, and psychobiosocial experiences. The sample consisted of 424 competitive athletes (246 men and 178 women) involved in individual sports (n = 164; e.g., fencing, gymnastics, martial arts, swimming, and tennis) or team sports (n = 260; e.g., basketball, rugby, soccer, and volleyball), aged 16-36 years (M = 23.08, SD = 7.65). Their competitive experience ranged from 1 to 21 years (M = 9.71, SD = 6.34) at regional (71%), national (18%), or international (11%) level, and they practiced their sport on average 3.74 times a week (SD = 1.73). Participants completed measures of basic needs satisfaction (i.e., competence, autonomy, and relatedness), emotion regulation style, emotions, and psychobiosocial experiences. Structural equation modeling results showed that competence need satisfaction was positively associated with pleasant emotions and psychobiosocial experiences that are perceived as functional for performance, and negatively associated with a maladaptive emotion regulation style (i.e., expressive suppression) and unpleasant emotions. Relatedness need satisfaction was positively related to an adaptive emotion regulation style (i.e., cognitive reappraisal), pleasant emotions, and psychobiosocial experiences, and negatively related to expressive suppression and unpleasant emotions. Finally, mediation analysis showed positive indirect effects from autonomy and relatedness satisfaction to pleasant emotions and psychobiosocial experiences via cognitive reappraisal. Findings suggest that the satisfaction of athletes' basic psychological needs of autonomy and relatedness is related to the experience of pleasant emotions and functional psychobiosocial states when they adopt an adaptive emotion regulation style.

Perfection behind the whistle: Perfectionism and perceived performance in soccer referees.

Purpose: The purpose of the study was to examine the relationship between self-oriented perfectionism, socially prescribed perfectionism, cognitive appraisals, psychobiosocial experiences, and self-evaluated performance in soccer referees, using the multi-states (MuSt) theory as the theoretical framework. Method: Participants were 67 soccer referees (57 men and 10 women, Mage = 23.03 years, SD = 2.71) with 3-15 years (M = 7.36, SD = 2.44) of refereeing experience in first-class, promotion, or excellence matches. They completed questionnaires assessing perfectionism, competitive appraisals, and psychobiosocial experiences two days before a game, and self-evaluated their performance one day after the event. Results: Results revealed significant positive correlations (r > 0.20) between self-oriented perfectionism and socially prescribed perfectionism with challenge appraisals, functional psychobiosocial experiences, and self-evaluated performance. Serial multiple mediation analyses showed positive indirect effects of both self-oriented and socially prescribed perfectionism on self-evaluated performance via challenge appraisals and psychobiosocial experiences (ß = 0.023, 95 % CI = 0.000, 0.097, and ß = 0.097, 95 % CI = 0.003, 0.253, respectively). Conclusion: The findings suggest that both dimensions of perfectionism may positively influence perceived performance when viewed as a positive challenge and associated with functional experiences. The study advances our understanding of the effects of perfectionism on perceived performance in the context of soccer refereeing. Practical implications for referee training programs are provided.

Self-Regulation in High-Level Ice Hockey Players: An Application of the MuSt Theory.

The purpose of the study was to examine the validity of core action elements and feeling states in ice hockey players in the prediction of performance. A second aim of the study was to explore the effectiveness of a 30-day program targeting action and emotion regulation. Participants were male ice hockey players drawn from two teams competing at the highest level of the junior Finnish ice hockey league. They were assigned to a self-regulation (n = 24) and a control (n = 19) group. The self-regulation program focused on the recreation of optimal execution of core action elements and functional feeling states. Separate repeated measures MANOVAs indicated significant differences in ratings of perceived control and execution accuracy ratings of self-selected visual and behavioral components of the action (critical for optimal performance) and psychobiosocial (feeling) states across recalled best and worst games. Results support the use of both action- and emotion-centered strategies for performance enhancement. Future research including psychophysiological markers is warranted.

Coach-Created Motivational Climate and Athletes' Adaptation to Psychological Stress: Temporal Motivation-Emotion Interplay.

This two-wave study investigated the temporal interplay between motivation and the intensity and reported impact of athletes' emotions in training settings. In total, 217 athletes completed self-report measures of motivational climate, motivation regulations, emotional states (i.e., pleasant states, anger, and anxiety) experienced before practice at two time points during a 3-month period. Latent change score modeling revealed significantly negative paths from task-involving climate at time 1 to the latent change in the intensity of dysfunctional anxiety and anger, and significantly positive paths from ego-involving climate at time 1 to the latent change in dysfunctional anger (i.e., intensity and reported impact). The paths from controlled motivation at time 1 to the latent change in the intensity of dysfunctional anxiety and vice versa were significantly positive. The path from controlled motivation at time 1 to the latent change in the intensity of functional anger was significantly positive, but not vice versa. In addition, the paths from dysfunctional anger (i.e., intensity and reported impact) at time 1 to the latent change in motivation regulations were significant, but not vice versa. Overall, evidence provided suggested that the temporal interplay of motivation and emotions is contingent on the specific emotions. The findings highlight the role of coach-created motivational climate and the importance of identifying high levels of controlled motivation to help athletes better adapt to psychological stress.

Initial Validation of the Psychobiosocial States in Physical Education (PBS-SPE) Scale.

The purpose of this cross-sectional investigation was to examine the item characteristics, factor structure, reliability, convergent validity, and nomological validity of the Psychobiosocial States in Physical Education (PBS-SPE) scale. In Study 1, a sample of 1,030 students (582 girls and 448 boys, 10 to 19-year-olds), drawn from middle or high schools, rated the intensity of the 20 items version of the PBS-SPE scale thinking about the feelings they had usually experienced in physical education classes. In Study 2, an additional sample of 1,025 students (578 girls, 447 boys, 10 to 19-year-olds), rated the 16 items of the final version of the scale. Two subsamples also completed an affective-related measure (i.e., the Physical Activity Enjoyment Scale) and two motivation scales often used in the physical education domain (i.e., the Teacher-Initiated Motivational Climate in Physical Education Questionnaire and the Situational Motivation Scale). Exploratory structural equation modeling and confirmatory factor analyses of the data showed that a two-factor, 16-item solution (i.e., 8 pleasant/functional items and 8 unpleasant/dysfunctional items) of the PBS-SPE scale reached satisfactory fit indices. Multi-group comparisons provided support for measurement and structural invariance across samples, gender, and age. Convergent and nomological validity was also upheld. Overall, the findings offer support for the use of a new instrument in the assessment of PBS-SPE settings.

Implementing the TARGET Model in Physical Education: Effects on Perceived Psychobiosocial and Motivational States in Girls.

Grounded in achievement goal and self-determination theories, the purpose of this study was to investigate the effects of mastery and performance climate interventions on students' psychobiosocial (PBS) states and self-determined motivation. A first study was conducted to determine the validity of the measures. In a second study, two groups of female students (N = 65, 14-15 years of age) took part in the investigation. A mastery-performance group participated in eight task-involving lessons and then in another set of eight ego-involving lessons. A performance-mastery group participated in ego-involving lessons and then in task-involving lessons. Findings revealed that the program was effective in changing PBS states and self-determined motivation in the performance-mastery group. In particular, participants in this group reported lower scores on pleasant/functional PBS states and self-determined motivation after the first phase of the intervention. Furthermore, lower levels of self-determined motivation were maintained after the second phase of the intervention, thereby suggesting detrimental carryover effects.