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  • Predictors of positive mental health in higher education students. A cross‐sectional predictive study
    Publication . Nogueira, Maria José; Seabra, Paulo; Alves, Patrícia; Teixeira, Delfina; Carvalho, José Carlos; Sequeira, Carlos
    Purpose To describe positive mental health (PMH) psychological vulnerability (PV) and identify predictors of PMH in higher education students (HES). Design and Methods A cross-sectional, predictive study was performed with a convenience sample of 3322 students, using an online questionnaire with sociodemographic information, the PMH Questionnaire, and the PV Scale. Findings The majority scored a flourishing level, and 67.7% of the participants scored high levels of PV. The Regression Model found a significant predictive variable for PMH. Practice Implications Gender, age, regular exercise, healthy diet, number of meals per day, and leisure activities are significant positive predictors of PMH. PV is the sole significant negative predictor. Therefore, improving mental health literacy can be a strategy to support HES
  • Positive Mental Health in University Students and Its Relations with Psychological Vulnerability, Mental Health Literacy, and Sociodemographic Characteristics: A Descriptive Correlational Study
    Publication . Teixeira, Sónia; Ferré-Grau, Carme; Canut, Teresa Lluch; Pires, Regina; Carvalho, José Carlos; Carvalho Ribeiro, Isilda Maria Oliveira; Sequeira, Carolina; Ferreira, Teresa de Jesus Rodrigues; Sampaio, Francisco; Costa, Tiago; Sequeira, Carlos
    Abstract: This study aimed to evaluate positive mental health (PMH) and its relation with sociodemographic characteristics, mental health literacy, and the psychological vulnerability scale (PVS) in Portuguese university students aged 17 to 62. A descriptive correlational study was carried out. An online survey was conducted to evaluate demographic variables, and several questionnaires were applied to evaluate positive mental health, psychological vulnerability, and mental health literacy. The data was collected from 1 November 2019 to 1 September 2020. Overall, 3405 students participated in the study. The results show that 67.8% of students revealed a high level of PMH, 31.6% presented a medium level of PMH, and 0.6% had a low level of PMH. Male students reported higher personal satisfaction (t (3170) = 􀀀2.39, p = 0.017) and autonomy (t (3170) = 􀀀3.33, p = 0.001) in PMH compared to female students. Students without a scholarship scored higher (t (3127) = 􀀀2.04, p = 0.42) in PMH than students who held a scholarship. Students who were not displaced from their home reported higher (t (3170) = 􀀀1.99, p = 0.047) self-control in PMH than those displaced from their home. University students with higher PMH results had lower PVS results and higher literacy results. The findings of this study will contribute to identifying students’ PMH intervention needs.
  • The relation between lifestyles and positive mental health in Portuguese higher education students
    Publication . Valentim, Olga; Vilelas, José; Carvalho, José Carlos; Andrade, Carmen M. Silva Maciel; Tomás, Catarina; Costa, Patrício Soares; Sequeira, Carlos
    Healthy lifestyles are commonly associated with improved physical and mental health. Sleep patterns, nutrition, physical exercise, consumption of psychoactive substances, among others, can strongly influence positive mental health. The aims are: characterize lifestyles based on positive mental health clusters, considering the cross-sectional cohort sample of higher education students, and analyse the lifestyles associated with positive mental health. A cross-sectional, descriptive, correlational and multicentric study of quantitative approach was conducted. The Positive Mental Health Questionnaire was applied. Through the k-means method, four clusters were obtained based on positive mental health levels. The sample of 3647 higher education students was mostly female (78.8%), single (89.5%), with an average age of 23 years (SD = 6.68). Differences were found between clusters based on the sociodemographic characteristics and lifestyles. Findings in Cluster 1 were highlighted because they included students with a higher level of positive mental health, which was associated with greater satisfaction in affective relationships, higher recreational and sports activities, better sleep quality, a healthy diet, and lower medication and illicit drugs consumption. These key findings emphasize the promotion of healthy lifestyles and highlight the importance of positive mental health in promoting the health of higher education students.
  • The impact of the COVID‐19 pandemic on the mental health of Portuguese university students
    Publication . Sequeira, Carlos; Araújo, Odete; Lourenço, Tânia; Freitas, Otília; Carvalho, José Carlos; Costa, Patrício
    Worldwide, the COVID-19 pandemic has had a disruptive effect on daily routines, especially for university students. This study aimed to compare pre-pandemic domains of students’ mental health during the pandemic lockdown. One cross-sectional study was conducted in two waves with academic students from 20 Portuguese universities, in March 2020 before the COVID19 pandemic (n = 3579) and 2 months after the first lockdown in May 2020 (n = 1228). The Positive Mental Health Questionnaire (PMHQ), the Mental Health Knowledge Questionnaire, the Mental Health-promoting knowledge, and the Psychological Vulnerability Scale were used. Statistical analyses were performed by bivariate associations and multiple linear regression models. Students were mostly women (79%), with an average age of 23.2 years (SD = 6.6), displaced from their family environment (43%), out-of-home (43%), and scholarship holders (37%). Higher scores found in the PVS were associated with decreased PMHQ in both moments (P < 0.01). These crosssectional studies showed a slight variation in the mental health variables studied in the period before and during the COVID-19 outbreak. Being a woman, younger, out-of-home, and having a scholarship (P < 0.01) seem to increase susceptibility to mental health variation before and during the pandemic. Universities should develop strategies that promote students’ mental health.
  • Psychoeducation Programs to Reduce Preoperative Anxiety in Adults: A Scoping Review
    Publication . Oliveira, Palmira; Porfírio, Catarina; Pires, Regina; Silva, Rosa; Carvalho, José Carlos; Costa, Tiago; Sequeira, Carlos
    Abstract: Background: Surgical procedure is a critical event that causes anxiety for patients. One of the possible intervention strategies to reduce anxiety in the preoperative period is psychoeducation. Methods: A scoping review was conducted according to the JBI methodology and PRISMA-ScR to map knowledge about psychoeducation programs to reduce preoperative anxiety in adults. The data were extracted by the researchers, according to the objective of the study. Finally, the data synthesis was presented in narrative format and tables. Results: four studies were included in the review with different characteristics of psychoeducation programs. The approach of these programs consisted of teaching about anxiety, instruction and training in anxiety control techniques. The contents referred to included the surgical process and intervention techniques to reduce anxiety. Program sessions lasted from 45 to 150 min, with a frequency of 1 to 6. The assessment instrument used was the State- Trait Anxiety Inventory. The dynamisers were nurses, psychotherapists and clinical psychologists. Conclusions: Psychoeducation programs can be useful and effective in reducing anxiety. More studies are needed to confirm these results
  • Psychoeducation Programs to Reduce Preoperative Anxiety in Adults: A Scoping Review
    Publication . Oliveira, Palmira; Porfírio, Catarina; Pires, Regina; Silva, Rosa; Carvalho, José Carlos; Costa, Tiago; Sequeira, Carlos
    Background: Surgical procedure is a critical event that causes anxiety for patients. One of the possible intervention strategies to reduce anxiety in the preoperative period is psychoeducation. Methods: A scoping review was conducted according to the JBI methodology and PRISMA-ScR to map knowledge about psychoeducation programs to reduce preoperative anxiety in adults. The data were extracted by the researchers, according to the objective of the study. Finally, the data synthesis was presented in narrative format and tables. Results: four studies were included in the review with different characteristics of psychoeducation programs. The approach of these programs consisted of teaching about anxiety, instruction and training in anxiety control techniques. The contents referred to included the surgical process and intervention techniques to reduce anxiety. Program sessions lasted from 45 to 150 min, with a frequency of 1 to 6. The assessment instrument used was the State-Trait Anxiety Inventory. The dynamisers were nurses, psychotherapists and clinical psychologists. Conclusions: Psychoeducation programs can be useful and effective in reducing anxiety. More studies are needed to confirm these results.