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OBJECTIVE: Gay and bisexual men are at an increased risk for eating disorders (EDs) and muscle dysmorphia (MD) compared with their heterosexual counterparts. Existing dissonance-based (DB) EDs prevention programs for this population have been evaluated in the United States; however, these programs have not been evaluated in the Brazilian context. Thus, we investigated the feasibility, acceptability, and efficacy of a DB ED prevention program (i.e., the PRIDE Body Project) among Brazilian cisgender gay and bisexual men. METHOD: Eligible men were randomly assigned to either a DB intervention (n = 74) condition or an assessment-only control (AOC) condition (n = 75). Participants completed measures assessing ED and MD risk and protective factors at baseline, post-intervention, 1-month, 6-month, and 1-year follow-up. Those in the intervention condition also completed acceptability measures. RESULTS: Feasibility and acceptability ratings were highly favorable. Regarding efficacy, post-intervention results were not significant, except for self-objectification, which showed a significantly greater decrease in the DB condition compared with the AOC condition at all time-points of follow-ups (Cohen's d = -0.31 to -0.76). At follow-up, the DB condition showed significantly greater decreases in appearance-ideal internalization, drive for muscularity, self-objectification, ED and MD symptoms at 1-month, 6-month, and 1-year follow-ups (d = -0.33 to -0.92) compared with the AOC condition. Significant increases were observed in the DB compared with the AOC condition for body appreciation at 1-month, 6-month, and 1-year follow-ups (d = 0.31-0.81). DISCUSSION: Results support the feasibility, acceptability, and efficacy of the PRIDE Body Project up to 1-year in Brazilian cisgender gay and bisexual men. TRIAL REGISTRATION: Brazilian Registry of Clinical Trials (ReBEC; available at http://www.ensaiosclinicos.gov.br/) number of registration: RBR-62fctqz.
Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos , Minorias Sexuais e de Gênero , Humanos , Masculino , Brasil , Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle , Adulto , Seguimentos , Insatisfação Corporal , Homossexualidade Masculina , Imagem Corporal/psicologia , Adulto Jovem , Estudos de Viabilidade , Dissonância CognitivaRESUMO
The spike protein determines the host-range specificity of coronaviruses. In particular, the Receptor-Binding Motif in the spike protein from SARS-CoV-2 contains the amino acids involved in molecular recognition of the host Angiotensin Converting Enzyme 2. Therefore, to understand how SARS-CoV-2 acquired its capacity to infect humans it is necessary to reconstruct the evolution of this important motif. Early during the pandemic, it was proposed that the SARS-CoV-2 Receptor-Binding Domain was acquired via recombination with a pangolin infecting coronavirus. This proposal was challenged by an alternative explanation that suggested that the Receptor-Binding Domain from SARS-CoV-2 did not originated via recombination with a coronavirus from a pangolin. Instead, this alternative hypothesis proposed that the Receptor-Binding Motif from the bat coronavirus RaTG13, was acquired via recombination with an unidentified coronavirus. And as a consequence of this event, the Receptor-Binding Domain from the pangolin coronavirus appeared as phylogenetically closer to SARS-CoV-2. Recently, the genomes from coronaviruses from Cambodia (bat_RShST182/200) and Laos (BANAL-20-52/103/247) which are closely related to SARS-CoV-2 were reported. However, no detailed analysis of the evolution of the Receptor-Binding Motif from these coronaviruses was reported. Here we revisit the evolution of the Receptor-Binding Domain and Motif in the light of the novel coronavirus genome sequences. Specifically, we wanted to test whether the above coronaviruses from Cambodia and Laos were the source of the Receptor-Binding Domain from RaTG13. We found that the Receptor-Binding Motif from these coronaviruses is phylogenetically closer to SARS-CoV-2 than to RaTG13. Therefore, the source of the Receptor-Binding Domain from RaTG13 is still unidentified. In accordance with previous studies, our results are consistent with the hypothesis that the Receptor-Binding Motif from SARS-CoV-2 evolved by vertical inheritance from a bat-infecting population of coronaviruses.
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Evolução Molecular , Filogenia , SARS-CoV-2 , Glicoproteína da Espícula de Coronavírus , SARS-CoV-2/genética , SARS-CoV-2/metabolismo , Glicoproteína da Espícula de Coronavírus/genética , Glicoproteína da Espícula de Coronavírus/metabolismo , Glicoproteína da Espícula de Coronavírus/química , Humanos , Animais , Enzima de Conversão de Angiotensina 2/metabolismo , Enzima de Conversão de Angiotensina 2/genética , Enzima de Conversão de Angiotensina 2/química , Motivos de Aminoácidos , COVID-19/virologia , Ligação Proteica , Betacoronavirus/genética , Quirópteros/virologia , Pangolins/virologia , Sítios de Ligação , Genoma Viral , Receptores Virais/metabolismo , Receptores Virais/genética , Receptores Virais/químicaRESUMO
In this article, we examine the ways in which the notion of interdisciplinarity was understood, implemented and experienced by researchers at a government-funded Chilean climate research centre. Our multi-site ethnography, consisting of interviews, participant observations, and document analysis, was motivated by three key aims. First, to generate an inductive, multi-faceted picture of the lived meaning of "interdisciplina" at the Centre; second, to explore whether and to what extent the "peripheral" features of the research context would exacerbate the challenges associated with practicing interdisciplinarity, and third, to see whether frictions between disciplines at the Centre could be considered productive "dissonances" in Stark's sense of the term. We found that despite the centre efforts to produce a common framework to regulate interdisciplinary research, its researchers nevertheless understood, enacted and experienced it in diverse ways. More specifically, we found that researcher´s conceptions of interdisciplinarity were coloured by their lived experiences of attempting to practice it, and in particular by the benefits and costs they associated with doing so. This in turn was linked to several variables, including the specific balance between disciplines, the absence or presence of shared, clearly-defined goals, the affirmation of a common research ethic or motivational commitment, and the structural-material conditions of the research in question. We also found that the research conditions characteristic of the Global South do tend to exacerbate the well-documented challenges associated with interdisciplinarity, yet that the adversities associated with precarious conditions were often met by increased resilience and bonding among researchers, who use creative and collaborative strategies to adapt to adversity.
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This study ai ms to verify and analyze the existence of cognitive dissonance in the self-assessment of health by individuals in Brazil, that is, the difference between self-rated health and the health status of individuals. To accomplish this, we use data from the 2013 National Health Survey, which collected the self-assessments that individuals made of their health and information about their health status. This information was used to build indices that seek to represent a person's health status in relation to chronic illnesses, physical and mental well-being, eating habits and lifestyle. To identify the presence of cognitive dissonance, the CUB (Combination of a discrete Uniform and shifted Binomial distributions) model was used, which relates self-assessed health with the developed indices. Cognitive dissonance was identified in self-assessed health in relation to eating habits and lifestyle, and this dissonance may be associated with a present bias in the self-assessment of health in Brazil.
Assuntos
Dissonância Cognitiva , Humanos , Brasil , Inquéritos EpidemiológicosRESUMO
OBJECTIVE: This systematic review evaluates and summarizes existing eating disorder (ED) prevention programs in Latin American countries. METHODS: A systematic literature search was conducted using the Cochrane Controlled Trial Register, PubMed, and Virtual Health Library databases up to and including July 31, 2022. All ED prevention studies published in English, Spanish or Portuguese were eligible, regardless of the study design, sample characteristics, and type of prevention programs. The Cochrane Collaboration Risk of Bias criteria were used to evaluate the quality of the included studies. RESULTS: Twenty-two studies were included. Most were pilot studies that were nonrandomized, had a high risk of bias, were from Mexico and Brazil, and employed selective interventions. Dissonance-based programs and social cognitive theory were the commonly used approaches in interventions, and most of them were tested in adolescent girls and women. Short follow-ups were used, varying from 1 to 6 months. Many found significant decreases after the intervention and/or at follow-up in ED/disordered eating risk behaviors/symptoms, negative affect, body-ideal internalization, and body image disturbances. CONCLUSIONS: This review highlights promising efforts to prevent EDs among Latin American countries. Some barriers in conducting research include funding restrictions, laws that do not allow remuneration or compensation for participants, and high costs of training. Nonetheless, the outcomes of the programs developed and evaluated so far are positive enough to merit further work on ED prevention. Efforts for future researchers should recruit samples with diverse characteristics, use robust designs and data analysis techniques, and expand the accessibility of prevention programs. PUBLIC SIGNIFICANCE STATEMENT: The development of effective eating disorder (ED) prevention programs that can be broadly implemented is a public health priority. Nevertheless, there is limited evidence regarding the characteristics of ED prevention programs and their efficacy among Latin American countries. In the present study, we reviewed existing ED prevention programs adopted in Latin America, described their characteristics and outcomes, noted the limitations of available programs, and discussed the implications of these findings for efforts to prevent the development of EDs in Latin America. The outcomes of the programs developed and evaluated so far are positive enough to merit the development and rigorous evaluation of future programs and their broad dissemination in Latin American countries. PROSPERO registration number CRD42021275245.
OBJETIVO: Esta revisión sistemática evalúa y resume los programas de prevención de trastornos de la conducta alimentaria (TCA) existentes en los países de América Latina. MÉTODOS: Se realizó una búsqueda bibliográfica sistemática utilizando las bases de datos del Registro Cochrane de Ensayos Controlados (Cochrane Controlled Trial Register), PubMed y Virtual Health Library hasta el 31 de julio de 2022 inclusive. Todos los estudios de prevención de TCA publicados en inglés, español o portugués fueron elegibles, independientemente del diseño del estudio, las características de la muestra y el tipo de programas de prevención. Se utilizaron los Criterios de Riesgo de Sesgo de la Colaboración Cochrane para evaluar la calidad de los estudios incluidos. RESULTADOS: Se incluyeron veintidós estudios. La mayoría eran estudios piloto no aleatorizados, tenían un alto riesgo de sesgo, eran de México y Brasil, y empleaban intervenciones selectivas. Los programas basados en la disonancia y la teoría cognitiva social fueron los enfoques comúnmente utilizados en las intervenciones, y la mayoría de ellos se probaron en niñas y mujeres adolescentes. Se utilizaron seguimientos cortos, que variaron de uno a 6 meses. Muchos encontraron disminuciones significativas después de la intervención y / o en el seguimiento en los síntomas de TCA/Conductas Alimentarias de Riesgo, afecto negativo, internalización de la figura ideal y trastornos de la imagen corporal. CONCLUSIONES: Esta revisión destaca los esfuerzos prometedores para prevenir los TCA entre los países de América Latina. Algunas barreras en la realización de investigaciones incluyen restricciones de financiamiento, leyes que no permiten la remuneración o compensación para los participantes y los altos costos de capacitación. No obstante, los resultados de los programas desarrollados y evaluados hasta ahora son lo suficientemente positivos como para merecer un mayor trabajo en la prevención de los TCA. Los esfuerzos para futuros investigadores deben reclutar muestras con características diversas, utilizar diseños robustos y técnicas de análisis de datos, y ampliar la accesibilidad de los programas de prevención.
Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos , Saúde Pública , Adolescente , Humanos , Feminino , América Latina , México , Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle , Projetos de PesquisaRESUMO
PURPOSE: Investigate the efficacy of a dissonance-based (DB) intervention (i.e., the Body Project), during which some examples of intuitive eating were provided by peer leaders, in improving intuitive eating and targeting risk and protective factors for eating disorders (ED) among Brazilian women with body dissatisfaction. METHODS: Participants were randomized to a four-session DB intervention (n = 38) or assessment-only control (AOC) (n = 36), and completed validated measures assessing intuitive eating, body appreciation, self-esteem, body-ideal internalization, body dissatisfaction, negative affect, and disordered eating pre-intervention, post-intervention, and at 4- and 24-week follow-ups. RESULTS: The DB condition demonstrated significantly greater increases in intuitive eating, body appreciation and self-esteem scores compared to AOC from pre-intervention to post-intervention (between-condition Cohen's d = 0.73-0.98), 4-week (between-condition Cohen's d = 1.25-1.87) and 24-week follow-up (between-condition Cohen's d = 0.82-1.38). Also, the DB condition showed significantly greater decreases in body-ideal internalization, body dissatisfaction and disordered eating scores from pre-intervention to post-intervention (between-condition Cohen's d = 0.76-1.04), 4-week (between-condition Cohen's d = 1.27-1.71) and 24-week follow-up (between-condition Cohen's d = 1.04-1.19). Regarding negative affect, DB condition showed significantly greater reduction only at 24-week follow-up (between-condition Cohen's d = 0.60). CONCLUSION: Results reinforce the efficacy of DB interventions in reducing ED risk factors for young women and support the preliminary efficacy of these programs in improving intuitive eating, body appreciation, and self-esteem. LEVEL OF EVIDENCE: Level I, randomized controlled trial. ReBEC (Brazilian Registry of Clinical Trials; available at http://www.ensaiosclinicos.gov.br/ ) number of registration: RBR-2f57cs. Date of registration: June 1, 2020.
Assuntos
Insatisfação Corporal , Transtornos da Alimentação e da Ingestão de Alimentos , Imagem Corporal , Brasil , Dissonância Cognitiva , Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle , Feminino , HumanosRESUMO
La disonancia cognitiva (DC) representa un elemento psicológico bastante común en la sociedad. Las personas, sin importar edades ni condición social y mucho menos niveles de estudios, suelen caer permanentemente en este juego de ideas entre valores y realidades. Esto hace que el desarrollo moral y ético de una sociedad muchas veces se vea empañado por circunstancias que inciden directamente en el bien propio y común. La disonancia cognitiva, con base en las representaciones simbólicas de cada actor social, puede ser estudiada desde el campo universitario, visto éste como un espacio en el que los individuos se reúnen con base a un pensamiento libre y donde la construcción y de construcción delas ideas complejiza la propia realidad del individuo lo que hace incida en su entorno. La disonancia cognitiva, en una realidad venezolana donde la migración ha causado desolación en las universidades, pasa a formar parte de las discusiones dialógicas del estamento docente y ocupa la atención de numerosos investigadores, políticos y economistas del país. En este escrito, el objetivo se orienta a develar las representaciones simbólicas del pensamiento estudiantil y docente en consideración a la disonancia cognitiva y al tema de migración venezolana. Sus ideas, sus opiniones y sus sentires son expuestas como una forma de expresión sobre sus mundos internos como participantes pertenecientes a una sociedad con características propias. El método es la hermenéutica basada en la metodología cualitativa. Se utilizó la entrevista como técnica principal de recolección de información. Conclusión: el ambiente social venezolano se ve envuelto por una crisis de análisis, personalidad y de valores, los cuales hacen presencia gracias a la gran disonancia cognitiva (y auto engaño que la misma conlleva) en casi todos los aspectos dela vida diaria, convirtiéndose así en una nación triste, despectiva y poco comprometida(AU)
Cognitive dissonance (CD) represents a fairly common psychological element in society. People, regardless of age or social status and much less levels of education, often fall permanently in this game of ideas between values andrealities. This means that the moral and ethical development ofa society is often marred by circumstances that directly affect the own and common good. Cognitive dissonance, based on the symbolic representations of each social actor, can be studied from the university field, seen as a space in which individuals meet based on free thinking and where the construction and deconstruction of ideas and that complicates the individual'sown reality which makes an impact on his environment. Cognitive dissonance, in a Venezuelan reality where migration has caused desolation in universities, becomes part of the dialogic discussions of the teaching staff and occupies the attentionof numerous researchers, politicians and economists in the country. In this paper, the objective is to reveal the symbolic representations of student and teacher thinking in consideration of cognitive dissonance and the issue of Venezuelan migration.Their ideas, their opinions and their feelings are exposed as a form of expression about their internal worlds as participants belonging to a society with their own characteristics. the method is hermeneutics based on qualitative methodology. The interview was used as the main information gathering technique. Conclusion: the Venezuelan social environment is surroundedby a crisis of analysis, personality and values, which they presentthanks to the great cognitive dissonance (and self-deception thatit entails) in almost all aspects of daily life, thus becoming in asad nation, contemptuous and little compromised(AU)
Assuntos
Humanos , Masculino , Feminino , Personalidade , Universidades , Dissonância Cognitiva , Educação , Migração Humana , Meio Social , Estudantes , Venezuela , Atitude , Afeto , Emoções , Meio Ambiente , MoralRESUMO
Introducción: Los patrones de belleza establecidos por la sociedad y difundidos por los medios de comunicación han ocasionado que los adolescentes presenten trastornos alimentarios; por lo que se desarrollan estrategias de prevención para contrarrestar dicha problemática. Objetivo: Evaluar el efecto de un programa de prevención universal de trastornos alimentarios en estudiantes de una secundaria del Estado de México. Métodos: Estudio cuantitativo de corte longitudinal, la muestra estuvo conformada por cinco grupos de intervención (n = 183) y un grupo control (n = 38), a los que se les aplicó el test de actitudes alimentarias (EAT-23), el test se aplicó antes y después de la intervención de un programa nutricional. Se utilizó la prueba t de Student para muestras relacionadas entre la preprueba y la posprueba del grupo con intervención. Resultados: Se observaron diferencias estadísticamente significativas en la subescala de patrones y estilos alimentarios (t = 1,94, p = 0,05) y en las preguntas de me gusta comer con otras personas y siento que los alimentos controlan mi vida, se vieron cambios positivos en ambas preguntas. Conclusiones: Los programas interactivos generan mayores resultados que aquellos que se basan en la transmisión de conocimientos, de ahí que se deban desarrollar programas específicos para la alfabetización de los medios de comunicación y así generar una actitud crítica ante la presión que ejercen la publicidad y la moda(AU)
Introduction: Beauty patterns established by society and disseminated by the media have caused that adolescents present eating disorders; therefore, prevention strategies are developed to counteract this problem. Objective: Evaluate the effect of a universal prevention program of eating disorders in students from a junior high school in the State of Mexico. Methods: Quantitative longitudinal study. The sample consisted of five intervention groups (n = 183) and a control group (n = 38), to which the dietary attitudes test (EAT-23) was applied. The test was applied before and after the intervention of a nutritional program. Student's t-test was used for samples related to pre-testing and post-testing of the intervention group. Results: Statistically significant differences were observed in the subscale of eating patterns and styles (t = 1.94, p = 0.05) and in the questions ¨I like to eat with other people¨ and I feel that food controls my life¨, positive changes were seen in both questions. Conclusions: Interactive programs generate greater results than those based on the transmission of knowledge, hence specific programs must be developed for media literacy and thus generate a critical attitude towards the pressure exerted by advertising and fashion(AU)
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Humanos , Masculino , Feminino , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Dissonância Cognitiva , Letramento em Saúde , Assistência Alimentar , Estudos Longitudinais , Estudos de Avaliação como Assunto , MéxicoRESUMO
A randomized controlled trial was conducted to assess the efficacy of the Body Project eating disorder prevention program in reducing eating disorder risk factors and symptoms in young Brazilian women. A total of 141 female university students aged 18-30 years old were randomly assigned to one of two conditions: assessment-only condition (n = 78) and Body Project condition (n = 63). Participants completed scales assessing body dissatisfaction, sociocultural influence, disordered eating attitudes and behaviors, eating disorders symptoms, body appreciation, depressive mood and negative affect at baseline, posttest, and at 1- and 6-month follow-ups. Body Project participants showed significantly greater reductions in body dissatisfaction, sociocultural influence, disordered eating, eating disorder symptoms, depressive symptoms, and negative affect, and greater increases in body appreciation (d = .35-.48) compared to assessment-only participants. Most of the effects persisted through 6-month follow-up (d = .35-.74). Results provide evidence that the Body Project is an effective intervention to reduce eating disorder risk factors and eating disorder symptoms among Brazilian young women, and that this intervention is naturally culturally adaptive.
Assuntos
Insatisfação Corporal , Transtornos da Alimentação e da Ingestão de Alimentos , Adolescente , Adulto , Insatisfação Corporal/psicologia , Brasil , Dissonância Cognitiva , Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Avaliação de Programas e Projetos de Saúde , Adulto JovemRESUMO
OBJECTIVE: Few prevention programs have been developed and empirically evaluated to address eating disorder (ED) and muscle dysmorphia (MD) symptoms in men. Furthermore, new strategies for the broad implementation of available programs are needed. We investigated the acceptability and efficacy of a dissonance-based (DB) intervention for Brazilian undergraduate men with body dissatisfaction to target risk and protective factors for ED and MD symptoms (the Body Project: More Than Muscles) after an online training for facilitators. METHOD: Participants were randomized to a two-session DB-intervention (n = 89) or assessment-only control (AOC) (n = 91), and completed validated measures assessing ED and MD risk and protective factors pre-intervention, post-intervention, and at 4- and 24-week follow-up post-intervention. RESULTS: Acceptability ratings were highly favorable. Regarding efficacy, the DB condition demonstrated significantly greater decreases in ED and MD risk factors compared to AOC from pre-intervention to 4-week (p-values <.05, between-condition Cohen's d = 0.35-1.10) and 24-week follow-up (p-values <.05, between-condition Cohen's d = 0.33-0.78). Results at post-intervention were not significant, with the exception that body appreciation showed significantly greater improvements in the DB condition (post-intervention: p < .01, between-condition Cohen's d = 0.40; 4-week: p < .001, between-condition Cohen's d = 0.80; and 24-week follow-up: p < .001, between-condition Cohen's d = 0.58). DISCUSSION: Results support the acceptability and efficacy of a DB-intervention delivered in-person after an online training for facilitators up to 24-week follow-up in Brazilian men.
Assuntos
Insatisfação Corporal , Transtornos da Alimentação e da Ingestão de Alimentos , Imagem Corporal , Dissonância Cognitiva , Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle , Humanos , Masculino , EstudantesRESUMO
El presente artículo propone algunas relaciones entre música y psicoanálisis. A partir de interrogaciones clínicas que han llevado a buscar respuestas en la música, el autor se permite salir del puro contexto transferencial para explorar algunos momentos de la historia del movimiento psicoanalítico en los que la música ha jugado un rol importante cuando se busca transmitir una noción, y también respecto de la escritura del psicoanálisis y la construcción de hipótesis clínicas por parte del psicoanalista. En terreno clínico en el que el autor desarrolla su reflexión, el "psicoanálisis en situaciones extremas", resulta especialmente necesaria la elaboración de una posición de respuesta al vacío o a través de la negatividad y la música resulta a veces un campo privilegiado en la construcción de un espacio metafórico capaz de figurar la gran ambigüedad y la discordancia que caracterizan, en términos pulsionales, los encuentros con estos pacientes y que permiten el acceso a un terreno de encuentro en el que la palabra puede renacer
This article explores some possible relations between music and psychoanalysis. The author develops his reflection in the clinical field of "extreme situations", in which it is often necessary to develop a response to emptiness. Music is a privileged field in the construction of a metaphorical space capable of figuring out the great ambiguity that characterize the encounters with these patients, creating a ground in which the language can be reborn and deploy. Based on these clinical interrogations that have led the author beyond the psychoanalytical theory, the role of music in the history of the psychoanalytic movement is also explored, as well as in the writing of the case and in the construction of clinical hypotheses, in the transfer situation, by the psychoanalyst
Assuntos
Humanos , Musicoterapia , PsicanáliseRESUMO
Through a personal narrative account, this paper explores the nature of the author's cognitive dissonance experienced during a traverse of a high-altitude ski mountaineering objective (Nevado Ishinca 5530 m) in Peru's Cordillera Blanca. The author experienced psychological discomfort in the ascent and a role of self in determining a continued commitment with the ski mountaineering challenge. Distraction, trivialization, act rationalization and finally attitude change were all used in attempt to reduce negative levels of cognitive dissonance. The lack of consonant cognitions to support abandoning the climb, the notion of free choice, the role of self-concept and self-esteem values motivated continued commitment until the negative levels of arousal subsided. Through a challenging mountaineering experience, I developed a greater self-awareness of the role of commitment to an objective which could be applied to other life events and experiences.
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Resumen: El objetivo del presente artículo es determinar el bienestar espiritual (BE) del personal de enfermería y su aporte ético a la humanización en salud. El método seguido corresponde al enfoque cuantitativo, descriptivo, transversal. El muestreo es no probabilístico, constituido por 148 enfermeros de dos instituciones de salud de la ciudad de Bogotá (A y B). Se aplicó instrumento SHALOM-3 para medir el bienestar espiritual (disonancia y armonía) en los dominios personal, trascendental, ambiental y comunal. En cuanto a los resultados, la evaluación del BE mostró un alto porcentaje de armonía en las dos instituciones; sin embargo, se encontraron porcentajes de disonancia en la institución B, en los dominios trascendental (16% vs 22%), ambiental (12% vs 19%) y personal (11% vs 18%). Se destaca la importancia del Bienestar Espiritual para la humanización de los servicios de salud en el ámbito hospitalario, dado que contribuye a la mejora continua y a la garantía de calidad, preocupaciones relevantes para la bioética en el estudio del clima ético en las instituciones de salud.
Abstract: The objective of this article is to determine the spiritual well-being (SW) of nursing staff and their ethical contribution to health humanization. The method followed corresponds to the quantitative, descriptive and transversal approach. The sampling is not probabilistic, consisting of 148 nurses from two health institutions in the city of Bogotá (A and B). The SHALOM-3 instrument was applied to measure spiritual well-being (dissonance and harmony) in the personal, transcendental, environmental and communal domains. Regarding the results, the evaluation of the BE showed a high percentage of harmony in the two institutions; however, percentages of dissonance were found in institution B, in the transcendental (16% vs. 22%), environmental (12% vs. 19%) and personal (11% vs. 18%) domains. The importance of Spiritual Wellbeing for the humanization of health services in the hospital field is highlighted, since it contributes to a continuous improvement and quality assurance, both relevant concerns for bioethics in the study of the ethical climate in healthcare institutions.
Resumo: O objetivo do presente artigo é determinar o bem-estar espiritual (BEE) da equipe de enfermagem e sua contribuição ética para a humanização em saúde. O método corresponde ao enfoque quantitativo, descritivo e transversal. A amostragem é não probabilística, constituída por 148 enfermeiros de duas instituições de saúde da cidade de Bogotá (A e B). Usou-se instrumento SHALOM-3 para medir o bem-estar espiritual (dissonância e harmonia) nos domínios pessoal, transcendental, ambiental e comunitário. Quanto aos resultados, a avaliação do BEE mostrou uma alta porcentagem de harmonia nas duas instituições; no entanto, encontraram-se porcentagens de dissonância na instituição B, nos domínios transcendental (16% v. 22%), ambiental (12% v. 19%) e pessoal (11% v. 18%). Destaca-se a importância do Bem-estar Espiritual para a humanização dos serviços de saúde no âmbito hospitalar, dado que contribui para a melhora contínua e a garantia de qualidade, preocupações relevantes para a bioética no estudo do clima ético nas instituições de saúde
Assuntos
Humanos , Humanização da Assistência , Assistentes de Enfermagem , Qualidade da Assistência à Saúde , Bioética , EspiritualidadeRESUMO
In the last few decades much effort has been devoted to developing prevention programs for eating disorders, as most individuals with these pathologies do not receive treatment and tend to become chronic. The purpose of this study was to evaluate a cognitive dissonance and media literacy intervention aimed at preventing eating disorders in female adolescents. Eighty-eight female students (aged 12-17) from Argentina, participated in a 3-session program. Adolescents completed a baseline, post-intervention and a 6-month follow-up survey. A significant decrease in thin-ideal internalization, body image concerns, influence of advertising, drive for thinness and bulimic attitudes was found at post-intervention. In addition, the number of participants with disturbed eating attitudes and behaviors decreased at post-intervention. Results for body image concerns and drive for thinness were maintained at follow-up.
Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle , Promoção da Saúde , Meios de Comunicação de Massa , Adolescente , Argentina , Imagem Corporal/psicologia , Dissonância Cognitiva , Feminino , Humanos , Estudos Longitudinais , Estudantes/psicologia , Inquéritos e Questionários , Magreza/psicologiaRESUMO
BACKGROUND: Given that most young women with eating disorders do not receive treatment, implementing effective prevention programs is a public health priority. The Body Project is a group-based eating disorder prevention program with evidence of both efficacy and effectiveness. This trial evaluated the efficacy of this prevention program with Brazilian girls, as no published study has tested whether this intervention is culturally sensitive and efficacious with Latin-American adolescents. METHODS: Female students were allocated to a dissonance-based intervention (n = 40) or assessment-only (n = 22) condition. The intervention was a dissonance-based program, consisted of four group sessions aimed to reduce thin-ideal internalization. The sessions included verbal, written, and behavioral exercises. The intervention group was evaluated at pretest and posttest; assessment-only controls completed measures at parallel times. RESULTS: Compared to assessment-only controls, intervention participants showed a significantly greater reduction in body dissatisfaction, sociocultural influence of the media, depressive symptoms, negative affect, as well as significantly greater increases in body appreciation. There were no significant effects for disordered eating attitudes and eating disorder symptoms. CONCLUSIONS: These results suggest that this dissonance-based eating disorder prevention program was culturally sensitive, or at least culturally adaptive, and efficacious with Brazilian female adolescents. Indeed, the average effect size was slightly larger than has been observed in the large efficacy trial of this prevention program and in recent meta-analytic reviews. TRIAL REGISTRATION: RBR-7prdf2 . Registered 13 August 2018 (retrospectively registered).
RESUMO
Abstract Background: Given that most young women with eating disorders do not receive treatment, implementing effective prevention programs is a public health priority. The Body Project is a group-based eating disorder prevention program with evidence of both efficacy and effectiveness. This trial evaluated the efficacy of this prevention program with Brazilian girls, as no published study has tested whether this intervention is culturally sensitive and efficacious with Latin-American adolescents. Methods: Female students were allocated to a dissonance-based intervention (n = 40) or assessment-only (n = 22) condition. The intervention was a dissonance-based program, consisted of four group sessions aimed to reduce thin-ideal internalization. The sessions included verbal, written, and behavioral exercises. The intervention group was evaluated at pretest and posttest; assessment-only controls completed measures at parallel times. Results: Compared to assessment-only controls, intervention participants showed a significantly greater reduction in body dissatisfaction, sociocultural influence of the media, depressive symptoms, negative affect, as well as significantly greater increases in body appreciation. There were no significant effects for disordered eating attitudes and eating disorder symptoms. Conclusions: These results suggest that this dissonance-based eating disorder prevention program was culturally sensitive, or at least culturally adaptive, and efficacious with Brazilian female adolescents. Indeed, the average effect size was slightly larger than has been observed in the large efficacy trial of this prevention program and in recent meta-analytic reviews. Trial registration: RBR-7prdf2. Registered 13 August 2018 (retrospectively registered). (AU)
Assuntos
Humanos , Feminino , Adolescente , Imagem Corporal/psicologia , Avaliação de Programas e Projetos de Saúde , Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controleRESUMO
Resumo Teorias clássicas sobre consistência cognitiva recentemente têm sido exploradas enquanto processos não apenas intraindividuais, mas influenciados por aspectos grupais. Tendo em vista a tendência humana ao enaltecimento pessoal e grupal e a teoria unificada de cognição social implícita, informações negativas a respeito do endogrupo têm potencial de gerar inconsistência por meio da dissonância cognitiva e de desbalanceamento. Para testar as funções protetivas da consistência cognitiva diante das ameaças à avaliação positiva do endogrupo, 156 participantes passaram por pré e pós-teste de autoestima e por manipulação experimental de ameaça ou neutra. Não houve diferença significativa na autoestima dos participantes, nem no estado afetivo. Nos grupos experimentais, embora apontassem os comportamentos como negativos, muitos alegaram ser esperteza e jeitinho brasileiro. Pesquisas sobre dissonância apontam que, quando o objeto da redação contra-atitudinal é uma norma cultural, os efeitos da dissonância e a possibilidade de mudança de atitude são minimizados. Resultados serão discutidos.
Résumé Les théories classiques de la cohérence cognitive ont été récemment exploré les processus non seulement intra-individuelle, mais influencé par les aspects de groupe. Compte tenu de la tendance humaine à agrandissement personnel et de groupe et théorie unifiée de la cognition sociale implicite, des informations négatives sur l'endogroupe a le potentiel pour générer incohérence en dissonance cognitive et de déséquilibre. Pour tester les fonctions de protection de la cohérence cognitive contre les menaces à l'évaluation positive de l'endogroupe, 156 participants ont subi l'estime de soi pré- et post-test et manipulation expérimentale de la menace ou neutre. Il n'y avait pas de différence significative dans l'estime de soi des participants, ou l'état affectif. Dans les groupes expérimentaux, bien que les comportements pointus comme négatif, beaucoup prétendu être moyen ruse et jeitinho brasileiro. La recherche sur la dissonance souligner que lorsque l'attitude contre l'écriture de l'objet est une norme culturelle, les effets de la dissonance et la possibilité d'un changement d'attitude sont minimisés. On discute les résultats.
Resumen Teorías clásicas sobre consistencia cognitiva recientemente han sido exploradas como procesos no solo intraindividuales, pero también influenciados por aspectos grupales. Reconociendo la tendencia humana al engrandecimiento personal y grupal y la teoría unificada de la cognición social implícita, informaciones negativas sobre el endogrupo tienen el potencial para generar inconsistencia por intermedio de la disonancia cognitiva y del desequilibrio. Para probar las funciones de protección de la consistencia cognitiva contra amenazas a la evaluación positiva del endogrupo, la autoestima de 156 participantes fue medida antes y después de la manipulación experimental de amenaza o neutra. No hubo diferencia significativa en la autoestima de los participantes, o en el estado afectivo. En los grupos experimentales, aunque consideraban los comportamientos como negativos, muchos dijeron que era astucia y el jeitinho brasileiro. Investigaciones sobre disonancia indican que cuando el objetivo de la redacción contra actitudinal es una norma cultural, los efectos de la disonancia y la posibilidad de cambio de actitud son minimizados. Resultados son discutidos.
Abstract Classical theories on cognitive consistency have recently been explored not only as intraindividual processes, but influenced by group aspects. Given the human tendency to personal and group enhancement and the unified theory of implicit social cognition, negative information about the ingroup has the potential of generating inconsistency through cognitive dissonance and imbalance. To test the protective functions of cognitive consistency considering the threats to the positive evaluation of the ingroup, 156 participants underwent pre- and post-test of self-esteem and by neutral or threat experimental manipulation. There was no significant difference in participants' self-esteem nor in their affective state. In experimental groups, although behaviors were pointed as negative, many claimed to be cunning and the jeitinho brasileiro (the Brazilian way of doing things). Research on dissonance point that, when the object of counterattidudinal writing is a cultural norm, the effects of dissonance and the possibility of change in attitude are minimized. Results will be discussed.
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Autoimagem , Dissonância CognitivaRESUMO
Abstract Moral disengagement mechanisms are strategies to make immoral actions appear moral. This study explores their usage by two Colombian illegal armed groups (guerrillas and paramilitaries), as well as differences between the groups. The analysis covered 367 communiqués issued in 55 months. A deductive content analysis revealed that the most used mechanisms were: attribution of blame, euphemistic labeling, moral justification and labeling with undesirable names. Results showed differences between groups only in the number of press releases, but not in frequency or type of the mechanisms used. The findings are analyzed in the discussion section in relation to the theory of dissonance, extreme violence and motives for joining illegal armed groups.
Resumen Los mecanismos de desconexión moral son estrategias mediante las cuales las acciones inmorales parecen morales. El estudio examina la utilización de dichas estrategias por parte de dos grupos armados ilegales en Colombia (guerrillas y paramilitares), así como las diferencias entre los dos grupos, para lo cual se analizaron 367 comunicados emitidos a lo largo de 55 meses. El análisis deductivo del contenido reveló que los mecanismos más utilizados eran la atribución de culpabilidad, los eufemismos, la justificación moral y la calificación con nombres indeseables. Según los resultados, solo hubo diferencias entre los grupos en cuanto al número de comunicados de prensa, mas no en cuanto a la frecuencia o al tipo de mecanismos utilizados. Los hallazgos del estudio se analizan en la sección de discusión según la teoría de la disonancia, la violencia extrema y las razones para enrolarse en grupos armados ilegales.
Resumo Os mecanismos de desengajamento moral são estratégias para fazer ações imorais aparentarem ser morais. Este estudo explora seu uso por dois grupos armados ilegais da Colômbia (guerrilhas e paramilitares), assim como as diferenças entre eles. Analisaram-se 367 comunicados emitidos em 55 meses. Uma análise dedutiva do conteúdo revelou que os mecanismos mais usados eram: atribuição de culpa, linguagem eufemística, justificativa moral e rotulação com nomes indesejáveis. Os resultados mostraram diferenças entre os grupos só no número de comunicados à imprensa, mas não na frequência ou tipo de mecanismos usados. Os resultados são analisados na seção de discussão no que se refere à teoria da dissonância, à violência extrema e aos motivos para se unir a grupos armados ilegais.
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Abstract Prior research has documented meaningful differences between school performance of immigrant and native students. Multicultural education has been associated with academic failure of foreign students. The aim of this study was to examine the impact of a set of psychosocial variables on the perceived academic achievement of first generation immigrant adolescents from public secondary schools in Northern Spain. Results showed that 46% of the variability in foreign students' perceived academic performance was explained by home-school cultural dissonance. We also explored the impact of acculturation orientation to separation, perception of discrimination from teachers, school adjustment, and psychological well-being in academic performance. Any multicultural education context should take into account psychosocial adjustment, given its influence on academic performance of all students.
Resumen Se han hallado diferencias significativas entre el rendimiento académico de los inmigrantes y el de los estudiantes nativos. Sin embargo, hay una escasa evidencia acerca de los aspectos psicosociales de este fenómeno. El objetivo de este estudio fue examinar el impacto de un conjunto de variables psicosociales: disonancia cultural y orientaciones de aculturación en el rendimiento académico percibido de adolescentes inmigrantes de primera generación de centros de Educación Secundaria en el Norte de España. Los resultados mostraron que alrededor del 46% de la variabilidad en el rendimiento era explicada por la disonancia cultural entre escuela y hogar. Cualquier contexto de educación multicultural ha de tomar en consideración el ajuste psicosocial, dada su influencia en el rendimiento académico de los estudiantes.
Assuntos
Emigração e Imigração , Estudantes , Desempenho AcadêmicoRESUMO
BACKGROUND: Relationships between musical pitches are described as either consonant, when associated with a pleasant and harmonious sensation, or dissonant, when associated with an inharmonious feeling. The accurate singing of musical intervals requires communication between auditory feedback processing and vocal motor control (i.e. audio-vocal integration) to ensure that each note is produced correctly. The objective of this study is to investigate the neural mechanisms through which trained musicians produce consonant and dissonant intervals. METHODOLOGY: We utilized 4 musical intervals (specifically, an octave, a major seventh, a fifth, and a tritone) as the main stimuli for auditory discrimination testing, and we used the same interval tasks to assess vocal accuracy in a group of musicians (11 subjects, all female vocal students at conservatory level). The intervals were chosen so as to test for differences in recognition and production of consonant and dissonant intervals, as well as narrow and wide intervals. The subjects were studied using fMRI during performance of the interval tasks; the control condition consisted of passive listening. RESULTS: Singing dissonant intervals as opposed to singing consonant intervals led to an increase in activation in several regions, most notably the primary auditory cortex, the primary somatosensory cortex, the amygdala, the left putamen, and the right insula. Singing wide intervals as opposed to singing narrow intervals resulted in the activation of the right anterior insula. Moreover, we also observed a correlation between singing in tune and brain activity in the premotor cortex, and a positive correlation between training and activation of primary somatosensory cortex, primary motor cortex, and premotor cortex during singing. When singing dissonant intervals, a higher degree of training correlated with the right thalamus and the left putamen. CONCLUSIONS/SIGNIFICANCE: Our results indicate that singing dissonant intervals requires greater involvement of neural mechanisms associated with integrating external feedback from auditory and sensorimotor systems than singing consonant intervals, and it would then seem likely that dissonant intervals are intoned by adjusting the neural mechanisms used for the production of consonant intervals. Singing wide intervals requires a greater degree of control than singing narrow intervals, as it involves neural mechanisms which again involve the integration of internal and external feedback.