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INTRODUCTION: Emotional regulation, a process that involves detecting and evaluating physiological signals in response to stressful events, is a crucial aspect of preparing students for school and ensuring teachers' effectiveness, stress management, and job satisfaction. METHOD: This research, which adopted a quantitative approach, used a non-experimental comparative and cross-sectional design with a non-probabilistic sample by convenience. The study involved the participation of n = 1321 teachers (n = 125 preschool education; n = 645 primary education; n = 417 secondary education; n = 134 higher education). RESULTS: The results revealed significant differences in the total scores of emotional regulation difficulty between teachers at the higher education level and primary and secondary school teachers, with the latter group showing higher levels of difficulty. DISCUSSION: The findings suggest that the impact of emotional regulation difficulties affects professional performance, highlighting the importance of interventions aimed at improving teachers' self-efficacy, resilience, and emotion regulation to reduce emotional exhaustion. CONCLUSION: From a practical point of view, our findings underline the importance of integrating emotional regulation training into pre-service teacher education and continuous teacher professional development programs. This could improve relational dynamics between students and teachers, fostering an environment conducive to teaching and learning processes.

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This article analyzes the levels of citizen satisfaction with LEGADO's quality management model service during the first year of vaccination against SARS-CoV-2 in public spaces administered by LEGADO, and its relationship with the user's emotional responses. To this end, a survey study has been developed from July 2021 until March 2022 at 4 moments to citizens (n = 1,697) who attended 3 vaccination locations administered by LEGADO (VIDENA, Complejo VMT and Polideportivo VES). The results show a high level of satisfaction with LEGADO's quality model service, which is associated with a positive emotional balance. Specifically, the elements that have the greatest effect on positive emotions are the cleanliness and facilities' organization and the agility of service. These results are discussed emphasizing the importance of the role of public institutions in developing inclusive quality public services for all citizens. This strategy of public quality model service according to citizens' necessities should result in confidence towards public institutions and socially responsible behavior among citizens through the reduction of social gaps. The research establishes the urgency to promote this model in order to bring legitimacy and confidence to public institutions in Perú.

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Globally, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by HIV, but few interventions address mental health and HIV outcomes among GBMSM living with HIV. The purpose of this study was to pilot a multicomponent intervention, integrating emotional well-being (EW) and health navigation for GBMSM living with HIV in Guatemala City. We implemented a 12-month intervention, including a four-session EW component and a health navigation component among newly diagnosed and reengaged GBMSM with HIV (n = 112). We conducted socio-behavioral surveys at baseline and endline to measure patient characteristics and HIV, and mental health outcomes as well as viral load testing. We documented participation in EW sessions and used a smartphone application to track navigation mode, frequency, and content. Using first-difference estimation modeling, we assessed associations between participation in EW and navigation and mental health (depression and anxiety symptoms) and HIV outcomes (HIV treatment adherence, viral suppression). Acceptability was high for EW (86%) and navigation (99%). During the intervention, viral suppression increased significantly and anxiety and depression decreased significantly. Participation in EW sessions and greater navigation frequency and duration were associated with being suppressed, whereas higher emotional navigator support was associated with being unsuppressed. Participation in EW sessions was associated with reduced anxiety. Findings suggest that multicomponent interventions integrating individual counseling and navigation may promote EW and sustained viral suppression. Future intervention research is needed to confirm whether HIV and mental health outcomes are attributable to the intervention and to assess mechanisms of influence.

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RESUMEN Fundamento: Los adultos mayores son un grupo vulnerable en el contexto actual de pandemia por COVID-19, debido al confinamiento su salud mental y física se deteriora; de ahí, la importancia del uso de Tecnologías de la Información y la Comunicación que contribuyen a su bienestar emocional, al favorecer las relaciones sociales. Objetivo: Identificar la relación que tienen las Tecnologías de la Información y la Comunicación en el bienestar emocional de los adultos mayores durante la pandemia por COVID-19. Desarrollo: Se realizaron búsquedas en PubMed, Web of Science, SciELO y LILACS con la utilización de los términos pandemic, COVID-19, mental health, emotional well-being, loneliness, social media, social connections, digital platforms, older people, elderly people, ICT y social networking sites. Se tuvieron en cuenta criterios de inclusión y exclusión. En estudios transversales se encontró una asociación entre el bienestar emocional y el uso de las Tecnologías de la Información y la Comunicación, sin embargo, un número importante de estudios empíricos identificaron la brecha digital como un obstáculo para que los adultos mayores pudieran usar las tecnologías como un medio para la interacción. Conclusiones: Los resultados de la revisión muestran una relación positiva entre el bienestar emocional y el uso de las TIC; se considera relevante continuar con la investigación en adultos mayores sometidos a confinamiento.

ABSTRACT Background: Older adults are a vulnerable group in the current context of the COVID-19 pandemic, due to confinement their mental and physical health deteriorates; hence, the importance of the use of Information and Communication Technologies that contribute to their emotional well-being, by favoring social relationships. Objective: Identify the relationship that Information and Communication Technologies have on the emotional well-being of older adults during the COVID-19 pandemic. Development: Searches were made in PubMed, Web of Science, SciELO and LILACS using the terms pandemic, COVID-19, mental health, emotional well-being, loneliness, social media, social connections, digital platforms, older people, elderly people, ICT and social networking sites. Inclusion and exclusion criteria were taken into account. In cross-sectional studies, an association was found between emotional well-being and the use of Information and Communication Technologies, however, a significant number of empirical studies identified the digital divide as an obstacle for older adults to be able to use technologies as a medium for interaction. Searches were made in PubMed, Web of Science, SciELO and LILACS using the terms pandemic, COVID-19, mental health, emotional well-being, loneliness, social media, social connections, digital platforms, older people, elderly people, ICT and social networking sites. Inclusion and exclusion criteria were taken into account. In cross-sectional studies, an association was found between emotional well-being and the use of Information and Communication Technologies, however, a significant number of empirical studies identified the digital divide as an obstacle for older adults to be able to use technologies as a medium for interaction. Conclusions: The results of the review show a positive relationship between emotional well-being and the use of ICT; it is considered relevant to continue with research in older adults subjected to confinement.

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This cross-sectional study utilizes data from a nationwide web-based survey aimed to identify the factors affecting the emotional well-being of Brazilian adolescents aged 12-17 during the period of school closures and confinement. Data collection took place from 27 June to 17 September 2020. We used the "virtual snowball" sampling method, and students from private and public schools were included. A total of 9470 adolescents were analyzed. A hierarchical logistic regression model was used to find the factors associated with reporting at least two of three self-reported problems-sadness, irritability, and sleep problems. The main proximal factor was loneliness (AdjOR = 8.12 p < 0.001). Problems related to school closures also played an important role. Regular intake of fruits and vegetables, as well as physical activity, demonstrated a positive influence on emotional well-being, while excessive screen time (AdjOR = 2.05, p < 0.001) and alcohol consumption negatively affected outcomes (AdjOR = 1.73, p < 0.001). As for distal variables, less affluent adolescents were the most affected, and males reported fewer emotional problems than females. Uncertainty regarding the disease in a context of socioeconomic vulnerability, together with rises in unhealthy behaviors and isolation from their immediate social circles, have negatively affected adolescents' emotional status throughout the COVID-19 pandemic.

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PURPOSE: This study explores adolescent well-being during the first wave of the COVID-19 pandemic in two high-income countries from Europe and one middle-income country from South America. The aim is to investigate the correlates of different dimensions of subjective well-being in 10- to 16-year-olds from different cultural contexts. METHODS: An online, self-report questionnaire was completed by 1,613 adolescents in Luxembourg, Germany, and Brazil between May and July 2020. The outcome variables were measures of life satisfaction and emotional well-being during the COVID-19 pandemic. The study included a range of sociodemographic, interpersonal, and intrapersonal covariates. Data were analyzed using descriptive statistics and latent variable structural equational modeling. RESULTS: A two-factor model of subjective well-being, consisting of life satisfaction and emotional well-being latent constructs, fitted well with this sample data for Luxembourg, Germany, and Brazil. Results showed that gender, socioeconomic status, intrapersonal factors, quantity and type of schoolwork, and relationships with adults were important common predictors of individual differences in subjective well-being during COVID-19. Fear of illness emerged as the strongest correlate of emotional well-being across the three countries. CONCLUSIONS: This study indicates that girls and adolescents from low-income homes may be especially vulnerable to negative secondary impacts of COVID-19 that can affect mental health. It identified several common correlates of subjective well-being in adolescents from different cultural settings, including factors that may be changeable, such as the following: the way adults listen to adolescents, schoolwork during distant learning, and fear of illness. Findings can inform the development of quality interventions for promoting the well-being of adolescents during a global pandemic.

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RESUMEN Fundamento la actividad física reduce el riesgo de obesidad y se asocia con la salud mental, el bienestar emocional y una mayor longevidad. Los estudiantes de enfermería de la Universidad de Ciencias Médicas de Cienfuegos tienen resultados negativos respecto al nivel de actividad física. Objetivo diseñar un conjunto de ejercicios físicos adaptados que permitan mejorar los niveles de actividad física de los estudiantes de enfermería de la Universidad de Ciencias Médicas de Cienfuegos. Métodos se realizó un estudio descriptivo, retrospectivo de corte transversal en estudiantes de enfermería de la Universidad de Ciencias Médicas de Cienfuegos en el período enero-diciembre del 2019. El universo estuvo constituido por 133 estudiantes de enfermería de 3ro a 5to año y la muestra por sexos se manifiestan en 15 hembras y 15 varones lo que representó el 25 % de la población escogida. Entre las técnicas aplicadas estuvieron: el grupo nominal, la encuestas y la observación participante Se utilizó la estadística descriptiva para obtener datos sobre medias y porcientos. Resultados se diseñó una propuesta de ejercicios físicos para los distintos planos musculares de manera asequible para los practicantes, que consisten en su práctica tres veces por semana con la metodología requerida. Conclusiones: el diseño de ejercicios físicos, resultó ser una herramienta metodológica que responde a la necesidad de desarrollar las capacidades orgánicas motrices en sus dimensiones: fuerza, velocidad, flexibilidad y resistencia, utilizando con creatividad métodos, técnicas y estrategias de la actividad física para lograr un cambio de actitud ante el creciente sedentarismo que tanto afecta a la población universitaria.

ABSTRACT Background: physical activity reduces the risk of obesity and is associated with mental health, emotional well-being and greater longevity. Nursing students at the Cienfuegos University of Medical Sciences have negative results regarding the physical activity level. Objective: to design a set of adapted physical exercises that allows improving the nursing student's physical activity levels at the Cienfuegos University of Medical Sciences. Methods: a descriptive, retrospective, cross-sectional study was carried out in nursing students from the Cienfuegos University of Medical Sciences from January to December 2019. The universe consisted of 133 nursing students from 3rd to 5th year and the sample by sex; 15 females and 15 males, which represents the 25 % of the chosen population. Among the applied techniques were: the nominal group, the survey and the participant observation. Descriptive statistics were used to obtain data on means and percentages. Results: a proposal of physical exercises for different muscular planes was designed in an affordable way for the practitioners, consisting of practicing them three times a week with the required methodology. Conclusions: the design of physical exercises, turned out to be a methodological tool that responds to the need to develop the organic motor capacities in its dimensions: strength, speed, flexibility and resistance, using with creativity methods, techniques and strategies of physical activity to achieve a change in attitude to the growing sedentary lifestyle that affects the university population so much.

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Em Portugal, cerca de 40% das mortes por Covid-19 aconteceram em instituições para idosos, passando a exigir delas práticas institucionais de isolamento social, com graves repercussões na Saúde Mental dos residentes. Com esta pesquisa, qualitativa e exploratória, pretendeu-se perceber se, em período de pandemia, a realização de atividades socioculturais, por meio da animação de idosos, pode funcionar como interface do bem-estar emocional dos residentes e da prevenção da transmissão da Covid-19, segundo os técnicos que desempenham o papel de animadores. São, assim, apresentados os resultados obtidos com base na análise de conteúdo da entrevista semiestruturada aplicada a 16 profissionais que trabalham em estruturas residenciais para idosos, de norte a sul de Portugal Continental, tendo os dados evidenciado que a realização de atividades socioculturais surge como elemento determinante de bem-estar e de qualidade de vida daqueles que vivem nas instituições. (AU)

Around 40% of Covid-19 deaths in Portugal have occurred in nursing homes, resulting in the implementation of social isolation measures, with grave consequences for the mental health of residents. This exploratory study aimed to explore whether performing sociocultural activities designed to cheer up the elderly during the pandemic works as an interface between emotional well-being and the prevention of Covid-19 transmission, from the viewpoint of the professionals performing the activities. We present the findings of a content analysis of semi-structured interviews conducted with 16 professionals working in nursing homes in continental Portugal. The findings show that performing sociocultural activities is a determining factor in the well-being and quality of life of nursing home residents. (AU)

En Portugal, casi el 40% de las muertes por Covid-19 tuvieron lugar en instituciones para ancianos, pasando a que se les exigieran prácticas institucionales de aislamiento social, con graves repercusiones en la salud mental de los residentes. Con esta investigación, cualitativa y exploratoria, se pretendió percibir si, en el período de pandemia, la realización de actividades socioculturales, por medio de la entretención de ancianos, puede funcionar como interfaz del bienestar emocional de los residentes y de la prevención de la transmisión de la Covid 19, según los técnicos que desempeñan el papel de entretenedores. De tal forma, se presentan los resultados obtenidos a partir del análisis de contenido de la entrevista semiestructurada realizada con 16 profesionales que trabajan en estructuras residenciales para ancianos de norte a sur de Portugal Continental, habiendo los datos dejado claro que la realización de actividades socioculturales surge como elemento determinante del bienestar y de la calidad de vida de las personas que viven en esas instituciones. (AU)

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Resumen El objetivo del presente trabajo fue determinar el bienestar emocional, psicológico y social en adultos argentinos en contexto de pandemia por COVID-19. El diseño metodológico utilizado fue no experimental de corte transversal, bajo la modalidad de estudio descriptivo y de diferencia de grupos. Se trabajó con una muestra de 888 participantes, residentes en diferentes provincias de Argentina, de edades comprendidas de entre 18 y 84 años (M EDAD = 36.98; DE= 15.37; 51.2 % mujeres, 48.8 % varones). Los resultados informaron una disposición mayoritaria a experimentar niveles de salud mental languideciente. Las personas que se ubicaron en el polo languideciente del continuo de salud mental presentaron menores niveles de bienestar psicológico. El 56.2 % de los participantes refirió que la mayoría de las veces busca expresar sus emociones con su círculo cercano y el 43 % informó mantener el contacto con sus seres queridos de forma virtual. Se encontró un mayor nivel de bienestar emocional, psicológico y social en personas que expresaron sus emociones y mantuvieron contacto con sus seres queridos de forma virtual. En conclusión, frente a la situación epidemiológica causada por la pandemia de COVID-19 los adultos argentinos presentaron alteraciones significativas en los niveles de bienestar emocional psicológico y social con predominio de un estado de salud mental languideciente.

Abstract The aim of this study was to determine the emotional, psychological and social well-being in Argentinian adults during the COVID-19 pandemic context. The applied methodological design was cross-sectional not experimental, under descriptive study and group difference modalities. It was used a sample of 888 participants residing in different Argentina provinces, rating ages between 18 and 84 years old (M age = 36.98; SD = 15.37; 51.2 % Female, 48.8 % Male). The results reported a majority susceptibility to experiencing languishing levels of mental health. People who were at the languishing pole of the mental health continuum presented lower levels of psychological well-being. 56.2 % of the participants reported that most of the time they seek to express their emotions within their close circle, and 43 % reported maintaining contact with beloved ones virtually. A higher level of emotional, psychological and social wellbeing was found in people who was able to express their emotions and kept in contact with their beloved ones virtually. In the face of the epidemiological situation caused by the COVID-19 pandemic, Argentinean adults presented significant alterations in the levels of emotional, psychological and social well-being with a predominance of a state of languishing mental health.

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BACKGROUND: Latinos are currently the largest and fastest growing racial/ethnic group in the United States and have the lowest rates nationally of regular sources of primary care. The changing demographics of Latino populations have significant implications for the future health of the nation, particularly with respect to chronic disease. Community-based agencies and clinics alike have a long history of engaging community health workers (CHWs) to provide a broad range of tangible and emotional support strategies for Latinos with chronic diseases. In this paper, we present the protocol for a community intervention designed to evaluate the impact of CHWs in a Community-Clinical Linkage model to address chronic disease through innovative utilization of electronic health records (EHRs) and application of mixed methodologies. Linking Individual Needs to Community and Clinical Services (LINKS) is a 3-year, prospective matched observational study designed to examine the feasibility and impact of CHW-led Community-Clinical Linkages in reducing chronic disease risk and promoting emotional well-being among Latinos living in three U.S.-Mexico border communities. METHODS: The primary aim of LINKS is to create Community-Clinical Linkages between three community health centers and their respective county health departments in southern Arizona. Our primary analysis is to examine the impact of the intervention 6 to 12-months post program entry. We will assess chronic disease risk factors documented in the EHRs of participants versus matched non-participants. By using a prospective matched observational study design with EHRs, we have access to numerous potential comparators to evaluate the intervention effects. Secondary analyses include modeling within-group changes of extended research-collected measures. This approach enhances the overall evaluation with rich data on physical and emotional well-being and health behaviors of study participants that EHR systems do not collect in routine clinical practice. DISCUSSION: The LINKS intervention has practical implications for the development of Community-Clinical Linkage models. The collaborative and participatory approach in LINKS illustrates an innovative evaluation framework utilizing EHRs and mixed methods research-generated data collection. TRIAL REGISTRATION: This study protocol was retrospectively registered, approved, and made available on Clinicaltrials.gov by NCT03787485 as of December 20, 2018.

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Resumen El incremento de la prevalencia de conductas y trastornos que pueden afectar gravemente el bienestar emocional infantil es un hecho. Sin embargo, aunque la relación causal entre condición física y salud biológica se encuentra bien establecida, la asociación entre la condición física y algunas dimensiones de la salud psicológica es menos evidente. El objetivo de esta investigación fue analizar la relación entre la condición física y el bienestar emocional de escolares. Se realizó un estudio inferencial mediante análisis de la covarianza ajustada por edad en una muestra de 212 escolares (120 mujeres) de 7 a 12 años de edad, seleccionada por conveniencia, en la que se aplicó la Batería ALPHA-fitness para medir la condición física y el Strengths and Difficulties Questionnaire para evaluar el bienestar emocional. Los resultados mostraron que los participantes con mayor condición física (X > P50) obtuvieron valores más positivos en problemas de conducta (p = .002), hiperactividad (p < .001), problemas con compañeros (p = .028), conducta prosocial (p < .001), y puntuación total de dificultades (p = .029); mientras que los escolares con menor nivel en la puntuación total de dificultades (X < P40) tuvieron un mejor rendimiento en 4 x 10 m (p = .010), dinamometría manual (p = .050), Course-Navette (p = .050) y condición física general (p = .040). Estos resultados sugieren una relación positiva y bidireccional entre la condición física y el bienestar emocional; y, por tanto, se refuerza la necesidad de impulsar programas de mejora de la salud que tengan en cuenta la condición física y evalúen su efecto sobre las capacidades psicológicas de los escolares.

Resumo O aumento da prevalência de consultas e transtornos que podem afetar gravemente o bem-estar emocional infantil é um fato. No entanto, ainda que a relação causal entre condição física e saúde biológica esteja bem estabelecida, a associação entre a condição física e algumas dimensões da saúde psicológica é menos evidente. O objetivo desta pesquisa foi analisar a relação entre a condição física e o bem-estar emocional de crianças em idade escolar. Realizou-se um estudo inferencial mediante a análise da covariancia ajustada por idade em uma amostra de 212 estudantes (120 mulheres) de 7 a 12 anos de idade, selecionada por conveniência, na qual aplicou-se a bateria ALPHA-Fitness para medir a condição física e o Strengths and Difficulties Questionnaire para avaliar o bem-estar emocional. Os resultados mostraram que os participantes com maior condição física (X > P50) obtiveram valores mais positivos em problemas de conduta (p = .002), hiperatividade (p < .001), problemas com colegas (p = .028), conduta pró-social (p < .001) e pontuação total de dificuldades (p = .029); enquanto os estudantes com menor nível na pontuação total de dificuldades (X < P40) tiveram um melhor rendimento em 4 x 10 m (p = .010), dinamometria manual (p = .050), Course-Navette (p = .050) e condição física geral (p = .040). Esses resultados sugerem uma relação positiva e bidirecional entre a condição física e o bem-estar emocional e, portanto, reforça-se a necessidade de impulsionar programas de melhoria da saúde que levem em consideração a condição física e avaliem seu efeito sobre as capacidades psicológicas das crianças em idade escolar.

Abstract The increase in the prevalence of behaviors and disorders severely affecting children's emotional well-being is a fact. The causal relationship between fitness and biological health is well established. However, the relationship between fitness and some dimensions of psychological health is less evident. The aim of this paper was to analyze the relationship between fitness and emotional well-being. The ALPHA-fitness Battery was used to assess fitness, and the Strengths and Difficulties Questionnaire, to assess emotional well-being. A convenience sample of 212 school children (120 women) aged 7-12 years was used. An inferential study was carried out by means of covariance analysis adjusted by age. The results showed that those children with higher fitness (X > P50) had more positive values in behavior problems (p = 0,002), hyperactivity (p < 0,001), problems with partners (p = 0 ,028), prosocial behavior (p < 0,001) and total score of difficulties (p = 0,029). Students with a lower level of total difficulties score (X < P 40 ) had a better performance in 4 x 10m (p = 0,010), manual dynamometry (p = 0,050), Course-Navette (p = 0,050) and general fitness (p = 0,040) with respect to those with medium and high levels. These results suggest a positive and bidirectional relationship between fitness and emotional well-being in primary school children. Therefore, it reinforces the need to promote programs to improve health related fitness and assess their effect on the psychological abilities of school children.

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Introducción. Los adolescentes asmáticos se enfrentan a problemas propios de la etapa a los que se añaden asumir el control de su enfermedad, el cumplimiento de un tratamiento diario y de los controles médicos periódicos. El posible rechazo que esto genere puede conducir a la no adherencia terapéutica y al mal control del asma, lo que ocasiona problemas en la dinámica familiar, agravados por el estrés o el malestar emocional que esta situación provoca en los cuidadores. Objetivo. Identificar perfiles de adaptación y detectar predictores de riesgo para el bienestar emocional de los cuidadores de pacientes pediátricos con asma bronquial. Material y métodos. 79 cuidadores familiares de pacientes pediátricos con asma bronquial. Se utilizan instrumentos para evaluar la clínica psicológica emocional (Hospital Anxiety and Depression, HADS) y el nivel de estrés percibido asociado al cuidado médico de un paciente pediátrico (Pediatric Inventory for Parents, PIP). Se analiza el papel de las variables médicas del paciente y las psicológicas del cuidador familiar relativas a su malestar emocional y estrés. Resultados. 34,8% de los cuidadores presenta sintomatología ansiosa y estrés percibido moderado. La sintomatología emocional se relaciona positiva y significativamente con el nivel de estrés. Los modelos que mejor predicen el malestar emocional de los cuidadores (4050% de varianza explicada) incluyen como predictores indicadores de estrés, tiempo desde el diagnóstico y carga terapéutica del paciente. Conclusiones. La presencia de estrés derivado del cuidado, el tiempo de exposición y la carga de los tratamientos asociados a la enfermedad se identificaron como los principales predictores de riesgos para el bienestar del cuidador.

Introduction. Adolescents with asthma face problems inherent to this stage in their development, to which the challenges of taking over control of their disease, complying with a daily treatment and regular medical followup are added. Any rejection generated by this may lead to treatment non-adherence and poor asthma control, which brings about problems in family dynamics, made worse by the stress or the emotional distress that this situation causes in caregivers. Objective. Identify adjustment profiles and predictors of risk for the well-being of caregivers of pediatric patients with bronchial asthma. Material and methods. Seventy-nine family caregivers of pediatric patients with bronchial asthma. Instruments were used to assess the emotional status (Hospital Anxiety and DepressionScale, HADS) and the perceived level of stress associated with medical care of a pediatric patient (Pediatric Inventory for Parents, PIP). We analyzed the patient's medical outcome measures and the family caregiver's psychological outcome measures regarding their emotional distress and stress. Results. Of all caregivers studied, 34.8% exhibit anxiety symptomatology and moderate perceived stress. Emotional symptomatology correlates positively and significantly with the stress level. The models that best predict emotional distress of caregivers (40-50% of explained variance) include time since diagnosis and patient's treatment burden as stress indicators. Conclusions. The presence of stress resulting from care, time of exposure and burden of treatments associated with the disease are identified as the main predictors of risk for the well-being of caregivers.

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INTRODUCTION: Adolescents with asthma face problems inherent to this stage in their development, to which the challenges of taking over control of their disease, complying with a daily treatment and regular medical followup are added. Any rejection generated by this may lead to treatment non-adherence and poor asthma control, which brings about problems in family dynamics, made worse by the stress or the emotional distress that this situation causes in caregivers. OBJECTIVE: Identify adjustment profiles and predictors of risk for the well-being of caregivers of pediatric patients with bronchial asthma. MATERIAL AND METHODS: Seventy-nine family caregivers of pediatric patients with bronchial asthma. Instruments were used to assess the emotional status (Hospital Anxiety and DepressionScale, HADS) and the perceived level of stress associated with medical care of a pediatric patient (Pediatric Inventory for Parents, PIP). We analyzed the patient's medical outcome measures and the family caregiver's psychological outcome measures regarding their emotional distress and stress. RESULTS: Of all caregivers studied, 34.8% exhibit anxiety symptomatology and moderate perceived stress. Emotional symptomatology correlates positively and significantly with the stress level. The models that best predict emotional distress of caregivers (40-50% of explained variance) include time since diagnosis and patient's treatment burden as stress indicators. CONCLUSIONS: The presence of stress resulting from care, time of exposure and burden of treatments associated with the disease are identified as the main predictors of risk for the well-being of caregivers.

INTRODUCCIÓN: Los adolescentes asmáticos se enfrentan a problemas propios de la etapa a los que se añaden asumir el control de su enfermedad, el cumplimiento de un tratamiento diario y de los controles médicos periódicos. El posible rechazo que esto genere puede conducir a la no adherencia terapéutica y al mal control del asma, lo que ocasiona problemas en la dinámica familiar, agravados por el estrés o el malestar emocional que esta situación provoca en los cuidadores. OBJETIVO: Identificar perfiles de adaptación y detectar predictores de riesgo para el bienestar emocional de los cuidadores de pacientes pediátricos con asma bronquial. MATERIAL Y MÉTODOS: 79 cuidadores familiares de pacientes pediátricos con asma bronquial. Se utilizan instrumentos para evaluar la clínica psicológica emocional (Hospital Anxiety and Depression, HADS) y el nivel de estrés percibido asociado al cuidado médico de un paciente pediátrico (Pediatric Inventory for Parents, PIP). Se analiza el papel de las variables médicas del paciente y las psicológicas del cuidador familiar relativas a su malestar emocional y estrés. RESULTADOS: 34,8% de los cuidadores presenta sintomatología ansiosa y estrés percibido moderado. La sintomatología emocional se relaciona positiva y significativamente con el nivel de estrés. Los modelos que mejor predicen el malestar emocional de los cuidadores (4050% de varianza explicada) incluyen como predictores indicadores de estrés, tiempo desde el diagnóstico y carga terapéutica del paciente. CONCLUSIONES: La presencia de estrés derivado del cuidado, el tiempo de exposición y la carga de los tratamientos asociados a la enfermedad se identificaron como los principales predictores de riesgos para el bienestar del cuidador.

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RESUMO

An 8.8-magnitude earthquake occurred off the coast of Chile on 27 February 2010, displacing nearly 2,000 children aged less than five years to emergency housing camps. Nine months later, this study assessed the needs of 140 displaced 0-5-year-old children in six domains: caregiver stability and protection; health; housing; nutrition; psychosocial situation; and stimulation. Multivariate regression was applied to examine the degree to which emotional, physical, and social needs were associated with baseline characteristics and exposure to the earthquake, to stressful events, and to ongoing risks in the proximal post-earthquake context. In each domain, 20 per cent or fewer children had unmet needs. Of all children in the sample, 20 per cent had unmet needs in multiple domains. Children's emotional, physical, and social needs were associated with ongoing exposures amenable to intervention, more than with baseline characteristics or epicentre proximity. Relief efforts should address multiple interrelated domains of child well-being and ongoing risks in post-disaster settings.

Assuntos