Humanization, Adaptation to Change, and Mental Health in Teachers in Three European Countries / Humanización, adaptación al cambio y salud mental en docentes de tres países europeos

Background: The aim of this study was to explore the relationships between humanization, adaptability to change, and mental health in European teachers (Spanish, Portuguese, and Italian teachers), as well as the relationship between humanization and mental health in teachers through the analysis of the mediating role of adaptability to change. Method: A cross-sectional descriptive study was conducted with teachers from three European countries (Spain, n = 263; Portugal, n = 344; and Italy, n = 287). The Healthcare Professional Humanization Scale (HUMAS), General Health Questionnaire (GHQ-28), and the Adaptation to Change Questionnaire (ADAPTA-10) were administered. Results: In all three countries, negative associations were observed between humanization and the presence of problematic symptoms. With respect to the adaptability to change factors, humanization showed negative associations with the emotional factor and positive associations with the cognitive-behavioral factor. Comparative mean analysis revealed differences in humanization, the emotional factor of adaptability to change, and the presence of problematic symptoms. Finally, the mediation models showed the absence of a direct effect in the relationship between humanization and the presence of GHQ-28 symptomatology when it was mediated by the emotional factor (Spanish and Portuguese sample). In the Italian sample, the direct effect of humanization-GHQ-28 symptomatology was significant, with a smaller proportion of the indirect effect of the emotional factor acting as a mediator. On the other hand, when considering the cognitive-behavioral factor as a mediator, the same result was obtained for all three countries: a negative direct effect between humanization and GHQ-28 symptomatology, with no mediation by the cognitive-behavioral factor. Conclusions: The need to improve training in humanization competencies lies in the potential protective function that these competencies can have ... (AU)

Antecedentes: El objetivo del trabajo fue explorar la relación entre humanización, capacidad de adaptación al cambio y salud mental en docentes europeos (españoles, portugueses e italianos) y la relación entre humanización y salud mental en docentes mediante el análisis del rol mediador de la capacidad de adaptación al cambio. Método: Se realizó un estudio descriptivo transversal con docentes de tres países europeos (España, n = 263, Portugal, n = 344 e Italia, n = 287). Se administró la Healthcare Professional Humanization Scale (HUMAS), el General Health Questionnaire (GHQ-28) y el Cuestionario de Adaptación al Cambio (ADAPTA-10). Resultados: En los tres países se obervó una asociación negativa entre humanización y la presencia de sintomatología problemática. Con los factores de adaptación al cambio la humanización presentó una asociación negativa con el factor emocional y positiva con el cognitivo-conductual. Del análisis comparativo de medias se obtuvieron diferencias en humanización, el factor emocional de adaptación al cambio y la presencia de sintomatología problemática. Finalmente, los modelos de mediación mostraron la ausencia de un efecto directo en la relación entre humanización y la presencia de sintomatología GHQ-28 cuando esta se encontraba mediada por el factor emocional (muestra española y portuguesa). En la muestra italiana fue significativo el efecto directo de la humanización-sintomatología GHQ-28, con menor proporción del efecto indirecto del factor emocional actuando este como mediador. Por otro lado, tomando como mediador el factor cognitivo-conductual, se obtuvo el mismo resultado para los tres países: un efecto directo negativo entre la humanización y la sintomatología GHQ-28, no estando este mediado por el factor cognitivo-conductual. Conclusiones: La necesidad de mejorar la formación en competencias de humanización reside en la potencial función protectora que pueden ejercer sobre la salud mental de los docentes. (AU)

Network Analysis of Emotional Symptoms and their Relationship with Different Types of Cybervictimization / Análisis de red de síntomas emocionales y su relación con distintos tipos de cibervictimización

Background: Cyberbullying is a highly prevalent problem in our society with important implications for adolescent psychological wellbeing. The objective of the study was to examine the network structure of the Depression, Anxiety, and Stress Scale in a sample of youths, and find out the relationships between different types of cybervictimization and the presence of negative emotional states. Method: This was a descriptive cross-sectional study. The sample was made up of 2,171 high school students with a mean age of 13.84 (with 50.53% males and 49.47% females). The Cybervictimization Questionnaire (CYVIC) and the Spanish version of the Depression, Anxiety, and Stress Scale (DASS-21) were administered. Results: Positive correlations were found between all the dimensions of the DASS-21 and the types of cybervictimization. The network structure showed that the different nodes of three emotional states were positively related to each other (although some relationships were stronger than others). Furthermore, girls had significantly higher means in depression, anxiety, and stress. In analyzing the network, the strongest associations in both sexes were found to be between anxiety and written-verbal cybervictimization and exclusion. Conclusions: Negative emotional states and types of cybervictimization were related in a complex network where efforts to approach reduction of emotional symptoms associated with cybervictimization could produce lasting benefits for the emotional wellbeing of youths. (AU)

Antecedentes: El ciberbullying es una problemática con una alta prevalencia en nuestra sociedad y que tiene importantes implicaciones para el bienestar psicológico de los adolescentes. El objetivo del trabajo fue examinar la estructura de red de la Escala de Depresión, Ansiedad y Estrés en una muestra de jóvenes, así como comprobar las relaciones que se establecen entre diferentes tipos de cibervictimización y la presencia de estados emocionales negativos. Método: Se realizó un estudio descriptivo transversal. La muestra estuvo formada por 2,171 estudiantes de Educación Secundaria, con una media de edad de 13.84 años (donde el 50.53% fueron hombres y el 49.47% mujeres). Se aplicó el Cuestionario de Cibervictimización (CYVIC) y la versión española de Depression, Anxiety and Stress Scale (DASS-21). Resultados: Se encontraron correlaciones positivas entre todas las dimensiones del DASS-21 y los tipos de cibervictimización. Atendiendo a la estructura de redes, se halló que los diferentes nodos de los tres estados emocionales se relacionaban positivamente entre sí (aunque algunas relaciones eran más fuertes que otras). Por otro lado, en relación al sexo, las mujeres mostraron medias significativamente más elevadas en depresión, ansiedad y estrés. Al analizar la red, las asociaciones más estrechas se dieron entre la ansiedad y la cibervictimización de tipo escrita-verbal y la exclusión en ambos sexos. Conclusiones: Los estados emocionales negativos y los tipos de cibervictimización se relacionaban en una compleja red donde los esfuerzos por abordar la reducción de los síntomas emocionales asociados a la cibervictimización podrían producir beneficios duraderos en el bienestar emocional de los jóvenes. (AU)

Analyzing when parental warmth but without parental strictness leads to more adolescent empathy and self-concept: Evidence from Spanish homes.

Introduction: Classical research mainly conducted with European-American families has identified the combination of warmth and strictness (authoritative style) as the parenting always associated with the highest scores on developmental outcomes. Additionally, despite the benefits of empathy for prosocial behaviors and protection against antisocial behaviors, most research has considered the contribution of specific practices (e.g., reasoning or power assertion), but not so much the parenting styles. Similarly, family studies tend to study the relationship between parenting and global self-perceptions (self-esteem), but not so much those of each dimension (self-concept). Methods: In the present study, 600 Spanish adolescents from 12 to 17 years old (M = 15.25, SD = 2.01) were classified within one of the four household typologies (i.e., authoritative, indulgent, authoritarian, or neglectful). Adolescent developmental outcomes were cognitive empathy (adopting perspectives and emotional understanding), emotional empathy (empathic stress and empathic happiness), and self-concept (academic, social, emotional, family and physical). Results: The results showed that the indulgent parenting (warmth but not strictness) was related to equal or even better empathy and self-concept than the authoritative style (warmth and strictness), whereas non-warm parenting (authoritarian and neglectful) was consistently associated with poor results. Discussion: Overall, the present findings seriously question that parental strictness combined with parental warmth (authoritative style) is always the parenting style related to the greatest outcomes. By contrast, it seems that reasoning, warmth and involvement, without strictness (indulgent parenting) help adolescents to achieve a good orientation toward others in terms of cognitive and affective empathy and a good self-evaluation in terms of self-concept.

Breakthrough Infections Following mRNA SARS-CoV-2 Vaccination in Kidney Transplant Recipients.

BACKGROUND: The clinical effectiveness of coronavirus disease 2019 (COVID-19) vaccination in kidney transplant (KT) recipients is lower than in the general population. METHODS: From April to October 2021, 481 KT recipients with COVID-19, included in the Spanish Society of Nephrology COVID-19 Registry, were analyzed. Data regarding vaccination status and vaccine type were collected, and outcomes of unvaccinated or partially vaccinated patients (n = 130) were compared with fully vaccinated patients (n = 351). RESULTS: Clinical picture was similar and survival analysis showed no differences between groups: 21.7% of fully vaccinated patients and 20.8% of unvaccinated or partially vaccinated died (P = 0.776). In multivariable analysis, age and pneumonia were independent risk factors for death, whereas vaccination status was not related to mortality. These results remained similar when we excluded patients with partial vaccination, as well as when we analyzed exclusively hospitalized patients. Patients vaccinated with mRNA-1273 (n = 213) showed a significantly lower mortality than those who received the BNT162b2 vaccine (n = 121) (hazard ratio: 0.52; 95% confidence interval, 0.31-0.85; P = 0.010). CONCLUSIONS: COVID-19 severity in KT patients has remained high and has not improved despite receiving 2 doses of the mRNA vaccine. The mRNA-1273 vaccine shows higher clinical effectiveness than BNT162b2 in KT recipients with breakthrough infections. Confirmation of these data will require further research taking into account the new variants and the administration of successive vaccine doses.

Anxiety and Depression from Cybervictimization in Adolescents: A Metaanalysis and Meta-regression Study / Ansiedad y depresión por cibervictimización en adolescentes: un meta-análisis y un estudio de meta-regresión

Background/Objective:Cyberbullying is one of the social problems of most concern in educational spheres, especially in adolescence, where victimization experiences have been associated with episodes of anxiety and depression. The aim of this work was to analyze the relationship between cybervictimization, anxiety and depression in adolescence in a meta-analysis and identify the moderating variables that could help to explain the various correlations.

Antecedentes/Objetivo:El ciberacoso es uno de los problemas sociales de mayor preocupación en los ámbitos educativos, especialmente en la adolescencia, en la que las experiencias de victimización se han asociado a episodios de ansiedad y depresión. Se diseñó un estudio con el objetivo de analizar la relación entre cibervictimización, ansiedad y depresión en la adolescencia mediante un meta-análisis e identificar las variables moderadoras que podrían ayudar a explicar las distintas correlaciones.Método:Se realizó una búsqueda de estudios transversales en las bases de datos Web of Science, Scopus y PsycINFO. De los 156 estudios identificados, finalmente 13, con un total de 7,348 participantes, cumplieron con los criterios de inclusión.Resultados:Los resultados sugieren correlaciones estadísticamente significativas entre cibervictimización y ansiedad (r = .31) y cibervictimización y depresión (r = .28). El análisis de meta-regresión mostró que el porcentaje de mujeres y continente son variables moderadoras en la relación de cibervictimización con depresión y ansiedad.Conclusiones:En conclusión, el mal uso de las nuevas tecnologías de la información y la comunicación puede provocar un desajuste psicológico y social de las personas, con repercusiones negativas en su desarrollo.

Parenting Warmth and Strictness across Three Generations: Parenting Styles and Psychosocial Adjustment.

Recent emergent research is seriously questioning whether parental strictness contributes to children's psychosocial adjustment in all cultural contexts. We examined cross-generational differences in parental practices characterized by warmth and practices characterized by strictness, as well as the relationship between parenting styles (authoritative, indulgent, authoritarian, and neglectful) and psychosocial adjustment in adulthood. Parenting practices characterized by warmth (affection, reasoning, indifference, and detachment) and strictness (revoking privileges, verbal scolding, and physical punishment) were examined. Psychosocial adjustment was captured with multidimensional self-concept and well-being (life satisfaction and happiness). Participants were 871 individuals who were members of three generations of Spanish families: College students (G3), their parents (G2), and their grandparents (G1). Results showed two different cross-generational patterns in parenting practices, with an increased tendency toward parental warmth (parents use more affection and reasoning but less indifference across generations) and a decreased tendency toward parental strictness (parents use revoking privileges, verbal scolding, and physical punishment less across generations). Interestingly, despite cross-generational differences in parenting practices, a common pattern between parenting styles and psychosocial adjustment was found: indulgent parenting was related to equal or even better self-concept and well-being than authoritative parenting, whereas parenting characterized by non-warmth (authoritarian and neglectful) was related to poor scores.

Validation of the Maslach Burnout Inventory-Student Survey in Spanish adolescents.

BACKGROUND: There are a large number of studies in the literature on burnout and its negative consequences for health and psychological wellbeing. Use of the burnout index in the academic context has increased to the point of identifying even the adolescent population. Nevertheless, at the present time there is no validated instrument for evaluating this syndrome in Spanish high school students. In view of this, our study attempted to evaluate the factor structure and reliability of the Spanish version of the Maslach Burnout Inventory-Student Survey (MBI-SS) in a sample of high school adolescents. METHOD: The sample included 1,209 students in the autonomous region of Andalusia (Spain), of whom 47.1% were boys and 52.9% girls, with a mean age of M=15.07, SD=1.174). RESULTS: The exploratory and confirmatory factor analyses supported a model with 12 items showing good fit, distributed across three factors: emotional exhaustion, cynicism and academic efficacy. CONCLUSIONS: These results demonstrate that the proposed instrument has an excellent factor structure and internal consistency, and is useful for evaluating academic burnout in the adolescent Spanish high school population.

Use of tocilizumab in kidney transplant recipients with COVID-19.

Acute respiratory distress syndrome associated with coronavirus infection is related to a cytokine storm with large interleukin-6 (IL-6) release. The IL-6-receptor blocker tocilizumab may control the aberrant host immune response in patients with coronavirus disease 2019 (COVID-19) . In this pandemic, kidney transplant (KT) recipients are a high-risk population for severe infection and showed poor outcomes. We present a multicenter cohort study of 80 KT patients with severe COVID-19 treated with tocilizumab during hospital admission. High mortality rate was identified (32.5%), related with older age (hazard ratio [HR] 3.12 for those older than 60 years, P = .039). IL-6 and other inflammatory markers, including lactic acid dehydrogenase, ferritin, and D-dimer increased early after tocilizumab administration and their values were higher in nonsurvivors. Instead, C-reactive protein (CRP) levels decreased after tocilizumab, and this decrease positively correlated with survival (mean 12.3 mg/L in survivors vs. 33 mg/L in nonsurvivors). Each mg/L of CRP soon after tocilizumab increased the risk of death by 1% (HR 1.01 [confidence interval 1.004-1.024], P = .003). Although patients who died presented with worse respiratory situation at admission, this was not significantly different at tocilizumab administration and did not have an impact on outcome in the multivariate analysis. Tocilizumab may be effective in controlling cytokine storm in COVID-19 but randomized trials are needed.

Effects of Parenting Styles on Self-Regulated Learning and Academic Stress in Spanish Adolescents.

Research has repeatedly highlighted the important influence of parental socialization styles on children's psychosocial adjustment. However, previous studies about their effects on school adjustment have traditionally addressed a limited set of indicators, such as academic achievement or self-concept, which should be broadened in order to increase our level of knowledge about this topic. Thus, the aim of the present study was to analyze the relationships between parenting styles and other relevant school adjustment criteria (self-regulated learning and academic stress) in adolescence. The study participants were 437 Spanish adolescents (44.7% men) from 12 to 18 years old (M = 14.55, SD = 1.80) who were enrolled in high school. A multivariate factorial design (parenting × sex × educational level) was used for each set of criteria. The results are consistent with previous research, showing that the indulgent style was related to better school adjustment during adolescence, evaluated through self-regulated learning and academic stress, thus increasing the available evidence about the influence of parenting styles in this setting. Additionally, this relationship remains invariant with regard to sex and the educational level of the participants in the study. Therefore, this study highlights the importance of parenting practices related to high acceptance/involvement for the adequate school adjustment of Spanish adolescents.

Researching Parental Socialization Styles across Three Cultural Contexts: Scale ESPA29 Bi-Dimensional Validity in Spain, Portugal, and Brazil.

Recent research that relates parenting with adolescent adjustment has shown the importance of considering the cultural context of the relationship. New results are emerging when considering the classical four-typologies model of parental socialization in some European and South-American countries. Among the instruments used in this emergent research is the Parental Socialization Scale ESPA29. This scale is a bi-dimensional parenting instrument that was specifically developed to measure the four parenting typologies, through the dimensions of acceptance/involvement and strictness/imposition. This study examines the good fit of the orthogonal bi-factor model based on the ESPA29 versus one-dimensional and bi-dimensional oblique alternative models, with three adolescent samples from 12 to 17 years old (53.4% girls), from Spain (N = 826), Portugal (N = 752), and Brazil (N = 628). We applied structural equation models (SEMs) to analyze the fit of the models to the data. The results confirm a better fit to the data for the orthogonal bi-factor model versus one-dimensional and bi-dimensional oblique alternative models across country, adolescent sex, and the three age groups. Additionally, the convergent validity of the scale was proved by showing the relation of the two parenting dimensions with self-concept. The results guarantee the adequacy of the ESPA29 to measure parenting styles.

P2X receptor overexpression induced by soluble oligomers of amyloid beta peptide potentiates synaptic failure and neuronal dyshomeostasis in cellular models of Alzheimer's disease.

The most common cause of dementia is Alzheimer's disease. The etiology of the disease is unknown, although considerable evidence suggests a critical role for the soluble oligomers of amyloid beta peptide (Aß). Because Aß increases the expression of purinergic receptors (P2XRs) in vitro and in vivo, we studied the functional correlation between long-term exposure to Aß and the ability of P2XRs to modulate network synaptic tone. We used electrophysiological recordings and Ca2+ microfluorimetry to assess the effects of chronic exposure (24 h) to Aß oligomers (0.5 µM) together with known inhibitors of P2XRs, such as PPADS and apyrase on synaptic function. Changes in the expression of P2XR were quantified using RT-qPCR. We observed changes in the expression of P2X1R, P2X7R and an increase in P2X2R; and also in protein levels in PC12 cells (143%) and hippocampal neurons (120%) with Aß. In parallel, the reduction on the frequency and amplitude of mEPSCs (72% and 35%, respectively) were prevented by P2XR inhibition using a low PPADS concentration. Additionally, the current amplitude and intracellular Ca2+ signals evoked by extracellular ATP were increased (70% and 75%, respectively), suggesting an over activation of purinergic neurotransmission in cells pre-treated with Aß. Taken together, our findings suggest that Aß disrupts the main components of synaptic transmission at both pre- and post-synaptic sites, and induces changes in the expression of key P2XRs, especially P2X2R; changing the neuromodulator function of the purinergic tone that could involve the P2X2R as a key factor for cytotoxic mechanisms. These results identify novel targets for the treatment of dementia and other diseases characterized by increased purinergic transmission.

Prospective analysis of the quality of Spanish health information web sites after 3 years.

OBJECTIVE: Although the Internet has become an essential source of health information, our study conducted 3 years ago provided evidence of the low quality of Spanish health web sites. The objective of the present study was to evaluate the quality of Spanish health information web sites now, and to compare these results with those obtained 3 years ago. METHODS: For the original study, the most visited health information web sites were selected through the PageRank® (Google®) system. The present study evaluated the quality of the same web sites from February to May 2013, using the method developed by Bermúdez-Tamayo et al. and HONCode® criteria. RESULTS: The mean quality of the selected web sites was low and has deteriorated since the previous evaluation, especially in regional health services and institutions' web sites. The quality of private web sites remained broadly similar. Compliance with privacy and update criteria also improved in the intervening period. CONCLUSION: The results indicate that, even in the case of health web sites, design or appearance is more relevant to developers than quality of information. It is recommended that responsible institutions should increase their efforts to eliminate low-quality health information that may further contribute to health problems.

Consumo de alcohol, tabaco, cannabis y otras drogas en la adolescencia: efectos de la familia y peligro del barrio / Use of alcohol, tobacco, cannabis and other drugs in adolescence: Effects of family and neighborhood

El objetivo de este estudio fue analizar los factores de protección o riesgo de los estilos educativos parentales para el consumo de alcohol, tabaco, cannabis y otras drogas, considerando la interacción de los estilos parentales con la peligrosidad del barrio. A partir de las respuestas de 628 adolescentes, 369 mujeres (58.8%) y 259 hombres (41.2%) entre 15 y 17 años (M = 16.03 años, DT = 0.79 años), se clasificaron las familias según el estilo educativo (autorizativo, indulgente, autoritario o negligente) y el riesgo percibido en el barrio (alto o bajo). Los resultados no mostraron interacciones, pero sí efectos principales de los estilos educativos y del riesgo percibido. Los adolescentes de familias indulgentes mostraron el menor consumo en las sustancias evaluadas; mientras que los de familias autorizativas, autoritarias y negligentes mostraron un consumo mayor. Además, los adolescentes de barrios de alto riesgo mostraron el mayor consumo. El estilo educativo indulgente, actuando fundamentalmente mediante el afecto y no con la imposición, ejerce un factor protector independientemente de la peligrosidad del barrio. Se destaca la importancia de fomentar esta actuación parental en programas de prevención e intervención, promocionando estrategias educativas específicas que mejoren el afecto, la comunicación y la implicación parental

The aim of this study was to analyze the protective or risk factors of parental educational styles for the consumption of alcohol, tobacco, cannabis and other drugs, considering the interaction of parenting styles with the dangerousness of the neighborhood. Based on the responses of 628 adolescents, 369 females (58.8%) and 259 males (41.2%) between 15 and 17 years old (M = 16.03 years old, SD = 0.79 years old), families were classified according to their educational style (authoritative, indulgent, authoritarian or neglectful) and their level of perceived neighborhood risk (high or low). Results showed no interaction effect; however, main effects of educational styles and perceived neighborhood risk were obtained. Adolescents from indulgent families showed the lowest consumption in the substances evaluated, while those from authoritative, authoritarian and neglectful families showed the highest consumption. Moreover, adolescents from high-risk neighborhoods obtained the highest consumption. Indulgent educational style, acting primarily through affection and not imposition, works as a protective factor regardless of the danger in the neighborhood. The importance of encouraging this parental performance in prevention and intervention programs is highlighted, promoting specific educational strategies to improve affection, communication and parental involvement

El estilo de socialización familiar como factor de prevención o riesgo para el consumo de sustancias y otros problemas de conducta en los adolescentes españoles / The parenting style as protective or risk factor for substance use and other behavior problems among Spanish adolescents

El objetivo de este estudio fue analizar el estilo de socialización familiar como un factor de prevención o riesgo para el consumo de sustancias con una muestra de 673 adolescentes españoles de 14-17 años (M = 15,49; DT = 1,06) de los cuales el 51,7% eran mujeres. Todos ellos completaron la Escala de Estilos de Socialización Parental en Adolescentes (ESPA29), y una escala de consumo de sustancias, además como criterios complementarios respondieron a una escala de comportamientos delictivos y a otra de conducta escolar disruptiva. Se aplicó un MANOVA factorial (4×2×2) con el consumo de sustancias, los comportamientos delictivos y la conducta escolar disruptiva entre los estilos de socialización familiar, el sexo y la edad. Los resultados de los análisis identificaron al estilo de socialización parental indulgente como un factor de prevención del consumo de sustancias mientras que el estilo autoritario era identificado como un factor de riesgo. Además, los resultados referentes a los estilos parentales de prevención y riesgo para comportamientos delictivos y conducta escolar disruptiva siguen un patrón convergente con los del consumo de sustancias. Los resultados tienen implicaciones relevantes para el desarrollo de estrategias de prevención del consumo de sustancias centradas en el entorno familiar en adolescentes españoles y de entornos culturales similares, donde el estilo indulgente está mostrando actualmente tener un efecto beneficioso (AU)

The aim of this study was to analyze the parental socialization styles as a protective or a risk factor for substance use in a sample of 673 Spanish adolescents (51.7% were women) aged 14-17 (M = 15.49, SD = 1.06). All participants completed the Parental Socialization Scale (ESPA29) and a scale of substance use. Additionally, they also completed a scale of delinquency and another one of school misconduct. A multivariate (4×2×2) analysis of variance (MANOVA) was applied for substance use, delinquency and school misconduct with parenting style, sex and age. Results from this study showed that indulgent parenting style was a protective factor for substance use whereas authoritarian style was identified as a risk factor. Moreover, results from protective and risk parenting styles on delinquency and school misconduct were consistent with those obtained on substance use. These findings have important implications for the development of family-based substance use prevention programs among Spanish adolescents and other similar cultures where indulgent parenting style is currently displaying a beneficial impact (AU)

Evaluation of the quality of the general health information webpages in Spain: influence of page source.

The Internet, regardless of whether or not it is reliable, is considered the main source of health information. However, the lay-user does not know which sources offer good quality information. The main objective of the present study, therefore, was to evaluate the quality of Spanish health-related webpages, and to determine whether the webpage source influences this quality. To this end, 36 webpages were selected through the PageRank® system. The webpages from all the Regional Health Services of Spain (19 sites) were also included. The quality evaluation, which was carried out by applying the Andalusian Health Quality Agency Test, indicated that the quality information offered by Spanish webpages is very low, since no site reached the maximum score. In addition, several important aspects, including those related with personal data management and the updating of information, were not considered by most of the evaluated pages. In summary, this work shows that quality of the health information webpages in Spain is generally low, and draws particular attention to certain responsibilities, that are not met by most evaluated webpages, including sites from the Regional Health Services.

[The parenting style as protective or risk factor for substance use and other behavior problems among Spanish adolescents]. / El estilo de socialización familiar como factor de prevención o riesgo para el consumo de sustancias y otros problemas de conducta en los adolescentes españoles.

The aim of this study was to analyze the parental socialization styles as a protective or a risk factor for substance use in a sample of 673 Spanish adolescents (51.7% were women) aged 14-17 (M = 15.49, SD = 1.06). All participants completed the Parental Socialization Scale (ESPA29) and a scale of substance use. Additionally, they also completed a scale of delinquency and another one of school misconduct. A multivariate (4×2×2) analysis of variance (MANOVA) was applied for substance use, delinquency and school misconduct with parenting style, sex and age. Results from this study showed that indulgent parenting style was a protective factor for substance use whereas authoritarian style was identified as a risk factor. Moreover, results from protective and risk parenting styles on delinquency and school misconduct were consistent with those obtained on substance use. These findings have important implications for the development of family-based substance use prevention programs among Spanish adolescents and other similar cultures where indulgent parenting style is currently displaying a beneficial impact.

Autoconcepto y consumo de sustancias en la adolescencia / Self-concept and drug use in adolescence

Este estudio analiza la relación entre el autoconcepto evaluado con una medida multidimensional, el cuestionario Autoconcepto Forma 5 (AF5), y el consumo de sustancias en los adolescentes. A partir de las respuestas de 632 adolescentes (47,5% mujeres), entre 12 y 17 años (M = 14,88 años, DT = 1,71 años), los resultados mostraron relaciones negativas entre el autoconcepto familiar, académico y físico, y el consumo de sustancias. Si bien se encontraron aparentes relaciones positivas con la dimensión social del autoconcepto, estas relaciones desaparecieron al controlar el efecto estadístico del sexo y la edad de los adolescentes. Además, se incluyen otros índices de ajuste (psicológico, competencia personal, conducta antisocial y socialización parental) de los adolescentes. Los resultados refuerzan la idea del autoconcepto como un importante correlato del bienestar psicológico y un constructo teórico básico para explicar las conductas ajustadas y adaptativas en la adolescencia. Igualmente, nuestros resultados avalan la necesidad de controlar el posible efecto estadístico de terceras variables (el sexo), lo que permitiría explicar algunos resultados contradictorios en la literatura (la relación positiva entre el autoconcepto social y el consumo de drogas) y evitar, así, llegar a conclusiones erróneas basadas en relaciones espurias (AU)

This study analyzes the relationship between a multidimensional measure of self-concept, the Self-concept Form-5 Questionnaire (AF5), and drug use among adolescents. From the responses of 632 participants (47.5%females) aged 12 to 17 years (M = 14.88 years, SD = 1.71 years), results showed negative relationships between family, academic and physical self-concept, and drug use. Although a positive relationship between social self-concept and drug use was found, this significant relationship disappeared once the age and sex of adolescents was controlled statistically. Moreover, the study includes other adjustment indicators in adolescence (psychological adjustment, personal competence, antisocial behavior and parenting). Results support the idea of self-concept as an important correlate of psychological well-being and a basic theoretical construct for explaining adjusted and adaptive behaviors in adolescence. Likewise, our results underline the need for statistical control of the effect of a third variable (sex), which could explain some contradictory results reported in the literature (a positive relationship between social self-concept and drug use), so as to avoid reaching conclusions based on spurious relationships (AU)

[Self-concept and drug use in adolescence]. / Autoconcepto y consumo de sustancias en la adolescencia.

This study analyzes the relationship between a multidimensional measure of self-concept, the Self-concept Form-5 Questionnaire (AF5), and drug use among adolescents. From the responses of 632 participants (47.5% females) aged 12 to 17 years (M = 14.88 years, SD = 1.71 years), results showed negative relationships between family, academic and physical self-concept, and drug use. Although a positive relationship between social self-concept and drug use was found, this significant relationship disappeared once the age and sex of adolescents was controlled statistically. Moreover, the study includes other adjustment indicators in adolescence (psychological adjustment, personal competence, antisocial behavior and parenting). Results support the idea of self-concept as an important correlate of psychological well-being and a basic theoretical construct for explaining adjusted and adaptive behaviors in adolescence. Likewise, our results underline the need for statistical control of the effect of a third variable (sex), which could explain some contradictory results reported in the literature (a positive relationship between social self-concept and drug use), so as to avoid reaching conclusions based on spurious relationships. self-concept, multigroup confirmatory factor analysis, adolescence, psychosocial adjustment, drug use.

Autoconcepto y ajuste psicosocial en la adolescencia / Self-concept and psychosocial adjustment in adolescence

En este trabajo se analiza la relación entre una medida multidimensional del autoconcepto, el cuestionario de Autoconcepto Forma 5 (AF5), con un amplio conjunto de indicadores del ajuste psicosocial de los adolescentes. A partir de las respuestas de 1.281 adolescentes (53,7% mujeres), entre 12 y 17 años (M= 14,98 años, DT= 1,74 años), los resultados indicaron que el mayor autoconcepto se corresponde con el mejor ajuste psicológico, una buena competencia personal y menos problemas comportamentales. Si bien se encontraron aparentes relaciones positivas entre el autoconcepto social y el uso de drogas, estas relaciones positivas desaparecieron cuando se controló el efecto de la edad y el sexo de los adolescentes. Los resultados de este trabajo apoyan la idea de que el autoconcepto es un constructo teórico básico estrechamente relacionado con el ajuste psicosocial en la adolescencia. Por otra parte, este estudio permite explicar algunos resultados contradictorios en la literatura (i.e., la relación positiva entre el autoconcepto social y el consumo de drogas), mostrando cómo el control estadístico del posible efecto de terceras variables (i.e., la edad) evita llegar a conclusiones erróneas basadas en relaciones espúreas (AU)

This study analyses the relationship between a multidimensional measure of self-concept, Self-concept Form-5 Questionnaire (AF5), and a broad set of adolescents’ psychosocial adjustment indicators. From the responses of 1,281 participants (53.7% females) aged 12 to 17 years (M= 14.98 years, SD= 1.74 years), results indicated that higher self-concept scores corresponded to better psychological adjustment, good personal skills and fewer behavioral problems. Although a positive relationship between social self-concept and drug use was found, this significant relationship disappeared once the adolescent’s age and sex was controlled for. These results support the idea that the self-concept is a basic theoretical construct closely related to the psychosocial adjustment in adolescence. Also this study helps explain some contradictory results reported in the literature (i.e., a positive relationship between social self-concept and drug use), by showing how the statistical control of a third variable effect (i.e., age) avoids reaching conclusions based on spureus relationships (AU)

[Self-concept and psychosocial adjustment in adolescence]. / Autoconcepto y ajuste psicosocial en la adolescencia.

This study analyses the relationship between a multidimensional measure of self-concept, Self-concept Form-5 Questionnaire (AF5), and a broad set of adolescents' psychosocial adjustment indicators. From the responses of 1,281 participants (53.7% females) aged 12 to 17 years ( M = 14.98 years, SD = 1.74 years), results indicated that higher self-concept scores corresponded to better psychological adjustment, good personal skills and fewer behavioral problems. Although a positive relationship between social self-concept and drug use was found, this significant relationship disappeared once the adolescent's age and sex was controlled for. These results support the idea that the self-concept is a basic theoretical construct closely related to the psychosocial adjustment in adolescence. Also this study helps explain some contradictory results reported in the literature (i.e., a positive relationship between social self-concept and drug use), by showing how the statistical control of a third variable effect (i.e., age) avoids reaching conclusions based on spurious relationships.