Revisiting the academic self-concept transcultural measurement model: The case of Spain and China.

BACKGROUND: Modelling academic self-concept through second-order factors or bifactor structures is an important issue with substantive and practical implications; besides, the bifactor model has not been analysed with a Chinese sample and cross-cultural studies in the academic self-concept are scarce. Likewise, latent structure validity evidence using network psychometrics has not been carried out. AIMS: The aim of this study is twofold: to analyse (1) the internal structure of ASC through the Self-Description Questionnaire II-Short (SDQII-S) in Chinese and Spanish samples using two approaches, structural equation modelling and network psychometrics conducting an exploratory graph analysis; and (2) the measurement invariance of the best model across countries and investigate the cross-cultural differences in ASC. SAMPLE: The sample was composed by 651 adolescents. Seven models of ASC were tested. RESULTS: Results supported the multi-dimensional nature of the data as well as the reliability. The best-fitted model for the two subsamples was the three-factor ESEM model, but only the configural invariance of this model was supported across countries. The graph function shows that the school dimension appears more related to the verbal factor in the Spanish subsample and to the math dimension in the Chinese subsample. Likewise, the relationship between verbal and math factors in Spanish students is non-existent, but this connection is more relevant for Chinese students. CONCLUSION: These two differences may be behind the difficulty in finding invariance using SEM models. It is a question of the construct's nature, less related to analytical phenomena, and deserves deeper discussion.

From Risk Assessment on Site to How to Improve Safety: An Easy "App" to Control Construction Site Conditions.

A construction site has specific risks and organizational conditions requiring on-site safety inspections. Paperwork inspections have important limitations that can be overcome by substituting paper records with digital registers and using new information and communication technologies. Although academic literature has provided several tools to carry out on-site safety inspections adopting new technologies, most construction sites are not currently ready to adopt them. This paper covers this need of on-site control by providing an application that uses a simple technology accessible to most construction companies. The main objective and contribution of this paper is to design, develop, and implement a mobile device application (App), named "RisGES". It is based on the model of risk that grounds the Construction Site Risk Assessment Tool (CONSRAT) and on the related models that connect risk with specific organizational and safety resources. This proposed application is aimed to assess the on-site risk and organizational structure by using new technologies and considering all relevant resources and material safety conditions. The paper includes practical examples of how to use RisGES in real settings. Evidence for the discriminant validity of CONSRAT is also provided. The RisGES tool is at once preventive and predictive since it yields a specific set of criteria for interventions intended to decrease the levels of risks on-site, as well as to detect improvement needs in the site structure and resources for increasing the safety levels.

Organizational factors and specific risks on construction sites.

INTRODUCTION: This study develops an empirical test of two theoretical models using the approach of Structural Equation Model (SEM) to test the relationships between specific organizational factors of safety management system (SMS) and specific risk variables. METHOD: Two SEM models with two and four latent variables, respectively, and 10 observed risk variables were used to identify the strongest relationships that may lead to an accident on site. A random sample of 474 construction sites were visited and assessed in Spain from 2003 to 2010. Most of the samples were small and medium sized enterprises (SMEs), which is the predominant type of company in the Spanish construction industry. To assess the risk on sites and get the measurements of the variables included in the models, the validated method CONSRAT (Construction Sites Risk Assessment Tool) was used. After estimating the proposed models, an adequate fit was obtained for both of them. RESULTS: Results provide empirical evidence that: (a) the factor "Resources on site" is more determinant in explaining influences on risk variables because of their influence on all risk variables (Model 1); (b) the factor "Site structure complexity" (which includes structure and organization, and safety resources available on site) has a stronger effect on risk variables than other factors related to intrinsic characteristics of the work, site, or companies (Model 2). CONCLUSIONS: These results mean that the complexity and resource factors that depend on companies are those that have the greatest impact on risks, which makes it possible for companies to undertake the appropriate risk control measures. PRACTICAL APPLICATION: These results can help construction firms obtain earlier information about which organizational elements can affect future safety conditions on site, improve those elements for preventing risks, and consequently, avoid accidents before they occur.

Procedures for Comparison of Two Means in Independent Groups with R

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NoFumo+: A Clinical Trial of an mHealth for Smoking Cessation with Hospitalized Patients.

Smartphone applications (apps) improve accessibility to smoking cessation treatments. The NoFumo+ app administers a cognitive behavioral therapy program for smoking cessation. This study evaluates the efficacy of NoFumo+ for quitting smoking or reducing cigarette consumption versus the usual information-based treatment. A clinical trial was conducted with 99 hospitalized smokers, 54 pseudo-randomly assigned to the app treatment and 45 to the usual treatment. The two groups had homogeneous baseline characteristics to ensure comparability. Abstinence was evaluated at post-treatment (two months) and at a six-month follow-up. The results obtained indicate that participants who receive the usual treatment are 5.40 times more likely to continue smoking than those who undergo the app treatment (95% CI = [1.35; 20.15]). Participants who do not succeed in quitting smoking with the app manage to decrease their habitual consumption. Users who successfully complete treatment with NoFumo+ access all its contents and use the chat, but without requesting professional support. There is not enough empirical evidence to attribute this success to any specific element of the app. NoFumo+ achieves better abstinence rates than the usual information-based treatments, and the goal of generalizing its use to the non-hospitalized smoking population may be achievable in the future.

A Training Intervention through a 360° Multisource Feedback Model.

Physicians and other health sciences professionals need continuous training, not only in technical aspects of their activity but also in nontechnical, transversal competencies with a cost-efficient impact on the proper functioning of healthcare. The objective of this paper is to analyze the behavioral change among health professionals at a large public hospital following a training intervention on a set of core nontechnical competencies: Teamwork, Adaptability-Flexibility, Commitment-Engagement, Results Orientation, and Leadership Skills for Supervisors. The 360° Multisource Feedback (MSF) model was applied using three sources of information: supervisors, co-workers, and the workers themselves (self-assessment). A quasi-experimental pretest-post-test single-group design with two points in time was utilized. The training intervention improved the scores of only one of the trained competencies-the "Results Orientation" competency-although the scores were slightly inflated. Moreover, significant discrepancies were detected between the three sources, with supervisors awarding the highest scores. The magnitude of behavioral change was related to certain sociodemographic and organizational variables. The study was not immune to the ceiling effect, despite control measures aimed at avoiding it. The empirical evidence suggests that the 360° MSF model must be maintained over time to enhance and reinforce an evaluation culture for better patient care.

Acculturation, shopping acculturation, and shopping motives of International Residential Tourists.

The pairing of tourism and shopping, and particularly the area of tourist shopping motivations, has led to a prolific output in terms of literature. However, the related studies are fundamentally descriptive and do not discuss the background variables in detail. The aim of this study is to develop and test an explanatory structural model of the influence of socio-demographics and acculturation on International Residential Tourist (IRT) shopping motivations. The results obtained confirm the influence of certain socio-demographic variables on acculturation, of the latter on shopping acculturation and in turn on shopping motivations. Likewise, the decisive role that nationality plays when defining the sense and intensity of structural relationships can also be verified. The model tested is foreseen to be of special interest to IRT destinations, as it allows shopping motivations to be predicted, meaning that the commercial offer can be strategically adapted.

Apps for smoking cessation through Cognitive Behavioural Therapy. A review. / Apps para dejar de fumar mediante Terapia Cognitivo Conductual. Una revisión sistemática.

Smoking is a health and economic problem that is difficult to eradicate. Nicotine addicts also often suffer from psychological problems such as depression and anxiety. The recommended treatment according to clinical practice guidelines (CPG) is Cognitive Behavioural therapy (CBT), alone or combined with medication. Currently, health-related apps (m Health) enable wider availability and access to this treatment. The objectives of this study are to carry out a review of the smoking cessation apps that apply CBT and to describe the techniques used by them. Following the PRISMA framework, the databases EBSCOhost, Cochrane, Web of Science and Scopus were searched for publications between 2010-2019. Four hundred fifteen studies were found and, after applying the inclusion and exclusion criteria, only five articles were eligible for systematic review. Only three apps were identified as using CBT, and the techniques most commonly used were the recording of smoking history, progress visualised through graphics, psycho-educational videos, motivation, social support through social media, and elements of gamification to reinforce adherence and abstinence behaviour. The results recommend the inclusion of smoking behaviour analysis in these types of apps, as not all of them do so, as well as an interface between the health professionals and the users to provide a personalised treatment.

El tabaquismo constituye un problema sanitario y económico de difícil erradicación. Las personas más dependientes a la nicotina suelen presentar, además, problemas psicopatológicos como depresión y ansiedad. Según las Guías de Práctica Clínica (GPC), el tratamiento recomendado para abandonar el hábito es la Terapia Cognitivo Conductual (TCC), sola o combinada con medicación. Actualmente, las aplicaciones móviles (App) en salud (mHealth) permiten un acceso masivo y económico a este tratamiento. El objetivo de este trabajo consiste en llevar a cabo una revisión bibliográfica de las Apps para dejar de fumar que apliquen TCC y describir las técnicas implementadas. En el marco del protocolo PRISMA, la búsqueda se ciñó al periodo 2010-19 y se realizó en las bases de datos: EBSCOhost, Cochrane, Web of Science y Scopus. Se hallaron un total de 415 trabajos, de los cuales, tras aplicar los criterios de inclusión/exclusión, solo 5 artículos fueron objeto de revisión. Únicamente se identificaron 3 Apps (en inglés) que incluyeran TCC y, las técnicas más utilizadas fueron: el registro de cigarrillos, la visualización del progreso mediante gráficas, videos psicoeducativos, la motivación, el apoyo social mediante redes sociales y elementos de gamificación para reforzar la adherencia y la conducta de abstinencia. Los resultados sugieren incluir en este tipo de Apps el análisis de la conducta de fumar, ya que no todas lo hacen, así como una interfaz que comunique el personal sanitario con el usuario y pueda proporcionar un tratamiento personalizado.

Apps para dejar de fumar mediante Terapia Cognitivo Conductual. Una revisión sistemática / Apps for smoking cessation through Cognitive Behavioural Therapy. A review

El tabaquismo constituye un problema sanitario y económico de difícil erradicación. Las personas más dependientes a la nicotina suelen presentar, además, problemas psicopatológicos como depresión yansiedad. Según las Guías de Práctica Clínica (GPC), el tratamientorecomendado para abandonar el hábito es la Terapia Cognitivo Conductual (TCC), sola o combinada con medicación. Actualmente, lasaplicaciones móviles (App) en salud (mHealth) permiten un accesomasivo y económico a este tratamiento. El objetivo de este trabajo consiste en llevar a cabo una revisión bibliográfica de las Apps para dejarde fumar que apliquen TCC y describir las técnicas implementadas.En el marco del protocolo PRISMA, la búsqueda se ciñó al periodo2010-19 y se realizó en las bases de datos: EBSCOhost, Cochrane, Webof Science y Scopus. Se hallaron un total de 415 trabajos, de los cuales,tras aplicar los criterios de inclusión/exclusión, solo 5 artículos fueron objeto de revisión. Únicamente se identificaron 3 Apps (en inglés)que incluyeran TCC y, las técnicas más utilizadas fueron: el registrode cigarrillos, la visualización del progreso mediante gráficas, videospsicoeducativos, la motivación, el apoyo social mediante redes socialesy elementos de gamificación para reforzar la adherencia y la conductade abstinencia. Los resultados sugieren incluir en este tipo de Apps elanálisis de la conducta de fumar, ya que no todas lo hacen, así comouna interfaz que comunique el personal sanitario con el usuario ypueda proporcionar un tratamiento personalizado. (AU)

Smoking is a health and economic problem that is difficult to eradicate.Nicotine addicts also often suffer from psychological problems suchas depression and anxiety. The recommended treatment according toclinical practice guidelines (CPG) is Cognitive Behavioural therapy(CBT), alone or combined with medication. Currently, health-relatedapps (m Health) enable wider availability and access to this treatment.The objectives of this study are to carry out a review of the smokingcessation apps that apply CBT and to describe the techniques used bythem. Following the PRISMA framework, the databases EBSCOhost,Cochrane, Web of Science and Scopus were searched for publicationsbetween 2010-2019. Four hundred fifteen studies were found and,after applying the inclusion and exclusion criteria, only five articleswere eligible for systematic review. Only three apps were identifiedas using CBT, and the techniques most commonly used were therecording of smoking history, progress visualised through graphics,psycho-educational videos, motivation, social support through socialmedia, and elements of gamification to reinforce adherence and abstinence behaviour. The results recommend the inclusion of smokingbehaviour analysis in these types of apps, as not all of them do so, aswell as an interface between the health professionals and the users toprovide a personalised treatment. (AU)

Breath Alcohol Concentration and Perception of Drunkenness: A Comparison between Adolescents and Young Adults Drinking Alcohol in Public Settings.

Alcohol use is a persisting social and health problem in Spain that often takes place within the recreational context. This study aims to analyze objective and self-reported measures of alcohol use and to assess the potential role of social factors on alcohol intake in open-air public settings. A total of 1475 participants (47.4% women), including 27.8% adolescents organized into 355 natural groups of friends, were interviewed while they were socializing at night in the streets of Palma (Spain). Breath alcohol concentration (BrAC), self-reported measures of alcohol use, and social variables were assessed. Men showed statistically higher scores in BrAC than women. However, adolescents' Alcohol Use Disorders Identification Test (AUDIT) scores were not statistically different by gender. Correlation between objective and self-reported measures was low. Interestingly, BrAC of drinkers was lower when some friends in the group were sober. Moreover, especially in young adults, variables related to the social environment were statistically significant factors to predict BrAC. In conclusion, we found a high prevalence of alcohol intake in young people in open-air public settings, low relationship of objective and self-reported measures, and social factors linked to alcohol use, although differences by age and gender must be considered.

The Development of Multiple Self-Concept Dimensions During Adolescence.

The purpose of this research was to analyze the development of self-concept during adolescence. Participants included 484 teenagers (226 boys and 258 girls) from middle-class families in the Basque Country region of Spain (Mage  = 14.99, SD = 1.81 in Time 1 and Mage  = 15.64, SD = 1.80 in Time 2). Longitudinal analysis found differences in the general school dimension. Six dimensions (math, verbal, general school, physical abilities, parent relationships and same-sex relationships) reported a linear trend with a decreasing monotonic pattern; self-esteem fit a cubic trend and physical appearance a quadratic trend line. Males showed higher means in self-esteem, math, physical abilities, physical appearance, emotional stability and parent relationships; and females had higher values in verbal and general school.

Anxiety and perceived performance in athletes and musicians: Revisiting Martens / Ansiedad y rendimiento percibido en atletas y músicos: Revisitando a Martens / Ansiedade e desempenho percebido em atletas e músicos: Revisitando a Marta

The relationship between anxiety and performance in athletes and musicians has been studied for some time. In the present study, 132 participants from the football (n = 100) and musical (n = 32) areas participated and had an average age of 20,49 years (SD = 6,62) and an average of 11,29 (SD= 4,5) years of experience in their respective fields. The analysis have shown that there are no correlations between performance and anxiety experienced, although there are differences in the perception of anxiety between musicians and athletes, since musicians have obtained higher scores in the component of somatic anxiety

La relación entre ansiedad y rendimiento en deportistas y músicos, se ha venido estudiando desde tiempo atrás. En el presente estudio han participado 132 participantes de los ámbitos futbolístico (n = 100) y musical (n = 32) que contaban con una M edad de 20,49 años (DE = 6,62) y una media de 11,29 (SD= 4,5) años de experiencia en sus respectivos campos de actuación. Los resultados han puesto de manifiesto que no hay correlaciones entre el rendimiento y la ansiedad experimentada, aunque existen diferencias en la percepción de la ansiedad entre músicos y deportistas, ya que los músicos han obtenido mayores puntuaciones en el componente de ansiedad somática

A relação entre ansiedade e desempenho em atletas e músicos tem sido estudada desde há muito tempo. No presente estudo, 132 participantes dos campos de futebol (n = 100) e musical (n = 32) apresentaram idade M de 20,49 anos (DP = 6,62) e média de 11,29 ( DP = 4,5) anos de experiência em seus respectivos campos de atividade. Os resultados mostraram que não há correlação entre desempenho e ansiedade vivenciada, embora existam diferenças na percepção de ansiedade entre músicos e atletas, uma vez que os músicos obtiveram pontuações mais altas no componente de ansiedade somática

Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross-sectional study of Spanish university students.

AIM: To assess gender differences in the association between risk/protective factors and suicidal thoughts and behaviors (STB); and whether there is any gender-interaction with those factors and STB; among Spanish university students. METHODS: Data from baseline online survey of UNIVERSAL project, a multicenter, observational study of first-year Spanish university students (18-24 years). We assessed STB; lifetime and 12-month negative life-events and family adversities; mental disorders; personal and community factors. Gender-specific regression models and gender-interactions were also analyzed. RESULTS: We included 2,105 students, 55.4% women. Twelve-month prevalence of suicidal ideation (SI) was 10%, plans 5.7%, attempts 0.6%. Statistically significant gender-interactions were found for lifetime anxiety disorder, hopelessness, violence between parents, chronic health conditions and family support. Lifetime mood disorder was a common risk factor of SI for both genders (Females: OR= 5.5; 95%CI 3.3-9.3; Males: OR= 4.4; 95%CI 2.0-9.7). For females, exposure to violence between parents (OR= 3.5; 95%CI 1.7-7.2), anxiety disorder (OR= 2.7; 95%CI 1.6-4.6), and alcohol/substance disorder (OR= 2.1; 95%CI 1.1-4.3); and for males, physical childhood maltreatment (OR= 3.6; 95%CI 1.4-9.2), deceased parents (OR= 4.6; 95%CI 1.2-17.7), and hopelessness (OR= 7.7; 95%CI 2.8-21.2), increased SI risk. Family support (OR= 0.5; 95%CI 0.2-0.9) and peers/others support (OR= 0.4; 95%CI 0.2-0.8) were associated to a lower SI risk only among females. CONCLUSIONS: Only mood disorder was a common risk factor of SI for both genders, whereas important gender-differences were observed regarding the other factors assessed. The protective effect from family and peers/others support was observed only among females. Further research assessing underlying mechanisms and pathways of gender-differences is needed.

Assessing adolescents' internalizing symptoms using virtual social networks: A format equivalence study of the Revised Child Anxiety and Depression Scale / Evaluación de la sintomatología interiorizada en adolescentes mediante redes sociales: un estudio de equivalencia de formatos de la "Escala revisada de ansiedad y depresión infantil"

The widespread use of virtual social networks (VSN) by adolescents makes it possible to conduct psychological assessments or health promotion using these platforms. However, psychometric properties of them should be validated. This study aimed to test the feasibility of administering the Revised Child Anxiety and Depression Scale (RCADS) over a secure social network, while preserving its original psychometric properties. To do so, a sample of 703 adolescents (M= 13.86 years, SD= 0.49) completed the questionnaire either over a social network or using paper and pencil. We tested a two-way format equivalence: quantitative equivalence (comparing score distributions across versions); and qualitative or conceptual equivalence (comparing the between-factor correlations between versions and measurement invariance). As a result, no difference was found between the score distributions of the two versions and between-factor intercorrelations with similar patterns in both versions. Finally, both methods for administering the RCADS showed an adequate fit with their theoretical latent structure, thus preserving format equivalence. To sum up, VSN may, therefore, constitute appropriate contexts for conducting psychological assessment and research among adolescents

El uso de las redes sociales por parte de adolescentes está bastante extendido actualmente. Esto posibilita el desarrollo de programas de evaluación y promoción de la salud mediante dichas vías, si se conservan garantías psicométricas en su uso. Este estudio pretendía comprobar si la "Escala revisada de ansiedad y depresión infantil" (RCADS) mantenía sus propiedades psicométricas originales cuando era aplicado mediante una red social. Una muestra de 703 adolescentes (M= 13,86 años; DT= 0,49) completaron la escala en formato tradicional o en una red social. Se evaluaron dos tipos de equivalencia entre formatos: equivalencia cuantitativa (distribución de las puntuaciones entre formatos) y cualitativa o conceptual (patrones de intercorrelaciones e invarianza de medida entre formatos). No se encontraron diferencias de las escalas en el formato tradicional y en una red social. Además, el patrón de intercorrelaciones entre factores fue similar y se observó invarianza de medida entre formatos. En conclusión, la versión en red social de la RCADS mostró propiedades psicométricas equivalentes a la tradicional, destacándose la aplicabilidad en estas plataformas

Psychosocial risk factors, organizational conflict and job satisfaction in Health professionals: A SEM model / Factores de riesgo psicosocial, conflicto organizacional y satisfacción laboral: Un modelo de ecuaciones estructurales

Objective: To test an interdependence model about the effect that psychosocial risk factors generate over organizational conflict and job satisfaction in Health professionals. Method: A cross-sectional design was implemented with a sample of 249 workers of a public hospital. Psychosocial risk was assessed with FPSICO method; the latent variable organizational conflict was built using a set of indicators that had been developed from a specific survey made by a multidisciplinary team of health professionals with training in labor mediation; and the latent variable job satisfaction was operationalized with four subdimensions of "Font Roja" questionnaire. The fit of the model was estimated with SEM techniques. Results: confirm the adequate fit of the model that posits that the greater the psychosocial risk, the greater is the organizational conflict, and lower the perceived job satisfaction. The model also locates the organizational conflict as mediator variable between the risk and job satisfaction. Conclusions: The unique contribution of this study brings empirical evidence about the predictor role of psychosocial risks over both the organizational conflict and job satisfaction at the workplace in Health professionals. Therefore, psychosocial risk prevention can be an efficient way to reduce conflict levels and to increase job satisfaction

Objetivo: Poner a prueba un modelo de interdependencia sobre el efecto que los factores de riesgo psicosocial generan sobre el conflicto organizacional y la satisfacción laboral en profesionales sanitarios. Método: Se utilizó un diseño selectivo transversal con una muestra de 249 trabajadores de un hospital público. Los riesgos psicosociales se evaluaron mediante la herramienta F-PSICO, la variable conflicto organizacional fue operacionalizada mediante un conjunto de indicadores contenidos en una encuesta elaborada por un equipo multidisciplinar de profesionales sanitarios expertos en mediación laboral; y la satisfacción laboral fue medida con cuatro dimensiones del cuestionario Font Roja. El ajuste del modelo se estimó con modelos de ecuaciones estructurales. Resultados: Se obtuvo un ajuste adecuado del modelo, que supone que cuanto mayor es el riesgo psicosocial, mayor es el conflicto organizacional, y menor la satisfacción laboral percibida. También sitúa la conflictividad laboral como mediadora entre los riesgos psicosociales y la satisfacción laboral. Conclusiones: La contribución única del estudio aporta evidencias empíricas del papel de predictor directo de los riesgos psicosociales sobre la conflictividad en el lugar de trabajo para los profesionales de la salud. Así, la prevención del riesgo psicosocial puede ser una vía eficiente para reducir la conflictividad y para aumentar la satisfacción laboral

Effects of organizational complexity and resources on construction site risk.

INTRODUCTION: Our research is aimed at studying the relationship between risk level and organizational complexity and resources on constructions sites. Our general hypothesis is that site complexity increases risk, whereas more resources of the structure decrease risk. A Structural Equation Model (SEM) approach was adopted to validate our theoretical model. METHOD: To develop our study, 957 building sites in Spain were visited and assessed in 2003-2009. All needed data were obtained using a specific tool developed by the authors to assess site risk, structure and resources (Construction Sites Risk Assessment Tool, or CONSRAT). This tool operationalizes the variables to fit our model, specifically, via a site risk index (SRI) and 10 organizational variables. Our random sample is composed largely of small building sites with general high levels of risk, moderate complexity, and low resources on site. CONCLUSIONS: The model obtained adequate fit, and results showed empirical evidence that the factors of complexity and resources can be considered predictors of site risk level. PRACTICAL APPLICATIONS: Consequently, these results can help companies, managers of construction and regulators to identify which organizational aspects should be improved to prevent risks on sites and consequently accidents.

Predictive models for suicidal thoughts and behaviors among Spanish University students: rationale and methods of the UNIVERSAL (University & mental health) project.

BACKGROUND: Suicide is a leading cause of death among young people. While suicide prevention is considered a research and intervention priority, longitudinal data is needed to identify risk and protective factors associate with suicidal thoughts and behaviors. Here we describe the UNIVERSAL (University and Mental Health) project which aims are to: (1) test prevalence and 36-month incidence of suicidal thoughts and behaviors; and (2) identify relevant risk and protective factors associated with the incidence of suicidal thoughts and behaviors among university students in Spain. METHODS: An ongoing multicenter, observational, prospective cohort study of first year university students in 5 Spanish universities. Students will be assessed annually during a 36 month follow-up. The surveys will be administered through an online, secure web-based platform. A clinical reappraisal will be completed among a subsample of respondents. Suicidal thoughts and behaviors will be assess with the Self-Injurious Thoughts and Behaviors Interview (SITBI) and the Columbia-Suicide Severity Rating Scale (C-SSRS). Risk and protective factors will include: mental disorders, measured with the Composite International Diagnostic Interview version 3.0 (CIDI 3.0) and Screening Scales (CIDI-SC), and the Epi-Q Screening Survey (EPI-Q-SS), socio-demographic variables, self-perceived health status, health behaviors, well-being, substance use disorders, service use and treatment. The UNIVERSAL project is part of the International College Surveys initiative, which is a core project within the World Mental Health consortium. Lifetime and the 12-month prevalence will be calculated for suicide ideation, plans and attempts. Cumulative incidence of suicidal thoughts and behaviors, and mental disorders will be measured using the actuarial method. Risk and protective factors of suicidal thoughts and behaviors will be analyzed by Cox proportional hazard models. DISCUSSION: The study will provide valid, innovative and useful data for developing prevention programs for youth suicide and for improving early identification for high-risk students. The longitudinal design of this study will improve causal interpretation of analyzed associations, needed for generating and validating predictive models. It will represent the first results about suicidal thoughts and behaviors in the Spanish university population. The World Mental Health Survey collaboration will permit accurate cross-national comparisons.

Are patients with chronic pain and fibromyalgia correctly classified by MMPI-2 validity scales and indexes? / ¿Son clasificados correctamente los pacientes con dolor crónico y fibromialgia por las escalas e índices de validez del MMPI-2?

A study was designed to find out whether MMPI-2 validity scales and indexes differentiate between true fibromyalgia sufferers, patients with chronic organic pain and normal people, as well as whether they are correctly classified. 105 subjects participated in the study, 27 diagnosed with fibromyalgia and 44 with chronic organic pain and 34 were healthy people, who answered the MMPI-2 following standard instructions. The results showed that fibromyalgia patients scored higher than the control group in the F, Fb, F-K, Fp, Ds, and FBS scales and indexes and that patient with chronic organic pain scored higher in the Ds and FBS scales than the control group. The case study revealed that the F, Fb, F-K, Fp, Ds, and FBS scales and indexes over-diagnose malingering in patients with fibromyalgia, both in comparison with the clinical population and with the normative group. Likewise, patients with chronic organic pain were overdiagnosed as malingerers by all the scales and indexes in comparison with the normative population and by the Fp and FBS scales in comparison with the clinical population. In addition, it was found that at least one of the scales for measuring defensiveness -L, Wsd and Mp- classified 79.5% of the truly ill patients as faking good. The implications for clinical and forensic practice are discussed, as well as for the definition of decision criteria and the (re)classification as true negatives of genuine cases classified as malingerers by the malingering measuring scales and indexes (AU)

Se diseñó un estudio con el objetivo de conocer si escalas e índices de validez del MMPI-2 diferencian entre verdaderos enfermos de fibromialgia, pacientes con dolor crónico de etiología orgánica y personas normales, así como si los clasifican correctamente. Participaron en el estudio 105 sujetos, 27 diagnosticados de fibromialgia, 44 de dolor crónico con etiología orgánica y 34 sanos, que respondieron al MMPI-2 bajo las instrucciones estándar. Los resultados mostraron que los pacientes de fibromialgia puntuaban más alto en las escalas e índices F, Fb, F-K, Fp, Ds y FBS que el grupo control y los pacientes de dolor crónico con etiología orgánica en las escalas Ds y FBS. El estudio de casos evidenció que las escalas e índices F, Fb, F-K, Fp, Ds y FBS sobrediagnostican simulación en los pacientes con fibromialgia, tanto en comparación con la población clínica como con la normativa. Asimismo, los pacientes con dolor crónico con etiología orgánica fueron sobrediagnosticados como simuladores por todas las escalas e índices en comparación con la población normativa y por las escalas Fp y FBS en comparación con la población clínica. Además hallamos que al menos una de las escalas de medida de defensividad –L, Wsd y Mp– clasificaba como disimuladores al 79.5% de los verdaderos enfermos. Se discuten las implicaciones para la práctica clínica y forense, así como para la definición de criterios de decisión y la (re)clasificación como verdaderos negativos de aquellos casos genuinos clasificados como simuladores por las escalas e índices de medida de la simulación (AU)

Recomendaciones para el uso de estadísticos en Psicología Clínica y de la Salud / Recommendations for the use of statistics in Clinical and Health Psychology

The generation of scientific knowledge in Psychology has made significant headway over the last decades, as the number of articles published in high impact journals has risen substantially. Breakthroughs in our understanding of the phenomena under study demand a better theoretical elaboration of work hypotheses, efficient application of research designs, and special rigour concerning the use of statistical methodology. Anyway, a rise in productivity does not always mean the achievement of high scientific standards. On the whole, statistical use may entail a source of negative effects on the quality of research, both due to (1) the degree of difficulty inherent to some methods to be understood and applied and (2) the commission of a series of errors and mainly the omission of key information needed to assess the adequacy of the analyses carried out. Despite the existence of noteworthy studies in the literature aimed at criticising these misuses (published specifically as improvement guides), the occurrence of statistical malpractice has to be overcome. Given the growing complexity of theories put forward in Psychology in general and in Clinical and Health Psychology in particular, the likelihood of these errors has increased. Therefore, the primary aim of this work is to provide a set of key statistical recommendations for authors to apply appropriate standards of methodological rigour, and for reviewers to be firm when it comes to demanding a series of sine qua non conditions for the publication of papers (AU)

La generación de conocimiento científico en Psicología ha experimentado una importante progresión durante las últimas décadas, ya que el número de artículos publicados en revistas con factor de impacto ha incrementado sensiblemente. Los avances en la comprensión de los fenómenos objeto de estudio exigen una mejor elaboración teórica de las hipótesis de trabajo, una aplicación eficiente de los diseños de investigación y un gran rigor en la utilización de la metodología estadística. Por esta razón, sin embargo, no siempre un incremento en la productividad supone alcanzar un alto nivel de calidad científica. Los usos estadísticos pueden ser, en general, una fuente de efectos negativos sobre la calidad de la investigación, tanto por el grado de dificultad que la comprensión y aplicación de algunos métodos requiere, como por la comisión de un conjunto de errores como, sobre todo, por la omisión de información fundamental para evaluar la adecuación de los análisis realizados. A pesar de que haya notables trabajos dedicados a la crítica de estos malos usos, publicados específicamente como guías de mejora, la incidencia de mala praxis estadística todavía permanece en niveles mejorables. Dada la creciente complejidad de las teorías elaboradas en la psicología en general y en la psicología clínica y de la salud en particular, la probabilidad de ocurrencia de tales errores se ha incrementado. Por este motivo, el objetivo fundamental de este trabajo es presentar un conjunto de recomendaciones estadísticas fundamentales para que los autores consigan aplicar un nivel de rigor metodológico adecuado, así como para que los revisores se muestren firmes a la hora de exigir una serie de condiciones sine qua non para la publicación de trabajos (AU)

Efectos del temperamento y los estilos de regulación emocional en la determinación de estados emocionales negativos / Effects of temperament and emotion regulation styles in determining negative emotional states

Introducción. La interacción entre los procesos temperamentales reactivo y regulatorio resulta esencial para una mejor compresión de los trastornos emocionales. En este estudio exploramos la relación entre temperamento reactivo(afecto negativo), temperamento regulatorio (control intencional),estilos de regulación emocional negativos (rumiación y supresión) y el autorregistro en condiciones naturales de los niveles de ansiedad, preocupación y evitación. Método. Treinta y dos adultos jóvenes fueron, en primer lugar, evaluados mediante cuestionario en afecto negativo, control intencional y dos formas de regulación emocional negativa (rumiación y supresión). Posteriormente, registraron sus niveles de ansiedad, preocupación y evitación tres veces al día durante 50 días consecutivos a través de un diario electrónico accesible en línea. Resultados. Niveles elevados en afecto negativo y bajos en control intencional se asociaron a mayor ansiedad, preocupación y evitación (p<0,01). La asociación prospectiva entre afecto negativo y evitación estuvo moderada por el control intencional (R2 total=0,49) mientras que no se encontraron efectos de moderación del control intencional en la asociación entre afecto negativo, por una parte, y la ansiedad y preocupación por la otra. Además, la rumiación, en su componente de ensimismamiento, ejerció una mediación total de forma prospectiva en la asociación entre afecto negativo y ansiedad, con un efecto indirecto significativo (Efecto=0,30; Boot IC95%=0,09 a 0,69).Conclusiones. Los patrones de evitación se vieron significativamente determinados por la interacción entre afecto negativo y control intencional y la rumiación, en especial el ensimismamiento, medió totalmente la relación entre afecto negativo y ansiedad (AU)

Introduction. The interplay of reactive and regulatory temperamental processes appears to be essential for a better understanding of emotional states and disorders. In this study we explored the prospective relationship between reactive temperament (negative affect), regulatory temperament (effortful control), negative emotion regulation styles (rumination and suppression) and self-recorded anxiety, worry, and avoidance in naturalistic conditions. Method. Thirty-two young adults were first assessed through questionnaires on negative affectivity, effortful control, and two forms of negative emotion regulation (rumination and suppression). After this they recorded anxiety, worry, and avoidance three times a day over 50consecutive days through an on-line access electronic diary. Results. High levels of negative affect and low levels of effortful control were associated with higher levels of anxiety, worry, and avoidance (p<0.01). The prospective association between negative affectivity and avoidance was moderated by effortful control (Total R2=.49). Moreover, the brooding facet of rumination totally mediated the association between negative affect and anxiety with a significant indirect effect (Effect=0.30, Boot CI95%=0.09 to 0.69). Conclusions. Avoidance patterns are significantly determined by negative affect - effortful control interaction and rumination, especially brooding, totally mediates the relationship between negative affect and anxiety (AU)