Cross-cultural adaptation and validation of the Spanish sensory processing sensitivity questionnaire (S-SPSQ).

Sensory Processing Sensitivity (SPS) is a temperament trait rooted in biology, and is distinguished by heightened awareness, emotional responsiveness, and sensitivity to environmental stimuli. In this study, we aimed to enable the assessment of SPS within Spanish-speaking populations. To achieve this, we translated, adapted, and validated the Sensory Processing Sensitivity Questionnaire (SPSQ), which offers a comprehensive evaluation of SPS, encompassing both positive and negative aspects of the trait. Participants were 1,004 (844 females, mean age 37) mainly from Chile (964), and 40 were from other Spanish-speaking regions. Confirmatory factor analysis, utilizing the diagonally weighted least squares method, was applied to validate the internal structure of the Spanish version of the SPSQ (S-SPSQ). Fit indices such as GFI, CFI, TLI, RMSEA, and SRMR were scrutinized. Reliability assessment utilized Cronbach's alpha and McDonald's Omega. Three models were examined: Model I (six factors) displayed robustness, Model II (six factors plus a general factor) did not show substantive improvement, and Model III (Higher Order and Bifactor) excelled in fit while balancing complexity and representation, thus validating the findings of the original SPSQ and indicating similar reliability coefficients. The study offers a balanced perspective on SPS and contributes to cross-cultural validation of an SPS instrument which may facilitate research and guide personalized therapeutic interventions, thus enhancing outcomes for highly sensitive persons.

Occupational Psychosocial Risks and Quality of Professional Life in Service Sector Workers with Sensory Processing Sensitivity.

The aim of this study was to analyze the role of sensory processing sensitivity in the perception of stress under certain working conditions and its relationship with indicators of quality of professional life, in service sector workers. The participants (n = 3180) completed the Spanish versions of HSPS-S, CoPSoQ and ProQoL. The results show that exposure to certain working conditions represents a risk to the quality of professional life in workers of different fields, such as education, healthcare, hospitality and administration/management. The presence of high sensitivity is associated with poorer quality of professional life, specifically burnout and compassion fatigue. This study demonstrates the need to develop prevention programs aimed at managing stress by improving the working conditions, in order to adequately address sensory processing sensitivity and, consequently, promote the quality of professional life of service sector workers who present high sensitivity.

Personality Traits and Coping Strategies as Psychological Factors Associated with Health-Related Quality of Life in Highly Sensitive Persons.

Sensory-Processing Sensitivity (SPS) is the reactivity to different stimuli that occurs in some people with sufficient intensity to cause interference in daily life. There are not many previous studies that determine the influence of adaptive and maladaptive coping strategies on health-related quality of life through indicators of mental (anxiety and depression) and physical (vitality) health and functioning in their lives in different contexts (emotional role functioning). In this sense, contexts that promote the use of successful stress-coping strategies are related to the presence of positive mental health outcomes. This study focuses on the analysis of indicators of health-related quality of life in people with SPS in relation to certain personality traits and coping strategies. Participants (N = 10,525) completed HSPS-S, NEO-FFI, CSI, and SF-36. Differences were observed between men and women. Differences indicated that women had higher SPS scores compared to men and poorer health-related quality of life. The results showed significant relationships with the three indicators of health-related quality of life. Finally, it is confirmed that neuroticism and the use of maladaptive coping strategies act as risk factors, whereas extraversion, conscientiousness, and adaptive coping strategies act as protective factors. These findings highlight the need to develop prevention programs for highly sensitive persons.

Aesthetic sensitivity: relationship with openness to experience and agreeableness, health-related quality of life and adaptive coping strategies in people with high sensory processing sensitivity.

Aesthetic sensitivity in people with high sensory processing sensitivity (SPS) reflects the positive perception of life, especially aspects related to the arts and nature. This study is focused on the analysis of the effect of aesthetic sensitivity in relation to indicators of health-related quality of life (general health, mental health and emotional role), the personality traits openness to experience and agreeableness, and coping strategies in people with SPS. The adult participants (N = 10,520, mean age = 33.61) completed the Spanish versions of the High Sensitivity Person Scale (HSPS-S), Short Form Health Survey (SF-36), NEO Five Factor Inventory (NEO-FFI) and Coping Strategies Inventory (CSI). It was observed that people with high aesthetic sensitivity presented greater openness and agreeableness, tended to use adaptive coping strategies and showed a slightly poorer functioning in different areas of daily living. Moreover, health-related quality of life, mental health and adaptive coping strategies occupied central positions in the correlations between variables, with a positive impact between mental health and adaptive coping strategies with openness and agreeableness. Lastly, the level of aesthetic sensitivity did not play a moderator role, and it exerted no differential influence on its relationship with the analysed variables. Now, it has been found that people with high levels of aesthetic sensitivity cope more adequately, which would cushion the effect that high SPS can have on mental health, specifically on anxious and depressive symptoms. It is concluded that these findings are relevant and useful for future propositions of prevention and clinical intervention, as well as for counselling in the psychoeducational, labour and family scopes, amongst others.

Cross-Cultural Adaptation and Validation of the Highly Sensitive Person Scale to the Adult Spanish Population (HSPS-S).

PURPOSE: This article describes a cross-cultural adaptation of the Highly Sensitive Person Scale (HSPS) to the adult Spanish population, and psychometric analysis of its validation and reliability. METHODS: Convenience sampling by participant accessibility was used. The original version was adapted culturally and linguistically using the back-translation method, and a pilot study was done with 88 participants. Data processing and analysis was performed with the SPSS v.25 and LISREL v.9.2 statistical packages. The psychometric properties were studied in a sample of 8358 participants using exploratory factor analysis and confirmatory factor analysis, and examining factorial invariance and internal consistency. RESULTS: The results confirmed a Spanish version with 27 items in five-dimensions: sensitivity to overstimulation (SOS), aesthetic sensitivity (AES), low sensory threshold (LST), fine psychophysiological discrimination (FPD) and harm avoidance (HA). Invariance across gender of this factor structure was demonstrated and reliability indices were good. CONCLUSION: These findings demonstrate that the HSPS is an appropriate tool for evaluating high sensitivity in the adult Spanish population.

Sensory Processing Sensitivity and Compassion Satisfaction as Risk/Protective Factors from Burnout and Compassion Fatigue in Healthcare and Education Professionals.

The study analyzes sensory processing sensitivity and the compassion satisfaction as risk/protective factors against burnout and compassion fatigue, during the first period of the COVID-19 health emergency. A sample of 1566 Spanish adult healthcare (n = 694) and education (n = 872) professionals was evaluated. An ad hoc questionnaire for sociodemographic data, and the highly sensitive person scale (HSPS), Maslach burnout inventory (MBI) and professional quality of life scale (ProQOL-vIV) were administered. Burnout and compassion fatigue were observed in the healthcare and education professionals, where personal realization and depersonalization were higher in healthcare and compassion fatigue in education. The protective role of compassion satisfaction was confirmed, as was sensory processing sensitivity as a risk factor, except for its low sensory threshold dimension, which positively influenced personal realization. The findings of this study demonstrate the presence of burnout and compassion fatigue in healthcare and education professionals, displaying compassion fatigue as an emerging psychosocial risk in education, which was made more severe under the conditions of study, which is at the beginning of the COVID-19 pandemic. The importance of incorporating adequate management strategies for high sensitivity, empathy and compassion satisfaction in prevention programs is emphasized.

Bicuspid aortic valve behaviour in elite athletes.

AIMS: To determine the prevalence and characteristics of bicuspid aortic valve (BAV) among elite athletes and to analyse the effect of long-term exercise training on their aortas. METHODS AND RESULTS: Consecutive BAV and tricuspid aortic valve (TAV) elite athletes from a population of 5136 athletes evaluated at the Sports Medicine Center of the Spanish National Sports Council were identified using echocardiography. A total of 41 BAV elite athletes were matched with 41 TAV elite athletes, and 41 BAV non-athletic patients from three Spanish tertiary hospitals. Sixteen BAV elite athletes who had undergone at least two cardiac evaluations separated by more than 3 years were selected to assess their clinical course. The prevalence of BAV in elite athletes was 0.8%. The proximal ascending aorta was larger for both BAV groups in comparison to TAV athletes (P = 0.001). No differences in aortic diameters were found between BAV athletes and BAV non-athletes. In BAV elite athletes, the annual growth rates for aortic annulus, sinuses of Valsalva, sinotubular junction, and proximal ascending aorta were 0.04 ± 0.24, 0.11 ± 0.59, 0.14 ± 0.38, and 0.21 ± 0.44 mm/year, respectively. Aortic regurgitation was the only functional abnormality, but no significant progression was found. CONCLUSION: High-intensity training and sports competition may not aggravate BAV condition during elite athletes' careers. BAV elite athletes with mild-to-moderately dilated aortas may engage in high dynamic cardiovascular exercise without adverse consequences, although an echocardiographic follow-up is recommended.

Prevention of chronic experimental colitis induced by dextran sulphate sodium (DSS) in mice treated with FR91.

One of the main treatments currently used in humans to fight cancer is chemotherapy. A huge number of compounds with antitumor activity are present in nature, and many of their derivatives are produced by microorganisms. However, the search for new drugs still represents a main objective for cancer therapy, due to drug toxicity and resistance to multiple chemotherapeutic drugs. In animal models, a short-time oral administration of dextran sulfate sodium (DSS) induces colitis, which exhibits several clinical and histological features similar to ulcerative colitis (UC). However, the pathogenic factors responsible for DSS-induced colitis and the subsequent colon cancer also remain unclear. We investigated the effect of FR91, a standardized lysate of microbial cells belonging to the Bacillus genus which has been previously shown to have significant immunomodulatory effects, against intestinal inflammation. Colitis was induced in mice during 5 weeks by oral administration 2% (DSS). Morphological changes in the colonic mucosa were evaluated by hematoxylin-eosin staining and immunohistochemistry methods. Adenocarcinoma and cryptal cells of the dysplastic epithelium showed cathenin-ß, MLH1, APC, and p53 expression, together with increased production of IFN-γ. In our model, the optimal dose response was the 20% FR91 concentration, where no histological alterations or mild DSS-induced lesions were observed. These results indicate that FR91 may act as a chemopreventive agent against inflammation in mice DSS-induced colitis.

Health-related quality of life in coronary heart disease compared to norms in Spanish population.

AIM: To interpret health-related quality of life (HRQL) values better, it is appropriate to compare them with population norms that can serve as reference standards. This study compares the quality of life of patients who have suffered an acute episode of ischemic cardiopathy with population norms, as measured by the Spanish version of the SF-36. METHODS: 132 patients admitted to the Cardiology Department of a Spanish general hospital for an acute episode of ischemic cardiopathy were studied. HRQL was assessed using the SF-36 questionnaire. To compare patient with population norms, raw and adjusted data were obtained and differences with population norms were analyzed by age and sex groups at the level of the 25th percentile (25% +/- CI 95%). RESULTS: Globally, differences between the patients and the general Spanish population were evident in all SF-36 dimensions except Physical Functioning, General Health and Mental Health. However, the largest differences were observed in the youngest coronary patients (<55 years old) were in all HRQL dimensions, except Vitality and Bodily Pain, the proportions of patients below the 25th percentile of the general population exceeded 25%. CONCLUSION: The comparison between HRQL in coronary patients and that in the general population confirms the impact of the disease especially in the youngest patients, and allows intervention to be directed towards the more vulnerable groups.

Bases moleculares de la obesidad: regulación del apetito y control del metabolismo energético / Obesity molecular basis: appetite regulation and energetic metabolism control

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Quistes cutáneos / Cutaneous cysts. Minor surgery

Para enfermería la práctica de la cirugía menor supone retomar una actividad de larga tradición histórica en nuestra profesión y una experiencia para contribuir con nuestra aportación específica al cuidado de la salud.La incorporación de la cirugía menor a la oferta de servicios de Atención Primaria de Salud se está realizando de manera lenta pero progresiva, vistas las ventajas que conlleva. Hace varios años que algunos profesionales sanitarios -enfermeros/as y médicos- pertenecientes al Servicio Andaluz de Salud estamos trabajando activamente en el desarrollo y aplicación de los Programas de Cirugía Menor dentro de los Centros de Salud de nuestra comunidad. Una de las líneas de trabajo ha sido la elaboración de protocolos para el tratamiento de las lesiones más habituales mediante pequeña cirugía. Dentro de éstas se hallan las lesiones quísticas cutáneas, cuyo protocolo exponemos en este artículo (AU)

Sustitución valvular aórtica con autoinjerto pulmonar (operación de Ross) en pacientes adultos y pediátricos / Aortic valve replacement with pulmonary autograft (the ross procedure) in adult and pediatric patients

La sustitución valvular aórtica con autoinjerto pulmonar fue descrito por Donald Ross en 1967, aunque no fue ampliamente aceptado por cardiológos y cirujanos cardíacos, fundamentalmente por tratarse de un procedimiento quirúrgico complejo y poner en riesgo dos válvulas cardíacas. En los últimos 10-15 años, los resultados publicados de numerosas series demuestran que se trata de uno de los mejores métodos de reemplazamiento de la válvula aórtica, muy especialmente en pacientes pediátricos y adultos jóvenes.En el presente trabajo, revisamos las indicaciones y contraindicaciones actuales, así como nuestra experiencia clínica con 26 pacientes (adultos y pediátricos) y el análisis de los primeros 22, con un seguimiento mínimo de 6 meses (180-620 días). El seguimiento fue completo (100%). Cinco pacientes eran menores de 14 años. La edad media del grupo fue de 31,4 ± 12,6 años. En 3 pacientes (11%) se había realizado un procedimiento percutáneo previo y otros 4 pacientes (14%) habían sido intervenidos quirúrgicamente. No ha habido ningún caso de mortalidad precoz ni tardía.En el último seguimiento, 19 de estos 22 pacientes (86,36%) no tenían insuficiencia (>= grado 1) del autoinjerto y en un caso ésta era moderada (grado 2). Los 2 pacientes restantes desarrollaron una insuficiencia severa (grado 4) y hubieron de ser reintervenidos, evolucionando de forma satisfactoria. El gradiente pico medio era de 7,85 ± 5 mmHg (3-29) a los 18 meses. Los pacientes con estenosis aórtica preoperatoria mostraron una reducción significativa del índice de masa miocárdica (208,7 ± 32 a 95,8 ± 28,8 g/m2). En estos pacientes, el grosor del septo y de la pared posterior se redujo significativamente, ya en el primer mes.Dos pacientes pediátricos desarrollaron un gradiente transpulmonar > 50 mmHg, implantándose un stent intravascular en uno de ellos. No se ha observado insuficiencia significativa del homoinjerto en ningún caso.Todos los pacientes continúan asintomáticos (grado funcional I) sin medicación. No se ha observado ningún episodio tromboembólico o hemorrágico ni ningún caso de endocarditis. Ningún paciente recibe tratamiento anticoagulante.El seguimiento clínico y ecocardiográfico a medio plazo de nuestra serie demuestra un buen comportamiento, tanto del autoinjerto pulmonar como del homoinjerto, tras el procedimiento de Ross (AU)

Aortic valve replacement with pulmonary autograft was first performed by Donald Ross in 1967. Initially, the procedure was not widely accepted, by Cardiologists and Cardiac surgeons fundamentally due to its complexity and demanding surgical technique, and because innmumerous series two cardiac valves were at risk. The results published in the last 10-15 years established the pulmonary autograft as one of the best methods of aortic valve replacement, especially in pediatric patients and young adults. In the present article, we reviewed present indications and contraindications, and our clinical experience with 26 patients (pediatrics and adults). Analysis of the first 22 the patients with a minimum of 6 months of follow-up (180- 620 days) was performed. Follow-up is complete (100%). Mean age was 31.4 ± 12.6 years. Five patients were pediatrics (≤ 14 years). Three patients (11%) with previous percutaneous procedures and 4 patients (14%) with previous surgical procedures. There was no early or late mortality. In the last follow-up, 19 of 22 (86.36%) had no autograft insufficiency (≥ grade 1), and in one patient it was moderate (grade 2). The 2 remaining patients developed severe autograft insufficiency (grade 4) and were reoperated on, with satisfactory postoperative outcome. Mean maximal gradient was 7.85 ± 5 mmHg at 18 months (3-29). Patients with preoperative aortic stenosis showed a significant reduction in myocardial mass index (208.7 ± 32 a 95.8 ± 28.8 g/m2) at 18 months. In these patients, septal and posterior wall thickness decreased significanthy, in the first month. Two pediatric patients have developed transpulmonar gradient > 50 mmHg. One of them underwent successful stent implantation. We have not observed significant homograft insufficiency in any of our patients. All our patients remain asymptomatic (functional class I) without medical treatment. We have not observed either thromboembolic or haemorrhagic episodes, nor endocarditis. No patient is receiving anticoagulants. Clinical and echocardiographic mid term results in pulmonary autograft and homograft in our serie, are excellent after the Ross procedure (AU)