Factors associated with recovery during schizophrenia and related disorders: A review of meta-analysis.

BACKGROUND: The spectrum of schizophrenia disorders (SSD) is a severe mental disorder. It is one of the main medical causes of disability that generates high health and social costs. OBJECTIVE: To analyze the factors associated with clinical recovery (CR) (symptomatic remission-SR and functional recovery-FR) and personal recovery (PR) in people diagnosed with SSD. METHODS: 14 meta-analyses focused on recovery were reviewed following the PRISMA model statements. 95 % of CI was established. RESULTS: Shorter Duration of Untreated Psychosis (Zr = 0.24, [0.17, 0.30]) and total Duration of Untreated Illness (Zr = 0.34, [0.20, 0.48]) were related to greater SR and general functioning, respectively. Resilience was the variable with the greatest effect on FR (Zr = 0.67, [0.63, 0.71]). Premorbid adjustment (Zr = 0.34, [0.18, 0.49]) and physical intervention (Zr = 0.71, [0.55, 0.86]) had the greatest effect on occupational and social functioning, respectively. Less severe affective symptoms were related to greater PR (Zr = 0.46, [0.42, 0.50]). There are differences between affective SR and the other types of SR (Zr(SR-A - SR-) = 0.13, Qb = 6.51, p = 0.011), (Zr(SR-A - SR+) = 0.20, Qb = 8.52, p = 0.004), (Zr(SR-A - SR) = 0.18, Qb = 19.29, p = 0.0001). In all, resilience was associated with greater recovery (Zr = 0.67, [0.53, 0.80]), with the global effect being greater on PR than on CR (Zr(PR-CR) = 0.07, Qb = 3.45, p = 0.05). CONCLUSIONS: Resilience was the variable most strongly associated with recovery. Symptomatic or functional improvement obtained less statistical weight.

Impact of a culturally adapted digital literacy intervention on older people and its relationship with health literacy, quality of life, and well-being.

Introduction: Older people are the group with the greatest digital gap, so their digital literacy is important to improve the conditions in which they age. Methods: A study was conducted with pre- and post-evaluation of a digital literacy (DL) intervention in people aged 60 years and over. A total of 56 participants (experimental group N = 32 and control group N = 24) were recruited for convenience in community centers. The intervention was adapted to the needs of the participants, there were five face-to-face sessions and remote reinforcement for three months, carried out by trained university students for five months. Sociodemographic variables such as self-perception of socioeconomic level and education, among others, were evaluated. The impact was assessed using the digital literacy scale (MDPQ16), indicators of frequency and types of internet and mobile phone use, health literacy (SAHLSA and NSV), quality of life (SF-12), hedonic well-being (Diener's SWLS and Cummins' PWI) and perceived social support using the Zimet scale. Results: The intervention had a significant impact with an effect size of r = 0.27 on digital literacy, separate t-test comparisons revealed a markedly significant change for digital literacy in the experimental group, before and after the pre-post t-test(31) = 3.56, p = 0.001, but not in the control group, t(23) = 0.082, p = 0.93. No direct impact on health literacy, health-related quality of life, and hedonic well-being was identified. We examined the indirect impact of change in digital literacy and found that it correlated with improvements in well-being and social support, as well as quality of life. Individuals with significant changes were detected and compared with those who did not change. Discussion: Evaluation that contributes by identifying elements for improvement in future interventions and discusses the importance of culturally adapting continuing education in older people.

Spanish validation of the Gamblers’ Belief Questionnaire (GBQ) / Validación española de la escala“Gamblers Belief Questionnaire (GBQ)”

The objective of this study is to validate The Gambler’s Beliefs Questionnaire, a measure of gamblers’ cognitive distortions. The psychometric properties of the scale were analyzed with a Spanish sample of 515 participants aged from 16 and 24 years. Three scales related to pathological gambling (SOGS-RA and MAGS) and to social desirability were administered. A cross-sectional validation was performed, obtaining a scale with 21 items distributed in two independent factors (Luck/perseverance and Illusion of control). The internal consistency (α = .93) and test-retest reliability (r = .69) are adequate. GBQ scale scores correlate significantly with other measures of pathological gambling (SOGS: r = .35; MAGS: r = .40, both p ≤ .001). Higher levels of cognitive distortions are associated with a higher likelihood of being classified as a problem or at-risk gambler. GBQ scores are influenced by social desirability, although the effect sizes are small (r below .20). The GBQ is a useful instrument in the diagnosis and evaluation of the treatment of Spanish youths and adolescents with gambling problems. (AU)

El objetivo de este estudio es la validación española del “Gamblers Belief Questionnaire (GBQ)” que mide distorsiones cognitivas relacionadas con los problemas de juego. Se analizan las propiedades psicométricas de la escala en 515 jóvenes españoles, de 16 a 24 años. Se administraron tres escalas sobre juego patológico (GBQ, SOGS-RA y MAGS) y deseabilidad social. Se realizó una validación cruzada, obteniéndose una escala de 21 ítems con una estructura bifactorial (Suerte/Perseverancia e Ilusión de Control). La consistencia interna (α = ,93) y estabilidad temporal (r = ,69) de la escala son adecuadas. Las puntuaciones de la escala GBQ correlacionan de forma significativa con otras medidas de juego patológico (SOGS: r = ,35; MAGS: r = ,40, ambas p ≤ ,001). Un mayor nivel de distorsiones cognitivas se asocia a mayor probabilidad de ser clasificado como jugador con problemas o de riesgo. Las puntuaciones del GBQ están influenciadas por la deseabilidad social, aunque los tamaños del efecto son pequeños (r menores a ,20). El GBQ es un instrumento útil en el diagnóstico y evaluación de tratamientos de jóvenes y adolescentes españoles con problemas de juego. (AU)

"I can't escape!": Avoidantly attached individuals' conflict resolution and relationship satisfaction before and during the COVID-19 lockdown.

Increased time spent together and the lockdown resulting from the COVID-19 pandemic may have created new scenarios for marital conflict. We analyzed how home confinement affects avoidantly attached individuals': (a) resolution strategies to cope with couple conflict, (b) perception of partner's resolution strategies, and (c) overall relationship satisfaction. The sample comprised 549 individuals, divided into two subsamples: (a) the confined group, individuals confined with their partners (n = 275); and (b) the comparison group, coupled individuals from a dataset collected before the pandemic (n = 274). Results indicate that the proposed model works in different contexts (non-confinement and confinement situations), but there are some significant differences in the magnitude of some of the relationships between the variables, being stronger in the confinement group than in the comparison group. In the confined group, in individuals with avoidant attachment, withdrawal was associated with lower relationship satisfaction and a higher demand partner perceived to a higher extent than in the comparison group. This might explain the lower satisfaction with the relationship of the confined group. The different conflict resolution strategies of the couple mediated between avoidant attachment and relationship satisfaction in both groups (confined and comparison). It is concluded that individuals' attachment orientation is a key factor in how individuals experienced their close relationships during the confinement.

Psychometric properties of the Spanish version of the Activities Scale for Kids (ASK): reliability, validity and the Rasch model.

AIMS: To evaluate the psychometric properties of the Spanish version of the Activities Scale for Kids capability (ASKc) and ASK performance (ASKp) questionnaires. DESIGN: It includes an analysis of different types of reliability (internal consistency, test-retest, inter-rater, Rasch model) and validity (convergent and discriminant) values. SETTINGS: The sample was recruited in schools, associations and one hospital in Spain. PARTICIPANTS: The main sample comprised 448 children (114 with disabilities); and 96 parents of the group of 114 children with disabilities, along with 2 therapists. METHODS AND PROCEDURE: Children with physical disabilities completed questionnaires at two different time points; while healthy children only once. Both ASK questionnaires were also administered to parents. Therapists observed 69 children in 15 of the 30 activities listed in the ASKc. PRIMARY AND SECONDARY OUTCOME MEASURES: ASKc and ASKp were used to measure physical disability among children. The Childhood Health Assessment Questionnaire (CHAQ), The Screening For and Promotion of Health-Related Quality of Life in Childrenand Adolescents - a European Public Health perspective (KIDSCREEN), Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS) and Functional Mobility Scale (FMS) were used to analyse convergent validity. RESULTS: Excellent values were obtained for the reliability of the scale. Internal consistency was >0.95 (Cronbach's α) for both questionnaires. The intraclass correlation coefficient test-retest reliability was 0.94 (ASKc) and 0.93 (ASKp). Correlations between parents' and children's scores were 0.91(ASKc) and 0.90 (ASKp); and the correlation between therapists' and children's scores was 0.78. The Rasch analysis indicated that the Spanish version had a unidimensional structure. Furthermore, the results revealed adequate validity indices. Both ASK questionnaires correlated significantly with the CHAQ, three dimensions of the KIDSCREEN and the GMFCS, MACS and FMS. Finally, children without disabilities had higher ASKc and ASKp scores than children with disabilities (p=0.0001). CONCLUSIONS: Both the ASKc and the ASKp versions are reliable and valid instruments that can be used to measure the capabilities of Spanish-speaking children, whose responses also demonstrate their own reliability as informants of the impact of disability on the activities of daily living.

Psychological withdrawal and mental health during the COVID-19 pandemic: a longitudinal study.

OBJECTIVE: The first objective was to track temporal changes in participants' mental health during the 2020 lockdown in Spain. Second, we tested whether age moderated the association between the use of psychological withdrawal and mental health over time. Design: Participants (N = 396, 74% women) completed three waves of a web-based survey during the lockdown. Age mean was 40.11 (sd = 12.66). MAIN OUTCOME MEASURES: Participants answered a set of sociodemographic data, the General Health Questionnaire (GHQ-12), and the Measures of Affect Regulation Scale (MARS). RESULTS: Disruptions and withdrawal were associated with more mental health symptoms (between 39% and 41% mental distress). Growth models showed that social dysfunction increased over time while dysphoric symptoms decreased. The use of withdrawal aggravated social dysfunction symptoms. Young people who use more withdrawal experienced more social dysfunction and dysphoria over time than those who used less withdrawal strategies. CONCLUSION: The differential trends in social dysfunction versus dysphoria symptoms suggest an adaptation process after the initial stress of the lockdown. Older age was correlated with less mental health problems and reflects age related improvements in emotional regulation.

A Cross-Cultural Sequential Model of the Association Between Young Spanish and Colombian Women Victims of Power Imbalance and Suicide Risk: The Mediating Role of Dating Violence and Rumination.

For young women, the power imbalance in favor of males in dating relationships has been related to dating violence (DV) victimization. In addition, the use of rumination to cope with DV may increase their psychological distress. The purpose of the current study was to examine whether experiences of DV and rumination mediate the association between power imbalance and suicide risk (SR). The sample comprised 1,216 young women aged between 18 and 28 years from Colombia (n = 461) and Spain (n = 755), in a heterosexual dating relationship, not married or cohabiting with a partner and without children. The following scales were applied: The Sexual Relationship Power Scale-Modified, The Dating Violence Questionnaire--R (DVQ-R); Cyberdating Abuse Questionnaire, Measure of Affect Regulation Scale (MARS), and The Spanish Suicide Risk Scale. A sequential mediation paths model was tested. Results indicated that power imbalance was associated with DV victimization. Furthermore, DV was associated with more rumination, which was also linked to a greater SR in both countries. Rumination may be a mechanism through which experiences of DV victimization negatively influence mental health in young women and is an important variable related cross-culturally to SR. The findings suggest an equality approach, addressing the power imbalance in dating relationships, empowering girls to prevent DV, and teaching coping strategies for dealing with victimization and its consequences.

Spanish validation of the Gamblers' Belief Questionnaire (GBQ). / Validación española de la escala "Gamblers Belief Questionnaire (GBQ)".

The objective of this study is to validate The Gambler's Beliefs Questionnaire, a measure of gamblers' cognitive distortions. The psychometric properties of the scale were analyzed with a Spanish sample of 515 participants aged from 16 and 24 years. Three scales related to pathological gambling (SOGS-RA and MAGS) and to social desirability were administered. A cross-sectional validation was performed, obtaining a scale with 21 items distributed in two independent factors (Luck/perseverance and Illusion of control). The internal consistency (α = .93) and test-retest reliability (r = .69) are adequate. GBQ scale scores correlate significantly with other measures of pathological gambling (SOGS: r = .35; MAGS: r = .40, both p ≤ .001). Higher levels of cognitive distortions are associated with a higher likelihood of being classified as a problem or at-risk gambler. GBQ scores are influenced by social desirability, although the effect sizes are small (r below .20). The GBQ is a useful instrument in the diagnosis and evaluation of the treatment of Spanish youths and adolescents with gambling problems.

El objetivo de este estudio es la validación española del "Gamblers Belief Questionnaire (GBQ)" que mide distorsiones cognitivas relacionadas con los problemas de juego. Se analizan las propiedades psicométricas de la escala en 515 jóvenes españoles, de 16 a 24 años. Se administraron tres escalas sobre juego patológico (GBQ, SOGS-RA y MAGS) y deseabilidad social. Se realizó una validación cruzada, obteniéndose una escala de 21 ítems con una estructura bifactorial (Suerte/Perseverancia e Ilusión de Control). La consistencia interna (α = ,93) y estabilidad temporal (r = ,69) de la escala son adecuadas. Las puntuaciones de la escala GBQ correlacionan de forma significativa con otras medidas de juego patológico (SOGS: r = ,35; MAGS: r = ,40, ambas p ≤ ,001). Un mayor nivel de distorsiones cognitivas se asocia a mayor probabilidad de ser clasificado como jugador con problemas o de riesgo. Las puntuaciones del GBQ están influenciadas por la deseabilidad social, aunque los tamaños del efecto son pequeños (r menores a ,20). El GBQ es un instrumento útil en el diagnóstico y evaluación de tratamientos de jóvenes y adolescentes españoles con problemas de juego.

Problem-Focused Coping Strategies Used by Victims of Gender Violence Across the Stages of Change.

This study compares the problem-focused emotion regulation strategies used by 200 female survivors of intimate partner violence (age: M = 40.16, SD = 11.27, 18 - 66 years) to cope with violence throughout various stages of change (SOC). It examines the relationship between problem-focused coping strategies and positive and negative affect, and the impact of these variables on the different SOC. Results suggest that victims differ and are flexible in the use of strategies throughout the various SOC. During the initial stages, victims tend to use passive/maladaptive behaviors that hamper change, while in the later stages they use more active/adaptive strategies to leave the abusive relationship.

Blood pressure and Alzheimer's disease: A review of meta-analysis.

Background: Alzheimer's disease (AD) is a neurological disorder of unknown cause, resulting in the death of brain cells. Identifying some of the modifiable risk factors for AD could be crucial for primary prevention and could lead to a reduction in the incidence of AD. Objective: This study aimed to perform a meta-meta-analysis of studies in order to assess the effect of blood pressure (BP) on the diagnosis of AD. Method: The search was restricted to meta-analyses assessing high systolic BP (SBP) and diastolic BP (DBP) and AD. We applied the PRISMA guidelines. Results: A total of 214 studies were identified from major databases. Finally, five meta-analyses (52 studies) were analyzed in this review. Results confirm that high SBP is associated with AD. The exploration of parameters (sex, age, study design, region, and BP measurements) shows that only region significantly moderates the relationship between BP and AD. Asian people are those whose SBP levels >140 mmHg are associated with AD. BP is associated with AD in both people aged ≤65 years and those aged ≥65 years and in cross-sectional and longitudinal studies. In the case of DBP, only women are at a higher risk of AD, particularly when its levels are >90. Conclusion: SBP is associated with both cerebrovascular disease and AD. Therefore, future studies should use other uncontrolled factors, such as cardiovascular diseases, diabetes, and stroke, to explain the relationship between SBP and AD.

Posttraumatic Stress Symptoms Among Polyvictimized Women in the Colombian Armed Conflict: The Mediating Role of Social Acknowledgment.

For decades, in a situation of armed conflict in Colombia, women have suffered polyvictimization and discrimination with severe consequences that last even during the post-war peace process. This study analyzes the impact on posttraumatic stress and recovery of war-related violence against women, discrimination, and social acknowledgment. A cross-sectional study was conducted in 2019-2020. Participants were 148 women with a mean age of 47.66years (range 18-83), contacted through the NGO Ruta Pacifica de las Mujeres who had experienced significant personal violence. Results show that levels of perceived discrimination and lack of social acknowledgment are mediators in the relationship between polyvictimization and posttraumatic stress symptoms. Recognition by significant others, disapproval by family and the larger social milieu affects different posttraumatic stress disorder (PTSD) dimensions and therefore how these women adapt to the effects of trauma. Findings provide strong evidence that the way society and family treats women after a traumatic event affects how the victim recovers from this event. Recognition as a victim and disapproval can coexist and be a burden for women if not adequately addressed. Results stress the importance of understanding and intervening in PTSD recovery through the analysis of social processes, and not only through and individual focus.

Perceived Vulnerability and Severity Predict Adherence to COVID-19 Protection Measures: The Mediating Role of Instrumental Coping.

The COVID-19 disease has caused thousands of deaths worldwide and required the rapid and drastic adoption of various protective measures as main resources in the fight to reduce the spread of the disease. In the present study we aimed to identify socio cognitive factors that may influence adherence to protective measures toward COVID-19 in a Spanish sample. This longitudinal study analyzes the predictive value of perceived severity and vulnerability of infection, self-efficacy, direct exposure to the virus, and instrumental focused coping style for adhering to infection protection behaviors during the first months of the COVID-19 pandemic. It also tests sex and age differences in these factors and changes over time. A two-wave longitudinal study (N = 757) was conducted in March and April 2020 starting the day after a strict national lockdown was decreed in Spain. A path analysis was used to test direct and indirect effects between vulnerability and the adherence to protective behaviors. Results suggest that individuals' perceived severity and vulnerability to COVID-19 and instrumental coping strategies are related to the use of more protective behaviors. This coping strategy mediates the effect of perceived vulnerability on engaging in protective behaviors, and this effect depends on direct exposure to COVID-19 and perceived self-efficacy moderators. Results suggest that recognizing one's own abilities to engage in instrumental actions may facilitate adherence to protective measures in people who had not been directly exposed to COVID-19. Therefore, adopting instrumental coping strategies to manage an individual's perceived vulnerability to infection may positively impact the adherence to protective behaviors, especially during the onset of an unexpected threat and when there is no prior direct experience with the situation.

Depression as a Risk Factor for Alzheimer's Disease: A Systematic Review of Longitudinal Meta-Analyses.

Alzheimer's disease (AD) is the most frequent cause of dementia, linked to morbidity and mortality among elderly patients. Recently, several clinical studies suggested that depression is a potential risk factor for cognitive decline and AD. A review of meta-analyses was performed, calculating pooled odds ratios to estimate the risk of AD in people with a prior diagnosis (or clinically significant symptoms) of depression. A total of six meta-analyses which represented 28 individual studies were analyzed. A significant association between depression and AD was found (OR = 1.54, 95% CI [1.02-2.31]; p = 0.038). The results showed that heterogeneity across studies was substantial. We found a significant positive effect size for clinical measures of depression, but not for symptomatic rating scales, in the association of depression with risk of AD. The type of rating scale used to assess depression and the cut-off criteria selected also moderated the relationship between depression and AD risk. We found that studies that used clinically significant criteria for diagnosis of depression had more consistent and significant results than studies that used symptomatic scales.

Age differences in emotion regulation during ongoing affective life: A naturalistic experience sampling study.

A well-documented finding in aging and emotion research is that older adults reliably report less negative and, often, more positive affect than younger adults. How older people accomplish this is, however, an open question. We propose that this age effect is the result of differential use of emotion regulation strategies, especially when affective states call for them. We assessed a wide range of emotion regulation strategies over 2 months of daily life (60 consecutive days, N = 9,089 observations). Sample was composed of N = 153 participants (52% female; 62.09% White, 19.61% Black or African American, 9.80% Asian,1.96% Hispanic or Latino, 1.31% Native American, and 5.23% were missing cases) ranging in age from 18 to 84 years, (M = 45, SD = 20.02). We compare three age groups: young (n = 50, college students, median age of 21 years), middle aged (n = 52, university graduates, median age 44 years), and older (n = 51, university graduates, median age of 68 years). Using mixed model analyses of mood regulation strategy use, we find a main effect for age, negative affect (NA), and an interaction between NA and age, meaning that, in general, older participants' use of emotion regulation strategy was higher with negative affect than for younger participants. In summary, older participants used a wider variety of emotion regulation strategies, and they used them most when their affective states called for them, compared to younger participants. Results are interpreted along the lines of an "older but wiser" perspective on emotional well-being and aging. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

The Effects of a Community Animation Program in a Rural Setting on the Participants' Quality of Life.

BACKGROUND: This study presents the evaluation of a Community Animation Program (CAP) conducted in a rural town in Spain aimed towards improving the participants' Quality of Life. The program includes animation, culture, and leisure activities to improve not only the inhabitants' Subjective Quality of Life but also social cohesion and enhance a sense of community belonging. METHODS: A repeated measure pre/post-test design with an experimental and equivalent control group (55 participants per group) was used to evaluate the efficacy of the Program. Instruments included measures of Quality and Satisfaction of Life, Happiness, Positive and Negative Affect, Mental Health, Self-esteem, Loneliness and Community Support. The number of participants practically included the whole universe of town members participating in community activities. RESULTS: The program improved the participants' Quality of Life, with a stronger impact on the relational, community and environmental dimensions as well as psychological wellbeing. Community animation prevents isolation and loneliness and creates social cohesion. Social interactions improve life satisfaction of the participants. CONCLUSION: The CAP enhances integration, leisure and interaction and generates more positive affect, happiness and social wellbeing. Promoting recreation centres and programs in rural settings may improve inhabitants' health and general wellbeing as well as enhancing social connectedness.

Cholesterol and Alzheimer's Disease Risk: A Meta-Meta-Analysis.

BACKGROUND: Alzheimer's disease (AD) is the most common subtype of dementia. In the last ten years, the relationship between cholesterol and AD has been investigated. Evidence suggests that cholesterol is associated with AD and represents promising targets for intervention. However, the causality of these associations is unclear. Therefore, we sought to conduct a meta-meta-analysis to determine the effect of cholesterol on the development AD. Then, we assessed the effect of serum levels of low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C), total cholesterol (TC) and triglycerides (TG), on AD risk. METHODS: A systematic search of meta-analyses was conducted. Scopus, Web of Science, Science direct, PubMed and Google academic system databases were reviewed. RESULTS: We found 100 primary studies and five meta-analyses to analyze the relationships between cholesterol and AD. The total effect of cholesterol on risk of AD was significant and heterogeneous. Subgroup analysis shows that LDL-C levels influence the development of AD. However, non-significant effects of HDL-C, TC and TG levels on AD were found. CONCLUSIONS: These results strengthen the evidence that LDL-C cholesterol levels increase risk for AD. More initiatives to investigate the relationship between cholesterol and AD are needed.

Off- and Online Heterosexual Dating Violence, Perceived Attachment to Parents and Peers and Suicide Risk in Young Women.

Dating violence (DV) is a public health problem among young people, especially women. It involves violent acts towards one's partner and occurs face-to-face (offline) or through the Internet (online). Offline DV is linked to suicidal ideation and attachment to parents and peers. Fewer studies analyze the psychological and social consequences of online DV. This study tests the link between young women's DV victimization (off- and online), suicide risk (SR), and parent and peer support in a sample of young Spanish females (N = 1227) (Mage=19, SD = 2.82; range = 13-28). Results confirm that compared to non-victims off- and online DV increase suicidal thoughts and attempts. This effect is stronger for victims of both types of DV (thoughts: OR offline DV = 3.11; CI95% 2.06, 4.69; OR online DV = 2.37; CI95% 1.69, 3.32; OR off-online DV = 4.19 CI95% 2.44, 7.17) (attempts: OR offline DV = 4.02; CI95% 1.83, 8.81; OR online DV = 3.69; CI95% 1.96, 7.01; OR off-online DV = 10.55 CI95% 2.56, 44.43). Mediation and moderation models were used to assess the effect of perceived attachment of parents and friends in DV victims and SR. Mediation analyses indicated that perceived attachment and proximity to parents and peers reduces the impact of DV on SR. Moderation analyses showed that a high level of perceived peer attachment reduces the effect of offline DV on SR. Regarding off-online DV, a high level of perceived parent attachment mitigates suicide risk. Loneliness, lack of care from loved ones, and thwarted belongingness increase suicidal thoughts in DV victims. Peers and parents' proximity may prevent risk behaviors in DV victims.

The Role of Emotional Intelligence and Sociocultural Adjustment on Migrants' Self-reported Mental Well-Being in Spain: A 14 Month Follow-Up Study.

The analysis of mental and psychological health is a relevant public issue in modern societies. Migration is a process that may have a lasting impact on a person's mental well-being. In this study, perceived health, emotional intelligence, sociocultural adjustment and the participants' perceived general situation, not only economical, were analyzed to attest their impact on psychological distress as a measure of mental well-being. Sixty-three migrants from Romania and Ecuador were contacted twice during a 14 month period in a middle-sized Spanish city. Attrition analyses show no significant differences in perceived psychological distress between those who participated only one time or who participated in both waves. Less psychological distress is related to less attention to one's feelings and higher mood repair in both data waves. Stronger behavioral adjustment is also linked to less distress. Less distress in time 1 led to better perceived health, sociocultural adjustment and a perception of a better general situation in Spain in comparison to their home country in time 2. In general, more attention to negative feelings triggered more perceived psychological distress, whereas mood repair elicited less psychological distress, in time 2. The relevance of understanding the impact of emotional intelligence to health promotion programs with migrants is discussed.

La violencia en el noviazgo (VN): una revisión de meta-análisis / La Dating violence (DV): a systematic meta-analysis review

Esta revisión bibliográfica sintetiza los resultados de estudios meta analíticos sobre factores de riesgo y protección asociados a la Violencia en el Noviazgo (VN). Se incluyeron 15 meta-análisis publicados entre 1997-2018, N = 1784018, y se clasificaron según el modelo socio-ecológico. Se calcularon las Zr media para cada variable y nivel, incluyendo las diferencias en los tamaños del efecto medio entre victimización y perpetración de VN y, posteriormente, se transformaron a r. Se encontró que los factores de riesgo con mayor peso asociados a VN, según nivel, fueron: (1) individual: consumo de tabaco y embarazo precoz (victimización) y sexo (perpetración/victimización); (2) microsistema: acoso sexual de pares (victimización), VN de los pares, tener amigos con conductas problemáticas y sufrir violencia en familia de origen (perpetración/victimización); (3) exosistema: edad (victimización) y barrio (perpetración/victimización) y (4) macrosistema: minoría cultural y desventaja económica (perpetración/victimización). Factores protectores de VN fueron: apoyo social de pares y parentalidad positiva, pero con menos peso. El tamaño del efecto fue mayor para las variables de nivel exo, frente a las macro, individual y micro respectivamente. Hay diferencias entre los tamaños del efecto totales, siendo en el exosistema mayor en victimización que en perpetración. Delimitar los factores de riesgo y protección con mayor efecto sobre VN resulta fundamental para prevenir este problema

This study summarizes the results of meta-analyses about risk and protective factors related to dating violence (DV). Fifteen studies were included from 1997 to 2018, N = 1784018. The results were classified according to ecological theory. The Zr’s were calculated for each factor and level of analyses, including the differences between victimization and perpetration effect sizes. According to the level of analysis, results showed that the effect sizes were greater for: (1) individual level: cigarette smoking, adolescent pregnancy (victimization) and sex (perpetration/victimization); (2) microsystem: peer sexual harassment, (victimization), peer DV, deviant peers and family violence (perpetration/ victimization); (3) Exosystem: age (victimization) and violent neighborhoods (perpetration/ victimization), and (4) macrosystem: cultural minority and disadvantaged neighborhoods (perpetration / victimization). DV protective factors which had lowest effect sizes were: parental and peers support; and highest effect sizes were in the exo and macro-level, and then in individual and micro-level. Furthermore, statistically significant differences between total effect sizes were found, being higher to victimization than perpetration. Delimiting the most important risk and protective factors on DV have important implications for prevention and intervention

"Mouth Wide Shut": Strategies of Female Sex Workers for Coping With Intimate Partner Violence.

The aim of this study was to explore the relationship between possible violence suffered by female sex workers in their intimate relationships, with their affects, coping strategies, and emotional regulation to overcome such violence and improve their well-being. Structured personal interviews were carried out with female sex workers in three different settings: street, club, and flats. The sample was composed of 137 Spanish female sex workers (85.4% are foreign and 20% Spanish-born sex workers). High levels of tension and problems with their partners were linked to an affective imbalance and poor well-being. Positive affectivity determined the use of adaptive strategies, whereas negative affectivity predicted dysfunctional strategies. Three different path analyses and theoretical support concluded that self-control was the only strategy related to improve well-being in female sex workers who reported lower potential tension and difficulty in their intimate relationships. In contrast, inhibition was associated with an increase on distress levels when negative affectivity predominated and sex workers had reported potential tension and difficulty situations with their partners. It was a cross-sectional study, and thus we cannot infer causality or direction from the observed associations. Given these findings, violence prevention strategies in the intimate relationships should be prioritized in the prostitution context.