Silva, Joana Ribeiro da
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Silva
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Joana Ribeiro da
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Joana Ribeiro da Silva
Biography
Concluiu o(a) Doutoramento em Doutoramento em Psicologia Clínica em 2011 pelo(a) Universidade do Minho e Licenciatura em Psicologia, área de pré-especialização em Psicologia Clínica em 2005 pelo(a) Universidade do Minho. É Professora Auxiliar na Universidade Portucalense Infante Dom Henrique, Departamento de Psicologia e Educação.
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011A-FC28-0157
36612283800Research Projects
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CINTESIS.UPT - Centro de Investigação em Tecnologias e Serviços de Saúde
Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS.UPT), former I2P, is an R&D unit devoted to the study of cognition and behaviour in context. With an interdisciplinary focus, namely on Education, Translational and Applied Psychology
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Publication Open Access Relational schemas as mediators of innovative moments in symptom improvement in major depression2017-08-05 - Batista, João; Freitas, Sara; Alves, Daniela; Machado, Anabela; Sousa, Inês; Fernández-Navarro, Pablo; Magalhães, Carina; Gonçalves, Miguel M.; Silva, Joana Ribeiro daObjectives: Innovative moments (IMs) are exceptions to the maladaptive framework of meaning that typically motivates clients to seek psychotherapy, and previous studies have shown that IMs are associated with psychotherapy outcomes. While IMs are exceptions that occur at the level of the therapeutic conversation, relational schemas are more stable patterns, and their increased flexibility may facilitate change during psychotherapy. With this in mind, we tested the hypothesis that IMs contribute to outcomes by improving the flexibility of relational schemas. Method: The Core Conflictual Relationship Theme (CCRT) was used to assess relational schemas. IMs were evaluated using the Innovative Moments Coding System. The sample included 22 clients diagnosed with major depressive disorder. The flexibility of the three components of the CCRT (Wishes, responses of the self (RS), and responses of others (RO)) were tested as mediators between IMs and outcomes. Results: The flexibility of the RS was a mediator between IMs and outcomes, but Wishes and RO were not. Conclusion: These findings align with previous research showing that RS is the component most open to change, whereas the other components seem less sensitive to change during brief therapy.Publication Open Access The meaning in loss protocol: A clinical trial of online grief therapy2024-06-28 - Batista, João; Alves, Daniela; Pires, Nuno; Silva, Joana Ribeiro da; Mendes, Inês; Magalhães, Carina; Rosa, Catarina; Oliveira, João Tiago; Gonçalves, Miguel M.; Neimeyer, Robert A.For a minority of the bereaved, the loss of a significant other can trigger an overwhelming emotional reaction and impaired functioning across life domains, known as prolonged grief disorder (PGD). Hence, ongoing efforts have been made to refine existing treatments to increase their efficacy and to accommodate the idiosyncrasies of grief reactions. This study presents the results of an open clinical trial of the feasibility and effectiveness of the Meaning in Loss (MIL) protocol in an online format. The brief intervention of 12 to 16 sessions combines constructivist and narrative strategies to explore and work through impediments to meaning reconstruction in loss. The sample included 25 participants diagnosed with PGD who were treated by six therapists. Baseline and post-therapy comparisons showed a significant improvement in all clinical measures (grief symptomatology, depression and general distress) and an increase of meaning making regarding the loss. Meaning making was found to be a prospective mediator of symptomatic improvement in grief across the course of therapy. These findings suggest the effectiveness of the MIL protocol in decreasing grief specific and associated symptomatology and argue for the relevance of further controlled evaluations of its efficacy. Moreover, results confirm previous findings that meaning making is a relevant factor in the evolution of grief reactions, including in the context of psychotherapy.Publication Open Access A qualitative study of social anxiety and impairment amid the COVID-19 pandemic for adolescents and young adults in Portugal and the US2022-11-24 - Coyle, Samantha; Masia, Carrie; Martin, Grace; Wimmer, Jessica; Kalvera, Avi; Jeyanayagam, Britney; Lekas, Helen-Maria; Ganho-Ávila, Ana; Lima, Luiza; Xavier, Ana; Vagos, Paula; Silva, Joana Ribeiro daThis qualitative investigation explored the social and academic experiences of socially anxious adolescents and young adults in Portugal and the US as they lived through the restrictions imposed by the COVID-19 pandemic. Participants were 10 Portuguese adolescents (mean age = 16.9 years; 50% female) and 7 young adults in the US (mean age = 19.67 years; 71% female; racially/ethnically diverse). Participants completed a semi-structured interview evaluating how the pandemic and social restrictions impacted social anxiety symptoms and associated functional impairment in social and academic domains. Thematic analysis was used to categorize responses across developmental stages and countries. Findings show consistent patterns across cultures, with symptoms of SAD extending to virtual contexts. Participants reported avoidance behaviors that were reinforced by social distancing mandates and declines in academic engagement during remote learning. Anticipatory anxiety about the return to normal social routines was also evident. Schools should be aware of the impact of social confinement on socially anxious students as they return to in person school schedules and social demands.Publication Open Access The role of mother’s prenatal compassion and psychological flexibility in postpartum mother-to-infant bonding [comunicação oral]2023-07 - Mateus, Vera; Veloso, Bruna; Xavier, Ana; Palmeira, Lara; Vagos, Paula; Silva, Joana Ribeiro daThe transition to motherhood encloses several challenges that can hinder women’s psychological well-being and impact mother-baby bonding. Therefore, it is important to investigate which maternal characteristics promote their bond to the infant, especially those that can be modified through targeted interventions. This work aims to examine whether mother’s prenatal compassion and psychological flexibility have an impact on mother-infant bond in the postpartum period. Participants are 298 pregnant women between 22 and 30 weeks of gestation and with a mean age of 32 years old (SD = 4.43). Women completed the Comprehensive Assessment of Acceptance and Commitment Therapy Processes and the Compassion Action and Engagement Scales during pregnancy, whereas mother-infant bonding was measured at 3-months postpartum via the Postpartum Bonding Questionnaire. Data collection of the postpartum assessment is ongoing. We expect that higher levels of mother’s prenatal compassion and psychological flexibility will predict better quality of mother-baby bonding. The study findings can inform future studies in designing and testing specific parental interventions to foster a positive and secure mother-infant bond in the postpartum period.Publication Open Access Can psychological flexibility discriminate mothers' attachment styles? A study during pregnancy [comunicação oral]2023-07 - Moreira, Susana; Sousa, Mariana; Veloso, Bruna; Palmeira, Lara; Xavier, Ana; Vagos, Paula; Silva, Joana Ribeiro daPsychological flexibility (PF) has been associated with greater well-being, less psychopathology and better parent’s and child’s adjustment (Fonseca et al., 2020; Monteiro et al., 2019). [...]Publication Open Access The longitudinal impact of psychological flexibility and compassion on mother-baby bonding: Care4mmmies study protocol [comunicação oral]2023-03-30 - Mateus, Vera; Palmeira, Lara; Xavier, Ana; Silva, Joana Ribeiro da; Vagos, PaulaBecoming a mother is a life-changing event that is often experienced in a positive way, but may also encompass great vulnerability and uncertainty, with the potential to hinder the mother’s well-being and foster disorganization, particularly for women with attachment difficulties dealing with a difficult infant. Risk factors to the quality of mother-infant emotional bonding are well documented, whereas research into the mothers’ protective and modifiable factors is scarcer. Psychological flexibility and compassion are adaptive emotional regulation strategies that have been linked to the wellbeing and mental health in diverse populations. The current work intends to present the Care4mommies project, which aims to examine whether prenatal maternal compassion (towards others and the self) and psychological flexibility play a protective role in the development of postpartum mother-infant bonding over time and whether this effect remains relevant regardless of mothers’ attachment style and infant temperament. Participants will be pregnant women to be assessed between 22 and 30 weeks of gestation (T0) and when the infant is three (T1) and nine months old (T2). Participants will respond to an online survey that includes sociodemographic information and questionnaires about their compassion and psychological flexibility to be completed at all three assessments. In addition, mothers’ own attachment style will be reported during pregnancy, and infant temperament and mother-infant bonding questionnaires will be administered at T1 and T2. Recruitment will take place through social media advertising, colleagues and acquaintances of the research team members, and family health units attending pregnant women. Data will be analysed using a structural equation modelling approach. Overall, we expect that higher levels of mother’s compassion and psychological flexibility will predict higher quality of mother-infant bonding. In addition, we expect that the impact of less adaptive maternal attachment styles and infant difficult temperament on mother-infant bonding will be moderated by mother’s compassion and/or psychological flexibility. Finally, we expect mother-infant bonding at T2 to be predicted by mothers’ attachment style, compassion and psychological flexibility, infant temperament, and mother-infant bonding previously assessed. The study findings will clarify whether mothers’ compassion and psychological flexibility may be protective for mother-infant bonding, which can inform future studies in designing and testing specific parental interventions to promote a secure mother-infant bond in the postpartum period.Publication Open Access Care4Mommies in action: Study protocol for promoting maternal psychological adjustment in the perinatal period [comunicação oral: poster]2025-05-28 - Palmeira, Lara; Xavier, Ana; Conde, Ana; Silva, Joana Ribeiro da; Vagos, PaulaBecoming a mother is a life-changing event that requires mothers’ emotional regulation skills, namely self-compassion, to facilitate this transition. Compassion-based interventions (CBIs) may be useful, but their application to promote maternal wellbeing and mother-baby bonding has been scarcely considered. The current work aims to explore the acceptability, feasibility and preliminary efficacy of a CBI applied during pregnancy on the well-being and quality of mother-baby bonding at postpartum. To do so, two interlinked studies will be conducted. Study 1 will use a mixed-method design to investigate the acceptability and feasibility of the intervention. Nurses practicing in prenatal services and pregnant women will be asked, via focus group, on their anticipated acceptability of the CBI so that it can be tailored to the context and the individual’s needs. Then, those pregnant women will be offered the CBI as asked for pre- and post-intervention quantitative data on self-compassion related constructs, maternal-fetal attachment, and mental health; they will also be asked for their qualitative appraisal of procedure of the intervention. This will inform necessary adjustment to the CBI. Study 2 will then use a pilot cluster randomized trial to investigate the efficacy of the CBI. Mothers enrolled in group birth preparation courses (i.e., TAU) will be randomly enrolled to the CBI plus TAU or the CBI alone and assessed at pre-intervention, post-intervention prepartum, and 3-months follow at postpartum. They will be asked for quantitative data on the same constructs assessed in Study 1, except for maternal-fetal attachment that will be replaced with mother-baby bonding at follow-up. This work will allow for the development and initial efficacy evaluation of a tailored intervention that may contribute to mother’s well-being and their ability to cope with becoming a mother and bonding with their baby, which in turn may facilitate the child’s later emotional, social and cognitive development.Publication Open Access Terapia narrativa de reautoria2018 - Baptista, João; Magalhães, Carina; Pinheiro, Patrícia; Ribeiro, António; Catarina, Rosa; Gonçalves, Miguel M.; Silva, Joana Ribeiro da