Xavier, Ana
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Xavier
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Ana
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Ana Xavier
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Ana Xavier. Doutorada em Psicologia, especialidade em Psicologia Clínica, pela Faculdade de Psicologia e Ciências da Educação da Universidade de Coimbra. Professora Auxiliar na Universidade Portucalense Infante D. Henrique (UPT, Porto). É investigadora no CINTESIS – pólo UPT, e investigadora colaboradora no Centro de Investigação em Neuropsicologia e Intervenção Cognitivo-Comportamental (CINEICC) da Universidade de Coimbra. É Psicóloga Clínica, com experiência na prática privada, exercendo atualmente funções no PIN – Partners in Neuroscience, Porto.
Afiliação:
I2P - Instituto Portucalense de Psicologia.
DPE - Departamento de Psicologia e Educação.
I2P Instituto Portucalense de Psicologia.
Centro de Investigação em Neuropsicologia e Intervenção Cognitivo-Comportamental (CINEICC), Universidade de Coimbra.
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RISE-HEALTH@UPT
A RISE-Health tem seis linhas de investigação: Investigação Clínica e Translacional em Ciências Cardiovasculares; Investigação Clínica e Translacional em Oncologia; Investigação Clínica e Translacional em Doenças Inflamatórias e Degenerativas; Política de Saúde, Tecnologia e Transformação Digital; Saúde Comunitária e Desafios Societais.
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Publicação Acesso Aberto Promover a literacia emocional em adultos: A raiva [material pedagógico/poster]2025-05-12 - Teixeira, Beatriz; Cerqueira, Eduarda; Pereira, Maria; Pais, Francisca; Soares, Beatriz; Xavier, Ana; Palmeira, Lara; Santos, SusanaPoster desenvolvido no âmbito da 3ª Edição da Semana da Sustentabilidade: O futuro é hoje.Publicação Acesso Restrito The role of self-compassion in the psychological (mal)adjustment of older adults: a scoping review2020-07 - Tavares, Lúcia; Xavier, Ana; Vagos, PaulaBackground: The identification of protection factors regarding older adults’ mental health is essential. Self-compassion, the capacity to be kind towards the self during challenging times, may be one such factor. Although still scarce, some research in this field has already been conducted with older adults. Our research question was the following: what is currently known about the role of self-compassion in the psychological (mal)adjustment of older adults? Objectives: To review any study designs, in any setting, where self-compassion and any indicators of psychological (mal)adjustment were assessed in participants aged ≥60 years. Design: A scoping review of English, Portuguese, and Spanish published and unpublished materials, using the EBSCOhost Research and PubMed databases and reference lists. Search terms included self-compassion, self compassion, older adults, elderly, seniors, and geriatrics. After screening and selection of the studies, we charted the relevant data. Results: Eleven published studies (2012–2018) were reviewed. Self-compassion was associated with, and a predictor of, diverse mental health indicators in older adults. Self-compassion was also associated with indicators of physical health, moderated the relationship between physical health indicators and mental health indicators, and mediated the relationship between diverse mental health indicators. Results were obtained with participants of different nationalities and age. All studies had a cross-sectional design, and most studies recruited well-functioning community residents. Conclusions: Self-compassion is beneficial for the psychological adjustment of older adults and may also benefit their biological functioning. Self-compassion seems particularly relevant for those experiencing more negative life events. Studies with more robust methodologies are needed in order to replicate these findings.Publicação Acesso Restrito Longitudinal pathways for the maintenance of non-suicidal self-injury in adolescence: The pernicious blend of depressive symptoms and self-criticism2017-05-22 - Pinto-Gouveia, José; Cunha, Marina; Dinis, Alexandra; Xavier, AnaNon-suicidal self-injury (NSSI) is a serious and alarming phenomenon during adolescence. There is a need for understanding the intrapersonal variables that might contribute to the maintenance of these self-injurious behaviors. This study aims to concurrently compare intrapersonal variables between adolescents with and without a lifetime history of NSSI, and to longitudinally test whether NSSI over lifetime history predicts 6-months NSSI through self-criticism and depressive symptoms among Portuguese adolescents with a self-reported history of NSSI. Adolescents (N = 418, 12–19 years-old) from middle and secondary schools completed self-report questionnaires to assess self-criticism (particularly, the most severe form: hated self), depressive symptoms, and the frequency of NSSI in two points in time over the 6-months interval. Adolescents who reported a lifetime history of NSSI tend to experience greater harsh and persecutory criticism towards themselves and elevated depressive symptoms than adolescents without a history of NSSI. Results from path analysis showed that lifetime NSSI predicts subsequent NSSI, and this association is mediated by self-hatred and depressive symptoms among adolescents with lifetime NSSI. Findings suggest that NSSI is maintained through a sense of self-focused on hatred and disgust feelings and depressive symptoms.Publicação Acesso Aberto Southampton mindfulness questionnaire: Confirmatory factor analysis and psychometric properties across portuguese clinical and non‐clinical samples2021-08-15 - Martins, Maria João; Marques, Cristiana C.; Guiomar, Raquel; Castilho, Paula; Xavier, Ana; Palmeira, LaraObjectives Southampton Mindfulness Questionnaire (SMQ) is one of the available instruments to assess mindfulness and has been described as particularly suited for clinical populations. The original study of the SMQ conceptualized it as having four facets, but yielded a single factor structure. The aim of this study was to confirm the SMQ factor structure and examine its psychometric properties in clinical and non-clinical Portuguese samples. Methods The community sample comprised 243 participants, ranging from 18 to 77 years. Additionally, to assess sensitivity, two distinct samples were used: individuals with meditation experience (n = 30) and a clinical sample (43 individuals with psychosis). Factor structure, reliability, validity, and sensitivity analyses were performed. Results Confirmatory factor analyses of the SMQ seem to support one overarching mindfulness construct containing four facets, revealing an acceptable fit through a parceling method. Significant correlations were obtained between SMQ and another mindfulness measure, and also with measures of cognitive fusion, and positive and negative affect. Results also indicated significant differences in SMQ non-judging facet between meditators and non-meditators and clinical samples. Conclusions The results indicate that although the SMQ has shown adequate reliability and validity, some limitations to the measure have been found. Further studies are needed, particularly with clinical samples, to determine how the current SMQ version could be improved and whether it should be revised.Publicação Acesso Restrito Positive emotional memories, stigma, and mental health in sexual and gender minority adults: The mediating role of self-compassion and social support2025-06-23 - Palmeira, Lara; Silva, Joana; Veloso, Bruna; Xavier, AnaLiterature reveals that memories of warmth and safeness, self-compassion, and social support are positively related to mental health. The present study aimed to analyze the impact of early memories of warmth and safeness and internalized homophobic stigma on mental health, through self-compassion and perceived social support, in sexual and gender minority adults. With a cross-sectional design, this study included a sample of 203 sexual and gender minority individuals (Meanage = 27.74; Standard Deviationage = 8.75). Data collection occurred online between March and June 2022. Self-report ques- tionnaires were administered to assess the constructs under study. Positive correlations were found between early positive memories, self-compassion, perceived social support, and mental health. On the contrary, internalized stigma showed significant and negative correlations with self-compassion, perceived social support, and mental health. In addition, results confirmed the indirect effects of memories of warmth and safeness on mental health through self-compassion and social support. Also, the impact of stigma on mental health occurred entirely through self-compassion and social support. These results suggest the importance of promoting self-compassion and social support to address internalized stigma and thus improve sexual and gender minority adult’s mental health.Publicação Acesso Aberto 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.Publicação Acesso Aberto SAFE schools: Feasibility and impact of a universal comprehensive approach to managing adolescent aggressive behavior in schools2025-10-01 - Alves, Francisca; Monteiro, Catarina; Rijo, Daniel; Vagos, Paula; Xavier, AnaWe investigated the feasibility and outcomes of ‘SAFE schools’ , a comprehensive and universal intervention approach to school-based adolescent aggression, applied to students and/or teachers. Though a minority of schools were receptive to the intervention, those who were considered the interventions socially valid. Quantitative data taken from 145 students and 53 teachers allocated to one of four conditions (i.e., teacher-only, student-only, combined intervention, no- intervention) show increased relational and reputational aggression for all conditions and increased overt aggression for the combined intervention, from pre- to post-intervention. Alternatively, students reported increased awareness of their difficulties and perceived relevant changes following the intervention. An increased use of an authoritarian teaching style was observed in the teachers-only condition. Qualitative data suggests increased knowledge on aggressive behavior and the adoption of alternative behaviors by both students and teachers. These findings highlight the importance of distinguishing between awareness and behavioral practice, as well as considering the characteristics of school contexts and the target population when implementing interventions and accessing outcomesPublicação Acesso Restrito Rumination in adolescence: The distinctive impact of brooding and reflection on psychopathology2016-06-20 - Cunha, Marina; Pinto-Gouveia, José; Xavier, AnaRumination has a crucial role in the onset, severity and maintenance of depression in adolescent and adult populations. The Ruminative Responses Scale (RRS) is the most widely self-report instrument used to assess individual differences in the tendency to engage in ruminative responses style. This paper aims to test the factor structure of the 10-item RRS and the gender-based measurement invariance, in a community sample of adolescents, using a Confirmatory Factor Analysis. Participants were 542 adolescents (53% females) with a mean age of 14 years old (SD = 1.75) from middle and secondary schools (years of education’s mean = 9.46, SD = 1.60) in Portugal. Results confirm the two-factor structure of the RRS composed by brooding and reflection dimensions (GFI = .93, CFI = .90, TLI = .87, SRMR = .05, RMSEA = .11, 90% C.I. [0.092 to 0.121]) and the invariance across gender (GFI = .91, CFI = .89, TLI = .85, RMSEA = .08, 90% C.I. [0.069 to 0.090], p < .001). RRS and their dimensions presented a good internal reliability (Brooding: α = .80; Reflection: α = .75; RRS total: α = .85). Brooding and reflection dimensions revealed moderate correlations with depression, anxiety and stress symptoms (p < .001). Multiple Regression Analysis through Structural Equation Modelling (SEM) showed that brooding is significantly and strongly associated with internalizing symptoms (p < .001). Female adolescents reported more levels of rumination than male adolescents. Overall, these findings support the usefulness of the Portuguese version of RRS and suggest that this short version is an economical, valid and reliable measure to assess ruminative response styles in adolescence.Publicação Acesso Aberto The forms of self-criticising and self-reassuring scale: Short form for adolescents: Psychometric properties in clinical and non-clinical portuguese samples2023-07-31 - Cunha, Marina; Salvador, Maria Céu; Castilho, Paula; Xavier, AnaBACKGROUND: Self-criticism is a psychological process largely studied as a vulnerability factor for several psychological difficulties in the adult population and, to a lower extent, in adolescent samples. Thus, the availability of instruments to effectively capture this construct is important, especially for younger populations. OBJECTIVE: This study examined the factor structure, measurement invariance to group samples, and psychometric properties of the short version of the Forms of Self-criticism and Self-reassuring Scale (FSCRS-SF) in Portuguese adolescents in non-clinical and clinical samples. METHODS: Two non-clinical samples (N = 1224 and N = 140) and a clinical sample (N = 103) were used. Participants' ages ranged between 12 and 18 years old for both genders. Participants voluntarily completed a set of self-report questionnaires in the classroom. 418 adolescents completed the FSCRS 6-weeks after the first administration. RESULTS: Confirmatory factor analyses showed that the factor structure of the FSCRS-SF was similar to the one found in the adults’ version, with three factors (inadequate self, hated self, and reassured self). The measurement invariance was established for both samples. The FSCRS-SF revealed adequate to good construct validity, reliability, and temporal stability. Gender differences were found for the three subscales. Similarly, adolescents from the clinical sample reported higher levels of inadequate self and hated self and lower levels of reassured self in comparison with the non-clinical sample, as expected. CONCLUSIONS: The FSCRS-SF was revealed to be a valid and reliable measure of self-criticism and self-reassurance for adolescents and seems to be a useful tool for research and clinical purposes.Publicação Acesso Aberto The Clinical Interview for Psychotic Disorders (CIPD): Preliminary results on interrater agreement, reliability and qualitative feedback2019 - Martins, Maria João; Castilho, Paula; Macedo, António; Pereira, Ana Telma; Pinto, Ana; Carreiras, Diogo; Barreto-Carvalho, Célia; Palmeira, Lara; Xavier, AnaGiven the recent treatment paradigm shift in psychosis, focusing on the recovery process, new assessment tools are needed. The Clinical Interview for Psychotic Disorders (CIPD) is an integrative and comprehensive assessment tool for psychotic disorders. CIPD encompasses the evaluation of diagnosis, psychosocial correlates and most relevant comorbidities. The study's aims were to examine CIPD inter-rater reliability, the relationships between CIPD and other instruments assessing positive and negative symptoms and functionality, and to explore participants’ qualitative feedback. The sample included 30 individuals with psychotic disorders, aged between 18 and 62 years old. Two experts in clinical psychology conducted the interviews and independently rated other assessment tools (PANSS, GAF and PSP) to determine severity of psychotic symptoms and levels of functionality. Results indicated high inter-rater reliability for the majority of CIPD items and agreement regarding diagnosis was between 73% and 93%. Moreover, positive and moderate to strong correlations were found between CIPD, PANSS, GAF and PSP. From the qualitative analysis five themes emerged, namely: CIPD applicability and utility, comparison with previous interviews, interviewer aspects, negative and positive aspects. Overall, these preliminary results suggest that CIPD is a reliable and valid assessment instrument that seems to be well suited for people with psychosis.