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The purpose of this study was to assess whether switching propofol to etomidate during an electroconvulsive therapy course improves seizure quality in convulsion-resistant patients. A retrospective study of paired cases included thirty-three patients. Seizure variables for each agent were assessed. A generalized linear mixed model (GLMM) for repeated measures was used for the analysis. Anesthesia with etomidate leads to greater seizure duration, improved seizure quality in the EEG register, and prevents further need for restimulation; although did not differ from propofol in the amount of energy delivered or in other automated parameters. These results suggest that this procedure appears to be an adequate strategy to improve seizure quality.

Free time is considered to be a very important aspect of adolescents’ psychosocial development. One of the instruments that has been developed to explore motivation in relation to free time activities is Baldwin and Caldwell’s (2003) Free Time Motivation Scale for Adolescents (FTMS-A), based on Ryan and Deci (2000) Self-Determination Theory. The main aim of this study is to explore the psychometric properties of the FTM S-A after its translation and adaptation to Catalan, administering it to a sample of 2,263 adolescents aged between 11 and 18 (M= 14.99;SD =1.79) from Catalonia, Spain. To explore structural validity we follow two steps: Firstly, we analyze how the scale fits with the original model by conducting a CFA on the whole sample; secondly, we conduct an EFA on one half of the sample and a CFA on the other half in order to identify which structure best suits the sample. We also analyze convergent validity using three indicators of subjective well-being: The Personal Well-Being Index (PWI), the Satisfaction with Life scale (SWLS) and the Overall Life Satisfaction scale (OLS). The initial CFA produces a 5-factor model like the original, but with goodness of fit indices that do not reach the acceptable minimum. The EFA and the second CFA show a good fit for a 3-dimensional model (χ2(90)= 320.293;RMSEA= .048;NNFI= .92;CFI= .94) comprising introjected motivation, intrinsic motivation and amotivation. The correlations obtained between the FTMS-A and the three measures of subjective well-being scales show an association between free time motivations and this construct. Due to the model of scale used in the present study differs from the original, it is proposed that the new scale structure with 16 items be tested in the future in different cultural contexts.

International audience; The prevalence of preschool major depressive disorder (MDD) was studied in the community. The whole population of children between 3 and 6 years attending preschool nurseries in three areas (one urban, one rural and one suburban) in Spain ( = 1,427) were contacted. Selection was by a two-stage procedure. At stage I, the ESDM 3-6, a screening measure for preschool depression, was used to identify a sample for more intensive interviewing. Sensitivity and specificity of the cut-off point of the ESDM 3–6 had been previously tested in a pilot study ( = 229). During the first stage, 222 preschool children (15.6%) were found to be probable depressives, because they scored 27 or more, the cut-off used. At stage II, the children were interviewed and diagnosed by the consensus of two clinicians, blind to the ESDM 3-6 results. DSM-IV diagnostic criteria were used to define caseness. A total of 16 children (1.12%) met the MDD criteria. The prevalence by areas was urban 0.87%, rural 0.88%, suburban 1.43%. Sex distribution prevalence was 1:1. This study is a contribution to the scarce epidemiology of preschool depression in the community.

In the last few years, many researchers have studied the presence of common dimensions of temperament in subjects with symptoms of anxiety. The aim of this study is to examine the association between temperamental dimensions (high negative affect and activity level) and anxiety problems in clinical preschool children. A total of 38 children, ages 3 to 6 years, from the Infant and Adolescent Mental Health Center of Girona and the Center of Diagnosis and Early Attention of Sabadell and Olot were evaluated by parents and psychologists. Their parents completed several screening scales and, subsequently, clinical child psychopathology professionals carried out diagnostic interviews with children from the sample who presented signs of anxiety. Findings showed that children with high levels of negative affect and low activity level have pronounced symptoms of anxiety. However, children with anxiety disorders do not present different temperament styles from their peers without these pathologies.

The scope of this study is to analyze the implications of peer violence in the school context, the school environment and the perceived developmental contexts on the subjective well-being of children and adolescents. The sample is comprised of 910 students in Years 6 and 7 of primary school in 27 urban and rural public and private schools in Ceará. It is a quantitative cross-sectional study and the following tools were used: scales measuring victimization and aggression among peers and the school environment; three indices on perceptions of developmental contexts (home, school, neighborhood); and three well-being scales (Students' Life Satisfaction Scale, Personal Well-being Index and Single item on Overall Life Satisfaction). Data were analyzed using multivariate variance analysis, with a significance level below 0, 01. Results indicate that bullying, alone or in interaction with the variables analyzed, is the variable that has the greatest impact on the well-being of the population studied, whereby those involved in bullying have the lowest well-being averages. Low levels of perception regarding the contexts of home, school and neighborhood and the school environment, as well as attending a public school and/or living in rural areas, are all also associated with low subjective well-being.O objetivo desta pesquisa é analisar as implicações da violência entre pares no contexto escolar, do clima escolar e da percepção dos contextos de desenvolvimento no bem-estar subjetivo de crianças e adolescentes. A amostra é composta por 910 estudantes do 6º e 7º ano do ensino fundamental, de 27 escolas, públicas e privadas, urbanas e rurais do Ceará. Trata-se de um estudo transversal quantitativo que utilizou os instrumentos escala de vitimização e agressão entre pares e de clima escolar; três índices de percepção dos contextos de desenvolvimento (casa, escola, bairro); três escalas de bem-estar (satisfação com a vida para estudantes, índice de bem-estar pessoal e item único de satisfação com a vida) para coleta de dados. Os dados passaram por análise de variância multivariada com nível de significância não superior a 0,01. Os resultados indicam que a tipologia bullying, isoladamente ou em interação com as variáveis analisadas, é a que mais impacto exerce sobre o bem-estar da população estudada, sendo os envolvidos os que apresentam as menores médias de bem-estar. Níveis baixos de percepção dos contextos casa, escola, bairro, e do clima escolar, bem como estudar em escola pública e/ou morar em zona rural, estão igualmente associados a bem-estar subjetivo baixo.

The study's overall objective was to investigate the relationship between psychosocial stressors, sense of community, and subjective wellbeing in urban and rural schoolchildren in Northeast Brazil, focusing on differences according to territorial context. The sample consisted of 757 participants, 495 from urban schools and 262 from rural schools, enrolled in the 6th and 7th grades (9 to 18 years of age) in 21 municipal and state public schools, of which 13 urban and 8 rural, in 7 municipalities (counties) in Ceará State, Brazil. The study instruments were inventory of stressful events, scale of life satisfaction for students, index of sense of community, and satisfaction indices by life domains (family, material goods, relations, neighborhood/zone, health, time, school, and personal). The results indicate that socioeconomically underprivileged public schoolchildren from urban areas are more exposed to daily stress and score lower on satisfaction in specific domains of life and on sense of community. This latter is an important indicator for evaluating wellbeing in this young population.

Background: Interest in mindfulness has increased over the last decade, resulting in several mindfulness-based interventions being developed and their efficacy empirically demonstrated. The practice of mindfulness has been associated with low levels of anxiety or depression and improved quality of life or personal well-being. The aim of this study is to translate the Child and Adolescent Mindfulness Measure (CAMM) and adapt it to Catalan so as to analyze its internal consistency and construct and convergent validity. Method: The CAMM was administered to a sample of secondary school students ranging in age from 11 to 16 years old. Results: The Catalan version of the CAMM shows a good fit with the unidimensional model and internal consistency similar to the original version (α = .80). Furthermore, CAMM scores correlated positively with subjective well-being, temperamental dimensions of effortful control and self-esteem. Conclusions: The Catalan Version of CAMM is a valid and reliable measure of mindfulness skills.

Aim In this study we analyze the prevalence of feeding problems in a sample of nursery children and examine the environmental and psychopathological factors related to such problems. Methods We used the Early Childhood Inventory-Parents Checklist to assess 851 Spanish children aged between 3 and 6 years from both urban and rural samples. This screens emotional and behavioural problems and is based on the Diagnostic and Statistical Manual of Mental Disorders-IV. We collected sociodemographic data and information about life events and the psychopathology of the children's parents (General Health Questionnaire-28). Results Our results showed that the prevalence of feeding problems was 4.8% and that there were no differences between gender. Sample subtype, socioeconomic level and family characteristics were not linked to feeding problems. Children with feeding problems had significantly more symptoms of psychological problems and somatic complaints and had experienced more life events in the previous 12 months. The psychopathology of the mother, especially in terms of anxiety problems, increased the risk of feeding problems in children. Conclusion When there are complaints of feeding problems in preschools, the psychological problems of children and their mothers should be taken into consideration during paediatric consultation, irrespective of gender or socioeconomic status.

To assess the psychological and family factors associated with suicidal ideation in preadolescent children, we studied a sample of 361 students, average age 9 years old. Two groups were formed, on the basis of the presence (n = 34) or absence (n = 44) of suicidal ideation. Suicidal ideation was assessed with the Children’s Depression Inventory and the Children’s Depression Rating Scale-Revised. Depression, hopelessness, self-esteem, and perceived family environment were compared in both the suicidal ideation and the control groups. Students with suicidal ideation generally presented greater depressive symptoms and hopelessness, and lower self-esteem and family expressiveness, although there were differences both between sexes, and when the variable depression was controlled. Identifying these risk factors in pre-adolescents may have an impact on prevention of suicidal behavior at higher risk ages Con el objetivo de evaluar factores psicológicos y familiares asociados a la ideación suicida en niños prepúberes, se ha utilizado una muestra de 361 escolares con una edad media de 9 años, a partir de la cual se han constituido 2 grupos en función de la presencia (n = 34) o ausencia de ideación suicida (n = 44). La ideación suicida se ha evaluado con el Children’s Depression Inventory y la Children’s Depression Rating Scale Revised. La depresión, la desesperanza, la autoestima y la percepción del clima familiar se han comparado en el grupo con ideación suicida y el grupo control. Los alumnos con ideación suicida presentan en general mayor sintomatología depresiva, mayor desesperanza y menor autoestima y expresividad familiar, aunque existen diferencias según sexo y depresión. La identificación de estos factores de riesgo en prepúberes puede ser importante en la prevención de la conducta suicida en edades de mayor vulnerabilidad

BACKGROUND: This study used DSM-IV criteria to analyse reports from teachers and parents and to compare behavioural and emotional symptoms in Spanish preschool children from both urban and rural populations. METHOD: The field survey was conducted in two geographical areas in Catalonia (Spain). A sample of 1104 children (56.67% boys and 43.32% girls) aged 3-6 years participated in this study: 697 were from urban areas and 408 from rural ones. The Early Childhood Inventory-teachers' and parents' versions (ECI-4) Gadow KD, Sprafkin J (1997)-was used as the screening instrument. RESULTS: The teachers' and parents' reports assigned 32.7 and 46.7%, respectively, to one or more ECI-4 categories. Significant differences between sexes were found in teachers' reports. The whole disorders were significantly more prevalent in the urban sample than in the rural one (30.6 vs. 20.3%). The most prevalent disorders in both areas were Anxiety Disorders and Behavioural Problems, and the least prevalent were Mood Disorders and Autistic Disorders. CONCLUSIONS: The findings indicate that there are some differences in the prevalence rates of preschool psychopathological disorders between rural and urban Spanish areas. Language: en

The feeling of hopelessness is one of the main risk factors in suicidal behaviour, a clinical symptom of depression and a factor of great etiological relevance in hopelessness depression. With the aim of contributing data relative to the levels of hopelessness in the general population, this study has been made with three objectives in mind: to determine the levels of hopelessness in a university population, to analyse the relationship of hopelessness with the process of adapting to university and, finally, to analyse the relationships between hopelessness, depression, psychopathology and suicidal ideation.A total of 1277 first- and second-year students, from different faculties and degree courses, participated voluntarily in this investigation.The results obtained indicate that 13.9% of the students present moderate or severe levels of hopelessness. The students with greater levels of hopelessness are dissatisfied with different aspects of university life, spend less time on extracurricular educational activities and are less likely to go to examinations. Also, the relationship between hopelessness, depression and suicidal ideation is once again clearly seen.The results suggest the need to develop some type of programme or service for the university community which could influence the mood of students and modify their expectations with the aim of preventing suicidal behaviour and improving their adaptation to university life and, consequently, their academic performance.