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BACKGROUND: The world is going through a challenging historical moment, with the COVID-19 pandemic affecting billions of lives and communities worldwide. OBJECTIVE: Building on the widespread negative impact of the pandemic on the socio-economic context, and consequently on the labour market, the aim of this study was to analyse the effect of the COVID-19 pandemic on workers' perception of decent work. METHODS: The Decent Work Questionnaire was administered to 243 workers from seven Portuguese organisations at two-time points (before and during the pandemic). RESULTS: Results revealed a positive and significant effect of the COVID-19 pandemic on six of seven dimensions of decent work, particularly those related to Meaningful Remuneration for the Exercise of Citizenship and Health and Safety. CONCLUSION: The positive effects of social comparison processes are stronger than the negative effects of the adverse socio-economic context. Faced with the COVID-19 pandemic, workers may have compared their work situation with the condition of other workers, activating an increase in their subjective perception of the value of their current reality. [ABSTRACT FROM AUTHOR]

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Studies focused on position-related characteristics of young soccer players often ignore the goalkeepers. The aim of this study was to examine the effect of playing position on anthropometry, physiological attributes, soccer skills, and goal orientation across adolescence. One hundred forty-five soccer players age 11-19 y were assessed in training experience, body size, maturation, physiological parameters, soccer skills, and goal orientation. Factorial ANOVA was used to test the effect of age group, playing position, and respective interaction terms, while analysis of variance was used to compare goalkeepers vs outfielders in middle (under 13 [U-13] and U-15) and late (U-17 and U-19) adolescence. Discriminant analysis was used to identify the variables that contributed to explaining playing positions. Age group was a consistent source of variation for all variables except task and ego orientations. Fat mass, agility, endurance, dribbling speed, shooting accuracy, and passing were affected by the gradient derived from the classification between goalkeepers and outfielders. It was possible to correctly classify the playing position based on fat-free mass and 3 manipulative skills in younger players and on 4 skills in U-17 and U-19 soccer players. Future research should include longitudinal information to improve our understanding of the factors that contribute to distinguish goalkeepers from outfielders. [ABSTRACT FROM AUTHOR]

Anthropometric characteristics, physical fitness and technical skills of under-19 (U19) soccer players were compared by competitive level (elite, n = 95; non-elite, n = 85) and playing position (goalkeeper, central defender, fullback, midfield, forward). Fitness tests included 5- and 30-m sprints, agility, squat jump (SJ) and countermovement jump (CMJ), strength and Yo-Yo intermittent endurance test level 2 (Yo-Yo IE2). Soccer-specific skills included ball control and dribbling. Independent of position, elite players presented more hours of training per year than non-elite players ( d > 1.2). Stature and body mass discriminated elite from non-elite players among goalkeepers and central defenders ( d > 0.6). Major differences were noted between elite and non-elite goalkeepers for SJ, CMJ, Yo-Yo IE2, and ball control ( d > 1.2). Elite central defenders performed better than their non-elite counterparts in SJ and ball control tests ( d > 1.2). Elite players presented better agility and Yo-Yo IE2 performances than non-elite players within all positional roles ( d > 0.6). In conclusion, U19 players differed in anthropometric characteristics, physical fitness and technical skills by competitive level within field positions. [ABSTRACT FROM AUTHOR]

Research is presented that analyzes the physiological demands of the backcourt, wing, and pivot playing positions during a male handball team's official matches which found that backcourt players and pivots performed more high-demanding actions per game than did the wings and also had higher mean and peak effective heart rates as well as percentage of total time intensities than the wing players.

The article reports on research which was conducted to investigate the physical and physiological demands of elite team handball during match play. Researchers evaluated players during 10 matches. They found that handball is an intermittent exercise that primarily uses aerobic metabolism, combined with high-intensity actions that greatly tax anaerobic metabolism and that exercise intensity decreases from the first to the second half of the match, perhaps as a result of muscular fatigue.

The present study investigated the movement pattern of Portuguese top-level futsal referees (n=16) during competitive games and the ecological validity of the new Yo-Yo Sideways-Forwards Intermittent Endurance level 2 test (Yo-Yo SFIE2). Total distance covered (TD), high-intensity running (HIR), sprinting (SPR), and sideways running (Sw) during matches were 5.78 ± 0.24 ( ± SEM), 0.77 ± 0.08, 0.17 ± 0.02 and 1.61 ± 0.28 km, respectively, with peak 5-min values of 0.50 ± 0.02, 0.12 ± 0.01, 0.05 ± 0.01 and 0.20 ± 0.02 km, respectively. TD, HIR and Sw decreased by 30% (p < 0.001), 43% and 60% (p < 0.01), respectively from the first to the last 10-min period. Yo-Yo SFIE2 performance was 1205 ± 107 (625-2015) m and showed large correlations with match-values and peak 5-min values for HIR (r = 0.58 and 0.68, p < 0.01) and SPR (r = 0.56 and 0.57, p < 0.05). Yo-Yo SFIE2 HR after 4 min [95 ± 1 (87-99) % HRpeak] showed a nearly perfect inverse correlation with Yo-Yo SFIE2 performance (r = -0.90, p < 0.001) and large inverse correlations (p < 0.05) with match-values and peak 5-min values for HIR (r = -0.55 and -0.71) and SPR (r = - 0.57 and -0.55). In conclusion, the Yo-Yo SFIE2 test is movement-specific for top-level futsal referees as high-intensity running and sideways running are important parts of their match activity profile, and maximal and sub-maximal versions of the Yo-Yo SFIE2 test correlates with certain aspects of the physical match performance of top-level futsal referees. [ABSTRACT FROM AUTHOR]

There is an increasing interest in multimodal technology-based warnings, namely those conveying speech-warning statements. This type of warning may be tailored to the situation as well as to the target user's characteristics. However, more information is needed on how to design these warnings in a way that ensures intelligibility, promotes compliance and reduces the potential for annoyance. In this context, this paper reports an exploratory study whose main purpose was to assist the selection of a synthesized voice for a subsequent compliance study with personalized (i.e., using the person's name) technologybased warnings using Virtual Reality. Participants were requested to listen to speech signals, gathered from a speech synthesizer and post-processed in order to change the pitch perception, and then these were evaluated by fulfilling the MOS-X questionnaire. After that, the participants ranked the voices according to their preference. The effects of the speaker's gender and voice pitch, on both ratings and ranking were assessed. The preference of the male and female listeners for a talker's voice gender was also investigated. The results show that participants mostly prefer as first choice the high-pitched female voice, which also gathered the highest overall score in the MOS-X questionnaire. No significant influence of the participants' gender was found on the assessed measures. [ABSTRACT FROM AUTHOR]

The psychological effects of the COVID-19 pandemic on the Portuguese population are quite relevant and partially related to their repetitive and disruptive thinking about the disease. The successive periods of lockdown contributed to an additional burden on the family–work–life balance for parents. This study aims to validate the Portuguese version of the Obsession with COVID-19 Scale (PT-OCS), which was developed using a general sample from several regions of the country (n = 531) together with a specific sample of Portuguese parents (n = 109). The confirmatory factor analysis results indicate that the PT-OCS includes a set of excellent psychometric properties concerning both the general sample (χ2(1) = 0.446, p = 0.504; CFI = 1.0; GFI = 1.0; RMSEA = 0.0; standardised RMR = 0.003) and the parent group (χ2(2) = 1.816, p = 0.403; CFI = 1.0; GFI = 0.99; RMSEA = 0.0; standardised RMR = 0.016; Bollen–Stine bootstrap p = 0.65). The scale shows very good reliability (0.84 < α/ω < 0.88). As expected, obsession with COVID-19 was highly correlated with COVID-19 anxiety, and women had higher PT-OCS scores. The findings suggest that the PT-OCS is a reliable and valid measure for both persistent and disruptive thinking about COVID-19 in different groups of the Portuguese population, with potential for studying future epidemic events. [ABSTRACT FROM AUTHOR]

Purpose: The impact of a stroke is particularly evident during the transition home, with reported unmet needs. However, little is known about post-stroke adaptation in Portugal. This study aimed to understand how Portuguese people with stroke and their informal carers/family adapt over time, and how health professionals support their adaptation. Methods: A multi-perspective, longitudinal qualitative study was conducted using in-depth semi-structured interviews one and six months after inpatient discharge. A purposive sample of 24 participants (8 triads) participated. Thematic and narrative analysis strategies were used. Results: Three themes were identified: Managing change over time; Balancing support over time; Changing priorities. These suggest the importance of time and gradual adjustment of health professionals' approach throughout the rehabilitation process tailored to people with stroke' and carers' needs. Both valued positive thoughts and support from others to adjust life goals and find a balance between a mutual/bidirectional support and time for themselves. Conclusions: Findings show that the manner in which changes after a stroke are approached may be positively transformed to provide strength. As a result of the deeper understanding gained from this study, health professionals may be better placed to acknowledge the needs of people with stroke and carers and find effective ways of supporting them. [ABSTRACT FROM AUTHOR]

SARS-CoV-2 infection and its resulting sequelae have increased the prevalence of people with respiratory symptoms, with impacts on functional capacity, quality of life, anxiety, depression, and mental health. To mitigate this problem, one challenge has been the design and implementation of interventions that simultaneously allow for education, rehabilitation, and monitoring of people with long COVID, at a time when health services were on the verge of rupture due to the volume of people with active COVID and in need of intensive care. Telerehabilitation emerged as a mode for providing rehabilitative care that brought professionals closer to patients and enabled continuity of care. The present study aimed to evaluate the results of a telerehabilitation intervention for people with injuries associated with SARS-CoV-2 infection in hospital-community transitions, considering their degree of dependence in performing activities of daily living, respiratory symptoms, fatigue, gait capacity, muscle strength, and experience with anxiety and depression. A pre-post study with a non-equivalent control group was carried out with a total of 49 participants (intervention group n = 24; control group n = 25). The post-intervention results showed an increase in saturation, a decrease in heart rate, an improvement in the impact of post-COVID functionality, a decrease in fatigue, a decrease in perceived effort, and a decrease in depressive and anxiety symptoms. The telerehabilitation intervention, which combined educational strategies with respiratory and motor rehabilitation, helped improve global functionality and self-care, with clinical and functional impacts. [ABSTRACT FROM AUTHOR]

This study aims to analyze the incidence rate of workplace bullying in the Portuguese banking sector and to shed light on the most frequent bullying behaviors encountered in this understudied setting. In line with the idea of "powerlessness," these aspects are contrasted in terms of gender and organizational position. A questionnaire-based survey using two different but complementary strategies was conducted, to measure both the subjective perception of workplace bullying and the objective dimension of the concept. Results (N = 561) showed an incidence rate of 5.9% targets of bullying, according to the self-labeling method. Following the two-act criterion, 23.4% of the targets were found through the behavioral experience method. The respondents who indicated to be a target of bullying based on the self-labeling method reported mainly work-related negative acts (e.g., being exposed to an unmanageable workload, their opinions and views are ignored and their work is excessively monitored) in the behavioral experience method. In contrast to our expectations, not the bottom staff but the middle and top managers were mostly exposed to bullying acts. Regarding gender, men were more at risk of being a target of bullying behaviors at work than women, contrary to our hypothesis and to the general idea in the literature. In addition, there was an interaction effect of position and gender in the prevalence of bullying. Although this study has limitations due to its focus exclusively in the banking sector, the findings seem to have important implications in terms of designing intervention policies. In addition, it provides new insights about workplace bullying in a sector and a country that has been largely absent from research carried out so far in Europe. Finally, the results challenge and contextualize the dominant idea in the literature that the weaker and defenseless worker is the most likely target of bullying. [ABSTRACT FROM AUTHOR]

To understand how people with stroke and carers adapt over time, and how health professionals support transition to home. A multi-perspective, prospective, qualitative, longitudinal study was conducted using in-depth semi-structured interviews one and six months after inpatient discharge. Twenty-four participants (eight triads, including people with stroke, carers and health professionals) were included. Thematic and narrative analysis facilitated identification of cross-cutting themes according to individual trajectories post-stroke. A major theme: "regaining control of life" suggested a shift in perspective after six months at home. Four sub-themes help to understand the triads' perspectives over time: i) importance of team involvement; ii) differences in perceived roles within the triad; iii) differences in expectations and collaboration within the triad and iv) planning a different future. People who were involved in supporting adaptation and rehabilitation processes were reported differently between triads and over time, showing the complexity of interrelations. A reduction in professional involvement was matched by changes in participants' goals and expectations. Findings suggest the importance of a dyadic perspective and a gradual increase in people with stroke and carers' active engagement. Professionals' approach throughout rehabilitation should be modified according to people with stroke and carers' changing needs and expectations. Divergence in perspectives about priorities and goals between the person with stroke their carers and healthcare professionals can lead to the creation of different agendas within rehabilitation. An open dialogue and decision-making process that involves both the person with stroke and carers is highly recommended for the identification of shared rehabilitation goals and to support ongoing recovery post discharge. A tailored approach to rehabilitation is required which focusses on shared priorities and includes individual or collective support for the person with stroke and their carers. Ongoing consultation about the desires of the person with stroke about rehabilitation, priorities and goals is important in order to tailor the professional approach to the stage individuals are at with their coping and adjustment post stroke. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Enfermagem Referência is the property of Escola Superior de Enfermagem de Coimbra and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: To provide the time.motion and physiological profile of regular training sessions (TS) performed during the competitive season by under-15 (U15), under-17 (U17), and under-19 (U19) elite-level Portuguese soccer players. Methods: One hundred fifty-one elite players of U15 (age 14.0 ± 0.2 y, n = 56), U17 (age 15.8 ± 0.4 y, n = 66), and U19 (age 17.8 ± 0.6 y, n = 29) participated in the study during a 9-wk period. Time.motion and body-impact data were collected using GPS technology (15 Hz) across 38 randomly selected TS that resulted in a total of 612 samples. In addition, heart rate (HR) was continuously monitored (1 Hz) in the selected TS. Results: The total distances covered (m) were higher in U17 (4648.3 ± 831.9), followed by U19 (4212.5 ± 935.4) and U15 (3964.5 ± 725.4) players (F = 45.84, P < .001). Total body impacts and relative impacts were lower in U15 (total: 490.8 ± 309.5, F = 7.3, P < .01), but no differences were identified between U17 (total: 584.0 ± 363.5) and U19 (total: 613.1 ± 329.4). U19 players had less high- and very-high-intensity activity (above 16 km/h; F = 11.8, P < .001) and moderate-intensity activity (10.0.15.9 km/h; F = 15.07, P < .001). HR values showed significant effects of zone (F = 575.7, P < .001) and interaction with age group (F = 9.7, P < .001), with pairwise differences between all zones (zone 1, <75%; zone 2, 75.84.9%; zone 3, 85.89.9%; zone 4, ≥90%). All players spent most of their time below 75% HRmax (U15, ~50%; U17, ~42%; U19, ~50%). Conclusion: Results showed high variability between TS, refraining from identifying meaningful trends when measuring performance, although different demands were identified according to age group. The U15 TS were less physiologically demanding, probably because of increased focus on small-sided games to develop basic tactical principles and technical skills. The focus on game-like situations imposed higher external and internal workloads on U17 and U19 players. [ABSTRACT FROM AUTHOR]

Delays in detection, diagnosis and treatment may lead to poorer prognosis in women with breast cancer. We quantified time intervals from first detection (FD) to diagnosis (D) and first treatment (FT) and identified associated factors. We studied 282 patients diagnosed with breast cancer during 2012 at the Breast Clinic of the Portuguese Institute of Oncology in Porto, Portugal using face-to-face interview and medical records. Associations of sociodemographic and clinical characteristics with time intervals was computed using adjusted percentage differences (adjPD) after logarithmic transformation, odds ratios (adjOR) for comparing the highest and lowest thirds of the distribution and 95 percent confidence intervals (CI) for both measures, using linear and logistic regression, respectively. The median times between FD and D and FT were 31 and 44 days, respectively. Significantly longer periods between FD and D were found in symptomatic women (adjPD = 99.5, 95 percent CI: 37.1, 190.0; adjOR = 3.16, 95 percent CI: 1.57, 6.33). More advanced stage was associated with shorter intervals between D and FT (adjPD = −33.8, 95 percent CI: −44.2, −21.5; adjOR = 0.14, 95 percent CI: 0.05, 0.34). Although some differences according to clinical characteristics were observed, they did not seem to translate into inequities in access to public healthcare in this group of women. [ABSTRACT FROM AUTHOR]

Copyright of Investigacion & Educacion en Enfermeria is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Physical activity is important in obesity prevention, but the effectiveness of different physical activity modalities remains to be determined among children. The main purpose of this study was to compare the effects of a 6-month soccer programme and a traditional physical activity programme on changes in body composition, cardiometabolic risk factors, inflammatory and oxidative markers, cardiorespiratory fitness and perceived psychological status in obese boys. Eighty-eight boys (8–12 years; BMI > +2 standard deviations of WHO reference values) participated in one of three groups: soccer, traditional activity and control. Soccer and traditional activity programmes involved 3 sessions per week for 60–90 min at an average intensity of 70–80% of maximal heart rate. Control group participated in activities of normal daily living. All boys participated in school physical education, two sessions per week of 45–90-min. Measurements were taken at baseline and after 6 months, and included body size and composition, cardiometabolic risk factors, inflammatory and oxidative markers, cardiorespiratory fitness and perceived psychological status. Physical activity and dietary intake were assessed before and immediately following the intervention. The three groups had similar characteristics at baseline. After 6 months, both intervention groups had significantly lower relative fatness (% fat), waist circumference and total cholesterol, and higher cardiorespiratory fitness, self-esteem, perceived physical competence and attraction to physical activity compared with control group. In conclusion, physical activity interventions over 6 months positively influenced several indicators of health status among obese boys. The results also suggested that soccer has the potential as an effective tool for the prevention and reduction of childhood obesity and associated consequences. [ABSTRACT FROM PUBLISHER]

BACKGROUND: The increase in life expectancy of elderly population has aroused the interest of different knowledge areas in understanding the variables that are involved in the aging process, linking them to other concepts such as active aging, healthy aging and the bio-psycho-social changes. OBJECTIVE: This paper presents the results of the first controlled, experimental pilot study that aimed to analyze the relationship between the perception of back pain and the sleeping position adopted by physically active female seniors. METHODS: Twenty female seniors (mean age 62.70±3.827) participated in this study. The individuals were separated in 2 groups (Experimental and Control Group). For the carrying out of this study, the Visual Analogue Scale (VAS) was used to measure the intensity of back pain in the spine before and after four consecutive weeks an Intervention program. Individuals in the Experimental Group were instructed regarding the recommended way to sleep position (Intervention program) according to the pathological problems or the amount of pain reported. RESULTS: The Experimental Group (N= 10) presented significantly (p = 0.009) fewer complaints of back pain after an Intervention program in comparison to individuals who did not receive this type of information (Control Group). [ABSTRACT FROM AUTHOR]

Copyright of Applied Physiology, Nutrition & Metabolism is the property of Canadian Science Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background Periods of remission and of exacerbation of psoriatic lesions are common in psoriasis. We recently reported C-reactive protein (CRP) as a marker of psoriasis severity and that some patients still presented with a residual inflammation after treatment. We wondered if this residual inflammation could underlie an earlier exacerbation of psoriasis. Objective The purpose of our study was to evaluate if there is a relationship between CRP levels, Psoriasis Area and Severity Index (PASI), and body mass index (BMI), at the end of psoriasis treatment, with the length of psoriasis remission. Methods We followed 46 patients studied at the end of treatment, to record the length of remission; 9 of the patients were treated with topical agents, 17 with narrow-band UVB (NB-UVB), and 20 with psoralen plus UVA (PUVA). Results We found that the length of remission correlated with the values for PASI and CRP at the end of therapy. By performing a multiple linear regression analysis, CRP, PASI, and BMI were each significantly associated with length of remission. Patients with residual inflammation at the end of treatment presented with a significantly shorter length of remission. When considering patients grouped according to the used therapies, CRP and PASI also emerged as potential determinants of length of remission, especially in the case of patients treated with NB-UVB and topical therapy. Conclusion Our data suggest that CRP and PASI are important determinants of length of psoriasis remission for patients treated with phototherapy or topical therapy. Further studies with larger groups of patients are warranted to test this hypothesis. Moreover, we propose that, by the end of the treatment, the evaluation of CRP and PASI could be important to decide, when possible, if the treatment should be continued to achieve lower CRP values and longer periods of remission. [ABSTRACT FROM AUTHOR]

Context: Epidemiologic information on the incidence of youth soccer injuries in southern Europe is limited. Objective: To compare the incidence, type, location, and severity of injuries sustained by male subelite youth soccer players over the 2008-2009 season. Design: Descriptive epidemiology study. Setting: Twenty-eight Portuguese male youth soccer teams. Patients or Other Participants: A total of 674 youth male subelite soccer players in 4 age groups: 179 U-13 (age range, 11-12 years), 169 U-15 (age range, 13-14 years), 165U-17(age range, 15-16 years), and 161 U-19 (age range, 17-18 years). Main Outcome Measure(s): Injuries that led to participation time missed from training and match play prospectively reported by medical or coaching staff of the clubs. Results: In total, 199 injuries reported in 191 players accounted for 14.6 ±13.0 days of absence from practice. The incidence was 1.2 injuries per 1000 hours of exposure to soccer (95% confidence interval [CI] = 0.8, 1.6), with a 4.2-fold higher incidence during match play (4.7 injuries per 1000 hours of exposure; 95% CI = 3.0, 6.5) than during training (0.9 injuries per 1000 hours of exposure; 95% CI =0.6, 1.3) (F1,673 = 17.592, P<.001). The overall incidence of injury did not increase with age (F1,673 = 1.299, P=.30), and the incidence of injury during matches (F1,673 = 2.037, P = .14) and training (F1,673 = 0.927, P=.44) did not differ among age groups. Collisions accounted for 57% (n = 113) of all injuries, but participation time missed due to traumatic injury did not differ among age groups (F3,110 = 1.044, P=.38). Most injuries (86%, n = 172) involved the lower extremity. The thigh was the most affected region (30%, n = 60) in all age groups. Muscle strains were the most common injuries among the U-19 (34%, n = 26), U-17 (30%, n = 17), and U-15 (34%, n = 14) age groups, whereas contusions and tendon injuries were the most common injuries in U-13 players (both 32%, n = 8). The relative risk of injury slightly increased with the age of the competitors. Conclusions: The higher incidence of injury during matches than training highlights the need for education and prevention programs in youth soccer. These programs should focus on coach education aimed at improving skills, techniques, and fair play during competitions with the goal of reducing injuries. [ABSTRACT FROM AUTHOR]

The present work analyses differences in the attachment representations of institutionalized children as compared with children from low and high educational level living with their natural families. Participants were 91 Portuguese children, 52% girls, aged 48-96 months. There were three different groups: 19 institutionalized children, 16 low educational level families' children and 56 from high educational level families'. Attachment representations were assessed for Security of the narratives of the Attachment Story Completion Task (ASCT). Psychopathological symptoms were assessed using the Child Behaviour Checklist for parents and caretakers. Verbal skills were assessed using the Wechsler Preschool and Primary Scale of Intelligence-Revised. Results show that institutionalized children have significantly lower security of attachment representations, less verbal skills and higher aggressive behaviour than the other two groups. Attachment representations were associated with social/withdrawal and aggression, independently of age, verbal skills and parents' education. The main effect of institutionalization on externalizing aggressive behaviour was completely mediated by the security of attachment representations. Copyright © 2010 John Wiley & Sons, Ltd. Key Practitioner Message: • Behavior problems, Attachment, Institution. [ABSTRACT FROM AUTHOR]