Concept of preventive adherence in the field of addictions

A pesar de llevar varias décadas desarrollando el campo de la prevención de las adicciones, a día de hoy aún seguimos configurando su marco conceptual. En este trabajo se pretende dar un paso más en su construcción intentando concretar a nivel teórico el proceso de adherencia en el ámbito preventivo. Partiendo del supuesto teórico en la relación del concepto de adherencia con diferentes procesos psicológicos básicos, se plantea la estructura de la adherencia preventiva desde diferentes modelos y teorías psicosociales que de alguna forma han confirmado su influencia sobre el comportamiento de adherencia. Recogiendo los avances producidos en distintos contextos en los que se incluyen procesos de adherencia, se propone su desarrollo desde la Teoría Social Cognitiva y el Modelo Transteórico. Finalmente se discuten distintos aspectos relacionados con el planteamiento teórico y sus implicaciones prácticas.Even though several decades developing the prevention in the field of addictions, nowadays we still configuring its conceptual framework. In this work we pretend to take a step forwards on that configuration trying to specify in a theoretical way the adherence process in the preventive field. Starting from the theoretical case in the relation of the adherence with different basic psychological processes, the structure of the preventive adherence is shown through both different models and psychosocial theories wich have confirmed somehow its influence over adherence behaviour. Gathering the advances produced in several contexts where adherence processes are included, its development is proposed from the Social Cognitive Theory and the Transtheoretical Model. Finally several aspects related to the theoretical approach and its practicals implications are discussed

Eficacia de dos programas de prevención del consumo de alcohol en función del tipo de aplicador

Currently, it is still unclear how to translate effectively programs validated in research for use in real-world contexts. Among the efforts being made to identify strategies which optimize the application of these programs in everyday practice are tests of the differential effectiveness of the programs depending on the application agent. Method: this study analyses the effects of two programs on alcohol use and its variables as a function of provider type. Two hundred students from the first year of secondary education were distributed among five experimental conditions: four treatment conditions, in which the two programs were applied by teachers at the school or external psychologists, and a control condition. Results: the results suggest that, for both programs, teachers obtain better outcomes in alcohol use and concern about addiction. Conclusions: it is concluded that teachers are the ideal application agents in terms of efficiency, and we discuss the implications for research and preventive practice.En la actualidad no es claro cómo traducir efectivamente los programas validados en la investigación para su aplicación en contextos reales. Entre los esfuerzos que se han realizado está el de identificar estrategias que optimicen la aplicación de estos programas en la práctica cotidiana que tienen diferente efectividad dependiendo del agente que los aplique. Metodología: este estudio analiza los efectos de dos programas sobre el consumo de alcohol y sus variables en función del aplicador. Doscientos estudiantes de primer año de secundaria se distribuyeron en cinco condiciones experimentales: cuatro en condición de tratamiento, en que se aplicaron dos programas aplicados por profesores de la escuela o psicólogos externos, y un grupo control. Resultados: los hallazgos sugieren que en los dos programas los profesores obtienen mejores resultados sobre el consumo de alcohol y la preocupación por la adicción. Conclusiones: se concluye que los profesores son los agentes aplicadores ideales en términos de eficiencia y discutimos las implicaciones que esto tiene para la práctica investigativa y práctica

Social networks as tools for the prevention and promotion of health among youth

The emergence of information and communication technologies (ICT) has generated a number of research questions, related to their use and potential risk, but also potentials for prevention or health promotion. Online social networks have become an important source of information for users as well as a tool for social relations. As traditional social networks, they can act as vehicles to improve the health of adolescents and youth, as well as play a key role in an educational context. The aim of this work is then to explore the theoretical relevance of ICT, particularly on online social networks, on disease prevention and health promotion of communicable diseases. Literature review points out the role of online social networks, particularly in the field of sexual health, body image, especially eating habits and overweight, as well as smoking and alcohol dependence. Data allow us to understand how online social network behavior and interaction is related to their burden and interventions developed in sexual health and addiction show positive results. More efforts in body image are needed in order to use these tools for prevention and promotion of health from early age.This research was supported by Instituto de Investigación de Drogodependencias, Universidad Miguel Hernández, and Fundação para a Ciência e a Tecnologia (strategic projects PEst-OE/FIL/UI0683/2014)

Personal and psychossocial determinants of tobacco and alcohol use in adolescence

Substance use in adolescence continues to be one of major concerns in public health. Its implications in personal and social terms motivate the search for determinants of consumption in order to develop effective preventive responses. Method: this study aims to explore personal determinants of tobacco and alcohol among a sample of 323 adolescents, 199 of them were girls (61.6%), aged between 15 and 19 years (M = 16.79, SD = 1.096) who attended Portuguese public high schools. For data collection, it was used a sociodemographic and consumption questionnaire, the Proactive Attitude Scale, the Proactive Coping Scale, the General Self-Efficacy Scale, the Berlin Social Support Scales and the Scales of Attitudes Toward Tobacco and Alcohol to evaluate psychosocial determinants. Results: The results allow us to verify the determinant role of attitudes on the experience of tobacco use, being higher among those who have tried and with a positive correlation with the intensity of consumption. Nevertheless, the onset age of cigarette smoking correlates only with the perception of emotional support. Also on alcohol consumption, there was a more favorable attitude among those who have tried and a negative correlation with the age of first experience. In addition, differences in attitudes were verified depending on the pattern of consumption, with more favorable attitudes according with binge drinking frequency and drunkenness episodes. Is also noticed a lower perception of demand and need for social support between adolescents that relate more drunkenness episodes. Conclusions: The study suggests the central role of attitudes towards consumption, although depending on the specific substances, findings that should be explored in future studies.These data are discussed according the existing literature and implications to prevention and further studies are presented.info:eu-repo/semantics/publishedVersio

Theoretical configuration of health motivation from the self-determination theory

El estudio de la motivación humana es un constructo altamente complejo y con una gran variabilidad de enfoques. La teoría de la autodeterminación (TAD) ha demostrado una relativa efectividad y consistencia en muchos aspectos relacionados con la salud, como por ejemplo el ejercicio físico, la alimentación, el sueño, el bienestar psicológico o el consumo de tabaco. Las investigaciones muestran que la motivación autodeterminada se corresponde con la motivación intrínseca y en cambio la motivación extrínseca y sus formas de regulación pueden corresponderse con comportamiento no autodeterminados, pudiendo llegar hasta la desmotivación. En este trabajo se formula una construcción teórica sobre este modelo, introduciendo la percepción de riesgo (PR) y la vulnerabilidad percibida (VP) como elementos que pueden variar el sentido final de la motivación e incluso mejorar alguna de sus regulaciones extrínsecas y la desmotivación. Una de las posibilidades teóricas que sugerimos para intentar neutralizar los tipos no autodeterminados es procurar aumentar la PR y la VP de la persona, ya que estando estas dos variables altas, la probabilidad de que la desmotivación aparezca se reduce significativamente, y las acciones forzadas de la regulación externa y la regulación introyectada pueden amortiguarse y aumentar la internalización lo que podría favorecer los comportamientos de salud.The study of human motivation is a highly complex construct with a wide variability of visions. The Self-Determination Theory (SDT) has shown a relative effectiveness and consistency in several issues related to health, such as physical activity, diet, sleep, psychological well-being or tobacco consumption. Research shows that self-determined motivation is consistent with intrinsic motivation and, in contrast, extrinsic motivation and its regulation ways can be matched to non-self-determined behaviors, reaching even a lack of motivation. The aim of this work is to draw up a theoretical construction about this model, bringing in risk perception and perceived vulnerability as elements that can change the final direction of the motivation and even improve some of its extrinsic regulations and the lack of motivation. One of the theoretical possibilities that we propose to try to neutralize the non-self-determined types is seek to increase both the personal risk perception and perceived vulnerability, as being these two variables high the likelihood of occurrence of a lack of motivation is significantly reduced, and forced actions of external regulation and introjected regulation may be buffered and increase the internalization, what could favor health behaviors

Information analisys in drug consumption and other addictions prevention

Tradicionalmente gran parte de los programas preventivos de drogas y otras adicciones dirigidos a preadolescentes y adolescentes, se han apoyado en la información como estrategia fundamental para disuadir el consumo, utilizando argumentos basados en las consecuencias del deterioro al ser consumidores de sustancias, así como en el abuso de otras conductas adictivas no químicas. El enfoque clásico se apoya en que los jóvenes toman sus decisiones de consumir, o no, en base a una elaboración racional, por tanto en el caso de estar informados de los riesgos que asumen al consumir optarían por no hacerlo. Es fundamental incidir en la importancia que adquieren tres cuestiones alrededor de la información: el nivel y calidad de la información que tienen los jóvenes, el nivel y calidad de la información que tienen los padres y la búsqueda de las fuentes de información sobre drogas y su nivel de credibilidad. Posiblemente los modelos de transmisión y contenido de información que utiliza la publicidad comercial podrían ser más adecuados y eficaces que los del recurso al miedo en el ámbito de los comportamientos de salud, y por supuesto, de las adicciones en general. La tendencia de los promotores de mensajes de salud sigue siendo la de transmitir las consecuencias y los riesgos, en la línea de la apelación al miedo. Presumimos que se alcanzaría una mayor eficiencia con mensajes positivos, reforzando los estilos de vida saludables.Traditionally a large proportion of the preventive programs focused in drugs and other addictions among adolescents and young people have drawn on the information as a core strategy to discourage the consumption, using arguments based in the consequences of the deterioration being substance consumers, as well as in the abuse of other non chemical addictive behaviors. The classical approach is based on the rational decision process among young people to do the consumption or not, therefore if they were properly informed about the risks they would choose the no consumption. Is essential to address the importance of three topics around the information issue: degree and quality information among young people, degree and quality information among parents and information source search about drugs and its credibility degree. The models of transmission and information content used by the commercial advertising may be more appropriate and effective than the ‘fear resort’ within health behaviors and addictions in general. The trend of health message promoters continue to be the communication of risk and negative consequences, following the fear resort way. We propose that would be more effective using positive messages enforcing a healthy lifestyle

Theoretical conceptualization of psychological resilience and its relation with health

La resiliencia es un término que surge de la física en relación con la resistencia de los materiales así como con la capacidad de recuperación de los mismos al ser sometidos a diferentes presiones y fuerzas. En la actualidad consideramos que el concepto de resiliencia sigue siendo un constructo ambiguo, que necesita una mayor clarificación, sobre todo, en cuestiones referidas a su configuración teórica. Para poder llevarlo a la práctica en condiciones óptimas, necesitamos contar con un modelo que permita mejorar los resultados de las poblaciones vulnerables y de la población general en relación con la salud. En este trabajo se pretende profundizar en la configuración de la resiliencia psicosocial, estudiando las variables que empíricamente se relacionan con ella, con el objetivo de aproximarnos a una construcción más clara que permita su aplicabilidad en futuras investigaciones en el ámbito de la salud.Resilience is a term arising from physics in relationship with the resistance of the materials as well as their recoverability under different pressures and forces. We currently believe that the concept of resilience remains an ambiguous construct, needing a further clarification, especially in its theoretical configuration issues. To carry it into practice in optimal conditions, we need a model that allows improving outcomes of both vulnerable and general population in relation to health. This work intends to deepen the psychosocial resilience configuration, studying variables that are empirically related to it, with the aim of approaching a clearer construction that allows its applicability in future research within the field of health

Facebook use and adolescents self-esteem: contributes of the adaptation of Ellison Facebook use scales

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Relationship Between Sensory Processing, Resilience, Attitudes and Drug use in Portuguese Adults

Investigaciones sugieren que la relación entre la resiliencia y el uso de sustancias es un proceso psicológico no lineal y multifactorial. Sorprendentemente, el procesamiento sensorial raramente se menciona como una variable asociada a estos fenómenos. En el presente estudio fue investigado la relación entre el procesamiento sensorial, la resiliencia, las actitudes y el comportamiento de consumo de alcohol, tabaco y otras drogas. Fueron utilizados cuatro instrumentos de medida: Perfil Sensorial para Adolescentes y Adultos; Escala de Resiliencia; Escalas de Actitudes; Escala de consumo de alcohol, tabaco y otras drogas. La muestra fue constituida por 340 participantes adultos sanos, de los cuales 261 (76.8%) eran mujeres y 79 (23.2%) hombres. En cuanto a la edad cronológica, el individuo más joven tenía 18 años y el más viejo 76 años (M = 39; DP = 11). El procesamiento sensorial se mostró asociado a las actitudes y la conducta de consumo. Los desequilibrios sensoriales parecen estar implicados en la disminución de la resiliencia.A investigação sugere que a relação entre resiliência e uso de substâncias é um processo psicológico não linear e multifatorial. Surpreendentemente, o processamento sensorial raramente é evocado enquanto variável associada a estes fenômenos. O objetivo deste estudo foi investigar as relações entre processamento sensorial, resiliência, atitudes e frequência de comportamentos de consumo de álcool, tabaco e outras substâncias psicoativas em adultos saudáveis. Foram empregados quatro instrumentos: Perfil Sensorial para Adolescentes e Adultos; Escala de resiliência; Escalas de atitudes; Escala de consumo de tabaco, álcool e outras drogas. A amostra foi constituída por 340 participantes adultos mentalmente saudáveis, dos quais 261 (76.8%) eram mulheres. Quanto à idade cronológica, o indivíduo mais novo tinha 18 anos e o mais velho tinha 76 anos (M = 39; DP = 11). O processamento sensorial apresentou-se associado a atitudes e condutas de consumo. Os desequilíbrios sensoriais parecem estar implicados na diminuição da resiliência.Research suggests that the relationship between resilience and substance use is a non-linear and multifactorial psychological process. Surprisingly, sensory processing is rarely mentioned as a variable associated with this phenomenon. In this study, we investigated the relationship between resilience, sensory processing, attitudes and consumption behaviors for alcohol, tobacco and other psychoactive substances. For this, we used four instruments: Adult / Adolescent Sensory Profile; Resilience Scale; Attitudes scales; Tobacco, Alcohol and Other Drug Use Scale. The sample consisted of 340 healthy adult participants, of whom 261 (76.8%) were women and 79 (23.2%) men. As for chronological age, the youngest person was 18 and the oldest was 76 years (M = 39; DP = 11). Sensory processing was associated with the intake behaviors and attitudes. Sensory imbalances appeared to be implicated in decreased resilience