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Salinas-Quiroz F, Balkcom JH, Hermosa-Bosano C, Olaya-Torres A, Costa PA. Comfort with LGB people and attitudes toward same-sex parenting in Continental American Hispanic Nations. Sci Rep 2024; 14:7705. [PMID: 38565954 PMCID: PMC10987635 DOI: 10.1038/s41598-024-56901-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 03/11/2024] [Indexed: 04/04/2024] Open
Abstract
Negative attitudes toward Lesbian, Gay, and Bisexual (LGB) individuals leads to a perceived inability of LGB individuals to foster 'appropriate' family relationships, inciting negative attitudes specifically toward same-sex parenting. Intergroup and interpersonal relationships play a critical role in fostering attitudes toward others wherein type of contact, frequency, degree of closeness in the relationship, and the positivity/negativity of interactions are potential mediator of these relations, Moreover, the mechanism behind co-constructing positive relationships with sexual and gender minorities is comfort with contact with LGB individuals. The present study explored the effects of interpersonal contact and the mediator role of comfort with LGB people in explaining attitudes toward same-sex parenting in Spanish-speaking countries in North, Central, and South America. These countries are of particular interest given the dearth of research in the region on attitudes toward same-sex parenting as well as the varying degrees of acceptance of and protections for same-sex parented families. A non-probabilistic sample of 1955 heterosexual cisgender participants from 14 countries was asked to complete a series of sociodemographic questions, a questionnaire about their interpersonal contact/comfort experiences with LGB people, and the Attitudes Toward Gay and Lesbian Parenting Scale. Results showed that comfort was vital in fostering accepting attitudes toward Same-Sex Parenting across countries. Findings also suggested that comfort with LGB people has a particularly powerful influence in regions with less legal and cultural acceptance of LGB individuals. Policies are not enough to instill widespread change: we must encourage, facilitate, and supervise the formation of relationships with LGB people.
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Affiliation(s)
- Fernando Salinas-Quiroz
- Eliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, USA.
| | - Julian H Balkcom
- Eliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, USA
| | | | - Adriana Olaya-Torres
- Faculty of Humanities, Arts and Social Sciences, University of Ibagué, Ibagué, Colombia
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Affuso G, Picone N, Costa PA, Bacchini D, De Angelis G, Esposito C, Aparicio-García ME. Minority stress and mental health in gay and lesbian youth: A comparative study of Italy and Spain. Am J Orthopsychiatry 2023; 94:148-158. [PMID: 37883020 DOI: 10.1037/ort0000709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
The present study was carried out based on the minority stress model. The purpose was to compare Italian and Spanish gay and lesbian youth on minority stressors and mental health outcomes and test the minority stress model in Italy and Spain. The sample consisted of 490 participants (307 Italians, Mage = 25.30 and 183 Spanish, Mage = 27.57). They completed an online questionnaire measuring everyday discrimination, coming out to family members, coming out to friends/one's social network, internalized sexual stigma, depression, and anxiety. A multivariate analysis of covariance was performed to explore the effect of nationality on all measures. Structural equation modeling was applied to test the direct and indirect (through internalized sexual stigma) effects of stressors on mental health outcomes. The results demonstrate an impact of nationality on three dimensions: Spanish youth presented higher levels of everyday discrimination, while Italian youth had lower levels of both coming out to family members and coming out to friends/one's social network. Further, in both countries, all stressors had both direct and indirect (through internalized sexual stigma) associations with depression and anxiety. These findings have some social implications: studying the effect of nationality can be useful in suggesting changes in political and social macrosystems. Additionally, studying the associations among these variables is helpful for intervening more efficiently, for example, clinically, on the impact of minority stress. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Affiliation(s)
- Gaetana Affuso
- Department of Psychology, University of Campania "Luigi Vanvitelli"
| | - Nicola Picone
- Department of Psychology, University of Campania "Luigi Vanvitelli"
| | | | - Dario Bacchini
- Department of Humanistic Studies, University of Naples "Federico II"
| | - Grazia De Angelis
- Department of Humanistic Studies, University of Naples "Federico II"
| | - Concetta Esposito
- Department of Humanistic Studies, University of Naples "Federico II"
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Ribeiro-Gonçalves JA, Costa PA, Leal I. Double Stigma in Portuguese Lesbian, Gay, and Bisexual Older Adults: A Study of Health Status. J Sex Marital Ther 2023; 49:886-901. [PMID: 37222608 DOI: 10.1080/0092623x.2023.2215258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The double stigma-sexual stigma and ageism-can affect the health status of lesbian, gay, and bisexual (LGB) older adults, but little is known about this topic in Portugal and internationally. The aim of this study was to assess the health status and the prevalence of chronic diseases of Portuguese LGB older adults, as well as to assess the relationship between double stigma and health status. A sample of 280 Portuguese LGB older adults completed a chronic disease questionnaire, the Homosexuality-Related Stigma Scale, the Ambivalent Ageism Scale, and the SF-12 Short Form Health Survey. A structural equation model was performed using the double stigma variables as independent variables and health status as outcome. The mental health status of Portuguese LGB older adults was lower when compared to people from studies from more than 10 countries. Higher sexual self-stigma, sexual enacted stigma related to health care, and benevolent ageism significantly explained the worse general health status. The double stigma significantly affects the health status of these older adults in a profile of internalization of sexual stigma and benevolent age discrimination, and not necessarily by a hostile/aggressive profile. More research is needed on the double stigma.
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Affiliation(s)
| | | | - Isabel Leal
- William James Center for Research, ISPA - University Institute, Lisbon, Portugal
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Hermosa-Bosano C, Hidalgo-Andrade P, Olaya-Torres AJ, Duque-Romero C, Costa PA, Salinas-Quiroz F. Attitudes Toward Lesbians, Gay Men, and Their Rights in a Sample of Ecuadorian Cisgender Men and Women. J Homosex 2023; 70:307-328. [PMID: 34283008 DOI: 10.1080/00918369.2021.1948771] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Since 1997, Ecuador has undergone a series of changes to ensure family rights to sexual minorities. However, there is still limited research regarding attitudes toward them. This study focused on the attitudes toward lesbians (L), gay men (G), and their rights. A sample of 318 cisgender Ecuadorians who responded to an online survey was recruited. Analyses indicated that men, heterosexuals, who practice their religion, attend more frequently to religious services, and identify as conservative showed higher levels of prejudice against LG as well as less support toward their rights. Further, participants who did not have LG acquaintances, friends, family members, and those who did not know any LG parented family showed less support toward these populations. Multiple regression analyses indicated that believing that a person's sexual orientation is learned significantly predicted the attitudes measured in our study. Implications of these findings to help reduce prejudice against LG individuals are discussed.
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Affiliation(s)
| | | | | | - Claudia Duque-Romero
- Faculty of Humanities, Arts and Social Sciences, University of Ibagué, Ibagué, Colombia
| | | | - Fernando Salinas-Quiroz
- Psychological Studies in Education and Well-being, National Pedagogic University, Mexico City, Mexico
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Ribeiro-Gonçalves JA, Costa PA, Leal I. Loneliness, ageism, and mental health: The buffering role of resilience in seniors. Int J Clin Health Psychol 2023; 23:100339. [PMID: 36168598 PMCID: PMC9485034 DOI: 10.1016/j.ijchp.2022.100339] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 08/19/2022] [Indexed: 11/19/2022] Open
Abstract
Introduction Ageism and loneliness are two relevant public health phenomena because of their negative impact on the senior's mental health. With the increase in average life expectancy, these tend to co-occur, which may increase the psychological distress (PD) of seniors. Resilience has been shown to be an important protective factor of seniors mental health, although its potential buffering role of public health risk factors with cumulative impact on mental health, such as loneliness and ageism, needs to be more studied. Aim To assess the potential mediator role of resilience between the effects of ageism and loneliness on PD in seniors. Methods A sample of 349 Portuguese seniors aged 60 years and over was collected through an online survey and during the COVID-19 pandemic period. Seniors completed the Kessler Psychological Distress Scale (K6), the Short-Form of UCLA Loneliness Scale (USL-6), the Ambivalent Ageism Scale (AAS) and the Connor-Davidson Resilience Scale (CD-RISC-10). A mediation analysis model was developed with resilience as a mediating variable. Results There were moderate to high levels of PD and moderate levels of ageism, loneliness and resilience. Resilience fully mediated the effect of ageism on PD and partially mediated the effect of loneliness on PD. Conclusions Resilience was an important protective factor of mental health against the effects of ageism, and partially protected mental health from the effects of loneliness among seniors. It is suggested that resilience be considered as a factor to be integrated in future intervention programs for mental health. The practical applicability of this study is discussed.
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Affiliation(s)
- José Alberto Ribeiro-Gonçalves
- Corresponding author at: William James Center for Research, ISPA - University Institute, Rua Jardim do Tabaco, n° 34, 1149-041 Lisboa, Portugal.
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Carneiro FAT, Leong V, Nóbrega S, Salinas-Quiroz F, Costa PA, Leal I. Are the children alright? A systematic review of psychological adjustment of children conceived by assisted reproductive technologies. Eur Child Adolesc Psychiatry 2022:10.1007/s00787-022-02129-w. [PMID: 36580112 DOI: 10.1007/s00787-022-02129-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 12/14/2022] [Indexed: 12/30/2022]
Abstract
The present systematic review aims to assess the psychological adjustment of children born through assisted reproductive technologies (ARTs) and to screen for clinical problems when compared with normative data from the standardized indexes of mental health. Following PRISMA guidelines, the search was conducted from inception through September 2021 using APA PsycInfo, APA PsycArticles, Psychology and Behavioural Sciences Collection, Academic Search Complete, Pubmed, Scopus, Web of Science, Scielo, and RCAAP. Search terms related to ART and children's psychological adjustment were combined to Boolean operators to identify relevant published studies in English, French, Italian, Portuguese and Spanish. Peer-reviewed studies focused on the psychological adjustment of ART children aged between the 3 and 11 years were included. From a total of 337 results, 45 papers were eligible to be included in this review. Data extraction was performed independently by two authors and revised and confirmed by other two authors. All children scored below the clinical range for psychiatric symptoms when compared with normative data for the Strengths and Difficulties Questionnaire (SDQ) or the Achenbach System of Empirically Based Assessment (ASEBA), regardless of type of ART and different family configurations. Further, some evidence suggests that surrogacy children with gay fathers present the lowest levels of psychological problems when compared to normative data. These findings enable practitioners to develop an informed view of ART children mental health outcomes to help parents find more adaptive strategies to navigate their chosen pathways in healthier ways.
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Affiliation(s)
| | - Valéria Leong
- ISPA-University Institute, 1100-304, Lisbon, Portugal
| | - Sara Nóbrega
- Faculty of Social and Behavioural Sciences, Leiden University, 2311 EZ, Leiden, The Netherlands
| | - Fernando Salinas-Quiroz
- Eliot-Pearson Department of Child Study and Human Development (EPCSHD), School of Art and Sciences, Tufts University, 02155, Medford, USA
| | - Pedro Alexandre Costa
- William James Center for Research, ISPA-University Institute, 1100-304, Lisbon, Portugal
| | - Isabel Leal
- William James Center for Research, ISPA-University Institute, 1100-304, Lisbon, Portugal
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Salinas-Quiroz F, Rodríguez-Sánchez F, Cambón V, Silva P, Costa PA, Martínez A. Parental secure base support and child secure base use in mexican same-sex families. Interpersona 2022. [DOI: 10.5964/ijpr.6457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
The aim of this research was to determine whether the well-documented link between heterosexual parents’ secure base support (i.e., sensitivity) and child secure base behavior (i.e., security) was present among Mexican same-sex families with 1-to 6-year-old-children. The sample included 22 child-caregiver dyads from four lesbian and four gay families. Four trained independent observers used the q-sort methodology (Maternal Behavior Q-set/Mother Behavior with Preschoolers Q-set and Attachment Q-set) to describe parents’ and children’s behavior, respectively. A robust regression model by Siegel method for predicting security with sensitivity as regressor was statistically significant for the whole sample with a statistical power of .89, consistent with the existing evidence in studies with different and same-sex families. Both sensitivity and attachment security are fundamentally relational constructs, not caregiver/child’s traits; they are relationship specific, as the results of the regression analysis showed. Despite the sample size, our findings prove attachment theory as a useful theoretical framework to study caregiver-child interactions no matter parents’ sexual orientation neither the family structure.
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Pimenta F, Ramos MM, Silva C, Costa PA, Queiroz-Garcia I, Marôco J, Leal I. ANDROPAUSE REPRESENTATIONS: A MIXED-METHODS STUDY WITH PORTUGUESE WOMEN. Psic , Saúde & Doenças 2022. [DOI: 10.15309/22psd230104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Costa PA. PSYCHOTHERAPY EXPERIENCES OF HETEROSEXUAL CISGENDER AND LGBT+ PEOPLE: PRELIMINARY FINDINGS. Psic , Saúde & Doenças 2021. [DOI: 10.15309/21psd220310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Costa PA, Garcia I, Tasker F, Leal I. PSYCHOMETRIC PROPERTIES OF THE PARENTING DAILY HASSLES IN A SAMPLE OF PORTUGUESE PARENTS. Psic , Saúde & Doenças 2021. [DOI: 10.15309/21psd220306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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11
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Costa PA, Tasker F, Leal IP. Different Placement Practices for Different Families? Children's Adjustment in LGH Adoptive Families. Front Psychol 2021; 12:649853. [PMID: 34220622 PMCID: PMC8253556 DOI: 10.3389/fpsyg.2021.649853] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 05/26/2021] [Indexed: 11/15/2022] Open
Abstract
Objective The purpose of this study was to examine the characteristics of children placed with lesbian, gay, and heterosexual adopters, and to examine children’s problem behaviors and positive psychosocial adjustment across the three family types. Background There is evidence that children with hard-to-place profiles may be more likely to be matched with lesbian and gay parents. In addition, children adopted from care face greater developmental difficulties than children raised by their birth families, although adoptive parents may buffer the negative effects of early adversity on their children’s psychosocial adjustment. Method A final sample of 149 adoptive families from across the United Kingdom was recruited: 71 heterosexual parented, 39 lesbian parented, and 39 gay parented. Results The results showed that gay and lesbian parents were more likely than heterosexual parents to be matched with hard-to-place children, partially because they were more open to being matched with children with hard-to-place profiles. However, no differences among the three family types on children’s psychosocial adjustment were found, when controlling for children’s early adversity. Conclusion Adopted children displayed similar levels of problem behaviors and positive adjustment in lesbian, gay, and heterosexual parented families. Early adversity and having a physical problem/disability accounted for much of the variance in problem behaviors whereas parenting did not. In contrast, it was suggested that parenting processes, namely, parental closeness, may help to explain children’s positive adjustment.
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Affiliation(s)
- Pedro Alexandre Costa
- University Institute of Psychological, Social and Life Sciences (ISPA), Lisbon, Portugal.,William James Center for Research, Lisbon, Portugal
| | - Fiona Tasker
- Department of Psychological Sciences, Birkbeck, University of London, London, United Kingdom
| | - Isabel Pereira Leal
- University Institute of Psychological, Social and Life Sciences (ISPA), Lisbon, Portugal.,William James Center for Research, Lisbon, Portugal
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Costa PA, Tasker F, Ramos C, Leal I. Psychometric properties of the parent's versions of the SDQ and the PANAS-X in a community sample of Portuguese parents. Clin Child Psychol Psychiatry 2020; 25:520-532. [PMID: 31793797 DOI: 10.1177/1359104519891759] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study examined the psychometric properties of the parent's versions of the Strengths and Difficulties Questionnaire (SDQ) and the Positive and Negative Affect Schedule-Extended Form (PANAS-X) in a community sample of Portuguese parents. A total of 1100 SDQ and PANAS-X were collected from an online sample of 761 parents, whose ages ranged from 23 to 65 years (M = 42, SD = 5). Confirmatory factor analyses provided evidence of the internal factor structure of both the SDQ and the PANAS-X and invariance of the factor structure across age and gender groups, with the exception of the SDQ, which failed to provide evidence of invariance between genders. Internal reliability and discriminant validity were confirmed for both measures, although convergent validity was only confirmed for the PANAS-X. Concurrent validity was also confirmed by comparing the results from the SDQ dimensions and the PANAS-X broad dimensions subscales.
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Affiliation(s)
| | | | - Catarina Ramos
- William James Center for Research, ISPA-Instituto Universitário, Portugal
| | - Isabel Leal
- William James Center for Research, ISPA-Instituto Universitário, Portugal
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14
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Costa PA, Ribeiro-Gonçalves JA. CONSENSUAL NON-MONOGAMY: ATTITUDES AND EXPERIENCES OF HETEROSEXUAL, HOMOSEXUAL, AND PLURISEXUAL INDIVIDUALS. Psic , Saúde & Doenças 2020. [DOI: 10.15309/20psd210116] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Ribeiro-Gonçalves JA, Costa PA, Leal I. HOPE AND PROXIMAL AND DISTAL SUPPORT IN OLDER PORTUGUESE SEXUAL MINORITY MEN. Psic , Saúde & Doenças 2020. [DOI: 10.15309/20psd210112] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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16
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Shenkman G, Siboni O, Tasker F, Costa PA. Pathways to Fatherhood: Psychological Well-Being Among Israeli Gay Fathers Through Surrogacy, Gay Fathers Through Previous Heterosexual Relationships, and Heterosexual Fathers. Front Psychol 2020; 11:91. [PMID: 32063878 PMCID: PMC7000545 DOI: 10.3389/fpsyg.2020.00091] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Accepted: 01/13/2020] [Indexed: 12/31/2022] Open
Abstract
This study explored differences in psychological well-being as assessed by life satisfaction, parenthood satisfaction, depressive symptoms and the Big Five personality dimensions among 219 Israeli fathers; 76 gay men who had become fathers through a heterosexual relationship, 63 gay men who had become fathers through surrogacy, and 78 heterosexual men. After controlling for sociodemographic characteristics, gay fathers through surrogacy reported greater satisfaction with parenthood, greater satisfaction with their lives, and reported higher levels of extraversion when compared to heterosexual fathers. No significant differences emerged between the three groups on depressive symptoms, neuroticism, conscientiousness, agreeableness, and openness to experience. These findings emphasize the predominant similarities and some possible differences on psychological well-being between the different paths to fatherhood. This study is one of the first to compare several paths to fatherhood on psychological well-being, thus illuminating the contribution of fatherhood route to psychological well-being in an era where gay men are increasingly becoming fathers in diverse ways.
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Affiliation(s)
- Geva Shenkman
- School of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel
| | - Ofer Siboni
- School of Psychology, Interdisciplinary Center Herzliya, Herzliya, Israel
| | - Fiona Tasker
- Department of Psychological Sciences, Birkbeck, University of London, London, United Kingdom
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Pimenta F, Ramos MM, Silva CC, Costa PA, Maroco J, Leal I. Self-regulation model applied to menopause: a mixed-methods study. Climacteric 2019; 23:84-92. [PMID: 31365272 DOI: 10.1080/13697137.2019.1640196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Objectives: Considering that bio-psycho-sociocultural variables influence menopause, this research aimed to assess the suitability of the self-regulation model in explaining the menopausal experience, and to explore differences among participants with different characteristics (e.g. health, sexual related) regarding menopause representations.Methods: Overall, 27 Portuguese women aged 40-65 years were assessed for sociodemographics, health, and sexual activity, as well as menopausal status and symptoms. Semi-structured in-depth interviews were conducted. A directed content analysis was performed, and the qualitative data presented. Afterward, the frequencies of the categories were analyzed through quantitative methods (Mann-Whitney U tests).Results: Aging was the most frequently mentioned feature regarding menopause Identity, whereas vasomotor symptoms were the most mentioned regarding Negative Consequences and menses cessation regarding Positive Consequences. Features related to Cause (hormonal changes) and Control (need for acceptance) of menopause were also identified. No differences were found in the frequency of menopause representations between women with different characteristics (e.g. with higher vs. lower vasomotor symptom severity).Conclusion: The suitability of the self-regulation model to explain these women's menopause experience was confirmed and the representations did not vary among participants with different characteristics. This research might help professionals and researchers in developing comprehensive interventions, based on this theoretical model.
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Affiliation(s)
- F Pimenta
- William James Center for Research, ISPA - Instituto Universitário, Lisbon, Portugal
| | - M M Ramos
- William James Center for Research, ISPA - Instituto Universitário, Lisbon, Portugal
| | - C C Silva
- Manchester Centre for Health Psychology, Division of Psychology and Mental Health, The University of Manchester, Manchester, UK
| | - P A Costa
- William James Center for Research, ISPA - Instituto Universitário, Lisbon, Portugal
| | - J Maroco
- William James Center for Research, ISPA - Instituto Universitário, Lisbon, Portugal
| | - I Leal
- William James Center for Research, ISPA - Instituto Universitário, Lisbon, Portugal
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18
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Costa PA, Garcia IQ, Pimenta F, Marôco J, Leal I. Late-onset hypogonadism (LOH), masculinity and relationship and sexual satisfaction: are sexual symptoms of LOH mediators of traditional masculinity on relationship and sexual satisfaction? Sex Health 2019; 16:389-393. [PMID: 31287968 DOI: 10.1071/sh18165] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Accepted: 03/13/2019] [Indexed: 11/23/2022]
Abstract
Background Late-onset hypogonadism (LOH) is characterised by significant changes in the male life cycle, and may increase the likelihood of experiencing sexual difficulties. Further, it is assumed that traditional gender roles (masculinity) can affect the experience of sexual difficulties. The aim of this study was to evaluate the effect of masculinity on sexual symptoms of LOH, as well as on sexual and relational satisfaction. METHODS A community sample of 460 Portuguese men aged between 40 and 91 years (mean (± s.d.) 51.64 ± 8.03 years) was collected. Correlation and moderation analyses were conducted to investigate relationships among the variables being studied. RESULTS There was an association between the sexual symptoms of LOH, masculinity and sexual and relationship satisfaction. Moderation analysis revealed direct relationships between masculinity and sexual and relationship satisfaction, as well as direct relationships between sexual symptoms of LOH and sexual and relationship satisfaction. However, sexual symptoms of LOH did not significantly moderate the relationships between masculinity and sexual and relationship satisfaction. CONCLUSIONS These findings indicate the existence of a direct effect of both masculinity and sexual symptoms of LOH on sexual and relational satisfaction, although masculinity did not have an effect on sexual symptoms of LOH. The implications of these findings are discussed. Instrumentality as an indicator of masculinity was associated with relational and sexual satisfaction, suggesting the importance of involving a man's partner in sexual dysfunction interventions.
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Affiliation(s)
- P A Costa
- William James Center for Research, ISPA - Instituto Universitário, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal; and Corresponding author.
| | - I Q Garcia
- William James Center for Research, ISPA - Instituto Universitário, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal
| | - F Pimenta
- William James Center for Research, ISPA - Instituto Universitário, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal
| | - J Marôco
- William James Center for Research, ISPA - Instituto Universitário, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal
| | - I Leal
- William James Center for Research, ISPA - Instituto Universitário, Rua Jardim do Tabaco 34, 1149-041 Lisbon, Portugal
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Alexandre Costa P, Tasker F, Anne Carneiro F, Pereira H, Leal I. Reactions from family of origin to the disclosure of lesbian motherhood via donor insemination. J Lesbian Stud 2019; 24:1-11. [PMID: 31131741 DOI: 10.1080/10894160.2019.1614378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Most studies of planned lesbian motherhood via donor insemination (DI) have sampled lesbian mothers in individualistic societies where adults have relatively distant connection to their family of origin. Our study examined the experiences of biological and non-biological lesbian mothers in five families who had children through DI after disclosing their motherhood status to their family networks in Portugal, a familistic society. The first theme identified by thematic analysis-"But why do you want to have a child?"-encapsulated the reactions of biological mothers' family of origin to the announcement of motherhood. Disclosure was mostly met by a shocked response in the family, rooted in the belief that lesbian women should not have children. The second theme-"But you weren't pregnant, how is this your child?"-summarized the reactions of non-biological mothers' family of origin to the disclosure of motherhood status as they considered refusing to recognize their grandchild in the absence of biological connection. Prejudice against lesbian-mother family formation was associated with the specific intersection of lesbianism and motherhood, but relationships between the mothers and their families were largely repaired because of familistic values.
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Affiliation(s)
| | - Fiona Tasker
- Department of Psychological Sciences, Birkbeck University of London, London, England
| | | | - Henrique Pereira
- Department of Psychology and Education, University of Beira Interior, Covilhã, Portugal
| | - Isabel Leal
- William James Center for Research, ISPA-Instituto Universitário, Lisbon, Portugal
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Esposito F, Tomai M, Nannini V, Giardinieri L, Alexandre Costa P. FROM REHABILITATION TO RECOVERY: A SELF-HELP EXPERIENCE TO REGAIN QUALITY OF LIFE AFTER VIOLENCE. jser 2019. [DOI: 10.19057/jser.2019.42] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Ramos C, Leal I, Costa PA, Tapadinhas AR, Tedeschi RG. An Item-Level Analysis of the Posttraumatic Stress Disorder Checklist and the Posttraumatic Growth Inventory and Its Associations With Challenge to Core Beliefs and Rumination. Front Psychol 2018; 9:2346. [PMID: 30618899 PMCID: PMC6295566 DOI: 10.3389/fpsyg.2018.02346] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Accepted: 11/09/2018] [Indexed: 11/13/2022] Open
Abstract
Background: Previous studies have found that rumination and challenge to core beliefs may have a predictive effect on Posttraumatic Stress Disorder (PTSD) and Posttraumatic Growth (PTG) among different samples. In addition, there is some evidence that these variables have different effects on PTSD and PTG, although the latter construct has been the target of a larger body of research and theoretical models. The main objective of the current study is to examine the effect of challenge to core beliefs, intrusive rumination, and deliberate rumination on PTSD and PTG, through an item-level analyses. Methods: The sample was composed of 205 Portuguese women who had been given a breast cancer diagnosis (M = 54.32, SD = 10.05), and who completed the following self-administered questionnaires: the Posttraumatic Stress Disorder Checklist (PCL-C); the Posttraumatic Growth Inventory (PTGI); the Core Beliefs Inventory; and the Event Related Rumination Inventory. Two multivariate multiple regression analyses, using each item of the PCL-C and the PTGI as dependent variables, were conducted. Results: The results demonstrated that challenges to core beliefs predict 17 of the 21 PTGI items and 12 of the 17 PCL-C items. All but one item of the PCL-C are predicted by intrusive rumination, while the variance of only 4 items of the PTGI are explained by deliberate rumination. Conclusion: These findings indicate that women with breast cancer who tend to display higher levels of intrusive rumination are more likely to report PTSD symptoms, and that an examination of one’s core beliefs is predictor of both positive and negative outcomes. In spite of the proven effect of challenge to core beliefs on both variables, this study suggests that this effect has only a minor influence on PTSD, in addition to confirming its major impact on PTG.
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Affiliation(s)
- Catarina Ramos
- William James for Research, ISPA - Instituto Universitário, Lisbon, Portugal
| | - Isabel Leal
- William James for Research, ISPA - Instituto Universitário, Lisbon, Portugal
| | | | - Ana Rosa Tapadinhas
- Hospital de São Francisco Xavier, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
| | - Richard G Tedeschi
- Department of Psychology, University of North Carolina, Charlotte, NC, United States
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Costa PA, Salinas-Quiroz F. A Comparative Study of Attitudes Toward Same-Gender Parenting and Gay and Lesbian Rights in Portugal and in Mexico. J Homosex 2018; 66:1909-1926. [PMID: 30265830 DOI: 10.1080/00918369.2018.1519303] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The belief that gay men and lesbians are unable to provide a stable environment in which to raise children fuels manifestations of sexual prejudice that are still highly prevalent in Portugal and Mexico. The aim of this study was to assess attitudes toward same-gender parenting and gay and lesbian rights, as well as beliefs about the controllability of homosexuality among a sample of 531 university students. A further aim was to assess the predictors of attitudes toward same-gender parenting. Results revealed the existence of ambivalent attitudes toward same-gender parenting. The belief that homosexuality is a choice and thus controllable in particular explained over 50% of the total variance of attitudes toward same-gender parenting. Being a man, older, and highly religious predicted higher levels of sexual prejudice regarding same-gender parenting. Comparative cross-cultural studies have the potential to highlight common features but also specificities of sexual prejudice.
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Correia Tomás C, Pimenta F, Alexandre Costa P, Maroco J, Leal I. PERCEIVED REPRESENTATIONS AND CONSEQUENCES OF MENOPAUSA AND ANDROPAUSA: EVISA PRELIMINARY RESULTS. Psic , Saúde & Doenças 2018. [DOI: 10.15309/18psd190113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Anne Carneiro F, Alexandre Costa P, Pereira H, Leal I. THE QUALITY OF PARENTAL LIVING IN THREE PORTUGUESE HOMOPARENT FAMILIES. Psic , Saúde & Doenças 2018. [DOI: 10.15309/18psd190119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Alberto Ribeiro Gonçalves J, Alexandre Costa P, Leal I. SILVER RAINBOW: ESTIGMA IN OLD GAY MEN, A PERSPECTIVE OF MINORITY STRESS. Psic , Saúde & Doenças 2018. [DOI: 10.15309/18psd190112] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Alexandre Costa P, Mangia P, Correia Tomás C, Pimenta F, Maroco J, Leal I. AGENCY AND EXPRESSIVENESS IN MIDDLE AND OLDER AGED PORTUGUESE MEN AND WOMEN. Psic , Saúde & Doenças 2017. [DOI: 10.15309/17psd180317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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27
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Ramos C, Costa PA, Rudnicki T, Marôco AL, Leal I, Guimarães R, Fougo JL, Tedeschi RG. The effectiveness of a group intervention to facilitate posttraumatic growth among women with breast cancer. Psychooncology 2017; 27:258-264. [DOI: 10.1002/pon.4501] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Revised: 07/06/2017] [Accepted: 07/13/2017] [Indexed: 12/20/2022]
Affiliation(s)
- Catarina Ramos
- WJCR-William James Center for Research; ISPA-University Institute; Lisbon Portugal
| | | | - Tânia Rudnicki
- Capes Foundation Ministry of Education of Brazil-Brasília/DF-Brazil; Faculdade da Serra Gaúcha-FSG-Caxias do Sul/RS; Brazil
| | | | - Isabel Leal
- WJCR-William James Center for Research; ISPA-University Institute; Lisbon Portugal
| | | | - José Luís Fougo
- Centro de Mama; Centro Hospitalar de São João; Oporto Portugal
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Esposito F, Quinto CR, De Masi F, Gargano O, Costa PA. Voices of Nigerian Women Survivors of Trafficking Held in Italian Centres for Identification and Expulsion. Int Migr 2016. [DOI: 10.1111/imig.12253] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Francesca Esposito
- BeFree Cooperativa Sociale contro tratta, violenza, discriminazioni; Rome
- ISPA-University Institute
| | - Carla R. Quinto
- BeFree Cooperativa Sociale contro tratta, violenza, discriminazioni; Rome
| | - Francesca De Masi
- BeFree Cooperativa Sociale contro tratta, violenza, discriminazioni; Rome
| | - Oria Gargano
- BeFree Cooperativa Sociale contro tratta, violenza, discriminazioni; Rome
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Costa PA, Oliveira R, Pereira H, Leal I. Adaptação dos inventários de sexismo moderno para Portugal: o inventário de sexismo ambivalente e o inventário de ambivalência em relação aos homens. Psicol Reflex Crit 2015. [DOI: 10.1590/1678-7153.201528114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Souza MF, Couto-Pereira NS, Freese L, Costa PA, Caletti G, Bisognin KM, Nin MS, Gomez R, Barros HMT. Behavioral effects of endogenous or exogenous estradiol and progesterone on cocaine sensitization in female rats. ACTA ACUST UNITED AC 2014; 47:505-14. [PMID: 24878606 PMCID: PMC4086178 DOI: 10.1590/1414-431x20143627] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2013] [Accepted: 03/06/2014] [Indexed: 11/21/2022]
Abstract
Cocaine sensitization is a marker for some facets of addiction, is greater in female rats, and may be influenced by their sex hormones. We compared the modulatory effects of endogenous or exogenous estradiol and progesterone on cocaine-induced behavioral sensitization in 106 female rats. Ovariectomized female rats received progesterone (0.5 mg/mL), estradiol (0.05 mg/mL), progesterone plus estradiol, or the oil vehicle. Sham-operated control females received oil. Control and acute subgroups received injections of saline, while the repeated group received cocaine (15 mg/kg, ip) for 8 days. After 10 days, the acute and repeated groups received a challenge dose of cocaine, after which locomotion and stereotypy were monitored. The estrous cycle phase was evaluated and blood was collected to verify hormone levels. Repeated cocaine treatment induced overall behavioral sensitization in female rats, with increased locomotion and stereotypies. In detailed analysis, ovariectomized rats showed no locomotor sensitization; however, the sensitization of stereotypies was maintained. Only females with endogenous estradiol and progesterone demonstrated increased locomotor activity after cocaine challenge. Estradiol replacement enhanced stereotyped behaviors after repeated cocaine administration. Cocaine sensitization of stereotyped behaviors in female rats was reduced after progesterone replacement, either alone or concomitant with estradiol. The behavioral responses (locomotion and stereotypy) to cocaine were affected differently, depending on whether the female hormones were of an endogenous or exogenous origin. Therefore, hormonal cycling appears to be an important factor in the sensitization of females. Although estradiol increases the risk of cocaine sensitization, progesterone warrants further study as a pharmacological treatment in the prevention of psychostimulant abuse.
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Affiliation(s)
- M F Souza
- Laboratório de Neurociência Comportamental, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
| | - N S Couto-Pereira
- Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil
| | - L Freese
- Laboratório de Neurociência Comportamental, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
| | - P A Costa
- Laboratório de Neurociência Comportamental, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
| | - G Caletti
- Laboratório de Neurociência Comportamental, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
| | - K M Bisognin
- Laboratório de Neurociência Comportamental, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
| | - M S Nin
- Laboratório de Neurociência Comportamental, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
| | - R Gomez
- Departamento de Farmacologia, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil
| | - H M T Barros
- Laboratório de Neurociência Comportamental, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
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Costa PA, Caldeira S, Fernandes I, Rita C, Pereira H, Leal I. Religious and Political Conservatism and Beliefs About Same-Sex Parenting in Portugal. Psychol Community Health 2014. [DOI: 10.5964/pch.v3i1.94] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Costa PA, Almeida R, Anselmo C, Ferreira A, Pereira H, Leal I. University students' attitudes toward same-sex parenting and gay and lesbian rights in Portugal. J Homosex 2014; 61:1667-1686. [PMID: 25089332 DOI: 10.1080/00918369.2014.951253] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The purpose of this study was to explore university students' attitudes toward same-sex parenting and toward gay and lesbian rights. A total of 292 participants, aged between 18 and 27 (M = 21) responded to a questionnaire measuring attitudes toward parenting by gay men and lesbians, gay and lesbian rights, and beliefs about the etiology of homosexuality. Results revealed that the majority of students were against gay and lesbian parenting, gay and lesbian equal rights, and believed that homosexuality has a social/environmental basis. It was found that sexual prejudice is highly prevalent in Portuguese university students, and implications of these findings are discussed.
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Pereira H, Costa PA. Editorial. PCH 2013. [DOI: 10.5964/pch.v2i2.69] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Abstract
Research has shown that negative attitudes toward lesbians and gay men are common and widespread in Western societies. However, few studies have addressed attitudes toward transgender individuals. In addition, although research has shown that homophobic harassment and bullying is highly common among adolescents, little is known about adolescent's attitudes toward sexual minorities. This study aimed to fill these gaps in knowledge, by investigating adolescents' attitudes toward transgender individuals and possible attitudinal correlates of those attitudes. Participants (N = 188; 62 males and 126 females) were recruited in high schools in Lisbon, Portugal. Age ranged from 15 to 19 years (M = 17; SD = .96). Participants completed a questionnaire booklet measuring attitudes toward transgender individuals, lesbians, and gay men, and gender role beliefs. Results revealed that attitudes toward transgender individuals were significantly correlated with all attitude measures. Specifically, it was revealed that those participants who endorsed negative attitudes toward transgender individuals were also endorsing of negative attitudes toward lesbians and gay men and tended to adhere to traditional gender roles. A significant gender effect was found with males being more negative toward sexual minorities than females, but these negative attitudes were more extreme toward gay men than toward lesbian women. Implications of these findings are discussed.
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Affiliation(s)
- Pedro Alexandre Costa
- Unidade de Investigação em Psicologia e Saúde, Instituto Superior de Psicologia Aplicada, Lisboa, Portugal
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Sapienza MT, Hironaka F, Lima AL, Yamaga LY, Hamada E, Watanabe T, Costa PA, Buchpiguel CA. [Evaluation of inflammatory activity in chronic osteomyelitis. Contribution of scintigraphy with polyclonal antibodies]. Rev Assoc Med Bras (1992) 2000; 46:106-12. [PMID: 11022350 DOI: 10.1590/s0104-42302000000200004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Active chronic osteomyelitis or complicating osteomyelitis are difficult to be diagnosed by radiological imaging modalities, such as plain radiograph and CT. They frequently cause increased bone remodeling, leading to nonspecific uptake of Tc-99m-bone scan agents and gallium-67. New radiopharmaceuticals with greater infection avidity are being developed, including the nonspecific polyclonal immunoglobulin (IgG) labeled with technetium-99m. Tc-99m-IgG may be available as a ready to use kit, with no reported side effects, low patient absorbed radiation dose and low cost. MATERIAL AND METHODS 23 bone segments with suspected active chronic osteomyelitis or violated bone osteomyelitis were studied by Tc-99m-IgG scintigraphy. All patients underwent standard three-phase bone scintigraphy using methylene diphosphonate (Tc-99m-MDP), gallium-67 scintigraphy and plain radiographs, compared with clinical evaluation and laboratory tests values. RESULTS Infection was found in 8 sites. Sensitivity and specificity for Tc-99m-MDP, gallium-67 and Tc-99m-IgG scintigraphy were, respectively, 88 and 36%, 75 and 73%, 88 and 82%. CONCLUSION Tc-99m-IgG may be usefull in the scintigraphic evaluation of osteomyelitis.
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Affiliation(s)
- M T Sapienza
- Departamento de Radiologia da Faculdade de Medicina, Universidade de São Paulo
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Santos-Machado TM, Cristófani LM, Almeida MT, Maluf PT, Costa PA, Pereira MA, Brito JL, Odone-Filho V. Disseminated Langerhans' cell histiocytosis and massive protein-losing enteropathy. Braz J Med Biol Res 1999; 32:1095-9. [PMID: 10464385 DOI: 10.1590/s0100-879x1999000900007] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Symptomatic involvement of the gastrointestinal (GI) tract as a prominent symptom in Langerhans' cell histiocytosis (LCH) is uncommon, occurring in less than 1 to 5% of all cases, even when the disease is in its disseminated form. Up to now, there have been reports of 18 cases of LCH with GI manifestations, including our 2 cases, with diarrhea (77.7%), protein-losing enteropathy (33.3%) and bloody stool being the most frequent findings. The authors present two patients with severe diarrhea and refractory hypoalbuminemia, and with the protein-losing enteropathy documented by Cr51-labeled albumin studies. A review of the literature indicated that the presence of GI symptoms is often associated with systemic disease as well as with poor prognosis, mainly under 2 years of age. Radioisotopes are useful for documenting protein loss in several diseases with high specificity and sensitivity, and their utilization in the cases reviewed here permitted diagnoses in 6 children, as well as improved therapeutic management.
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Affiliation(s)
- T M Santos-Machado
- Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
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Malinverni AF, Poletti C, Teruggi R, Costa PA. [Current role of angiography in the study of liver diseases]. Minerva Med 1982; 73:2649-57. [PMID: 6289192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
The Authors remember that also nowadays the angiographic studies for hepatic neoplasms is still interesting. These methods must be used after other less invasive screening methods, such as scintigraphy, ecotomography and computed tomography. Angiographic studies are essential in presurgical planning. Some angiographic studies of primitive hepatic neoplasms are presented.
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