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Psychological well-being and depressive symptoms in individuals who have lost a family member by suicide
Rui C. Camposa,b,
, Alexandra Medina Pereirab
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rcampos@uevora.pt
Corresponding author at: Departamento de Psicologia, Universidade de Évora, Apartado 94, 7′002-554 Évora.
Corresponding author at: Departamento de Psicologia, Universidade de Évora, Apartado 94, 7′002-554 Évora.
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"tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "51" "paginaFinal" => "59" ] ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ferda Apa, Selim Tumkaya, Bengu Yucens, Himani Kashyap" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Ferda" "apellidos" => "Apa" ] 1 => array:2 [ "nombre" => "Selim" "apellidos" => "Tumkaya" ] 2 => array:2 [ "nombre" => "Bengu" "apellidos" => "Yucens" ] 3 => array:2 [ "nombre" => "Himani" "apellidos" => "Kashyap" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213616321000501?idApp=UINPBA00004N" "url" => "/02136163/0000003600000001/v1_202201180521/S0213616321000501/v1_202201180521/en/main.assets" ] "en" => array:18 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Short communication</span>" "titulo" => "Psychological well-being and depressive symptoms in individuals who have lost a family member by suicide" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "60" "paginaFinal" => "63" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Rui C. Campos, Alexandra Medina Pereira" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Rui C." "apellidos" => "Campos" "email" => array:1 [ 0 => "rcampos@uevora.pt" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0001" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0002" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0001" ] ] ] 1 => array:3 [ "nombre" => "Alexandra Medina" "apellidos" => "Pereira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0002" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Psicologia, Escola de ciências Sociais e Centro de Investigação em Educação e Psicologia (CIEP-UE), Universidade de Évora, Portugal" "etiqueta" => "a" "identificador" => "aff0001" ] 1 => array:3 [ "entidad" => "Departamento de Psicologia, Escola de ciências Sociais Universidade de Évora, Portugal" "etiqueta" => "b" "identificador" => "aff0002" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0001" "etiqueta" => "⁎" "correspondencia" => "Corresponding author at: Departamento de Psicologia, Universidade de Évora, Apartado 94, 7′002-554 Évora." ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="para0006" class="elsevierStylePara elsevierViewall">The impact of death by suicide represents an important public health issue.<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> Loss by suicide requires more time to grieve than other types of bereavement<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a> and exposure to suicide results in a number of adverse consequences, namely distress and the increased likelihood of one's own suicide.<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a> There is some evidence relating exposure to suicide in the family and depression,<a class="elsevierStyleCrossRef" href="#bib0004"><span class="elsevierStyleSup">4</span></a><span class="elsevierStyleSup">,</span><a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">5</span></a> but little data has been reported looking at suicide exposure in relation to low positive emotions and low levels of psychological well-being<span class="elsevierStyleSup">6.</span> The absence of psychopathological symptoms, namely depressive symptoms does imply well-being. In fact mental health is not the opposite, or simply the absence of psychopathology. In Portugal, Santos, Campos and Tavares<a class="elsevierStyleCrossRef" href="#bib0007"><span class="elsevierStyleSup">7</span></a> examined whether several indicators of distress, namely depression, related to suicidal ideation in individuals exposed to suicide in the family and just one study<a class="elsevierStyleCrossRef" href="#bib0008"><span class="elsevierStyleSup">8</span></a> compared a group of individuals exposed to family suicide with a control group, demonstrating that those college students in the exposure group presented significantly higher levels of depressive symptoms than the controls. No study has looked into whether exposed individuals presented lower levels of psychological well-being. The current study aimed to contribute to the understanding of the effect of being exposed to a suicide in the family and reports data relating depressive symptoms and psychological well-being to exposure to suicide in the family.</p><span id="sec0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0008">Materials and methods</span><p id="para0007" class="elsevierStylePara elsevierViewall">A final Portuguese community sample of 266 participants (205, 80.4% women) answered a protocol presented on a Google platform. It related to psychological variables, thoughts about death, and risky behaviors. Participants were not compensated for their participation. Participant mean age was 35.89 years (<span class="elsevierStyleItalic">SD</span> = 12.42, Median = 32.00) and ranged from 18 to 64. Only nine participants were students, and mean years of education was 13.95 (<span class="elsevierStyleItalic">SD</span> = 2.57, Median = 15.00), ranging from 6 to 19. Fifty-two (20.4%) were unemployed. Twenty-seven (10.6%) of the participants had received a psychiatric diagnosis (44.4% with a depressive disorder, 29.6% with an anxiety disorder 22.2% with a mixed anxiety and depressive disorder, and 3.7% with another diagnosis) and 53 (20.8%) had been diagnosed with a chronic physical disease.</p><p id="para0008" class="elsevierStylePara elsevierViewall">Individuals provided informed consent on the first page of the online protocol and then were asked to click “continue” and received a brief socio-demographic and several clinical questionnaires including the Psychological Well-being Manifestation Measure Scale and the Center for Epidemiologic Studies Depression Scale. All participants were provided with telephone numbers of available mental health services. Participation was voluntary and anonymous and could be discontinued at any time. Three individuals were excluded because they reported residing outside of Portugal.</p><p id="para0009" class="elsevierStylePara elsevierViewall">Participants were also asked if any family member had died by suicide and, if so, information was requested about the family member, when, what suicide method was used, and the degree of impact (using a 1-minimal impact to 5-high impact scale). Sixty-nine participants answered yes, however ten of these reported a date for the suicide that was before the participant's birth, and another 11 failed to report any date. Consequently, we defined a suicide exposure group (<span class="elsevierStyleItalic">n</span> = 48) as those individuals who had lost a family member by suicide during their lifetime with an impact different than minimal in addition to a control group (<span class="elsevierStyleItalic">n</span> = 210). The 11 individuals who did not report the date of the suicide were eliminated from the analysis. Of the 48 members of the exposed group, 15 were grandchildren of the deceased, one was a brother, one was a great grandchild; four were children; two were daughters; eighteen were cousins; thirteen were nieces or nephews; one was a father-in-law; and three reported other kinship. For ten exposed individuals (22.2%), two or more family members had died from suicide. Hanging was the most frequent method (approximately 40%) followed by intoxication (approximately 24%), using medication, a drug or poison. Mean time since the suicide was 16.64 years (<span class="elsevierStyleItalic">SD</span> = 10.89).</p><p id="para0010" class="elsevierStylePara elsevierViewall">Participants responded to the <span class="elsevierStyleItalic">Échelle de Mesure des Manifestations du Bien-Être Psychologique</span> (Psychological Well-being Manifestation Measure Scale),<a class="elsevierStyleCrossRef" href="#bib0009"><span class="elsevierStyleSup">9</span></a> a 25-item five-point Likert scale (1-never to 5-always), originally developed in Canada, that access manifestoes of well-being in the previous month. Examples of items are: "I felt confident"; "I felt good, at peace with myself." The Cronbach alpha of the original version of the questionnaire was .93. In the Portuguese adaptation,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">10</span></a> used in the present study, a Cronbach alpha of .93 was also obtained. In the present study Cronbach alpha was .97.</p><p id="para0011" class="elsevierStylePara elsevierViewall">Participants also responded to the <span class="elsevierStyleItalic">Center for Epidemiologic Studies Depression Scale</span> - CES-D<a class="elsevierStyleCrossRef" href="#bib0011"><span class="elsevierStyleSup">11</span></a> is a 20-item measure that assessed the frequency of depressive symptoms in the week prior the assessment. Items (e.g., “I felt depressed”) are answered on 4-point Likert scales from (0 - “Never or very rarely - less than 1 day” to 3 - “Very frequently or always - 5-7 days”). Radloff <a class="elsevierStyleCrossRef" href="#bib0011"><span class="elsevierStyleSup">11</span></a> reported scale score coefficient alphas of .85 and .90 for community and clinical samples, respectively. In the Portuguese version<a class="elsevierStyleCrossRef" href="#bib0012"><span class="elsevierStyleSup">12</span></a> internal consistency coefficient alpha values have ranged from .85 to .92 in various samples. In the current study, the coefficient alpha was .91.</p></span><span id="sec0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0009">Results</span><p id="para0012" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a> presents descriptive results as a function of group membership (suicide exposure or control) for the socio-demographic variables of age, gender, years of education, unemployment and marital status, and whether participants had a psychiatric diagnosis and/or chronic physical disease. Descriptive statistics by group for psychological well-being and depressive symptoms are also displayed. For all variables, suicide exposed and control groups were compared, using <span class="elsevierStyleItalic">t</span> tests, ANOVA or χ<span class="elsevierStyleSup">2</span> tests. Each group's psychological well-being and depressive symptoms were also compared, controlling for other relevant variables using ANCOVA.</p><elsevierMultimedia ident="tbl0001"></elsevierMultimedia><p id="para0013" class="elsevierStylePara elsevierViewall">As displayed in <a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a> suicide exposed individuals did not differ from controls regarding age, gender, years of education, marital status, or having a psychiatric diagnosis. However, the groups did differ significantly on psychological well-being (<span class="elsevierStyleItalic">t</span> = 2.83, <span class="elsevierStyleItalic">p <</span>0.01; <span class="elsevierStyleItalic">F</span> = 6.59, <span class="elsevierStyleItalic">p <</span>0.05; partial η<span class="elsevierStyleSup">2</span> = 0.03) even when contorting for unemployment and having chronic physical disease (<span class="elsevierStyleItalic">F</span> = 5.28, <span class="elsevierStyleItalic">p <</span>0.05; partial η<span class="elsevierStyleSup">2</span> = 0.02). Groups also differed regarding depressive symptoms (<span class="elsevierStyleItalic">t</span> = 2.24, <span class="elsevierStyleItalic">p <</span> .05; <span class="elsevierStyleItalic">F</span> = 4.17, <span class="elsevierStyleItalic">p <</span> .05; partial η<span class="elsevierStyleSup">2</span> = 0.02) and tended to differ when contorting for unemployment and chronic physical disease (<span class="elsevierStyleItalic">F</span> = 3.31, <span class="elsevierStyleItalic">p <</span>0.10; partial η<span class="elsevierStyleSup">2</span> = 0.01).</p></span><span id="sec0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0010">Discussion</span><p id="para0014" class="elsevierStylePara elsevierViewall">Results demonstrated that exposed individuals not only presented significantly higher levels of depressive symptoms, confirming previous results, but also reported lower levels of psychological well-being, suggesting that therapeutic interventions should focus on reducing depressive symptoms in exposed individuals, as well as promoting well-being. Often, an excessive focus on psychopathology neglects important dimensions of the individual, such as well-being.<a class="elsevierStyleCrossRef" href="#bib0013"><span class="elsevierStyleSup">13</span></a> Stigma related to death by suicide may be one of the factors that impact survivors' well-being.<a class="elsevierStyleCrossRef" href="#bib0006"><span class="elsevierStyleSup">6</span></a> Suicide prevention programs should include strategies targeting broad-based populations aiming to reduce the stigma associated to death by suicide.</p><p id="para0015" class="elsevierStylePara elsevierViewall">The primary limitation of the present study was the size of the sample and the cross-sectional nature of the design. Particularly, the group of participants whose family member died before his/her birth was too small (just 10 participants) to be compared to individuals exposed during life time and to the control group. Secondly, we relied solely on self-report measures to assess depressive symptoms and psychological well-being. Also, the obtained effect sizes were small. Finally, it should be noted that the Google platform does not reregister individuals that start responding but discontinue their participation before the end of the protocol.</p></span><span id="sec0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0011">Ethical considerations</span><p id="para0016" class="elsevierStylePara elsevierViewall">Authors declare that the research meet all the guidelines of the Portuguese Psychologists Board</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0012">Funding</span><p id="para0017" class="elsevierStylePara elsevierViewall">Authors declare that the paper was partially supported by FCT Fundação Para a Ciência e a Tecnologia, I.P., by the project UIDB/04312/2020</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:8 [ 0 => array:3 [ "identificador" => "xres1651096" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abss0001" "titulo" => "Background and objectives" ] 1 => array:2 [ "identificador" => "abss0002" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abss0003" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abss0004" "titulo" => "Conclusion" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1468129" "titulo" => "Keywords" ] 2 => array:2 [ "identificador" => "sec0001" "titulo" => "Materials and methods" ] 3 => array:2 [ "identificador" => "sec0002" "titulo" => "Results" ] 4 => array:2 [ "identificador" => "sec0003" "titulo" => "Discussion" ] 5 => array:2 [ "identificador" => "sec0004" "titulo" => "Ethical considerations" ] 6 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 7 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2021-02-08" "fechaAceptado" => "2021-09-12" "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1468129" "palabras" => array:4 [ 0 => "Exposure to suicide" 1 => "Family" 2 => "Psychological well-being" 3 => "Depressive symptoms" ] ] ] ] "tieneResumen" => true "resumen" => array:1 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0002">Background and objectives</span><p id="spara003" class="elsevierStyleSimplePara elsevierViewall">The impact of death by suicide represents an important public health issue. The current study reports data relating depressive symptoms and psychological well-being to exposure to suicide in the family.</p></span> <span id="abss0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Methods</span><p id="spara004" class="elsevierStyleSimplePara elsevierViewall">A final Portuguese community sample of 266 participants answered a protocol presented on a Google platform<span class="elsevierStyleBold">.</span> Two groups were defined: a suicide exposure group (<span class="elsevierStyleItalic">n</span> = 45) and a control group (<span class="elsevierStyleItalic">n</span> = 210) who responded to the <span class="elsevierStyleItalic">Échelle de Mesure des Manifestations du Bien-Être Psychologique</span> (Psychological Well-being Manifestation Measure Scale) and to the <span class="elsevierStyleItalic">Center for Epidemiologic Studies</span> Scale to access psychological well-being and depressive symptoms, respectively.</p></span> <span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Results</span><p id="spara005" class="elsevierStyleSimplePara elsevierViewall">Groups differ significantly on psychological well-being, even when contorting for unemployment and having physical disease, differed on depressive symptoms and tended to differ on depressive symptoms when contorting for unemployment and chronic physical disease.</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0005">Conclusion</span><p id="spara006" class="elsevierStyleSimplePara elsevierViewall">Based on results, we suggest that therapeutic interventions should focus not only on reducing depressive symptoms in exposed individuals, but as well as promoting well-being. Limitations include the size of the sample and the cross-sectional nature of the design.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abss0001" "titulo" => "Background and objectives" ] 1 => array:2 [ "identificador" => "abss0002" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abss0003" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abss0004" "titulo" => "Conclusion" ] ] ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara" id="notep0001">We wish to thank all participants in the study.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "tbl0001" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0001" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "leyenda" => "<p id="spara002" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Note.<span class="elsevierStyleSup">.</span></span> * <span class="elsevierStyleItalic">p <</span> .05.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0001"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Variables</span> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0002"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0003"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">n</span> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0004"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">%</span> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en9037"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en9137"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Mean (SD)</span> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0006"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">n</span> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0007"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">%</span> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0008"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Mean (SD)</span> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><a name="en0009"></a><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">t / χ<span class="elsevierStyleSup">2</span></span> \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0010"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"><span class="elsevierStyleItalic">Socio-demographic and clinical variables</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0011"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0012"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="4" align="left" valign="top">Control Group</td><a name="en0013"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="3" align="left" valign="top">Exposed Group</td><a name="en0014"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0015"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Age in years \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0016"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0017"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0018"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top"></td><a name="en0019"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">35.79 <span class="elsevierStyleItalic">(12.36)</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0020"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0021"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0022"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">36.33 <span class="elsevierStyleItalic">(12.85)</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0023"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.27 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0024"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Gender \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0025"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"><span class="elsevierStyleItalic">Female</span><span class="elsevierStyleItalic">Male</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0026"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">16740 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0027"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top">80.7%19.3%</td><a name="en0028"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0029"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3810 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0030"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">79.2%20.8% \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0031"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0032"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.06 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0033"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Years of education \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0034"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0035"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0036"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top"></td><a name="en0037"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">14.06 <span class="elsevierStyleItalic">(2.21)</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0038"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0039"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0040"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">13.45 <span class="elsevierStyleItalic">(2.78)</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0041"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">1.41 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0042"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Unemployed \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0043"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"><span class="elsevierStyleItalic">No</span><span class="elsevierStyleItalic">Yes</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0044"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">17136 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0045"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top">82.6%17.4%</td><a name="en0046"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0047"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3216 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0048"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">66.6%33.3% \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0049"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0050"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">6.10 * \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0051"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Marital status \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0052"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"><span class="elsevierStyleItalic">Not married or living together</span><span class="elsevierStyleItalic">Married or living together</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0053"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">12790 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0054"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top">62.4%38.6%</td><a name="en0055"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0056"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3018 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0057"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">62.5%37.5% \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0058"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0059"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.02 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0060"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Having a chronic physical disease \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0061"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"><span class="elsevierStyleItalic">No</span><span class="elsevierStyleItalic">Yes</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0062"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">17037 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0063"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top">82.1%17.9%</td><a name="en0064"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0065"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">3216 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0066"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">66.6%33.3% \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0067"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0068"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">5.66 * \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0069"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Having had a psychiatric diagnosis \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0070"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"><span class="elsevierStyleItalic">No</span><span class="elsevierStyleItalic">Yes</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0071"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">18621 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0072"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top">89.9%10.1%</td><a name="en0073"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0074"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">426 \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0075"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">87.5%12.5% \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0076"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0077"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">0.23 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0078"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Psychological well-being \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0079"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0080"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0081"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top"></td><a name="en0082"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">87.74 <span class="elsevierStyleItalic">(21.05)</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0083"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0084"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0085"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">79.11 <span class="elsevierStyleItalic">(19.97)</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0086"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">2.57 * \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><a name="en0087"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">Depressive symptoms \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0088"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0089"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0090"></a><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="left" valign="top"></td><a name="en0091"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">20.70 <span class="elsevierStyleItalic">(10.61)</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0092"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0093"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0094"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">24.77 <span class="elsevierStyleItalic">(12.91)</span> \t\t\t\t\t\t\n \t\t\t\t</td><a name="en0095"></a><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="top">2.30 * \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2805813.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">Descriptive and inferential statistics for control (<span class="elsevierStyleItalic">n</span> = 210) and suicide exposed (<span class="elsevierStyleItalic">n</span> = 48)) groups.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "cebibsec1" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0001" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preface" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K. Andriessen" 1 => "K. Krysinska" 2 => "O. Grad" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:3 [ "editores" => "K.Andriessen, K.Krysinska, O.Grad" "titulo" => "<span class="elsevierStyleItalic">Postvention in Action: The International Handbook of Suicide Bereavement Support</span> (pp. xv-xviii)" "serieFecha" => "2017" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0002" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Survivors of suicide: a research on the consequences of a loss for suicide" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "S.M. Bellini" 1 => "F. Ricci" 2 => "M. Migliorati" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Eur Psychiatry</span>" "fecha" => "2016" "volumen" => "33" "paginaInicial" => "323" "paginaFinal" => "324" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0003" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Suicide bereavement: why study survivors of suicide loss?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.R. Jordan" 1 => "J.L. McIntosh" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "editores" => "J.R.Jordan, J.L.McIntosh" "titulo" => "Grief after Suicide: Understanding the Consequences and Caring for the Survivors" "paginaInicial" => "3" "paginaFinal" => "17" "serieFecha" => "2011" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0004" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Does the impact of major stressful life events on the risk of developing depression change throughout life?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Kessing" 1 => "E. Agerbo" 2 => "P. Mortensen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Psychol Med</span>" "fecha" => "2003" "volumen" => "33" "paginaInicial" => "1177" "paginaFinal" => "1184" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0005" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Influencing factors for depression among Chinese suicide survivors" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N. Li" 1 => "J. Zhang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Psychiatry Res</span>" "fecha" => "2010" "volumen" => "178" "paginaInicial" => "97" "paginaFinal" => "100" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0006" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Insight into the stigma of suicide loss survivors: factor analyses of family stereotypes, prejudices, and discriminations" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "P.W. Corrigan" 1 => "L. Shhehan" 2 => "A. Maya" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Arch Suicide Res</span>" "fecha" => "2018" "volumen" => "22" "paginaInicial" => "57" "paginaFinal" => "66" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0007" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Suicidal ideation and distress in family members bereaved by suicide in Portugal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Santos" 1 => "R.C. Campos" 2 => "S. Tavares" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Death Stud</span>" "fecha" => "2015" "volumen" => "39" "paginaInicial" => "332" "paginaFinal" => "341" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0008" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Exposure to suicide in the family: suicidal ideation and unmet interpersonal needs in young adults who have lost a family member by suicide" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.C. Campos" 1 => "R. Holden" 2 => "J. Spinola" 3 => "D. Marques" 4 => "S. Santos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">J Nerv Ment Dis</span>" "fecha" => "2020" "volumen" => "208" "paginaInicial" => "201" "paginaFinal" => "207" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0009" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Élaboration et validation d'un outil de mesure du bien-être psychologique: L’É.M.M.B.E.P" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Massé" 1 => "C. Poulin" 2 => "C. Dassa" 3 => "J. Lambert" 4 => "S. Bélair" 5 => "A. Battaglini" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Revue Canadienne de Santé Publique" "fecha" => "1998" "volumen" => "89" "paginaInicial" => "352" "paginaFinal" => "357" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9813928" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0010" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Adaptação portuguesa da Escala de Medida de Manifestação de Bem-estar Psicológico com estudantes universitários portugueses" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S Monteiro" 1 => "J. Tavares" 2 => "A. Pereira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Psicologia Saúde & Doenças</span>" "fecha" => "2012" "volumen" => "13" "paginaInicial" => "66" "paginaFinal" => "77" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0011" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The CES-D scale: a self-report depression scale for research in the general population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L.S. Radloff" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Appl Psycholog Meas</span>" "fecha" => "1977" "volumen" => "1" "paginaInicial" => "385" "paginaFinal" => "401" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0012" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Portuguese version of the Center for Epidemiologic Studies Depression Scale (CES-D)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Gonçalves" 1 => "T. Fagulha" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Eur J Psychol Assess</span>" "fecha" => "2004" "volumen" => "20" "paginaInicial" => "339" "paginaFinal" => "348" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0013" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Positive psychology progress: empirical validation of interventions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Seligman" 1 => "T.A. Steen" 2 => "N. Park" 3 => "C. Peterson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "<span class="elsevierStyleItalic">Am Psychol</span>" "fecha" => "2005" "volumen" => "60" "paginaInicial" => "410" "paginaFinal" => "421" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/02136163/0000003600000001/v1_202201180521/S0213616321000495/v1_202201180521/en/main.assets" "Apartado" => array:4 [ "identificador" => "64428" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Short communication" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/02136163/0000003600000001/v1_202201180521/S0213616321000495/v1_202201180521/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213616321000495?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
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| 2024 November | 3 | 1 | 4 |
| 2024 October | 14 | 3 | 17 |
| 2024 September | 20 | 4 | 24 |
| 2024 August | 17 | 4 | 21 |
| 2024 July | 22 | 6 | 28 |
| 2024 June | 18 | 6 | 24 |
| 2024 May | 11 | 11 | 22 |
| 2024 April | 13 | 5 | 18 |
| 2024 March | 14 | 16 | 30 |
| 2024 February | 24 | 7 | 31 |
| 2024 January | 15 | 12 | 27 |
| 2023 December | 9 | 2 | 11 |
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| 2023 September | 11 | 6 | 17 |
| 2023 August | 14 | 0 | 14 |
| 2023 July | 5 | 2 | 7 |
| 2023 June | 7 | 2 | 9 |
| 2023 May | 22 | 4 | 26 |
| 2023 April | 11 | 2 | 13 |
| 2023 March | 12 | 5 | 17 |
| 2023 February | 6 | 4 | 10 |
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