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This paper describes the contents of a cognitive-behavioural treatment for hypochondriasis and health anxiety based on Barsky et al.'s (1988) proposal. Five types of factors that may account for the enhanced experience of physical symptomsÐselective and inadequate attention, muscle tension and bad breathing, environmental factors, stress and dysphoric mood and misinterpretation of somatic symptomsÐwere presented in the form of a group of educational training. Special emphasis was given to the form in which psychological information should be provided to initially resistant patients and to the contexts in which training should occur. The evidence obtained with an heterogeneous group of 14 subjects supports the utility of the programme, not only for target behaviours, but also for other related areas. Finally, the implications of this type of intervention for treatment and prevention are discussed.

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A recent development in Higher Education reflects a growing use of digital systems and services. Younger students tend to adapt in a quicker manner than their predecessors and app use has not been an exception. This chapter's tried to reflect upon the paradigm shift in the field of HE associated with the introduction of apps like learning and health promoting apps, with particular focus on mHealth and biofeedback. The newer trend of gamification is also considered as a potential tool for increased motivation and engagement. The authors consider that the development of a coherent solution, based on a multidisciplinary approach for the promotion of students' educational success and well-being would be a worthwhile investment, leading to an innovative, integrated multidisciplinary app that might act as a promoter of HE student's adaptation, success and wellbeing.

No abstract

A recent development in Higher Education reflects a growing use of digital systems and services. Younger students tend to adapt in a quicker manner than their predecessors and app use has not been an exception. This chapter's tried to reflect upon the paradigm shift in the field of HE associated with the introduction of apps like learning and health promoting apps, with particular focus on mHealth and biofeedback. The newer trend of gamification is also considered as a potential tool for increased motivation and engagement. The authors consider that the development of a coherent solution, based on a multidisciplinary approach for the promotion of students' educational success and well-being would be a worthwhile investment, leading to an innovative, integrated multidisciplinary app that might act as a promoter of HE student's adaptation, success and wellbeing.

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______________________________________________________________________ RESUMO: Recentemente, tem sido realçada a importância do distress psicológico (DP) no impacto na saúde, qualidade de vida e psicopatologia dos indivíduos. A presente investigação tem como principal objetivo contribuir para a adaptação do Symptom Questionnaire (SQ-48) para a população portuguesa, um questionário de avaliação do DP que inclui constructos psicológicos negativos e positivos avaliados segundo nove subescalas: Humor, Ansiedade, Somatização, Agorafobia, Agressão, Problemas Cognitivos, Fobia Social, Funcionamento no Trabalho e Vitalidade/Otimismo. Foi utilizada uma amostra de 758 estudantes académicos de enfermagem (81,7% do sexo feminino) com idades compreendidas entre os 17 e os 43 anos (M=20,7; DP=2,8). Foram conduzidas Análises Fatoriais Confirmatórias (AFC) para a análise da estrutura fatorial do SQ-48 e procedeu-se ao estudo da consistência interna e das validades. Os resultados da AFC evidenciam índices de ajustamento satisfatórios. A consistência interna foi avaliada através do alfa de Cronbach e foram obtidos resultados satisfatórios para as nove subescalas do SQ-48, com oscilações entre os 0,626 e os 0,870 valores. No geral, as subescalas do SQ-48 associaram-se significativamente entre si e os resultados sustentam boa validade convergente. O instrumento final e as suas características psicométricas apresentam algumas diferenças com o instrumento do estudo original e os resultados obtidos levantam algumas questões que são discutidas de forma sustentada. Os resultados validam o SQ-48 como um instrumento de avaliação consistente e multidimensional do distress psicológico, com itens devidamente adequados à medição dos constructos subjacentes. São avançadas considerações para investigações futuras. Palavras-chave: distress psicológico, avaliação psicológica, questionário de sintomas, adaptação de instrumentos, análise fatorial confirmatória ______________________________________________________________________ PSYCHOLOGICAL DISTRESS: CONTRIBUTES FOR THE PORTUGUESE ADAPTION OF THE SQ-48ABSTRACT: Recently, it has been emphasized the importance of psychological distress in the impact of an individual's health, quality of life and psychopathology. The present research's main goal is to contribute for its study by adapting the SymptomQuestionnaire (SQ-48) to the Portuguese population, a questionnaire for the evaluation of psychological distress which includes both negative and positive constructs assessed by nine subscales: