RESUMOIntrodução: A Teoria da Auto-Determinação explora os processos através dos quais as pessoas adquirem motivação para adoptar comportamentos promotores de saúde e para mantê-los ao longo do tempo. Pretendemos testar o Modelo de Saúde da Teoria de Auto-Determinação numa amostra de fumadores hospitalizados devido a síndroma coronária aguda, e identificar preditores da abstinência tabágica seis meses após alta hospitalar. Material e Métodos: Incluímos no estudo 110 participantes, fumadores, hospitalizados devido a síndroma coronária aguda. Aplicamos questionários para avaliar a regulação autónoma, competência percebida, suporte familiar, depressão e sentido de vida no momento do internamento. Questionamos os participantes se continuavam a fumar seis meses depois. Resultados: Os resultados demonstraram que os processos definidos pela Teoria da Auto-Determinação se ajustam bem aos dados da amostra. A competência percebida prediz positivamente a abstinência tabágica seis meses após alta hospitalar. Discussão: Os resultados são similares aos encontrados noutras amostras internacionais nas quais o modelo da Teoria da AutoDeterminação foi testado. É importante promover a competência percebida para parar de fumar, pois é reconhecido que pacientes com doença cardíaca que continuam a fumar apresentam menor longevidade e qualidade de vida. Conclusão: Este estudo salienta a importância de se investir em intervenções clínicas baseadas na Teoria da Auto-Determinação para promover a cessação tabágica. Palavras-chave: Abandono do Hábito de Fumar; Motivação; Síndroma Coronária Aguda/psicologia; Tabagismo ABSTRACT Introduction: Self-Determination Theory explores the process through which a person acquires motivation to initiate new behaviours related to health and to maintain them over time. This study aimed to determine the overall fit of Self-Determination Theory Model for Health Behavior to the data obtained from a sample of smokers hospitalized with acute coronary syndrome, and to identify the predictors of smoking status six months after clinical discharge. Material and Methods:The sample included 110 participants, regular smokers, hospitalized due to acute coronary syndrome. Questionnaires were administered to assess autonomous self-regulation, perceived competence, family support, depressive symptoms and meaning in life. Participants were asked if they were currently smokers six months after clinical discharge. Results:The results showed that the process variables specified by Self-Determination Theory fit the data well. Perceived competence predicted abstinence from smoking six months after clinical discharge. 1,2 Despite the known benefits of not smoking, relapses are common even after an acute coronary syndrome.3 Thus, it is crucial to understand the behaviour of smokers who have suffered an acute coronary syndrome concerning their motivation to quit smoking. Interventions that enhance motivation for cessation, and result in abstinence are expected to improve quality and length of life. Self-Determination Theory (SDT)...

Objective: To investigate the association between functional constipation, infant feeding in early infancy and eating behavior in preschool children. Methodology: A cross-sectional study was undertaken in public and private schools in the state of Sergipe (Northeast of Brazil). The sample calculation was based on a 25% estimate of constipation prevalence in Brazilian children, resulting in a sample size of 1051 children. Functional constipation was assessed using Rome IV criteria. Eating behavior was assessed using the Children's Eating Behavior Questionnaire. Adjusted odds ratios were estimated using a multivariate model. Results: The prevalence of functional constipation was 23%. After adjusting for water intake, children with food fussiness were >6 times likely to have constipation (odds ratio [OR] ¼ 6.65; 95% confidence interval [CI] 5.19-8.52). Children who were fed with cow's milk in the first 6 months of age were up to 15.2 times more likely to have functional constipation. Bottle feeding at 0-6 months of age increased the risk of functional constipation at preschool age (whole cow's milk:

Studies on the cognitive working mechanism of smoking cessation in high-risk populations are few and much needed, and identifying long-term psychosocial factors to smoking cessation are relevant to improve intervention for cardiac patient groups. This longitudinal study followed patients who smoked and suffered an acute coronary syndrome from hospitalization to 12 months after clinical discharge. Questionnaires were administered to assess nicotine dependence, behavioral dependence, autonomous self-regulation, perceived competence, social support, anxiety, depressive symptoms and meaning in life at baseline, six months and twelve months after clinical discharge. The results showed that anxiety (F(2, 62) = 28.10, p < .001, η p 2 = .48) and depressive symptoms (F(2, 62) = 10.42, p < .001, η p 2 = .25) decreased over time, whereas meaning in life (F(2, 61) = 44.77, p < .001, η p 2 = .59) and social support increased (t(63) = -4.54, p < .001, 95% IC[-11.05, 4.29], η2 =.25). Smoking dependence was negatively predicted by change in perceived competence (B = -2.25, p = .011, 95% IC[.02, .60]) and positively by change in depressive symptoms (B =.37, p = .042, 95% IC[1.01, 2.05]) 12 months after clinical discharge. Nicotine dependence (t(17) = 2.76, p = .014, 95% IC[.39, 2.94], η2 =.31) and the number of cigarettes smoked per day (t(17) = 4.48, p < .001, 95% IC[5.49, 15.29], η2 =.54) decreased over time, whereas behavioral dependence increased among smokers (t(17) = -2.37, p = .030, 95% IC[-4.30, 2.54], η2 =.25). This study suggests that long term abstinence in cardiac patients may be enhanced by psychological interventions addressing perceived competence, depressive symptoms and behavioral dependence.

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This research aimed to evaluate the nutritional status and the perception of the body image of patients with mental disorders, verifying the relationship between the use of psychotropic drugs and the nutritional profile. It is an exploratory cross-sectional study in a psychiatric clinic hospital in Northeast Brazil. The questionnaire developed for this research was used, with validated questions, organized into five sections: (1) sociodemographic data, (2) questions about the disease, (3) body weight history, (4) anthropometric measurements data, and (5) body image. We used the silhouette scale validated in Brazil to assess body image, and for nutritional status, we collected weight, height, and waist circumference in all participants. Descriptive statistical analysis and the chi-square test were used, adopting a significance level of 5%. A total of 120 patients participated in the study: 70.8% were hospitalized, and 63.3% were male. The results showed an association between the use of psychotropic drugs and variables related to weight and the presence of arterial hypertension. After starting treatment, 86.4% of the participants using antidepressants said they had gained weight involuntarily. Body image distortion and great body dissatisfaction were found, especially in the overweight group. It was concluded that the use of psychotropic drugs was related to outcomes related to weight, and the nutritional profile of overweight was associated with dissatisfaction and distortion of body self-image.