Cláudia Ferreira

Cláudia Ferreira
University of Coimbra | UC · CINEICC - Cognitive and Behavioral Centre for Research and Intervention

About

200
Publications
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2,263
Citations

Publications

Publications (200)
Article
Full-text available
PLAYwithHEART: Study protocol to test the efficacy of a mindfulness, acceptance and compassion-based programme for adolescent athletes • pág. 65-86 Abstract Some studies have documented that athletes experience mental health challenges associated with the practice of sports. There is evidence of the benefits of mindfulness, acceptance, and compassi...
Article
Full-text available
This study aimed to examine the role of decentering and committed action as mediators of the link of external and internal shame with psychological health, in people with a chronic disease diagnosis (n = 223) and without chronic disease (n = 230). Participants with chronic disease presented higher levels of both external and internal shame. Path an...
Article
Full-text available
PurposeAdolescence has been stated as a period in which body image and eating difficulties’ have its greatest expression, especially in females. Nonetheless, protective factors, such as body appreciation and compassion, are not thoroughly studied in this developmental stage. The current study hypothesized that competences for self-compassion and re...
Article
Full-text available
Some studies have demonstrated the link between the recall of early affiliative experiences and psychopathological symptoms in adolescence. However, literature seems to be scarce in relation to the association between these early memories and adolescent well-being, as well as in relation to the processes and mechanisms that may mediate this relatio...
Article
During adolescence, body image plays an increasingly central role in girls’ well-being and overall functioning. One dimension that has been associated with girls’ body image is social relationships, specifically those established with close others and peers. Cross-sectional findings on the association between both early positive relational memories...
Article
Full-text available
Shame plays a central role in psychosocial functioning, being a transdiagnostic emotion associated with several mental health conditions. According to the evolutionary biopsychosocial model, shame is a painful and difficult emotion that may be categorized into two distinct focal components: external and internal shame. External shame is focused on...
Article
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PurposeFeelings of shame and social comparison focused on physical appearance have been identified as important risk factors for the engagement in disordered eating behaviours. Further, recent studies have emphasized the role of body-image psychological (in)flexibility in the association between several risk factors and eating psychopathology. The...
Article
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Recent studies have identified symptoms related to the mental disorders in athletes and have highlighted the importance of exploring factors that may contribute to athletes' mental health. The current study examined whether self-criticism operates as a mediator process in the association between athletes’ perceptions of coach-related critical attit...
Article
Full-text available
Background Psychological inflexibility has been associated with several mental health indicators. The Avoidance and Fusion Questionnaire for Youth (AFQ-Y) has been the most used measure to assess psychological inflexibility in adolescents, having been adapted to several different languages, including Portuguese. However, the short 8-item version of...
Article
Full-text available
Purpose Body image shame plays a key role in disordered eating symptoms and psychological adjustment. Nonetheless, research has been mainly focussed on women. The Body Image Shame Scale (BISS) was previously developed and tested in a nonclinical sample of women. This study examines the BISS in a sample of men comprising students and community parti...
Article
Full-text available
PurposeThe present study aimed to understand how quarantine associated with COVID-19 was experienced by women from different BMI groups (underweight, normal weight, pre-obesity, and obesity), by exploring the changes introduced in eating and exercise routines and the differences between BMI groups regarding shape concern, weight concern, and binge...
Article
Full-text available
Research has suggested that the perception of life satisfaction and quality of life tends to decrease during adolescence, and points out that adolescent girls tend to report lower levels of psychological well-being when compared with adolescent boys. Furthermore, studies have highlighted the role of affiliation indicators in the psychological well-...
Article
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This study aimed to explore how contextual variables associated with the period of confinement during pandemic can differentiate symptoms of anxiety, depression, and stress. It also intended to understand the concerns that were experienced by athletes when resuming their sport practice and how these could be associated with psychopathological indic...
Article
This study explored the differences in shame, perception of performance, the need to present a perfect body image, and disordered eating among 223 female athletes from esthetic ( n = 114; M age = 14.30; SD age = 1.65; M yearsofpractice = 6.62) and nonesthetic ( n = 109; M age = 14.75; SD age = 1.87; M yearsofpractice = 4.56) individual sports. Desc...
Article
Estudos recentes documentaram um aumento em diferentes indicadores de psicopatologia associado à prática desportiva. A literatura tem mostrado os benefícios das competências de mindfulness, aceitação e compaixão na prática desportiva. No entanto, o contributo destes processos nunca foi testado de forma integradora e estruturada. Neste protocolo, pr...
Article
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Background Shame, as a self-conscious, complex, and universal emotion, plays an important role in mental health. In adolescents, given their greater vulnerability to the development of psychological difficulties, the assessment of shame, in its various dimensions, is especially relevant. Objective To adapt and validate the External and Internal Sh...
Preprint
Loneliness refers to the perception of mismatch between the perceived and desired quantity and quality of meaningful relationships. Currently, the golden standard measure to assess loneliness is the University of Los Angeles Loneliness scale version 3 (UCLA v3). The aim of this study was to analyze the psychometric properties and the factor structu...
Conference Paper
Full-text available
PLAYwithHEART: Estudo piloto de um programa baseado no mindfulness, aceitação e compaixão para atletas adolescentes O objetivo do presente estudo é analisar a aceitabilidade e viabilidade do PLAYwithHEART, um programa para atletas adolescentes que visa a diminuição dos níveis de ansiedade desportiva e o aumento da qualidade de vida através do desen...
Article
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The incidence of disordered eating among athlete populations is considerably higher than in the general population. Less well understood is the body image-related emotional processes that might lead to disordered eating attitudes and behaviours, specifically among aesthetic athletic girls. Thus, the aim of the present study was to explore the role...
Article
Aims: To explore the differences between individuals with and without chronic physical disease regarding cognitive fusion, experiential avoidance, uncommitted action, loneliness, and psychological health. A model that hypothesized that cognitive fusion has an effect on loneliness and psychological health, through higher experiential avoidance and l...
Article
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Orthorexia Nervosa (ON) is considered a pathological fixation with healthy eating. Despite recent research focus, there is still a lot of inconsistent information concerning ON, including its definition and validity of its measuring tools. This study aimed to extend the current knowledge on ON, by developing and validating the Portuguese adaptation...
Poster
Full-text available
Some studies have documented an increase in different indicators of psychopathology associated with the practice of sports. There is evidence of the benefits of mindfulness, acceptance, and compassion skills in athletes. The contribution of these processes has never been tested in an integrated and structured way. In this protocol, we aim to descri...
Article
Full-text available
An extensive body of research has showed the impact of major life events on depressive symptoms. However, the underlying psychological processes that contribute to this association are still unclear. The present study aims to explore the mediating role of external shame and fears of receiving compassion on the associations of the number of major li...
Article
The need to examine the associations between emotion regulation and mental health and well-being among adolescents is increasingly recognized. Adolescence is a critical time characterized by increased vulnerability towards emotional struggles and difficulties, especially related with body image and eating behaviours. Thus, it seems particularly imp...
Article
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Background: There is ample evidence of the high mental health burden caused by Inflammatory Bowel Disease (IBD). Several constructs such as experiential avoidance, cognitive fusion, shame, and self-criticism have recently emerged as potential intervention targets to improve mental health in IBD. Psychotherapeutic models such as Acceptance and Commi...
Article
The current study aimed to test whether individuals with and without a chronic physical disease differ in levels of compassionate abilities, loneliness and quality of life (QoL); and to examine whether loneliness mediated the impact of self-compassion and of receiving compassion from others in physical, psychological, and social QoL. In this cross-...
Article
Full-text available
Orthorexia Nervosa (ON) has been a research focus in recent years. Despite the lack of consensus on its defnition and classifcation as a psychiatric disorder, research has shown that ON is linked to certain behaviours (orthorexic behaviours, e.g.: obsessive thinking and compulsive behavior, guilt and self-punishment, restriction), associated with d...
Article
Full-text available
Shame is a universal emotion, albeit having a bewildering constellation of causes, valuations, and behavioural consequences that differ across social ecologies. This transdiagnostic emotion may be categorized into two distinct components: external and internal shame. The External and Internal Shame Scale (EISS) has proven to be a brief and reliable...
Article
Purpose: Body appreciation, conceptualized as a respectful, appreciative and balanced attitude towards one’s body appearance and characteristics, has been reported as a promising protective mechanism in face of body image and eating-related difficulties. However, the research about body appreciation, which may contribute to the development of more...
Article
Full-text available
Research has questioned whether it is feasible to assess psychosocial variables through web-based recruitment methods. Previous literature on IBD focused exclusively on testing differences on psychosocial scores and did not test the invariance between types of recruitment on the relationships between variables. The aim of the present study is thus...
Article
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Background and Objective: Disordered eating behaviours are a spectrum of maladaptive eating behaviours that affect a substantial proportion of today's society, having been studied regarding their relationship with different dietary patterns. The present study aimed to better characterise the omnivore, vegan, vegetarian and palaeolithic (paleo) diet...
Article
The need for a transnational validation is imperative at the stage of development of the CompACT, a self-report measure of psychological flexibility. This study aimed to translate, validate and test the factor structure of the Portuguese version of the CompACT and to conduct a measurement invariance analysis comparing the scale’s performance in Por...
Article
Full-text available
The current study aimed to develop and validate a measure to assess an athlete's perception of a coach's compassionate qualities-The Compassionate Coach Scale as Perceived by the Athlete (CCS-PA). Two independent samples were used to validate this scale. Participants were Portuguese adult athletes of different sports, who completed self-reported me...
Article
Full-text available
Literature highlights the impact of loneliness on mental and physical wellbeing. Nonetheless, the link between loneliness and the distinct domains of quality of life has only been slightly explored. Moreover, the relationship between early affiliative memories and current feelings of loneliness still need to be studied. The main goal of this study...
Article
Adolescence is considered a transitional stage characterized by several physicals, psychological and social changes. During this period, there is an increased propensity for the emergence of emotional difficulties, especially those related to body image and eating attitudes and behaviours. In particular, shame has been pointed out as a key risk fac...
Preprint
Full-text available
Purpose Body image shame plays a key role in disordered eating symptoms and psychological adjustment. Nonetheless, research has been mainly focused on women. The Body Image Shame Scale (BISS) was previously developed and tested in a nonclinical sample of women. This study examines the BISS in a male sample comprising students and community particip...
Article
Full-text available
This study examined whether compassionate skills (the ability to be self-compassionate and to receive compassion from others) operate as mediator processes in the relationship between negative major life events and psychological quality of life (QoL), in 467 adults. The path model accounted for 48% of psychological QoL’ variance and indicated that...
Article
Full-text available
The aim of this study was to develop and validate the Athletes’ Perceptions of the Coach-related Critical Attitudes Scale (APoCCAS), using three independent samples of Portuguese adult athletes. In the first stage, the items were developed to assess athletes’ perceptions of coach-related critical attitudes and the items’ factorial structure were ex...
Article
Full-text available
This study aimed to test a model that hypothesized that the compassionate coach, as perceived by the athletes, has an impact on athlete-related social safeness and psychological health, through shame and self-criticism. The sample comprised 270 Portuguese adult athletes, who practiced different competitive sports. The path analysis results confirme...
Article
Background and Aim: The sample included 184 adolescent athletes (150 boys and 34 girls), aged between 12 and 18 years old, who completed a protocol of self-report instruments assessing sports anxiety (SAS-2), the perception of coach’s critical attitudes (APoCCAS), mindfulness (CAMM) and self-compassion (SCS). Method: The sample included 184 adolesc...
Article
Full-text available
Purpose Despite the growing interest in binge eating, research on this public health problem in male samples is limited. Indeed, the examination of underlying emotional mechanisms and potential gender differences in binge eating are still needed. This study explored differences between men and women in binge eating severity and related emotional me...
Article
Objetivos: O objetivo do presente estudo foi testar o papel mediador do medo de receber compaixão dos outros e dos sentimentos de segurança e proximidade, em contexto social, na associação entre vergonha externa e o bem-estar psicológico dos adolescentes. Foi hipotetizado que adolescentes com elevados níveis de vergonha externa apresentem uma dimin...
Preprint
Full-text available
Purpose. The present study aimed to understand how quarantine associated to COVID-19 was experienced by women from different BMI groups (underweight, normal weight, pre-obesity, and obesity), by exploring the changes introduced in eating and exercise routines and the differences between BMI groups regarding shape concern, weight concern and binge e...
Article
Objetivos: O objetivo do presente estudo foi testar o comportamento ortorético (estilo atitudinal e comportamental que reflete uma preocupação intensa e persistente com o consumo de alimentos saudáveis) enquanto fator de risco para o desenvolvimento de comportamentos alimentares perturbados e comportamentos de ingestão alimentar compulsiva. No Estu...
Preprint
Full-text available
BACKGROUND Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer promising means to delivering behaviour change approaches at low cost and on a wide scale. The NoHoW project was a European Commission H2020-funded project aimed to develop, test, and evaluat...
Article
Full-text available
Background Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer a promising means of delivering behavior change approaches at low costs and on a wide scale. The Navigating to a Healthy Weight (NoHoW) project, which was funded by the European Union’s Horiz...
Preprint
Full-text available
Background: Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer promising means to delivering behaviour change approaches at low cost and on a wide scale. The NoHoW project was a European Commission H2020-funded project aimed to develop, test, and evalua...
Article
Full-text available
Interpersonal and body image-related factors have been associated with adolescents' well-being. Since data on positive body image in adolescence and its relationship with well-being remain scarce, the present study explored the roles of early affiliative memories, social safeness, and body appreciation in adolescents' well-being. Path analysis' res...
Article
Full-text available
Purpose Recent literature has documented the relationship between fears of compassion and disordered eating attitudes and behaviours. However, research on the processes underlying this association is still in the early stages. As such, this study tested a mediator model where insecure striving and inflexible eating (i.e. psychological inflexibility...
Article
Background The austerity measures implemented in Europe after the 2008 global economic crisis, had a negative impact on the population health. The mental health of adults from southern Europe was particularly affected during this period, however, much less is known about the impact of austerity on the mental health of children. This study measured...
Article
Objectives This study explores the association between socioeconomic position (SEP) and health‐related quality of life (HRQoL) among Portuguese children according to their weight status. Methods A total of 1215 primary school‐aged children (mean age 8.78 years) from three Portuguese districts (Lisbon, Porto, Coimbra) were assessed during 2016/2017...
Article
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Background Empirical evidence has previously shown the impact of shame and insecure striving on the emergence of eating psychopathology. However, interactions between these variables and the development of pathological eating remain unclear. Objective The present study aimed at exploring the moderator effect of insecure striving on the relationshi...
Article
Negative affect is associated with body image and eating‐related problems. Nonetheless, research on mediating emotional processes in this relationship is scant. The present study explored a path model testing the effect of negative and positive affect (PA) on disordered eating symptoms, via its effect on intuitive eating and body image flexibility,...
Article
Full-text available
The relationship between self-compassion and well-being and health (e.g. a lower proneness for eating-related disturbances) is well stressed in the literature. However, the specific contribution of self-compassionate attributes, actions, and body compassion remains scarcely studied. The main aim of the present study was to examine whether the link...
Article
Full-text available
Purpose Interpersonal and intrapersonal factors contributing to body appreciation in emerging adult women remain poorly explored. Thus, the present study aimed to test the impact of early memories of warmth and safeness with peers, self-compassion, and social safeness, in body appreciation and in disordered eating attitudes and behaviours. Methods...
Article
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Purpose The central role of caregiver eating messages has been recognized on later individual’s eating behaviour, body image and weight status. Additionally, shame is a painful emotion also associated with the development and maintenance of body image and eating-related difficulties. The main aim of the present study was to explore the moderator ef...
Article
The CFQ-CI was previously developed and preliminarily validated in a study with a single online-recruited inflammatory bowel disease (IBD) sample. The current study presents a further validation of the CFQ-CI in four different samples of patients with chronic health conditions. This study comprised a sample of 82 women with breast cancer, an online...
Article
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Background: Symptoms of depression, anxiety and stress experienced during childhood might have a negative impact on development. This study explores factors associated with such symptoms among Portuguese primary school-aged children. Methods: A sample of children (n = 1022, mean age = 8.77 years old) was recruited in public and private schools f...
Article
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PurposeThe current study tested a path model examining the impact of fears of compassion in the adoption of disordered eating and whether social safeness and body shame would mediate this relationship. Methods Participants were 645 women (aged between 18 and 55) from the general community, who completed an online survey. ResultsResults indicated th...
Article
Although there is some evidence on the efficacy of mindfulness-based interventions in improving health and psychological outcomes in women with breast cancer, further research is needed to understand these findings’ clinical significance. Furthermore, Acceptance and Commitment Therapy (ACT) intervention studies on breast cancer are scarce, and no c...
Article
Objetivo: O presente estudo teve como objetivo testar o potencial efeito mediador da autocompaixão e da ação comprometida na relação entre vergonha e sintomatologia depressiva, em pessoas sem e com diagnóstico de doença física crónica. Adicionalmente, foram exploradas as diferenças em relação a essas variáveis entre os dois grupos. Métodos: A amos...
Article
Objective To measure the impact of the economic crisis on the mental health correlates of Portuguese children attending primary school during 2016. Methods Cross-sectional analysis of primary school-aged children and their parents (n = 1157), conducted in public and private schools of three Portuguese districts. Parent reports of children mental h...
Article
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Attachment and affiliation-related affect has been stated to be a powerful regulator of human development, maturation, well-being and health. Accordingly, as research on positive body image has evolved, data on the association between non-judgmental interpersonal relationships and body appreciation has emerged. The present study sought to explore a...
Article
Considering that self‐criticism is an important process in the development and main-tenance of depression, and taking into account the stigma associated with inflamma-tory bowel disease (IBD), the present study aimed to analyse whether self‐criticismexacerbates the relationships of depression symptoms with IBD symptomatologyand chronic illness‐rela...
Article
Full-text available
Literature has emphasized the significant role of social acceptance and connectedness in well-being and the benefits of cultivating a positive body image in the prevention and treatment of body and eating-related difficulties. The current study aims to examine whether strategies of self-reassurance and body-image appreciation mediate the associatio...
Article
Objectives: The impact of a social rank mentality on eating-related difficulties has been previously recognized, although mediating processes involved remain to be clarified. The current study aimed to explore the roles of insecure striving and body image shame on the relationships between external shame and fears of receiving compassion from othe...
Article
This study aimed to explore, through structural equation modelling, experiential avoidance and committed action’s effects on the association between anxiety and psychological quality of life and whether this relationship presents significant differences across a sample of 115 college students with chronic illness and a sample of 232 students withou...
Article
Purpose Major life events have been positively associated with depression symptoms. Although psychological flexibility has been associated with adaptive coping skills and negatively linked with depression symptoms, it remains unclear whether psychological flexibility may be a protective process against the pervasive impact of major life events. Thu...