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José Antonio Piqueras
Department of Health Psychology, Miguel Hernández University of Elche, Edificio Altamira, Avda. de la Universidad, s/n Elche, Alicante, 03202, Spain

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Short Biography

Jose A. Piqueras, Ph.D., is an associate professor in the Department of Health Psychology at Miguel Hernandez University. He serves as faculty in the Psychology degree, in the Master's degree in Psychological Therapy with Children and Adolescents, and in the PsyD program in Sport and Health. He received his Ph.D. in Psychology from the University of Murcia (Spain). His primary areas of research are on Psychological Assessment of Emotional Disorders & Suicide, of Mental Health Continuum, and of Emotional Intelligence among children, adolescents, and young adults. He is currently on the editorial board for several major journals in the field of child and adolescent psychological assessment.

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Journal article
Published: 26 July 2021 in International Journal of Environmental Research and Public Health
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Few studies have analyzed emotional educational experiences through physical education interventions. The objective of this study was to evaluate the effects on socio-emotional competencies of a physical education intervention (i.e., the MooN program) based on the instructional model known as the sports education model (SEM), compared to a physical education intervention based on the traditional model of direct instruction (TM-DI) in preadolescents. The sample consisted of 170 students between 10 and 13 years old (mean age: M = 10.76; standard deviation: SD = 0.73). Participants were randomly assigned to the experimental group (SEM; n = 87) and the active control group (TM-DI; n = 83). In the experimental group, the SEM-based intervention was applied, while in the active control group, an intervention based on the TM-DI was developed. A quasi-experimental design with repeated pre-test and post-test measures and an active control group was used. The self-efficacy inventory for multiple intelligences (IAMI-40) was used to assess the children’s socio-emotional competencies. The child perfectionism inventory was applied to evaluate the self-demand perfectionist efforts. The results confirmed that the MooN program (SEM intervention) promoted significant improvements in socio-emotional competencies. These findings support the potential of this physical education instructional model as an emotional education pathway for the socio-emotional improvement of preadolescent students.

ACS Style

Pablo Luna; Javier Cejudo; José Piqueras; Débora Rodrigo-Ruiz; Miriam Bajo; Juan-Carlos Pérez-González. Impact of the MooN Physical Education Program on the Socio-Emotional Competencies of Preadolescents. International Journal of Environmental Research and Public Health 2021, 18, 7896 .

AMA Style

Pablo Luna, Javier Cejudo, José Piqueras, Débora Rodrigo-Ruiz, Miriam Bajo, Juan-Carlos Pérez-González. Impact of the MooN Physical Education Program on the Socio-Emotional Competencies of Preadolescents. International Journal of Environmental Research and Public Health. 2021; 18 (15):7896.

Chicago/Turabian Style

Pablo Luna; Javier Cejudo; José Piqueras; Débora Rodrigo-Ruiz; Miriam Bajo; Juan-Carlos Pérez-González. 2021. "Impact of the MooN Physical Education Program on the Socio-Emotional Competencies of Preadolescents." International Journal of Environmental Research and Public Health 18, no. 15: 7896.

Journal article
Published: 16 July 2021 in Research in Developmental Disabilities
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The COVID-19 pandemic has generated a global crisis that has affected the emotional health of both the general and the clinical population. The present study aimed to analyze the differences between the emotional states of a group of individuals with ASD and a neurotypical group both during and after the COVID-19 confinement. The study also examined the changes in autistic symptoms between a group of individuals with ASD who were confined during the COVID-19 pandemic and another group of individuals with ASD who were studied prior to the COVID-19 pandemic period. Higher levels of aggression, irritability, hyperactivity and impulsivity, lack of attention and anxiety, among other symptoms, were found in individuals with ASD during confinement when compared to healthy controls (p < .05; p < .01). Higher levels of repetitive, restrictive, and stereotyped behaviors were also found in pandemic-era ASD individuals when compared to the group of individuals with ASD who were assessed prior to the pandemic (p < .01). the confinement is related to an increase in symptomatology and dysfunctional behaviours characteristic of ASD, and therefore it is necessary to implement actions that help to reduce this impact now, as well as in future crisis events.

ACS Style

Agustín E. Martínez-González; Beatriz Moreno-Amador; José A. Piqueras. Differences in emotional state and autistic symptoms before and during confinement due to the COVID-19 pandemic. Research in Developmental Disabilities 2021, 116, 104038 .

AMA Style

Agustín E. Martínez-González, Beatriz Moreno-Amador, José A. Piqueras. Differences in emotional state and autistic symptoms before and during confinement due to the COVID-19 pandemic. Research in Developmental Disabilities. 2021; 116 ():104038.

Chicago/Turabian Style

Agustín E. Martínez-González; Beatriz Moreno-Amador; José A. Piqueras. 2021. "Differences in emotional state and autistic symptoms before and during confinement due to the COVID-19 pandemic." Research in Developmental Disabilities 116, no. : 104038.

Journal article
Published: 27 June 2021 in International Journal of Environmental Research and Public Health
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Bullying can have serious physical and emotional consequences. In recent years, interest in this phenomenon has been growing, becoming a public health problem in the first world. The aim of this study was to evaluate the effects of the Action for Neutralization of Bullying Program (ANA) in Spanish children. This study used a quasi-experimental design that included a pre-test evaluation, 2 months of intervention, a post-test, and 3 months of follow-up. A sample of 330 children aged 7–12 years (M = 9.27; SD = 1.09) from third to sixth grade participated in the study. One hundred and fifty-nine were girls (48.2%). The program consisted of eight group sessions in which empathy, assertiveness, communication skills, conflict resolution, and group cohesion were worked on. The results showed statistically significant reductions in verbal abuse behaviors (t = 4.76, p< 0.001), direct social exclusion (t = 3.53, p< 0.001), threats (t = 2.04, p = 0.042), aggression with objects (t = 3.21, p< 0.001), and physical abuse (t = 4.41, p< 0.001). The differences were not statistically significant for indirect social exclusion behaviors (t = 1.86, p = 0.065) or cyberbullying (t = 0.31, p = 0.756). The effects in the reduction of the bullying behaviors decreased after the implementation of the program, achieving even greater reduction in victimization behaviors after 3 months than immediately after the end of the program. These results indicate that the ANA program is effective in reducing bullying behaviors in a group of children. Implications for practice and future research are discussed.

ACS Style

Ana Martínez-Martínez; David Pineda; Manuel Galán; Juan Marzo; José Piqueras. Effects of the Action for Neutralization of Bullying Program on Bullying in Spanish Schoolchildren. International Journal of Environmental Research and Public Health 2021, 18, 6898 .

AMA Style

Ana Martínez-Martínez, David Pineda, Manuel Galán, Juan Marzo, José Piqueras. Effects of the Action for Neutralization of Bullying Program on Bullying in Spanish Schoolchildren. International Journal of Environmental Research and Public Health. 2021; 18 (13):6898.

Chicago/Turabian Style

Ana Martínez-Martínez; David Pineda; Manuel Galán; Juan Marzo; José Piqueras. 2021. "Effects of the Action for Neutralization of Bullying Program on Bullying in Spanish Schoolchildren." International Journal of Environmental Research and Public Health 18, no. 13: 6898.

Preprint content
Published: 10 June 2021
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BACKGROUND The Short Form of the Pediatric Symptom Checklist-Youth Self-Report (PSC-17-Y) is validate measure that assesses psychosocial problems overall and in three major psychopathological domains: internalizing, externalizing, and attention deficit hyperactivity, taking 5-10 minutes to complete. Prior research has established sound psychometric properties of the PSC-17-Y for English-speakers. OBJECTIVE To provide evidence of reliability and structure, convergent and discriminant validity, as well as longitudinal and gender invariance of the PSC-17-Y in a large sample of Spanish adolescents. METHODS Data were collected on 5430 pediatric community, ages 12 to 18 years, who filled out the PSC-17-Y twice during 2019 (7-months interval). We calculated Cronbach’s alpha and omega coefficients to test reliability, Pearson's correlations for convergent (distress) and criterion validity (well-being, quality of life and socioemotional skills), CFA analysis for structure validity, and a multigroup and longitudinal measurement invariance analysis for longitudinal and gender stability. RESULTS Within structural analysis for PSC-17-Y, the CFA analysis supported a correlated three-factor solution, which was also invariant longitudinally and across gender. All three sub-scales showed evidence of reliability with coefficients near or above .70. Moreover, scores of PSC-17-Y sub-scales were positively related with convergent measures and negatively with criterion measures. Normative data for PSC-17-Y are presented in the form of percentiles (75 and 90th). CONCLUSIONS The present work provides the first evidence of reliability and validity of the Spanish version of PSC-17-Y administered over the internet to assess mental health problems among adolescents, maintaining the same domains of the long version.

ACS Style

Jose Antonio Piqueras; Veronica Vidal-Areanas; Raquel Falco; Beatriz Moreno-Amador; Juan Carlos Marzo; Juliana Holcomb; Michael Murphy. Short Form of the Pediatric Symptom Checklist-1 Youth Self-Report (PSC-17-Y): Spanish validation study (Preprint). 2021, 1 .

AMA Style

Jose Antonio Piqueras, Veronica Vidal-Areanas, Raquel Falco, Beatriz Moreno-Amador, Juan Carlos Marzo, Juliana Holcomb, Michael Murphy. Short Form of the Pediatric Symptom Checklist-1 Youth Self-Report (PSC-17-Y): Spanish validation study (Preprint). . 2021; ():1.

Chicago/Turabian Style

Jose Antonio Piqueras; Veronica Vidal-Areanas; Raquel Falco; Beatriz Moreno-Amador; Juan Carlos Marzo; Juliana Holcomb; Michael Murphy. 2021. "Short Form of the Pediatric Symptom Checklist-1 Youth Self-Report (PSC-17-Y): Spanish validation study (Preprint)." , no. : 1.

Journal article
Published: 14 May 2021 in International Journal of Environmental Research and Public Health
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Online alcohol screening may be helpful in preventing alcohol use disorders. We assessed psychometric properties of an online version of the Alcohol Use Disorders Identification Test (AUDIT) among Spanish university students. We used a longitudinal online survey (the UNIVERSAL project) of first-year students (18–24 years old) in five universities, including the AUDIT, as part of the WHO World Mental Health International College Student (WMH-ICS) initiative. A reappraisal interview was carried out with the Timeline Followback (TLFB) for alcohol consumption categories and the Mini International Neuropsychiatric Interview (MINI) for alcohol use disorder. Reliability, construct validity and diagnostic accuracy were assessed. Results: 287 students (75% women) completed the MINI, of whom 242 also completed the TLFB. AUDIT’s Cronbach’s alpha was 0.82. The confirmatory factor analysis for the one-factor solution of the AUDIT showed a good fit to the data. Significant AUDIT score differences were observed by TLFB categories and by MINI disorders. Areas under the curve (AUC) were very large for dependence (AUC = 0.96) and adequate for consumption categories (AUC > 0.7). AUDIT cut-off points of 6/8 (women/men) for moderate-risk drinking and 13 for alcohol dependence showed sensitivity/specificity of 76.2%/78.9% and 56%/97.5%, respectively. The online version of the AUDIT is useful for detecting alcohol consumption categories and alcohol dependence in Spanish university students.

ACS Style

Laura Ballester; Itxaso Alayo; Gemma Vilagut; José Almenara; Ana Cebrià; Enrique Echeburúa; Andrea Gabilondo; Margalida Gili; Carolina Lagares; José Piqueras; Miquel Roca; Victoria Soto-Sanz; Maria Blasco; Pere Castellví; Carlos G. Forero; Philippe Mortier; Jordi Alonso; on behalf of the UNIVERSAL Study Group. Validation of an Online Version of the Alcohol Use Disorders Identification Test (AUDIT) for Alcohol Screening in Spanish University Students. International Journal of Environmental Research and Public Health 2021, 18, 5213 .

AMA Style

Laura Ballester, Itxaso Alayo, Gemma Vilagut, José Almenara, Ana Cebrià, Enrique Echeburúa, Andrea Gabilondo, Margalida Gili, Carolina Lagares, José Piqueras, Miquel Roca, Victoria Soto-Sanz, Maria Blasco, Pere Castellví, Carlos G. Forero, Philippe Mortier, Jordi Alonso, on behalf of the UNIVERSAL Study Group. Validation of an Online Version of the Alcohol Use Disorders Identification Test (AUDIT) for Alcohol Screening in Spanish University Students. International Journal of Environmental Research and Public Health. 2021; 18 (10):5213.

Chicago/Turabian Style

Laura Ballester; Itxaso Alayo; Gemma Vilagut; José Almenara; Ana Cebrià; Enrique Echeburúa; Andrea Gabilondo; Margalida Gili; Carolina Lagares; José Piqueras; Miquel Roca; Victoria Soto-Sanz; Maria Blasco; Pere Castellví; Carlos G. Forero; Philippe Mortier; Jordi Alonso; on behalf of the UNIVERSAL Study Group. 2021. "Validation of an Online Version of the Alcohol Use Disorders Identification Test (AUDIT) for Alcohol Screening in Spanish University Students." International Journal of Environmental Research and Public Health 18, no. 10: 5213.

Book
Published: 26 April 2021 in Adaptaci&oacute;n espa&ntilde;ola de la Escala de Conductas Repetitivas Revisada (Repetitive Behavior Scale-Revised, RBS-R)
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El RBS-R es una escala que evalúa las conductas repetitivas mediante 43 ítems mediante seis dimensiones distintas de comportamiento repetitivo en los individuos con trastornos del espectro autista y discapacidad: conductas estereotipadas, autolesivas, compulsivas, perseverantes, rituales y restrictivas. Los ítems se clasifican en una escala likert de cuatro puntos, desde 0 que hace referencia a un comportamiento repetitivo que no se produce hasta la puntuación de 3, equiparable a un comportamiento repetitivo muy grave. La valoración de la conducta repetitiva se realiza en base a las observaciones e interacciones durante el último mes. En el estudio de la conducta repetitiva estudios internacionales han señalado la necesidad de utilizar la RBS-R en el diagnóstico diferencial del autismo.

ACS Style

Agustín E. Martínez González; Alicante Universidad de Alicante; José A. Piqueras; James W. Bodfish; Elche Universidad Miguel Hernández. Adaptación española de la Escala de Conductas Repetitivas Revisada (Repetitive Behavior Scale-Revised, RBS-R). Adaptaci&oacute;n espa&ntilde;ola de la Escala de Conductas Repetitivas Revisada (Repetitive Behavior Scale-Revised, RBS-R) 2021, 1 .

AMA Style

Agustín E. Martínez González, Alicante Universidad de Alicante, José A. Piqueras, James W. Bodfish, Elche Universidad Miguel Hernández. Adaptación española de la Escala de Conductas Repetitivas Revisada (Repetitive Behavior Scale-Revised, RBS-R). Adaptaci&oacute;n espa&ntilde;ola de la Escala de Conductas Repetitivas Revisada (Repetitive Behavior Scale-Revised, RBS-R). 2021; ():1.

Chicago/Turabian Style

Agustín E. Martínez González; Alicante Universidad de Alicante; José A. Piqueras; James W. Bodfish; Elche Universidad Miguel Hernández. 2021. "Adaptación española de la Escala de Conductas Repetitivas Revisada (Repetitive Behavior Scale-Revised, RBS-R)." Adaptaci&oacute;n espa&ntilde;ola de la Escala de Conductas Repetitivas Revisada (Repetitive Behavior Scale-Revised, RBS-R) , no. : 1.

Journal article
Published: 19 March 2021 in International Journal of Environmental Research and Public Health
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The purpose of this study is to examine whether theory of mind (ToM) is an endophenotypic marker of borderline personality disorder (BPD), thus constituting an etiopathogenic factor of the disease. This would suggest familial vulnerability to BPD. This was a case-control study involving 146 individuals with 57 BPD patients, 32 first-degree relatives, and 57 controls (median age of BPD and control = 33.4 years; relatives = 52.9 years; BPD females and controls = 91.2%; female relatives = 62.5%). All the participants completed the Spanish version of the Movie for the Assessment of Social Cognition test to evaluate the ToM subclassification: interpretation of emotions, thoughts and intentions. BPD patients and their healthy first-degree relatives exhibited significant deficits in the correct interpretation of emotions and intentions compared to healthy controls. Both patients with BPD and their healthy first-degree relatives exhibited significant deficits in ToM, which suggests that it may be an etiopathogenic factor of BPD, and ToM (interpretation of emotions, thoughts and intentions) is a possible endophenotypic marker of BPD, suggesting a genetic predisposition to the disorder. Therefore, ToM could be considered as an indicator for the early detection of the disorder of and intervention for BPD.

ACS Style

Esther Ortega-Díaz; Jonatan García-Campos; Alejandro Moya-Martínez; Clara Ramírez-Cremades; José Rico-Gomis; Carlos Cuesta-Moreno; Antonio Palazón-Bru; Gabriel Estan-Cerezo; José Piqueras; Jesús Rodríguez-Marín. Theory of Mind in Borderline Personality Disorder: A Possible Endophenotypic Factor? International Journal of Environmental Research and Public Health 2021, 18, 3193 .

AMA Style

Esther Ortega-Díaz, Jonatan García-Campos, Alejandro Moya-Martínez, Clara Ramírez-Cremades, José Rico-Gomis, Carlos Cuesta-Moreno, Antonio Palazón-Bru, Gabriel Estan-Cerezo, José Piqueras, Jesús Rodríguez-Marín. Theory of Mind in Borderline Personality Disorder: A Possible Endophenotypic Factor? International Journal of Environmental Research and Public Health. 2021; 18 (6):3193.

Chicago/Turabian Style

Esther Ortega-Díaz; Jonatan García-Campos; Alejandro Moya-Martínez; Clara Ramírez-Cremades; José Rico-Gomis; Carlos Cuesta-Moreno; Antonio Palazón-Bru; Gabriel Estan-Cerezo; José Piqueras; Jesús Rodríguez-Marín. 2021. "Theory of Mind in Borderline Personality Disorder: A Possible Endophenotypic Factor?" International Journal of Environmental Research and Public Health 18, no. 6: 3193.

Article
Published: 24 February 2021 in Current Psychology
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Everyday sadism refers to the non-clinical personality trait of sadism, someone who obtains pleasure from inflicting pain or from the suffer of other people. This construct, in the recent years, has attracted more attention to researches, conducting to the development of different measures to assess it. With a sample of N = 2160 we studied the psychometric properties of three everyday sadism scales, the Short Sadistic Impulse Scale (SISS), the Comprehensive Assessment of Sadistic Tendencies (CAST), and the Assessment of Sadistic Personality (ASP). For the three scales we found (1) good reliability coefficients, (2) adequate fit for the factor structure theorized for each of the measures, (3) significant gender differences in the trait, where males obtain higher scores than females in all the instruments, and (4) negative correlations with the HEXACO super traits excluding openness and positive with the Dark Triad traits. We concluded that the psychometric properties of the Spanish versions of the SISS, CAST and ASP present good psychometric values in line with the original measures and previous translations.

ACS Style

David Pineda; José A. Piqueras; Manuel Galán; Ana Martínez-Martínez. Everyday sadism: psychometric properties of three Spanish versions for assessing the construct. Current Psychology 2021, 1 -9.

AMA Style

David Pineda, José A. Piqueras, Manuel Galán, Ana Martínez-Martínez. Everyday sadism: psychometric properties of three Spanish versions for assessing the construct. Current Psychology. 2021; ():1-9.

Chicago/Turabian Style

David Pineda; José A. Piqueras; Manuel Galán; Ana Martínez-Martínez. 2021. "Everyday sadism: psychometric properties of three Spanish versions for assessing the construct." Current Psychology , no. : 1-9.

Original research article
Published: 15 February 2021 in Frontiers in Psychology
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Emotional disorder symptoms are highly prevalent and a common cause of disability among children and adolescents. Screening and early detection are needed to identify those who need help and to improve treatment outcomes. Nowadays, especially with the arrival of the COVID-19 outbreak, assessment is increasingly conducted online, resulting in the need for brief online screening measures. The aim of the current study was to examine the reliability and different sources of validity evidence of a new web-based screening questionnaire for emotional disorder symptoms, the DetectaWeb-Distress Scale, which assesses mood (major depression and dysthymic disorder), anxiety (separation anxiety, generalized anxiety, social phobia, panic disorder/agoraphobia, and specific phobia), obsessive–compulsive disorder, post-traumatic stress disorder, suicidality (suicidal ideation, plans, and attempts), and global distress. A total of 1,499 participants (aged 8–18) completed the DetectaWeb-Distress Scale and specific questionnaires for emotional disorder symptoms, suicidal behaviors, and well-being through a web-based survey. Results indicated that a structural model of 10 correlated factors fits reasonably better in comparison to the remaining models; measurement invariance for age and gender; good internal consistency (McDonald's ω ranging from 0.65 to 0.94); and significant positive correlation with other measures of anxiety, depression, PTSD, or distress, and negative correlation with well-being measures, displaying support for convergent-discriminant validity. We also found that girls scored higher than boys on most of the subscales, and children had higher scores for social anxiety, specific phobia, panic disorder, and obsessive–compulsive symptoms, whereas adolescents scored higher on depressive symptoms, suicidality, and generalized anxiety, but the effect sizes were small to medium for all comparisons. The DetectaWeb-Distress Scale is a valid, innovative, and useful online tool for the screening and evaluation of preventive programs for mental health in children and adolescents.

ACS Style

Jose A. Piqueras; Mariola Garcia-Olcina; Maria Rivera-Riquelme; Agustin E. Martinez-Gonzalez; Pim Cuijpers. DetectaWeb-Distress Scale: A Global and Multidimensional Web-Based Screener for Emotional Disorder Symptoms in Children and Adolescents. Frontiers in Psychology 2021, 12, 1 .

AMA Style

Jose A. Piqueras, Mariola Garcia-Olcina, Maria Rivera-Riquelme, Agustin E. Martinez-Gonzalez, Pim Cuijpers. DetectaWeb-Distress Scale: A Global and Multidimensional Web-Based Screener for Emotional Disorder Symptoms in Children and Adolescents. Frontiers in Psychology. 2021; 12 ():1.

Chicago/Turabian Style

Jose A. Piqueras; Mariola Garcia-Olcina; Maria Rivera-Riquelme; Agustin E. Martinez-Gonzalez; Pim Cuijpers. 2021. "DetectaWeb-Distress Scale: A Global and Multidimensional Web-Based Screener for Emotional Disorder Symptoms in Children and Adolescents." Frontiers in Psychology 12, no. : 1.

Journal article
Published: 30 December 2020 in Revista de Psicopatología y Psicología Clínica
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Evidence of diagnostic validity of the DetectaWeb-Distress Scale The DetectaWeb-Distress Scale is a web-based scale for screening and detecting internalizing disorder symptoms (anxiety, depression, posttraumatic stress, obsessions and compulsions, and suicidality) in children and adolescents. Previous studies examined the validity and reliability of the scale, however, there are no data on its diagnostic validity. The objective of this study was to examine the evidence of diagnostic validity of the DetectaWeb-Distress scale in a sample of 244 children and adolescents from clinical (n = 51) and community (n = 193) settings, all of them with the diagnostic process completed. The results indicated that the DetectaWeb-Distress scale is a useful measure from a diagnostic point of view, as it discriminates between people with emotional disorders such as anxiety and depressive disorders and suicidality, and those without, presenting ROC values of approximately .80 and good sensitivity and specificity for detecting the main emotional disorders. The DetectaWeb-Distress Scale is a valid measure and diagnostically useful for detecting and identifying children and adolescents with anxiety disorders, depression and suicidality, with the advantage that it is a short measure, specifically developed for Internet use, especially relevant in the era of COVID-19.Keywords: DetectaWeb-Distress; assessment, anxiety, depression, children, adolescents.Evidencias de Validez Diagnóstica de la Escala Detectaweb-Malestar Resumen: La Escala DetectaWeb-Malestar es una escala de detección del malestar emocional a través de internet que evalúa síntomas de trastornos interiorizados (ansiedad, depresión, estrés postraumático, obsesiones y compulsiones y suicidalidad) en niños y adolescentes. Estudios anteriores han examinado la validez y fiabilidad de la escala, sin embargo, no cuenta con datos relativos a su validez diagnóstica. El objetivo de este estudio es examinar las evidencias de validez diagnóstica de la escala DetectaWeb-Malestar en una muestra de 244 niños y adolescentes procedentes de contextos clínico (n = 51) y comunitario (n = 193), todos con un proceso diagnóstico completado. Los resultados indicaron que la escala DetectaWeb-Malestar es una medida útil desde el punto de vista diagnóstico, ya que discrimina entre personas con trastornos de emocionales, como son los de ansiedad, depresión y suicidalidad y los que no lo padecen, presentando valores ROC en torno a .80 y adecuada sensibilidad y especificidad para detectar los principales trastornos emocionales. La escala DetectaWeb-Malestar es una medida válida y útil desde el punto de vista diagnóstico para detectar e identificar niños y adolescentes con problemas de ansiedad, depresión y suicidalidad, con la ventaja de que es una medida breve y desarrollada específicamente para su uso a través de Internet, especialmente relevante en la era de la COVID-19.Palabras clave: DetectaWeb-Malestar; evaluación; ansiedad; depresión; niños y adolescentes.

ACS Style

José A. Piqueras; Mariola García-Olcina; María Rivera-Riquelme; David Pineda. Evidencias de Validez Diagnóstica de la Escala Detectaweb-Malestar. Revista de Psicopatología y Psicología Clínica 2020, 25, 161 -174.

AMA Style

José A. Piqueras, Mariola García-Olcina, María Rivera-Riquelme, David Pineda. Evidencias de Validez Diagnóstica de la Escala Detectaweb-Malestar. Revista de Psicopatología y Psicología Clínica. 2020; 25 (3):161-174.

Chicago/Turabian Style

José A. Piqueras; Mariola García-Olcina; María Rivera-Riquelme; David Pineda. 2020. "Evidencias de Validez Diagnóstica de la Escala Detectaweb-Malestar." Revista de Psicopatología y Psicología Clínica 25, no. 3: 161-174.

Journal article
Published: 28 December 2020 in Psychologica
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Over the past three decades, our understanding of the nature, assessment and treatment of childhood mental disorders has increased significantly. Some of the most recent advances come from transdiagnostic and neuropsychological-based approaches. While the relationship of similar neuropsychological deficits with some mental disorders, such as neurodevelopmental and severe mental disorders like schizophrenia or bipolar disorder, is widely established, there is more controversy about their relationship with the so-called internalizing and externalizing disorders. In this article, our goal was to highlight the potential of incorporating cognitive strategies from integrative neuropsychological and transdiagnostic approaches to improve the effectiveness of empirically-supported cognitive-behavioral therapy for internalizing and externalizing mental disorders in childhood and adolescence. The results of the present work indicate that the vast majority of internalizing disorders, including the presence of anxiety, depressive, trauma-and stress-related, and obsessive-compulsive and related disorders, as well as externalizing symptoms (corresponding to conduct disorder and ODD), present neuropsychological deficits and that their consideration may be relevant to improve the effectiveness of psychotherapeutic interventions in children and adolescents by incorporating neuropsychology-based assessment and treatment tools. The inclusion of neuropsychological support strategies in therapy for childhood mental disorders implies an advance and has clear implications for the enhancement of psychological care for childhood mental disorders.

ACS Style

Daniel Rama-Victor; Jose A. Piqueras. Neuropsychological deficits in internalizing and externalizing disorders. Psychologica 2020, 63, 69 -92.

AMA Style

Daniel Rama-Victor, Jose A. Piqueras. Neuropsychological deficits in internalizing and externalizing disorders. Psychologica. 2020; 63 (2):69-92.

Chicago/Turabian Style

Daniel Rama-Victor; Jose A. Piqueras. 2020. "Neuropsychological deficits in internalizing and externalizing disorders." Psychologica 63, no. 2: 69-92.

Preprint content
Published: 09 September 2020
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Coronavirus disease (COVID-19) has caused a global health crisis. It also leads to different types of psychosocial problems in society as a result of preventive health measures and the disease itself. Among others, psychopathological symptoms and suicide behaviors have increased. The PsicorecurSOS COVID-19 online protocol was designed. At baseline, 1,020 Spanish adults were assessed, during confinement, for sociodemographics, fear of COVID-19, anxious-depressive symptoms, covitality, and suicidal ideation. Reliability, descriptive, and frequency analyses were carried out, and the computer tool SPSS PROCESS was used to carry out a conditional process analysis (model 59). A total of 595 participants were included (58.30% response rate from baseline; mean age = 37.18 [SD = 13.30]; 72.44% female). Regarding suicidal ideation, 12% responded differently to “never,” 19.3% exceeded the cutoff point on the anxiety scale, and 24% on the depression scale. Moderate mediation analysis explained 27% of the variance in suicidal ideation. In addition, the indirect effect of moderate mediation was significant (b = -.003, SE = .002 with the presence of covitality; and b = .01, SE = .003 absence of covitality). Sex and age did not influence the overall outcome of the model. The data from this study can serve as a starting point for generating social and health treatment initiatives based on self-examination of anxiety-depressive symptoms and increasing socio-emotional skills in order to prevent and alleviate the psychosocial effects of the pandemic.

ACS Style

Victoria Soto-Sanz; Raquel Falcó; José Antonio Piqueras. Socio-emotional Strengths Against Psychopathology and Suicidal Ideation in Fear of Covid-19. 2020, 1 .

AMA Style

Victoria Soto-Sanz, Raquel Falcó, José Antonio Piqueras. Socio-emotional Strengths Against Psychopathology and Suicidal Ideation in Fear of Covid-19. . 2020; ():1.

Chicago/Turabian Style

Victoria Soto-Sanz; Raquel Falcó; José Antonio Piqueras. 2020. "Socio-emotional Strengths Against Psychopathology and Suicidal Ideation in Fear of Covid-19." , no. : 1.

Article
Published: 18 July 2020 in Current Psychology
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The Revised Child Anxiety and Depression Scale (RCADS) has excellent psychometric properties and is one of the most commonly used instruments throughout the world. The present study aimed to analyze the psychometric properties of the RCADS-30 in a non-clinical sample of Chilean children and adolescents using confirmatory factor analysis and multidimensional Rasch analysis. A community sample of 1034 Chilean adolescents completed the RCADS-30. Different reliability and consistency measures, confirmatory factor analysis and multidimensional Rasch analysis were employed. The results confirmed the 6-factor model, high internal consistency values, and moderate-to-high test-retest reliability of the RCADS-30 in Chilean adolescents. A low Average Variance Extracted (AVE) value was detected in one factor. With respect to multidimensional Rasch analysis, the correlation of residuals were appropriate to indicate the local independence, 6 items showed slight misfit values in a rating scale structure, and no Differential Item Functioning (DIF) was detected by gender. The RCADS-30 is an appropriate instrument to measure emotional disorders in Chilean adolescents, and it can be used for early detection of emotional symptoms in the adolescent’s population. Future studies will have to study the convergent validity and analyze the psychometric properties of RCADS-30 in adolescent clinical population, in order to address measurement precision.

ACS Style

Agustín Ernesto Martínez-González; Alejandro Veas; José Antonio Piqueras. 30-item version of the revised child anxiety and depression scale in Chilean adolescents: psychometric properties. Current Psychology 2020, 1 -11.

AMA Style

Agustín Ernesto Martínez-González, Alejandro Veas, José Antonio Piqueras. 30-item version of the revised child anxiety and depression scale in Chilean adolescents: psychometric properties. Current Psychology. 2020; ():1-11.

Chicago/Turabian Style

Agustín Ernesto Martínez-González; Alejandro Veas; José Antonio Piqueras. 2020. "30-item version of the revised child anxiety and depression scale in Chilean adolescents: psychometric properties." Current Psychology , no. : 1-11.

Journal article
Published: 24 February 2020 in Acción Psicológica
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ResumenEl uso habitual de las Tecnologías de la Información y la Comunicación (TICs) se da en todos los colectivos y sectores, si bien su mayor exposición en adolescentes ha hecho que nos preocupemos por las consecuencias negativas que pueda causar en esta población. Se estudia la frecuencia del uso problemático de Internet en adolescentes. Se administró el Cuestionario de Experiencias Relacionadas con Internet (CERI) y medidas ad-hoc para evaluar la frecuencia de uso de Internet y variables sociodemográficas en una muestra de 712 adolescentes de 12 a 18 años de la provincia de Alicante (sureste de España). Los resultados muestran que al menos el 14.8 % presenta puntuaciones elevadas en uso problemático de Internet. Además, se observa que el 20.9 % utiliza más de 4 horas al día Internet, mientras que el 45.4 % hace uso a diario de Internet, y el 51 % más de 10 horas a la semana. Se halló una relación significativa entre PIU y la frecuencia de uso diario, no así entre PIU y variables sociodemográficas. Estos datos suponen una primera aproximación al fenómeno en la provincia de Alicante que sugiere la necesidad de profundizar en estudios sobre este fenómeno emergente.AbstractThe common use of the information and communication technologies (ICT) occurs in all groups and sectors, while its greater exposure among adolescents has made us to worry about the negative consequences that may cause in this population. We study the frequency of experiences re­lated to the problematic use of Internet (PIU) in adoles­cents. The Questionnaire of Experiences Related with In­ternet (CERI) and ad hoc measures to assess the frequency of Internet use and socio-demographic variables were ad­ministered in a sample of 712 adolescents from 12 to 18 years of the province of Alicante (southeast of Spain). The results showed that at least 14.8 % presents elevated scores on PIU. Furthermore, 20.9 % of the sample used Internet more than 4 hours a day, while the 45.4 % makes use Internet daily, and 51 % more than 10 hours a week. We found a significant relationship between PIU and the frequency of daily use, but not between PIU and socio-demographic variables. These data represent a first ap­proach to the phenomenon in our community, which sug­gests the need for further studies on this emerging phe­nomenon.

ACS Style

Jose Antonio Piqueras Rodríguez; Carlos Garcia-Oliva; Juan Carlos Marzo. Uso problemático de Internet en adolescentes: relación con sexo, edad, nivel socioeconómico y frecuencia de uso de Internet [Problematic Internet Use among Adolescents: Relationship with Gender, Age, Socioeconomic Status, and Frequency of Internet Use]. Acción Psicológica 2020, 16, 129 -146.

AMA Style

Jose Antonio Piqueras Rodríguez, Carlos Garcia-Oliva, Juan Carlos Marzo. Uso problemático de Internet en adolescentes: relación con sexo, edad, nivel socioeconómico y frecuencia de uso de Internet [Problematic Internet Use among Adolescents: Relationship with Gender, Age, Socioeconomic Status, and Frequency of Internet Use]. Acción Psicológica. 2020; 16 (2):129-146.

Chicago/Turabian Style

Jose Antonio Piqueras Rodríguez; Carlos Garcia-Oliva; Juan Carlos Marzo. 2020. "Uso problemático de Internet en adolescentes: relación con sexo, edad, nivel socioeconómico y frecuencia de uso de Internet [Problematic Internet Use among Adolescents: Relationship with Gender, Age, Socioeconomic Status, and Frequency of Internet Use]." Acción Psicológica 16, no. 2: 129-146.

Journal article
Published: 28 January 2020 in International Journal of Environmental Research and Public Health
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The aim of this study was to unravel the interrelated effects of trait emotional intelligence (Trait EI), mindfulness, and irrational beliefs on adolescent mental health. A random sample of students from three secondary schools in Spain and eight secondary schools in Portugal was recruited. We conducted four-step hierarchical regression analyses. We also conducted regression analyses to examine the role of mindfulness skills and catastrophizing as mediators of the link between emotional intelligence and psychosocial problems. Finally, the SPSS PROCESS computing tool was used to perform conditional process analysis (model 6). A total of 1370 adolescents from Spain (n = 591) and Portugal (n = 779) participated in this study (mean age = 14.97, SD = 1.50; range = 12–18). The mediation analyses confirmed that adolescent mental health was determined by Trait EI directly, and by mindfulness skills and catastrophizing thoughts in an indirect way. Together, the four variables explained 44% of psychopathology, with EI being the most powerful predictor, which ratify the robust buffer role and incremental validity of Trait EI against youth mental health. The identified pathways provide keys for emotional education interventions aimed at promoting adolescent mental health.

ACS Style

José A. Piqueras; Maria Do Céu Salvador; Victoria Soto-Sanz; Francisco Mira; Juan-Carlos Pérez-González. Strengths Against Psychopathology in Adolescents: Ratifying the Robust Buffer Role of Trait Emotional Intelligence. International Journal of Environmental Research and Public Health 2020, 17, 804 .

AMA Style

José A. Piqueras, Maria Do Céu Salvador, Victoria Soto-Sanz, Francisco Mira, Juan-Carlos Pérez-González. Strengths Against Psychopathology in Adolescents: Ratifying the Robust Buffer Role of Trait Emotional Intelligence. International Journal of Environmental Research and Public Health. 2020; 17 (3):804.

Chicago/Turabian Style

José A. Piqueras; Maria Do Céu Salvador; Victoria Soto-Sanz; Francisco Mira; Juan-Carlos Pérez-González. 2020. "Strengths Against Psychopathology in Adolescents: Ratifying the Robust Buffer Role of Trait Emotional Intelligence." International Journal of Environmental Research and Public Health 17, no. 3: 804.

Journal article
Published: 07 December 2019 in International Journal of Environmental Research and Public Health
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The Social Emotional Health Survey-Secondary (SEHS-S), which is a measure of core psychological assets based on a higher-order model of Covitality, is comprised of 36 items and four latent traits (with three measured subscales): belief in self (self-efficacy, self-awareness, and persistence), belief in others (school support, family coherence, and peer support), emotional competence (emotional regulation, behavioral self-control, and empathy), and engaged living (gratitude, zest, and optimism). Previous international studies have supported the psychometric properties of the SEHS-S. The present study extended this research by examining the psychometric properties of a Spanish-language adaptation with a sample of 1042 Spanish adolescents (Mage = 14.49, SD = 1.65.). Confirmatory factor analyses replicated the original factorial structure, with hierarchical omega between 0.66–0.93, with 0.94 for the total score. Factorial invariance across genders revealed small latent mean differences. A path model evaluated concurrent validity, which revealed a significant association between Covitality and bidimensional mental health (psychological distress and well-being). Specifically, correlational analyses showed a negative association with internalizing/externalizing symptoms, and positive associations with subjective well-being, health-related quality of life, and prosocial behaviors. This study provides an example of a culturally relevant adaptation of an international tool to measure student strengths, which is critical to planning school programming and policy.

ACS Style

Jose A. Piqueras; Tiscar Rodriguez-Jimenez; Juan Carlos Marzo; Maria Rivera-Riquelme; Agustin E. Martinez-Gonzalez; Raquel Falcó; Michael J. Furlong. Social Emotional Health Survey-Secondary (SEHS-S): A Universal Screening Measure of Social-Emotional Strengths for Spanish-Speaking Adolescents. International Journal of Environmental Research and Public Health 2019, 16, 4982 .

AMA Style

Jose A. Piqueras, Tiscar Rodriguez-Jimenez, Juan Carlos Marzo, Maria Rivera-Riquelme, Agustin E. Martinez-Gonzalez, Raquel Falcó, Michael J. Furlong. Social Emotional Health Survey-Secondary (SEHS-S): A Universal Screening Measure of Social-Emotional Strengths for Spanish-Speaking Adolescents. International Journal of Environmental Research and Public Health. 2019; 16 (24):4982.

Chicago/Turabian Style

Jose A. Piqueras; Tiscar Rodriguez-Jimenez; Juan Carlos Marzo; Maria Rivera-Riquelme; Agustin E. Martinez-Gonzalez; Raquel Falcó; Michael J. Furlong. 2019. "Social Emotional Health Survey-Secondary (SEHS-S): A Universal Screening Measure of Social-Emotional Strengths for Spanish-Speaking Adolescents." International Journal of Environmental Research and Public Health 16, no. 24: 4982.

Journal article
Published: 01 October 2019 in Revista de Psiquiatría y Salud Mental
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ACS Style

Carolina Lagares-Franco; José Almenara-Barrios; Cristina O’Ferrall-González; Pere Castellvi-Obiols; Andrea Gabilondo; María Jesús Blasco-Cubedo; Andrea Miranda-Mendizábal; Oleguer Parés-Badell; José Antonio Piqueras; Miquel Roca; Tíscar Rodríguez-Jiménez; Jesús Rodríguez-Marín; Victoria Soto-Sanz; Gemma Vilagut; Jordi Alonso. Medidas de frecuencia utilizadas en estudios de cohortes para evaluar el comportamiento suicida en jóvenes (12-26 años): una revisión sistemática. Revista de Psiquiatría y Salud Mental 2019, 12, 213 -231.

AMA Style

Carolina Lagares-Franco, José Almenara-Barrios, Cristina O’Ferrall-González, Pere Castellvi-Obiols, Andrea Gabilondo, María Jesús Blasco-Cubedo, Andrea Miranda-Mendizábal, Oleguer Parés-Badell, José Antonio Piqueras, Miquel Roca, Tíscar Rodríguez-Jiménez, Jesús Rodríguez-Marín, Victoria Soto-Sanz, Gemma Vilagut, Jordi Alonso. Medidas de frecuencia utilizadas en estudios de cohortes para evaluar el comportamiento suicida en jóvenes (12-26 años): una revisión sistemática. Revista de Psiquiatría y Salud Mental. 2019; 12 (4):213-231.

Chicago/Turabian Style

Carolina Lagares-Franco; José Almenara-Barrios; Cristina O’Ferrall-González; Pere Castellvi-Obiols; Andrea Gabilondo; María Jesús Blasco-Cubedo; Andrea Miranda-Mendizábal; Oleguer Parés-Badell; José Antonio Piqueras; Miquel Roca; Tíscar Rodríguez-Jiménez; Jesús Rodríguez-Marín; Victoria Soto-Sanz; Gemma Vilagut; Jordi Alonso. 2019. "Medidas de frecuencia utilizadas en estudios de cohortes para evaluar el comportamiento suicida en jóvenes (12-26 años): una revisión sistemática." Revista de Psiquiatría y Salud Mental 12, no. 4: 213-231.

Meta analysis
Published: 01 August 2019
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ACS Style

Victoria Soto-Sanz; Jose Piqueras; Jesús Rodríguez-Marín; M Pérez-Vázquez; Tiscar Rodríguez-Jiménez; Pere Castellví; Andrea Miranda-Mendizábal; Oleguer Parés-Badell; José Almenara; María J Blanco; Annabel Cebriá; Andrea Gabilondo; Margarida Gili; Miquel Roca; Carolina Lagares; Jordi Alonso. Self-esteem and suicidal behaviour in youth: A meta-analysis of longitudinal studies. 2019, 31, 246 -254.

AMA Style

Victoria Soto-Sanz, Jose Piqueras, Jesús Rodríguez-Marín, M Pérez-Vázquez, Tiscar Rodríguez-Jiménez, Pere Castellví, Andrea Miranda-Mendizábal, Oleguer Parés-Badell, José Almenara, María J Blanco, Annabel Cebriá, Andrea Gabilondo, Margarida Gili, Miquel Roca, Carolina Lagares, Jordi Alonso. Self-esteem and suicidal behaviour in youth: A meta-analysis of longitudinal studies. . 2019; 31 (3):246-254.

Chicago/Turabian Style

Victoria Soto-Sanz; Jose Piqueras; Jesús Rodríguez-Marín; M Pérez-Vázquez; Tiscar Rodríguez-Jiménez; Pere Castellví; Andrea Miranda-Mendizábal; Oleguer Parés-Badell; José Almenara; María J Blanco; Annabel Cebriá; Andrea Gabilondo; Margarida Gili; Miquel Roca; Carolina Lagares; Jordi Alonso. 2019. "Self-esteem and suicidal behaviour in youth: A meta-analysis of longitudinal studies." 31, no. 3: 246-254.

Journal article
Published: 29 July 2019 in Depression and Anxiety
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To assess gender differences in the association between risk/protective factors and suicidal thoughts and behaviors (STB); and whether there is any gender-interaction with those factors and STB; among Spanish university students. Data from baseline online survey of UNIVERSAL project, a multicenter, observational study of first-year Spanish university students (18-24 years). We assessed STB; lifetime and 12-month negative life-events and family adversities; mental disorders; personal and community factors. Gender-specific regression models and gender-interactions were also analyzed. We included 2,105 students, 55.4% women. Twelve-month prevalence of suicidal ideation (SI) was 10%, plans 5.7%, attempts 0.6%. Statistically significant gender-interactions were found for lifetime anxiety disorder, hopelessness, violence between parents, chronic health conditions and family support. Lifetime mood disorder was a common risk factor of SI for both genders (Females: OR= 5.5; 95%CI 3.3-9.3; Males: OR= 4.4; 95%CI 2.0-9.7). For females, exposure to violence between parents (OR= 3.5; 95%CI 1.7-7.2), anxiety disorder (OR= 2.7; 95%CI 1.6-4.6), and alcohol/substance disorder (OR= 2.1; 95%CI 1.1-4.3); and for males, physical childhood maltreatment (OR= 3.6; 95%CI 1.4-9.2), deceased parents (OR= 4.6; 95%CI 1.2-17.7), and hopelessness (OR= 7.7; 95%CI 2.8-21.2), increased SI risk. Family support (OR= 0.5; 95%CI 0.2-0.9) and peers/others support (OR= 0.4; 95%CI 0.2-0.8) were associated to a lower SI risk only among females. Only mood disorder was a common risk factor of SI for both genders, whereas important gender-differences were observed regarding the other factors assessed. The protective effect from family and peers/others support was observed only among females. Further research assessing underlying mechanisms and pathways of gender-differences is needed.

ACS Style

Andrea Miranda-Mendizabal; Pere Castellví; Itxaso Alayo; Gemma Vilagut; Maria Jesús Blasco; Aina Torrent; Laura Ballester; José Almenara; Carolina Lagares-Franco; Miquel Roca; Albert Sesé; José Antonio Piqueras; Victoria Soto-Sanz; Jesús Rodríguez-Marín; Enrique Echeburúa; Andrea Gabilondo; Ana Isabel Cebrià; Ronny Bruffaerts; Randy P. Auerbach; Philippe Mortier; Ronald C. Kessler; Jordi Alonso. Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross‐sectional study of Spanish university students. Depression and Anxiety 2019, 36, 1102 -1114.

AMA Style

Andrea Miranda-Mendizabal, Pere Castellví, Itxaso Alayo, Gemma Vilagut, Maria Jesús Blasco, Aina Torrent, Laura Ballester, José Almenara, Carolina Lagares-Franco, Miquel Roca, Albert Sesé, José Antonio Piqueras, Victoria Soto-Sanz, Jesús Rodríguez-Marín, Enrique Echeburúa, Andrea Gabilondo, Ana Isabel Cebrià, Ronny Bruffaerts, Randy P. Auerbach, Philippe Mortier, Ronald C. Kessler, Jordi Alonso. Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross‐sectional study of Spanish university students. Depression and Anxiety. 2019; 36 (11):1102-1114.

Chicago/Turabian Style

Andrea Miranda-Mendizabal; Pere Castellví; Itxaso Alayo; Gemma Vilagut; Maria Jesús Blasco; Aina Torrent; Laura Ballester; José Almenara; Carolina Lagares-Franco; Miquel Roca; Albert Sesé; José Antonio Piqueras; Victoria Soto-Sanz; Jesús Rodríguez-Marín; Enrique Echeburúa; Andrea Gabilondo; Ana Isabel Cebrià; Ronny Bruffaerts; Randy P. Auerbach; Philippe Mortier; Ronald C. Kessler; Jordi Alonso. 2019. "Gender commonalities and differences in risk and protective factors of suicidal thoughts and behaviors: A cross‐sectional study of Spanish university students." Depression and Anxiety 36, no. 11: 1102-1114.

Journal article
Published: 14 July 2019 in International Journal of Environmental Research and Public Health
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Suicide is the second leading cause of death in adolescents and young adults aged 15 to 29 years. Specifically, the presence of internalizing and externalizing symptomatology is related to increased risk for suicide at these ages. Few studies have analyzed the relations between these symptoms and their role as mediators in predicting suicide behavior. This study aimed to examine the relation between internalizing and externalizing symptomatology and suicide behaviors through a longitudinal study. The sample consisted of 238 adolescents aged 12 to 18 years. The data were analyzed via the PROCESS Statistical Package. The main results showed that previous depression symptoms had a significant indirect effect, through previous suicide behaviors and current depression symptoms, on current suicide behaviors, accounting for 61% of the total variance explained. Additionally, being a girl increased this risk. Therefore, the implementation of early identification and intervention programs to address youth symptoms of depression and suicidal behaviors could significantly reduce the risk for future suicidal behaviors in adolescence.

ACS Style

José Antonio Piqueras; Victoria Soto-Sanz; Jesús Rodríguez-Marín; Carlos García-Oliva. What is the Role of Internalizing and Externalizing Symptoms in Adolescent Suicide Behaviors? International Journal of Environmental Research and Public Health 2019, 16, 2511 .

AMA Style

José Antonio Piqueras, Victoria Soto-Sanz, Jesús Rodríguez-Marín, Carlos García-Oliva. What is the Role of Internalizing and Externalizing Symptoms in Adolescent Suicide Behaviors? International Journal of Environmental Research and Public Health. 2019; 16 (14):2511.

Chicago/Turabian Style

José Antonio Piqueras; Victoria Soto-Sanz; Jesús Rodríguez-Marín; Carlos García-Oliva. 2019. "What is the Role of Internalizing and Externalizing Symptoms in Adolescent Suicide Behaviors?" International Journal of Environmental Research and Public Health 16, no. 14: 2511.