http://hdl.handle.net/10366/4313 2026-05-09T12:06:41Z http://hdl.handle.net/10366/171187 Introduction: School participation is central to learning, development, and inclusion. Within international efforts to identify environmental barriers to participation, this study aimed to analyze the school participation profile of students aged 5–17 years in Spain—with and without disabilities and other special educational needs (SEN)—and to identify environmental factors that support or hinder their participation. Method: Parents of 415 Spanish students aged 5–17 years completed the Spanish version of the Participation and Environment Measure for Children and Youth: PEM-CY. Group differences between children with (n=142) and without (n=273) disabilities were tested. Results: Students with disabilities/SEN participated less often and with lower involvement across all school activities, with significant differences in “Classroom activities” and “Getting together with peers outside of class.” Parents of children with disabilities reported that cognitive, behavioral, and social demands commonly hinder participation. Reported resource unavailability ranged from 10%–38% (adapted transportation, financial resources, information, technical/ communication aids, and support services tailored to students’ needs and interests). Conversely, 44.4%–72.8% of parents indicated that physical layout, sensory qualities, safety conditions, staff attitudes, and peer relationships usually supported participation. Discussion: Despite inclusive-education mandates, findings indicate persistent participation and engagement inequities for students with disabilities and other special needs in Spanish schools. Parents point to environmental conditions— support services tailored to students’ needs and interests, teacher training to individualize these supports, and a culture of collaboration among teachers and between teachers, families, and children with special needs themselves—as key elements in ensuring meaningful, equitable, and full participation in school life. 2026-03-26T00:00:00Z http://hdl.handle.net/10366/171162 [EN] Background This study examined the extent to which psychosocial job demands and organizational resources are associated with quality of work life (QWL) and mental well-being in psychologists, using the Job Demands–Resources (JD–R) model as a conceptual framework to guide the selection of predictors and the interpretation of relationships between burnout, engagement, and occupational health. Methods A cross-sectional correlational design was applied, combining hierarchical multiple regression and a path analysis within a structural equation modelling (SEM) framework. The sample comprised 624 practicing psychologists in Spain who completed validated self-report measures of burnout, job demands, autonomy, social support, work engagement, psychological symptoms, and QWL. Hierarchical regression was used to examine the incremental explained variance of sociodemographic, organizational, and psychological predictors. Results Findings indicated that job demands, organizational resources, engagement, and indicators of mental health accounted for 45% of the variance in QWL. Emotional exhaustion, psychological demands, dedication, and anxiety– insomnia emerged as the strongest correlates. The final path model, specified with observed variables, confirmed that psychological demands (β = − .16), emotional exhaustion (β = − .21), and anxiety–insomnia (β = − .16) were negatively associated with QWL, whereas autonomy (β = .13), perceived social support (β = .07), and dedication (β = .25) showed positive associations. The model explained 44% of the variance in QWL. Conclusions Overall, the findings highlight the relevance of psychosocial demands and resources in understanding variations in psychologists’ QWL. Strategies aimed at reducing emotional strain and enhancing autonomy, social support, and work engagement may be considered in future intervention-oriented research for promoting practitioners’ well-being and sustaining professional functioning. 2026-04-27T00:00:00Z http://hdl.handle.net/10366/171158 [ES] La ciberpsicología o psicología digital se considera una subdisciplina emergente dentro de la psicología aplicada y surgió hacia finales de los años noventa. Su foco de interés está en el estudio de la relación de las personas con las tecnologías y, más concretamente, en analizar y comprender cómo afecta dicha interacción al comportamiento y el funcionamiento humano. Aunque gran parte de los estudios de ciberpsicología se han centrado en internet y en cómo las personas interactúan en los entornos virtuales, este nuevo campo del conocimiento también abarca el estudio de otros contextos donde la tecnología desempeña un papel importante, como pueden pueden ser la realidad virtual, la inteligencia artificial, los videojuegos, los teléfonos móviles, las redes sociales o los implantes cibernéticos. 2022-01-24T00:00:00Z http://hdl.handle.net/10366/171088 [ES]Este trabajo aborda el fenómeno del duelo desde una perspectiva psicológica integradora, combinando evidencia científica, aportaciones clínicas y reflexiones experienciales. El objetivo principal es ofrecer una comprensión accesible y rigurosa del proceso de duelo tras la pérdida de un ser querido, analizando sus manifestaciones, tipologías, factores de riesgo y estrategias de afrontamiento. Se describe el duelo como un proceso multidimensional que incluye respuestas emocionales, cognitivas, conductuales y fisiológicas, y que puede oscilar desde formas adaptativas hasta manifestaciones complicadas o patológicas. Se revisan diferentes tipos de duelo, como el duelo anticipado y el duelo desautorizado, así como su impacto diferencial en la adaptación psicológica. El trabajo profundiza en los modelos teóricos del proceso de duelo, incluyendo las fases propuestas por Bowlby y Parkes y las tareas del duelo descritas por Worden, destacando la importancia de la aceptación de la pérdida, la elaboración emocional, la adaptación a una nueva realidad y la reorganización vital. Asimismo, se analizan los factores que pueden dar lugar a un duelo complicado o prolongado, así como su relación con otros trastornos psicológicos, como la depresión o el trastorno de estrés postraumático. Se incorporan también perspectivas neurobiológicas, socioculturales y evolutivas del duelo, prestando especial atención al contexto en que se produce la pérdida (e.g., muerte perinatal, fallecimiento de hijos o pérdidas en la vejez) y al papel del apoyo social, los rituales y las intervenciones terapéuticas. Finalmente, se abordan estrategias de acompañamiento, asesoramiento e intervención, destacando la importancia del apoyo emocional, los grupos de duelo y las terapias específicas en la prevención de complicaciones. En conjunto, la obra ofrece una visión comprensiva del duelo como proceso universal, complejo y profundamente influido por factores individuales, sociales y culturales. 2021-01-01T00:00:00Z http://hdl.handle.net/10366/170960 [EN] Background: Quality of working life (QWL) is widely recognized as a central domain of adult quality of life; however, conceptual fragmentation and reliance on satisfaction-based proxies have limited theoretical integration and robust measurement. This study formalizes QWL as a hierarchically structured, multidimensional construct and develops a stakeholder-grounded instrument to support comprehensive psychological assessment. Methods: Item development followed a bottom-up construct-elicitation approach using focus groups and Delphi procedures, yielding 48 items. The scale was administered to 407 employees from a large non-profit social services organization. Exploratory and confirmatory factor analyses were conducted using polychoric correlations and WLSMV estimation. Internal consistency, measurement invariance across sex, job tenure, and professional group, and convergent and discriminant validity were examined. Results: Analyses supported a six-factor structure organized under a higher- order QWL factor. The hierarchical model demonstrated acceptable fit, substantial standardized loadings, and high internal consistency. Configural and metric invariance were supported across groups, with generally acceptable scalar invariance. Correlation patterns provided evidence of convergent validity with engagement, job satisfaction, organizational support, and wellbeing, while supporting discriminant validity from personality traits and stress- related constructs. Conclusion: Findings provide initial evidence for a theoretically integrated and psychometrically robust QWL instrument, advancing conceptual clarity and offering a structured framework for research and applied organizational assessment. 2026-01-01T00:00:00Z http://hdl.handle.net/10366/170880 [EN] Despite international efforts to implement a rights-based approach in services for individuals with intellectual and develop-mental disabilities (IDD), concerns about rights violations—both overt and subtle—remain present in everyday practice. This study examines the perceptions of 1134 professionals working in IDD services across 10 Spanish regions regarding the extent to which service users' rights are respected, their needs and preferences are addressed, and the emotional and attitudinal re-sponses of staff. Findings indicate that while most professionals perceived general respect for rights, important concerns were reported regarding specific areas, particularly privacy, social inclusion, and legal recognition. Longer professional tenure was associated with a greater likelihood of reporting perceived shortcomings in rights implementation. Emotional responses such as pity, overprotection, and ambivalence were more frequently reported when professionals worked with individuals with higher support needs. Notably, 27.7% of respondents believed that the right to privacy was not adequately respected, and 38.7% identified lack of attention as a form of inappropriate treatment. These findings highlight the ethical relevance of professional perceptions and organizational practices and underscore the need for ongoing ethical reflection and service-level improvement. Interpreted within the framework of the UN Convention on the Rights of Persons with Disabilities and the Quality of Life Supports Model, the results point to the importance of aligning everyday support practices with person-centered and rights-based principles. 2026-03-25T00:00:00Z http://hdl.handle.net/10366/170877 [EN]This report analyses the current situation of accessible and sustainable housing for persons with disabilities in Spain, focusing on accessibility, sustainability, affordability and social housing. The review shows that Spain has a relatively strong legal and policy framework, supported by the Right to Housing Act (Law 12/2023), the Technical Building Code, the State Housing Plans and EU-funded programmes under the Recovery and Resilience Facility. However, implementation remains uneven and important structural barriers persist. Most persons with disabilities live in private housing, while social housing accounts for less than 2 % of the total stock, and many people with high support needs still depend on institutional settings. Accessibility remains a major challenge: nearly 70 % of the housing stock is not accessible and only 0.6 % of dwellings are fully accessible, which seriously limits independent living and community inclusion. These difficulties are compounded by poverty, high housing costs, limited affordable options and fragmented disability-disaggregated data. The report identifies relevant good practices, including retrofitting subsidies, community-based housing initiatives and sustainability-oriented renovation programmes. It concludes that Spain needs binding national targets, stronger enforcement of accessibility obligations, simplified subsidy systems, better monitoring, and closer integration of accessibility, affordability and sustainability in future housing strategies to guarantee the right to independent living for persons with disabilities. 2026-03-01T00:00:00Z http://hdl.handle.net/10366/170008 [ES] La presente tesis propone demostrar los efectos psico-físicos de la participación de niños, niñas y adolescentes víctimas de abuso sexual infantil intrafamiliar, durante las actuaciones judiciales dedicadas a producir las evidencias certeras del abuso y de la identidad del agresor. Es una investigación descriptiva, de tipo cualitativa-cuantitativa, que se basa en el estudio retrospectivo de las variables independientes obtenidas de una muestra de casos particulares de niños, niñas y adolescentes víctimas de abuso sexual intrafamiliar, que participaron de la declaratoria testimonial; de un estudio de dos casos de menores víctimas de abuso sexual intrafamiliar, que no participaron de la instancia judicial testimonial; y de una muestra basada en la información aportada por profesionales de diversas disciplinas sobre su propia experiencia con esta problemática de vulneración de derechos sexuales de la población infanto juvenil. Esta investigación se propone explorar si existen variaciones signo sintomáticas y psicoemocionales en las muestras estudiadas, en dos momentos diferentes: previo y posterior al testimonio del menor, durante su participación en el proceso judicial; como así también realizar un estudio comparativo con los casos de menores víctimas de abuso sexual intrafamiliar que no concurrieron a la instancia testimonial. Para ello, se ha elaborado una lista de variables clasificadas en categorías demográficas y sintomáticas basadas en los aportes bibliográficos de autores reconocidos a nivel nacional e internacional, cuyas publicaciones se encuentran incluidas en fuentes científicas fiables; junto a los datos obtenidos de la revisión de las historias clínicas de los casos particulares, que recibieron seguimiento a mediano y largo plazo. Luego, las variables estudiadas han sido sistematizadas a través de la elaboración de un cuestionario estructurado, para ser administrado a profesionales de diferentes disciplinas, que tienen experiencia en la atención a víctimas de abuso sexual infantil. Los resultados obtenidos de las tres muestras han sido trasladados a gráficos estadísticos, con el objeto de facilitar el análisis comparativo de las variables analizadas. Del análisis de datos obtenidos del cuestionario estructurado completado por las profesionales que colaboraron con la encuesta, se comprueba que, en un elevado número de víctimas, se desconoce el estado evolutivo de las mismas, debido a ausencia de seguimiento posterior a la declaratoria testimonial. Mientras tanto, en el caso de las víctimas menores de edad que recibieron seguimiento, se comprueban, en ambas muestras de víctimas que participaron de la instancia testimonial, coincidencias de reagudización y/o aparición de sintomatología psiquiátrica y/o psicosomática, tales como las emocionales, dermatológicas, respiratorias, digestivas, endócrino/metabólicas, actitudes desafiantes e hipersexualización. A partir de los resultados obtenidos mediante el estudio de las dos muestras de menores que brindaron testimonio, se puede concluir que existe la necesidad de revisar las modalidades de actuación judicial en los casos de abuso sexual infantil intrafamiliar, que garanticen la prevención de revictimización judicial de los menores sometidos a la audiencia testimonial, en la que se les requieren datos identificatorios de sus agresores constituidos en figuras significativas de apego por pertenecer a su entorno familiar. Palabras claves: abuso sexual infantil intrafamiliar, proceso judicial, efectos psicofísicos, revictimización, trastorno por estrés postraumático.; [EN] This thesis aims to demonstrate the psycho-physical effects of the participation of children and adolescents who are victims of intra-family child sexual abuse during judicial proceedings dedicated to producing reliable evidence of the abuse and the identity of the aggressor. This is a descriptive, qualitative-quantitative study based on a longitudinal, retrospective, and evolutionary study of the independent variables analyzed. These variables are obtained from a sample of individual cases of children and adolescents who were victims of domestic sexual abuse and who participated in the testimonial statements; from a study of two cases of minors who were victims of domestic sexual abuse and who did not participate in the testimony statements; and from a sample based on information provided by professionals from various disciplines about their own experiences with this problem of violation of the sexual rights of the child and adolescent population. This research aims to explore whether there are symptomatic and psycho-emotional variations in the samples studied, at two different times: before and after the testimony of the minor, during his/her participation in the judicial process; as well as to carry out a comparative study with the cases of minors who are victims of intra-family sexual abuse and who did not attend the testimonial stage. To this end, a list of variables classified into demographic and symptomatic categories was drawn up, based on the bibliographic contributions of nationally and internationally recognized authors whose publications are included in reliable scientific sources; along with the data obtained from the review of the clinical records of the individual cases, which received medium- and long-term follow-up. The variables studied were then systematized through the development of a structured questionnaire, to be administered to professionals from different disciplines with experience in caring for victims of child sexual abuse. The results obtained from the three samples were translated into statistical graphs to facilitate comparative analysis of the variables analyzed. An analysis of the data obtained from the structured questionnaire completed by the professionals who collaborated with the survey shows that, for a large number of victims, the progress of their condition is unknown due to a lack of follow-up after their testimony. Meanwhile, in the case of the underage victims who received a follow-up, both samples of victims who participated in the testimony process showed a recurrence of exacerbations and/or the emergence of psychiatric and/or psychosomatic symptoms, such as emotional, dermatological, respiratory, digestive, endocrine/metabolic, defiant behaviors, and hypersexualization. Based on the results obtained from the study of the two samples of minors who provided testimony, it can be concluded that there is a need to review the modalities of judicial action in cases of intrafamilial child sexual abuse, which guarantee the prevention of judicial re-victimization of minors subjected to the testimonial hearing, in which they are required to provide identifying information about their aggressors, who are significant attachment figures because they belong to their family environment. 2025-01-01T00:00:00Z http://hdl.handle.net/10366/169935 [ES]Introducción. El enfoque en derechos y el fomento de oportunidades son clave para lograr la participación de las personas con discapacidad intelectual y/o del desarrollo (DID). No obstante, incluso dentro de las organizaciones que prestan apoyos, las personas con DID continúan teniendo vidas dirigidas y restrictivas. Por consiguiente, se desarrolló una investigación inclusiva para favorecer la participación de las personas con DID en sus diferentes etapas, donde se exploraron los servicios de apoyo que reciben. Metodología. 49 personas con DID tomaron diferentes roles en tres fases del estudio: algunas como asesoras en la elección del tema de investigación, en la creación de un instrumento y en la discusión de los resultados, y otras como informantes. Resultados. Este estudio fue un espacio de debate y creación para las personas con DID participantes. A través de las diferentes fases del estudio se identifi-caron varias demandas y propuestas de mejora. Discusión. Con la investigación inclu-siva se fomentó la participación de las personas con DID en temas que les competen, aspecto relevante para conocer sus verdaderas necesidades en el momento de llevar a cabo mejoras en las organizaciones. Asimismo, podría orientar a los investigadores a producir conocimientos más significativos y cercanos a la realidad 2025-06-06T00:00:00Z http://hdl.handle.net/10366/169756 [EN] With the expected increase in the numbers of persons with dementia, providing timely, adequate, and affordable care and support is challenging. Assistive and health technologies may be a valuable contribution in dementia care, but new challenges may emerge. The aim of our study was to review the state of the art of technologies for persons with dementia regarding issues on development, usability, effectiveness and cost-effectiveness, deployment, and ethics in 3 fields of application of technologies: (1) support with managing everyday life, (2) support with participating in pleasurable and meaningful activities, and (3) support with dementia health and social care provision. The study also aimed to identify gaps in the evidence and challenges for future research. Reviews of literature and expert opinions were used in our study. Literature searches were conducted on usability, effectiveness and cost-effectiveness, and ethics using PubMed, Embase, CINAHL, and PsycINFO databases with no time limit. Selection criteria in our selected technology fields were reviews in English for community-dwelling persons with dementia. Regarding deployment issues, searches were done in Health Technology Assessment databases. According to our results, persons with dementia want to be included in the development of technologies; there is little research on the usability of assistive technologies; various benefits are reported but are mainly based on low-quality studies; barriers to deployment of technologies in dementia care were identified, and ethical issues were raised by researchers but often not studied. Many challenges remain such as including the target group more often in development, performing more high-quality studies on usability and effectiveness and cost-effectiveness, creating and having access to high-quality datasets on existing technologies to enable adequate deployment of technologies in dementia care, and ensuring that ethical issues are considered an important topic for researchers to include in their evaluation of assistive technologies. Based on these findings, various actions are recommended for development, usability, effectiveness and cost-effectiveness, deployment, and ethics of assistive and health technologies across Europe. These include avoiding replication of technology development that is unhelpful or ineffective and focusing on how technologies succeed in addressing individual needs of persons with dementia. Furthermore, it is suggested to include these recommendations in national and international calls for funding and assistive technology research programs. Finally, practitioners, policy makers, care insurers, and care providers should work together with technology enterprises and researchers to prepare strategies for the implementation of assistive technologies in different care settings. This may help future generations of persons with dementia to utilize available and affordable technologies and, ultimately, to benefit from them. 2017-01-16T00:00:00Z http://hdl.handle.net/10366/169728 [EN]Objectives: People with intellectual disability, particularly people with Down syndrome, are at an increased risk for early-onset dementia, in comparison to people without an intellectual disability. The aim of this review was to scope the current landscape of post-diagnostic dementia supports for people with intellectual disability. Method: A systematic search of five electronic databases (CINAHL, Medline, PsycArticles, PsycInfo and Web of Science) was conducted for this scoping review. Results were screened independently by two reviewers, with a third reviewer for arbitration where necessary. Results: Forty-two studies met the inclusion criteria, and relevant information was extracted. The articles included focussed on the experiences of people with intellectual disability and dementia, as well as the role of carers, family members and staff. Key themes included ageing in place, environmental supports for people with intellectual disability and dementia, dementia-specific interventions and therapies, as well as the feasibility of these interventions. Besides the studies that focussed on these themes, other studies focussed on staff training and family supports. Conclusion: This review highlights the importance of implementing timely and appropriate postdiagnostic supports for people living with intellectual disability and dementia. More controlled trials are required on post-diagnostic dementia supports for people with intellectual disability. 2022-01-01T00:00:00Z http://hdl.handle.net/10366/169664 [ES]El presente Manual constituye una obra imprescindible para profundizar en los inicios, el concepto y la delimitación disciplinar de la Psicología de la Salud. Dirigido a estudiantes y profesionales de la psicología, la terapia ocupacional, la enfermería, la medicina y otras ciencias de la salud, así como a profesionales de otras disciplinas afines como el trabajo social o la educación social. Los lectores encontrarán en este Manual una guía y un esquema vertebrador de los principales ámbitos de actuación de la Psicología de la Salud desde los diferentes niveles de prevención primaria, secundaria y terciaria. Todo ello con el propósito de profundizar en el comportamiento del individuo en relación con su salud, y ayudan a los profesionales en el diseño de acciones que promuevan la salud y la calidad de vida . El Manual combina una rigurosa fundamentación teórica con una claridad expositiva e inclusión de figuras, tablas resumen y numerosos ejemplos prácticos que facilitan la comprensión y la didáctica de la materia. 2019-07-08T00:00:00Z http://hdl.handle.net/10366/169598 [ES]La ciberperfilación y el análisis conductual en delitos de odio son enfoques utilizados principalmente en psicología forense y criminología para detectar y describir los patrones de la conducta delictiva en entornos digitales través de la huella digital (publicaciones, comentarios...). El análisis se centra especialmente en el comportamiento reflejado a través del lenguaje, simbología... para saber quién es la persona, cómo piensa y actúa desde el delito. 2025-06-01T00:00:00Z http://hdl.handle.net/10366/169583 [ES]El capítulo del libro analiza desde el ámbito de la psicología forense la conducta de menores infractores graves aplicando el Modelo del Triple Riesgo Delictivo (Redondo Illescas, 2008) al ámbito judicial tratando de comprender y predecir la conducta antisocial del menor a través de la perfilación criminal. Esta perfilación criminal del menor delincuenta y la combinación con el Modelo del Triple Riesgo Delictivo (TRD) permite analizar e identificar los aspectos más importantes del menor en conflicto: los riesgos personales para caer en la delincuencia, las carencias psicosociales que le llevan a delinquir y los factores facilitadores para cometer nuevos delitos. El capítulo detalla cómo usar el TRD para construir el perfil criminológico para cada menor. 2021-01-01T00:00:00Z http://hdl.handle.net/10366/167941 [ES]Objetivos: Examinar las asociaciones entre el estrés relacionado con la diabetes, la adherencia al tratamiento, el apoyo social percibido y la calidad de vida relacionada con la salud (CVRS) en adultos con diabetes mellitus tipo 1 (DM1), así como explorar los roles mediadores del apoyo y la adherencia en esta relación. Diseño: Estudio observacional transversal basado en medidas estandarizadas de autoinforme y análisis de mediación. Métodos: Un total de 772 adultos españoles con DM1 completaron instrumentos validados que evaluaban el malestar relacionado con la diabetes, el apoyo social percibido, la adherencia al tratamiento y la CVRS. Se realizaron regresiones múltiples jerárquicas y análisis de mediación en serie (modelo 6 de PROCESS, 10.000 bootstraps), controlando la edad, el sexo y el tiempo desde el diagnóstico. Fuentes de datos: No aplicable (recogida de datos primaria). Resultados: El estrés relacionado con la diabetes fue el predictor más fuerte de una peor CVRS. El apoyo social percibido y la adherencia al tratamiento también mostraron contribuciones significativas. Los análisis de mediación indicaron que el impacto del estrés sobre la CVRS estaba parcialmente mediado por el apoyo social percibido y, de forma secuencial, por la adherencia al tratamiento. Tanto la vía indirecta a través del apoyo social como la vía secuencial que incluía ambos mediadores fueron significativas. Conclusión: El estrés y el apoyo social son elementos clave para comprender y mejorar la CVRS en adultos con DM1. La adherencia al tratamiento parece estar influida por el apoyo percibido, lo que revela un mecanismo indirecto que conecta el estrés con la calidad de vida. Implicaciones: Los profesionales sanitarios deberían integrar evaluaciones e intervenciones psicosociales en la atención rutinaria. Abordar el estrés y potenciar el apoyo social puede mejorar la adherencia y el bienestar general en adultos con DM1. Impacto: El estudio analizó cómo los factores psicosociales —especialmente el estrés, el apoyo social percibido y la adherencia al tratamiento— contribuyen a la CVRS en adultos con DM1, cubriendo lagunas de investigación previas centradas en población pediátrica o clínica. [EN]Aims: To examine the associations among diabetes-related stress, treatment adherence, perceived social support, and health-related quality of life (HRQoL) in adults with type 1 diabetes mellitus (DM1), and to explore the mediating roles of support and adherence in this relationship. Design: A cross-sectional observational study using self-report standardised measures and mediation analysis. Methods: A total of 772 Spanish adults with DM1 completed validated instruments measuring diabetes-related distress, perceived social support, treatment adherence, and HRQoL. Hierarchical multiple regression and serial mediation analysis (PROCESS Model 6, 10,000 bootstraps) were conducted, controlling for age, sex, and time since diagnosis. Data Sources: Not applicable (primary data collection, not a review). Results: Diabetes-related stress was the strongest predictor of lower HRQoL. Perceived social support and treatment adherence also contributed significantly. Mediation analyses indicated that the impact of stress on HRQoL was partially mediated by perceived social support and, in sequence, by treatment adherence. The indirect path through social support alone and the sequential path involving both mediators were significant. Conclusion: Stress and social support are critical in understanding and improving HRQoL in adults with DM1. Treatment adherence appears to be influenced by perceived support, highlighting an indirect mechanism linking stress to quality of life. Implications for the Profession and/or Patient Care: Healthcare professionals should integrate psychosocial assessments and interventions into routine diabetes care. Targeting stress reduction and enhancing social support may improve adherence and overall well-being in adults with DM1. Impact: What problem did the study address? The study addressed the need to understand how psychosocial factors—specifically stress, perceived social support, and treatment adherence—contribute to HRQoL in adults with DM1. While prior research often focused on paediatric or clinical populations and rarely explored mediation models, this study sought to fill those gaps with data from a large community sample of adults. 2025-09-19T00:00:00Z http://hdl.handle.net/10366/167384 [EN]This study examines mass shootings where the “copycat effect” is present, with the exception of those carried out in the United States, during the period 1999-2022. This phenomenon occurs when perpetrators of a mass shooting copy the modus operandi of previous attacks, which are then projected as a model. The study sample includes 21 copycat cases, executed in 9 countries. The study reveals that these crimes are perpetrated by men, under the age of 34, predominantly in school settings and the perpetrators often end in suicide. The empirical results also reveal that in countries where these cases are more frequent, they also set role models for subsequent shooters. In conclusion, the small number of copycat behaviors does not prevent these events from being studied, especially in an era in which the internet and the media contribute to their constant globalization. [ES]El presente estudio examina los tiroteos masivos en que se encuentra presente el “efecto de imitación”, con la excepción de los llevados a cabo en Estados Unidos, durante el periodo 1999-2022. Dicho fenómeno concurre cuando los autores de un tiroteo masivo copian el modus operandi de ataques anteriores, los cuales se proyectan como modelo. La muestra del estudio incluye 21 casos de imitación, ejecutados en 9 países. El estudio revela que estos crímenes son perpetrados por hombres, con edades inferiores a los 34 años, de forma predominante en entornos escolares y los autores suelen concluir con el suicidio. Los resultados empíricos también revelan que en los países en los que estos casos son más frecuentes, también se fijan modelos de referencia para tiradores posteriores. En conclusión, el escaso número de comportamientos de imitación no impide que estos sucesos sean objeto de estudio, especialmente en una época en la que internet y los medios de comunicación contribuyen a su constante globalización. 2025-01-01T00:00:00Z