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The present study aimed to analyse the differences in the internalising problems (anxiety, depression, somatic complaints), assessed by different informants (teachers and students), according to the level of academic achievement and school adaptation level in secondary students. Furthermore, we examine the gender difference in the level of internalising symptoms. Finally, we analyzed the differences between teacher-rated and adolescents' self-reported internalising symptoms. The Achenbach System of Empirically Based Assessment (ASEBA) was used for collecting informants’ data. The sample consisted of 882 secondary students (349 males and 473 females), while 50 came from public schools and 772 from private schools. No significant differences are found in internalising problems according to the level of academic achievement from both teachers’ and students’ perspectives. Generally, students who are well-adapted to the school context have the least symptoms of internalising problems compared to average and less-adapted groups from the teachers' perspective. In addition, from students’ perspectives, adolescent females present more internalising problems than males. Finally, teachers rated fewer internalising problems when compared to the students. In conclusion, the low level of awareness of teachers towards the internalising problems of students arouse attention. It is suggested that teachers should attend professional development programs in order to address to students’ internalising problems

By discussing various aspects of family functioning, including the intricate nature of family functioning, family dynamics’ impact on adolescent growth and lifelong development, and the COVID-19’s effects on family relationships, it reveals the importance and necessity of assessment instruments in the field of family counselling. And concerning the gap between family research and clinical practice as well as the absence of a singular tool capable of evaluating various family functions comprehensively in the Macao context, the study introduced the Basic Family Relations Inventory (BFRI; or ‘Cuestionario de Evaluación de las Relaciones Familiares Básicas’, CERFB), a self-reported questionnaire based on Linares’ Basic Family Relations Theory. This valuable tool consists of 25 items, assessing simultaneously the quality of family relationships in two basic dimensions—marital and parental functioning. This study aimed to develop the Chinese version of the BFRI and investigate its psychometric properties in the context of Macao. By employing a quantitative research approach, it evaluated the normal distribution, exploratory factor analysis and reliability of the BFRI in a non-clinical snowball and convenience sample of 165 participants with at least one biological child from 12 to 18 years old. In the exploratory factor analysis, the initial factor extraction resulted in four components, reflecting both marital and parental items. This suggested potential overlap and interconnectedness between the marital and parental subsystems. Subsequent analysis identified a three-factor solution, separating marital, negative parental, and positive parental components. This aligned with the factor structure of the original Spanish version of the BFRI. A two-factor solution was also explored, replicating findings from the previous Italian and Portuguese validation of the BFRI despite some inconsistencies in item alignment. The EFA results revealed that the three-factor structure of the Chinese version of the BFRI was the best fitting model for the Macao population. Reliability analysis, assessed through Cronbach’s alpha, indicated satisfactory internal consistency of the scales. The results of the analyses demonstrate promising psychometric properties, supporting the tool’s effectiveness in assessing marital and parental relationships in a Macao population. The study contributed to the development of the valuable family assessment instrument. It suggested that the Chinese version of the BFRI could serve as a useful instrument to concurrently assess the quality of marital and parental relationships and systematically collect the data of family functioning in both dimensions. It’s also believed that this instrument could benefit the evaluation of family dynamics and comprehension of family relations not only in family research studies, but also in counselling intervention and clinical therapy, preventing risks to the health of children as well as promoting healthy family contexts in Macao

School-age children and adolescents face several psychological conditions frequently associated with negative consequences on behavioral and mental problems. Their level of mental resilience may affect their responses to academic or interpersonal issues and coping with challenges, which in turn affects their mental health. This study aims to characterize the current status of the psychopathology and resilience of secondary students and to analyze the relationship between psychopathology and resilience in a sample of 80 girls aged 12–18 was selected by cluster sampling from one private secondary school with six grades in Macao. In this study, we used the Achenbach System of Empirically Based Assessment (ASEBA) to assess behavioral and emotional problems and the Resilience Scale for Chinese Adolescents to assess resilience. A total of 78 valid questionnaires were obtained for CBCL, 78 for TRF, 80 for YSR, and 77 for Resilience Scale and data were analyzed by using SPSS. The results reveal that clinical prevalence of Total Problems (YSR, 27.5% > CBCL, 19.2% > TRF, 15.4%) and Internalizing Problems (YSR, 22.5% > CBCL, 17.9% > TRF, 11.5%) from the perspective of adolescents was higher than that from the perspectives of parents and teachers. Senior students exhibited higher frequency on the borderline clinical range than Junior students. (χ2(2, N=80) =14.56, p<.001). The average score of resilience is 3.24±0.51, which is above the middle level. Regarding the YSR scale and Resilience scale, we found that the score of Affect Control is significantly negatively correlated with the score of Internalizing Problems (r = -.354, p<.01). Family Support is also significantly negatively correlated with the score of Internalizing Problems (r = -.302, p<.01). Good affect control and family support can reduce various emotional and behavioral problems. The results of the study found the resilience level can negatively affect internalizing problem behaviors and externalizing problem behaviors. The results are promising and can give clues for preventing and promoting measures regarding mental health issues to both family and school education contexts, as creating a sustainable development strategy of improving adolescents’ mental resilience quality

This study aims to investigate gender-differentiated parenting and the factors that affect parent-adolescent relationships in Macao families. The study will address the following research questions: A) Does gender-differentiated parenting exist in Macao families? B) How does the academic level of parents relate to conflict resolution and acceptance levels? C) How does the length of time parents have lived together relate to conflict resolution and acceptance levels? D) How does the sibling position of adolescents relate to conflict resolution and acceptance levels? The study employed a quantitative research approach with a purposive and convenient sample of parents with children aged between 12 to 18 years old in Macao. The data were collected using the Parent-Child Interaction Questionnaire—Revised-Parent version (PACHIQ-R-P) through a questionnaire survey from May to August 2022. Out of the 172 completed questionnaires, seven were invalid, resulting in 165 valid questionnaires. The findings showed that gender differentiation in parenting was confirmed, with significant results showing that fathers had lower acceptance and conflict resolution levels when their child was a boy. Mothers showed similar acceptance and conflict resolution levels regardless of their child's gender. Furthermore, the study found that parents' acceptance of their children was influenced by their academic level, length of time living together, and the child's sibling position. This study is the first of its kind in Macao and could provide valuable insights for family and adolescent services in the region

The purpose of the study was to explore the smoking behaviour of the smokers living in Macao. I was part of the 1st group of doctors to have chosen to initiate smoking cessation in Macau. In addition to my diverse academic background of study in laws- a dissertation about the effect of tobacco control program in Macao (submitted in 2011), a master in Public Administration, and five years of working experiences as an Inspector Assistant of tobacco, I had the conviction that I have to write to share my experience and knowledge about smoking cessation to contribute to the field of counselling and psychotherapy as there is little research data concerning smoking prevalence and demographics in Macao. This study consists of two parts – PART I presents the quantitative data collected by a questionnaire-survey over 1378 smokers and PART II qualitative data from semi-structured interviews with 10 adult smokers to explore their experiences of smoking and smoking cessation in Macao. Quantitative data analysis was conducted with the SPSS, while qualitative analysis with coding and theme identification by following the grounded theory procedures. The study found that about 85% smoker surveyed consumed more than half a pack of cigarette per day and about 31% reported various symptoms like irritability, fatigue, loss of appetite and difficulties in concentration. The qualitative study has identified major positive factors related to initiation and maintenance of smoking cessation, namely health concerns, financial concerns and family support. Major negative factors related to relapse of smoking are peer influences, smoking of family members, and impacts of stressful life events. Based on findings of the study, it is argued that preventive anti-smoking education should be implemented among young people. Promotion of health education and preventive anti-smoking strategist and policy in Macao are discussed. The data collected indicate the fact that individuals who have pathologies of the cardiovascular system as a motivating factor for contemplating or taking actions for smoking cessation. Moreover, financial problems, gender (male predominantly), married with family support, higher educational level, without psychological diseases, better economic status, lower nicotine dependent are predictors to success in quit smoking. It also raises the possible need to deepen some evaluation parameters hither to be only superficially addressed. Therefore, and by limitations inherent to the study, this hypothesis needs further investigation. I argue that non-pharmacological treatment methods alone have proven to be effective in the smoking cessation process. However, it is argued that this combined with pharmacological therapy, in particular in specialized consultations, would be more effective and capable in increasing success rates in smoking cessation