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1.
Psychotherapy (Chic) ; 60(4): 573-586, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37668568

RESUMO

Unfinished business (UB), when individuals appraise their relationship with others or themselves as incomplete or unresolved, entails difficult emotions such as regret, remorse, and guilt. UB is often associated with bereavement and is considered to be a predictor of complicated grief. Here we report two case studies describing the processing of the sudden death of a significant other in the context of a randomized controlled study of 12-week drama therapy groups for older adults. The intervention followed the format of Playback Theater, an improvised form of theater based on personal stories, and a life review paradigm. A mixed-methods approach explored the course of individual therapy within the group and potential mechanisms of change. The participants completed mental health questionnaires in a pre-post-follow-up design. The qualitative data included video recordings and postintervention interviews. One participant reported a clinically significant (CS) change in depressive symptoms and psychological well-being on the post and follow-up measurement indices. The second reported a CS change in self-esteem and relationship satisfaction at the end of the intervention, but not at follow-up. The findings suggest that the drama therapy contributed to the resolution of UB through restorative work in the three domains defined in meaning reconstruction theory: the "event story" of the loss, the "back story" of the relationship with the deceased, and the "personal story" of self. The results point to the need for additional research on meaning reconstruction in the context of drama therapy and encourage the broader application of performative techniques to treat complicated bereavement. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Luto , Psicodrama , Humanos , Idoso , Pesar , Inquéritos e Questionários , Autoimagem
3.
Int J Urol ; 30(7): 592-599, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-36999456

RESUMO

OBJECTIVE: This research was carried out to reduce the fear, anxiety and pain of 4-6 age circumcised children with therapeutic play and video animation interventions. METHODS: This research was conducted as a randomized controlled study between November 2019 and April 2021. Using block randomization, 30 (n = 30) children were assigned to the control group, 30 (n = 30) to the therapeutic puppet group and 30 (n = 30) to the video animation group. Before the circumcision surgery, therapeutic puppet and video animation interventions were applied to children with scenario prepared with psychodrama technique. Fear, anxiety, and pain findings of children before and after surgery were determined. RESULTS: The fear and anxiety scores of the children were similar before the nursing intervention in all groups, and that the fear and anxiety scores of therapeutic puppet play and video animation intervention groups had statistically lower than the control group after nursing intervention. The pain scores of the children from the therapeutic puppet play and video animation groups had lower pain scores than the control group after surgery (F = 5.24, p = 0.007). CONCLUSIONS: Therapeutic play and video animation intervention can be effective in reducing fear and anxiety of children aged 4-6 before and after circumcision surgery.


Assuntos
Circuncisão Masculina , Psicodrama , Humanos , Masculino , Criança , Circuncisão Masculina/efeitos adversos , Ansiedade/etiologia , Ansiedade/prevenção & controle , Medo , Dor/etiologia , Dor/prevenção & controle
4.
Clin Gerontol ; 46(3): 400-412, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36794366

RESUMO

OBJECTIVES: This paper explores a field training project of tele-drama therapy with community-dwelling older adults during COVID19. It merges three perspectives: the older participants' perspective, the students engaged in the field training, who conducted this remote therapy, and social workers. METHODS: Interviews were conducted with 19 older adults. Focus groups were conducted with 10 drama therapy students and 4 social workers. The data were thematically analyzed. RESULTS: Three themes emerged: the role of drama therapy methods in the therapeutic process, attitudes toward psychotherapy for older adults, and the phone as a therapeutic setting. These themes coalesced into a triangular model associating dramatherapy, tele-psychotherapy and psychotherapy with the older population. A number of obstacles were identified. CONCLUSIONS: The field training project made a dual contribution to the older participants and the students. In addition, it promoted more positive attitudes among the students toward psychotherapy with the older population. CLINICAL IMPLICATIONS: Tele-drama therapy methods appear to promote the therapeutic process with older adults. However, the phone session should be planned in advance in terms of time and place to ensure the participants' privacy. Field training of mental health students with older adults can promote more positive attitudes toward working with the older population.


Assuntos
COVID-19 , Psicodrama , Telemedicina , Humanos , Idoso , Psicoterapia/métodos , Vida Independente , Telemedicina/métodos
6.
J Obstet Gynaecol ; 42(7): 2946-2953, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36018050

RESUMO

This study was designed to examine the potential benefit of the addition of psychodrama classes to antenatal education as a new technique to address fear of childbirth. This was a randomised controlled trial. A total of 150 women were initially enrolled in two groups. Psychodrama sessions were added to standard antenatal education in the experiment group. The control group participated only in routine antenatal education classes. Birth outcomes and fear of childbirth were measured and analysed to assess the impact. The analysis was completed with an experimental group of 50 women and a control group of 49 women. At the conclusion of the training, it was observed that there was a greater decrease in fear of childbirth in the experiment group than in the control group. Additionally, in the postpartum period, the experimental group had a higher rate of vaginal childbirth and a shorter childbirth time than the control group. Psychodrama may be an effective means of reducing fear of childbirth and reduced caesarean section childbirth. Psychoeducation should be added antenatal education programs. Thus, it may represent an important tool in the efforts to improve maternal mental health and also provide broader social benefits.IMPACT STATEMENTWhat is already known on this subject? Studies examining means to reduce fear of childbirth have found that psychoanalysis, cognitive behavioural therapy, eye movement desensitisation and reprocessing, haptotherapy and art therapy were useful.What the results of this study add? Psychodrama as a new intervention may be beneficial decreased of fear of childbirth, increased of normal birth rate and at improving the experience of pregnancy and childbirth.What the implications are of these findings for clinical practice and/or further research? Protecting and caring for the mental health of the mother and child benefits the entire community. It has been reported that 1 in 5 mothers experience psychiatric difficulties during the postpartum period, and 7 of 10 do not receive treatment, which has a negative impact on the mother, the child and family. Assesment of the mental health of women during the postpartum period is not regularly performed in many countries and women are frequently left to struggle on their own. The identification of pregnant women who have a high fear of childbirth and who are at risk of developing a psychiatric disorder by nurses is an important element of providing of appropriate, high-quality care.


Assuntos
Cesárea , Psicodrama , Criança , Feminino , Gravidez , Humanos , Cesárea/psicologia , Parto/psicologia , Parto Obstétrico/psicologia , Medo/psicologia
7.
Artigo em Inglês | MEDLINE | ID: mdl-35805581

RESUMO

Spontaneity and its connections to mental health and wellbeing are a central issue in both theory and practice of psychodrama, and the specialized literature sometimes even associates the presence of pathology to a lack of spontaneity. This paper describes spontaneity in Moreno's theory, its assessment, its association with other measures and concepts, and scientific advances in the field. Specifically, we present results obtained with the English and Portuguese-language versions concerning its assessment. The main purpose of this work was to study the spontaneity measure (SAI-R) in a 3 first-order factors version for a Portuguese sample of 439 subjects, divided into two independent samples. The mean age of participants was 25.6 years (SD = 10.2), and ages ranged between 18 and 64 years. Data was collected through an online platform of a Portuguese market research company. The results revealed that the 3-factor model has acceptable validity for items 1 ("Creative") and 7 ("Euphoric"), confirming the composite reliability, the convergent validity, but not the discriminant validity. Through multi-group analysis, the model proved to be stable. Notwithstanding the need for complementary studies, including clinical samples, the SAI-R is a short and valid instrument in clinical and non-clinical contexts when evaluating spontaneity.


Assuntos
Idioma , Psicodrama , Adolescente , Adulto , Humanos , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
8.
Community Ment Health J ; 58(8): 1613-1620, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35583837

RESUMO

The impact of drama therapy on mental health recovery remains poorly understood. We examined the effects of a pilot remote drama therapy program for community members living with serious mental illness. The entire intervention was delivered remotely. Participants with serious mental illness completed a 12-week drama therapy program which included an online performance open to the public. Four quantitative scales were administered pre- and post-program. A focus group was conducted 1 week after the performance. Six participants completed the program and crafted a public performance themed around hope. No significant differences were identified in the quantitative measures. Five themes were identified in the post-performance focus group. Drama therapy presents an opportunity for individuals with serious mental illness to process and share their journeys with their diagnoses and re-create a healthy sense of self with increased community awareness.


Assuntos
Drama , Transtornos Mentais , Recuperação da Saúde Mental , Psicodrama , Humanos , Grupos Focais , Transtornos Mentais/terapia
9.
Dementia (London) ; 21(4): 1289-1303, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35236150

RESUMO

COVID-19 pandemic and subsequent lockdowns created a global public health crisis generating mental health problems including social isolation, stress, and anxiety especially for persons with dementia and their carers. This article reports on the use of digital technology to maintain social connectivity via a virtual group session that focused on the topic of "what is home." Participants in this session included 16 day-care center clients representing an immigrant community identified with mild to moderate cognitive impairment. A trained psychodrama therapist conducted the virtual group meeting based on five key techniques: spectrogram, role reversal, doubling, mirroring, and soliloquy. The NVivo software was used for the qualitative analysis of the transcribed video recording to identify key themes based on grounded theory methodology. Zooming from home, clients engaged in significant social interaction. Findings of the NVivo analysis identified the following themes of "what is home": Emotions and home, Home is family, Home is community, and Reminiscence (with objects and traditions). Findings suggest that digital interactive technologies, like Zoom, enhance social connectivity thus mitigating the negative impact of social isolation for persons with dementia especially during pandemic lockdowns. Our pilot findings based on virtual group meetings from home demonstrate that participants can express significant emotive capacity and enhanced connectivity with one another despite a diagnosis of mild to moderate dementia. While larger studies are needed to confirm these findings, we suggest that this methodology may be used to support persons with dementia not only in times of pandemics but also as an addition to other community and home care services. Changes in reimbursement policies to include these innovative home services may be helpful in building more resilient communities for the more highly vulnerable populations.


Assuntos
COVID-19 , Demência , Psicodrama , Cuidadores , Controle de Doenças Transmissíveis , Demência/epidemiologia , Humanos , Pandemias , SARS-CoV-2
10.
Hist Psychol ; 25(1): 56-67, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34726442

RESUMO

Jacob Levy Moreno, the well-known creator of psychodrama, had a close epistolary relationship with the Spanish psychiatrist Ramón Sarró; a collection of these letters has been located in the Sarró personal archive, deposited in the Library of Catalonia. After locating and arranging this correspondence, we proceeded to analyze and contextualize its contents. The analysis of this collection serves as a basis to outline the context in which the relationship between Moreno and Sarró developed, the role played by certain psychotherapy congresses in strengthening their relationships, and the process that resulted in the University of Barcelona awarding Moreno Doctor Honoris Causa. This study has allowed us to identify certain areas of how psychodrama was received in Spain during the 1960s and reflect on the creation of international collaboration networks and the creation of schools and professional and academic legitimation strategies in the wake of the approaches to group psychotherapy and psychodrama that Moreno developed while based in New York. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Psiquiatria , Psicodrama , Psicoterapia de Grupo , História do Século XX , Psiquiatria/história , Psicodrama/tendências , Psicoterapia , Espanha
11.
J Psychosoc Oncol ; 40(1): 131-135, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33792511

RESUMO

OBJECTIVE: Group psychodrama for children is one of the methods of group therapy in treatment of many behavioral and emotional disorders of children. However, it has been used very few in hospital settings. So, in this study, the group psychodrama was applied to evaluate its effectiveness for. METHOD: Sixteen children with leukemia aged 6-9 years participated in the present randomized controlled trial. Eight children in the intervention group and eight children in the control group were randomly assigned. The intervention group participated in eight sessions of group psychodrama (during the hospitalization time) and the control group waited for the treatment. The score of the bio-psycho-social expressions of incompatibility in hospital (BPSEIH) checklist was the criterion of evaluation of the group psychodrama effectiveness. RESULTS: The results showed that group psychodrama was significantly effective in modifying the BPSEIH. CONCLUSIONS: The findings indicate the effectiveness of group psychodrama to moderate the psychological consequences of cancer and showed the feasibility of using this method in the hospital settings.


Assuntos
Leucemia , Neoplasias , Psicodrama , Psicoterapia de Grupo , Criança , Humanos , Leucemia/terapia
12.
Issues Ment Health Nurs ; 43(1): 76-82, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34232839

RESUMO

This study aimed to assess the effects of a psychodrama-based risk management training program on nurses' knowledge and practices. This study used a mixed methods design; quantitative and qualitative methods were used together with a single group pretest, post-test, and follow-up. The training program, in which the nurses took part, comprised six lessons that were designed using psychodrama methods. The result showed that risk management scores increased significantly after the training. Thus, this training is effective for improving the knowledge and practices of mental health nurses for risk management.


Assuntos
Enfermeiras e Enfermeiros , Psicodrama , Competência Clínica , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Saúde Mental , Gestão de Riscos
13.
Perspect Psychiatr Care ; 58(4): 1239-1247, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34312895

RESUMO

PURPOSE: This study aims to investigate the effects of psychodrama group practices on nursing students' levels of self-liking, self-competence, and self-acceptance. DESIGN AND METHOD: This study was a non-randomized quasi-experimental study with a control group including pre-test, post-test, and follow-up test procedures. The study was carried out with 29 participants, including 15 experimental and 14 control group participants. The study data were collected using the sociodemographic characteristics questionnaire, the Self-Liking/Self-Competence Scale, and the Unconditional Self-Acceptance Scale. FINDING: It was found that the self-liking sub-dimension, self-liking/self-competence, and unconditional self-acceptance total scores in the experimental group were significantly higher than the control group in the post-test measurements. PRACTICE IMPLICATIONS: Psychodrama group practices have significant positive effects on students' self-liking, self-competence, and self-acceptance among nursing students.


Assuntos
Bacharelado em Enfermagem , Prática de Grupo , Psicodrama , Estudantes de Enfermagem , Humanos , Competência Clínica , Inquéritos e Questionários
14.
Artigo em Inglês | MEDLINE | ID: mdl-33922138

RESUMO

The aim of this study was to carry out a systematic review of controlled clinical trials in order to identify both specific populations and social issues which may benefit from the effective use of psychodrama psychotherapy. A search was conducted in the WoS, SCOPUS, PsychINFO, Medline, Academic Search Ultimate, ProQuest, and PubPsych databases, complemented by a manual search on relevant websites and in the reference lists of the selected studies. Randomized controlled trials (RCTs) and quasi-RCTs of group-based psychodrama psychotherapy were included. The Effective Public Health Practice Project (EPHPP) tool was adopted to assess the methodological quality of the included studies. The search identified 14 RCTs and one quasi-RCT evaluating the effects of group-based psychodrama psychotherapy. The total number of participants in the studies was 642 people. Seven studies were conducted in Turkey, two in the USA, two in Finland, one in Canada, one in Brazil, one in Italy, and one in Iran. The heterogeneity of the issues analyzed indicates that psychodrama improves the symptoms associated with a wide range of problems. Despite psychodrama's long history, most clinical trials in this field have been published this century, which suggests not only that this psychotherapeutic practice remains relevant today but also that it continues to attract substantial interest among the scientific community. Nevertheless, further research efforts are required to understand its potential benefits for psychosocial well-being.


Assuntos
Psicodrama , Psicoterapia de Grupo , Brasil , Canadá , Ensaios Clínicos Controlados como Assunto , Finlândia , Humanos , Irã (Geográfico) , Itália , Turquia
15.
Minerva Pediatr (Torino) ; 73(1): 28-34, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-28752988

RESUMO

BACKGROUND: Sleep disorders are common in young children. Our objective was to describe a psychodrama using puppets and to assess the interest of this approach for the treatment of sleep disorders in ambulatory pediatric patients. METHODS: This retrospective, observational, monocenter study was carried between 1st January 2014 and 31st December 2015. Children aged 12 months to 6 years with a sleep disorder confirmed according to the International Classification of Sleep Disorders-2 were recruited. The parents were questioned separately about their child's sleep rhythm and the family's quality of life (QoL). The child sitting on their parent's knee and, using puppets to represent the family members, the pediatrician reproduced the scenario that took place at home and demonstrated what should be changed. The parents were contacted by telephone 1-2 weeks after the therapy to determine whether the child's sleep patterns had improved. The primary endpoint was resolution of the sleep disorder. RESULTS: Thirty-eight children (mean age 27.2±14.0 months; mean duration of sleep disorder 12.7±9.5 months) were assessed. The most common sleep disorders were difficulties in falling asleep at evening bed-time (76.3%) and night-time wakening (76.3%). The main triggering factors were the birth of a sibling (30.8%) or an illness (30.8%). In the majority (52.2%) of families who were convinced that the psychodrama would work, an immediate and complete resolution of the sleep disorder was obtained within three days of the consultation. QoL improved in the majority of families after the consultation (QoL was average in 68.4% of families before the consultation vs. good in 84.2% after the consultation). Psychodrama was effective at bringing about an immediate and complete resolution of sleep disorders in children. This confirms the findings of other reports that show that behavioral therapy is effective in this context. CONCLUSIONS: This method could be adapted effectively by individual practitioners, enabling children to establish a good sleep pattern without the use of medications. A further large-scale, randomized, controlled trial is required to confirm these results.


Assuntos
Terapia Comportamental , Psicodrama , Transtornos do Sono-Vigília/terapia , Criança , Pré-Escolar , Humanos , Lactente , Atenção Primária à Saúde , Estudos Retrospectivos
16.
J Nurs Res ; 30(1): e188, 2021 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-35050954

RESUMO

BACKGROUND: The prevalence of dementia in Taiwan continues to rise, and related patient care is becoming challenging for family members and caregivers. Nondrug treatments are often used as a care strategy to alleviate the behaviors associated with worsening dementia. Many international researchers have examined the effectiveness of drama therapy on dementia care. However, there is a lack of related studies in Taiwan. PURPOSE: The aim of this study was to examine the effects of drama therapy in terms of improving depressive symptoms, attention, and quality of life in patients with senile dementia. METHODS: A two-group pretest-and-posttest design was employed in this randomized controlled trial. Cluster sampling was employed at four dementia daycare centers in central Taiwan. Two centers were randomly assigned to the experimental group, and the other two centers were assigned to the control group. RESULTS: Forty-two patients with dementia (23 in the experimental group and 19 in the control group) participated in this study. The study results showed that, after 8 weeks of drama therapy, the experimental group showed a significant improvement in depressive symptoms (ß = -5.07, p < .001), attention (ß = 5.86, p < .001), and quality of life (ß = -6.08, p < .001). Furthermore, after 12 weeks of drama therapy, the experimental group continued to show a significant improvement in depressive symptoms (ß = -4.65, p < .01), attention (ß = 6.76, p < .001), and quality of life (ß = -4.94, p < .01). CONCLUSIONS: On the basis of the results of this study, patients with senile dementia who participate in 8- and 12-week drama therapy programs significantly improved in terms of depressive symptoms, attention, and quality of life. The authors hope that the findings of this study provide a reference for the intervention method, content, frequency, and timing of drama therapy in patients with dementia.


Assuntos
Demência , Psicodrama , Atenção , Demência/tratamento farmacológico , Depressão , Humanos , Qualidade de Vida
17.
Perspect Psychiatr Care ; 57(2): 488-498, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33118158

RESUMO

PURPOSE: This study describes the experiences of patients with metastatic cancer participating in psychodrama group therapy. DESIGN AND METHODS: This study was carried out at the cancer hospital of the university, Turkey. The sample consisted of patients with metastatic cancer who participated in 16 weekly psychodrama sessions of 3 h each. The study was analyzed using the NVivo 11 software, the sessions which summarize and code the interviews. FINDINGS: Five main themes were identified: Anxiety of death, coping strategies, psychological resilience, relieving suffering, and the meaning of life. PRACTICE IMPLICATIONS: Psychodrama can be used in patients diagnosed with metastatic and other types of cancer to cope with their psychosocial difficulties. Psychiatric nurses can play a leading role in this area.


Assuntos
Neoplasias , Psicodrama , Psicoterapia de Grupo , Adaptação Psicológica , Humanos , Neoplasias/terapia , Turquia
18.
Violence Against Women ; 27(9): 1273-1296, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-32573368

RESUMO

This case study aims to determine the efficacy of a program based on drama therapy, theater of the oppressed, and psychodrama to reduce psychological malaise (post-traumatic stress disorder [PTSD], depression, anxiety) and sexist stereotypes, and improve self-esteem, quality of life, life purpose, and communication skills in women victims of intimate partner violence. A pretest and a posttest were administered to a single group using psychometric instruments; in addition, an evaluation of the process was done using participatory observation. Findings show a statistically significant reduction of depression and increase in life purpose. Qualitative analyses suggest development of personal and social competencies and the elaboration of trauma.


Assuntos
Violência por Parceiro Íntimo , Psicodrama , Transtornos de Estresse Pós-Traumáticos , Feminino , Humanos , Qualidade de Vida , Transtornos de Estresse Pós-Traumáticos/terapia
20.
Violence Against Women ; 26(14): 1771-1789, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32869733

RESUMO

This article examines the experience of eight graduate students in the drama therapy program at Lesley University when creating and performing a theater piece centered around gender-based violence. The performance piece, A Space to Speak, used the performers' real-life stories to highlight their vastly different, yet strikingly similar, experiences and invited the audience to examine their own relationship to those stories. A description of the process used to create and perform the piece is followed by a discussion of the impact the process had on the performers and audience members.


Assuntos
Drama , Violência de Gênero , Psicodrama , Universidades , Feminino , Educação em Saúde , Humanos , Masculino , Narração , Estudantes
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