Impact of the COVID-19 pandemic on the mental health of the general population and health care workers / Impacto de la pandemia de COVID-19 en la salud mental de la población general y de los trabajadores sanitarios

The Health Sciences Foundation has assembled a multidisciplinary group around a series of questions about the impact of the COVID-19 pandemic on the mental health of the general population and specific groups within that population, particularly healthcare workers.In the general population, the most prevalent mental disorders have been anxiety, sleep disorders and affective disorders, primarily depression. There has been a considerable increase in suicidal behavior, especially in young women and men over 70 years of age. There has been an increase in alcohol abuse and nicotine, cannabis and cocaine use. In contrast, the use of synthetic stimulants during periods of confinement has decreased. With regard to non-substance addictions, gambling was very limited, pornography consumption increased significantly and there was an increase in compulsive shopping and the use of video games.Particularly vulnerable groups include adolescents and patients with autism spectrum disorders. Healthcare workers suffered an increase in depression, anxiety and post-traumatic stress, especially those who were exposed during the early stages of the pandemic. Female sex, being a nurse, proximity to patients with COVID-19, working in a rural environment and having previous psychiatric or organic illnesses were some of the most frequently repeated factors in various studies in this population group.The media have shown a good degree of knowledge about these problems and have dealt with them frequently and from the point of view of ethics, crisis situations, such as the one experienced, have triggered not only physical but also moral claudications. (AU)

La Fundación de Ciencias de la Salud ha reunido a un grupo multidisciplinar alrededor de una serie de preguntas sobre el impacto de la pandemia de COVID-19 en la salud mental de la población en general y de grupos específicos de dicha población, particularmente los trabajadores sanitarios.En la población general, los trastornos mentales más prevalentes han sido la ansiedad, los trastornos del sueño y los trastornos afectivos, fundamentalmente la depresión. Se ha producido un aumento considerable de la conducta suicida, especialmente en mujeres jóvenes y varones mayores de 70 años. Se ha incrementado el abuso de alcohol y los consumos de nicotina, cannabis y cocaína.Por el contrario, ha disminuido el consumo de los estimulantes sintéticos durante los periodos de confinamiento. Respecto a las adicciones sin sustancia, el juego de apuestas quedó muy limitado, el consumo de pornografía experimentó un incremento notable y hubo un aumento de la compra compulsiva y del uso de videojuegos.En cuanto a grupos particularmente vulnerables hay que destacar el de los adolescentes y el de los enfermos con trastornos del espectro autista. Los sanitarios han sido un grupo especialmente vulnerable, en particular los que estuvieron expuestos durante las primeras fases de la pandemia. El sexo femenino, el ser enfermera, la proximidad a los pacientes con COVID-19, el ejercicio en un medio rural y padecer enfermedades psiquiátricas u orgánicas previas, fueron algunos de los factores más frecuentemente repetidos en diversos estudios en este grupo de población. Depresión, ansiedad y estrés post-traumático fueron los trastornos más frecuentes.Los medios de comunicación han mostrado un buen grado de conocimiento sobre estos problemas y los han tratado con frecuencia. Desde el prisma de la ética, las situaciones de crisis, como la vivida, han desencadenado claudicaciones no solo físicas sino también morales. (AU)

Criterion and construct validity of the Beck Depression Inventory (BDI-II) to measure depression in patients with cancer: The contribution of somatic items

Background/Objective: Screening for depression in patients with cancer can be difficult due to overlap between symptoms of depression and cancer. We assessed validity of the Beck Depression Inventory (BDI-II) in this population. Method: Data was obtained in an outpatient neuropsychiatry unit treating patients with and without cancer. Psychometric properties of the BDI-II Portuguese version were assessed separately in 202 patients with cancer, and 376 outpatients with mental health complaints but without cancer. Results: Confirmatory factor analysis suggested a three-factor structure model (cognitive, affective and somatic) provided best fit to data in both samples. Criterion validity was good for detecting depression in oncological patients, with an area under the ROC curve (AUC) of 0.85 (95% confidence interval [CI], 0.76–0.91). A cut-off score of 14 had sensitivity of 87% and specificity of 73%. Excluding somatic items did not significantly change the ROC curve for BDI-II (difference AUCs = 0.002, p=0.9). A good criterion validity for BDI-II was also obtained in the non-oncological population (AUC = 0.87; 95% CI 0.81–0.91), with a cut-off of 18 (sensitivity=84%; specificity=73%). Conclusions: The BDI-II demonstrated good psychometric properties in patients with cancer, comparable to a population without cancer. Exclusion of somatic items did not affect screening accuracy. (AU)

Fears during the Covid-19 pandemics and their influence on physical health: A cross-sectional study on the general population in Spain

Background/objective: This study examines the paths through which Covid-19 can negatively impact health and lead to somatic symptoms. Based on the dual process theory, fears can impair health in two ways: through psychological distress, which is an automatic reaction to fear, and through a more conscious and deliberative rumination process. Method: Data from a representative sample of the Spanish population (N = 3083 subjects,18 years or older) were obtained from a Survey by the Sociological Research Center (CIS). The dual path model was tested, and a longer sequence was included where the two mediators act sequentially to produce an impact on somatic symptoms. Results: The results showed how Covid-19 fears translate into somatic problems. Beyond the direct relations, and after comparing with other possible alternative models, our findings support a process where rumination mediates between fears and psychological distress, and psychological distress in turn leads to somatic problems. Conclusions: This process reveals a plausible mechanism that explains the somatization of health problems during the Covid-19 pandemic, and it provides theoretical and practical inputs to better understand the role of fears in health in crisis contexts. (AU)

Depressive ranges in infertile couples with male factor

Introduction: Depression is not uncommon among infertile couples. The objective of the study is to analyze factors that predict depression in these couples, when they are in Assisted Reproduction Techniques programs. Materials and method: We analyze the level of depression in couples referred from the Human Reproduction Unit to study the male factor using the Beck Depression Inventory and the clinical information contained in the SARAplus program. Results: Depressive ranges appear in approximately half of the participants. The degree of depression correlates in a statistically significant way between both members of the couple. Among the analyzed clinical factors, we observed relational tendency between depression and obesity and depression and smoking. Conclusions: Depression in infertile couples is a fact. ART specialists should be on the lookout for symptoms of depression in order to provide patients psychological and psychiatric care and treatments, as part of the overall therapeutic framework for infertility. (AU)

Understanding and Explaining Psychological Distress inInternational Students

Research indicates that international students report more psychological distress than domestic students. The aim of our research was to investigate levels of stress, depression, and anxiety, and in particular, psychological predictors for these symptoms among international students. International students (N= 103) from the University of Jyväskylä (Finland) completed questionnaires assessing their stress (PSS-10), depression (PHQ-9), anxiety (GAD-7), psychological inflexibility (AFQ-Y), mindfulness (FFMQ), and engaged living (ELS). A significant proportion of students experienced high levels of psychological distress, and those with elevated symptoms reported higher levels of psychological inflexibility, lower levels of mindfulness skills and value-based actions. Regression analyses suggested that living according to one’s values and value-based actions was the strongest predictor of stress and depression (approx. 25% of variance explained). On the other hand, the strongest predictor for symptoms of anxiety was acting with awareness (approx. 20% of variance explained). This study suggests that students with different types of distress might benefit from training in distinct psychological flexibility skills, and these skills could be embedded into the university counselling services (AU)

Mental health and religiosity: the role of experiential avoidance in the symptoms of depression, anxiety, and stress

Several studies have considered religiosity to be a protective factor against several mental health difficulties. However, other studies suggest the opposite, that is, that religiosity is a risk factor associated with psychological symptoms. In this context, there are no studies that evaluate this relationship considering the role of experiential avoidance, which is a predictive transdiagnostic variable of various mental health disorders. This study evaluated the relationship between experiential avoidance, attitudes toward religion, and symptoms of depression, anxiety, and stress in a sample of believers using a non-experimental cross-sectional design in the city of Valdivia, Chile. Results indicate that experiential avoidance is positively related to symptoms of depression, anxiety, and stress, being the only predictor variable of the three symptomatic dimensions. Engaging in regular religious practice was not associated with religious literalness or experiential avoidance, while religious literalism was negatively associated with stress. Finally, Evangelicals showed a more regular religious practice than Catholics, while Catholics showed a higher index of religious literality; however, these differences were not associated with mental health. The clinical implications of these results are discussed (AU)

Bienestar psicológico, salud mental y pautas percibidasde apego: estudio comparativo entre mexicanos y estadounidenses durante la pandemia COVID 19 / Psychological well-being, Mental health and patterns of perceived attachment: a comparative study between Mexicans and Americans during the COVID 19 Pandemic

Psychological Well-Being, Mental Health and Patterns of Perceived Attachment: A Comparative Study between Mexicans and Americans during the COVID 19 Pandemic. A correlational and comparative study was carried out on Psychological Well-Being, elements of mental health, and Patterns of Perceived Attachment in Childhood as a possible protection variable in the COVID-19 pandemic. The total N was 316, of which 161 were Mexican students and 155 Americans. The instruments used were the Psychological Well-being Scale, the Depression Anxiety Stress Inventory, and the Inventory of Perceived Attachment Patterns During Childhood. The results show higher indicators of mental health impairment in young Mexicans compared to Americans: depression 76% vs 20.24%. anxiety 93% vs 38% and stress 68% vs 12.5%. In addition, average positive correlations were identified between Psychological Well-Being and secure attachment and negative correlations with the other forms of attachment. In the Americans, a low positive association was found between secure attachment and self-acceptance, positive relationships (the highest correlated), and the scale’s total. Similarly, disorganized, anxious, and avoidant attachment patterns are negatively correlated with self-acceptance, positive relationships, mastery of the environment, life purposes, and the total. Therefore, we consider that Patterns of Perceived Attachment in Childhood are associated with the elements of mental health such as: anxiety, depression, and stress, and with the levels of psychological well-being experienced during the pandemic. Finally, suggestions of other mediating and protective variables for future research are offered (AU)

Utilidad de la terapia de aceptación y compromiso en pacientes oncológicos: revisión sistemática / Utility of acceptance and commitment Tterapy with cancer patients: Systematic Review

Utility of Acceptance and Commitment Therapy in cancer patients: Systematic Review. Cancer patients have multiple alternatives in psychotherapy to address the emotional difficulties that accompany this disease. Within these alternatives, Acceptance and Commitment Therapy is being provided due to its functionality in this population. It is necessary to review the results of the scientific literature regarding the efficacy of Acceptance and Commitment Therapy on psychological difficulties in cancer patients. Databases of MedLine, PubMed, Cochrane, and Google Scholar were reviewed to access information in English and Spanish related to this therapy in the last 15 years. From the articles found, we selected 16 that take into account dimensions such as experiential avoidance or psychological flexibility; limitations were also analyzed. Acceptance and Commitment Therapy is observed as one of the most successful therapy in Psycho-oncology to improve depressive and anxiety symptoms due to the increase in psychological flexibility and decrease in the avoidance of cognitions and emotions related to cancer (AU)

Meta-Analysis of Web-based Treatments for PTSD in Women Exposed to Intimate Partner Violence and Sexual Abuse

Aggression towards women can lead to serious psychopathological consequences such as PTSD, and web-based treatments can be promising tools to reduce this symptomatology, reaching as large a population as possible. This study presents a meta-analysis of web-based online treatments to reduce PTSD in women exposed to intimate partner violence, sexual abuse or maltreatment. A systematic review and meta-analysis were carried out. The search for studies was conducted in SCOPUS, PsycINFO, PSICODOC, PsycARTICLES and Medline, between 2010 and 2022, in September 2022. A random-effects model was used to obtain the effect size and the analysis of moderator variables. Effect sizes were calculated for PTSD, Anxiety and Depression variables in two different ways, analyzing exclusively treatment groups and comparing treatment groups with control groups and waiting lists. 9 articles were included in the meta-analysis. The effect size of PTSD when comparing treatment groups was high (d= -.809; 95% CI: -1.237/-.381; k= 8). It was smaller when compared with active control groups (d= -.315; 95% CI: -.942/.312; k= 4) or waiting lists (d= -.302; 95% CI: -.515/-.089; k= 3). Web-based treatments for women exposed to intimate partner violence, sexual abuse or maltreatment are effective and can improve the quality of care for this population (AU)

The barriers dentists face to communicate cancer diagnosis: self-assessment based on SPIKES protocol

Background: This study aimed to characterize the barriers faced by Brazilian dentists to deliver bad news (DBN) about oral and oropharyngeal cancer diagnoses to patients by using a questionnaire based on the guidelines of the SPIKES protocol. Material and methods: This was an observational cross-sectional study. The questionnaire contained 27 questions based on the SPIKES protocol, which were answered in the SurveyMonkey platform. Results: A total of 186/249 dentists answered the questionnaire. The main specialties reported were 36.02% oral medicine, 21.5% oral pathology, and 9.13% oral and maxillofacial surgery. A total of 44.6% expressed concern about the patient's emotional reactions, and 46.24% of respondents had never participated in any specific training to communicate bad news. Conclusions: The lack of training and low confidence in dealing with patients' emotional reactions dentists were considered the greatest barriers to DBNs. Moreover, most dentists who participated in the survey believe that a protocol to guide the communication of bad news would be useful for clinical practice. For those protocols to be used by dentists, training is critical for these protocols to be incorporated by professionals. (AU)

Psychological analysis of injuries in a first category softball national championship in Cuba

Introduction: the systematic analysis of the relationships between relevant psychological variables for sports performance and injuries is essential to contribute to their prevention in specific sports.Material and methodsa descriptive-correlational and cross-sectional study was carried out in the first category women's national softball championship in Cuba. 88 athletes participated with an average chronological age of 22.91 (SD=6.13) and a sports experience of 10.83 years (SD=4.92). A specific questionnaire, the Competitive Sport Anxiety Inventory and the Psychological Inventory of Sport Execution was applied. Descriptive statistics and Kendall's Tau_b nonparametric correlation coefficient was used for data analysis.ResultsA high injury load was verified with a low perception of the role of psychological factors in its etiology, as well as a notable occurrence of new injuries with negative emotional repercussions. Negative correlations of self-confidence, negative coping control, visual-imaginative control, positive coping control, and attitude control with history of injuries were obtained. The high anxiety showed significant relationships with previous injuries and new injuries during the analyzed competition.Conclusionsthe findings are especially congruent with previous results in elite softball players, although new and greater relationships between variables were determined. All this means that stimulating psychological skills to control anxiety in competition could contribute to the prevention of injuries. However, longitudinal analyzes are required to confirm the predictive role of these variables before proposing psychological interventions in this regard. (AU)

Food allergy in adolescents: validation of the food allergy independent measure and the EuroPrevall food allergy quality of life questionnaire into Spanish

Background: Different questionnaires have been developed globally to assess and compare the impact of food allergy on the quality of life. The aim of this study was to validate a Spanish translation of the Food Allergy Independent Measure (FAIM) and the EuroPrevall Food Allergy–Quality of Life Questionnaire–Teenage Form (FAQLQ-TF) for adolescents aged 13–17 years. Methods: Sixty adolescents diagnosed with immunoglobulin E-mediated allergy to food completed the questionnaires. Cronbach’s alpha was used to assess internal consistency; correlation between FAQLQ-TF and FAIM was used to test construct validity. The discriminant validity was evaluated by comparison with the number of offending foods, the perceived impact on social life, the diagnosis of anaphylaxis, and the previous prescription of adrenaline auto--injectors (AAI). Results: No question fulfilled criteria to be removed from the questionnaire. For FAIM, Cronbach’s alpha = 0.763, and for the four domains of FAQLQ-TF, Cronbach’s alpha = 0.797–0.847. A significant correlation existed between FAQLQ-TF and FAIM, and of both of them with anaphylaxis and the prescription of AAI (P ˂ 0.05 for all comparisons). Conclusions: This Spanish translation of FAIM and FAQLQ-TF for adolescents had good internal consistency and construct validity as well as ability to discriminate patients according to the number of foods to avoid, impact on social life, diagnosis of anaphylaxis, and AAI prescription (AU)

Traducción y adaptación transcultural de la escala AS-20 para medir la calidad de vida en adultos con estrabismo en Colombia, prueba piloto / Translation and transcultural adaptation of the AS-20 scale to measure quality of life in adults with strabismus in Colombia, a pilot study

Antecedentes El estrabismo genera un impacto psicosocial negativo en los pacientes adultos, afectando aspectos como la autopercepción y la calidad de vida. No existe en Colombia una escala que permita medir dicho impacto. Objetivo Realizar la traducción y adaptación transcultural del instrumento AS-20 al español colombiano, para medición de la calidad de vida en pacientes adultos con estrabismo en Colombia. Materiales y métodos Prueba piloto de un estudio de corte transversal de traducción, traducción inversa y adaptación del instrumento de medición tipo escala de calidad de vida AS-20 de su idioma original en pacientes adultos con estrabismo en Bogotá, Colombia. Resultados Dieciséis pacientes fueron evaluados. El rango de edad fue entre 18 y 68 años, con un promedio de 41 años. La escala fue respondida en una media de tiempo de 10,62min. Se reportó dificultad en 3 individuos para la comprensión de 2 ítems (preguntas 8 y 14), los cuales se ajustaron, resolviendo la dificultad. Conclusión Se realizó la traducción y prueba piloto de la escala AS-20 a español colombiano identificando y corrigiendo los problemas de traducción en la prueba. Este es el primer paso del proceso de adaptación transcultural. Con base en los resultados, la validación y adaptación transcultural se puede finalizar en un próximo estudio (AU)

Background Strabismus generates a negative psychosocial impact on adult patients, affecting aspects such as self-perception and quality of life. There is no scale in Colombian Spanish that measures these impacts. Objective To carry out the translation and cross-cultural adaptation of the AS-20 instrument into Colombian Spanish, for measuring the quality of life in adult patients with strabismus in Colombia. Materials and methods Pilot test of a cross-sectional study for the translation, reverse translation, and cross-cultural adaptation of the AS-20 instrument from its original language, English, to Colombian Spanish, in adult patients with strabismus in Bogotá, Colombia. Results Sixteen patients were assessed. The age range was between 18 and 68 years with a mean age of 41 years. The scale was answered in an average time of 10.62min. Difficulty was reported in 3 individuals for understanding 2 items (questions 8 and 14), which were resolved. Conclusion The translation and pilot test of AS-20 scale into Colombian Spanish was carried out, identifying and solving translational difficulties. It is the first step in the cross-cultural adaptation process. Based on the results, the validation and cross-cultural adaptation can be completed in a future study (AU)

Travestis e Transexuais no Brasil: Memórias de Luta e Resistência / Travestis and Transexuals in Brazil: Memories of Fight and Resistance

As reflexões do artigo são resultado de uma pesquisa de mestrado realizada no Brasil, nos anos 2015-2018, abordando a luta histórica de travestis e transexuais femininas no espaço do ativis-mo. Desvendamos as práticas sociais, táticas e estratégias, tendo como foco as conquistas de espaço social e político, como a luta pela visibilidade das principais pautas do movimento trans organizado. Percorremos um caminho que abrange temporalidades diferentes. Resgatamos a importância das precursoras que contribuíram com a visibilidade da luta desde 1970. Na se-quência, abordamos um breve recorte histórico do movimento LGBT brasileiro, com a partici-pação ativista de travestis e transexuais, no marco referencial de 1990 até 2016. Por fim, cole-tamos no período de 2014 até 2016, narrativas de travestis e transexuais da cidade do Recife, nordeste do Brasil, viabilizada através de entrevistas que demonstram a continuação do legado da resistência a toda forma de violação de direitos. (AU)

The reflections of the article are the result of a master's research conducted in Brazil, in the years 2015-2018, addressing the historical struggle of female transvestites and transsexuals in the space of activism in the years 2015-2018, addressing the historical struggle of female transvestites and transsexuals in the space of activism. We unveil the social practices, tactics and strategies, focusing on the conquests of social and political space, such as the struggle for visibility of the main agendas of the organized trans movement. We follow a path that covers different temporalities. We rescue the importance of the precursors who contributed to the visibility of the struggle since 1970. Next, we address a brief historical cut of the Brazilian LGBT movement, with the activist participation of transvestites and transsexuals, in the frame of reference from 1990 to 2016. Finally, in the period from 2014 to 2016, we collected narratives of transvestites and transsexuals from the city of Recife, northeastern Brazil, made possible through interviews that demonstrate the continuation of the legacy of resistance to all forms of rights violation. (AU)

Construção e Evidências Psicométricas da Escala de Gratidão / Construction and Psychometric Evidence of the Gratitude Scale

Objetivamos construir e analisar as propriedades psicométricas de um instrumento para avaliar a gratidão em formato de julgamento situacional. Após a análise de juízes e estudo piloto, houve a exclusão de 6 itens dos 15 elaborados inicialmente. No estudo de busca de evidência de validade por meio da estrutura interna participaram 514 pessoas, sendo 56% do sexo femini-no, com idades entre 14 e 72 anos, que responderam à Escala de Gratidão, Escala de Afetos, Escala de Vitalidade e a Escala de Satisfação com a Vida. A análise fatorial exploratória indicou uma estrutura unidimensional composta por 9 itens. As mulheres apresentaram as maiores mé-dias quando comparadas aos homens, tanto no julgamento como na autoavaliação da gratidão. A gratidão apresentou correlação, em sentido positivo com magnitude fraca, apenas com a vi-talidade. Os dados indicaram evidências de validade com base no conteúdo do teste, consistên-cia interna e na relação com variáveis externas para a Escala de Gratidão. (AU)

We aimed to build and analyze the psychometric properties of an instrument to assess grati-tude in situational judgment format. After the analysis of judges’ and pilot study, 6 items out of the 15 elaborated were excluded. In the internal structure study 514 people participated, being 56% female, aged between 14 and 72 years old, who answered the Gratitude Scale, Af-fections Scale, Vitality Scale and Life Satisfaction Scale. The exploratory factor analysis indi-cated a one-dimensional structure composed of 9 items. Women had the highest averages when compared to men, both in judgment and in the self-assessment of gratitude. The grati-tude presented positively correlation with weak magnitude only with vitality, being positively explained by the gratitude. The data indicated evidence of validity based on the test content, on its internal consistency and in the relationship to external variables for the Gratitude Scale. (AU)

Well-being at work scale (WBWS): Gathering empirical evidence from different interpretation strategies / Escala de bienestar en el trabajo (EBET): compilación de evidencia empírica de diferentes estrategias de interpretación

Well-being at work scale (WBWS) is a measure widely used in Brazil, composed of three dimen-sions (positive affects, negative affects and expressiveness/fulfillment) aligned with the field’s recent movement of junction of the two classical theoretical bases(hedonic and eudaimonic) that explain this phenomenon. Based on a cross-sectional survey involving 360 Brazilian work-ers, this study aimed to compare different models of interpreting the WBWS (including three one-dimensional proposals -composed by a single factor or second-order factor for WBW as-sessment -and one multidimensional proposal -composed by the three WBW factors singly). Each model was tested through exploratory and confirmatory factor analyzes, and then correla-tion analyzes between the models were run to allow their comparison. We concluded that the interpretation of WBWS from a single indicator is viable and more theoretically appropriate when it is intended to have a more integrated view about well-being at work. (AU)

La Escala de Bienestar en el Trabajo (EBET) es una medida ampliamente utilizada en Brasil, compuesta por tres dimensiones (afecto positivo, afecto negativo y expresividad/realización) alineadas con el movimiento reciente del campo de unión de las dos bases teóricas clásicas (hedónica y eudaimónica) que explican este fenómeno. Basado en una encuesta transversal que involucró a 360 trabajadores brasileños, este estudio tuvo como objetivo comparar diferentes modelos de interpretación de la EBET (incluidas tres propuestas unidimensionales, compuestas por un factor único o factor de segundo orden para la evaluación del BET; y una propuesta multidimensional compuesta por los tres factores BET individualmente). Cada modelo se probó a través de análisis factoriales exploratorios y confirmatorios, y luego se realizaron análisis de correlación entre los modelos para permitir su comparación. Concluimos que la interpretación de la EBET a partir de un solo indicador es viable y teóricamente más adecuada cuando se pre-tende tener una visión más integrada sobre el bienestar en el trabajo. (AU)

Vulnerability to child sexual abuse: NOABS tool / Vulnerabilidad al abuso sexual infantil: herramienta NOABS

Background:The prevalence of child sexual abuse shows a result of 19% in females and 8% in males. Objective:The main aim of this study, is to identify the level of vulnerability and risk of sexual abuse in children between 6 to 13 years old with the NOABS tool. Participants and Setting: 684 children between the ages 6 and 13 from the Simón Araujo school in Sucre, Co-lombia. Methodology:The methodology used in this study has a descriptive approach and data was analyzed with a quantitative strategy. Results:After analyzing the data, it shows a 5.3 % high vulnerability (VA), (VA) female (F) 4.3 %, 6.5 % male (M), (VA) family context 16.1 %, social 14.9 %, school 8.2 %. Conclusions:Other researches allow to compare these results in order to have a clear idea about the levels of vulnerability and risk of abuse validating the NOABS game. (AU)

Antecedentes:La prevalencia de abuso sexual infantil muestra un resultado de 19% en el sexo femenino y 8% en el masculino. Objetivo:El objetivo principal de este estudio, es identificar el nivel de vulnerabilidad y riesgo de abuso sexual en niños de 6 a 13 años con la herramienta NOABS. Participantes y Ámbito:684 niños de 6 a 13 años del colegio Simón Araujo de Sucre, Colombia. Metodología:Se realizó un estudio descriptivo y los datos fueron analizados con una estrategia cuantitativa. Resultados:Tras el análisis de los datos, se muestra una alta vul-nerabilidad (VA) 5,3 %, (VA) femenino (F) 4,3 %, masculino (M) 6,5 %, (VA) en el contexto fami-liar 16,1 %, social 14,9 % y escolar 8,2 %. Conclusiones:Otras investigaciones permiten compa-rar estos resultados para tener una idea clara sobre los niveles de vulnerabilidad y riesgo de abuso validando el juego NOABS. (AU)

“Se não posso dançar, não é minha revolução”: autocuidado e hapticalidade como práticas políticas / “Si no puedo bailar, no es mi revolución”: el autocuidado y la hapticidad como prácticas políticas / “If I can't dance, it's not my revolution”: self-care and hapticality as political practices

Este artigo pretende cartografar e articular duas práticas em torno do corpo e do cuidado na área da saúde: o autocuidado e a hapticalidade. Essas duas práticas e perspectivas entrelaçam-se na frase emblemática atribuída à feminista Emma Goldman “se não posso dançar, não é mi-nha revolução”. A partir das perspectivas dos gestos menores de Erin Manning, a dança é apre-sentada como encontro que possibilita e estimula esses conhecimentos pouco abordados nas formações da área da saúde. Alegria, poesia e conhecimento do próprio corpo e do corpo do outro, assim como atenção, respiração e sustentação são eixos para escutar e atuar no mundo. Uma dança menor, que entende o corpo como processo de invenção, criação e espaço de expe-riência. Esse exercício de escrita se propõe a aproximar cuidado e luta, numa possibilidade de transformação, revolução e ética na área da saúde. (AU)

This article aims to map and articulate two practices around the body and health care: self-care and hapticality. These two practices and perspectives are intertwined in the emblematic phrase attributed to feminist Emma Goldman “if I can't dance, it's not my revolution”. From the perspective of Erin Manning’s minor gestures, dance is presented as a meeting that ena-bles and stimulates this knowledge that is rarely addressed in health education. Joy, poetry and knowledge of one’s own body and the body of the other, as well as attention, breathing and support are axes for listening and acting in the world. A smaller dance, which understands the body as a process of invention, creation and space of experience. This writing exercise aims to bring care and struggle together, in a possibility of transformation, revolution and ethics in the health area. (AU)

Mudança nos Conflitos Interpessoais de uma Paciente Borderline em Psicoterapia Psicodinâmica / Modificación de los conflictos interpersonales de un paciente límite en psicoterapia psicodinámica / Change in Interpersonal Conflicts of a Borderline Patient in Psychodynamic Psychotherapy

Pacientes com Transtorno de personalidade borderline(TPB) possuem características relacio-nais disfuncionais que impactam seus relacionamentos interpessoais. O objetivo foi o de des-crever os padrões relacionais de conflito de uma paciente com TPB da psicoterapia psicodinâ-mica. Trata-se de um estudo de caso sistemático. Utilizou-se o método Tema Central de Confli-to nos Relacionamentos (CCRT). Juízes independentes analisaram as gravações e transcrições das sessões do tratamento. A análise foi realizada com base na frequência dos componentes do CCRT. Os resultados indicam que o conflito central da paciente se mantém o mesmo ao longo do tempo, assim como seu desejo principal, mas háuma mudança significativa nas respostas, ou seja, na forma como a paciente interage em seus relacionamentos, apresentando maior fle-xibilidade para lidar com os outros e os percebendo mais positivamente. O estudo fornece sub-sídios aos psicoterapeutas para identificar e trabalhar o padrão de relacionamento disfuncional de pacientes com TPB. (AU)

Patients with borderline personality disorder (BPD) have dysfunctional relational characteris-tics that impact their interpersonal relationships. The aim of this study was to describe the conflicting relational patterns of a BPD patient of psychodynamic psychotherapy. This is a sys-tematic case study. Core Conflictual Relationship Theme —CCRT method was used to identify in relationship episodes the components of the central conflict. Independent judges reviewed the recordings and transcripts of the initial sessions of treatment and the final sessions of each year of treatment. The analysis was performed based on the frequency of CCRT compo-nents. The results indicate that the patient’s core conflict remains thesame over time, as does her core desire, but there is a significant change in the way the patient interacts in her relationships. As a clinical contribution, the study provides support to psychotherapists to identify and work on the central pattern of dysfunctional relationships of patients with BPD. (AU)