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1.
Estima (Online) ; 18(1): e0720, jan.-dez. 2020.
Artigo em Espanhol | BDENF - Enfermagem | ID: biblio-1102128

RESUMO

Objetivo: Identificar los factores psicosociales presentes en pacientes con úlceras venosas y la evidencia disponible sobre la asociación que estos factores tienen con la curación de este tipo de heridas. Métodos: Revisión integradora de la literatura de estudios cuantitativos en las bases de datos MEDLINE, Scielo y Cochrane Library entre los años 2008 y 2019, utilizando las palabras clave, factores psicosociales, úlcera venosa, cicatrización de heridas ansiedad y depresión en idioma inglés, español y portugués. Resultados: Dieciséis estudios fueron incluidos. Los factores psicosociales presentes en los pacientes con úlceras venosas fueron depresión, ansiedad, sentimientos de impotencia, bienestar subjetivo, autoestima, soledad y espiritualidad. El estrés, una percepción negativa de la úlcera venosa, vivir solo y la experiencia severa de síntomas como dolor y depresión tienen asociaciones estadísticamente significativas con periodos más prolongados de curación. Conclusión: La depresión es uno de los factores psicológicos medido y presente con mayor frecuencia en esta población. La evidencia disponible frente a la asociación de los factores psicosociales con la curación de úlceras venosas es escasa.


Assuntos
Úlcera Varicosa , Psicologia , Cicatrização , Enfermagem , Emoções
2.
Alerta (San Salvador) ; 3(2)ago.12, 2020. ilus
Artigo em Espanhol | LILACS, BISSAL | ID: biblio-1117104

RESUMO

Objetivo. Describir la asignación del diagnóstico psiquiátrico realizado por psicólogos en un hospital de San Salvador. Metodología. Estudio transversal analítico de 307 consultas de salud mental entre adolescentes menores de 18 años que recibieron atención en el Hospital Nacional "Enfermera Angélica Vidal de Najarro". Se digitalizaron las consultas del período 2014-2016. Se utilizó regresión logística multinomial y pruebas de chi-cuadrado globales para evaluar la asignación diagnóstica por bloque CIE-10 de tres psicólogos. Se controló la edad y el sexo del paciente, la fecha y el servicio hospitalario que generó la consulta. Resultados. En el modelo multinomial ajustado, el chi-cuadrado global para el efecto de cada psicólogo fue estadísticamente significativo; el efecto de cada psicólogo mostró una especificidad de resultado al comparar los diagnósticos del bloque F30-F39 con los diagnósticos del bloque F40-F49, de la CIE-10, fueron los más prevalentes en la muestra. Los valores ajustados para las probabilidades de diagnóstico por bloque CIE-10 sugieren variabilidad cuantitativa en el diagnóstico según el psicólogo que lo proporciona. Conclusiones. Se identifica variación en la asignación diagnóstica por bloques CIE-10 entre los psicólogos que trabajan en un hospital urbano de segundo nivel en San Salvador. Esto deberá estudiarse con mayor profundidad


Objective. To describe the psychiatric diagnoses made by psychologists at a hospital in San Salvador. Methodology. A cross-sectional analytical study of 307 medical consultations of adolescents' mental health (≤18 years old) provided at the "Enfermera Angélica Vidal de Najarro National Hospital." Handwritten registry Consultations from 2014 to 2016 were digitalized. Multinomial logistic regression and global chi-squared tests were used to evaluate diagnostic assignment by each ICD-10 block made by three professional psychologists. Patients' age and sex were controlled as well as date and type of service provided. Results. In the adjusted multinomial model, the global chi-squared for the effect of each psychologist was statistically significant, and the effect of each psychologist showed outcome specificity when diagnostic blocks F30-39 were compared with blocks F40-49, which were the most prevalent ICD-10 blocks in the sample. The adjusted probability values by ICD-10 diagnostic block suggest quantitative variability in diagnostic patterns according to the psychologist providing the diagnosis. Conclusions. Signs of a significant variation in ICD-10 block diagnostic assignment among psychologists working in an urban secondary hospital in San Salvador were detected, which should be carefully study


Assuntos
Psicologia , Classificação Internacional de Doenças , Saúde Mental
3.
Rev Infirm ; 69(262): 36-38, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32838865

RESUMO

When they are exposed to potentially traumatic events, adults can develop psychological trauma of varying degrees of severity. For preventive and therapeutic purposes, this psychological trauma must be assessed and treated by psychologists and/or psychiatrists with adequate training and experience in dealing with these complex cases.


Assuntos
Trauma Psicológico/terapia , Adulto , Humanos , Psiquiatria , Psicologia
5.
Am Psychol ; 75(5): 605-606, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32673007

RESUMO

Psychology has much to contribute in terms of understanding and influencing the impact of the global coronavirus 2019 (COVID-19) pandemic. To disseminate articles on key issues related to the pandemic in a time-sensitive manner, American Psychologist opened its Call for Papers in spring 2020. The journal applied a rapid review mechanism in order to publish articles on important aspects of the pandemic quickly. The response from around the world has been striking. The editors are pleased to publish the first articles in this ongoing series in the current issue. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus , Pandemias , Pneumonia Viral , Psicologia , Betacoronavirus , Humanos
6.
Rev Bras Epidemiol ; 23: e200083, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32696933

RESUMO

BACKGROUND: Sleep is a dimension of well-being and health. Non-restful sleep is related to health dysfunctions, especially in vulnerable populations, considering that related factors change contextually. Thus, the objective of the present study was to measure the magnitude of the reduction in sleep restorative function (SRF) and related biopsychosocial factors in Brazilian elderly. METHOD: Secondary data from the 2013 National Health Survey of cross-sectional design were analyzed. The sample consisted of individuals as from 60 years old. The outcome considered was the prevalence of reduced self-perceived sleep restorative function (SRF). Health and sleep characteristics, emotional behavior, lifestyle, social support, and urbanization were all investigated. The association with outcome was measured with the prevalence ratio (PR) and estimated with Cox regression, assuming α ≤ 0.05. RESULTS: SRF was reduced by 29.2% (95%CI 27.2 - 30.6%). It is related to depression (PR = 3.37; 95%CI 2.87 - 3.97), insomnia/sleepiness (PR = 2.45; 95%CI 2.14 - 2.79); behavioral oscillation (PR = 1.75; 95%CI 1.53 - 1.99), negative health perception (PR = 1.50; 95%CI 1.23 - 1.82), computer and internet (PR = 1.44; 95%CI 1.01 - 2.07) and functional difficulty (PR = 1.13; 95%CI 1.01 - 1.27). Living in urban areas (PR = 1.32; 95%CI 1.14 - 1.52) and having a chronic condition (PR = 1.58; 95%CI 1.11 - 2.40) were only associated to the worst situation of reduced SRF. CONCLUSION: The reduction in SRF affects one third of the elderly in Brazil and is closely related to biopsychosocial factors, requiring intersectoral public health promotion approaches.


Assuntos
Autoimagem , Sono , Idoso , Brasil , Estudos Transversais , Inquéritos Epidemiológicos , Humanos , Pessoa de Meia-Idade , Psicologia
7.
Child Adolesc Ment Health ; 25(3): 178-179, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32623792

RESUMO

An overview of the work the approach taken by the Anna Freud National Centre for Children and Families in the rapid transition to remote working in response to the coronavirus lockdown. We outline some of the challenges of remote working and how we are seeking to mitigate them, informed by the over-riding principle that individual relationships and the experiences of the child, young person and family must remain the central concern. The importance of maintaining a mentalising stance in remote working is discussed. We argue that a mentalising relationship which generates epistemic trust is possible in remote working, but this will require particular thought and effort on the part of the therapist. In particular, it is suggested that mentalising processes can be supported in remote working through, in the absence of the more implicit communications that are possible in face-to-face work, more explicit communications about mental states.


Assuntos
Infecções por Coronavirus/psicologia , Mentalização/fisiologia , Pneumonia Viral/psicologia , Psicoterapia/métodos , Consulta Remota , Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Relações Interpessoais , Pandemias , Psicologia , Medição de Risco , Adulto Jovem
8.
Clin Ter ; 171(4): e316-e320, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32614365

RESUMO

INTRODUCTION: Work-related stress (WRS) can harm both physical and mental health but it shouldn't only be considered in its negative sense. The evaluation of WRS cannot be separated from the analysis of the subjective perception of workers, usually made by questionnaires. The aim of this pre-pilot study is to identify a new questionnaire capable of exploring as many psychosocial risk domains as possible and with a high internal consistency. MATERIAL AND METHODS: A first version of the questionnaire was administered to a convenience sample selected on a voluntary basis; both socio-demographic and work-related data were collected. A single item test was conducted on a group of 50 workers in order to assess whether the questions were confusing and to understand if they could be improved. The study sample completed the questionnaire at time 1 and time 2 (after 3 days). The 33-item version of the questionnaire was web-based in Google Form. Cronbach's alpha and Pearson's r were calculated. RESULTS: The analysis of the 33-item questionnaire at time 1 shows an excellent reliability with Cronbach's alpha coefficients of 0.93. At time 2 Cronbach's alpha coefficients was 0.94. Based on the test-retest score, the items with the highest scores were selected as part of the final version of the questionnaire (10-item). The reliability of this 10-items version is high with a Cronbach's alpha coefficients of 0.86 both at time 1 and at time 2. Two items have been chosen to explore the "emotional demand" and "dealing with technology". CONCLUSIONS: The pre-pilot study provided a questionnaire with high reliability and high repeatability. In its final version, the questionnaire investigates different psychosocial risk domains and represents a possible useful tool for assessing worker's exposure to them. The Authors reserve to administer the questionnaire to a larger population.


Assuntos
Estresse Ocupacional/diagnóstico , Questionário de Saúde do Paciente , Adulto , Feminino , Humanos , Masculino , Projetos Piloto , Psicologia , Psicometria , Reprodutibilidade dos Testes , Local de Trabalho
9.
Soins Psychiatr ; 41(326): 20-23, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32718522

RESUMO

Psychologists occupy a specific position in the care process in addictology. The basic notions of care are considered from the perspective of a professional experience in an addiction care, support and prevention unit in the Paris region. These fundamental notions offer insights into how the psychologist's psychotherapeutic methods can be integrated into the care process, as well as the potential pitfalls.


Assuntos
Medicina do Vício/organização & administração , Comportamento Aditivo/terapia , Psicologia , Humanos , Paris , Psicoterapia/métodos
10.
Medicine (Baltimore) ; 99(29): e21305, 2020 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-32702925

RESUMO

To explore the necessity of indwelling drainage in dual-plane breast augmentation mammoplasty patients.Female patients (123 in total) were selected from June 2015 to June 2018 in the Department of Plastic Surgery at Peking Union Medical College Hospital and were randomly divided into 2 different groups: the with drainage group (WD group, 57 patients) and the without drainage group (WOD group, 66 patients). In the 2 groups, the operation time, postoperative stay, and hospitalization expenses were recorded. The BREAST-Q Version 2.0 Augmentation Module Pre- and Postoperative Scales (Chinese Version) were used to evaluate psychosocial well-being, sexual well-being, physical well-being, and satisfaction with breasts preoperatively and postoperatively (1 year after operation).Before the operation, no significant differences were found in psychosocial well-being, sexual well-being, physical well-being, or satisfaction with breasts between these 2 groups. In the WOD group, postoperative stay and hospitalization expenses were remarkably decreased, but the operation time was similar, compared with the WD group. Compared with before the operation, both groups had significantly increased scores in psychosocial well-being, sexual well-being, and satisfaction with breasts after the operation. However, no significant differences were found between the 2 groups. No complications were found in any of the patients.Although the operation time was not significantly decreased, patients without drainage could save much more time and money and simultaneously reach similar postoperative effects in psychosocial well-being, sexual well-being, physical well-being, and satisfaction with breasts. Therefore, drainage may not be necessary in patients who undergo dual-plane breast augmentation mammoplasty.


Assuntos
Cateteres de Demora , Drenagem/métodos , Mamoplastia/métodos , Adolescente , Adulto , Implante Mamário/métodos , Implantes de Mama , Drenagem/instrumentação , Feminino , Humanos , Pessoa de Meia-Idade , Satisfação do Paciente , Psicologia , Adulto Jovem
11.
Edumecentro ; 12(2): 230-237, abr.-jun. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1090030

RESUMO

RESUMEN El dominio del inglés reclama la adquisición de la competencia comunicativa del estudiante a través del proceso enseñanza aprendizaje en su intento por satisfacer las demandas de un profesional competente. Utilizarlo con fines comunicativos es una capacidad cada vez más exigida en el competitivo mundo laboral; pero este propósito, como el de toda lengua extranjera incluye un largo proceso de apropiación del idioma, camino cargado de obstáculos para el alumno quien va adquiriendo herramientas gramaticales, léxicas, funcionales y culturales, y a su vez va desarrollando las estrategias de aprendizaje y habilidades que les permiten aumentar su competencia lingüística y comunicativa. Es objetivo de los autores socializar algunos factores cognitivos y afectivos que favorecen este proceso, a partir de sus experiencias docentes.


ABSTRACT Proficiency in English demands the acquisition of the student's communicative competence through the teaching-learning process in their attempt to meet the demands of a competent professional. Using it for communicative purposes is an increasingly demanded capacity in the competitive working world; but this purpose, like that of any foreign language, includes a long process of appropriation of the language, a path full of obstacles for the student who is acquiring grammatical, lexical, functional and cultural tools, and in turn they are developing the learning strategies and skills that allow them to increase their linguistic and communicative competence. The authors aim to socialize some cognitive and affective factors that favor this process, based on their teaching experiences.


Assuntos
Aprendizagem , Psicologia , Educação Médica , Emoções
13.
Salud trab. (Maracay) ; 28(1): 23-34, jun. 2020. tab, ilus
Artigo em Espanhol | LILACS, LIVECS | ID: biblio-1104324

RESUMO

instrumento para medir factores psicosociales extralaborales. Para la validación del cuestionario de factores psicosociales extralaborales se acudió a una muestra conformada por 907 trabajadores venezolanos, los cuales fueron seleccionados a través de un muestreo no probabilístico de tipo intencional. Fue un estudio descriptivo, no experimental, con diseño transversal. Para validar el instrumento, se acudió a expertos en el área de los factores psicosociales extralaborales para evaluar su validez de contenido, demostrando que presenta tal propiedad, luego, se efectuó un análisis de los ítems a partir de una muestra de 489 trabajadores, para determinar qué ítems contribuyen con el proceso de medición de las variables, quedando el cuestionario con 33 ítems y 8 dimensiones. Asimismo, se ejecutó un estudio de validez de constructo por medio del uso del Análisis Factorial Confirmatorio, obteniendo una estructura de 31 ítems y 9 dimensiones, posteriormente, se estimó la confiabilidad a través del coeficiente Alfa de Cronbach, en una muestra de 418 trabajadores, encontrando que, el cuestionario posee confiabilidad con coeficientes superiores a .60. Finalmente, se establecieron las normas, asignando percentiles por sub-dimensión. Con base en los resultados obtenidos, se cuenta con un instrumento estandarizado, válido y confiable(AU)


This study aimed to validate an instrument to assess nonoccupational psychosocial factors. We aimed to validate the questionnaire in a nonprobabilistic nonpurposive sample of 907 Venezuelan workers, in a cross-sectional, nonexperimental and descriptive study. Experts in the field of non-occupational psychosocial factors were consulted to assess its content validity. Next, weper formed an items analysis in a sample of 489 workers, which reduced the questionnaire to 33 items and 8 dimensions. At the same time, we examined construct validity through confirmatory factor analysis, resulting in a structure of 31 items and 9 dimensions. Reliability was measured through the Cronbach's alpha coefficient in a sample of 418 workers, resulting in a coefficient ofover 0.60. Lastly, we established guidelines and assigned percentiles to the subdimensions. Based on our results, this questionnaire of nonoccupational psychosocial factors is a standardized, valid and reliable instrument(AU)


Assuntos
Psicologia/instrumentação , Inquéritos e Questionários , Fatores de Risco , Análise Fatorial , Categorias de Trabalhadores
14.
J Pregnancy ; 2020: 6596394, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32566299

RESUMO

Background: Utilization of perinatal services in Uganda remains low, with correspondingly high rates of unskilled home deliveries, which can be life-threatening. We explored psychosocial and cultural factors influencing birthing choices for unskilled home delivery among postpartum women in rural southwestern Uganda. Methods: We conducted in-depth qualitative face-to-face interviews with 30 purposively selected women between December 2018 and March 2019 to include adult women who delivered from their homes and health facility within the past three months. Women were recruited from 10 villages within 20 km from a referral hospital. Using the constructs of the Health Utilization Model (HUM), interview topics were developed. Interviews were conducted and digitally recorded in a private setting by a native speaker to elicit choices and experiences during pregnancy and childbirth. Translated transcripts were generated and coded. Coded data were iteratively reviewed and sorted to derive categories using inductive content analytic approach. Results: Eighteen women (60%) preferred to deliver from home. Women's referent birth location was largely intentional. Overall, the data suggest women choose home delivery (1) because of their financial dependency and expectation for a "natural" and normal childbirth, affecting their ability and need to seek skilled facility delivery; (2) as a means of controlling their own birth processes; (3) out of dissatisfaction with facility-based care; (4) out of strong belief in fate regarding birth outcomes; (5) because they have access to alternative sources of birthing help within their communities, perceived as "affordable," "supportive," and "convenient"; and (6) as a result of existing gender and traditional norms that limit their ability and freedom to make family or health decisions as women. Conclusion: Women's psychosocial and cultural understandings of pregnancy and child birth, their established traditions, birth expectations, and perceptions of control, need, and quality of maternity care at a particular birthing location influenced their past and future decisions to pursue home delivery. Interventions to address barriers to healthcare utilization through a multipronged approach could help to debunk misconceptions, increase perceived need, and motivate women to seek facility delivery.


Assuntos
Comportamento de Escolha , Cultura , Parto Domiciliar , Gravidez/psicologia , Psicologia , Feminino , Humanos , Mortalidade Materna , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Assistência Perinatal/estatística & dados numéricos , Uganda/epidemiologia
15.
Ger Med Sci ; 18: Doc05, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32595421

RESUMO

Objective: The outbreak of COVID-19 was declared a pandemic by the WHO in March 2020. Studies from China, where the virus first spread, have reported increased psychological strain in healthcare professionals. The aim of this study was to investigate the psychosocial burden of physicians and nurses depending on their degree of contact with COVID-19 patients. In addition, we explored which supportive resources they used and which supportive needs they experienced during the crisis. Methods: Data were collected between March and April 2020 at the University Hospital Augsburg. A total of 75 nurses and 35 physicians, working either in a special COVID-19 ward or in a regular ward, took part in the survey. The participants filled in two standardized questionnaires (the Patient Health Questionnaire, PHQ; and the Maslach Burnout Inventory, MBI), and reported their fear of a COVID-19 infection and stress at work on a 10-point Likert scale. Finally, they answered three open-ended questions about causes of burden, supportive resources and needs during the crisis. Results: Nurses working in the COVID-19 wards reported higher levels of stress, exhaustion, and depressive mood, as well as lower levels of work-related fulfilment compared to their colleagues in the regular wards. Physicians reported similar scores independent of their contact with COVID-19 patients. The most common causes for burden were job strain and uncertainty about the future. Psychosocial support as well as leisure time were listed as important resources, and a better infrastructure adjustment to COVID-19 at the hospital (e.g. sufficient staff, keeping teams and working schedules stable) as suggestion for improvement. Conclusions: Our findings indicate that especially nurses working in COVID-19 wards are affected psychologically by the consequences of the pandemic. This might be due to a higher workload and longer time in direct contact with COVID-19 patients, compared to physicians.


Assuntos
Esgotamento Profissional/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Pessoal de Saúde/psicologia , Estresse Ocupacional/epidemiologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Carga de Trabalho/psicologia , Adulto , Betacoronavirus , Feminino , Alemanha , Hospitais Universitários , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Saúde do Trabalhador , Estresse Ocupacional/psicologia , Pandemias/estatística & dados numéricos , Equipe de Assistência ao Paciente , Médicos/psicologia , Psicologia , Inquéritos e Questionários , Organização Mundial da Saúde
16.
Proc Natl Acad Sci U S A ; 117(26): 15253-15261, 2020 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-32541059

RESUMO

Regular drug use can lead to addiction, but not everyone who takes drugs makes this transition. How exactly drugs of abuse interact with individual vulnerability is not fully understood, nor is it clear how individuals defy the risks associated with drugs or addiction vulnerability. We used resting-state functional MRI (fMRI) in 162 participants to characterize risk- and resilience-related changes in corticostriatal functional circuits in individuals exposed to stimulant drugs both with and without clinically diagnosed drug addiction, siblings of addicted individuals, and control volunteers. The likelihood of developing addiction, whether due to familial vulnerability or drug use, was associated with significant hypoconnectivity in orbitofrontal and ventromedial prefrontal cortical-striatal circuits-pathways critically implicated in goal-directed decision-making. By contrast, resilience against a diagnosis of substance use disorder was associated with hyperconnectivity in two networks involving 1) the lateral prefrontal cortex and medial caudate nucleus and 2) the supplementary motor area, superior medial frontal cortex, and putamen-brain circuits respectively implicated in top-down inhibitory control and the regulation of habits. These findings point toward a predisposing vulnerability in the causation of addiction, related to impaired goal-directed actions, as well as countervailing resilience systems implicated in behavioral regulation, and may inform novel strategies for therapeutic and preventative interventions.


Assuntos
Estimulantes do Sistema Nervoso Central , Rede Nervosa/fisiologia , Transtornos Relacionados ao Uso de Substâncias , Adulto , Encéfalo/fisiopatologia , Estudos de Casos e Controles , Feminino , Predisposição Genética para Doença , Humanos , Masculino , Psicologia
17.
Heart Lung Circ ; 29(7): 960-963, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32561126

RESUMO

BACKGROUND: The coronavirus disease (COVID-19) pandemic has produced substantial health challenges from the perspective of both its direct health complications and the disruption to delivery of standard care for individuals with a range of acute and chronic health issues. In parallel, the widespread application of social isolation initiatives in most countries raises the potential for significant mental health consequences and psychosocial impacts. This has major implications for cardiovascular health care professionals and the management of their patients. CHALLENGES: The COVID-19 pandemic and associated physical isolation practices are likely to result in a range of mental health and psychosocial challenges. In addition to an increasing incidence of anxiety, depression, suicidal ideation and post-traumatic stress, the pandemic may also witness an increase in substance abuse, domestic violence and relationship discord. The consequences of these complications will be further magnified, when considering their potential effect on cardiovascular disease and its management. PURPOSE: This commentary aims to summarise some of the potential mental health and psychosocial challenges that may arise in the setting of the COVID-19 pandemic.


Assuntos
Doenças Cardiovasculares , Infecções por Coronavirus/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Psicologia , Betacoronavirus , Doenças Cardiovasculares/psicologia , Doenças Cardiovasculares/terapia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle
18.
Clin Child Psychol Psychiatry ; 25(3): 672-686, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32594756

RESUMO

The impact of COVID-19 has challenged the long accepted 'norm' in delivery of psychological therapy. Public policies designed to reduce transmission have made it extremely difficult to meet with service-users safely in the traditional face-to-face context. E-therapies have existed in theory and practice since technological progress has made them possible. They can offer a host of advantages over face-to-face equivalents, including improved access, greater flexibility for service-users and professionals, and cost savings. However, despite the emerging evidence and anticipated positive value, implementation has been slower than anticipated. Concerns have been raised by service-users, clinicians, and public health organisations, identifying significant barriers to the wide spread use of e-therapies. In the current climate, many clinicians are offering e-therapies for the first time, without prior arrangement or training, as the only viable option to continue to support their clients. This paper offers a clinically relevant review of the e-therapies literature, including effectiveness and acceptability dilemmas and challenges that need to be addressed to support the safe use and growth of e-therapies in psychology services. Further research is needed to better understand what might be lost and what gained in comparison to face-to-face therapy, and for which client groups and settings it might be most effective.


Assuntos
Atitude do Pessoal de Saúde , Infecções por Coronavirus/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde , Pneumonia Viral/epidemiologia , Psiquiatria , Psicologia , Telemedicina , Adulto , Betacoronavirus , Criança , Humanos , Pandemias , Psicoterapia de Grupo , Telefone , Resultado do Tratamento , Comunicação por Videoconferência
19.
J Clin Psychol ; 76(6): 1173-1185, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-276382

RESUMO

OBJECTIVE: This article positions the special issue on telepsychology amidst the COVID-19 pandemic, which has dramatically accelerated the adoption and dissemination of telepsychology. METHOD: The article makes general observations about the themes emerging in the special issue with considerations for application, training, theory-driven research, and policy. It then presents as a case example the rapid deployment during the pandemic of telepsychology doctoral training and services at the Virginia Commonwealth University (VCU) Primary Care Psychology Collaborative. RESULTS: Facilitators to VCU telepsychology deployment included trainee and supervisor resources, strong telepsychology training, and prior experience. Barriers to overcome included limited clinic capacity, scheduling, technology, and accessibility and diversity issues. Lessons learned involved presenting clinical issues, supervision, and working with children and adolescents. CONCLUSIONS: Telepsychology is crucial for psychological service provision, during the COVID-19 pandemic more than ever, and that is unlikely to change as psychologists and patients increasingly continue to appreciate its value.


Assuntos
Infecções por Coronavirus/epidemiologia , Transtornos Mentais/terapia , Pandemias , Pneumonia Viral/epidemiologia , Telemedicina/organização & administração , Humanos , Atenção Primária à Saúde , Psicologia/educação
20.
Psicol. ciênc. prof ; 40: 1-19, jan.-maio 2020. tab, ilus
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1100727

RESUMO

A presente revisão sistemática objetivou analisar a produção científica de estudos empíricos da Psicologia brasileira sobre o fenômeno da violência contra a mulher por parceiro íntimo (VPI) publicada em revistas nacionais. Para tanto, os artigos foram pesquisados nas bases de dados SciELO, PsycINFO, PePSIC e Scopus, utilizando os descritores: "violência contra a mulher" ou "violência por parceiro íntimo" ou "violência conjugal" ou "violência doméstica". As buscas também foram realizadas com descritores em inglês. Após aplicação de critérios de inclusão e exclusão, a amostra final foi composta por 29 artigos. Por meio da Análise Temática, os objetivos e principais resultados dos estudos foram agrupados de acordo com o tema principal. Os resultados indicaram uma distribuição proporcional de publicações entre os últimos cinco anos, com maior produção no Sul e no Sudeste do país. Houve um equilíbrio entre estudos quantitativos e qualitativos, sendo prevalentes estudos realizados com participantes, principalmente com mulheres, e estudos com entrevistas individuais e uso de instrumentos psicométricos. Conclui-se que há prevalência de estudos que retratam aspectos individuais em relação ao fenômeno, que há um menor número de pesquisas com caráter preventivo, bem como com avaliações de efetividade de intervenções propostas. Ademais, há escassez de estudos que incluam homens autores de violência, estratégia importante para uma mudança efetiva. A Psicologia enquanto ciência e profissão compõe a rede de enfrentamento ao fenômeno da VPI e não só atua em diferentes serviços de atendimento, como também na produção acadêmica e científica, fomentando novas pesquisas sobre a temática e políticas públicas de enfrentamento...(AU)


The present systematic review aimed to analyze the scientific production of empirical studies of Brazilian psychology on the phenomenon of violence against women by intimate partner (IPV) published in national journals. To do so, the articles were searched in the SciELO, PsycINFO, PePSIC and Scopus databases, using the descriptors: "violence against women" or" intimate partner violence" or "domestic violence" or "domestic violence". The searches werealso performed with English descriptors. After applying inclusion and exclusion criteria, the finalsample consisted of 29 articles. Through the Thematic Analysis, the objectives and main results of the studies were grouped according to the main theme. The results indicated a proportional distribution of publications between the last five years, with higher production in the South and Southeast of the country. There was a balance between quantitative and qualitative studies, being prevalent studies performed with participants, mainly with women, and studies with individual interviews and use of psychometric instruments. It is concluded that there is a prevalence of studies that portray individual aspects in relation to the phenomenon, that there is little incidence of preventive research, as well as of evaluations of the effectiveness of proposed interventions. In addition, there is a shortage of studies that include men as authors of violence, an important strategy for an effective change. Psychology as a science and profession composes the network to confront the phenomenon of IPV and not only acts in different services of attendance, but also in the academic and scientific production, fomenting new researches onthe thematic and public policies of confrontation...(AU)


La presente revisión sistemática objetivó analizar la producción científica de estudios empíricos de la Psicología brasileña sobre el fenómeno de la violencia contra la mujer por pareja íntima (VPI) publicada en revistas nacionales. Los artículos fueron investigados en las bases de datos SciELO, PsycINFO, PePSIC y Scopus, utilizando los descriptores: "violencia contra la mujer" o "violencia por pareja íntima" o "violencia conyugal" o "violencia conyugal" o "violencia doméstica" o "violencia doméstica". Las búsquedas también se realizaron con descriptores en inglés. Después de la aplicación de criterios de inclusión y exclusión, la muestra final se compuso de 29 artículos. Por medio del Análisis Temático, los objetivos y principales resultados de los estudios se agruparon de acuerdo con el tema principal. Los resultados indicaron una distribución proporcional de publicaciones entre los últimos cinco años, con mayor producción en el Sur y en el Sudeste del país. Se observó un equilibrio entre estudios cuantitativos y cualitativos, siendo prevalentes estudios realizados con participantes, principalmente con mujeres, y estudios conentrevistas individuales y uso de instrumentos psicométricos. Se concluye que hay prevalencia de estudios que retratan aspectos individuales en relación al fenómeno, que hay poca incidencia de investigaciones con carácter preventivo, así como con evaluaciones de efectividad de intervenciones propuestas. Además, hay escasez de estudios que incluyan hombres autores de violencia, estrategia importante para un cambio efectivo. La Psicología como ciencia y profesión compone la red de enfrentamiento al fenómeno de la VPI y no sólo actúa en diferentes servicios de atención, sino también en la producción académica y científica, fomentando nuevas investigaciones sobre la temática y políticas públicas de enfrentamiento...(AU)


Assuntos
Humanos , Feminino , Pesquisa , Mulheres , Violência Doméstica , Violência contra a Mulher , Violência por Parceiro Íntimo , Psicologia , Violência , Prevalência , Violência de Gênero
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