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1.
Rev Infirm ; 69(257): 43-44, 2020 Jan.
Artigo em Francês | MEDLINE | ID: mdl-32146967

RESUMO

In the field of addictology, care integrates activities that reactivate forgotten senses, emotions and postures. A "Photographs" workshop, led by a nurse in the addictology department, was modulated into a "Brief group photo-motivational intervention" to help people quit smoking. From this experience emerged an educational sequence of "Photo-Expression" integrated into the patient's therapeutic education programme "Help to stop smoking".


Assuntos
Abandono do Hábito de Fumar/métodos , Humanos , Entrevista Motivacional , Educação de Pacientes como Assunto , Fotografação , Psicoterapia Breve , Psicoterapia de Grupo
2.
BMJ ; 368: m512, 2020 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-32144210

RESUMO

The studyHewlett S, Almeida C, Ambler N, et al. Reducing arthritis fatigue impact: two-year randomised controlled trial of cognitive behavioural approaches by rheumatology teams (RAFT). Ann Rheum Dis 2019;78:465-72.Hewlett S, Almeida C, Ambler N, et al. Group cognitive behavioural programme to reduce the impact of rheumatoid arthritis fatigue: the RAFT RCT with economic and qualitative evaluations. Health Technol Assess 2019;23:57.This project was funded by the NIHR Health Technology Assessment Programme (project number 11/112/01).To read the full NIHR Signal, go to: https://discover.dc.nihr.ac.uk/content/signal-000860/group-cognitive-behavioural-courses-may-reduce-fatigue-from-rheumatoid-arthritis.


Assuntos
Artrite Reumatoide/complicações , Terapia Cognitivo-Comportamental/métodos , Fadiga/prevenção & controle , Fadiga/terapia , Psicoterapia de Grupo/métodos , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
3.
J Consult Clin Psychol ; 88(1): 48-64, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31841023

RESUMO

OBJECTIVE: Provoked vestibulodynia (PVD) is a chronic vulvo-vaginal pain condition affecting 8% of premenopausal women. Cognitive-behavioral therapy (CBT) is effective in managing pain and associated sexual and psychological symptoms, and a recent study found group mindfulness-based cognitive therapy (MBCT) to be equivalent. Our goal was to examine the long-term outcomes of these treatments and to explore mediators of change. METHOD: Participants were 130 women diagnosed with PVD who had participated in a clinical trial comparing 8 weeks of group CBT to 8 weeks of group MBCT. Data were collected at pretreatment, posttreatment, and at 6- and 12-month follow-up periods. Outcomes focused on (a) pain with vaginal penetration, (b) pain elicited with a vulvalgesiometer, and (c) sex-related distress. Mediators of interest included pain acceptance (both pain willingness and activities engagement), self-compassion, self-criticism, mindfulness, decentering, and pain catastrophizing. RESULTS: All improvements in the 3 outcomes were retained at 12-month follow-up, with no group differences. Pain catastrophizing, decentering, and chronic pain acceptance (both scales) were mediators of improvement common to both MBCT and CBT. Changes in mindfulness, self-criticism, and self-compassion mediated improvements only in the MBCT group. CONCLUSIONS: Both MBCT and CBT are effective for improving symptoms in women with PVD when assessed 12 months later. The findings have implications for understanding common and potentially distinct pathways by which CBT and MBCT improve pain and sex-related distress in women with PVD. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Terapia Cognitivo-Comportamental/métodos , Atenção Plena/métodos , Psicoterapia de Grupo/métodos , Vulvodinia/psicologia , Vulvodinia/terapia , Adulto , Catastrofização/psicologia , Catastrofização/terapia , Feminino , Seguimentos , Humanos , Comportamento Sexual/psicologia , Resultado do Tratamento
4.
BMC Psychol ; 7(1): 89, 2019 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-31870421

RESUMO

BACKGROUND: Information on the prevalence of adjustment disorders among cancer patients and the value of psychological interventions in this group of patients is limited. This study investigates the prevalence of adjustment disorders among cancer patients as well as the reach, effectiveness, cost-utility and budget impact of a tailored psychological intervention. METHOD: This study consists of two parts. Part 1 is an observational study among a representative group of mixed cancer patients after cancer treatment on the prevalence of adjustment disorder as well as the uptake (i.e. reach) of psychological treatment. In Part 2, patients diagnosed with an adjustment disorder are invited to participate in a randomized controlled trial. Patients will be randomized to the intervention (access to the tailored psychological intervention) or control group (waitlist period of 6 months). The psychological intervention consists of three modules: one module containing psycho-education (3 sessions, all patients) and two additional modules (maximum of 6 sessions per module) provided as continuum, in case needed. Module 2 and 3 can consist of several evidence-based interventions (e.g. group interventions, mindfulness, eHealth) The primary outcome is psychological distress (HADS). Secondary outcomes are mental adjustment to cancer (MAC) and health-related quality of life (EORTC QLQ-C30). To assess the cost-utility and budget impact, quality of life (EQ-5D-5 L) and costs (iMCQ and iPCQ) will be measured. Measures will be completed at baseline and 3 and 6-months after randomization. DISCUSSION: This study will provide data of the prevalence of adjustment disorders and the reach, effectiveness, cost-utility and budget impact of a tailored psychological intervention. TRIAL REGISTRATION: Netherlands Trial Register identifier: NL7763. Registered on 3 June 2019.


Assuntos
Transtornos de Adaptação/epidemiologia , Neoplasias/psicologia , Psicoterapia , Transtornos de Adaptação/etiologia , Transtornos de Adaptação/terapia , Adulto , Protocolos Clínicos , Análise Custo-Benefício , Feminino , Humanos , Masculino , Atenção Plena , Países Baixos , Prevalência , Psicoterapia/economia , Psicoterapia de Grupo , Qualidade de Vida , Projetos de Pesquisa , Telemedicina , Resultado do Tratamento
5.
Medicine (Baltimore) ; 98(44): e17552, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31689758

RESUMO

This study aimed to investigate the effect of comprehensive education and care (CEC) program on anxiety, depression, quality of life, and survival in patients with hepatocellular carcinoma (HCC) who underwent surgical resection.Totally 136 patients with HCC who underwent hepatectomy were randomly assigned to CEC group and control group as 1:1 ratio. CEC group received health education, psychological nursing, caring activity, and telephone condolence, whereas control group received basic health education and rehabilitation for 12 months. Anxiety and depression were assessed by Hospital Anxiety and Depression Scale (HADS); quality of life was evaluated using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30).HADS-Anxiety (HADS-A) score was decreased at 9 month (M9) and M12, and reduction in HADS-A score (M12-M0) was greater in CEC group compared with control group. At M12, percentage of anxiety patients was less, but anxiety severity was similar in CEC group compared with control group. HADS-Depression (HADS-D) score was decreased at M12, and reduction in HADS-D score (M12-M0) was greater in CEC group compared with control group. At M12, percentage of depression patients were less but depression severity was similar in CEC group compared with control group. In addition, QLQ-C30 global health status and functional score was increased at M12, and score improvement (M12-M0) was greater in CEC group compared with control group. In addition, overall survival was longer in CEC group compared with control group.CEC relieves anxiety and depression, improves quality of life, and prolongs survival in patients with HCC underwent surgical resection.


Assuntos
Ansiedade/terapia , Carcinoma Hepatocelular/psicologia , Aconselhamento/métodos , Depressão/terapia , Neoplasias Hepáticas/psicologia , Educação de Pacientes como Assunto/métodos , Adulto , Idoso , Carcinoma Hepatocelular/reabilitação , Carcinoma Hepatocelular/cirurgia , Feminino , Nível de Saúde , Humanos , Neoplasias Hepáticas/reabilitação , Neoplasias Hepáticas/cirurgia , Masculino , Pessoa de Meia-Idade , Psicoterapia de Grupo/métodos , Qualidade de Vida , Telefone
6.
Behav Ther ; 50(6): 1030-1041, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31735239

RESUMO

Abstinence self-efficacy, coping skills, and therapeutic alliance are hypothesized mechanisms of behavioral change (MOBCs) in cognitive-behavioral therapy (CBT) for alcohol use disorder (AUD). However, little is known about when these hypothesized MOBCs change during treatment or in relation to the initiation of abstinence from alcohol, which the current study investigated. Patient-reported abstinence self-efficacy, drinking-related coping skills, and therapeutic alliance were measured at every session throughout a 12-session clinical trial that previously showed equivalent drinking reductions in female-specific individual- and group-based CBT for AUD. Participants (N = 121 women) were classified into subgroups based on whether and when they first initiated 14 days of continuous abstinence from alcohol during treatment. Interrupted time-series analyses evaluated the magnitude and timing of change in MOBC variables in relation to the initiation of abstinence. All three MOBC measures showed gradual improvements throughout treatment (within-subjects d = 0.03 to 0.09 change per week). Participants who initiated abstinence during treatment experienced additional sudden improvements in abstinence self-efficacy (d = 0.47) and coping skills (d = 0.27), but not therapeutic alliance (d = -0.02), the same week they initiated abstinence. Participants who were already abstinent when treatment started maintained higher abstinence self-efficacy and coping skills, but not therapeutic alliance, throughout treatment compared to participants who never initiated abstinence. Initiating abstinence may help facilitate improvements in abstinence self-efficacy and drinking-related coping skills. Clinicians may help patients anticipate when and how much these variables are expected to improve during treatment and encourage initiation of abstinence to potentially help facilitate improvements in abstinence self-efficacy and coping skills.


Assuntos
Consumo de Bebidas Alcoólicas/psicologia , Alcoolismo/terapia , Terapia Cognitivo-Comportamental , Adaptação Psicológica , Adulto , Cognição , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicoterapia de Grupo , Autoeficácia , Resultado do Tratamento
7.
Behav Ther ; 50(6): 1075-1086, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31735243

RESUMO

As evidence grows supporting certain mechanisms of change in psychological treatments and we improve statistical approaches to measuring them, it is important that we also explore how mechanisms and processes are related to each other, and how they together affect treatment outcomes. To answer these questions about interrelating processes and mechanisms, we need to take advantage of frequent assessment and modeling techniques that allow for an examination of the influence of one mechanism on another over time. Within cognitive behavioral therapy, studies have shown support for both decentering, the ability to observe thoughts and feelings as objective events in the mind, and anticipatory processing, the repetitive thinking about upcoming social situations, as potentially related mechanisms of change. Therefore, the current study examined weekly ratings of decentering and a single-item anticipatory processing question to examine the interrelation among these change mechanisms in 59 individuals who received a 12-weeks of Cognitive Behavioral Group Therapy for social anxiety disorder. Overall, these results found that both anticipatory processing and decentering changed over the course therapy for clients. Change in both anticipatory processing and decentering was related to outcome. The bivariate latent difference score analysis showed that anticipatory processing was a leading indicator of change in decentering, but not the reverse, indicating that change in anticipatory processing is leading to change in decentering. It may be that with the focus on cognitive reappraisal in this treatment, that reducing anticipatory processing is freeing up the cognitive resources for decentering to occur.


Assuntos
Ansiedade/psicologia , Terapia Cognitivo-Comportamental , Fobia Social/psicologia , Fobia Social/terapia , Adulto , Emoções , Feminino , Humanos , Masculino , Psicoterapia de Grupo , Resultado do Tratamento , Adulto Jovem
8.
Behav Ther ; 50(6): 1098-1111, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31735245

RESUMO

Social anxiety disorder (SAD) has been shown to be associated with difficulty in the ability to vicariously share others' positive emotions (positive affective empathy). Mixed evidence also suggests potentially impaired recognition of the positive and negative emotions of others (cognitive empathy) and impaired or enhanced sharing of the negative emotions of others (negative affective empathy). Therefore, we examined whether two efficacious treatments for SAD, cognitive-behavioral group therapy (CBGT) and mindfulness-based stress reduction (MBSR), improve empathy in SAD relative to a wait-list condition and whether improvements in empathy mediate improvements in social anxiety. In the context of a randomized controlled trial, participants with SAD completed an empathy task at baseline, posttreatment/wait-list (N = 81), and 1-year follow-up (N = 37). Relative to both MBSR and wait-list, CBGT resulted in significant improvements in positive affective empathy. CBGT-related changes in positive affective empathy also mediated improvements in social anxiety at both posttreatment/wait-list and at 1-year follow-up. Other indices of empathy did not change differentially across the three conditions. Therefore, one way in which CBGT may specifically confer benefits to individuals with SAD is through increasing their ability or willingness to share in the positive emotions of others.


Assuntos
Terapia Cognitivo-Comportamental , Empatia , Atenção Plena , Fobia Social/psicologia , Psicoterapia de Grupo , Adulto , Cognição , Feminino , Humanos , Masculino , Resultado do Tratamento , Listas de Espera , Adulto Jovem
9.
Curr Med Sci ; 39(5): 810-815, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31612400

RESUMO

Total laryngectomy affects the speaking functions of many patients. Speech deprivation has great impacts on the quality of life of patients, especially on self-efficacy. Learning esophageal speech represents a way to help laryngectomees speak again. The purpose of this study was to determine the influence of collective esophageal speech training on self-efficacy of laryngectomees. In this study, 28 patients and 30 family members were included. The participants received information about training via telephone or a WeChat group. Collective esophageal speech training was used to educate laryngectomees on esophageal speech. Before and after collective esophageal speech training, all participants completed the General Self-Efficacy Scale (GSES) to assess their perceptions on self-efficacy. Through the training, laryngectomees recovered their speech. After the training, the self-efficacy scores of laryngectomees were higher than those before the training, with significant differences noted (T<0.05). However, family members' scores did not change significantly. In conclusion, collective esophageal speech training is not only convenient and economical, but also improves self-efficacy and confidence of laryngectomees. Greater self-efficacy is helpful for laryngectomees to master esophageal speech and improve their quality of life. In addition, more attention should be focused on improving the self-efficacy of family members and making them give full play to their talent and potential on laryngectomees' voice rehabilitation.


Assuntos
Laringectomia/reabilitação , Psicoterapia de Grupo/métodos , Autoeficácia , Fonoterapia/métodos , Voz Esofágica/métodos , Família/psicologia , Feminino , Humanos , Linguagem , Neoplasias Laríngeas/patologia , Neoplasias Laríngeas/cirurgia , Laringe/patologia , Laringe/cirurgia , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , Voz Esofágica/psicologia , Inquéritos e Questionários , Resultado do Tratamento
10.
Psychiatr Danub ; 31(3): 325-332, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31596825

RESUMO

BACKGROUND: Despite much attention in the clinical literature, research on alexithymia in the treatment setting has only recently gained traction. While several reports indicate limited benefit from therapy amongst patients with high alexithymia, this seems to be less so in the context of group therapy. This study considers a specific aspect of the group therapy process - family re-enactment - in facilitating improvement in overall quality of life for patients with high levels of alexithymia. SUBJECTS AND METHODS: Family re-enactment was examined as a potential mediator of the relationship between alexithymia and change in quality of life among 50 patients who completed treatment in an intensive, integrative group therapy programme. Patients completed three self-report measures: Toronto Alexithymia Scale-20 (baseline), Quality of Life Inventory (baseline, post-therapy), and Therapeutic Factors Inventory-Short Form (week 8). Regression with mediation analysis was employed using the change score for the QOLI as the dependent variable, alexithymia scores as the independent variable, and the family re-enactment score as the mediator; baseline quality of life was included in the model as a control variable. RESULTS: Family re-enactment emerged as a significant mediator of the relationship between alexithymia and treatment outcome, implicating it as a contributing mechanism of change for alexithymic patients who participate in group therapy. CONCLUSION: Patients with higher levels of alexithymia (in particular, difficulty identifying and describing feelings) were more likely to positively endorse aspects of family re-enactment during group therapy, which in turn were significantly associated with greater improvement in patients' overall quality of life.


Assuntos
Sintomas Afetivos/psicologia , Sintomas Afetivos/terapia , Família/psicologia , Psicoterapia de Grupo , Qualidade de Vida , Emoções , Humanos
11.
Bull Menninger Clin ; 83(3): 259-277, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31502871

RESUMO

Individuals on the autism spectrum experience difficulties in social relationships and emotion regulation. The aim of the present exploratory research study was to develop and explore the effectiveness of a manualized emotion regulation group intervention for autistic adults to improve emotion regulation and social communication. The group participants included seven young adults (age > 18 years) on the autism spectrum. Primary outcome measures were the Social Responsiveness Scale (SRS-2) and the Emotion Regulation Questionnaire (ERQ). Group participants reported significant improvements on the Social Communication and Interaction subscale (SCI; t = 2.601, p = .041), the Social Awareness (AWR; t = 3.163, p = .019), and the Social Cognition (COG; t = 4.861, p = .003) subscales of the SRS-2: Self Report. Overall, this study provides preliminary evidence of the effectiveness of a group treatment approach that focuses on emotion regulation to improve social interactions for young adults on the autism spectrum.


Assuntos
Transtorno do Espectro Autista/terapia , Psicoterapia de Grupo/métodos , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
12.
Bull Menninger Clin ; 83(3): 301-325, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31502873

RESUMO

Youth with autism spectrum disorder (ASD) experience deficits in social knowledge. It has long been theorized that these youth must learn these skills explicitly, and social skills interventions (SSIs) have followed suit. Recently, performance-based SSIs have emerged, which promote in vivo opportunities for social engagement without explicit instruction. Effects of performance-based SSIs on social knowledge have not been examined. This study employs two discrete samples (one lab-based, one community-based) of youth with ASD to examine the effects of performance-based interventions on social knowledge. Results largely support the efficacy and effectiveness of improving social knowledge by performance-based interventions without explicit teaching. This indicates that youth with ASD may be able to learn these aspects of social cognition implicitly, rather than exclusively explicitly. The results of the current study also suggest that SSI content, dosage, and intensity may relate to these outcomes, which are important considerations in clinical practice and future studies.


Assuntos
Transtorno do Espectro Autista/terapia , Psicoterapia de Grupo/métodos , Percepção Social , Habilidades Sociais , Teoria da Mente , Adolescente , Criança , Feminino , Humanos , Masculino
14.
J Behav Addict ; 8(3): 537-553, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31537087

RESUMO

BACKGROUND AND AIMS: The aim of this study was to evaluate the effects of a prevention intervention on French adolescents' Internet and video games use and on their beliefs concerning gaming and Internet Gaming Disorder (IGD), in order to adjust prevention programs further. METHODS: The study comprised a prevention intervention group (PIG) and a control group assessed at three times - baseline, post-test, and 4-month follow-up. At baseline, a total of 434 junior high adolescents from five secondary schools were assessed (Mage = 13.2 years; SD = 0.5). The main outcome measures were adolescents' gaming and Internet use (amount of time spent during the week and the weekend), the number of adolescents with IGD, and beliefs about gaming and IGD. RESULTS: The results showed significant effects of the prevention intervention on Internet and gaming use (at T2, time spent was significantly lower in the PIG), an important increase of IGD prevalence between baseline and follow-up in the control group, and decreased rates of IGD among adolescents in the PIG between post-intervention and follow-up. Between baseline and follow-up, the control group showed a more significant increase of minutes per day during the week and the weekend on Internet versus during the week on video games. The impact of the prevention intervention on adolescents' beliefs varied according to gender. Girls had a better understanding generally of the potential dangers of and reasons for IGD. DISCUSSION: Implications for future research and prevention approaches are discussed in this study.


Assuntos
Comportamento do Adolescente , Comportamento Aditivo/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Internet , Psicoterapia de Grupo/métodos , Tempo de Tela , Jogos de Vídeo , Adolescente , Feminino , Seguimentos , Humanos , Masculino , Fatores de Tempo , Resultado do Tratamento
15.
Maturitas ; 129: 23-29, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31547909

RESUMO

BACKGROUND: Menopause syndrome generally includes psychological problems. Group treatment delivered via the Internet and mobile phone (imGT) may improve women's physiological and psychological conditions. OBJECTIVE: To investigate the efficacy of group cognitive behavioural therapy of menopause-related mood swings and quality of life, delivered face to face or via the Internet and mobile phone. METHODS: This protocol is for a randomized controlled clinical trial with a sample of 140 menopausal women divided into 2 groups: imGT and face-to-face group treatment (ffGT). The primary outcome will be the improvement in the menopausal symptoms of the two groups, as assessed by the Greene Climacteric Scale. The secondary outcomes will be: quality of life, assessed by the Short Form 36 Health Survey Questionnaire; insomnia, assessed by the Pittsburgh Sleep Quality Inventory; anxiety, assessed by the Hamilton Anxiety Rating Scale; and therapeutic alliance, assessed by the Working Alliance Inventory-Short Revised and Client Sat-is-fac-tion Qes-tion-naire-8. imGT will be performed once a week for 1.5 h for 10 weeks with a daily 'Punched-in' on the WeChat app; ffGT will be performed once a week for 1.5 h for 10 weeks. All outcomes will be assessed at baseline, at a post-intervention evaluation (week 10), and at a follow-up evaluation (week 22). DISCUSSION: This study will be the first clinical trial to examine the effects of imGT on menopausal women in China. If imGT is found to be non-inferior to ffGT, it will facilitate access to menopausal health services.


Assuntos
Sintomas Afetivos/terapia , Telefone Celular , Terapia Cognitivo-Comportamental/métodos , Internet , Menopausa/psicologia , Psicoterapia de Grupo/métodos , Adulto , Ansiedade/terapia , China , Estudos de Equivalência como Asunto , Feminino , Humanos , Pessoa de Meia-Idade , Aplicativos Móveis , Qualidade de Vida/psicologia , Distúrbios do Início e da Manutenção do Sono/terapia , Inquéritos e Questionários , Síndrome
16.
Psychopathology ; 52(2): 110-116, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31394540

RESUMO

Beyond the language of medicine and psychology, the essence of many psychopathological experiences remains something that cannot be explained, even if it is possible to perceive it. Phenomenological language in this case must adapt itself to the heart of the lived experience. The phenomenological attitude, in particular, allows us to grasp something that happens before (a priori) the distinction between subject and object. The application of the phenomenological setting to groups of human beings in a clinical and therapeutic context allows us, in spite of its descriptive-contemplative aura, the extreme richness of potentialities, applicative and transformative, of one of the greatest intuitions of modern thought: the disappearance of the fission between the subject, the others and the world-of-life, in the evidence of meaning that the mutual experience of one's own presence (Dasein) opens up. The Mitseindoes not represent the only existential structure that makes the Daseinable to exist with others, but the relationship between the "originary temporality" of the Daseinand the other as "you." Dasein is that entity that is structurally "with" others. And it is in this dynamic relationship that the theme of Sorge unfolds. Care becomes for Heidegger the existential of existential, fundamental ontological structure, indicating the original opening of being, And in this sense, a we-ness-which-cares. This phenomenological approach to group therapy is quite different from the psychoanalytical approach. Indeed, it is based on consciousness and not on the unconscious. The phenomenologist sees the essence of phenomena, he does not use interpretation, whereas the psychoanalyst is more interested in recording the hidden meanings beyond the phenomena. The particular group atmosphere is made up of the following elements: lack of pre-selection, free accessibility into the group unrestricted by rigid rules, less structured actions, the presence of addicts, psychotics and "normal" people side by side. It is very difficult to treat this existential situation, which is characterized by patients frequently dropping out of conventional treatment, the loss of the being-in-the-world structure, boredom, emptiness, dread, anger, lack of meaning, loneliness and isolation. Dasein group analysis (an original interpretation and application of Binswanger's Daseinsanalyse) is here proposed and discussed. Unlike Dasein analysis, this approach applies phenomenology, beyond the classic pair of therapist and patient, to a group of people, in which everyone is simply a human being in the world.


Assuntos
Psicoterapia de Grupo/métodos , Psicoterapia/métodos , Humanos
17.
J Autism Dev Disord ; 49(11): 4681-4685, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31375972

RESUMO

This report examines the relationship between treatment response in children with ASD and parents' affective symptomatology. This study examined 29 children with ASD in a manualized group psychotherapy program, Resilience Builder Program® (RBP), where emotional and social functioning of parent and child were measured through pre- and post-treatment questionnaires. Greater parental symptomatology was associated with children's reduced response to RBP in resilience-based emotion regulation skills. Greater parental interpersonal sensitivity (ß = - .27, p = .024) predicted worse post-treatment scores in child communication skills, greater parental anxious symptoms (ß = - .45, p = .005) predicted worse post-treatment scores in child emotional control, and greater parental depressive (ß = .27, p = .041) and anxious symptoms (ß = .36, p = .004) predicted worse post-treatment scores in child internalizing problems.


Assuntos
Ansiedade/psicologia , Transtorno do Espectro Autista/psicologia , Transtorno do Espectro Autista/terapia , Relações Pais-Filho , Pais/psicologia , Psicoterapia de Grupo/tendências , Ansiedade/complicações , Ansiedade/diagnóstico , Transtorno do Espectro Autista/diagnóstico , Criança , Pré-Escolar , Emoções , Família/psicologia , Feminino , Humanos , Masculino , Ajustamento Social , Inquéritos e Questionários , Resultado do Tratamento
18.
Int J Eat Disord ; 52(9): 1004-1014, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31373405

RESUMO

OBJECTIVE: The aim of this randomized controlled trial with a parallel design was to evaluate the effect of brief, cognitive remediation therapy (CRT) for anorexia nervosa (AN) on set-shifting. METHOD: Two hundred seventy-five inpatient adults and adolescents with AN (mean age = 23.1; SD = 12.7) were randomly assigned (using simple randomization procedures) to either a CRT or control condition. All participants received treatment as usual; however, the CRT condition completed five CRT group sessions in lieu of other group therapies provided on the unit. Set-shifting abilities were evaluated by: (a) neuropsychological measures and (b) experimental cognitive behavior therapy thought records. Blinding of group assignment occurred during baseline assessment and ended following group commencement. RESULTS: Data from 135 CRT and 140 control condition participants were analyzed. On all neuropsychological measures, results revealed no between group condition effects, but did show statistically significant time effects, with medium to large effect sizes. Thought record analysis revealed a significant condition by age interaction effect where adults in the CRT condition generated significantly more alternative thoughts and had stronger believability of alternative thoughts than children, a trend that was not found in the control condition. This yielded moderate to large effect sizes of.0.56 and 0.72, respectively. DISCUSSION: Based on traditional neuropsychological measures, these findings do not suggest a differential effect of CRT for AN in the format applied. However, results suggest that CRT may have some increased beneficial cognitive effect for adults, as compared to children, based on thought record analysis.


Assuntos
Anorexia Nervosa/terapia , Remediação Cognitiva/métodos , Psicoterapia de Grupo/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Humanos , Pacientes Internados , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto Jovem
19.
Soins Psychiatr ; 40(323): 29-34, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31402037

RESUMO

Art is used as a form of mediation in care units. In addition to its benefit as an occupational activity, it is rooted in the tangible which can help combat apragmatism and anxiety.While this practice helps patients give meaning to their existence, the group approach and the help of a therapist form part of personalised care projects. Work around the self-portrait is an illustration of this practice, between the occupational and the therapeutic.


Assuntos
Terapia pela Arte/métodos , Transtornos Mentais/terapia , Psicoterapia de Grupo , Autoavaliação , Ansiedade/prevenção & controle , Humanos , Transtornos Mentais/psicologia
20.
J Consult Clin Psychol ; 87(9): 772-786, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31403814

RESUMO

OBJECTIVE: Test whether a dissonance-based transdiagnostic eating disorder treatment reduces valuation of the thin beauty ideal and high-calorie binge foods, the intervention targets, and eating pathology relative to waitlist controls. METHOD: Women with Diagnostic and Statistical Manual of Mental Disorders-5 eating disorders (N = 100) were randomized to an 8-week group-implemented Body Project Treatment (BPT) redesigned to encourage rapid symptom reduction or a waitlist control condition, completing functional MRI paradigms assessing neural response to thin models and binge foods, questionnaires, and diagnostic interviews at pretest and posttest. RESULTS: Compared to controls, BPT participants showed greater reductions in responsivity of regions involved in reward valuation (ventromedial prefrontal cortex, dorsolateral prefrontal cortex, caudate) to thin models but not binge foods, pursuit of the thin ideal (d = .72), palatability ratings of binge foods (d = .78), and greater increases in attractiveness ratings of average-weight models (d = .44), the intervention targets. BPT participants also showed significantly greater reductions in body dissatisfaction (d = .83), negative affect (d = .76), and eating disorder symptoms (d = .59), and marginally greater abstinence from binge eating and compensatory behaviors (39% vs. 21%) than controls. CONCLUSIONS: Results provide novel evidence that BPT affected the hypothesized intervention targets and reduced variables that are putatively secondary to pursuit of the thin ideal, including body dissatisfaction, negative affect, and eating disorder symptoms. Symptom reductions were smaller than in past trials, suggesting that it may be optimal to reduce valuation of the thin ideal before asking participants to reduce disordered eating behaviors that are used to pursue this ideal. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Núcleo Caudado/fisiopatologia , Dissonância Cognitiva , Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Córtex Pré-Frontal/fisiopatologia , Psicoterapia de Grupo/métodos , Recompensa , Adulto , Núcleo Caudado/diagnóstico por imagem , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico por imagem , Feminino , Humanos , Imagem por Ressonância Magnética , Córtex Pré-Frontal/diagnóstico por imagem , Resultado do Tratamento , Adulto Jovem
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