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1.
Medicine (Baltimore) ; 101(36): e30459, 2022 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-36086792

RESUMO

Alcohol dependence (AD) syndrome refers to a strong addiction to alcohol and high tolerance physiologically or psychologically, due to the repeated consumption of alcohol-based substances. This study aimed to examine the efficacy of group cognitive behavioral therapy (GCBT) on patients with AD. A total of 128 patients with AD were randomly assigned to the GCBT or control group. Patients in the GCBT group underwent an 8-week GCBT in addition to conventional treatment, and patients in the control group only received conventional treatment. The insight and treatment attitude questionnaire (ITAQ) score, chronic disease self-cognition evaluation score (CDSCES), treatment adherence, and relapse rate at 6 and 12 months were compared among the 2 groups. The ITAQ scores of the GCBT group, after treatment, increased significantly compared to those of the control group (19.69% vs 13.26%, P < .001). The CDSCES in the GCBT group increased significantly compared to those in the control group after treatment (3.98 vs 2.18, P = .001 for problem-solving ability; 8.08 vs 5.08, P = .001 for self-management efficacy; 4.29 vs 3.30, P = .005 for a positive response, and 4.84 vs 3.44, P = .008 for a social function, respectively). After treatment, the percentage of patients with AD with full compliance in the GCBT group was much higher than in the control group (93.8% vs 65.6%, P < .001). Contrastingly, the percentage of patients with AD with partial compliance in the GCBT group was much lower than that in the control group (3.2% vs 34.4%, P < .001). The relapse rate (%) of drinking in patients with AD in the GCBT group was much lower than that in the control group (1.56% vs 21.8%, P = .001 for 6 months and 4.7% vs 51.6%, P < .001 for 12 months). The results suggest that GCBT for 8 weeks is an effective approach for patients with AD, improving problem-solving ability, self-management efficacy, positive response, and social function, leading to increase in treatment compliance, and reducing relapse rate.


Assuntos
Alcoolismo , Terapia Cognitivo-Comportamental , Psicoterapia de Grupo , Alcoolismo/terapia , Terapia Cognitivo-Comportamental/métodos , Humanos , Psicoterapia de Grupo/métodos , Recidiva , Resultado do Tratamento
2.
J Med Internet Res ; 24(9): e35620, 2022 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-36094813

RESUMO

BACKGROUND: Mindfulness can improve overall well-being by training individuals to focus on the present moment without judging their thoughts. However, it is unknown how much mindfulness practice and training are necessary to improve well-being. OBJECTIVE: The primary aim of this study was to determine whether a standard 8-session web-based mindfulness-based cognitive therapy (MBCT) program, compared with a brief 3-session mindfulness intervention, improved overall participant well-being. In addition, we sought to explore whether the treatment effects differed based on the baseline characteristics of the participants (ie, moderators). METHODS: Participants were recruited from 17 patient-powered research networks, web-based communities of stakeholders interested in a common research area. Participants were randomized to either a standard 8-session MBCT or a brief 3-session mindfulness training intervention accessed on the web. The participants were followed for 12 weeks. The primary outcome of the study was well-being, as measured by the World Health Organization-Five Well-Being Index. We hypothesized that MBCT would be superior to a brief mindfulness training. RESULTS: We randomized 4411 participants, 3873 (87.80%) of whom were White and 3547 (80.41%) of female sex assigned at birth. The mean baseline World Health Organization-Five Well-Being Index score was 50.3 (SD 20.7). The average self-reported well-being in each group increased over the intervention period (baseline to 8 weeks; model-based slope for the MBCT group: 0.78, 95% CI 0.63-0.93, and brief mindfulness group: 0.76, 95% CI 0.60-0.91) as well as the full study period (ie, intervention plus follow-up; baseline to 20 weeks; model-based slope for MBCT group: 0.41, 95% CI 0.34-0.48; and brief mindfulness group: 0.33, 95% CI 0.26-0.40). Changes in self-reported well-being were not significantly different between MBCT and brief mindfulness during the intervention period (model-based difference in slopes: -0.02, 95% CI -0.24 to 0.19; P=.80) or during the intervention period plus 12-week follow-up (-0.08, 95% CI -0.18 to 0.02; P=.10). During the intervention period, younger participants (P=.05) and participants who completed a higher percentage of intervention sessions (P=.005) experienced greater improvements in well-being across both interventions, with effects that were stronger for participants in the MBCT condition. Attrition was high (ie, 2142/4411, 48.56%), which is an important limitation of this study. CONCLUSIONS: Standard MBCT improved well-being but was not superior to a brief mindfulness intervention. This finding suggests that shorter mindfulness programs could yield important benefits across the general population of individuals with various medical conditions. Younger people and participants who completed more intervention sessions reported greater improvements in well-being, an effect that was more pronounced for participants in the MBCT condition. This finding suggests that standard MBCT may be a better choice for younger people as well as treatment-adherent individuals. TRIAL REGISTRATION: ClinicalTrials.gov NCT03844321; https://clinicaltrials.gov/ct2/show/NCT03844321.


Assuntos
Terapia Cognitivo-Comportamental , Atenção Plena , Psicoterapia de Grupo , Feminino , Humanos , Recém-Nascido , Internet , Resultado do Tratamento
3.
Clin J Oncol Nurs ; 26(5): 475-478, 2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-36108214

RESUMO

Diagnosing and treating behavioral concerns should be prioritized throughout cancer survivorship. Behavioral health is included in national guidelines for survivorship care, but meeting those needs for a growing population of.


Assuntos
Sobreviventes de Câncer , Psicoterapia de Grupo , Consultas Médicas Compartilhadas , Atenção à Saúde , Humanos , Sobrevivência
4.
J Behav Ther Exp Psychiatry ; 77: 101774, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36113910

RESUMO

BACKGROUND AND OBJECTIVES: It has been suggested that reassurance seeking may play an important role in the development and maintenance of common mental health problems such as OCD and depression. We considered the extent of reassurance seeking in depression and OCD relative to a healthy comparison group and tested the hypothesis that reassurance seeking is primarily motivated by threat in those suffering from OCD and by interpersonal concerns in those suffering from depression. METHODS: The frequency and intensity of reassurance seeking and the motivation for seeking reassurance was measured using the reassurance seeking questionnaire in 28 people with OCD, 18 people with depression and 29 healthy controls. RESULTS: The OCD group sought reassurance more and at a higher intensity than both the depression group and healthy controls. For the OCD group, reassurance seeking was found to be linked to threat concern motivation. The depression group were not motivated by threat or interpersonal concerns. LIMITATIONS: The OCD group did not significantly differ from the depression group on the measure of depression, most likely due to secondary depression in the OCD group. CONCLUSIONS: For people suffering from OCD, reassurance is motivated by threat concern. For the depression group, levels of reassurance seeking were not substantially increased relative to controls, and the motivation to seek reassurance is less clear but interpersonal concern may not be a distinct motivational factor.


Assuntos
Transtorno Obsessivo-Compulsivo , Psicoterapia de Grupo , Cognição , Depressão/psicologia , Humanos , Transtorno Obsessivo-Compulsivo/complicações , Transtorno Obsessivo-Compulsivo/psicologia , Inquéritos e Questionários
5.
Torture ; 32(1,2): 144-147, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35950428

RESUMO

The author writes about her personal experi-ences in the field of the rehabilitation of torture survivors. The article shows the first steps of the therapists exploring individual and group therapy methods. The mobile team consisting of psychiatrists, psychologists, child therapists, non-verbal therapists and trained interpreters' and the visits to refugee shelters. This type of work cannot be separated from the actually ex-isting political waves in Hungary and decisions regarding the legal regulations for refugees, neither from other factors like the pandemic. This task and mission demand innovative abili-ties from therapists in a permanently changing setting.


Assuntos
Psicoterapia de Grupo , Refugiados , Tortura , Criança , Família , Feminino , Humanos , Sobreviventes
6.
Int Tinnitus J ; 26(1): 1-10, 2022 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-35861452

RESUMO

Mindfulness-based cognitive therapy (MBCT) has been suggested as an effective modality in reducing the effects of tinnitus and improving quality of life. This article aimed to compare the effectiveness of MBCT with that of standard treatment in the management of tinnitus in Thai patients. All participants were voluntarily divided into experimental MBCT and control groups depending on their availability. In addition to educational sessions and standard treatment, the MBCT group completed four weekly 120-minute sessions of mindfulness practicing skills. The Thai version of the Tinnitus Handicap Inventory (THI-T) and Hospital Anxiety and Depression Scale (HADs-T) were administered at baseline, 4th week, and 12th week. Tinnitus intensity (dB) was measured at baseline and 12th week. All data were compared between the different time points, within each group, and between the two groups. A total of 45 patients were enrolled, 24 in the MBCT group and 21 in the control group. When comparing baseline to post-treatment measurements, statistically significant improvements were observed in all outcomes except tinnitus intensity in both groups. The THI-T and HADs-T scores in the MBCT group were significantly lower than those in the control group at the 12th week. The reduction in the THI-T scores, HADs-T scores, and tinnitus intensity tended to be greater in the MBCT group after the 4-week course and at the 3-month follow-up assessment. The MBCT showed benefits in the management of tinnitus in terms of improved THI-T and HADs-T scores, and overall quality of life.


Assuntos
Terapia Cognitivo-Comportamental , Atenção Plena , Psicoterapia de Grupo , Zumbido , Humanos , Qualidade de Vida , Zumbido/diagnóstico , Zumbido/psicologia , Zumbido/terapia , Resultado do Tratamento
7.
J Clin Psychol ; 78(8): 1559-1566, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35818761

RESUMO

OBJECTIVE: Structured group therapies offer the delivery of theory-specific interventions combined with beneficial group processes. Usually time-limited, such treatments present several advantages for both clinicians and patients. METHODS: Several different models of structured group therapy are highlighted, with a brief description of their intended populations and treatment mechanisms. RESULTS: Possibilities and challenges in the advancement of structured group psychotherapy are discussed. CONCLUSION: Further research and training efforts are needed to support the expansion of structured group treatments, which in turn may help to increase patient access to effective psychotherapy.


Assuntos
Psicoterapia de Grupo , Humanos , Psicoterapia
8.
J Clin Psychol ; 78(8): 1637-1649, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35818762

RESUMO

This commentary on six articles comprising this Journal of Clinical Psychology: In Session issue on the therapeutic process in group psychotherapy brings together relevant clinical challenges and opportunities concerning the unique processes of change in group treatments. As illustrated by these six inspiring group therapy cases, therapy groups may vary widely in content and context. To balance the rich clinical illustrations of successful group treatments and the different theoretical formulations offered in these case studies, we highlight the processes that these treatments appear to have in common. Specifically, we describe the clinical considerations about the group format and the group members. We also reflect on the relational dynamics as they play out within the complex interplay between group leaders and group members; the facilitation of the corrective emotional experience as a change mechanism in group therapy, as well as the relational challenges and opportunities inherent in group treatments more generally. It is hoped that in this issue, clinicians will not only be inspired by the clinical description of successful change processes in group treatments but will also be reminded of the therapeutic nuances and opportunities of this multilayered treatment format.


Assuntos
Psicoterapia de Grupo , Psicoterapia , Emoções , Humanos
9.
Clinics (Sao Paulo) ; 77: 100054, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35905577

RESUMO

BACKGROUND: Hypoactive Sexual Desire Disorder (HSDD) is a very prevalent sexual problem, with limited options for treatment. Given that psychological factors are major contributors to the disorder, a therapy such as Cognitive-Behavioral Therapy (CBT) may be useful to treat HSDD. OBJECTIVE: To evaluate the effects of group CBT on women with HSDD. METHOD: Clinical trial randomized study with 106 women diagnosed with HSDD, who were divided as follows: Group 1 (n = 53) underwent group CBT for 8-weeks, and Group 2 (n = 53), were put on a waiting list and used as a control group. Sexual function was assessed by the Female Sexual Quotient (FSQQ) at the initial interview and after 6-months. Mann Whitney test was used for group comparison. MAIN OUTCOME MEASURES: demographics, education, sexual history, FSQQ and its domains for sexual function assessment. RESULTS: Both groups had similar characteristics regarding sexual response, self-image, and relationship with a partner at the initial interview. Women undergoing therapy showed significant improvement in sexual function when compared with the control group. The overall FSQQ result showed an average growth of 18.08 points (95% CI 12.87‒23.28) for the therapy group against a decrease of 0.83 points (95% CI 3.43‒1.77) for controls (p < 0.001). The five domains of the questionnaire also exhibited significant improvement in the therapy group: desire and interest (p = 0.003), foreplay (p = 0.003), excitation and tuning (p < 0.001), comfort (p < 0.001), and orgasm and satisfaction (p < 0.001). CONCLUSION: Group CBT was shown to be an effective tool for treating HSDD.


Assuntos
Terapia Cognitivo-Comportamental , Psicoterapia de Grupo , Disfunções Sexuais Psicogênicas , Cognição , Feminino , Humanos , Libido , Projetos Piloto
10.
J Psychiatr Res ; 153: 30-36, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35793577

RESUMO

Cognitive weaknesses have been implicated as a vulnerability factor in the development and maintenance of eating disorders. Despite this, cognitive styles are not routinely assessed in adult outpatient eating disorder programs and little is known about how they may impact patients' functional outcomes, psychological symptoms, or treatment engagement. The aim of this study was to evaluate thinking styles (i.e., cognitive rigidity and attention to detail) among adults attending specialized outpatient treatment for an eating disorder and assess whether such styles were associated with participants' satisfaction with life, psychological symptoms, and engagement in the outpatient group therapy program. Demographic and physical health information was collected from 95 adults who were eligible for an outpatient program. Participants completed the Detail and Flexibility Questionnaire, Satisfaction with Life Scale, Beck Depression Inventory second edition, and Beck Anxiety Inventory. Elevated scores for cognitive rigidity and attention to detail were transdiagnostic rather than specific to eating disorder diagnoses. Cognitive rigidity and attention to detail were associated with lower satisfaction with life, and increased anxiety and depression. Cognitive styles of cognitive rigidity and attention to detail were not associated with engagement in treatment or treatment completion. Cognitive patterns may be important for clinicians to evaluate as part of routine outpatient care given that they occur transdiagnostically and are linked with psychological symptoms and functional outcomes for adults struggling with an eating disorder.


Assuntos
Anorexia Nervosa , Bulimia Nervosa , Transtornos da Alimentação e da Ingestão de Alimentos , Psicoterapia de Grupo , Adulto , Anorexia Nervosa/psicologia , Bulimia Nervosa/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Humanos , Satisfação Pessoal , Escalas de Graduação Psiquiátrica
11.
J Anxiety Disord ; 90: 102599, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35777128

RESUMO

BACKGROUND: This study aimed: (a) to examine the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) for patients with a treatment-refractory anxiety disorders compared to Relapse Prevention-Cognitive Behavioral Therapy (CBT-RP); and (b) to explore candidate mediating variables. METHODS: We conducted a pragmatic randomized controlled trial comparing MBCT with CBT-RP in a group format for 136 outpatients with treatment-refractory DSM-IV defined anxiety disorder, who insufficiently responded to first-line psychological treatment. RESULTS: At post-treatment, the MBCT group showed a significantly larger decrease in self-reported anxiety (Beck Anxiety Inventory), avoidance (Fear Questionnaire), difficulties in emotion regulation (Difficulties in Emotion Regulation Strategies), and worry (Penn State Worry Questionnaire), as well as a significantly larger increase in mindfulness skills (Five Facet Mindfulness Questionnaire). After a 6-month follow-up treatment gains were somewhat diminished. Effects of MBCT on anxiety at post-treatment did not prove to be mediated by mindfulness skills, difficulties in emotion regulation strategies, worry, or rumination (Rumination on Sadness Scales) at mid-treatment. CONCLUSIONS: MBCT seems to be a promising intervention in routine clinical care for persons with an anxiety disorder who insufficiently responded to first-line psychological treatment. Future research in larger samples assessing long-term effects and using intensive longitudinal designs to identify possible working mechanisms is called for.


Assuntos
Terapia Cognitivo-Comportamental , Atenção Plena , Psicoterapia de Grupo , Ansiedade/psicologia , Transtornos de Ansiedade/terapia , Cognição , Humanos , Qualidade de Vida/psicologia , Resultado do Tratamento
12.
Behav Res Ther ; 155: 104131, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35696837

RESUMO

Social anxiety disorder (SAD) is associated with marked physiological reactivity in social-evaluative situations. However, objective measurement of biomarkers is rarely evaluated in treatment trials, despite potential utility in clarifying disorder-specific physiological correlates. This randomized controlled trial sought to examine the differential impact of imagery-enhanced vs. verbal-based cognitive behavioral group therapy (IE-CBGT, n = 53; VB-CBGT, n = 54) on biomarkers of emotion regulation and arousal during social stress in people with SAD (pre- and post-treatment differences in heart rate variability (HRV) and skin conductance). We acquired psychophysiological data from randomized participants across four social stress test phases (baseline, speech preparation, speech, interaction) at pre-treatment, and 1- and 6-months post-treatment. Analyses revealed that IE-CBGT selectively attenuated heart rate as indexed by increases in median heart rate interval (median-RR) compared to VB-CBGT at post-treatment, whereas one HRV index showed a larger increase in the VB-CBGT condition before but not after controlling for median-RR. Other psychophysiological indices did not differ between conditions. Lower sympathetic arousal in the IE-CBGT condition may have obviated the need for parasympathetic downregulation, whereas the opposite was true for VB-CBGT. These findings provide preliminary insights into the impact of imagery-enhanced and verbally-based psychotherapy for SAD on emotion regulation biomarkers.


Assuntos
Terapia Cognitivo-Comportamental , Fobia Social , Psicoterapia de Grupo , Cognição , Terapia Cognitivo-Comportamental/métodos , Humanos , Fobia Social/psicologia , Fobia Social/terapia , Psicoterapia de Grupo/métodos , Resultado do Tratamento
13.
Psychotherapy (Chic) ; 59(2): 133-135, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35666916

RESUMO

Comments on the meta-analysis by G. M. Burlingame et al. (see record 2020-37337-001) on group therapy in schizophrenia. The commenting authors explain why they think that the meta-analysis is seriously flawed and should be recalculated and updated. First, however, they briefly reflect on the role of meta-analyses in contemporary research to emphasize that this discussion is not merely an academic debate but may have significant implications for the psychotherapeutic landscape as a whole. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Psicoterapia de Grupo , Esquizofrenia , Humanos , Esquizofrenia/terapia
14.
Psychotherapy (Chic) ; 59(2): 296-301, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35666920

RESUMO

Building off insight provided by authors in this special section and in the broader literature, this closing article describes future directions in health in psychotherapy. We use the community wellness model (CWM; Prilleltensky, 2005) sites of personal, relational, and collective to highlight psychotherapy constructs that offer future directions for more fully embracing a community and social justice perspective in health in psychotherapy. Within each level, we describe implications for researchers and clinicians: the personal level focuses on individual psychotherapy, including theoretical orientation, interventions, and feedback-informed treatment; the relational level covers clinician-client dynamics and group psychotherapy; the collective level addresses the scope and innovation of our interventions as well as advocacy efforts. Our hope is that these psychotherapy constructs and processes offer researchers and clinicians future directions for more fully integrating health into psychotherapy in a way that embeds a social justice perspective. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Psicoterapia de Grupo , Psicoterapia , Humanos , Pesquisadores , Justiça Social
15.
J Clin Psychol ; 78(8): 1613-1623, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35689824

RESUMO

OBJECTIVE: Group-analytic psychotherapy is probably the most commonly used psychodynamic group therapy in Europe. This paper describes focused group analytic psychotherapy (FGAP), a new time-limited version of this therapy, based on clinical experience and research. THE THERAPY/SUITABILITY OF PATIENTS: It is relatively structured and individually oriented, and designed for patients with a certain ability to tolerate internal and external stress, without decompensating or developing serious behavioral disturbances (they should have a limited degree of personality pathology). Patients entering FGAP should establish a circumscribed therapy focus ahead of therapy, based on some dysfunctional patterns of interpersonal problems, conflicts, and/or symptoms related to a psychodynamic hypothesis/case formulation. SELECTION/PREPARATION: The paper describes patient selection and preparation, the evolvement of the group process, and how therapist and other group members interact/intervene. CLINICAL MATERIAL/VIGNETTES: Central elements in the evaluation and aspects of the therapy are described and illustrated with an extensive case description and clinical material and vignettes from the group process.


Assuntos
Terapia Psicanalítica , Psicoterapia de Grupo , Psicoterapia Psicodinâmica , Humanos , Personalidade , Transtornos da Personalidade/terapia , Psicoterapia
16.
Rev. SPAGESP ; 23(1): 87-102, jan.-jun. 2022.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1356772

RESUMO

RESUMO A violência contra a mulher é uma das maiores causas de homicídio no Brasil. Como alternativa de combate surgem os grupos reflexivos de homens. O objetivo deste artigo é descrever a experiência de uma equipe multiprofissional na formação de um grupo reflexivo de homens, realizado num Juizado de Violência Doméstica e Familiar Contra Mulher. O grupo formado por nove homens, teve cinco encontros quinzenais, nos quais foram trabalhados: a violência contra mulher, o papel da justiça frente à violência doméstica e familiar, consciência emocional e masculinidades, resolução de conflitos e a Lei Maria da Penha. As conclusões apontam grande adesão dos homens ao grupo, mudanças significativas na compreensão do problema da violência, além de mudanças em seus comportamentos.


ABSTRACT Violence against women is one of the greatest causes of homicide in Brazil. As an alternative for combating this, reflective groups of men emerge. The purpose of this article is to describe the experience of a multi-professional team in forming a reflective group of men, held in a Court of Domestic and Family Violence Against Women. The group formed by nine men had five biweekly meetings in which they discussed: violence against women, the role of justice in the face of domestic and family violence, emotional and masculinity awareness, conflict resolution, and the Maria da Penha Law. The conclusions point to a great commitment of the men to the group, significant changes in the understanding of the problem of violence, besides changes in the behavior of the men.


RESUMEN La violencia contra la mujer es una de las mayores causas de homicidio en Brasil. Como una de las alternativas para contrarrestar el problema surgieron los grupos reflexivos de homens. El objetivo de este artículo es describir la experiencia de un equipo multiprofesional en actuación en un grupo reflexivo de homens, realizado en un Juzgado de violencia domiciliaria y familiar contra mujeres. El grupo fue formado por nueve hombres, tuvo cinco encuentros quincenales, en los cuales fueron trabajados: la violencia contra la mujer, el papel de la justicia frente a la violencia domiciliaria y familiar, la consciencia emocional y masculinidades, resolución de conflictos y la Ley Maria da Penha. Las conclusiones apuntan gran adhesión de los hombres al grupo, mudanzas significativas en la comprensión del problema de la violencia, además de mudanzas en sus comportamientos.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Psicoterapia de Grupo , Papel (figurativo) , Violência Doméstica , Violência contra a Mulher , Masculinidade , Estudos de Gênero
17.
Rev. SPAGESP ; 23(1): 59-70, jan.-jun. 2022.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1356770

RESUMO

RESUMO Este estudo apresenta o Sonhar Grupal, um dispositivo de trabalho com sonhos em grupos, criado por um grupo de pesquisa brasileiro e inspirado na Matriz do Sonhar Social, técnica desenvolvida por pesquisadores do Tavistok Institute, em Londres. O Sonhar Grupal apresenta, no entanto, diferenças e especificidades: uma concepção psicanalítica intersubjetiva do sonhar, a consideração do grupo e seus processos específicos, o relato do sonho como objeto mediador e a perspectiva de um grupo centrado em uma tarefa que pode ser adaptada para diferentes contextos. São trazidas ilustrações e discussões sobre suas aplicações, manejo e possíveis efeitos, com a expectativa de que seu uso possa ser ampliado como estratégia de promoção de saúde mental para um número expressivo de pessoas.


ABSTRACT This paper presents the Group Dreaming, a method for working with dreams in groups, created by a Brazilian research group and inspired by the Social Dreaming Matrix, a technique developed by researchers at the Tavistok Institute in London. The Group Dreaming presents, however, differences and specificities: an intersubjective psychoanalytic conception of dreaming, the consideration of the group and its specific processes, the dream report as a mediating object and the perspective of a task centered group that can be adapted to different contexts. It will provide examples and discussions about its uses, conduction and possible effects, with the expectation that it can be expanded as a strategy to promote mental health for a significant number of people.


RESUMEN Este artículo presenta el Soñar Grupal, un método de trabajo con los sueños en grupos, creado por un grupo de investigación brasileño e inspirado en la Matriz del Sueño Social, técnica desarrollada por investigadores del Instituto Tavistok de Londres. El Soñar Grupal presenta, sin embargo, diferencias y especificidades: una concepción psicoanalítica intersubjetiva del sueño, la consideración del grupo y sus procesos específicos, el informe del sueño como objeto mediador y la perspectiva de un grupo centrado en una tarea que puede adaptarse a diferentes contextos. Se ofrecerán ejemplos y discusiones sobre sus usos, conducción y posibles efectos, con la expectativa de que pueda ampliarse como estrategia para promover la salud mental de un número importante de personas.


Assuntos
Interpretação Psicanalítica , Psicoterapia de Grupo , Sonhos
18.
Artigo em Inglês | MEDLINE | ID: mdl-35742573

RESUMO

Despite the negative influence of cannabis use on the development and prognosis of first-episode psychosis (FEP), there is little evidence on effective specific interventions for cannabis use cessation in FEP. The aim of this study was to compare the efficacy of a specific cognitive behavioral therapy (CBT) for cannabis cessation (CBT-CC) with treatment as usual (TAU) in FEP cannabis users. In this single-blind, 1-year randomized controlled trial, 65 participants were randomly assigned to CBT-CC or TAU. The primary outcome was the reduction in cannabis use severity. The CBT-CC group had a greater decrease in cannabis use severity and positive psychotic symptoms over time, and a greater improvement in functioning at post-treatment than TAU. The treatment response was also faster in the CBT-CC group, reducing cannabis use, anxiety, positive and general psychotic symptoms, and improving functioning earlier than TAU in the follow-up. Moreover, patients who stopped and/or reduced cannabis use during the follow-up, decreased psychotic symptoms and increased awareness of disease compared to those who continued using cannabis. Early intervention based on a specific CBT for cannabis cessation, may be effective in reducing cannabis use severity, in addition to improving clinical and functional outcomes of FEP cannabis users.


Assuntos
Cannabis , Terapia Cognitivo-Comportamental , Psicoterapia de Grupo , Transtornos Psicóticos , Humanos , Transtornos Psicóticos/diagnóstico , Método Simples-Cego
19.
Psychiatry Res ; 314: 114683, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35717855

RESUMO

Prolonged grief disorder is a debilitating condition, which affects approximately one out of ten who lose a loved one. While existing meta-analyses have synthesized evidence regarding the overall effect of psychological interventions for pathological grief across different types of psychotherapy, it remains clinically relevant to explore whether specific types of psychological interventions are efficacious in the treatment of grief. The present study investigated the efficacy of group-based Compassion-Focused Therapy (CFT) for adults who had lost a spouse or a parent, and who reported clinically relevant levels of prolonged grief symptoms (PGS) at 11 months post-loss. A total of 82 participants were randomized to the CFT group (n = 42) or the waitlist control (n = 40). Time × group interactions showed no statistically significant effects of the intervention on the primary outcome PGS at post-intervention or 6-month follow-up. Likewise, no statistically significant effects were found for any of the secondary outcomes or process variables, with the exception of posttraumatic stress symptoms and self-reassurance. Taken together, in the present study group-based CFT did not emerge as an efficacious treatment for PGS. Possible explanations include that CFT may not target core maintaining processes in PGS and that the group-based, 8-week operationalization of CFT may be less than optimal.


Assuntos
Empatia , Psicoterapia de Grupo , Adulto , Pesar , Humanos , Psicoterapia , Cônjuges/psicologia
20.
BMC Psychiatry ; 22(1): 375, 2022 06 02.
Artigo em Inglês | MEDLINE | ID: mdl-35655149

RESUMO

BACKGROUND: Cognitive behavioural therapy (CBT) is recommended for attention-deficit/hyperactivity-disorder (ADHD) in adolescents. However, all CBTs are not created equal, and the guidelines do not specify which CBT interventions are the most effective for this patient group. This study examines the efficacy of a group CBT without parent involvement as follow-up treatment compared to no additional CBT in adolescents with persistent and impairing ADHD symptoms after a short psychoeducational intervention and medical treatment. METHODS: The authors conducted a two-arm parallel randomized controlled trial in two child and adolescent mental health outpatient clinics in Norway. One hundred patients aged 14-18 years with a diagnosis of ADHD (66%) or subthreshold ADHD (34%) were randomized to either a 12-week group CBT program (N = 50) or a non-CBT control condition (N = 50). Assessments were made at admission to the clinic, two weeks before and two weeks after treatment. The primary outcomes were parent-, teacher- and self-ratings of ADHD symptoms (ADHD Rating Scale-IV), and the secondary outcomes were ratings of ADHD symptom severity, executive function, functional impairment, and emotional problems. Evaluators blinded to group allocation rated ADHD symptom severity with the Clinical Global Impression Scale for Severity (CGI-S) at baseline and post-treatment. RESULTS: Analyses using mixed-effects models showed no difference between the treatment arms from baseline to post treatment in primary and secondary outcomes. CONCLUSIONS: Contrary to our hypothesis, we found no incremental treatment effect on the part of a group CBT as follow-up to psychoeducation and pharmacological treatment on ADHD symptoms and accompanying impairments. Limitations with the CBT was the large number and low dosage of treatment components, causing restricted time for practice. Unlike evidence-based, individualized targeted CBTs with parent involvement, a group CBT directed solely at the adolescents with no parent involvement does not appear effective for treating ADHD. TRIAL REGISTRATION: NCT02937142 , 18/10/2016.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Terapia Cognitivo-Comportamental , Psicoterapia de Grupo , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/complicações , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Criança , Cognição , Função Executiva , Humanos
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