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1.
J Affect Disord ; 341: 162-169, 2023 11 15.
Artigo em Inglês | MEDLINE | ID: mdl-37598721

RESUMO

BACKGROUND: Emotion processing deficits of alexithymia are a transdiagnostic risk factor. While such deficits are malleable, the differential efficacy of brief scalable digital mental trainings remains understudied. METHODS: This randomized controlled trial probed the efficacy of mindfulness-based (MB) and partner-based socio-emotional Affect Dyad (SE) practice, both supported by weekly coaching sessions, in reducing alexithymia in 285 adult participants. We investigated the predictive role of interoceptive awareness assessed a) before and after daily practice, b) in ecological momentary assessment (EMA) before and after the intervention, and c) weekly during the 10-week intervention. RESULTS: Both interventions reduced emotion processing difficulties on the Toronto Alexithymia Scale (TAS-20). Similarly, both interventions improved interoceptive awareness immediately after daily practice and after the intervention period, yet SE outperformed MB training in EMA assessments. Further, only Dyad practice led to increases in body listening and self-regulatory aspects of the Multidimensional Assessment of Interoceptive Awareness (MAIA) over time, with the latter explaining a decrease in alexithymia. LIMITATIONS: Given the subclinical study sample, findings are limited in their generalizability to clinical samples. CONCLUSIONS: Findings suggest that app-based socio-emotional and mindfulness-based practices, supported by online coaching sessions, are effective in reducing emotion processing deficits. Dyad training showed advantages on some measures of body awareness, which predicted observed changes in alexithymia. This highlights the potential of using app-based dyadic approaches in the development of emotion awareness and regulation.


Assuntos
Atenção Plena , Aplicativos Móveis , Adulto , Humanos , Sintomas Afetivos/terapia , Emoções , Conscientização
2.
Eat Weight Disord ; 28(1): 30, 2023 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-36947261

RESUMO

PURPOSE: The aim of this longitudinal study was to examine the extent to which improved levels of binge eating (BE) behaviors, alexithymia, self-esteem, and psychological distress would predict a reduction in body mass at 9-month follow-up, following a lifestyle modification program for weight loss in obese or overweight patients. METHODS: A convenience sample of 120 obese or overweight patients were recruited. Body mass index (BMI), binge eating (BES), levels of alexithymia (TAS-20), perceived stress (PSS), depressive symptoms (SDS), and self-esteem (RSE) were assessed during their first medical examination (T1), and after a weight-loss treatment period of 9 months (T2). RESULTS: Compared with unimproved patients, improved patients reported a significant decrease in binge eating (p = 0.04) and perceived stress symptoms (p = 0.03), and a significant improvement in self-esteem (p = 0.02) over time. After controlling for gender, self-esteem, depressive symptoms, and perceived stress, baseline BMI (OR = 1.11, 95% CI [1.04,1.19]), ΔBES (OR = 0.99, 95% CI [0.98,0.99]), and ΔTAS-20 (OR = 1.03, 95% CI [1.01,1.05]) significantly and independently predicted a ≥ 5% reduction in body mass from baseline. CONCLUSIONS: Our finding supports the suggestion to consider psychological outcomes such as emotional aspects and dysfunctional eating behaviors when planning a weight loss programs to prevent a negative outcome. LEVEL OF EVIDENCE:  Level III, case-control analytic study.


Assuntos
Transtorno da Compulsão Alimentar , Bulimia , Humanos , Transtorno da Compulsão Alimentar/terapia , Transtorno da Compulsão Alimentar/psicologia , Sobrepeso , Seguimentos , Sintomas Afetivos/terapia , Estudos Longitudinais , Obesidade/terapia , Obesidade/psicologia , Bulimia/terapia , Redução de Peso , Estilo de Vida
3.
Rev. psicol. clín. niños adolesc ; 10(1): 91-98, Enero 2023. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-214147

RESUMO

La literatura científica señala que es importante llevar a cabo una intervención psicológica temprana en el trastorno de la personalidad límite (TPL)debido a que en la adolescencia es cuando se observa un mayor auge de los síntomas graves. Sin embargo, existe poca literatura científica sobrequé tratamientos psicológicos son más eficaces para esta población. El objetivo de este trabajo es realizar una revisión de revisiones sobre losdatos de eficacia de los tratamientos psicológicos para adolescentes con rasgos o diagnóstico de TPL o desregulación emocional. Se seleccionaron revisiones que evaluaran la eficacia de tratamientos psicológicos en adolescentes (entre 12 y 19 años) con esta problemática. Se realizó unabúsqueda de literatura científica en diversas bases de datos (Web of Science, PsycInfo, Pubmed, Dialnet) y se incluyeron un total de 5 revisiones.Resultados: La Terapia Dialéctica Comportamental para adolescentes (DBT-A) y la Terapia Basada en la Mentalización para adolescentes (MBT-A)han demostrado su eficacia para reducir la ideación suicida, los síntomas de TPL, los niveles de ansiedad y depresión, así como mejorar la adaptación social y la calidad de vida después de la intervención. Sin embargo, algunas revisiones sugieren que la MBT-A podría no ser tan efectiva debidoa las altas tasas de abandonos. Las intervenciones psicológicas con más evidencia consiguen reducir los síntomas más graves y mejorar la calidadde vida de los adolescentes con este problema. Es fundamental intervenir lo antes posible, lo que ayudará a prevenir el desarrollo y cronicidad deun trastorno grave y difícil de tratar. (AU)


The scientific literature indicatesthat it is important to carry out early psychological intervention in borderline personality disorder (BPD) due to the fact that adolescence is when agreater upsurge of the most severe symptoms is observed. However, there is little scientific literature on which psychological treatments are mosteffective for this population. The aim of this paper is to conduct a review of reviews on the efficacy data of psychological treatments for adolescentswith traits or diagnosis of BPD or emotional dysregulation. We selected reviews that evaluated the efficacy of psychological treatments in adolescents (between 12 and 19 years old) with this problem. A search of scientific literature was carried out in various databases (Web of Science,PsycInfo, Pubmed, Dialnet) and a total of 5 reviews were included. Dialectical Behavior Therapy for Adolescents (DBT-A) and Mentalization-BasedTherapy for Adolescents (MBT-A) have demonstrated efficacy in reducing suicidal ideation, BPD symptoms, anxiety and depression levels, as wellas improving social adjustment and quality of life after the intervention. However, some reviews suggest that MBT-A may not be as effective due tohigh dropout rates. Psychological interventions with more evidence achieve to reduce the most severe symptoms and improve the quality of life ofadolescents with this problem. It is essential to intervene as early as possible, which will help prevent the development and chronicity of a severeand difficult-to-treat disorder. (AU)


Assuntos
Humanos , Adolescente , Transtorno da Personalidade Borderline/psicologia , Transtorno da Personalidade Borderline/terapia , Psicoterapia/métodos , Sintomas Afetivos/psicologia , Sintomas Afetivos/terapia , Adolescente , Medicina Baseada em Evidências
4.
Rev Colomb Psiquiatr (Engl Ed) ; 51(2): 113-122, 2022.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-35753982

RESUMO

OBJECTIVE: To determine the feasibility of implementing a community-based, multi-family group intervention in a semi-rural population in Aranzazu, northern Caldas, Colombia. METHODS: Qualitative study. A convenience sample was taken of 10 families with children with affective and behavioural disorders, previously identified by the Child Behaviour Checklist (CBCL). The Multifamily Psychoeducational Psychotherapy (MF-PEP) model was adapted to the culture and needs of the families. RESULTS: The contents of the sessions and the topics and experiences that were most significant for the children and their families are described. CONCLUSIONS: The adaptation to the cultural context of the multi-family intervention had a very good acceptability by all participants: caregivers, children and therapists.


Assuntos
Sintomas Afetivos , Transtornos do Comportamento Infantil , Psicoterapia Múltipla , Adulto , Sintomas Afetivos/terapia , Criança , Transtornos do Comportamento Infantil/terapia , Colômbia , Família , Feminino , Humanos , População Rural
5.
An. psicol ; 38(2): 219-231, may.-sep. 2022.
Artigo em Inglês | IBECS | ID: ibc-202883

RESUMO

La obesidad es un grave problema de salud con implicaciones globales. La cirugía bariátrica (CB) es el tratamiento más utilizado y eficaz, pero hay pacientes que no pierden una cantidad sustancial de peso, hecho que se ha relacionado con la presencia de síntomas de alimentación emocional, ansiedad y depresión. El objetivo de este estudio es analizar la viabilidad y efectividad de una intervención basada en la regulación de las emociones denominada Protocolo Unificado (PU), aplicada en formato grupal a 6 pacientes post-CB que presentan trastornos/síntomas emocionales. Los resultados tras el tratamiento mostraron altas tasas de asistencia y satisfacción con el PU, y mejorías estadísticamente significativas para el neuroticismo, los síntomas de los trastornos alimentarios y la alimentación emocional. En el seguimiento a los 6 meses, se muestran reducciones significativas en los síntomas de ansiedad, neuroticismo, inadaptación y disregulación (d = 0.83-1.46) y el índice de masa corporal se mantuvo estable a lo largo del tiempo. Estos resultados preliminares son esperanzadores sobre la viabilidad y efectividad del PU para tratar la disregulación emocional en pacientes después de la CB.(AU)


Obesity is a serious health problem with global implications. Bariatric surgery (BS) is the most used and effective treatment, but there are patients who do not lose a substantial amount of weight, a fact that has been related with the presence of emotional eating, anxiety and depression symptoms. The aim of this study is to analyze the effectiveness and feasibility of an emotion regulation-based intervention called Unified Protocol (UP), applied in group format to 6 post-BS patients presenting emotional disorders/symptoms. Results at post-treatment shown high attendance rates and satisfaction with the UP scores and significant improvements on neuroticism, eating disorders symptoms and emotional eating. At 6-month follow-up we found significant reductions on anxiety symptoms, neuroticism, maladjustment and dysregulation (d = 0.83-1.46) and the body mass index remained stable over time. These preliminary results are encouraging about the effectiveness and feasibility of the UP to treat emotional dysregulation in patients after BS.(AU)


Assuntos
Humanos , Masculino , Feminino , Ciências da Saúde , Sintomas Afetivos/terapia , Cirurgia Bariátrica , Grupos Populacionais , Sobrepeso , Depressão , Ansiedade
6.
Artigo em Inglês | MEDLINE | ID: mdl-35104607

RESUMO

BACKGROUND: Atypical eye gaze on emotional faces is a core feature of alexithymia. The inferior frontal gyrus (IFG) is considered to be the neurophysiological basis of alexithymia-related emotional face fixation. Our aim was to examine whether anodal high-definition transcranial direct current stimulation (HD-tDCS) administered to the right (r)IFG would facilitate eye gaze of emotional faces in alexithymia individuals. METHOD: Forty individuals with alexithymia were equally assigned to anodal or sham HD-tDCS of the rIFG according to the principle of randomization. The individuals then completed a free-viewing eye tracking task (including happy, sad, and neutral faces) before and after 5 consecutive days of stimulation (twice a day). RESULTS: The results showed that twice a day anodal HD-tDCS of the rIFG significantly increased the fixation time and fixation count of the eye area on happy and neutral faces, but there was no significant effect on sad faces. According to the temporal-course analysis, after the intervention, the fixation time on neutral faces increased significantly at almost all time points of the eye tracking task. For happy faces, the improvement was demonstrated between 500 and 1000 ms and between 2500 and 3500 ms. For sad faces, the fixation time improved but not significantly. CONCLUSIONS: Applying high-dose anodal HD-tDCS to the rIFG selectively facilitated eye gaze in the eye area of neutral and happy faces in individuals with alexithymia, which may improve their face processing patterns.


Assuntos
Estimulação Transcraniana por Corrente Contínua , Sintomas Afetivos/terapia , Tecnologia de Rastreamento Ocular , Fixação Ocular , Humanos , Estudantes , Estimulação Transcraniana por Corrente Contínua/métodos
7.
Eat Disord ; 30(3): 267-278, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-32966162

RESUMO

Consistent research supports altered emotional processing in adult patients with anorexia nervosa (AN), including elevations in alexithymia, or deficits in identifying and describing emotions and other internal experiences. Despite increasing interest in emotion-focused therapies for AN, alexithymia is often not directly addressed within many existing treatments, and little empirical work has moved beyond descriptive, cross-sectional research. In this paper, we propose that refining the field's understanding of alexithymia may provide insights into poor outcomes in existing psychological treatments for AN. First, we provide a brief overview of existing work exploring alexithymia in AN, and then describe several next steps in treatment-relevant research, including differentiating alexithymia from related constructs, considering neurobiological correlates of alexithymia, testing the link between alexithymia and outcome across treatment modalities, and piloting adjunctive treatment techniques focused on emotional identification and description. Altogether, exploring adjunctive treatment approaches targeting alexithymia may offer one promising possibility for improving long-term outcomes.


Assuntos
Sintomas Afetivos , Anorexia Nervosa , Adulto , Sintomas Afetivos/psicologia , Sintomas Afetivos/terapia , Anorexia Nervosa/psicologia , Anorexia Nervosa/terapia , Estudos Transversais , Emoções , Humanos
8.
Clin Psychol Psychother ; 29(2): 718-724, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34432335

RESUMO

The research into emotional regulation in eating disorders (EDs) has shown specific impairments and maladaptive coping strategies in patients, and there is an increasing interest in the role of the emotional domain in the treatment outcome. This study aims to evaluate the effect of a specialized inpatient treatment characterized by both an intensive and comprehensive standardized multidisciplinary programme based on cognitive-behavioural therapy and a flexible and personalized component implemented by third-wave interventions. A cohort of 67 female ED patients (anorexia nervosa = 28, bulimia nervosa = 28 and binge eating disorder = 11) underwent an evaluation of emotional regulation difficulties, alexithymia and dissociative symptomatology at admission to a specialized ED ward. The psychological modifications were subsequently re-evaluated upon discharge, after an inpatients treatment of 60 days, examining specific changes in the specific psychopathology. A significant improvement after specialized ED treatment was shown in alexithymia, emotional regulation difficulties and dissociation symptoms, with higher effect sizes in patients with higher alexithymia scores. As regards the specific effect of the psychological improvement, changes into alexithymia scores have shown specific correlations with ED psychopathology (p < 0.010) and with difficulties in emotional regulation (p < 0.010) in patients with higher alexithymia levels at admission. Emotional regulation and dissociation should therefore be evaluated in ED patients and may be improved with specific therapeutic approaches, while alexithymia remains a clinical trait, even with a significant reduction.


Assuntos
Anorexia Nervosa , Bulimia Nervosa , Regulação Emocional , Transtornos da Alimentação e da Ingestão de Alimentos , Sintomas Afetivos/complicações , Sintomas Afetivos/diagnóstico , Sintomas Afetivos/terapia , Anorexia Nervosa/psicologia , Bulimia Nervosa/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Feminino , Humanos , Pacientes Internados
9.
Eur Rev Med Pharmacol Sci ; 25(22): 7127-7134, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34859878

RESUMO

OBJECTIVE: The anxiety of life that comes with the pandemic process increases the health anxiety and the level of perceived stress. However, there are uncertainties about which individuals are more sensitive. This study aims to investigate the effects of alexithymic characteristics on health anxiety and perceived stress. MATERIALS AND METHODS: The authors invited the participants to study via social media and e-mail. The data of 793 individuals, aged 18-65, collected over the internet (Google Forms) between November and December 2020 were statistically evaluated. Evaluations were made with the sociodemographic data form, the General Health Questionnaire-12 (GHQ-12), the Health Anxiety Scale (HAS), the Toronto Alexithymia Scale (TAS-20), and the Perceived Stress Scale (PSS). RESULTS: In mediation analyzes between TAS subscales and HAS, Difficulty in Identifying Feelings (DIF) most strongly predicted HAS (B=0.469, p<0.001) and indirectly affected HAS only through GHQ (CS: 0.08, B=0.108, SE:0.021, CI: 0.070, 0.153). However, both PSS (CS: 0.0128, B=0.084, SE:0.027, CI: 0.032, 0.139) and GHQ (CS: 0.02, B=0.139, SE:0.028, CI: 0.090, 0.198) played a mediating role between Difficulty Describing Feelings (DDF) and HAS. CONCLUSIONS: The present study suggests that individuals with alexithymic features are more sensitive to stress during periods of health-related increased stress, such as pandemics, and that individuals with alexithymic features should be given priority in psychotherapeutic interventions.


Assuntos
Sintomas Afetivos/psicologia , Transtornos de Ansiedade/psicologia , COVID-19/psicologia , Adulto , Sintomas Afetivos/diagnóstico , Sintomas Afetivos/terapia , Transtornos de Ansiedade/diagnóstico , COVID-19/diagnóstico , COVID-19/epidemiologia , COVID-19/virologia , Estudos Transversais , Feminino , Humanos , Internet/instrumentação , Masculino , Pessoa de Meia-Idade , Psicoterapia/métodos , SARS-CoV-2/genética , Inquéritos e Questionários , Turquia/epidemiologia
10.
Psychopathology ; 54(6): 282-290, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34749373

RESUMO

Despite being a longstanding and well-established concept, alexithymia is unfamiliar for many clinicians. This article aimed to address the alexithymia concept from a clinical perspective based on a review of the research on alexithymia intervention. Several strategies are proposed to help clinicians better work with alexithymic clients in psychotherapy. Alexithymia assessment, its impact on the therapeutic alliance, and the difficulties in emotional tasks are highlighted points. Considering alexithymia will inform clinicians' current diagnosis and conceptualization and provide specific targets and venues for intervention, increasing the effectiveness of psychotherapy.


Assuntos
Sintomas Afetivos , Aliança Terapêutica , Sintomas Afetivos/terapia , Emoções , Humanos , Psicoterapia
11.
Sci Rep ; 11(1): 20297, 2021 10 13.
Artigo em Inglês | MEDLINE | ID: mdl-34645900

RESUMO

A lack of personalized approaches in non-medication pain management has prevented these alternative forms of treatment from achieving the desired efficacy. One hundred and ten female patients with fibromyalgia syndrome (FMS) and 60 healthy women without chronic pain were assessed for severity of chronic or retrospective occasional pain, respectively, along with alexithymia, depression, anxiety, coping strategies, and personality traits. All analyses were conducted following a 'resource matching' hypothesis predicting that to be effective, a behavioral coping mechanism diverting or producing cognitive resources should correspond to particular mechanisms regulating pain severity in the patient. Moderated mediation analysis found that extraverts could effectively cope with chronic pain and avoid the use of medications for pain and mood management by lowering depressive symptoms through the use of distraction mechanism as a habitual ('out-of-touch-with-reality') behavior. However, introverts could effectively cope with chronic pain and avoid the use of medications by lowering catastrophizing through the use of distraction mechanism as a situational ('in-touch-with-reality') behavior. Thus, personalized behavior management techniques applied according to a mechanism of capturing or diverting the main individual 'resource' of the pain experience from its 'feeding' to supporting another activity may increase efficacy in the reduction of pain severity along with decreasing the need for pain relief and mood-stabilizing medications.


Assuntos
Ansiedade/terapia , Terapia Comportamental/métodos , Depressão/terapia , Fibromialgia/terapia , Adaptação Psicológica , Afeto , Sintomas Afetivos/terapia , Ansiedade/psicologia , Catastrofização/psicologia , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Manejo da Dor , Medição da Dor , Percepção , Testes Psicológicos , Qualidade de Vida/psicologia , Estudos Retrospectivos , Inquéritos e Questionários
12.
Rev. psicol. clín. niños adolesc ; 8(3): 67-73, Sep. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-218459

RESUMO

Adolescence is a vital stage susceptible to the development of stress and emotional problems that reduce well-being. The aim of this work was to study the relationship between attachment to mother, father, and peers, considering the mediating role of stress, and controlling the influence of gender and age. We also studied the relationship between stress and emotional problems with scholar and familiar variables. 700 Spanish students (54.1% girls) between 12 and 15 years participated (M = 13.59; SD = 1.07). Academic performance, family structure, parents and peer attachment (IPPA), emotional problems (SDQ) and stress (PSS-4) were assessed. Data were collected cross-sectional and analysed using SPSS 24.0 and PROCESS (model 4). Descriptive analyses, t-tests, bivariate correlations, and three mediation models were performed. Results suggest that girls suffer more stress (t = 4.51; p = .000) and more emotional problems (t = 7.31; p = .000) than boys. Age correlates positively with stress (r = .12; p = .000). Lastly, stress is a mediating variable between attachment (to both parents and peers) and emotional problems. The importance of addressing stress and emotional symptoms management in adolescence is discussed, particularly in adolescents with poorer quality relationships with their parents and peers. (AU)


La adolescencia es una etapa vital susceptiblede desarrollar estrés y problemas emocionales que reducen el bienestar. El objetivo de este trabajo fue estudiar la relación entre el apego a la madre, al padre y a los iguales, considerando el papel mediador del estrés, y controlando la influencia del género y la edad. También se estudió la relación entre el estrés y los problemas emocionales con variables escolares y familiares. Participaron 700 estudiantes españoles (54,1% chicas) entre 12 y 15 años (M = 13,59; DT = 1.07). Se evaluaron el rendimiento académico, la estructura familiar, el apego a los padres y a los compañeros (IPPA), los problemas emocionales (SDQ) y el estrés (PSS-4). Los datos se recogieron de forma transversal y se analizaron con SPSS 24.0 y PROCESS (modelo 4). Se realizaron análisis descriptivos, pruebas t, correlaciones bivariadas y tres modelos de mediación. Los resultados sugieren que las chicas sufren más estrés (t = 4.51; p = .000) y más problemas emocionales (t = 7.31; p = .000) que los chicos. La edad de los adolescentes correlaciona positivamente con el estrés (r = .12; p = .000). Por último, el estrés es una variable mediadora entre el apego (tanto a los padres como a los compañeros) y los problemas emocionales. Se discute la importancia de abordar el manejo del estrés y de los síntomas emocionales en laadolescencia, particularmente en los adolescentes con relaciones de peor calidad con sus padres y compañeros. (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Estresse Psicológico/diagnóstico , Estresse Psicológico/prevenção & controle , Estresse Psicológico/terapia , Sintomas Afetivos/diagnóstico , Sintomas Afetivos/prevenção & controle , Sintomas Afetivos/terapia , Emoções , Apego ao Objeto , Negociação/psicologia , Espanha
13.
Medicine (Baltimore) ; 100(23): e26306, 2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34115040

RESUMO

BACKGROUND: Infertility causes emotional and psychological problems, including anxiety, depression, low self-efficacy, and chronic mental stress in women. These emotional problems can negatively affect fertility treatment. Numerous studies have reported the clinical therapeutic effects of acupuncture on emotional problems; however, the efficacy and safety of acupuncture treatment for emotional problems in infertile women remain unclear. This protocol aims to evaluate the efficacy and safety of acupuncture for treating emotional problems in infertile women. METHODS: We will search the following databases from their inception to April 30, 2021: MEDLINE, EMBASE, Cochrane Library, Korean Medical Databases (KoreaMed, Korean studies Information Service System, Korean Traditional Knowledge Portal, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, and National Digital Science Library), and Chinese databases (CNKI and Wan Fang Database). We will include randomized controlled trials on acupuncture for emotional problems in infertile women. There will be no restrictions regarding language or publication date. The primary outcome will be assessed using an emotion-related assessment scale. The risk of bias of the included studies will be measured using the Cochrane risk of bias assessment tool. For meta-analysis, RevMan Version 5.4 software will be used to combine the relative risks for dichotomous outcomes, as well as the mean differences or standardized mean differences for continuous outcomes, with both having 95% confidence intervals. RESULTS: Based on current evidence, this study will assess the effectiveness and safety of acupuncture for emotional problems in infertile women. CONCLUSION: This study will provide evidence for evaluating the acupuncture efficacy for infertile women with emotional problems. REGISTRATION NUMBER: INPLASY202150082.


Assuntos
Terapia por Acupuntura/métodos , Sintomas Afetivos , Infertilidade Feminina/psicologia , Sintomas Afetivos/etiologia , Sintomas Afetivos/terapia , Feminino , Humanos , Metanálise como Assunto , Projetos de Pesquisa , Revisões Sistemáticas como Assunto , Resultado do Tratamento
14.
Community Ment Health J ; 57(8): 1449-1463, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-33492561

RESUMO

Home and Community-Based Services (HCBS) Medicaid waivers for Serious Emotional Disturbance (SED) extend Medicaid eligibility to youth who otherwise would be financially ineligible and finance a broad array of highly specialized mental health services specific to the needs of youth with SED. This study examines whether these policies are associated with greater public health insurance coverage among youth with severe mental health diagnoses. It also assesses, among youth with severe mental health diagnoses who have public health coverage, whether waiver policies are associated with reduced reports of unmet mental health treatment need and increased reports of adequate mental health coverage. Analysis uses CMS reported data on state HCBS Medicaid waivers in conjunction with data from the National Survey of Children's Health for the years 2016 through 2018. Multi-level, fixed-effects logistic regression models demonstrate that living in a state with an HCBS Medicaid waiver is associated with significantly increased odds of having public insurance among children with concurrent private health coverage (OR 1.89), reduced odds of unmet mental health needs among youth with public coverage (OR 0.45), but not significantly associated with reported adequacy of mental health insurance coverage.


Assuntos
Medicaid , Saúde Mental , Adolescente , Sintomas Afetivos/terapia , Criança , Acesso aos Serviços de Saúde , Humanos , Cobertura do Seguro , Seguro Saúde , Saúde Pública , Estados Unidos
15.
São Paulo; s.n; 2021. 35 p.
Tese em Português | HomeoIndex - Homeopatia | ID: biblio-1281868

RESUMO

Trabalho realizado a partir de um relato de caso. A abordagem terapêutica com o uso do medicamento homeopático é baseada na utilização do princípio da similitude (similia similibus curentur). Esse princípio implica no uso de medicamentos que causam efeitos semelhantes aos sintomas da doença, a fim de estimular uma reação do organismo contra sua própria patologia ou sofrimento. No tratamento homeopático, a individualidade e a totalidade sintomática característica de cada indivíduo é essencial para a correta escolha desse remédio. Pelos sintomas e queixas do paciente e através da repertorização, chegamos ao medicamento Stramonium, que é um dos principais medicamentos descritos na literatura para o "sentimento de abandono". (AU)


Work carried out from a case report. The therapeutic approach using homeopathic medicine is based on the use of the principle of similitude (similia similibus curentur). This principle indicates the use of drugs that cause effects similar to the symptoms of the disease, in order to stimulate a reaction of the organism against its own pathology or suffering. The individuality and the total symptomatic characteristic of each individual is essential for the correct choice of the only suitable medicine for homeopathic treatment. Following the assessment of symptoms and patient complaints in repertorization, we come to the medication: Stramonium, which is one of the main drugs described in the literature for the "feeling of abandonment".(AU)


Assuntos
Humanos , Feminino , Criança , Datura stramonium , Transtornos do Comportamento Infantil , Sintomas Afetivos/terapia , Homeopatia , Terapêutica
16.
Sci Rep ; 10(1): 17325, 2020 10 14.
Artigo em Inglês | MEDLINE | ID: mdl-33057210

RESUMO

Healthy sleep, positive general affect, and the ability to regulate emotional experiences are fundamental for well-being. In contrast, various mental disorders are associated with altered rapid eye movement (REM) sleep, negative affect, and diminished emotion regulation abilities. However, the neural processes mediating the relationship between these different phenomena are still not fully understood. In the present study of 42 healthy volunteers, we investigated the effects of selective REM sleep suppression (REMS) on general affect, as well as on feelings of social exclusion, cognitive reappraisal (CRA) of emotions, and their neural underpinnings. Using functional magnetic resonance imaging we show that, on the morning following sleep suppression, REMS increases general negative affect, enhances amygdala responses and alters its functional connectivity with anterior cingulate cortex during passively experienced experimental social exclusion. However, we did not find effects of REMS on subjective emotional ratings in response to social exclusion, their regulation using CRA, nor on functional amygdala connectivity while participants employed CRA. Our study supports the notion that REM sleep is important for affective processes, but emphasizes the need for future research to systematically investigate how REMS impacts different domains of affective experience and their neural correlates, in both healthy and (sub-)clinical populations.


Assuntos
Afeto/fisiologia , Sintomas Afetivos/fisiopatologia , Tonsila do Cerebelo/fisiopatologia , Privação do Sono/psicologia , Sono REM/fisiologia , Isolamento Social/psicologia , Estimulação Acústica/efeitos adversos , Adulto , Sintomas Afetivos/terapia , Tonsila do Cerebelo/diagnóstico por imagem , Córtex Cerebral/diagnóstico por imagem , Córtex Cerebral/fisiologia , Terapia Cognitivo-Comportamental , Emoções , Feminino , Jogos Experimentais , Giro do Cíngulo/diagnóstico por imagem , Giro do Cíngulo/fisiologia , Hipocampo/diagnóstico por imagem , Hipocampo/fisiologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Dados de Saúde Gerados pelo Paciente , Polissonografia , Distribuição Aleatória , Privação do Sono/etiologia , Privação do Sono/fisiopatologia , Adulto Jovem
17.
aSEPHallus ; 15(30): 18-25, maio.2020-out.2020.
Artigo em Português | LILACS | ID: biblio-1152243

RESUMO

Este artigo constituiu-se com base nas experiências com a psicanálise aplicada na assistência aos colaboradores de uma instituição hospitalar ao longo da construção de um projeto de pesquisa coordenado pela Profa. Dra. Tania Coelho dos Santos e financiado pelo CNPq. Consiste numa abordagem dos impasses psíquicos de funcionários e dos consequentes fenômenos clínicos-institucionais encontrados. A atenção psicológica aos colaboradores recebeu maior destaque durante a pandemia Covid-19. Em resposta ao medo do desamparo e ameaça de morte recolhemos reações emocionais intensas e comportamentos disruptivos no ambiente de trabalho. Como consequência o serviço de psicologia organizou-se para tratar das urgências subjetivas deflagradas no âmbito institucional


Cet article a été basé sur les expériences de la psychanalyse appliquée à l'assistance des employés d'un hôpital développées lors de la construction d'un projet de recherche coordonné pour la Prof. Tania Coelho dos Santos et financé par le Conseil national pour le développement scientifique et technologique. Il consiste en une approche des impasses psychiques des employés et des phénomènes cliniques-institutionnels qui en découlent. L'attention psychologique offerte aux employés a gagné de l' importance pendant la pandémie de Covid-19. Nous avons observé des réactions émotionnelles intenses et des comportements perturbateurs sur le lieu de travail en réponse à la peur causée par l'impuissance et la menace de mort. C'est pourquoi le service de psychologie a été réorganisé pour faire face aux urgences subjectives déclenchées à l'intérieur de l' institution


This article was based on the experience assisting employees of a hospital through applied psychoanalysis, developed during the construction of a research project coordinated by ProfessorTania Coelho dos Santos and financed by the National Council for Scientific and Technological Development. It consists of an approach to the psychic impasses of employees and the consequent clinical-institutional phenomena encountered. Psychological attention to the employees gained greater prominence during the Covid-19 pandemic. In response to the fear of helplessness and the threat of death, we observed intense emotional reactions and disruptive behaviors in the workplace. As a consequence, the psychology service was organized to deal with the subjective emergencies triggered inside the institution


Assuntos
Psicanálise , Psicologia Aplicada , Projetos de Pesquisa , Infecções por Coronavirus , Sintomas Afetivos/terapia , Pandemias , Hospitais
18.
Medicine (Baltimore) ; 99(38): e22313, 2020 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-32957396

RESUMO

INTRODUCTION: About 66% of stroke survivors present with cognitive or physical consequences, which are often complicated by emotional instability. Alexithymia is defined as "a difficulty in identifying and describing feelings", although there is no consensus on the exact diagnosis and treatment. PATIENT CONCERNS: A 36-year-old right-handed man, affected by ischemic stroke (which occurred about 3 months before admission) involving the right hemisphere (ie, the fronto-parieto-temporal region) with left hemiparesis and behavioral abnormalities, came to our observation for intensive rehabilitation. He was treated unsuccessfully with a traditional and behavioral training. DIAGNOSIS: Alexithymia due to ischemic stroke. INTERVENTIONS: Then, a specific combined protocol using computerized emotional and virtual emotional training was applied in a semi-immersive virtual reality environment using the BTS-Nirvana device. OUTCOMES: At the end of this novel rehabilitation approach, the patient showed a significant improvement in emotional skills, cognitive performances, and coping strategies. CONCLUSIONS: Virtual reality, in addition to standard therapy, may be a valuable tool in improving emotional abnormalities due to brain lesions, such as alexithymia.


Assuntos
Sintomas Afetivos/terapia , Reabilitação do Acidente Vascular Cerebral/instrumentação , Terapia de Exposição à Realidade Virtual/métodos , Adulto , Sintomas Afetivos/etiologia , Humanos , Masculino , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/psicologia
20.
BMC Psychol ; 8(1): 86, 2020 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-32819424

RESUMO

BACKGROUND: Instruments for monitoring the clinical status of adolescents with emotional problems are needed. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) according to theory measures problems/symptoms, well-being, functioning and risk. Documentation of whether the theoretical factor structure for CORE-OM is applicable for adolescents is lacking. METHODS: This study examined the factor structure and psychometric properties of the CORE-OM based on two samples of adolescents (age 14-18): youths seeking treatment for emotional problems (N = 140) and high school students (N = 531). A split half approach was chosen. An exploratory factor analysis (EFA) was performed on the first half of the stratified samples to establish the suitability of the model. A Confirmatory Factor Analysis (CFA) with the chosen model from the EFA was performed on the second half. Internal consistency and clinical cut-off scores of the CORE-OM were investigated. RESULTS: The best fitting model only partially confirmed the theoretical model for the CORE-OM. The model consisted of five factors: 1) General problems, 2) risk to self, 3) positive resources 4) risk to others and 5) problems with others. The clinical cut-off score based on the all-item total was higher than in an adult sample. Both the all-item total and general problems cut-off scores showed gender differences. CONCLUSION: The factor analysis on CORE-OM for adolescents resulted in a five-factor solution, and opens up for new subscales concerning positive resources and problems with others. A 17-item solution for the general problems/symptoms scale is suggested. We advise developers of self-report instruments not to reverse items, if they do not intend to measure a separate factor, since these seem to affect the dimensionality of the scales. Comparing means for gender in non-clinical samples should not be done without modification of the general emotional problem and the positive resources scales. Slightly elevated CORE-OM scores (up to 1.3) in adolescents may be normal fluctuations.


Assuntos
Sintomas Afetivos , Avaliação de Resultados em Cuidados de Saúde , Adolescente , Adulto , Sintomas Afetivos/terapia , Análise Fatorial , Humanos , Psicometria , Reprodutibilidade dos Testes , Autorrelato , Inquéritos e Questionários
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