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BACKGROUND: Community members in Quibdó (Choco, Colombia) are highly vulnerable to psychosocial problems associated with the internal armed conflict, poverty, and insufficient public services, and exacerbated by the COVID-19 pandemic. A pilot study was conducted with conflict-affected adults in Quibdó to assess feasibility and outcomes of a community-based psychosocial support group intervention using three different intervention modalities: in-person, remote (conducted online), and hybrid (half of sessions in-person, half-remote). This group model integrated problem-solving and culturally based expressive activities and was facilitated by local community members with supervision by mental health professionals. METHODS: This study utilized a mixed-explanatory sequential design (a quantitative phase deriving in a qualitative phase) with 39 participants and 8 staff members. Participants completed quantitative interviews before and after an eight-week group intervention. A subset of 17 participants also completed in-depth qualitative interviews and a focus group discussion was conducted with staff at post-intervention. RESULTS: From pre- to post-intervention, participants in all modalities demonstrated improved wellbeing and reduced symptoms of generalized distress, anxiety, depression, and posttraumatic stress. Use of coping skills varied across modalities, with remote groups associated with a decrease in some forms of coping, including use of social support. In qualitative interviews and the focus group discussion, participants and staff described logistical challenges and successes, as well as facilitators of change such as problem resolution, emotional regulation and social support with variations across modalities, such that remote groups provided fewer opportunities for social support and cohesion. CONCLUSIONS: Results offer preliminary evidence that this model can address psychosocial difficulties across the three modalities, while also identifying potential risks and challenges, therefore providing useful guidance for service delivery in conflict-affected settings during the COVID-19 pandemic and other challenging contexts. Implications of this study for subsequent implementation of a Randomized Control Trial (RCT) are discussed.

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BACKGROUND: Early childhood development is highly dependent on the sensitive care provided by caregivers, and interventions focused on supporting parents to improve their sensitivity have shown to be effective. The COVID-19 pandemic has had a significant impact on mental health, with pregnant women and mothers of infants being an especially vulnerable group and maternal sensitivity particularly affected. However, access to face-to-face interventions is restricted; thus, it is important to have remote interventions to support this group of mothers. OBJECTIVE: The objective of this study is to evaluate the feasibility and acceptability of C@nnected, a group videoconferencing intervention to improve maternal sensitivity aimed at mother-infant dyads attending primary health care centers in vulnerable areas of Santiago, Chile. METHODS: This is a randomized feasibility single-masked (outcome assessor) study with a qualitative component. It will involve a block randomization procedure to generate a 3:2 allocation ratio (with more people allocated to the intervention arm). The intervention consists of 4 group videoconferencing sessions adapted from a face-to-face intervention with proven effectiveness. The control group will receive treatment as usual, along with educational brochures. The feasibility and acceptability of this study will be quantitatively and qualitatively assessed. Changes in clinical outcomes relating to maternal sensitivity, depressive symptoms, postpartum maternal attachment, and infant socioemotional development will also be evaluated. RESULTS: We finished adapting the face-to-face intervention to the videoconferencing format in July 2021. The study began recruitment in August 2021, and enrollment is expected to end in August 2022, with final study results expected in December 2022. CONCLUSIONS: This study will contribute evidence for the use of eHealth interventions to promote maternal sensitivity. It will also inform the design and implementation of a future randomized clinical trial. TRIAL REGISTRATION: ClinicalTrials.gov NCT04904861; https://clinicaltrials.gov/ct2/show/NCT04904861. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/35881.

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Adolescence is a period of transition, marked by physical, cognitive, and psychosocial transformations, therefore, the development of health-promoting elements for these individuals is important. The objective of this paper is to carry out an integrative review based on the guiding question: "what characteristics of group health promotion programs are aimed at adolescents?", between 2008 and 2018. Searches were carried out in the SciELO, LILACS, PubMed, and PsycInfo databases, in the month of July 2018, using the keywords "teenager", "mental health", "health promotion", "group", and "program". As a result, 17 articles were included, presenting interventions based on different specific theoretical approaches and themes, with a predominance of social and life skills. Weekly meetings and programs lasting at least seven sessions in a school environment and without the participation of parents or guardians predominated

A adolescência é um período de transição marcado por transformações físicas, cognitivas e psicossociais, sendo importante o investimento em elementos de promoção de saúde para esses indivíduos. O objetivo deste trabalho consiste em uma revisão integrativa de literatura pautada na questão norteadora "Quais são as características dos programas de promoção de saúde em grupo voltados para adolescentes?", abrangendo o período de 2008 a 2018. Foram realizadas buscas nas bases de dados SciELO, LILACS, PubMed e PsycInfo, durante o mês de julho de 2018, utilizando as palavras "adolescente", "saúde mental", "promoção de saúde", "grupo" e "programa". Como resultados, incluíram-se 17 artigos que apresentavam intervenções pautadas em diferentes abordagens teóricas e temáticas específicas, predominando a presença de habilidades sociais e para a vida. Ainda, evidenciou-se uma maioria de encontros semanais e programas de duração de pelo menos sete sessões, em ambiente escolar, sem a participação dos pais ou responsáveis.

La adolescencia es un período marcado por transformaciones físicas, cognitivas y psicosociales, y la inversión en elementos de promoción de la salud es importante. Este trabajo consiste en una revisión integral de la literatura basada en la pregunta guía "¿Cuáles son las características de los programas de promoción de la salud en grupo para adolescentes?", que abarca el período comprendido entre 2008 y 2018. Se realizaron búsquedas en las bases de datos SciELO, LILACS, PubMed y PsycInfo, durante el mes de julio de 2018, utilizando las palabras "adolescente", "salud mental", "promoción de la salud", "grupo" y "programa". Como resultado, se incluyeron 17 artículos que presentan intervenciones basadas en diferentes enfoques teóricos y temáticos específicos, con predominio de las habilidades sociales y de la vida. Aún así, hubo un predominio de reuniones semanales y programas que duraron al menos siete sesiones, en un entorno escolar, sin la participación de los padres o tutores.

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A Insuficiência Cardíaca (IC) é definida como uma incapacidade do coração de manter o bombeamento cardíaco adequado. A doença traz consequências como mudanças na rotina para adaptação, o que pode gerar isolamento social nos portadores. O artigo descreveu o suporte social percebido pelos pacientes com IC. Trata-se de um estudo qualitativo exploratório-descritivo, com 12 participantes com idades entre 65 e 80 anos, integrantes de Programa de Reabilitação Cardiorrespiratória, atendidos por equipe multidisciplinar. Foram aplicadas a Escala de Satisfação com Suporte Social (ESSS) e uma entrevista semiestruturada. Os participantes apresentaram resultados variados de 75, próximo do máximo até 29 pontos na ESSS. Quanto às percepções, relataram receber apoio emocional pela maior parte da família e apresentaram cuidado em termos de saúde física. Alguns mencionaram dificuldade nas relações sociais devido à IC. A partir dessa pesquisa, intervenções específicas para esse público podem ser melhor delineadas, assim como novos estudos com população maior (AU).

Heart Failure (HF) is defined as an inability of the heart to maintain adequate cardiac output. The disease leads patients to consequences such as changes in adaptation routine, which might lead to social isolation. The aim of the study is to describe the social support perceived by patients with HF. This is a qualitative exploratory and descriptive study, with 12 participants aged between 65 and 80 years old, member of a Cardiorespiratory Rehabilitation Program, assisted by a multidisciplinary team. The Social Support Satisfaction Scale (ESSS) and a semistructured interview were applied. Participants had scores ranging from 75, close do the maximum to 29 points on the ESSS. The patients' perceptions reported emotional support received by their families, and they showed care regarding their physical health. Some mentioned difficulties in social relations due to HF. Considering this research, specific interventions for this audience can be better designed, as well as other studies with a larger population (AU).

La insuficiencia cardíaca (IC) se define como la incapacidad del corazón para mantener un bombeo cardíaco adecuado. La enfermedad trae consecuencias como cambios en la rutina, lo que puede generar aislamiento social. El objetivo del estudio fue describir el apoyo social percibido por los pacientes portadores de la IC. Es un estudio cualitativo, exploratorio descriptivo, en el que participaron 12 participantes de entre 65 y 80 años, integrantes del Programa de Rehabilitación Cardiorrespiratoria, atendidos por un equipo multidisciplinario. Se aplicó la Escala de Evaluación de Apoyo Social (ESSS) y una entrevista semiestructurada. Los participantes tuvieron resultados variados desde 75, cerca del máximo a 29 puntos en la ESSS. En cuanto a las percepciones ellos reportaron el apoyo emocional en gran parte por la familia y presentando atención en términos de salud física. Algunos mencionaron dificultades en las relaciones sociales debido a la IC. Con base em esta investigación, se pueden diseñar mejores intervenciones específicas para esta audiencia, así como nuevos estudios con una población más grande (AU).

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The Substance Use Disorder (SUD) alters the patient's social, family and working performance significantly, together with mental and physical health. The Dispositivo Pavlovsky (DP) is an outpatient and intensive treatment modality for users/ clients that do not require an inpatient facility but do need a more intensive approach than traditional/classic outpatient treatment. The DP has a battery of therapeutic proposals protocolized within a pre-established framework and adapted to the patient's needs. Given the intensity of treatment, it provides a better psychical support and promotes abstinence among the users/clients, who, because of their pathology, present common features of ambivalence towards suspending the consumption of the problematic substance. Overall, the therapeutic proposal is characterized by offering and promoting the use of tools and strategies for the daily life, such as intensive Group Therapy Setting, Individual Therapy, Psychiatric Consultation, Toxicology consultation, attendance to workshops, creating a participatory network, that provides a group setting support oriented towards psychoeducation, and accompaniment of the patience. The DP has interdisciplinary teams with diverse theoretical frameworks. These professionals keep a fluid communication, with formal exchange settings, intervening in the directionality of the treatment in general and delving deep in each particular case.

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A psicossomática busca compreensão dos sintomas físicos de origem psíquica e a intervenção psicológica grupal surge como ferramenta possibilitando espaço para a reflexão em grupo acerca deste adoecimento. Este estudo objetiva levantar produções científicas que integram a psicologia grupal e a psicossomática. Utilizou-se como metodologia a revisão integrativa, no período de 2011 a 2016, por meio de base de dados eletrônicas, os periódicos da CAPES, Scielo, Pepsic e LILACS. Utilizados os descritores: grupos e psicossomática como filtros. Dentre os resultados notou-se a carência de produções científicas entre os descritores no tocante a serviços na área da saúde. Verificou-se também que pesquisas nesta área estão voltadas para orientação diagnóstica, sem efetivo interesse na promoção de saúde e no empoderamento do usuário.

The psychosomatic seeks understanding of physical symptoms of psychic origin and the group psychological intervention appears as a tool allowing space for group reflection about this illness. This study aims make a survey of the scientific productions that integrate group and psychosomatic psychology. Used the integrative review from 2011 to 2016 through the electronic database the CAPES, Scielo, Pepsic and LILACS scientific journals. Used the descriptors: groups and psychosomatic as research filters. Among the results it was observed the lack of scientific productions between the descriptors in relation to the health área. It was also verified that researchs in this area are geared towards diagnostic orientation without an effective interest in health promotion and in user empowerment.

La psicosomática busca la comprensión de los síntomas físicos de origen psíquico y la intervención psicológica grupal surge como herramienta posibilitando espacio para la reflexión en grupo acerca de este enfermo. Este estudio objetiva levantar producciones científicas que integran la psicología grupal y la psicosomática. Se utilizó como metodología la revisión integrativa, en el período de 2011 a 2016, por medio de base de datos electrónicos, los periódicos de CAPES, Scielo, Pepsic y LILACS.Utilizados los descriptores: grupos y psicosomática como filtros. Entre los resultados se notó la carencia de producciones científicas entre los descriptores en cuanto a servicios en el área de la salud.Se verificó también que investigaciones en esta área están orientadas hacia orientación diagnóstica, sin efectivo interés en la promoción de la salud y en el empoderamiento del usuario.

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Objective: To adapt the Active Communication Education (ACE) programme into Spanish. In addition, this study aimed at determining the effects of the adapted ACE programme on the social/emotional impacts of hearing loss and hearing functioning in a group of older adults with hearing loss who do not wear hearing aids.Design: This was an exploratory cohort study. Study group participants received the newly adapted ACE programme and control group participants received a cognitive stimulation programme. The Shortened Hearing Handicap Inventory for the Elderly in Spanish (HHIE-S) and the Spanish version of the Amsterdam Inventory for Auditory Disability and Handicap (S-AIADH) were carried out before and after each programme.Study sample: Sixty-six older adults with hearing loss and who did not wear hearing aids were randomly assigned to either an ACE group (n = 30) or a cognitive stimulation group (n = 36).Results: Participants who received the ACE programme showed a significantly larger improvement for the S-AIADH than did the cognitive stimulation group participants.Conclusions: The ACE programme has been adapted into Spanish for use with Chilean older adults with hearing loss. The results show that older adults report better functioning in listening situations after attending the sessions of the adapted ACE programme.

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To compare the effectiveness of two Cognitive-Behavioral Therapy (CBT) interventions-an individual and a group intervention-in Social Anxiety Disorder therapy. We compared the two treatment groups against a waitlist condition in a randomized clinical trial with 86 young adults. The individual CBT intervention was Trial-Based Cognitive Therapy (TBCT) developed by De-Oliveira, a novel technique in which the therapist engages the patient in a simulated judicial trial with the goal of identifying and changing core dysfunctional beliefs. The group intervention consisted of exposition therapy based on the Hofmann and Otto protocol (Group CBT) to restructure negative and dysfunctional cognitions regarding social situations. Both interventions reduced psychiatric symptoms from pre- to post-test and primary social anxiety and depression symptoms relative to waitlist controls. The interventions were recently introduced in Brazil, and this is the first randomized control trial to compare TBCT and this Group CBT, which were effective in assessing changes in social anxiety symptoms as well as co-occurring psychiatric symptoms.

Comparar la efectividad de dos intervenciones de Terapia Cognitivo-Conductual (TCC)-intervención individual y grupal- en tratamiento del Trastorno de ansiedad social. Comparamos los dos grupos de tratamiento con una condición de lista de espera en un ensayo clínico aleatorizado con 86 adultos jóvenes. La intervención individual de TCC fue la Terapia Cognitiva Basada en Ensayos (TCBE) desarrollada por De-Oliveira, una técnica novedosa en la cual el terapeuta involucra al paciente en un juicio judicial simulado con el objetivo de identificar y cambiar las creencias disfuncionales centrales. La intervención grupal consistió en terapia de exposición basada en el protocolo Hofmann y Otto (TCC grupal) para reestructurar cogniciones negativas y disfuncionales con respecto a situaciones sociales. Ambas intervenciones redujeron los síntomas psiquiátricos antes y después de la prueba y los síntomas de ansiedad y depresión social primarios en relación con los controles de la lista de espera. Las intervenciones se introdujeron recientemente en Brasil, y este es el primer ensayo de control aleatorizado para comparar TCBE y TCC grupal, que fueron efectivos para los cambios en los síntomas de ansiedad social y los síntomas psiquiátricos concurrentes.

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BACKGROUND: Fibromyalgia and major depression frequently co-occur. Patients with both conditions have a worse prognosis and higher disability, and their treatment options are scarce. Behavioral activation (BA) may be an especially useful intervention for these patients, as it targets mechanisms of action that seem to be common to both disorders. Nevertheless, its efficacy has not been examined in people with both conditions. We describe the design and rationale of a randomized clinical trial aimed to evaluate the efficacy of adding BA (applied in groups) to usual care in order to reduce the severity of depressive symptoms (primary outcome) among Chilean women with fibromyalgia and major depression (N = 90). Pain intensity, fibromyalgia impact, pain catastrophizing and hypervigilance, physical health symptoms, environmental reward, and BA will be evaluated as secondary outcomes. METHODS: Women will be randomized to an experimental arm (n = 45) which will receive usual care (UC) for fibromyalgia with comorbid depression plus BA; and a comparison arm, which will receive only UC for fibromyalgia with comorbid depression (n = 45). Outcome assessment will take place at four time points: (1) at baseline, (2) when the experimental arm is under treatment (between sessions 6 and 7), (3) immediately after the experimental arm complete the treatment, and (4) at a 3-month follow-up. The following instruments will be used: Chilean version of the Patient Health Questionnaire-9 (PHQ-9), Composed Pain Intensity Index, Fibromyalgia Impact Questionnaire Revised (FIQ-R), Pain Catastrophizing Scale (PCS), Pain Vigilance and Awareness Questionnaire (PVAQ), Patient Health Questionnaire (PHQ-15), Reward Probability Index (RPI), and the Activation subscale of the Behavioral Activation for Depression Scale (BADS). DISCUSSION: We expect that, after treatment, the group receiving BA should experience greater reductions in the primary and secondary outcomes than the group receiving only UC. These reductions should be both statistically and clinically significant and will be maintained at follow-up. This study will contribute to facilitate the integrated treatment of fibromyalgia and depression. TRIAL REGISTRATION: ClinicalTrials.gov under the name "Testing Interventions for Patients with Fibromyalgia and Depression," Identifier: NCT03207828 . Registered on 5 July 2017 (last update posted 21 September 2017).

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Resumo Objetivo: apresentar e discutir uma proposta de intervenção grupal com trabalhadores de uma indústria automobilística que apresentavam intenso sofrimento psíquico. Métodos: intervenção com métodos participativos, abrangendo 14 trabalhadores de uma mesma empresa, com queixas de adoecimento físico e mental relacionado ao trabalho. Os participantes compartilharam suas vivências cotidianas relacionadas ao trabalho em um grupo de reflexão, aberto e construído coletivamente, realizado no Centro de Referência em Saúde do Trabalhador (Cerest) de Campinas (SP), ao longo de 11 encontros, durante seis meses. Para estimular a discussão acerca das experiências cotidianas relacionadas ao trabalho e seus impactos sobre a vida e a saúde dos trabalhadores, utilizaram-se estratégias metodológicas como rodas de conversa, dinâmicas e materialidades mediadoras, como filmes, textos e imagens. Resultados: as intervenções no grupo de reflexão geraram discussões sobre temas como trabalho no capitalismo, culpabilização dos trabalhadores pelo adoecimento, suas histórias e seus novos projetos de vida, e a importância da união e da solidariedade entre eles. Conclusão: o grupo auxiliou no desenvolvimento de reflexões críticas pelos trabalhadores, fazendo-os se sentir menos culpados, mais fortalecidos, unidos, solidários entre si e mais ativos na busca por transformação das condições e da organização do trabalho.

Abstract Objective: to present and discuss a group intervention proposal involving workers from a car industry who were experiencing intense psychical suffering. Methods: participative intervention with 14 workers employed in the same company who complained about physical and mental work related illnesses. The participants shared their work-related daily experiences in an open and collectively built discussion group; 11 meetings were held for six months at the Occupational Health Reference Center (Cerest) of Campinas, SP, Brazil. Methodological strategies, such as conversation circles, dynamics and mediating materialities (films, texts and images), were adopted to stimulate the discussion on daily work-related experiences and their impacts on workers' life and health. Results: the interventions in the discussion groups instigated discussions on topics such as work under capitalism, workers' culpability regarding their illnesses, their stories and new life projects, and the importance of their union and solidarity. Conclusion: the group helped the workers to develop critical reflections, to feel less guilty, stronger, more united and solidary with each other, as well as more active in their search for changing work conditions and organization.

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O objetivo do estudo foi avaliar a eficácia de uma intervenção em grupo com crianças para promover habilidades sociais infantis e reduzir problemas de comportamento. Os participantes foram sete crianças: duas meninas e cinco meninos, com idades entre 7 e 9 anos, que frequentavam o segundo ano do ensino fundamental. Foram diagnosticados como clínicas para problemas de comportamento, através dos instrumentos CBCL e TRF respondidos por pais e professores respectivamente, antes e após a intervenção, em quatro fases: linha de base; pré-teste; pós-teste e seguimento, como medida de resultado. A intervenção constou de oito sessões em que foram ensinadas habilidades sociais. Como medida de processo foram analisadas as filmagens de todas as sessões, organizadas em iniciais, intermediárias e finais. Os problemas de comportamento mantiveram-se em baixa frequência, durante toda a intervenção, e as habilidades aumentaram de frequência. A partir do CBCL e TRF pode-se verificar diferença estatística significativa quanto aos comportamentos externalizantes nas medidas de pré e pós-teste. O procedimento foi capaz de ensinar habilidades sociais que mudaram estatisticamente quando comparadas as fases inicial-intermediária e intermediária-final. (AU)

The objective of the study was to evaluate the effectiveness of a group intervention with children to promote children's social skills and reduce behavior problems. Participants were seven children (two girls and five boys, aged between 7 and 9 years) attending the second year of elementary school and were diagnosed as clinical tools for the CBCL behavior problems and TRF answered by parents and teachers respectively, before and after the intervention, in four phases (baseline, pre-test, post-test and monitoring), as a result measure. The intervention consisted of eight sessions in which social skills were taught. As process as the recordings were analyzed for all sessions, organized in the early, intermediate and final. Behavior problems remained at low frequency throughout the intervention From the CBCL and TRF can be verified statistically significant difference in the externalizing behaviors when compared stages of pre and post-test. The procedure was able to teach social skills that have changed statistically compared the initial-intermediate and intermediate-final stage. (AU)

El objetivo del estudio fue evaluar la eficacia de una intervención grupal con los niños para promover las habilidades sociales de los niños y reducir los problemas de comportamiento. Los participantes fueron siete hijos (dos niñas y cinco niños, de edades comprendidas entre los 7 y 9 años) que asisten al segundo año de la escuela primaria y se diagnosticaron como herramientas clínicas para los problemas de conducta CBCL y TRF respondidas por los padres y maestros, respectivamente, antes de y después de la intervención, en cuatro fases (línea de base, antes de la prueba, después de la prueba y monitoreo), como medida de resultado. La intervención consistió en ocho sesiones en las que se enseñan habilidades sociales. Como proceso, se analizaron las grabaciones de todas las sesiones, organizadas en el temprano, intermedio y final. Los problemas de conducta se mantuvieron en baja frecuencia a lo largo de la intervención Desde el CBCL y TRF puede verificarse diferencias estadísticamente significativas en las conductas de externalización en comparación etapas de pre y post-test. El procedimiento fue capaz de enseñar habilidades sociales que han cambiado en comparación estadísticamente la etapa inicial intermedia e intermedia final. (AU)

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La sintomatología depresiva es frecuente en el embarazo y repercute en el posparto y en el vínculo madre-bebé. Se reportan los resultados de una intervención grupal de 5 sesiones para reducir la sintomatología depresiva y promover una adecuada sensibilidad materna. Participaron 134 embarazadas con antecedentes de depresión (grupo experimental = 88 y grupo control = 46). Se evaluó sintomatología depresiva (Inventario para la Depresión de Beck), resolución de problemas sociales (Inventario de Resolución de Problemas Sociales Abreviado), sensibilidad materna, cooperatividad infantil y riesgo vincular (Índice Experimental de Relación Niño-Adulto) en ambos grupos. Se observó una reducción significativa de la sintomatología depresiva, así como un incremento de las habilidades para la resolución de problemas sociales en el grupo intervenido. Este grupo muestra también puntajes significativamente mayores en sensibilidad materna y cooperatividad infantil, así como menores frecuencias de riesgo vincular en la evaluación postintervención. Se discute la relevancia de desarrollar estrategias de intervención durante el embarazo, considerando su impacto en la sensibilidad materna, en la calidad de las interacciones madre-bebé y en las habilidades de las madres para resolver problemas.

Depressive symptoms are frequently observed during pregnancy, and these affect the mother and her relationship with her baby during the post-partum period. Results are reported on a 5-session group intervention for reducing depressive symptoms and promoting maternal sensitivity. The participants included 134 pregnant women with a history of depression (experimental group = 46 and control group = 88). Depressive symptoms (Beck Depression Inventory), social problem-solving strategies (Social Problem-Solving Inventory-Revised), maternal sensitivity, infant cooperativeness and bonding risk (Child-Adult Relatinoship Experimental Index) were assessed in both groups. The group intervened showed a significant reduction of depressive symptoms and an improvement of social problem-solving strategies. This group also shows significantly higher scores in maternal sensitivity, and infant cooperativeness, as well as lower frequencies of bonding risk in the post-intervention assessment. The importance of considering intervention strategies during pregnancy, including its impact on maternal sensitivity, the quality of mother-baby interactions and the problem-solving abilities of the mothers, is discussed.

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Este estudo avaliou a eficácia de uma intervenção com foco nas práticas de socialização com 13 mães e um pai de crianças entre três e seis anos, com perfil internalizante, divididos em dois grupos: intervenção e comparação. O BCL/1½-5 anos e o CBCL/6-18 anos foram utilizados para avaliar os problemas internalizantes e indicaram somente uma redução significativa nas queixas somáticas do grupo intervenção do pré para o pós-teste. Essa redução pode estar associada aos seguintes fatores: (a) aumento da previsibilidade das contingências da relação pais-criança, diminuindo seu caráter aversivo e levando à extinção respondente das respostas fisiológicas que estariam relacionadas às queixas somáticas; e (b) substituição de práticas superprotetoras e coercitivas por práticas facilitadoras do desenvolvimento socioemocional, que levaria à extinção respondente de respostas fisiológicas ligadas a emoções eliciadas pelas práticas coercitivas e superprotetoras. Discutem-se as limitações da intervenção e de aspectos metodológicos comuns a estudos realizados em contexto clínico.(AU)

This study evaluated the efficacy of an intervention focused on socialization practices with 13 mothers and one father of children between three and six years with internalizing profile, divided into two groups: intervention and comparison. The CBCL/1½-5 years and CBCL/6-18 years were used for assess internalizing problems, indicating only a significant reduction in somatic complaints in the intervention group from pre to post-test. This reduction may be associated with the following factors: (a) increase of the predictability of contingencies parent-child relationship, decreasing its aversive character and leading to respondent extinction of physiological responses that are related to somatic complaints and (b) replacement of overprotective and coercive practices by facilitating socioemotional development leading to the extinction of respondent physiological responses related to emotions elicited by coercive practices and overprotection. The limitations of intervention and methodological aspects common in studies conducted in clinical settings are discussed.(AU)

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Este estudo avaliou a eficácia de uma intervenção com foco nas práticas de socialização com 13 mães e um pai de crianças entre três e seis anos, com perfil internalizante, divididos em dois grupos: intervenção e comparação. O BCL/1½-5 anos e o CBCL/6-18 anos foram utilizados para avaliar os problemas internalizantes e indicaram somente uma redução significativa nas queixas somáticas do grupo intervenção do pré para o pós-teste. Essa redução pode estar associada aos seguintes fatores: (a) aumento da previsibilidade das contingências da relação pais-criança, diminuindo seu caráter aversivo e levando à extinção respondente das respostas fisiológicas que estariam relacionadas às queixas somáticas; e (b) substituição de práticas superprotetoras e coercitivas por práticas facilitadoras do desenvolvimento socioemocional, que levaria à extinção respondente de respostas fisiológicas ligadas a emoções eliciadas pelas práticas coercitivas e superprotetoras. Discutem-se as limitações da intervenção e de aspectos metodológicos comuns a estudos realizados em contexto clínico.

This study evaluated the efficacy of an intervention focused on socialization practices with 13 mothers and one father of children between three and six years with internalizing profile, divided into two groups: intervention and comparison. The CBCL/1½-5 years and CBCL/6-18 years were used for assess internalizing problems, indicating only a significant reduction in somatic complaints in the intervention group from pre to post-test. This reduction may be associated with the following factors: (a) increase of the predictability of contingencies parent-child relationship, decreasing its aversive character and leading to respondent extinction of physiological responses that are related to somatic complaints and (b) replacement of overprotective and coercive practices by facilitating socioemotional development leading to the extinction of respondent physiological responses related to emotions elicited by coercive practices and overprotection. The limitations of intervention and methodological aspects common in studies conducted in clinical settings are discussed.

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O objetivo desta pesquisa foi verificar a presença de estresse em pessoas com queixa de zumbido e o efeito do relaxamento progressivo na percepção do zumbido e no estresse. O estresse foi avaliado em 50 pacientes, e a intervenção ocorreu com 12 participantes da amostra. Utilizaram-se a entrevista de anamnese, o inventário de sintomas de stress e o relaxamento progressivo. Os resultados demonstraram que o zumbido influencia a vida dos pacientes em aspectos físicos e emocionais. A intervenção com o relaxamento progressivo revelou respostas satisfatórias como alterações na percepção do zumbido e nos sintomas de estresse. A intervenção psicológica contribuiu para o controle dos pacientes em relação ao convívio com o zumbido, conduzindo-os ao aprendizado de estratégias de enfrentamento ao sintoma e ao estresse.

The aim of this study was verify the stress on people with tinnitus and the effect of progressive relaxation to modify the perception of tinnitus and reduce the stress. The stress was tested in 50 patients and the intervention was done with 12 people in the sample. In this interview was used the history, symptom inventory stress and progressive relaxation. The results demonstrate that the tinnitus affects the patient’s life in physical and emotional aspects. The intervention with the progressive relaxation showed satisfactory answers such as modification in the perception of tinnitus and stress symptoms. The psychological intervention contributed with how the patients will deal with tinnitus, leading them to learning strategies and coping with the stress and the symptoms.

El objetivo de esta investigación fue verificar la presencia de estrés de personas con queja de zumbido y el efecto del relajamiento progresivo con su reducción. El estrés fue evaluado en 50 pacientes y la intervención se llevó a cabo con 12 participantes en la muestra. Se utilizó la entrevista de anamnesis, el inventario de síntomas de estrés y el relajamiento progresivo. Los resultados mostraron que el zumbido afecta a las vidas de los pacientes en aspectos físicos y emocionales. La intervención con el relajamiento progresivo reveló respuestas satisfactorias como cambios en la percepción del zumbido y en los síntomas de estrés. La intervención psicológica contribuyó en el control de los pacientes en comparación con la convivencia con el zumbido, lo que lleva al aprendizaje de estrategias de enfrentamiento del síntoma y del estrés.

RESUMO

Introduction: In adolescence, concepts such as identity, body image, self esteem, are put to the test in social interactions, and the sense of group belonging is of utmost relevance. Objective: To describe changes in mood, school performance, social interactions, communication with teachers and family, in six adolescents with disability, at risk for school desertion, as a result of a therapeutic group intervention in the school environment. Methodology: A therapeutic group intervention in the school environment was performed, with a one year follow-up, with six adolescents whom attended the Work Unit at the Teletón Rehabilitation Institute, in Santiago, during the year 2010. Patients went through a previous brief psychological intervention, based on past and present biographic introspective analysis, signifying their identity and life story. Results: Improvements in school performance, depressive and anxious mood, communication to peers and teachers were observed. While responding directly to the patient’s initial consultation motive, the intervention had a positive impact on psychosocial well- being, and thus enhanced inclusion. Conclusion: Therapeutic group intervention in the school environment for adolescents with disability results in improvements in several psychosocial well-being indicators.

Introducción: En la adolescencia, conceptos como identidad, imagen corporal, autoestima, se ponen a prueba socialmente y el sentido de pertenencia al grupo cobra relevancia significativa. Objetivo: Describir cambios en el estado anímico, desempeño escolar, interacción con pares, comunicación con profesores y familias de seis adolescentes en condición de discapacidad y en riesgo de deserción escolar como resultado de intervención terapéutica grupal en ambiente escolar. Metodología: Intervención terapéutica grupal en el contexto escolar con seguimiento de un año, en seis adolescentes que asistieron a la unidad laboral del Instituto Teletón de Santiago, durante el año 2010. Previamente se realiza intervención psicológica individual breve, con base en el análisis introspectivo sobre el pasado y presente biográfico, significando la identidad y la historia vital. Resultados: Se observa mejoría en el rendimiento escolar, en el estado de ánimo depresivo y ansioso, en la comunicación con pares y profesores, impactando positivamente en el bienestar psicosocial, favoreciendo directamente los procesos inclusivos, respondiendo asía las necesidades del motivo de consulta inicial. Conclusiones: La intervención terapéutica grupal del entorno educativo de adolescentes en condición de discapacidad, resulta en mejoras del desempeño de éste en diversas áreas.

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RESUMO

A atuação profissional voltada para crianças com problemas de origem orgânica, com prognóstico desfavorável, merece reflexão, por sua relação com o desenvolvimento psicológico da criança. Foi realizado o estudo de caso de uma criança com diagnósticos de problemas orgânicos e queixas de comportamentos agressivos e competitivos. Analisou-se sua participação, durante três anos, em projeto de intervenção em grupo, com foco em seus modos de participação e interações com parceiros. Foram identificadas competências e modalidades cooperativas de participação, que se tornaram mais diversificadas e complexas ao longo do período de observação. O estudo permitiu uma ampliação do olhar para as possibilidades e dificuldades da criança, sugerindo análises mais abrangentes do desenvolvimento de crianças com múltiplas queixas.

Professional practice directed to children with organic problems and unfavorable prognosis deserves attention since it is directly related to the psychological development of the child. It is presented the case study of a child with diagnoses of organic problems and behavioral complaints characterized as aggressive and competitive. It was analyzed the participation of the child, during three years, in a project of intervention in groups, with focus on modes of participation and peer interaction. The analysis allowed the identification of competencies and cooperative modalities of participation, which became more diversified and complex during the period of observation. With this study, it was possible to take a wider perspective of the possibilities and difficulties of the child, suggesting the need of broader analyses of the development of children with multiple developmental complaints.

Assuntos

RESUMO

A atuação profissional voltada para crianças com problemas de origem orgânica, com prognóstico desfavorável, merece reflexão, por sua relação com o desenvolvimento psicológico da criança. Foi realizado o estudo de caso de uma criança com diagnósticos de problemas orgânicos e queixas de comportamentos agressivos e competitivos. Analisou-se sua participação, durante três anos, em projeto de intervenção em grupo, com foco em seus modos de participação e interações com parceiros. Foram identificadas competências e modalidades cooperativas de participação, que se tornaram mais diversificadas e complexas ao longo do período de observação. O estudo permitiu uma ampliação do olhar para as possibilidades e dificuldades da criança, sugerindo análises mais abrangentes do desenvolvimento de crianças com múltiplas queixas.(AU)

Professional practice directed to children with organic problems and unfavorable prognosis deserves attention since it is directly related to the psychological development of the child. It is presented the case study of a child with diagnoses of organic problems and behavioral complaints characterized as aggressive and competitive. It was analyzed the participation of the child, during three years, in a project of intervention in groups, with focus on modes of participation and peer interaction. The analysis allowed the identification of competencies and cooperative modalities of participation, which became more diversified and complex during the period of observation. With this study, it was possible to take a wider perspective of the possibilities and difficulties of the child, suggesting the need of broader analyses of the development of children with multiple developmental complaints.(AU)

Assuntos

RESUMO

Nos últimos anos tem se observado um aumento de vários dos critérios ligados a Síndrome Metabólica (SM), tais como aumento da hipertensão arterial, obesidade e diabetes. Um dos tratamentos mais indicados para SM é a mudança de estilo de vida (prática de exercício físico e a dieta balanceada), a qual não é facilmente alcançada. Diante disso, o papel do psicólogo pode ser essencial ao trabalhar a motivação para mudança através do Modelo Transteórico de Mudança (MTT). Esse artigo tem como objetivo realizar um relato de experiência de dois grupos que foram submetidos à intervenção grupal baseada no MTT, junto a uma equipe interdisciplinar. Essa intervenção fazia parte do Programa de Mudança de Estilo de Vida para Risco Cardiovascular, teve duração de 6 meses, e contou com voluntários homens e mulheres entre 30 e 59 anos com diagnóstico de SM. A partir de todo o relato, fica evidente que uma intervenção interdisciplinar em busca de resultados quanto à mudança de estilo de vida em pacientes com SM é um método promissor de tratamento e prevenção. Observou-se que a adesão a estilo de vida mais saudável se configura uma mudança complexa, pois abrange uma vasta gama de comportamentos arraigados e relacionados a valores culturais, pessoais e familiares

Over the past year has seen an increase of several criteria linked to metabolic syndrome (MS), such as increased blood pressure, obesity and diabetes. One of the most suitable treatments for MS is the change in lifestyle (physical exercise and balanced diet), which is not easily achieved. Thus, the role of the psychologist may be essential to reinforce motivation to change by the Transtheoretical Model of Change (TTM). This article aims to achieve an experience of two groups that were subjected to an intervention group based on TTM, along with an interdisciplinary team. This intervention was part of the Program for Lifestyle Change to Cardiovascular Risk, lasted six months, and included men and women volunteers between 30 and 59 years diagnosed with MS. From all reports, it is evident that an interdisciplinary intervention in search results on the change of life style and in patients with MS is a promising method for treatment and prevention. It was observed that adherence to healthier lifestyle is shaped a complex change as it covers a wide range of ingrained behaviors and values related to cultural, personal and family

RESUMO

O artigo trata da avaliação preliminar da eficácia do Pais por Inteiro (PApi), uma intervenção em grupo com pais divorciados, implementada com a finalidade de melhorar a adaptação ao divórcio, a coparentalidade e a binuclearidade familiar. Os participantes (n= 16) foram equitativamente distribuídos em um grupo experimental (sujeito a intervenção) e um grupo de controlo. Os grupos mostraram-se semelhantes nas medidas dependentes pré-intervenção. Os resultados evidenciaram uma melhoria entre o pré e pós-teste no ajustamento ao divórcio e na qualidade da coparentalidade no grupo experimental, e uma melhoria no pós-teste no ajustamento também no grupo experimental. Estas melhorias não existiram no grupo de controlo. Estes resultados sugerem a eficácia do PApi em termos do melhor ajustamento pósdivórcio e coparentalidade.(AU)

The article deals with the preliminary evaluation of the efficacy of a group intervention program composed by divorced parents, named Pais Por Inteiro (PApi), which was implemented with the aim of improving adjustment to divorce, coparenting relationship and family binuclearity. Participants (n = 16) were equally distributed in an experimental group (subject to intervention) and a control group. Groups were similar in pre-intervention dependent measures. The results showed an improvement between preand post-test in adjustment to divorce and coparental quality in the experimental group, and an improvement in post-test in adjustment in the experimental group. Those improvements did not exist in the control group. The results suggest the efficacy of PApi in terms of better post-divorce adjustment and coparental relations.(AU)

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