BACKGROUND: Crohn’s disease is chronic, requires prolonged treatment, affects the physical and psychosocial health of patients and may alter their routine, quality of life and well-being. Recent studies recommend monitoring the health of these patients considering physical, psychological and psychosocial aspects, because they are directly related to the disease activity. These studies highlight the relevance of patients’ emotional and behavioral conditions and suggest that the identification of the factors that influence the psychological well-being, resilience and Coping in these patients can favor the proper treatment. OBJECTIVE: To relate psychological well-being, resilience and Coping with social and clinical features of Crohn’s disease patients. METHODS: Prospective study including 104 patients with Crohn’s disease, both genders and mean age of 39 years. Standardized scales were used to assess and to relate psychological well-being, resilience and Coping with social and clinical variables. A questionnaire to characterize the sample and standardized scales in data collection (psychological well-being, resilience pillars and Coping strategies inventory - Folkman & Lazarus) were used. Descriptive analysis of data and statistics for comparison of results were performed. RESULTS: There were significant differences (P<0.05) showing better psychological well-being for male patients, those who without children, were not religious, were employed and were doing complementary activities in addition to clinical treatment. More resilience for the male gender, those who without children, were not religious, divorced, separated or widowed, that received some monthly income; who did not undergo surgery, had the first symptoms after 30 years old and who had complementary activity. There were also significant differences in the use of Coping: usually, women used more developed escape and avoidance strategies; single, married or in stable-union patients used more self-control; not religious used positive revaluation strategy; the ones who were employed showed more self-control and positive reassessment; the ones who had lower family income indicated that they used less the self-control; the ones who had higher family income used more positive re-evaluation; patients who were diagnosed with Crohn’s disease between the second decade of life showed to use mores more the positive reassessment strategy than those who were 20 years old or younger. CONCLUSION: Social aspects influenced psychological well-being, resilience and Coping in patients with Crohn’s disease more strongly than clinical aspects. It was possible to identify the profiles with better and worse psychological well-being, resilience and Coping of those who need more support, as well as to know the most used Coping strategies in the studied group.

Introduction: Crohn’s disease is a chronic illness with continuous and longstanding treatment, being these patients more vulnerable to develop psychological disorders. Objectives: Evaluating the effects of Transpersonal Brief Psychotherapy over anxiety and depression on patients with Crohn’s disease. Method: The sample was composed by 11 Crohn’s disease patients of both sexes and mean age of 40 years old. It was used the clinical method and the procedure consisted of treatment with Transpersonal Brief Psychotherapy based on the theoretical reference of the Transpersonal Integrative Approach with data collection before and after the psychotherapy. The following instruments were used: Sociodemographic Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory and the Crohn’s Disease Activity Index. In order to evaluate the results, it was applied descriptive analysis and the statistical methodology with Wilcoxon test. Results: The procedure turned out to be effective to all instruments (p<0.05) and the most significant result was to depression (-76.8%), followed by anxiety (-62%) and the disease activity (-35%). Conclusion: The Transpersonal Brief Psychotherapy has brought meaningful benefits to patients with Crohn’s disease, reducing the levels of anxiety, depression and the severity of Crohn’s disease and, consequently, it has improved their life quality.

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JCOL 122 1-6 Please cite this article in press as: Acciari AS, et al. Effects of Transpersonal Brief Psychotherapy on general state of health and life quality of patients with Crohn's disease. J Coloproctol (Rio J). 2015. http://dx.

O presente trabalho tem como objetivo ampliar a compreensão do processo de emergência espiritual, apresentar suas características, processos desencadeadores, sintomas, desafios no diagnóstico e terapêutica apropriada. Para tanto, foi utilizada pesquisa bibliográfica e metodologia fundamentada na abordagem qualitativa, o que permitiu concluir que a emergência espiritual inclui estados mentais incomuns que a psiquiatria tradicional diagnostica e trata como distúrbios mentais, mas que deveriam ser consideradas crises de transformação pessoal. Essa nova perspectiva no tratamento desses processos é essencial para o caminho de autotransformação e equilíbrio psicoespiritual.

O presente artigo tem por objetivo refletir a contribuição da educação e valores para cultura de paz. Evidencia que promover uma educação para a paz é desenvolver o valor e o respeito mútuo entre todas as pessoas. Inicialmente contextualizou-se a questão da paz e a cultura de paz, destacando o papel da ONU e da UNESCO. A seguir são apresentados fundamentos para uma educação que transcenda a aprendizagem focada apenas no conteúdo, que contemple valores superiores e o desenvolvimento do ser. E finalmente, apresenta as contribuições da abordagem transpessoal para uma educação com valores para uma cultura de paz. EDUCATION AND VALUES AS A WAY TO PEACE CULTURE The purpose of this article is to reflect the contribution of education and values to a culture of peace. Evidence that promoting peace education is to develop value and mutual respect among all people. Initially, the issue of peace and a culture of peace was highlighted, highlighting the role of the UN and UNESCO. The following are foundations for an education that transcends content-focused learning, which embraces higher values and the development of being. Finally, it presents the contributions of the transpersonal approach to an education with values for a culture of peace.

Introduction: Crohn's disease is chronic, requires prolonged treatment, affects the physical and psychosocial health of patients and may alter their routine, quality of life and well-being. Recent studies recommend monitoring the health of these patients considering physical, psychological and psychosocial aspects, because they are directly related to the disease activity. These studies highlight the relevance of patients' emotional and behavioral conditions and suggest that the identification of the factors that influence the psychological well-being, resilience and Coping in these patients can favor the proper treatment. Objective: To relate psychological well-being, resilience and Coping with social and clinical features of Crohn's disease patients. Method: Prospective study including 104 patients with Crohn's disease, both genders and mean age of 39 years. Standardized scales were used to assess and to relate psychological well-being, resilience and Coping with social and clinical variables. A questionnaire to characterize the sample and standardized scales in data collection (psychological well-being, resilience pillars and Coping strategies inventory - Folkman & Lazarus) werw used. Descriptive analysis of data and statistics for comparison of results were performed. Results: There were significant differences (p< 0.05) showing better psychological well-being for male patients, those who without children, were not religious, were employed and were doing complementary activities in addition to clinical treatment. More resilience for the male gender, those who without children, were not religious, divorced, separated or widowed, that received some monthly income; who did not undergo surgery, had the first symptoms after 30 years old and who had complementary activity. There were also significant differences in the use of Coping: usually, women used more developed escape and avoidance strategies; single, married or in stable-union patients used more self-control; not religious used positive revaluation strategy; the ones who were employed showed more self-control and positive reassessment; the ones who had lower family income indicated that they used less the self-control; the ones who had higher family income used more positive re-evaluation; patients who were diagnosed with Crohn's disease between the second decade of life showed to use mores more the positive reassessment strategy than those who were 20 years old or younger. Conclusion: Social aspects influenced psychological well-being, resilience and Coping in patients with Crohn's disease more strongly than clinical aspects. It was possible to identify the profiles with better and worse psychological well-being, resilience and Coping of those who need more support, as well as to know the most used Coping strategies in the studied group.