Abstract. In all group therapeutic processes, there are interacting and interdependent mechanisms and changing conditions: the therapeutic factors (Corsini & Rosenberg, 1955;Yalom, 1995). These factors are intrinsic to the therapeutic process and unrelated to the type of group (Rorhbaugh & Bartels, 1975). The present study examines the factor structure of the questionnaire Factors Aspecific and Specific in the Group Therapy (FAT.A.S.-G.; Marogna, 2009), designed to investigate specific and non-specific therapeutic factors. The questionnaire was administered to 167 patients involved in a shortterm psychotherapy group. The factor analysis identified two main dimensions: interdependence and the group as Object-Self. The Cronbach Alpha coefficients range from .88 to .93, showing high internal consistency between items.
Research on heart disease have found a strong and consistent evidence of association between some psychosocial risk factors, including depression, anxiety, self-efficacy, lack of social support and outcome of disease. Depression increases the risk of cardiac death and is highly predictive of reduced adherence to recommended treatments; anxiety appears to be linked to adverse cardiac outcomes. It was demonstrated that Cardiac Rehabilitation (CR) leads to substantial improvements and positive outcomes because combines the prescription of physical activity with the modification of risk factors and aims to reduce symptoms related to the disease and the risk of new cardiovascular events. The main objective of this study is to determine if a short and intense CR program can produce a positive impact on anxious and depressive symptoms revealed in cardiac patients, confirming results of previous researches. The protocol was proposed to all patients referred for an outpatient CR after an acute event who attended the short 2-week intensive rehabilitation program. A total of 157 patients recruited at the operating unit of Cardiology, in the Hospital of Cittadella (Italy), was included in the analysis. The Beck Depression Inventory-II and the State-Trait Anxiety Inventory-Y were administered to the patients. SPSS 17.0 was used for statistical analysis. T-tests for paired samples were used to evaluate differences between the beginning and the end of the CR program. There was a statistically significant difference between the beginning and the end of the CR program. Results for paired samples showed significant differences in all factors of the BDI-II and in the total score. In addition, a statistically significant difference was found even in the state - anxiety subscale. No significant difference was detected for the trait anxiety. According to recent studies, this research shows that the CR program has a significant impact on levels of anxiety and depression, because all activities focus their commitment on changing the patient's personal beliefs and perception of illness, promoting the exchange of information and sharing of concerns and fears, increasing the patient's resilience with the aim of enabling him/her to reorganize positively his/her personal, family and professional sphere.
Cardiac rehabilitation is the sum of psychological, physical and social treatments that are offered to cardiac patients to maintain or regain an active position in society. This study wants to evaluate changes in the perception of the illness and in the self-efficacy of the management of positive and negative emotions in patients who went through cardiac rehabilitation. Sixty-seven patients (20 females, 47 males) were selected within the cardiac rehabilitation unit in the Hospital of Cittadella (Italy). Illness Perception Questionnaire - revised version and the Scale for the self-efficacy of the management of positive and negative emotions were submitted at the beginning and at the end of the rehabilitation program. One-way analyses-of-variance were performed to evaluate different answers in questionnaires between pre- and post-evaluation, and to explore gender differences. A significant change was found in the perception of duration of illness, perceived as permanent and longer after the cardiac rehabilitation program. Furthermore, at the end of the cardiac rehabilitation program men perceived the illness more chronic than women, even if they are less worried and anxious. Intensive cardiac rehabilitation has a great emotional impact on cardiac patients, influencing their perception and management of the illness. Working on emotions, through psychological groups, helps patients change their beliefs by offering them a different perspective to approach the illness.
Introduction: Working with dreams in groups allows understanding of unconscious phenomena that characterize it as unity and totality. The dreamer becomes the vehicle of emotions, fantasies,and anxieties that dominate the group at a given moment, allowing them to be understood and processed (Friedman et al., 2002). Recognizing a projected theme in the group generates a change of perspective for the group, which becomes a specific psychic space (Kaës, 2001), a shared psychic field. The analysis of the shared dreams helps the understanding of the emotional concerns related to the Covid 19 and its psychological repercussions. Methods: Six matrices of social dreaming of different groups for analytical purposes were conducted during the Covid pandemic period. The sessions were transcribed and the texts were analyzed by performing a thematic analysis (Braun & Clarke, 2006) with the support of Atlas.ti software. Results: From the analysis of the results, three main themes were identified: a) “Lately I have more nightmares when I am awake than when I am asleep": Nightmares during the Covid-19 pandemic; b) “Losing one’s senses and losing the sense”: Helplessness and environmental mastery across time and space; c) Do play like a child: Recalling the child-past in the uncertain present. Discussion and conclusions: Through dreams and dream narratives we witness the evolution of group thinking through a progressive growth of the links between individuals and the common and shared field. The members of the group are thus able to identify within dreams the meanings that are useful for the entire group to process the painful experience that unites them.
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