As patologias do vazio estão cada vez mais presentes na sociedade contemporânea, sendo necessário o conhecimento das estratégias interventivas que podem ser utilizadas com os pacientes que chegam aos consultórios dos psicoterapeutas. Sendo assim, este estudo objetivou identificar quais são as patologias comumente associadas ao vazio e quais as técnicas de abordagem psicanalíticas utilizadas para o tratamento desses pacientes no Brasil. Foi realizada uma revisão integrativa por meio de consulta a três bases de dados: Biblioteca Virtual em Saúde (BVS), Scientific Eletronic Library Online (Scielo) e nos Periódicos Eletrônicos em Psicologia (Pepsic). Foram localizados inicialmente 1323 artigos, restando nove artigos após aplicação dos critérios de inclusão e exclusão. Os principais resultados sugerem que os quadros depressivos e os transtornos alimentares são associados ao vazio no Brasil. Observou-se que a literatura nacional carece de publicações que apresentem as técnicas de intervenção psicanalíticas utilizadas para o tratamento das patologias do vazio. Tais resultados são discutidos com literatura internacional que apresenta intervenções psicanalíticas para o tratamento de alguns dos quadros associados ao vazio. Recomenda-se a realização de estudos empíricos nacionais que apresentem as técnicas utilizadas na clínica do vazio.
Evidence suggests that changes in online psychotherapy adherence factors occurred during the COVID-19 pandemic. Thus, this study aimed to review the perception of patients and psychotherapists regarding factors associated with adherence to online psychotherapy during the pandemic. Thus, 18 articles remained for analysis after searches in five databases and 25 factors associated with adherence to online psychotherapy were identified. The main factors for psychotherapists were confidence in professional skills and connection stability. For the patients, basic informatics skills and finding an adequate setting to participate in sessions. Furthermore, the factors fear of contagion, tiredness and the impossibility of face-to-face meetings emerged during the pandemic. Modifications of factors associated with pre-pandemic adherence were identified and strategies to overcome barriers related to online sessions were presented and discussed. The pandemic has increased adherence to online psychotherapy, although not everyone intends to follow this modality in the post-pandemic.
Objective Evaluate the effectiveness of mobile applications developed for intervention in suicide risk in adults. Method Searches for articles were carried out in four databases (PubMed, Web of Science, Scopus and PsychINFO). For the meta-analyses, we used fixed effect modelling to assess the primary outcome. The PROSPERO register is CRD42020163876. Results After applying inclusion and exclusion criteria, six studies remained in the systematic review, of which four were eligible to the meta-analysis. There was no difference, or a little tendency in favor of control condition (usual treatment) comparing with applications. Conclusion Applications can be as effective as standard treatments in reducing suicide ideation. The results should be interpreted with caution once all studies presented at least one bias in their study design.
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