Avaliação de uma intervenção em grupo baseada na terapia de aceitação e compromisso para indivíduos diagnosticados com transtorno bipolar Evaluation of a group intervention based on acceptance and commitment therapy for individuals diagnosed with bipolar disorder
Resumo.A Psicologia tem oferecido contribuições para aprimorar a intervenção clínica destinada às pessoas com Transtorno Bipolar (TB). O objetivo deste artigo consistiu em realizar uma revisão da literatura acerca de intervenções em grupo realizadas no Brasil voltadas às pessoas com esse diagnóstico. Realizou-se uma busca nas bases de dados Scielo, Banco de Teses e Dissertações, PsycNet e Pubmed. Os descritores selecionados foram: Transtorno Bipolar e Intervenção; Transtorno Bipolar e Grupo; Transtorno Bipolar e Psicoeducação. Nas bases internacionais, adicionou-se o termo "Brasil" nas combinações mencionadas. Foram recuperados 8 estudos, e o principal tema abordado foi a psicoeducação (PE). A partir da análise dos estudos, identificaram-se informações pertinentes relacionadas a dois aspectos: sessões (quantidade, duração, temática abordada, profissionais responsáveis pela condução do grupo, periodicidade das sessões e do follow-up, a abordagem psicológica de referência e quais tipos de registro foram utilizados), participantes (quantidade total, o sexo e a faixa etária dos mesmos, critérios de inclusão e de exclusão e os instrumentos aplicados). Tal levantamento evidenciou a necessidade de o psicólogo identificar as demandas da população atendida e estabelecer planos de intervenção de acordo com as mesmas, auxiliando pacientes no desenvolvimento de comportamentos que permitam a atuação de modo mais eficaz frente às adversidades relacionadas ao quadro clínico em questão.
Palavras-chave:Transtorno Bipolar, Intervenção psicológica, Psicoeducação.Abstract. Psychology has offered some contribution to improve clinical intervention for people with Bipolar Disorder (BD). The objective of this article was to do an integrative bibliographical revision about group interventions done in Brazil for people with such diagnosis. There was data search on Scielo, Thesis and Dissertation Data, PsycNet and Pubmed. The following descriptors were selected: Bipolar Disorder and Intervention; Bipolar Disorder and Group; Bipolar Disorder and Psychoeducation. The word "Brazil" was added on the international data search for the combinations mentioned above. There were 8 studies recovered and the main topic addressed was Psychoeducation. From the analysis of the studies it was possible to iden-
IntroductionThe treatment of the person with alcohol dependence allows the possibility of a self-determined alcoholic abstinence and reducing the consequences associated with alcohol-related problems at a personal, family, work and social level.It is important to develop therapeutic strategies that complement the different approaches in the treatment of people with alcohol dependence, enabling them to use effective coping strategies that facilitate the maintenance of their self-determined alcohol abstinence.
In recent years, scientific evidence has emerged that justifies the adoption of mindfulness-based protocols as a complement to various treatments, both for the prevention of relapses and as a treatment enhancer.ObjectivesTo train people with alcohol dependence to use Mindfulness;To promote psychological well-being and positive emotions;To reduce anxiety;To evaluate the effectiveness of a Mindfulness-based intervention program.MethodsThe Mindfulness-based intervention program was developed with 2 groups of people hospitalized for the treatment of alcohol dependence (the institution’s treatment protocol is comprehensive and based on self-determined alcohol abstinence). The 1st G (pilot) - 6 people; 2nd G - 5 people), total of 11 participants; 4 sessions (each group), duration 45-60 minutes.The selection criteria of the participants were evaluated in an interview and defined as follows: being in the first week of the treatment program; self and allo psychic orientation; reduced to moderate anxiety (Zung Self-Assessment Anxiety Scale - EAAZ); existence of motivation for change.Participants gave informed consent.In the global assessment used instruments: Psychological General Well-being Scale for the Portuguese population (BEP); Short Version of the Portuguese Scale of Positive and Negative Affect (PANAS-VRP) in the first session (before intervention). In the last session (after the intervention), in addition to the BEP and the PANAS-VRP, the EAAZ was also used.At the end of each session, an evaluation was carried out using a grid built for this purpose.Results
As for the general psychological well-being, the BEP, only one participant (pilot group) had a final score lower than the initial one.With regard to PANAS-VRP, in both groups, there was an increase in positive affection and a reduction in negative affection at the end of program implementation.With regard to the EAAZ, 7 participants showed a decrease in anxiety after the intervention.The evaluation grid of each session revealed good participation, good adhesion and positive evaluation.ConclusionsIt is concluded that after the implementation of the Mindfulness-based intervention program there was: an increase in well-being (the higher the score, the greater the state of well-being); increase in positive affection (which remained or increased); decrease in negative affection and decrease in the level of anxiety.Disclosure of InterestNone Declared
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