Intervención psicológica grupal, basada en la aceptación y el entrenamiento en comunicación, con familiares de personas con trastorno mental grave

Abstract

The effectiveness of a group intervention program to reduce psychological problems in relatives living with patients with severe mental disorders was evaluated. Attended eight mothers and one father whose adult children were receiving treatment in a Mental Health Day Hospital. They followed the Beck Anxiety Inventory, the Beck Depression Inventory-II, the Perceived Stress Scale, the SF-36 Health Survey, the Coping Strategies Inventory, and the Assertiveness Inventory. They attended 20 sessions of group psychological acceptance and development of skills-based treatment. Following the completion of the program, the level of depression in the parents decreased significantly, assertive conduct increased, as did the use of coping strategies aimed at the solution of problems. The relatives rated the program as useful, applied what they have learned to their daily lives, decreased the levels of psychological discomfort, and the majority applied what they have learned to what they value most. Concluding the program was successful in decreasing depression among patients’ relatives and in increasing their adaptive coping skills. Nevertheless, more studies are needed in order to overcome some limitations such as the size of the cohort and the lack of a control group.

Family Intervention in Severe Mental Disorder: An Online Intervention Format in Psychosocial Rehabilitation Centers

“… Integrate into the new format, strategies to support families not only as relatives of the patient, but also as individuals with other responsibilities and tasks in their lives (Honary et al 2018 ). Integrate in the new format and in a complementary way, some strategies used in cognitive behavioural therapy and contextual therapies (Abelleira et al 2021 ; Mairal 2007 ; Biliunaite et al 2021 ; Luciano and Valdivia-Salas 2006 ; Roldán et al 2015 ; Semonella et al 2020 ; Sherifali et al 2018 ; Stjernswärd and Hansson 2018 ; Wilson and Luciano 2002 ). …”

“…Integrate in the new format and in a complementary way, some strategies used in cognitive behavioural therapy and contextual therapies (Abelleira et al 2021 ; Mairal 2007 ; Biliunaite et al 2021 ; Luciano and Valdivia-Salas 2006 ; Roldán et al 2015 ; Semonella et al 2020 ; Sherifali et al 2018 ; Stjernswärd and Hansson 2018 ; Wilson and Luciano 2002 ).…”

“…Some of the contributions and studies reviewed were particularly useful for the elaboration of this integration proposal. These include: Mairal ( 2007 ), Luciano and Valdivia-Salas ( 2006 ), Navarro et al ( 2012 ), Roldán et al, ( 2015 ) and Wilson and Luciano ( 2002 ). It was felt that the basic components identified by ACT (emotional acceptance, attention to the present moment, attention to the I-context, cognitive defusion, value-directed action, commitment making) and the therapeutic strategies used in that model could be particularly useful and integrated into MFI (face-to-face or networked) without difficulty.…”

“…These strategies have been included in some works and contributions made by the ACT model. In this respect: Wilson and Luciano ( 2002 ), Mairal ( 2007 ), Luciano and Valdivia-Salas ( 2006 ), Roldán et al ( 2015 ). In some studies, the efficacy of these strategies has been evaluated.…”

Beneficios de las intervenciones basadas en la atención plena para el tratamiento de síntomas ansiosos en niños y adolescentes: Metaanálisis

“…Pues, se ha observado que los programas de atención plena ayudan a responder más adecuadamente a aquellos estresores producidos en el contexto laboral (Kemper, Mo, y Khayat, 2015), además de reducir los niveles de ansiedad (Strawn et al, 2016) y prevenir el síndrome de burnout (Virgili, 2015). En definitiva, los programas de intervención reducen de manera notable los síntomas depresivos, favorecen el uso de estrategias de afrontamiento encaminadas a la resolución eficaz de problemas, permiten la mejora del estado de salud psicofísica, además de favorecer la respuesta de conductas asertivas ante las diversas situaciones vivenciales (Roldán et al, 2015). En este sentido, aquellas personas que practican mindfulness aprenden a ser más conscientes de sus pensamientos (López-González et al, 2018;Rawlett, Friedmann, y Thomas, 2019), así como de sus sentimientos y sensaciones corporales a medida que avanza la intervención (Duarte y Pingo-Gouveia, 2016), mostrando consigo un mayor bienestar (Barrera-Herrera et al, 2019) y una mejora en lo que respecta a su calidad de vida (Giménez y Tortosa, 2018).…”