Abstract This study evaluated the effects in the pain and sleep, and the clinic significance after an analytic-behavioral intervention to manage the condition of the physical and interpersonal environment related to pain. Four women with fibromyalgia and insomnia participated in a study with intervention withdrawal multiple baseline design and initial, intermediate, final, and follow-up assessments. Self-report instruments were used to assess pain intensity and disability, sleep quality, and insomnia severity, besides the actigraphy. Data showed that the intervention (20 sessions) was effective in reducing the sleep and pain problems in all participants by shifting two participants from clinical to non-clinical status in sleep indicators. The gains were maintained or increased in follow-up measures. However, the results should take into consideration the clinical condition and other variables that may have individually impacted the results.

RESUMO JUSTIFICATIVA E OBJETIVOS: A terapia cognitivo-comportamental em grupo tem se mostrado eficiente no tratamento para dor crônica, na literatura internacional. Entretanto, a necessidade de trazer práticas baseadas em evidências para os serviços de saúde exige que tratamentos como este sejam implantados e avaliados no Brasil. O presente estudo não pretendeu analisar a eficácia da terapia cognitivo-comportamental em grupo para adultos com dor crônica, mas identificar como os estudos nessa área têm sido conduzidos por pesquisadores brasileiros. CONTEÚDO: Realizou-se uma busca de estudos brasileiros publicados nos últimos 20 anos (1994-2014), que avaliaram a eficácia da terapia cognitivo-comportamental em grupo para adultos com dor crônica não maligna. Utilizaram-se as bases de dados da Biblioteca Virtual em Saúde, e os termos de busca foram: Dor Crônica “and” Psicologia “or” Terapia Cognitivo-Comportamental. As variáveis avaliadas foram características clinicas e sócio-demográficas dos participantes, instrumentos de avaliação pré e pós-intervenção, estrutura das sessões (quantidade e duração das sessões), principais resultados, e análise da qualidade dos estudos realizada por meio da escala PEDro. CONCLUSÃO: Seis dos 816 artigos disponibilizados foram selecionados para análise, pois foram os únicos a atingir os critérios de busca escolhidos. Destaca-se a escassez de estudos brasileiros na área, o uso de avaliações exclusivamente subjetivas e voltadas a aspectos unidimensionais da dor, e a preocupação com a qualidade metodológica dos estudos, sobretudo no que se refere à validade interna.

ABSTRACT BACKGROUND AND OBJECTIVES: Group cognitive-behavioral therapy has shown to be effective for chronic pain management in the international literature. However, the need to bring evidence-based practices to health services requires that therapies like this are implemented and evaluated in Brazil. This study has not intended to evaluate the efficacy of group cognitive-behavioral therapy for chronic pain adult patients, but rather to identify how studies in this area are being performed by Brazilian investigators. CONTENTS: A search was carried out about Brazilian studies published in the last two decades (1994-2014), evaluating the efficacy of group cognitive-behavioral therapy for adults with non-malignant chronic pain. Health Virtual Library databases were used and search terms were: Chronic pain “and” Psychology “or” Cognitive-Behavioral Therapy. Evaluated variables were clinical and socio-demographic characteristics, pre and post-intervention evaluation tools, sessions' structure (sessions number and duration), primary results, and evaluation of the quality of studies by means of the PEDro scale. CONCLUSION: Six out of 816 articles available were selected for analysis, because they were the only ones to meet chosen search criteria. One should stress the scarcity of Brazilian studies in the area, the use of exclusively subjective evaluations aimed at unidimensional pain aspects, and the concern with the methodological quality of studies, especially with regard to internal validity.

Bullying define-se como uma forma de agressão física, psicológica ou sexual de caráter persecutório e repetitivo, geralmente envolvendo pares. Este estudo investigou comportamentos de bullying em 16 adolescentes do sexo masculino em conflito com a lei, que cumpriam medidas socioeducativas em regime de semiliberdade e liberdade assistida. Os dados foram coletados individualmente por meio de um questionário adaptado de conflitos na escola. Todos os participantes relataram terem sido vítimas ou autores de bullying ao menos uma vez no último ano. Observou-se maior incidência de autoria de bullying do que de intimidação por colegas, mostrando-se estatisticamente significativa (p<0,022). Participantes em semiliberdade relataram haver sido tanto alvo quanto autores de bullying em maior proporção do que os da liberdade assistida (p<0,038). A intimidação não se restringia somente a colegas, mas generalizava-se a adultos. Resultados apontam a necessidade da investigação sobre a relação entre o comportamento de bullying e indivíduos infratores.

Bullying is defined as a form of physical, psychological or sexual aggression which happens repeatedly and generally involves ones' peers. The present study investigated the occurrence of bullying behavior in 16 male young offenders attending a specialized institution (semi-detention and monitoredliberty). Data was collected individually by way of an adapted questionnaire about conflicts in school. All participants admitted to having been either a victim or perpetrator of bullying at least once during the last year. There was a greater incidence of bullying behavior as perpetrators than intimidation by colleagues, that was statistically significant (p<0.022). Subjects under semi-detention have been shown to be perpetrators or targets of bullying in a greater proportion than those under monitored liberty (p<0.038). Intimidation was not restricted to peers, but it was generalized towards adults. The results indicated the necessity for research into the relationship between bullying behavior and the behavior of criminal offenders.