Resumen: Este estudio buscó evaluar los aportes de un entrenamiento parental híbrido realizado con ocho madres de niños preescolares con trastorno del espectro autista basado en la ciencia del análisis aplicado de la conducta para la reducción del estrés parental. Se llevó a cabo la construcción e implementación de un entrenamiento parental híbrido. Se dividió la muestra en grupo de tratamiento y control, y se realizaron comparaciones del nivel de estrés en el período pre/postintervención, así como el análisis de la práctica directa con el niño en un cara a cara con el grupo de tratamiento. Los resultados obtenidos demuestran que las madres del grupo de tratamiento reaccionaron positivamente a los videos y materiales presentados; sin embargo, no se observaron diferencias estadísticas significativas que sugieran una reducción en el nivel de estrés entre los dos grupos. Las limitaciones del estudio fueron el pequeño tamaño de la muestra y el hecho de que los niños de ambos grupos continuaron recibiendo tratamiento de terapia intensiva durante la implementación de la capacitación de los padres.

Resumo: Este estudo buscou avaliar as contribuições de um treinamento parental híbrido realizado com oito mães de crianças pré-escolares com transtorno do espectro do autismo baseado na ciência da análise do comportamento aplicada para a redução do estresse parental. Foi realizado a construção e implementação do treinamento parental híbrido. A amostra foi dividida em grupo tratamento e controle. Em termos de análise de dados, foram feitas comparações do nível de estresse no período pré/pós-intervenção, assim como a análise de uma prática direta com a criança de forma presencial com o grupo tratamento. Os resultados obtidos demonstraram que as mães do grupo tratamento reagiram positivamente com as vídeos e materiais apresentados. No entanto, não foi observado diferenças estatísticas significativas para sugerir a redução do nível de estresse entre os dois grupos. As limitações do estudo foram o tamanho reduzido da amostra e o fato das crianças de ambos os grupos continuarem recebendo o tratamento em terapia intensiva durante a aplicação do treinamento parental.

Abstract: This study sought to evaluate the contributions of a hybrid parental training carried out with eight mothers of preschool children with autism spectrum disorder, based on the science of applied behavioral analysis for reducing parental stress. The hybrid parental training was constructed and implemented by the researchers. The sample was divided into two groups: a Treatment Group and a Control Group. In the data analysis, comparisons were made of the levels of stress pre- and post-intervention and for the treatment group, direct practice with the child in a face-to-face environment was also analyzed. The results showed that the mothers in the treatment group reacted positively to the video and materials presented; however, no significant statistical differences were found that would suggest a reduction in stress levels between the two groups as a result of the training given. The limitations of the study were its small sample size and the fact that the children in both groups continued to receive intensive therapy treatment during the application of the parental training.

Resumen Esta revisión narrativa de la literatura pretende describir la importancia de la depresión posparto (DPP), intentando identificar la mejor manera de detectarla y los beneficios de realizar un manejo oportuno. La DPP es un trastorno del estado de ánimo que afecta a las mujeres después de dar a luz. Se caracteriza por síntomas como estado de ánimo deprimido, pérdida de interés o placer, cambios de peso, trastornos del sueño, falta de energía, dificultad para concentrarse, sentimientos de culpa o inutilidad, y pensamientos suicidas. Se estima que afecta al 6,9 a 12,9% de las mujeres en los países desarrollados y hasta el 20% en los de bajos ingresos. La etiología de la DPP involucra una interacción de factores hormonales, neuroendocrinos, genéticos, neuroinflamatorios y psicosociales; además, se han identificado diversos factores de riesgo, como antecedentes familiares de depresión, estrés, falta de apoyo social y problemas de salud del bebé. La detección se puede realizar mediante escalas rápidas, como la Escala de Depresión Posparto de Edimburgo. Su manejo se basa en diferentes tipos de psicoterapia, como la terapia cognitivo-conductual, la terapia de apoyo e interpersonal, además de medidas farmacológicas como los antidepresivos inhibidores selectivos de la recaptación de serotonina (ISRS) o los inhibidores de la recaptación de serotonina y noradrenalina (IRSN), u otras terapias como la brexanolona o los estrógenos.

Abstract This narrative review of the literature aims to describe the importance of postpartum depression (PPD), trying to identify the best way to detect it and the benefits of timely management. PPD is a mood disorder that affects women after giving birth. It is characterized by symptoms such as depressed mood, loss of interest or pleasure, weight changes, sleep disorders, lack of energy, difficulty concentrating, guilt or worthlessness, and suicidal thoughts. It is estimated that it affects between 6.9% and 12.9% of women in high-income countries and up to 20% in low-income countries. The etiology of PPD involves an interplay of hormonal, neuroendocrine, genetic, neuroinflammatory, and psychosocial factors. Furthermore, various risk factors have been identified, including a family history of depression, stress, lack of social support, and health problems in the infant. Detection can be done using rapid scales like the Edinburgh Postnatal Depression Scale. Its management is based on different types of psychotherapy, namely cognitive behavioral therapy, supportive and interpersonal therapy, as well as pharmacological measures including serotonin reuptake inhibitor or serotonin and noradrenaline reuptake inhibitor antidepressants, and other therapies like brexanolone or estrogens.

Abstract Background The treatment for atopic dermatitis (AD) has been the focus of clinical research, and behavioral intervention is considered an indispensable treatment method. To our knowledge, no relevant meta-analysis has evaluated the effects of behavioral interventions on atopic dermatitis. Objectives To evaluate the effects of behavioral interventions on atopic dermatitis. Methods The authors searched PubMed, EMBASE, and Cochrane CENTRAL to retrieve relevant RCTs (up to Feb 2022). The search strategy involved a combination of related keywords. The Cochrane Q and I2 statistics were used to assess heterogeneity. Results Six RCTs involving seven reports with 246 patients were included. The results suggested that behavioral interventions could relieve eczema severity (correlation coefficient [r = −0.39]; p < 0.001) and scratching severity significantly (r = −0.19; p = 0.017), while not affect itching intensity (r = −0.02; p = 0.840). A sensitivity analysis confirmed the robustness of the results. Study limitations An important limitation of this study was the insufficient number of RCTs and the limited sample size. In addition, the study lacked a control group receiving a type of intervention other than the experimental protocol. Another limitation was the short duration of follow-up. Conclusions This study suggests that behavioral interventions could be effective in treating atopic dermatitis by reducing eczema and scratching severity. Additionally, habit-reversal behavioral therapy may be more effective for treating atopic dermatitis. AD (AD research method knowledge metaanalysis meta PubMed EMBASE up 2022. 2022 . 2022) keywords I heterogeneity 24 included correlation r −0.39 039 0 39 −0.39] 0.001 0001 001 −0.19 019 19 0.017, 0017 0.017 , 017 0.017) −0.02 002 02 0.840. 0840 0.840 840 0.840) size addition protocol followup. followup follow up. follow-up Additionally habitreversal habit reversal 202 2 −0.3 03 3 0.00 000 00 −0.1 01 1 0.01 −0.0 084 0.84 84 20 −0. 0.0 08 0.8 8 −0 0. −

RESUMEN Introducción: En Santa Clara se recibieron los primeros casos diagnosticados en Cuba de la COVID-19. A partir de alteraciones emocionales reportadas se decidió utilizar la psicoterapia cognitivo conductual como recurso terapéutico para tratar los estados depresivos consecuentes. Objetivo: Evaluar la efectividad de la psicoterapia cognitivo conductual bajo estado hipnótico en pacientes con depresión post-COVID-19. Métodos: Se realizó un estudio explicativo con enfoque cuantitativo. La muestra se seleccionó de manera aleatoria en 30 pacientes divididos en 2 grupos, ingresados entre abril y septiembre del 2020 y diagnosticados con la COVID-19. Se empleó el inventario de depresión de Beck para evaluar el estado depresivo antes y después de la intervención con psicoterapia en estado de vigilia y en hipnosis. Resultados: En ambos grupos, los síntomas depresivos desaparecieron, en el 97 % de los pacientes el estado depresivo se eliminó. La psicoterapia de enfoque cognitivo conductual en estado de vigila e hipnótico se consideró efectiva en la depresión post-COVID-19 a partir de evaluar mejoría en más del 50 % de los casos. El grupo que recibió la psicoterapia en estado hipnótico necesitó la mitad de las sesiones que el grupo en vigilia. Conclusiones: La terapia cognitivo conductual en estado hipnótico es efectiva, reduce las distorsiones cognitivas, los niveles de depresión y la sintomatología depresiva.

ABSTRACT Introduction: The first cases diagnosed in Cuba of COVID-19 were received in Santa Clara. Based on reported emotional disturbances, it was decided to use Cognitive Behavioral psychotherapy as a therapeutic resource to treat consequent depressive states. Objective: To evaluate the effectiveness of Cognitive Behavioral psychotherapy under hypnosis in patients with post-COVID-19 depression. Methods: An explanatory study with a quantitative approach was carried out. The sample was randomly selected in 30 patients divided into 2 groups, admitted between April and September 2020 and diagnosed with COVID-19. The Beck Depression Inventory was used to assess depressive state before and after the intervention with psychotherapy in the waking state and in hypnosis. Results: In both groups, the depressive symptoms disappeared, in 97% of the patients the depressive state was eliminated. Psychotherapy with a Cognitive Behavioral approach in a vigilant and hypnotic state was considered effective in post-COVID-19 depression after evaluating improvement in more than 50% of cases. The group that received psychotherapy in a hypnotic state required half as many sessions as the waking group. Conclusions: Cognitive behavioral therapy in a hypnotic state is effective, reducing cognitive distortions, levels of depression and depressive symptoms.

ABSTRACT Pain is defined as an unpleasant sensory and emotional experience associated with damage. It is a multifactorial and subjective phenomenon with an incidence of up to 60 % in critically ill patients, which may lead to negative consequences at cardiovascular, respiratory, digestive, muscular, hematological, and psychological levels. The gold standard for pain assessment is the patient’s report, who can indicate the presence of pain by answering the simple question «Do you have pain?» or express its intensity using the numeric pain rating scale (NRS). Patients who can communicate may also provide information regarding other characteristics of pain. In patients unable to communicate but capable of responding to stimuli, it is appropriate to use behavioral scales, which are based on observing the presence of behaviors associated with pain. The objective of this study is to describe the pain assessment in critically ill adult patients.

RESUMEN El dolor se define como una experiencia sensorial y emocional desagradable que se asocia con el daño. Es un fenómeno multifactorial y subjetivo que presenta una incidencia de hasta el 60 % en los pacientes críticos y que puede ocasionar consecuencias negativas a nivel cardiovascular, respiratorio, digestivo, muscular, hematológico y psicológico. El estándar de oro para la evaluación del dolor es el reporte del paciente, quien puede indicar la presencia de dolor respondiendo a la pregunta simple «¿Tenés/tiene dolor?» o expresar la intensidad mediante la escala numérica del dolor (NRS, por sus siglas en inglés). El paciente capaz de comunicarse puede brindar también información sobre otras características del dolor. En pacientes que no pueden comunicarse pero pueden manifestar respuesta a estímulos, es apropiado utilizar escalas conductuales, las cuales se basan en observar la presencia de comportamientos asociados al dolor. El objetivo del presente paso a paso es describir la evaluación del dolor en pacientes adultos críticos.

RESUMEN Introducción: la arteterapia constituye una vía metodológica efectiva para el diagnóstico y tratamiento a menores con trastornos de la conducta y para lograr compromiso social y mayor calidad de vida. Los autores se han trazado como objetivo: establecer un soporte teórico-metodológico derivado de la aplicación de la arteterapia en la expresión plástica para el tratamiento educativo a menores con trastornos de la conducta. Métodos: se realizó una revisión bibliográfica sobre la arteterapia, sus definiciones y aplicación en 2024, de donde se derivó un sustento teórico-metodológico factible de ser aplicado en el tratamiento a menores con trastornos de la conducta. Se consultaron varios textos y fueron seleccionados 23 en español, entre ellos 8 tesis doctorales, tres blogs internacionales y varios artículos de revistas. Las palabras clave empleadas fueron: arteterapia, expresión plástica y enfoque metodológico. Resultados: la arteterapia constituye la práctica de la terapia psicológica a través del ejercicio del arte. Se hace referencia a las manifestaciones artísticas y se reconoce la expresión plástica como la más empleada. Se describe el sustento de dicha expresión como modificadora de trastornos de la conducta en menores escolarizados, sus fundamentos empíricos, los requerimientos pedagógicos del taller como forma organizativa pertinente en sus actividades, los métodos orales, visuales y prácticos y los procedimientos relacionados con la práctica vivencial del entorno y el trabajo grupal. Conclusiones: se conformó un sustento teórico-metodológico sobre el empleo de la arteterapia que demuestra la posibilidad de ser aplicada en el trabajo educativo en menores con trastornos de la conducta.

ABSTRACT Background: Art therapy is an effective methodological approach for the diagnosis and treatment of children with behavioral disorders and to achieve social commitment and a better quality of life. The authors have set as their objective: to establish a theoretical-methodological support derived from the application of art therapy in plastic expression for the educational treatment of children with behavioral disorders. Methods: a bibliographic review was carried out on art therapy, its definitions and application in 2024, from which a theoretical-methodological support was derived, feasible to be applied in the treatment of children with behavioral disorders. Several texts were consulted and 23 in Spanish were selected, among them 8 doctoral theses, three international blogs and several journal articles. The key words used were art therapy, plastic expression and methodological approach. Results: Art therapy constitutes the practice of psychological therapy through the exercise of art. Reference is made to artistic manifestations and plastic expression is recognized as the most used. The support of plastic expression as a modifier of behavioral disorders in school children, its empirical foundations, the pedagogical requirements of the workshop as a pertinent organizational form in its activities, the oral, visual and practical methods and the procedures related to the experiential practice of the environment and group work are described. Conclusions: a theoretical-methodological support was formed on the use of art therapy that demonstrates the possibility of being applied in the educational work with children with behavioral disorders.

Abstract Since the 1970s, maternal corticosteroid therapy has been used successfully to induce labor. This allows for better monitoring of parturients and provision of first aid to neonates, improving neonatal viability, as this treatment induces maturation in a variety of fetal tissues, thereby reducing morbidity and mortality. Although the effects of corticosteroids are well known, few studies have investigated the influence of this therapy in Santa Inês sheep. This study aimed to evaluate the efficacy of dexamethasone at two doses (8 and 16 mg) to induce lambing in Santa Inês ewes at 145 days of gestation and assess its effects on neonatal vitality. For this study, 58 ewes raised in an extensive system were investigated. Pregnancy was confirmed after artificial insemination at a set time or after controlled mounting. Ewes were separated into three groups: an untreated control group (G1: 0 mg) and groups treated with two doses of dexamethasone (G2: 8 mg and G3: 16 mg). In total, 79 lambs were born. Their vitality was assessed based on their Apgar score, weight, temperature, and postnatal behavior. SAS v9.1.3 (SAS Institute, Cary, NC) was used to analyze data, considering a 5% significance level for all analyses. The births in the induced groups occurred 48.4 ± 22.1 h after induction, while the ewes that underwent non-induced labor gave birth 131.96 ± 41.9 h after placebo application (p < 0.05), confirming the efficacy of dexamethasone to induce and synchronize labor. The induced and non-induced neonates had similar Apgar scores, temperatures, weights, and postnatal behavioral parameters (p > 0.05). This study showed that inducing labor in Santa Inês ewes at 145 days of gestation with a full (16 mg) or half dose (8 mg) of dexamethasone is an effective technique and does not compromise neonate vitality. 1970s s viability tissues mortality known sheep ( 1 14 5 mounting G1 G (G1 G2 (G2 G3 mg. . total 7 born score weight temperature behavior v913 v v9 3 v9.1. Institute Cary NC data analyses 484 48 4 48. 221 22 22. induction noninduced non 13196 131 96 131.9 419 41 9 41. p 0.05, 005 0.05 , 05 0.05) scores temperatures weights 0.05. (1 (G v91 v9.1 2 1319 13 131. 00 0.0 v9. 0.

ABSTRACT BACKGROUND AND OBJECTIVES: Chronic pain has a significant impact on patients’ quality of life and the use of drug therapy is often insufficient. Therapies based on Mindfulness come in different forms and have been used as a strategy to manage this condition. Practices can guide attention to the present, help reinterpret pain and improve physical and emotional control skills via the cingulate cortex, somatosensory cortex, parietal operculum, cuneus, and anterior insula. This study seeks to evaluate the results of Mindfulness in terms of its influence on the quality of life of patients with chronic non-cancer pain and the neural changes that this practice promotes, such as greater or lesser activation or variation in size of areas as insula and cingulate cortex, and how these interfere with the perception of pain, with the aim of verifying the applicability of Mindfulness as a complementary method to treatment in this group of patients. CONTENTS: Systematic Review submitted to PROSPERO datadase under number 359011. The search was carried out in the Pubmed, Medline, LILACS and DIALNET databases between 2019 and 2022 with the descriptors and Boolean operator [(MINDFULNESS) AND (CHRONIC PAIN)]. The selection of articles includes randomized clinical trials, cohort studies and case control studies in English, Spanish and Portuguese languages. The risk of bias was assessed using ROB2 and the quality of evidence using GRADE. After analysis, ten studies were assessed as essential for this review. Articles that addressed Mindfulness intervention for chronic pain that responded and added information to the research question were included and articles that did not focus on “Mindfulness” and “chronic pain”, studies without free access and texts whose results were not published up to the date of the search were excluded. To analyze Mindfulness therapies, the majority of studies cover more than 50 patients and use scales such as the Brief Pain Inventory (BPI-DPN Q4), Patient Global Impression of Change (PGIC), Five Facet Mindfulness Questionnaire (FFMQ), Chronic Pain Acceptance Questionnaire (CPAQ) and Pain Catastrophizing Scale (PCS). CONCLUSION: The practice of Mindfulness can reduce chronic pain and improving its perception, acceptability and quality of life by enabling the reduction of suffering, anxiety and stress associated with pain through neural changes. As there are limitations in the studies regarding the specific target population and standardization of assessment, it is recommended that future articles address the practice in children, the elderly and athletes with chronic pain, in addition to a detailed methodology to evaluate and promote the sessions. It should be noted that Mindfulness is not a cure for chronic pain, however it presents safety and effectiveness in its different application protocols, with a level of evidence similar to cognitive behavioral therapy. OBJECTIVES insufficient condition present cortex operculum cuneus noncancer non cancer promotes CONTENTS 359011 Pubmed Medline 201 202 MINDFULNESS [(MINDFULNESS CHRONIC PAIN. PAIN . PAIN)] trials English languages ROB GRADE analysis review “Mindfulness , pain” excluded therapies 5 BPIDPN BPI DPN Q4, Q4 Q Q4) PGIC, PGIC (PGIC) FFMQ, FFMQ (FFMQ) CPAQ (CPAQ PCS. PCS (PCS) CONCLUSION suffering assessment children sessions protocols 35901 20 PAIN) (PGIC (FFMQ (PCS 3590 2 359 35 3

RESUMO JUSTIFICATIVA E OBJETIVOS: A dor crônica tem um impacto significativo na qualidade de vida dos pacientes e o uso de terapia farmacológica muitas vezes é insuficiente. As terapias baseadas em Mindfulness (Atenção Plena) apresentam-se de diversas formas e têm sido utilizadas como estratégia no manejo dessa condição. As práticas podem conduzir a atenção ao presente, auxiliar na reinterpretação da dor e aprimorar habilidades de controle físico e emocional via córtex cingulado, somatossensorial, opérculo parietal, cúneo e ínsula anterior. O objetivo deste estudo foi avaliar a Mindfulness quanto a sua influência na qualidade de vida dos pacientes com dor crônica não oncológica e as alterações neurais que essa prática promove, como maior ou menor ativação ou variação de tamanho de áreas como a ínsula e córtex cingulado, e como estas interferem na percepção da dor, tendo como finalidade verificar a aplicabilidade da Atenção Plena como método complementar ao tratamento nesse grupo de pacientes. CONTEÚDO: Revisão Sistemática submetida no banco de dados PROSPERO sob o número 359011. Realizou-se a busca nas bases de dados Pubmed, Medline, LILACS e DIALNET entre 2019 e 2022 com os descritores e operador booleano [(MINDFULNESS) AND (CHRONIC PAIN)]. Incluiu-se na seleção de artigos ensaios clínicos randomizados, estudos de coorte e estudos de caso controle nos idiomas inglês, espanhol e português. O risco de viés foi avaliado pelo ROB2 e a qualidade de evidência por meio do GRADE. Após análise, 10 estudos foram avaliados como essenciais para esta revisão. Foram incluídos os artigos que abordavam intervenção em Mindfulness para dor crônica que responderam e agregaram informações à pergunta da pesquisa e excluídos os artigos que não possuem o foco em “Mindfulness” e “dor crônica”, estudos sem livre acesso e textos cujos resultados não foram publicados até a data da busca. Para analisar as terapias de Mindfulness, os estudos, em sua maioria, abordam mais de 50 pacientes e usam escalas como o Brief Pain Inventory (BPI-DPN Q4), Patient Global Impression of Change (PGIC), Five Facet Mindfulness Questionnaire (FFMQ), Chronic Pain Acceptance Questionnaire (CPAQ) e Pain Catastrophizing Scale (PCS). CONCLUSÃO: A prática de Mindfulness é capaz de diminuir a dor crônica e melhorar sua percepção, aceitabilidade e qualidade de vida ao possibilitar a redução do sofrimento, ansiedade e estresse associados à dor por meio de alterações neurais. Por haver limitações nos estudos com relação à população-alvo específica e à padronização de avaliação, recomenda-se que artigos futuros abordem a prática em crianças, idosos e atletas com dor crônica, além de metodologia detalhada para avaliar e promover as sessões. Ressalta-se que a Mindfulness não é uma cura para a dor crônica, no entanto apresenta segurança e eficácia em seus diferentes protocolos de aplicação, com nível de evidência similar à terapia cognitiva comportamental. OBJETIVOS insuficiente apresentamse apresentam se condição presente cingulado somatossensorial parietal anterior promove CONTEÚDO 359011 Realizouse Realizou Pubmed Medline 201 202 MINDFULNESS [(MINDFULNESS CHRONIC PAIN. PAIN . PAIN)] Incluiuse Incluiu randomizados inglês português ROB GRADE análise 1 revisão “Mindfulness , crônica” maioria 5 BPIDPN BPI DPN Q4, Q4 Q Q4) PGIC, PGIC (PGIC) FFMQ, FFMQ (FFMQ) CPAQ (CPAQ PCS. PCS (PCS) CONCLUSÃO sofrimento populaçãoalvo população alvo avaliação recomendase recomenda crianças sessões Ressaltase Ressalta aplicação comportamental 35901 20 PAIN) (PGIC (FFMQ (PCS 3590 2 359 35 3

Abstract Objective To investigate whether additional Cognitive Behavior Therapy (CBT) combined with conventional therapy improves outcomes for patients with Persistent Postural-Perceptual Dizziness (PPPD) compared with conventional therapy alone. Methods Two reviewers independently searched PubMed, Embase, Web of Science, Cochrane Library, and ClinicalTrials.gov for relevant Randomized Controlled Trials (RCTs) examining CBT for PPPD which were conducted and published in English from January 2002 to November 2022. RCTs reporting any indicators for assessing corresponding symptoms of PPPD were included, such as Dizziness Handicap Inventory (DHI), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire-9 (PHQ-9). Two independent reviewers conducted extraction of relevant information and evaluation of risk of bias. The Cochrane Collaboration risk of bias tool version 1.0 was used to evaluate risks and assess the quality of the included studies, and Cochrane Review Manager 5.3 software (RevMan 5.3) was used to perform meta-analyses. Results The results of six RCTs indicated that combining additional CBT with conventional therapy significantly improved outcomes for PPPD patients compared with conventional therapy alone, especially in DHI-Total scores (Mean Difference [MD = −8.17], 95% Confidence Interval [95% CI: −10.26, −6.09], p< 0.00001), HAMA scores (MD = −2.76, 95% CI: [−3.57, −1.94], p< 0.00001), GAD-7 scores (MD = −2.50, 95% CI [−3.29, −1.70], p< 0.00001), and PHQ-9 scores (MD = −2.29, 95% CI [−3.04, −1.55], p< 0.00001). Subgroup analysis revealed a significant benefit of additional CBT compared with conventional therapies alone, including Vestibular Rehabilitation Therapy (VRT) (MD = −8.70, 95% CI: [−12.17, −5.22], p< 0.00001), Selective Serotonin Reuptake Inhibitor (SSRI) (with controlled SSRI: MD = −10.70, 95% CI: [−14.97, −6.43], p< 0.00001), and VRT combined with SSRI (MD = −6.08, 95% CI [−9.49, −2.67], p= 0.0005) in DHI-Total scores. Conclusion Additional CBT combined with conventional therapy may provide additional improvement for patients with PPPD compared with conventional therapy alone. However, more RCTs are needed to support and guide the application of CBT in treating PPPD. Level of evidence: I; Systematic review of RCTs. (CBT PosturalPerceptual Postural Perceptual (PPPD alone PubMed Embase Science Library ClinicalTrialsgov ClinicalTrials gov (RCTs 200 2022 DHI, DHI , (DHI) HAMA, (HAMA) HAMD, HAMD (HAMD) HADS, HADS (HADS) Questionnaire9 Questionnaire 9 Questionnaire- PHQ9. PHQ9 PHQ . (PHQ-9) 10 1 0 1. studies 53 5 3 5. RevMan metaanalyses. metaanalyses meta analyses. analyses meta-analyses DHITotal Total Mean −8.17, 817 −8.17 8 17 −8.17] 95 [95 1026 26 −10.26 −6.09, 609 −6.09 6 09 −6.09] p 0.00001, 000001 0.00001 00001 0.00001) 276 2 76 −2.76 −3.57, 357 57 [−3.57 −1.94, 194 −1.94 94 −1.94] GAD7 GAD 7 GAD- 250 50 −2.50 −3.29, 329 29 [−3.29 −1.70, 170 −1.70 70 −1.70] PHQ- 229 −2.29 −3.04, 304 04 [−3.04 −1.55, 155 −1.55 55 −1.55] 0.00001. (VRT 870 −8.70 −12.17, 1217 12 [−12.17 −5.22, 522 −5.22 22 −5.22] (SSRI 1070 −10.70 −14.97, 1497 14 97 [−14.97 −6.43, 643 −6.43 43 −6.43] 608 08 −6.08 −9.49, 949 49 [−9.49 −2.67, 267 −2.67 67 −2.67] 0.0005 00005 0005 However evidence I 20 202 (DHI (HAMA (HAMD (HADS (PHQ-9 81 −8.1 [9 102 −10.2 60 −6.0 00000 0.0000 0000 27 −2.7 −3.57 35 [−3.5 19 −1.9 25 −2.5 −3.29 32 [−3.2 −1.7 −2.2 −3.04 30 [−3.0 15 −1.5 87 −8.7 −12.17 121 [−12.1 52 −5.2 107 −10.7 −14.97 149 [−14.9 64 −6.4 4 −9.49 [−9.4 −2.6 0.000 000 (PHQ- −8. [ −10. −6. −2. −3.5 [−3. −1. −3.2 −3.0 −12.1 [−12. −5. −14.9 [−14. −9.4 [−9. 0.00 00 (PHQ −8 −10 −6 −2 −3. [−3 −1 −12. [−12 −5 −14. [−14 −9. [−9 0.0 − −3 [− −12 [−1 −14 −9 0.

SUMMARY OBJECTIVE: The aim of this study was to evaluate the effectiveness of cognitive behavioral therapy in the treatment of vasomotor, sexual dysfunction, and recurrent depression in postmenopausal women. METHODS: This prospective, open study evaluated 112 postmenopausal women with vasomotor symptoms. Sexual dysfunction has cultural, social, biological, and emotional issues and divided into two groups: G1, without depression (n=65) and G2, with recurrent depression (n=47). The subjects underwent 12 sessions of in-person cognitive behavioral therapy and 12 sessions of home-based activity over a period of 6 months. They were evaluated at 3 months following the completion of therapy. Depression, memory, and attention-related functions, as well as climactic symptoms, were assessed using a questionnaire. RESULTS: In the depression questionnaire, the G1 group had a lower initial score than the G2 group (p<0.01). Following 6 months of therapy, both groups had similar improved scores. In the depression questionnaire, the women in group G1 had higher baseline values. In the assessment of vasomotor symptoms, the values in both groups were similar and showed an improvement in vasomotor symptoms after 24 weeks of treatment, but these effects disappeared after the follow-up of 48 weeks in the G2 group. Both groups improved the sexual dysfunction after 24 weeks. CONCLUSION: Cognitive behavioral therapy may be effective in reducing vasomotor symptoms and ameliorate the sexual dysfunction and recurrent depression in postmenopausal women after 24 weeks of treatment. OBJECTIVE METHODS prospective 11 cultural social biological G n=65 n65 n 65 (n=65 n=47. n47 n=47 . 47 (n=47) 1 inperson person homebased home based Depression memory attentionrelated attention related functions questionnaire RESULTS p<0.01. p001 p p<0.01 0 01 (p<0.01) scores 2 followup follow up 4 CONCLUSION n=6 n6 (n=6 n4 n=4 (n=47 p00 p<0.0 (p<0.01 n= (n= (n=4 p0 p<0. (p<0.0 (n p<0 (p<0. p< (p<0 (p< (p

Abstract Objective: To investigate the relative effectiveness of various Non-Invasive Treatment Techniques (NITs) in chronic tinnitus management. Methods: We searched PubMed, Embase and Cochrane Library databases from the time of data construction to December 31, 2022. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, NITs were evaluated, including Aacceptance and commitment therapy (A), Cognitive behavioral therapy (C), Sound therapy (S), Transcranial magnetic stimulation (T), Electrical stimulation therapy (E), Virtual reality therapy (V), tinnitus Retraining therapy (R), general psychotherapy (D), and Placebo (P). The outcome indicators included the Tinnitus Handicap Inventory (THI), Tinnitus Questionnaire (TQ), Hospital Anxiety and Depression Scale-anxiety-Depression (HADS-D), Insomnia Severity Index (ISI), Visual Analogue Scales-Loudness (VAS-L), and Visual Analogue Scales-Distress (VAS-D). Statistical analysis was performed using Stata 14.0 for NMA. Results: This systematic review and meta-analysis included 22 randomized controlled trials comprising 2,354 patients. The treatment effects varied on each scale. For THI, S (86.9%) was the most effective, whereas P (6.5%) was the worst. For TQ, C (89.5%) was the most effective, whereas D (25.4%) was the worst. For HADS-D, A (82.4%) was the most effective, whereas D (9.47%) was the worst. For ISI, A (83.2%) was the most effective, whereas R (20.6%) was the worst. For VAS-L, S (73.5%) was the most effective, whereas E (18.9%) was the worst. For VAS-D, C (84.7%) was the most effective, whereas P (18.1%) was the worst. Conclusions: The combination of acoustics and cognitive behavioral therapy may be an effectively treat patients with chronic tinnitus. Level of evidence: How common is the problem? Level 2. Is this diagnostic or monitoring test accurate? (Diagnosis) Level 1. What will happen if we do not add a therapy? (Prognosis) Level 1. Does this intervention help? (Treatment Benefits) Level 1. What are the COMMON harms? (Treatment Harms) Level 1. What are the RARE harms? (Treatment Harms) Level 1. Is this (early detection) test worthwhile? (Screening) Level 1I. Objective NonInvasive Non Invasive (NITs management Methods PubMed 31 2022 MetaAnalyses Meta Analyses guidelines evaluated A, , (A) C, (C) S, (S) T, T (T) E, (E) V, V (V) R, (R) D, (D) P. . (P) THI (THI) TQ (TQ) ScaleanxietyDepression Scale anxiety HADSD, HADSD HADS (HADS-D) ISI (ISI) ScalesLoudness Scales Loudness VASL, VASL VAS L (VAS-L) ScalesDistress Distress VASD. VASD (VAS-D) 140 14 0 14. NMA Results metaanalysis meta 2 2354 354 2,35 scale 86.9% 869 86 9 (86.9% effective 6.5% 65 6 5 (6.5% worst 89.5% 895 89 (89.5% 25.4% 254 25 4 (25.4% HADS-D 82.4% 824 82 (82.4% 9.47% 947 47 (9.47% 83.2% 832 83 (83.2% 20.6% 206 20 (20.6% L, VAS-L 73.5% 735 73 (73.5% 18.9% 189 18 (18.9% VASD, VAS-D 84.7% 847 84 7 (84.7% 18.1% 181 1 (18.1% Conclusions evidence problem accurate Diagnosis (Diagnosis Prognosis (Prognosis help Benefits harms Harms early detection worthwhile Screening (Screening 1I I 3 202 (A (C (S (T (E (V (R (D (P (THI (TQ (HADS-D (ISI (VAS-L (VAS-D 235 35 2,3 86.9 8 (86.9 6.5 (6.5 89.5 (89.5 25.4 (25.4 82.4 (82.4 9.47 94 (9.47 83.2 (83.2 20.6 (20.6 73.5 (73.5 18.9 (18.9 84.7 (84.7 18.1 (18.1 23 2, 86. (86. 6. (6. 89. (89. 25. (25. 82. (82. 9.4 (9.4 83. (83. 20. (20. 73. (73. 18. (18. 84. (84. (86 (6 (89 (25 (82 9. (9. (83 (20 (73 (18 (84 (8 ( (2 (9 (7 (1

Abstract: Attention-deficit/hyperactivity disorder (ADHD) impacts individuals’ adaptive functioning from childhood through adulthood. The first-line treatment for adults with ADHD is pharmacological intervention, with cognitive-behavioral therapy (CBT) also being recommended. However, CBT efficacy remains under-researched in this population. We conducted a systematic review of randomized clinical trials to investigate the effectiveness of CBT in improving the core ADHD symptoms in adults. Data were extracted following PRISMA guidelines, including studies published from January 2012 to August 2022. We performed scientometric and descriptive analyses, finding that CBT improved aspects related to the disorder’s core symptoms and individuals’ daily functioning. Future research is recommended to delve deeper into the efficacy of CBT, aiding in understanding the cognitive and behavioral processes influencing the expression of core symptoms of the disorder. Abstract Attentiondeficit/hyperactivity Attentiondeficithyperactivity Attention deficit/hyperactivity deficit hyperactivity (ADHD individuals adulthood firstline first line intervention cognitivebehavioral (CBT However underresearched under researched population guidelines 201 2022 analyses disorders s Attentiondeficit deficithyperactivity 20 202 2

Resumo: O TDAH impacta no funcionamento adaptativo dos indivíduos desde a infância até a vida adulta. O tratamento de primeira linha para adultos com TDAH é a intervenção farmacológica, sendo também recomendada a TCC. No entanto, a eficácia da TCC ainda é pouco pesquisada nesta população. Realizamos uma revisão sistemática de estudos clínicos randomizados para investigar a eficácia da TCC na melhoria dos sintomas centrais do TDAH em adultos. Extraímos dados dos artigos seguindo as diretrizes PRISMA, incluindo na análise estudos publicados de janeiro de 2012 e agosto de 2022. Realizamos análises cienciométricas e descritivas, e verificamos que a TCC melhorou aspectos relacionados aos sintomas centrais do transtorno, bem como o funcionamento diário dos indivíduos. É recomendado que pesquisas futuras sejam mais detalhadas sobre a eficácia da TCC, a fim de auxiliar no entendimento dos processos cognitivos e comportamentais que influenciam na expressão dos sintomas centrais do transtorno. Resumo adulta farmacológica entanto população PRISMA 201 2022 descritivas transtorno 20 202 2

Resumen: El trastorno por déficit de atención e hiperactividad (TDAH) afecta el funcionamiento adaptativo de las personas desde la infancia hasta la edad adulta. El tratamiento de primera línea para adultos con TDAH es la intervención farmacológica, además de la terapia cognitivo-conductual (TCC). Sin embargo, la eficacia de la TCC sigue siendo poco investigada en esta población. Este estudio trata de una revisión sistemática de ensayos clínicos aleatorizados para investigar la eficacia de la TCC en la mejora de los principales síntomas del TDAH en adultos. Se extrajeron datos de los artículos publicados desde enero de 2012 hasta agosto de 2022 siguiendo las pautas PRISMA. Se realizó un análisis cienciométrico y descriptivo, el cual encontró que la TCC mejoró aspectos relacionados con los principales síntomas del trastorno, así como el desempeño diario de las personas. Se recomienda que futuras investigaciones aporten más detalles sobre la eficacia de la TCC para ayudar a comprender los procesos cognitivos y conductuales que influyen en los principales síntomas del trastorno. Resumen (TDAH adulta farmacológica cognitivoconductual cognitivo conductual TCC. . (TCC) embargo población 201 202 PRISMA descriptivo (TCC 20 2

Objective: to map pelvic floor muscle training protocols available in the literature for the management of post-prostatectomy urinary incontinence. Method: this is a scoping review conducted in six databases. Information retrieval was performed using a specific instrument, including: title, authorship, year of publication, journal, objective, study design and description of the protocols’ content. Results: a total of 24 studies were included, which resulted in different protocols. The most frequent recommendations were the following: three sessions per day; with a frequency of six to 15 contractions per session; performing the exercises in the lying, sitting, and standing positions. The most cited guidelines in the protocols were anal sphincter and bulbocavernosus muscle contractions. All protocols followed the principle of regular pelvic floor muscle contraction, but there was no consensus regarding the start of the protocol, treatment duration, contraction/relaxation time, and intensity of the contraction force. Conclusion: different orientations were found in the pelvic floor muscle training protocols post-prostatectomy urinary incontinence, with emphasis on contraction time, relaxation time, number of contractions per session, training position, and protocol duration time. Different concepts were adopted to define urinary continence in the protocols. It is necessary to develop consensus guidelines that clearly define the parameters of training protocols. Objective postprostatectomy post prostatectomy incontinence Method databases instrument including title authorship publication journal objective content Results 2 included following day 1 session lying sitting positions contractionrelaxation time force Conclusion position

Objetivo: mapear os protocolos de treinamento dos músculos do assoalho pélvico disponíveis na literatura para o tratamento da incontinência urinária pós-prostatectomia. Método: trata-se de uma revisão de escopo realizada em seis bases de dados. A recuperação de informações foi realizada por meio de um instrumento específico, incluindo: título, autoria, ano de publicação, periódico, objetivo, desenho do estudo e descrição do conteúdo dos protocolos. Resultados: um total de 24 estudos foram incluídos, o que resultou em diferentes protocolos. As recomendações mais frequentes foram as seguintes: três sessões por dia; com frequência de seis a 15 contrações por sessão; realização dos exercícios nas posições deitada, sentada e em pé. As diretrizes mais citadas nos protocolos foram as contrações do esfíncter anal e do músculo bulbocavernoso. Todos os protocolos seguiram o princípio da contração regular dos músculos do assoalho pélvico, mas não houve consenso quanto ao início do protocolo, duração do tratamento, tempo de contração/relaxamento e intensidade da força de contração. Conclusão: foram encontradas diferentes orientações nos protocolos de treinamento dos músculos do assoalho pélvico para incontinência urinária pós-prostatectomia, com ênfase no tempo de contração, tempo de relaxamento, número de contrações por sessão, posição de treinamento e tempo de duração do protocolo. Diferentes conceitos foram adotados para definir a continência urinária nos protocolos. É necessário desenvolver diretrizes de consenso que definam claramente os parâmetros dos protocolos de treinamento. Objetivo pósprostatectomia. pósprostatectomia pós prostatectomia. prostatectomia pós-prostatectomia Método tratase trata se dados específico incluindo título autoria publicação periódico objetivo Resultados 2 incluídos seguintes dia 1 sessão deitada pé bulbocavernoso protocolo contraçãorelaxamento relaxamento Conclusão pósprostatectomia, prostatectomia,

Objetivo: mapear los protocolos de ejercicios para los músculos pélvicos disponibles en la literatura para el tratamiento de la incontinencia urinaria post prostatectomía. Método: esta es una revisión de alcance realizada en seis bases de datos. La recuperación de información se realizó mediante un instrumento específico, que incluye: título, autoría, año de publicación, revista, objetivo, diseño del estudio y descripción del contenido de los protocolos. Resultados: se incluyeron 24 estudios en total, de los cuales se obtuvieron diferentes protocolos. Las recomendaciones más frecuentes fueron: tres sesiones por día, con una frecuencia de seis a 15 contracciones por sesión; realizar los ejercicios en posición acostada, sentada y de pie. Las orientaciones más citadas en los protocolos fueron las contracciones del esfínter anal y del músculo bulbocavernoso. Todos los protocolos siguieron el principio de contracción regular de los músculos del piso pélvico, pero no hubo consenso sobre el inicio del protocolo, la duración del tratamiento, el tiempo de contracción/relajación y la intensidad de la fuerza de contracción. Conclusión: se encontraron diferentes orientaciones en los protocolos de entrenamiento de los músculos del piso pélvico para la incontinencia urinaria post prostatectomía, fundamentalmente sobre el tiempo de contracción, tiempo de relajación, número de contracciones por sesión, posición de entrenamiento y tiempo de duración del protocolo. Se adoptaron diferentes conceptos para definir la continencia urinaria en los protocolos. Es necesario desarrollar guías consensuadas que definan claramente los parámetros de los protocolos de entrenamiento. Objetivo prostatectomía Método datos específico incluye título autoría publicación revista objetivo Resultados 2 total día 1 sesión acostada pie bulbocavernoso protocolo contracciónrelajación relajación Conclusión

ABSTRACT BACKGROUND AND OBJECTIVES: Considering the great impact suffered by women with metastatic breast cancer, manifested in physical and/or psychological symptoms, this study seeks to understand the impact of total pain on these patients and to emphasize the importance of interdisciplinary intervention in this context, as well as to list treatment alternatives for better pain management and consequent improvement in quality of life. CONTENTS: A narrative literature review was carried out in Scielo, Pubmed and Google Scholar databases, based on the descriptors “Pain”, “Breast Neoplasms”, “Palliative Care”, “Interdisciplinary Placements”, “Medication Systems” and “Cognitive Behavioral Therapy”, as well as their respective terms in Portuguese, in articles published from 2012 to 2022. 130 publications were found, of which, after applying the criteria, 34 were included in this review. The results obtained point to the impact of total pain on cancer patients, which has repercussions in terms of poorly controlled symptoms of fatigue, dyspnea, poor diet, poor sleep quality, anxiety, and possible depressive episodes. In this context, interdisciplinary and palliative care emerge as central to the treatment of these patients, since they are based on communication, joint decision-making and comprehensiveness. In addition, different techniques were observed, both pharmacological and psychotherapeutic, such as Cognitive-Behavioral Therapy, which can help relieve pain and other symptoms, improving quality of life. CONCLUSION: However, there are still limitations to the inclusion of interdisciplinary teams in clinical practice, due to communication failures, individual conduct and hierarchization, as well as other aspects. OBJECTIVES andor or context life CONTENTS Scielo databases Pain, Pain , “Pain” Breast Neoplasms, Neoplasms Neoplasms” Palliative Care, Care Care” Interdisciplinary Placements, Placements Placements” Medication Systems Cognitive Therapy Therapy” Portuguese 201 2022 13 found criteria 3 fatigue dyspnea diet anxiety episodes decisionmaking decision making comprehensiveness addition observed psychotherapeutic CognitiveBehavioral CONCLUSION However practice failures hierarchization aspects “Pain 20 202 1 2

RESUMO JUSTIFICATIVA E OBJETIVOS: Considerando o grande impacto sofrido pelas mulheres com câncer de mama metastático, manifestado em sintomas físicos e/ou psíquicos, o presente estudo buscou compreender o impacto da dor total nessas pacientes e ressaltar a importância da intervenção interdisciplinar nesse contexto, bem como elencar alternativas de tratamento para um melhor manejo da dor e consequente melhora na qualidade de vida. CONTEÚDO: Foi realizada uma revisão narrativa de literatura nas bases de dados Scielo, Pubmed e Google Acadêmico, com base nos descritores “Dor”, “Neoplasias da Mama”, “Cuidados Paliativos”, “Práticas Interdisciplinares”, “Sistemas de Medicação” e “Terapia Cognitivo-Comportamental”, além de seus respectivos termos em inglês, com artigos publicados entre 2012 e 2022. Foram encontradas 130 publicações, das quais, após a aplicação dos critérios, 34 foram incluídas nesta revisão. Os resultados obtidos apontaram para os impactos da dor total em pacientes oncológicos, a qual repercute em sintomas mal controlados de fadiga, dispneia, má alimentação, baixa qualidade de sono, ansiedade e possíveis episódios depressivos. Nesse contexto, a interdisciplinaridade e os cuidados paliativos emergem como centrais para o cuidado dessas pacientes, uma vez que se baseiam em comunicação, decisão conjunta e integralidade. Além disso, foram observadas técnicas, tanto farmacológicas quanto psicoterapêuticas, a exemplo da terapia cognitivo-comportamental, que podem auxiliar na promoção do alívio do quadro álgico e dos demais sintomas, melhorando a qualidade de vida das pacientes. CONCLUSÃO: Entretanto, ainda existem limitações para a inclusão de equipes interdisciplinares na prática clínica, devido a falhas de comunicação, condutas individuais e hierarquização, além de outros aspectos. OBJETIVOS metastático eou ou psíquicos contexto CONTEÚDO Scielo Acadêmico Dor, Dor , “Dor” Neoplasias Mama, Mama Mama” Cuidados Paliativos, Paliativos Paliativos” Práticas Interdisciplinares, Interdisciplinares Interdisciplinares” Sistemas Medicação Terapia CognitivoComportamental, CognitivoComportamental Cognitivo Comportamental Cognitivo-Comportamental” inglês 201 2022 13 publicações quais critérios 3 oncológicos fadiga dispneia alimentação sono depressivos comunicação integralidade disso técnicas psicoterapêuticas cognitivocomportamental, cognitivocomportamental cognitivo comportamental, comportamental cognitivo-comportamental CONCLUSÃO Entretanto clínica hierarquização aspectos “Dor Cognitivo-Comportamental 20 202 1 2

ABSTRACT Objective: To explore the effects of a cognitive-behavioral program addressing urinary incontinence on the quality of life of men who have undergone radical prostatectomy. Method: Randomized controlled clinical trial with patients undergoing radical prostatectomy in an institution for cancer treatment in Brazil. The 34 participants were randomized into two groups: 17 in the control group who received the institution’s standard care and 17 in the intervention group who received the cognitive-behavioral program. Quality of life was assessed using the King’s Health Questionnaire and the International Consultation on Incontinence Questionnaire-Short Form. Results: Participants from intervention group showed better results regarding the reduction of the impact of urinary incontinence on quality of life (p ≤ 0.001), with emphasis on limitations in daily activities, general health perception, physical and social limitations, emotions, and sleep and mood. Conclusion: The cognitive-behavioral program was effective in reducing the impact of urinary incontinence on quality of life. This study contributes to clinical practice by providing an effective, low-cost, and easily applicable therapy. Brazilian Registry of Clinical Trials: RBR-3sstqg. Objective cognitivebehavioral cognitive behavioral Method Brazil 3 groups 1 institutions s Kings King QuestionnaireShort Short Form Results p 0.001, 0001 0.001 , 0 001 0.001) activities perception emotions mood Conclusion lowcost, lowcost low cost, cost low-cost therapy Trials RBR3sstqg. RBR3sstqg RBRsstqg RBR 3sstqg. 3sstqg sstqg RBR-3sstqg 000 0.00 00 0.0 0.

RESUMO Objetivo: Explorar os efeitos de um programa cognitivo-comportamental que aborda a incontinência urinária na qualidade de vida de homens submetidos à prostatectomia radical. Método: Ensaio clínico controlado randomizado com pacientes submetidos à prostatectomia radical em instituição para tratamento de câncer no Brasil. Os 34 participantes foram randomizados em dois grupos: 17 no grupo controle, que recebeu o tratamento padrão da instituição, e 17 no grupo de intervenção, que recebeu o programa cognitivo-comportamental. A qualidade de vida foi avaliada usando o King’s Health Questionnaire e o International Consultation on Incontinence Questionnaire-Short Form. Resultados: Os participantes do grupo de intervenção apresentaram melhores resultados quanto à redução do impacto da incontinência urinária na qualidade de vida (p ≤ 0,001), com destaque para limitações nas atividades diárias, percepção geral de saúde, limitações físicas e sociais, emoções, sono e humor. Conclusão: O programa cognitivo-comportamental foi eficaz na redução do impacto da incontinência urinária na qualidade de vida. Este estudo contribui para a prática clínica ao fornecer uma terapia eficaz, de baixo custo e de fácil aplicação. Registro Brasileiro de Ensaios Clínicos: RBR-3sstqg. Objetivo cognitivocomportamental cognitivo comportamental Método Brasil 3 grupos 1 controle cognitivocomportamental. comportamental. Kings King s QuestionnaireShort Short Form Resultados p 0,001, 0001 0,001 , 0 001 0,001) diárias saúde sociais emoções humor Conclusão aplicação Clínicos RBR3sstqg. RBR3sstqg RBRsstqg RBR 3sstqg. 3sstqg sstqg RBR-3sstqg 000 0,00 00 0,0 0,

RESUMEN Objetivo: Explorar los efectos de un programa cognitivo-conductual que aborda la incontinencia urinaria en la calidad de vida de los hombres que se han sometido a una prostatectomía radical. Método: Ensayo clínico controlado aleatorizado con pacientes sometidos a prostatectomía radical en una institución de tratamiento del cáncer en Brasil. Los 34 participantes fueron distribuidos aleatoriamente en dos grupos: 17 en el grupo de control que recibieron la atención estándar de la institución y 17 en el grupo de intervención que recibieron el programa cognitivo-conductual. La calidad de vida se evaluó utilizando el Cuestionario de Salud del Rey y el Cuestionario de Consulta Internacional sobre Incontinencia-Formulario Abreviado. Resultados: Los participantes del grupo de intervención mostraron mejores resultados en cuanto a la reducción del impacto de la incontinencia urinaria en la calidad de vida (p ≤ 0,001), con énfasis en las limitaciones en las actividades diarias, la percepción general de salud, las limitaciones físicas y sociales, las emociones y el sueño y el estado de ánimo. Conclusión: El programa cognitivo-conductual fue eficaz para reducir el impacto de la incontinencia urinaria en la calidad de vida. Este estudio contribuye a la práctica clínica al proporcionar una terapia efectiva, de bajo costo y de fácil aplicación. Registro Brasileño de Ensayos Clínicos: RBR-3sstqg. Objetivo cognitivoconductual cognitivo conductual Método Brasil 3 grupos 1 cognitivoconductual. conductual. IncontinenciaFormulario Incontinencia Formulario Abreviado Resultados p 0,001, 0001 0,001 , 0 001 0,001) diarias salud sociales ánimo Conclusión efectiva aplicación Clínicos RBR3sstqg. RBR3sstqg RBRsstqg RBR 3sstqg. 3sstqg sstqg RBR-3sstqg 000 0,00 00 0,0 0,