INTRODUCTION: Participation in meaningful activities is compromised in mental health care users living with major depressive disorder. In acute mental health settings, occupational therapy groups are the main treatment modality used to address occupational dysfunction or activity participation in these mental health care users. However, the evidence for the therapeutic impact of occupational therapy groups on activity participation is limited This study aimed to determine change in the activity participation of mental healthcare users with major depression attending occupational therapy groups based on the Occupational Therapy Interactive Group Model during their admission to an acute private mental health setting. METHOD: A quasi-experimental, longitudinal, pre-post group study design was employed to collect data from a sample of 70 participants diagnosed with major depressive disorder. The Activity Participation Outcome Measure (APOM) was used to measure change in activity participation in this study RESULTS: A significant improvement in activity participation was evident from admission to discharge across all the domains of the APOM. Correlations between the independent variables and improvement in APOM scores indicated stronger correlations for the number of groups attended by participants than their length of stay. Additionally, closed groups yielded a stronger correlation with improvement in APOM scores in comparison to open groups DISCUSSION: Occupational therapy groups play an integral role in the road to healing for mental health care users diagnosed with major depression admitted to acute private mental health settings IMPLICATIONS FOR PRACTICE: • Incorporating the Occupational Therapy Interactive Groupwork Model (OTIGM) in the treatment of patients with major depressive disorder, especially with closed groups, enables members to experience a sense of security and continuity, which can enhance therapeutic outcomes. • Integrating tools such as the APOM in clinical settings to measure the efficacy of interventions and identify areas needing further attention, will build evidence-based practice. • Incorporating stress management techniques, such as mindfulness, relaxation therapy, Tension Release Exercises (TRE) and sensory activities, into the therapeutic regimen can be highly beneficial in the treatment of the acute symptoms of major depressive disorder.

Resumen La presente revisión sistemática sintetizó la evidencia de la interacción de la calidad de vida con el mindfulness rasgo en población adulta. Para esto, basado en la metodología PRISMA, se consideraron artículos cuantitativos con resultados primarios de asociación entre calidad de vida y mindfulness en adultos de 18 a 65 años, publicados entre 1979 y 2022, en inglés y español. Se realizaron búsquedas en Scopus, Web of Science, PubMed y PsycNet. El riesgo de sesgo se evaluó mediante una herramienta de puntuación del rigor metodológico. Al finalizar, 10 artículos cumplieron los criterios, los cuales evidencian que el mindfulness rasgo puede mejorar la calidad de vida de los adultos de forma moderada a alta, debido al proceso de aceptación y afrontamiento de manera consciente, sin juicios y reacciones, al minimizar efectos negativos como el estrés. Además, se identifican retos respecto a la conceptualización, medición e inclusión de terceras variables.

Abstract The present systematic review synthesizes the evidence of the interaction of quality of life with trait mindfulness in the adult population. Following the PRISMA methodology, quantitative articles with primary results on the association between quality of life and mindfulness in adults aged 18 to 65 years, published between 1979 and 2022 in English and Spanish, were considered. Searches were carried out in Scopus, Web of Science, PubMed, and PsycNet. The risk of bias was assessed using a methodological rigor scoring tool. In the end, 10 articles that met the criteria showed that the mindfulness trait may improve the quality of life of adults in a moderate to high way, due to the process of acceptance and coping consciously, without judgments and reactions, minimizing negative effects such as stress. Additionally, challenges regarding the conceptualization, measurement, and inclusion of third variables were identified.

Resumen El uso clínico del mindfulness adaptado a la psicosis ha sido rechazado por algunos profesionales de la Salud Mental debido a prejuicios y falta de información. Sin embargo, la evidencia actual ha demostrado que las Intervenciones Basadas en Mindfulness (MBI) son seguras y tienen numerosos beneficios en los trastornos del espectro psicótico. Las MBI son adaptables a diferentes contextos y situaciones clínicas, incluido el deterioro cognitivo, y aunque no constituye su objetivo principal, pueden facilitar la reducción de la sintomatología negativa en la psicosis. Las MBI permiten a las personas con psicosis enfrentar las experiencias alucinatorias desde una perspectiva diferente, fomentando la flexibilidad, la regulación emocional y la aceptación. Es importante adaptar las intervenciones a las características de la psicosis, así como distinguir entre los diferentes tipos de prácticas, para aplicarlas de manera diferencial según la sintomatología específica y las características de la persona.

Abstract The clinical use of psychosis-adapted mindfulness has been rejected by some mental health professionals due to biases and lack of information. However, current evidence has demonstrated the safety and numerous benefits of mindfulness-based interventions (MBIs) in psychotic spectrum disorders. MBIs are adaptable to diverse clinical contexts and situations, including cognitive impairment, and although it is not their primary objective, they can facilitate the reduction of negative symptomatology in psychosis. MBIs enable individuals with psychosis to approach hallucinatory experiences from an alternative perspective, fostering flexibility, emotional regulation, and acceptance. It is crucial to tailor interventions to the characteristics of the psychosis, as well as to differentiate between the different types of practices, in order to apply them differentially depending on the specific symptoms and characteristics of the individual.

Abstract Background: Cancer-related pain is a multifactorial experience than can affect adherence to treatment and generate psychological discomfort. Psychological treatments constantly applied seek to reduce such discomfort without considering the adaptive needs of people with cancer. It is necessary to implement effective psychological interventions in the process of adaptation to this experience. Objective: To compare the effectiveness of two remote psychological interventions (behavioral activation and mindfulness) in the experience of pain in women with breast cancer. Method: Quasi-experimental study with pre- and post-treatment measures through of the Multidimensional Pain Inventory. Results: With significant differences (p < 0.05) and large effect size (η2 > 0.14), behavioral activation had an effect on 7 factors of the Multidimensional Pain Inventory, while mindfulness had an effect on three factors. Conclusion: Behavioral activation was superior to mindfulness regarding the effect it had on factors of the pain experience of women with breast cancer.

Resumen Antecedentes: El dolor relacionado con cáncer es una experiencia multifactorial que puede afectar en la adherencia al tratamiento y generar malestar psicológico. Los tratamientos psicológicos constantemente usados buscan disminuir tal malestar sin considerar las necesidades adaptativas de las personas con cáncer. Es necesario implementar intervenciones psicológicas efectivas en el proceso de adaptación a esta experiencia. Objetivo: Comparar la efectividad de dos intervenciones psicológicas a distancia (activación conductual y mindfulness) en la experiencia del dolor de mujeres con cáncer de mama. Método: Estudio cuasiexperimental con medidas pretratamiento y postratamiento mediante el Inventario Multidimensional del Dolor. Resultados: Con diferencias significativas (p < 0.05) y tamaño del efecto grande (η2 > 0.14), la activación conductual tuvo efecto en siete factores del Inventario Multidimensional del Dolor, mientras que el mindfulness en tres. Conclusión: La activación conductual fue superior que el mindfulness respecto al efecto que tuvo sobre factores de la experiencia del dolor de mujeres con cáncer de mama.

This research focused on investigating how adopting a Social-Emotional Learning (SEL) approach to leadership influenced the learning culture in low-decile Limpopo, South African schools amid the challenges posed by the Coronavirus Disease 2019 (COVID-19) crisis. The study employed the Head, Heart, and Hands Transformational Leadership Model as its theoretical framework. Through workshops with school leaders, the researchers gathered the leaders experiences and insights, revealing the difficulties faced by them during the pandemic and the strategies they employed to ensure continuous learning. The study underscores the significance of SEL in fostering mindfulness, self-mastery, and effective communication and relationship-building skills. The researchers recommend providing SEL training for school leaders and integrating SEL into teacher training programmes. Ultimately, the study contributes to advancing both theory and practice in the realm of SEL leadership, particularly in crises.

ABSTRACT Huntington's disease (HD) is a hereditary, neurodegenerative disease characterized by motor, cognitive, and behavioral issues. As the disease progresses, people become dependent on their caregivers leading to a significant burden. There is a lack of effective neuropsychological intervention to support this population. Objective: To develop an online neuropsychological intervention and evaluate its effects in decreasing the HD caregiver burden. Methods: This qualitative pilot study was conducted online during the COVID-19 pandemic in Brazil. We selected a convenience sample of five informal caregivers of HD patients (mean 46.2 years old). At baseline, participants were assessed via an individual online neuropsychology interview/screening, covering demographic data. Subsequently, we conducted 20 online 90-minute sessions of the psychological consultation over 12 months. Each session was structured in three stages: 1) Welcoming; 2) Breathing and mindfulness practice; and 3) Discussion of themes about the group's needs based on the main complaints. A second intervention assessment was applied. Results: None of the caregivers were provided with details about HD at the time of diagnosis and later care. The necessity to care for a person with a rare genetic disease was added to caregivers' already-existing working routine and home services, causing a symptom of overload. After the neuropsychological intervention, all participants reported feeling less burdened by caring, improved self-care and conflict resolution with the person with HD through expanding behavioral repertoire focused on emotions and communication. Conclusion: Online neuropsychologic intervention can reduce the burden of HD caregivers. More comprehensive studies should investigate these findings. Huntingtons Huntington s (HD hereditary motor cognitive issues progresses population Objective Methods COVID19 COVID 19 COVID-1 Brazil mean 462 46 2 46. old. old . old) baseline interviewscreening interview screening interview/screening data Subsequently 90minute minute 90 1 months stages Welcoming practice 3 groups group complaints applied Results alreadyexisting already existing services overload caring selfcare self communication Conclusion findings COVID1 COVID- 4 9

RESUMO A doença de Huntington (DH) é hereditária e neurodegenerativa, caracterizada por problemas motores, cognitivos e comportamentais. À medida que avança, os pacientes dependem cada vez mais de cuidadores, gerando uma sobrecarga significativa. Há uma carência de intervenções neuropsicológicas eficazes para apoiar esta população. Objetivo: Desenvolver uma intervenção neuropsicológica online e avaliar seus efeitos na redução da sobrecarga do cuidador em DH. Métodos: Este estudo piloto qualitativo ocorreu online, durante a pandemia de COVID-19 no Brasil. Selecionamos uma amostra de conveniência de cinco cuidadores informais de pacientes com DH (média de 46,2 anos). Inicialmente, realizamos triagens neuropsicológicas online, abrangendo dados demográficos e entrevistas. Subsequentemente, conduzimos 20 sessões de 90 minutos ao longo de 12 meses, estruturadas em: 1) acolhimento, 2) prática de respiração e mindfulness e 3) discussão das necessidades do grupo com base nas principais queixas. Após a intervenção, realizamos uma segunda avaliação. Resultados: Constatamos que os cinco cuidadores não foram adequadamente educados pelos profissionais de saúde sobre a DH após o diagnóstico. A responsabilidade de cuidar da pessoa com DH foi agregada à sua rotina de trabalho e serviços domiciliares, ocasionando um sintoma de sobrecarga. Após a intervenção neuropsicológica online, todos os participantes relataram menos sobrecarga relacionada ao cuidado das pessoas com DH, melhoraram o autocuidado e a resolução de conflitos por meio da ampliação do repertório comportamental focado nas emoções e na comunicação. Conclusão: A intervenção neuropsicológica online pode diminuir a sobrecarga dos cuidadores em DH. Estudos mais abrangentes devem investigar esses resultados. (DH neurodegenerativa motores comportamentais avança significativa população Objetivo Métodos COVID19 COVID 19 COVID-1 Brasil média 462 46 2 46, anos. anos . anos) Inicialmente entrevistas Subsequentemente 9 1 meses acolhimento 3 queixas avaliação Resultados diagnóstico domiciliares comunicação Conclusão resultados COVID1 COVID- 4

RESUMO A população mundial vive um processo de envelhecimento que está resultando no aumento de doenças, como a doença de Alzheimer. Consequentemente, cada vez mais pessoas necessitam de cuidados, o que pode gerar sobrecarga e prejuízos à qualidade de vida de seus familiares. Objetivo: Identificar os fatores psicossociais afetados pela sobrecarga em cuidadores familiares de pessoas com doença de Alzheimer. Métodos: Participaram do estudo 49 cuidadores familiares de pessoas com doença de Alzheimer, de um município de Minas Gerais, Brasil. Os participantes preencheram um formulário de variáveis sociodemográficas e responderam à escala de Sobrecarga (BI-Zarit), à escala de Qualidade de Vida na Doença de Alzheimer versão Cuidador (CQdV-DA), à escala de Depressão, Ansiedade e Estresse (DASS-21), à escala de Atenção Plena e Consciência (MAAS) e à escala de Avaliação Clínica de Demência (CDR). Resultados: Todos os participantes eram do sexo feminino, com idade média de 54,26 (±8,99). As filhas representaram 77,55% da amostra e 34,69% eram cuidadoras exclusivas. A escala Bi-Zarit correlacionou-se positiva e significativamente com a DASS-21 Depressão (r=0,440; p=0,002), DASS-21 Ansiedade (r=0,415; p=0,003), DAAS-21 Estresse (r=0,583; p<0,001). Por outro lado, mostrou correlação negativa com MAAS (r=-0,429; p=0,002) e CQoL-AD (r=-0,533; p<0,001). Conclusão: Este estudo demonstra que os cuidadores familiares de pessoas com doença de Alzheimer podem estar sobrecarregados e que, quanto maior a sobrecarga, menor o nível de atenção, pior a qualidade de vida e maior a possibilidade de apresentar sintomas de depressão, ansiedade, estresse. doenças Consequentemente cuidados Objetivo Métodos 4 Gerais Brasil BIZarit, BIZarit BI Zarit , (BI-Zarit) CQdVDA, CQdVDA CQdV DA (CQdV-DA) DASS21, DASS21 DASS 21 (DASS-21) (MAAS CDR. CDR . (CDR) Resultados feminino 5426 54 26 54,2 ±8,99. 899 ±8,99 8 99 (±8,99) 7755 77 55 77,55 3469 34 69 34,69 exclusivas BiZarit Bi correlacionouse correlacionou se DASS-2 r=0,440 r0440 r 0 440 (r=0,440 p=0,002, p0002 p p=0,002 002 r=0,415 r0415 415 (r=0,415 p=0,003, p0003 p=0,003 003 p=0,003) DAAS21 DAAS DAAS-2 r=0,583 r0583 583 (r=0,583 p<0,001. p0001 p<0,001 001 p<0,001) lado r=0,429 r0429 r= 0,429 429 (r=-0,429 CQoLAD CQoL AD r=0,533 r0533 0,533 533 (r=-0,533 Conclusão atenção depressão ansiedade estresse (BI-Zarit (CQdV-DA DASS2 2 (DASS-21 (CDR 542 5 54, 89 ±8,9 9 (±8,99 775 7 77,5 346 3 6 34,6 DASS- r=0,44 r044 44 (r=0,44 p000 p=0,00 00 r=0,41 r041 41 (r=0,41 DAAS2 DAAS- r=0,58 r058 58 (r=0,58 p<0,00 r=0,42 r042 0429 0,42 42 (r=-0,42 r=0,53 r053 0533 0,53 53 (r=-0,53 (DASS-2 ±8, (±8,9 77, 34, r=0,4 r04 (r=0,4 p00 p=0,0 r=0,5 r05 (r=0,5 p<0,0 042 0,4 (r=-0,4 053 0,5 (r=-0,5 (DASS- ±8 (±8, r=0, r0 (r=0, p0 p=0, p<0, 04 0, (r=-0, 05 (DASS ± (±8 r=0 (r=0 p=0 p<0 (r=-0 (± (r= p= p< (r=- ( (r

ABSTRACT The world's population is experiencing an aging process, which is resulting in an increase in diseases such as Alzheimer's disease. Consequently, more and more people need care, which can lead to overload and harm to their family's quality of life. Objective: Identify the psychosocial factors affected by the burden on family caregivers of people with Alzheimer's disease. Methods: Forty-nine family caregivers of people with Alzheimer's disease, from a city in Minas Gerais, Brazil, participated in the study. They filled out a form of sociodemographic variables, and answered the Burden Interview Scale (BI-Zarit), Quality of Life in Alzheimer's Disease Caregiver version (CQoL-AD), the Depression, Anxiety and Stress Scale (DASS-21), the Mindfulness and Awareness Scale (MAAS) and the Clinical Dementia Rating Scale (CDR). Results: All participants were female with an average age of 54.26 (±8.99). Daughters comprised 77.55% of the sample, and 34.69% were sole caregivers. The Bi-Zarit scale positively and significantly correlated with DASS-21 Depression (r=0.440; p=0.002), DASS-21 Anxiety (r=0.415; p=0.003), DAAS-21 Stress (r=0.583; p<0.001). On the other hand, it showed a negative correlation with MAAS (r=-0.429; p=0.002) and CQoL-AD (r=-0.533; p<0.001). Conclusion: This study demonstrates that family caregivers of people with Alzheimer's disease may be overloaded, and that the heavier the burden, the lower level of attention, the worse quality of life and the greater the possibility for the caretaker to present symptoms of depression, anxiety, and stress. worlds world s process Alzheimers Alzheimer Consequently care familys Objective Methods Fortynine Forty nine Gerais Brazil variables BIZarit, BIZarit BI Zarit , (BI-Zarit) CQoLAD, CQoLAD CQoL AD (CQoL-AD) DASS21, DASS21 DASS 21 (DASS-21) (MAAS CDR. CDR . (CDR) Results 5426 54 26 54.2 ±8.99. 899 ±8.99 8 99 (±8.99) 7755 77 55 77.55 sample 3469 34 69 34.69 BiZarit Bi DASS-2 r=0.440 r0440 r 0 440 (r=0.440 p=0.002, p0002 p p=0.002 002 r=0.415 r0415 415 (r=0.415 p=0.003, p0003 p=0.003 003 p=0.003) DAAS21 DAAS DAAS-2 r=0.583 r0583 583 (r=0.583 p<0.001. p0001 p<0.001 001 p<0.001) hand r=0.429 r0429 r= 0.429 429 (r=-0.429 r=0.533 r0533 0.533 533 (r=-0.533 Conclusion overloaded attention depression anxiety stress (BI-Zarit (CQoL-AD DASS2 2 (DASS-21 (CDR 542 5 54. 89 ±8.9 9 (±8.99 775 7 77.5 346 3 6 34.6 DASS- r=0.44 r044 44 (r=0.44 p000 p=0.00 00 r=0.41 r041 41 (r=0.41 DAAS2 DAAS- r=0.58 r058 58 (r=0.58 p<0.00 r=0.42 r042 0429 0.42 42 (r=-0.42 r=0.53 r053 0533 0.53 53 (r=-0.53 (DASS-2 ±8. (±8.9 77. 34. r=0.4 r04 4 (r=0.4 p00 p=0.0 r=0.5 r05 (r=0.5 p<0.0 042 0.4 (r=-0.4 053 0.5 (r=-0.5 (DASS- ±8 (±8. r=0. r0 (r=0. p0 p=0. p<0. 04 0. (r=-0. 05 (DASS ± (±8 r=0 (r=0 p=0 p<0 (r=-0 (± (r= p= p< (r=- ( (r

Objetivo: analizar los efectos de una intervención basada en mindfulness sobre la inteligencia emocional y la resiliencia de enfermeros líderes. Método: estudio piloto de un ensayo clínico aleatorizado cruzado. Muestra (n=32) aleatorizada en el grupo A (n=18) y grupo B (n=14), se los evaluó en el pretest, postest y seguimiento. Los resultados fueron evaluados mediante la Medida de Inteligencia Emocional, el Cuestionario de Resiliencia de Connor-Davidson y el Cuestionario Mindfulness de Cinco Facetas, y analizados por el Generalized Linear Mixed Models . Resultados: fueron evaluadas 32 enfermeras con una edad promedio de 42,6 años. Los análisis mostraron interacciones significativas de los efectos de los factores grupo vs. momento en los puntajes de las habilidades de automotivación (p=0,005), sociabilidad (p<0,001), autocontrol (p=0,013) y total (p=0,002) de inteligencia emocional; de las facetas observar (p=0,042), describir (p=0,008), no juzgar (p<0,001), actuar con conciencia (p=0,004) y total (p<0,001) de mindfulness. Postest: hubo un aumento estadísticamente significativo de las habilidades de sociabilidad (p=0,009) y autocontrol (p=0,015) de inteligencia emocional; de las facetas no juzgar (p=0,022) y total (p=0,002) de mindfulness . Seguimiento: se observó un aumento significativo en las facetas no juzgar (p=0,024) y total (p=0,026) de mindfulness . La variable resiliencia no presentó significación estadística en el factor grupo vs. momento en el postest y seguimiento. Conclusión: la intervención basada en mindfulness utilizada demostró ser eficaz para aumentar la inteligencia emocional y las habilidades de mindfulness disposicional de los enfermeros líderes. Registro Brasileño de Ensayos Clínicos (RBR-3c62gy), registrado el 4 de marzo de 2020, actualizado el 16 de septiembre de 2022. Objetivo líderes Método cruzado n=32 n32 n (n=32 n=18 n18 18 (n=18 n=14, n14 n=14 , 14 (n=14) pretest seguimiento Emocional ConnorDavidson Connor Davidson Facetas Resultados 3 426 42 6 42, años vs p=0,005, p0005 p p=0,005 0 005 (p=0,005) p<0,001, p0001 p<0,001 001 p=0,013 p0013 013 (p=0,013 p=0,002 p0002 002 (p=0,002 p=0,042, p0042 p=0,042 042 (p=0,042) p=0,008, p0008 p=0,008 008 (p=0,008) p=0,004 p0004 004 (p=0,004 (p<0,001 Postest p=0,009 p0009 009 (p=0,009 p=0,015 p0015 015 (p=0,015 p=0,022 p0022 022 (p=0,022 Seguimiento p=0,024 p0024 024 (p=0,024 p=0,026 p0026 026 (p=0,026 Conclusión RBR3c62gy, RBR3c62gy RBRcgy RBR 3c62gy c gy (RBR-3c62gy) 2020 1 2022 n=3 n3 (n=3 n=1 n1 (n=1 (n=14 p000 p=0,00 00 (p=0,005 p<0,00 p=0,01 p001 01 (p=0,01 (p=0,00 p004 p=0,04 04 (p=0,042 (p=0,008 (p<0,00 p=0,02 p002 02 (p=0,02 cgy (RBR-3c62gy 202 n= (n= p00 p=0,0 p<0,0 (p=0,0 (p=0,04 (p<0,0 20 (n p0 p=0, p<0, (p=0, (p<0, 2 p=0 p<0 (p=0 (p<0 p= p< (p= (p< (p

Objective: to analyze the effects of a Mindfulness-based intervention on nurse leaders’ emotional intelligence and resilience. Method: a pilot study of a randomized crossover clinical trial. The sample (n=32) was randomized into Group A (n=18) and Group B (n=14) and evaluated at the pre-test, post-test and follow-up moments. The outcomes were assessed using the Emotional Intelligence Measure, the Connor-Davidson Resilience Questionnaire and the Five Facet Mindfulness Questionnaire, and analyzed using Generalized Linear Mixed Models. Results: a total of 32 nurses with a mean age of 42.6 years old were evaluated. The analyses showed significant interactions between the effects of the group x moment factors on the Self-motivation (p=0.005), Sociability (p<0.001), Self-control (p=0.013), and Total (p=0.002) emotional intelligence skill scores; as well as on the Observe (p=0.042), Describe (p=0.008), Non-judgment (p<0.001), Act with awareness (p=0.004) and Total (p<0.001) mindfulness facets. Post-test: there was a statistically significant increase in the Sociability (p=0.009) and Self-control (p=0.015) emotional intelligence skills; as well as in the Non-judgment (p=0.022) and Total (p=0.002) mindfulness facets. Follow-up: a significant increase was observed in the Non-judgment (p=0.024) and Total (p=0.026) mindfulness facets. The “resilience” variable did not present statistical significance in the “group x moment” factor, both in the post-test and during follow-up. Conclusion: the Mindfulness-based intervention used proved to be effective in increasing nurse leaders’ emotional intelligence and dispositional mindfulness skills. Brazilian Registry of Clinical Trials (RBR-3c62gy), registered on March 4 th , 2020, updated on September 16 th , 2022. Objective Mindfulnessbased based leaders resilience Method trial n=32 n32 n (n=32 n=18 n18 18 (n=18 n=14 n14 14 (n=14 pretest, pretest pre test, test pre-test posttest post followup follow up moments Measure ConnorDavidson Connor Davidson Models Results 3 426 42 6 42. Selfmotivation Self motivation p=0.005, p0005 p p=0.005 0 005 (p=0.005) p<0.001, p0001 p<0.001 001 Selfcontrol control p=0.013, p0013 p=0.013 013 (p=0.013) p=0.002 p0002 002 (p=0.002 scores p=0.042, p0042 p=0.042 042 (p=0.042) p=0.008, p0008 p=0.008 008 (p=0.008) Nonjudgment Non judgment p=0.004 p0004 004 (p=0.004 (p<0.001 facets Posttest Post Post-test p=0.009 p0009 009 (p=0.009 p=0.015 p0015 015 (p=0.015 skills p=0.022 p0022 022 (p=0.022 Followup Follow Follow-up p=0.024 p0024 024 (p=0.024 p=0.026 p0026 026 (p=0.026 “resilience factor followup. up. Conclusion RBR3c62gy, RBR3c62gy RBRcgy RBR 3c62gy c gy (RBR-3c62gy) 2020 1 2022 n=3 n3 (n=3 n=1 n1 (n=1 p000 p=0.00 00 (p=0.005 p<0.00 p001 p=0.01 01 (p=0.013 (p=0.00 p004 p=0.04 04 (p=0.042 (p=0.008 (p<0.00 (p=0.01 p=0.02 p002 02 (p=0.02 cgy (RBR-3c62gy 202 n= (n= p00 p=0.0 p<0.0 (p=0.0 (p=0.04 (p<0.0 20 (n p0 p=0. p<0. (p=0. (p<0. 2 p=0 p<0 (p=0 (p<0 p= p< (p= (p< (p

Objetivo: analisar os efeitos de uma intervenção baseada em mindfulness na inteligência emocional e resiliência de enfermeiros líderes. Método: estudo-piloto de ensaio clínico randomizado cruzado. Amostra (n=32) randomizada em grupo A (n=18) e grupo B (n=14), avaliados nos momentos pré-teste, pós-teste e seguimento. Os desfechos foram avaliados pela Medida de Inteligência Emocional, pelo Questionário de Resiliência Connor-Davidson e pelo Questionário das Cinco Facetas de Mindfulness , e analisados pelo Generalized Linear Mixed Model . Resultados: foram avaliadas 32 enfermeiras com idade média de 42,6 anos. As análises mostraram interações significativas dos efeitos dos fatores Grupo x Momento nos escores das habilidades de automotivação (p=0,005), sociabilidade (p<0,001), autocontrole (p=0,013) e total (p=0,002) de inteligência emocional; das facetas observar (p=0,042), descrever (p=0,008), não julgar (p<0,001), agir com consciência (p=0,004) e total (p<0,001) de mindfulness . Pós-teste: houve aumento estatisticamente significante das habilidades de sociabilidade (p=0,009) e autocontrole (p=0,015) de inteligência emocional; das facetas não julgar (p=0,022) e total (p=0,002) de mindfulness . Seguimento: observou-se aumento significativo das facetas não julgar (p=0,024) e total (p=0,026) de mindfulness . A variável resiliência não apresentou significância estatística no fator Grupo x Momento, no pós-teste e seguimento. Conclusão: a intervenção baseada em mindfulness utilizada mostrou-se efetiva no aumento das habilidades de inteligência emocional e mindfulness disposicional de enfermeiros líderes. Registro Brasileiro de Ensaios Clínicos (RBR-3c62gy), registrado em 04 de março de 2020, atualizado em 16 de setembro de 2022. Objetivo líderes Método estudopiloto estudo piloto cruzado n=32 n32 n (n=32 n=18 n18 18 (n=18 n=14, n14 n=14 14 (n=14) préteste, préteste pré teste, teste pré-teste pósteste pós seguimento Emocional ConnorDavidson Connor Davidson Resultados 3 426 42 6 42, anos p=0,005, p0005 p p=0,005 0 005 (p=0,005) p<0,001, p0001 p<0,001 001 p=0,013 p0013 013 (p=0,013 p=0,002 p0002 002 (p=0,002 p=0,042, p0042 p=0,042 042 (p=0,042) p=0,008, p0008 p=0,008 008 (p=0,008) p=0,004 p0004 004 (p=0,004 (p<0,001 Pósteste Pós Pós-teste p=0,009 p0009 009 (p=0,009 p=0,015 p0015 015 (p=0,015 p=0,022 p0022 022 (p=0,022 Seguimento observouse observou se p=0,024 p0024 024 (p=0,024 p=0,026 p0026 026 (p=0,026 Conclusão mostrouse mostrou RBR3c62gy, RBR3c62gy RBRcgy RBR 3c62gy c gy (RBR-3c62gy) 2020 1 2022 n=3 n3 (n=3 n=1 n1 (n=1 (n=14 4 p000 p=0,00 00 (p=0,005 p<0,00 p=0,01 p001 01 (p=0,01 (p=0,00 p004 p=0,04 (p=0,042 (p=0,008 (p<0,00 p=0,02 p002 02 (p=0,02 cgy (RBR-3c62gy 202 n= (n= p00 p=0,0 p<0,0 (p=0,0 (p=0,04 (p<0,0 20 (n p0 p=0, p<0, (p=0, (p<0, 2 p=0 p<0 (p=0 (p<0 p= p< (p= (p< (p

Resumo: A prática de mindfulness tornou-se um tema relevante devido às evidências de sua eficácia para o tratamento de muitas condições de saúde, especialmente as de saúde mental, que suscitaram o interesse de clientes e psicoterapeutas quanto a sua aplicação clínica. No entanto, não há dados sobre o conhecimento de mindfulness por parte de psicólogos clínicos, o que afeta diretamente a habilidade de utilizar ou recomendar práticas baseadas na. Este estudo, de levantamento descritivo, exploratório e transversal, buscou caracterizar o conhecimento sobre mindfulness descrito por psicólogos clínicos brasileiros. Participaram do estudo 417 psicólogos de diferentes abordagens e estados brasileiros, que responderam a um questionário online. Dados quantitativos foram analisados por frequências, proporções e teste qui-quadrado. Para dados qualitativos, utilizou-se o método de classificação hierárquica descendente. Dessa maneira, foram identificadas cinco classes de descrição de mindfulness: ausência de conhecimento, efeitos, abordagem terapêutica, técnicas e definição operacional. Concluiu-se que os resultados refletem a necessidade de integrar o tema na formação acadêmica em psicologia, capacitando mais o psicólogo para fornecer adequadamente ao cliente informações, recomendações ou aplicação de mindfulness no contexto da prática clínica. Resumo tornouse tornou se mental clínica entanto descritivo transversal brasileiros 41 online frequências quiquadrado. quiquadrado qui quadrado. quadrado qui-quadrado qualitativos utilizouse utilizou descendente maneira efeitos terapêutica operacional Concluiuse Concluiu psicologia informações 4

Resumen: La práctica de atención plena ha cobrado relevancia debido a la evidencia de efectividad para muchas afecciones de salud, sobre todo de salud mental, la cual despertó el interés de clientes y psicoterapeutas con respecto a su aplicación clínica. Sin embargo, no existen datos sobre el conocimiento que tienen los psicólogos clínicos sobre la atención plena, lo que incide directamente en la capacidad de utilizar o recomendar prácticas basadas en esta práctica en el contexto clínico. Este estudio descriptivo, exploratorio y transversal tuvo como objetivo caracterizar el conocimiento sobre atención plena descrito por psicólogos clínicos brasileños. En este estudio participaron 417 psicólogos de diferentes enfoques y estados brasileños quienes respondieron un cuestionario en línea. Los datos cuantitativos se analizaron por frecuencias, proporciones y prueba de chi-cuadrado. Para los datos cualitativos se utilizó el método de clasificación jerárquica descendente. Como resultado, se identificaron cinco clases de descripción de atención plena: falta de conocimiento, efectos, enfoque terapéutico, técnicas y definición operativa. Se concluye que los resultados muestran la necesidad de integrar el tema en la formación académica en psicología, ofreciendo más capacitación al psicólogo para proporcionar al cliente información, recomendaciones o aplicación de la atención plena en el contexto de la práctica clínica. Resumen mental clínica embargo clínico descriptivo 41 línea frecuencias chicuadrado. chicuadrado chi cuadrado. cuadrado chi-cuadrado descendente resultado efectos terapéutico operativa psicología información 4

Abstract: The practice of mindfulness has become a relevant topic due to the evidence of its effectiveness for treating many health conditions, especially those of mental health, which aroused the interest of clients and psychotherapists regarding its clinical application. However, there is no data on the knowledge that clinical psychologists have about mindfulness, which directly affects their ability to use or recommend practices based on the technique. This descriptive, exploratory, and cross-sectional study aimed to characterize the knowledge about mindfulness described by Brazilian clinical psychologists. A total of 417 psychologists from different approaches and Brazilian states, which answered an online questionnaire, participated in the study. Quantitative data were analyzed by frequencies, proportions, and chi-square test. For qualitative data, the descending hierarchical classification method was used. Thus, five classes of mindfulness description were identified: lack of knowledge, effects, therapeutic approach, techniques, and operational definition. In conclusion, the results reflect the need to integrate the theme in professional training in psychology, better training the psychologist to adequately provide the client with information, recommendations, or application of mindfulness in the context of clinical practice. Abstract conditions However technique descriptive exploratory crosssectional cross sectional 41 states questionnaire frequencies proportions chisquare chi square test used Thus identified effects approach techniques definition conclusion psychology information recommendations 4

ABSTRACT The purpose of this study was to examine the impact of mindfulness training on selective attention, sustained attention, and inhibitory control in children aged 9 to 11. To achieve this, 114 students participated in the mindfulness program "Sitting Still Like a Frog" and were assessed before and after the program using tests that measure these variables. A quasi-experimental study with counterbalancing was conducted to minimize the learning effect, involving both an experimental group and a control group. The results indicated an impact of the mindfulness practice on the measure of selective attention, although no significant effects were observed for sustained attention or inhibitory control measures. Considering the role of attentional skills in children's academic activities, this outcome underscores the importance of contemplating mindfulness practices in the school context.

RESUMEN El propósito de este trabajo consistió en estudiar el impacto de un entrenamiento en mindfulness sobre la atención selectiva, la atención sostenida y el control inhibitorio en niños de entre 9 y 11 años. Para ello, 114 alumnos participaron del programa de mindfulness Tranquilos y atentos como una rana, siendo previa y posteriormente evaluados con pruebas que recogen medidas de dichas variables. Se realizó un estudio de tipo cuasiexperimental con contrabalanceo para reducir el efecto aprendizaje. Se trabajó con un grupo experimental y un grupo control. Los resultados mostraron un impacto de la práctica sobre la medida de atención selectiva, no así para las medidas de atención sostenida ni de control inhibitorio. Teniendo en cuenta el rol de las habilidades atencionales en la actividad académica de los niños, este resultado resalta la importancia de pensar las prácticas de mindfulness en el contexto escolar.

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 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

ORIENTATION: The study delves into technological acceptance within South African organisations, identifying psychological factors influencing employees' willingness to adopt technology. Barriers to technology adoption are explored, emphasising the universal relevance of identified psychological constructs RESEARCH PURPOSE: To understand the psychological barriers influencing successful technological adoption in South African organisations MOTIVATIONS FOR THE STUDY: High failure rates in tech-implementation projects are linked to employee resistance, revealing a crucial gap in understanding psychological dynamics. Recognising human factors as pivotal to technological success, there is a need to transcend technical aspects, exploring individual experiences during organisational transitions RESEARCH APPROACH/DESIGN AND METHOD: Using a qualitative approach with non-random snowball sampling, 17 South African employees were interviewed in a semi-structured manner. Thematic analysis revealed specific categories of psychological barriers MAIN FINDINGS: Identified barriers proved to be the antithesis of positive psychological constructs, including lack of psychological safety, lack of organisational trust, lack of psychological availability, negative emotions, low self-efficacy and low frustration tolerance. The presence of these barriers, hindering participants' willingness to adopt new technologies PRACTICAL/MANAGERIAL IMPLICATIONS: Organisations are advised to prioritise fostering a culture of psychological safety and trust, transparent communication and positive emotional experiences during technology adoption at the individual level. Training programmes enhancing self-efficacy and promoting mindfulness practices can mitigate barriers CONTRIBUTION/VALUE-ADD: This research stresses the significance of the role of psychological factors in inhibiting an employee's technological acceptance, providing practical guidance for industrial psychologists, HR professionals and change managers. The need to consider individual experiences during technological transitions, has universal implications across diverse workplaces

ABSTRACT Introduction: Burnout syndrome gains attention from researchers and professionals, particularly in the health area, due to the consequences and implications that it can lead to in professionals affected by the disease, which can compromise patient safety and the quality of offered care. Objective: To characterize the scientific production about strategies and interventions for reducing the risk of Burnout syndrome among nursing professionals. Methods: A bibliometric analysis was performed of publications until 2021 in the PubMed, Scopus and Web of Science databases. The analyzes were developed with the support of the bibliometrix R-package. The study recovered 70 publications. Conclusions: The analysis of the most cited works revealed psychoeducational, psychosocial and yoga strategies for self-care. Among the research trend topics, the most prominent was the term mindfulness, a fact showing an increase in research that applied this intervention to reduce burnout. The number of studies produced is incipient. However, with the inclusion of burnout within the International Classification of Diseases, an increase is expected in the number of publications, as well as in the interest of organizations in implementing strategies to promote health and well-being among professionals.

RESUMEN Introducción: El síndrome de Burnout gana atención de investigadores y profesionales, en particular en el área de la salud, por las consecuencias e implicaciones que puede generar en los profesionales afectados por la enfermedad, lo que puede comprometer la seguridad del paciente y la calidad del servicio ofrecido. Objetivo: Caracterizar la producción científica sobre estrategias e intervenciones para reducir el riesgo del síndrome de Burnout entre los profesionales de enfermería. Métodos: Análisis bibliométrico de las publicaciones hasta el 2021 en las bases de datos PubMed, Scopus y Web of Science. Los análisis se desarrollaron con el apoyo del bibliometrix R-package. El estudio recuperó 70 publicaciones. Conclusiones: El análisis de los trabajos más citados reveló estrategias psicoeducativas, psicosociales y de yoga para el autocuidado. Entre los temas de tendencia de investigación, el más destacado fue el término Mindfulness, lo que muestra un aumento en las investigaciones que aplicaron esta intervención para reducir el Burnout. El número de estudios producidos es incipiente. Sin embargo, con la inclusión del Burnout en la Clasificación Internacional de Enfermedades, se espera un aumento de las publicaciones y del interés de las organizaciones en implementar estrategias para promover la salud y el bienestar entre los profesionales.

There has been an increasing awareness of the importance of physician mental health. Several South African studies show a high prevalence of burnout among doctors. Burnout is characterised by three components: exhaustion, depersonalisation, and a sense of a lack of efficacy. Burnout is a result of both external and internal pressures. While lifestyle modification is essential, mindfulness-informed programmes promote self-regulation and resilience. Mindfulness programmes comprise three components: present moment awareness, perspective-taking and wisdom, and compassion. Physician wellness begins with individuals recognising the need of self-care and giving themselves permission to prioritise this. Ongoing identification of self-care needs and acting compassionately to address these needs is essential.

Abstract Objective: To analyze the effect and perception of a digital intervention, based on mindfulness to reduce stress and generalized anxiety among workers at the Universidad Veracruzana (UV). Materials and Methods: A randomized clinical trial was carried out with 102 participants, divided into an experimental group and a control group to evaluate the effect of an intervention through WhatsApp in reducing stress and anxiety. The experimental group received a meditation program in order to train and teach them to practice mindfulness. The PSS-10 Perceived Stress and GAD-7 Generalized Anxiety Disorder scales were used to assess the effect of the intervention. Participants expressed their opinion about the intervention through focused interviews with standardized questions. Results: There is a decrease in the median level of perceived stress and generalized anxiety of the experimental group between the pre-intervention and post-intervention moments, with a statistically significant difference, p=0.012 and p=0.013, respectively. In the control group, a slight increase in said levels was observed and no significant differences were identified between the baseline and final measurement, both in stress and anxiety. In the discourse spectrum analysis, the "Usability" category was examined and different aspects related to the perception, participation and recommendation of the intervention were identified. Conclusions: A statistically significant improvement was found in the levels of stress and generalized anxiety. It is shown that carrying out public health interventions that involve technology is increasingly adaptable and contributes to the advancement of knowledge within mental health self-care among workers at the Universidad Veracruzana.

Resumen Objetivo: Analizar el efecto y la percepción de una intervención digital, basada en atención plena para disminuir el estrés y ansiedad generalizada entre los trabajadores de la Universidad Veracruzana (UV). Materiales y Métodos: Un ensayo clínico aleatorizado se llevó a cabo con 102 participantes, divididos en un grupo experimental y un grupo control para evaluar el efecto de una intervención a través de WhatsApp, en la reducción del estrés y la ansiedad. El grupo experimental recibió un programa de meditación con el fin de capacitarlos y enseñarles a practicar la atención plena. Se utilizaron las escalas de estrés percibido PSS-10 y del trastorno de la ansiedad generalizada GAD-7 para evaluar el efecto de la intervención. Los participantes expresaron su opinión sobre la intervención mediante entrevistas focalizadas con preguntas estandarizadas. Resultados: Se encuentra una disminución en las medianas del nivel de estrés percibido y ansiedad generalizada del grupo experimental entre el momento pre-intervención y post-intervención, con una diferencia estadísticamente significativa, p=0.012 y p=0.013, respectivamente. En el grupo control se visualiza un ligero aumento en dichos niveles y no se identifican diferencias significativas entre la medición basal y final, tanto en estrés como en ansiedad. En el análisis del espectro del discurso, se examinó la categoría de "Usabilidad" y se identificaron diferentes aspectos relacionados con la percepción, participación y recomendación de la intervención. Conclusiones: Se encontró una mejoría estadísticamente significativa en los niveles de estrés y ansiedad generalizada. Se demuestra que, realizar intervenciones en salud pública que involucren la tecnología, es cada vez más adaptable y contribuye al avance del conocimiento dentro del autocuidado de la salud mental entre los trabajadores de la Universidad Veracruzana.