ABSTRACT Objective: Rheumatoid arthritis (RA) is a crippling disease with significant impact on a patient's life. The objective of this study is to describe the role of unimodular and multi-modular, non-pharmacological community intervention effectiveness, especially pain management interventions in RA. Methods: This review is built on a preliminary literature search, covering 2009 up to December 2013. Selective review of current literature was produced by searching for the terms ‘nonpharmacological intervention’, ‘self-management programme’, ‘self-care’, and ‘rheumatoid arthritis’, to capture all spectrums of RA non-pharmacological interventions. Twenty-six reviews were included in this overview. Results: A substantial and remarkable number of studies of non-drug care interventions in RA are available. Twenty-six reviews were included in the present overview, which indicated a beneficial effect of cognitive behavioural therapy and psychotherapeutic intervention, selfmanagement, and physical therapy (exercise), but a few studies indicated a beneficial effect of the multi-disciplinary education programme and specific dietary interventions. The evidence of effectiveness varies among the different non-pharmacological modalities and indicates a need for further investigation into the most clinical and cost-effective strategies to deliver individual, non-pharmacological treatment modalities, as well as comprehensive arthritis service delivery models for patients with RA. Conclusion: This article gives a summary of the available evidence regarding the effectiveness of non-pharmacological treatment modalities which are often prescribed as an adjunct to standard care in RA, but the data require scientific appraisal into the most clinically and cost-effective strategies.

Generalized anxiety disorder is a highly prevalent mental disorder. Previous data indicate that more than 18 million Brazilians suffer from this condition. Traditionally, generalized anxiety disorder has been considered a mild mental health disorder, despite its links to lower life expectancy, cardiovascular disease, and suicide. The aim of this article is to combine elements of systematic and critical reviews to produce a synthesis of the best evidence about generalized anxiety disorder treatment. Systematic reviews, meta-analyses, and randomized controlled trials were included. The descriptor used in the search was “generalized anxiety disorder,” which resulted in 4,860 articles and seven other studies, of which 59 were selected. Antidepressants and benzodiazepines were indicated, as was pregabalin, and atypical antipsychotics, such as quetiapine, have been studied. Individual cognitive behavior therapy (third wave) has proven effective. There is extensive literature on many effective treatments for generalized anxiety disorder. The present review summarizes the therapeutic possibilities, emphasizing those available in Brazil. Further studies are needed to compare other available medications, assess psychotherapies and new treatments in greater depth, as well as to assess the ideal duration of therapy. Registration number: PROSPERO CRD42021288323. 1 condition Traditionally expectancy disease suicide treatment metaanalyses, metaanalyses meta analyses, analyses meta-analyses included 4860 4 860 4,86 5 selected indicated pregabalin antipsychotics quetiapine studied third wave possibilities Brazil medications depth number CRD42021288323 CRD 486 86 4,8 CRD4202128832 48 8 4, CRD420212883 CRD42021288 CRD4202128 CRD420212 CRD42021 CRD4202 CRD420 CRD42 CRD4

Objective: To evaluate the effectiveness of online group cognitive behavioral therapy (CBT) based on the CAMALEO TOC manual in the treatment of adolescents with obsessive-compulsive disorder (OCD). Methods: This is a quasi-experimental study with a single-group pretest-posttest intervention. Over a 12-week period, 11 adolescents aged 11 to 17 years with OCD participated in weekly online group CBT sessions based on the CAMALEO TOC manual. We used several assessment tools, including the Children’s Yale-Brown Obsessive-Compulsive Scale to assess the severity of OCD symptoms, the Family Accommodation Scale for Obsessive-Compulsive Disorder-Interviewer-Rated to measure family accommodation, the Children’s Depression Inventory to assess depression symptoms, the Revised Children’s Manifest Anxiety Scale to assess anxiety, and the Multidimensional Students’ Life Satisfaction Scale to measure satisfaction with life. Results: OCD symptoms decreased significantly (d = -1.55) after online group CBT, and a strong effect size (d = -1.03) was found for family accommodation. After controlling for variables (e.g., engagement in psychotherapeutic treatment, medication use, or psychiatric comorbidities), no significant differences were found for OCD symptoms and family accommodation scores. In addition, there was insufficient evidence to support the effectiveness of online group CBT in reducing symptoms of depression or anxiety or improving overall quality of life. Conclusion: Our study demonstrates the feasibility of short-term online group CBT as an effective therapeutic approach for adolescents with OCD. Objective (CBT obsessivecompulsive obsessive compulsive . (OCD) Methods quasiexperimental quasi experimental singlegroup single pretestposttest pretest posttest intervention 12week week 12 period 1 tools Childrens Children s YaleBrown Yale Brown ObsessiveCompulsive Obsessive Compulsive DisorderInterviewerRated Disorder Interviewer Rated Students life Results d 1.55 155 55 -1.55 1.03 103 03 -1.03 e.g., eg e g (e.g. use comorbidities, comorbidities , comorbidities) scores addition Conclusion shortterm short term (OCD 1.5 15 5 -1.5 1.0 10 0 -1.0 e.g. (e.g 1. -1. e.g -1 -

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 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

BACKGROUND: Schizophrenia is a major psychiatric disorder affecting physical, psychosocial, and cognitive functioning. Treatment includes pharmacological and psychotherapeutic interventions. Adherence to prescribed medication is critical but reportedly low, because of side effects, failure to understand instructions, a lack of insight about the condition, cognitive deficits, and financial difficulties. Interventions to promote adherence to medication are required. This study introduced a treatment buddy to provide the patient with virtual support in adherence to medication. AIM: The aim of this study was to explore the participants' lived experiences of a treatment buddy support. SETTING: A specialised psychiatric clinic in a resource-constrained district of KwaZulu-Natal, South Africa. METHODS: A qualitative study design, using semi-structured one-on-one interviews, was used to collect in-depth data from 24 participants, suffering from schizophrenia and who had been offered virtual treatment buddy support for 6 months. Data were analysed using thematic analysis. RESULTS: The intervention improved adherence to medication. Participants indicated that the text messages served as reminders to take their medication daily. An alleviation of associated problems such as sleeping difficulties was observed. Participants were willing to encourage other patients suffering from schizophrenia to join 'treatment buddy services'. CONCLUSION: The virtual treatment buddy support increased awareness of the importance to adhere to antipsychotic medications among patients suffering from schizophrenia and helped to resolve other schizophrenia-related problems experienced by the participants. CONTRIBUTION: The study has provided a supportive intervention that can be utilised by mental health institutions to address poor adherence to medication by patients suffering from schizophrenia.

Resumen Antecedentes Se estima que el duelo secundario a COVID-19 dejará cerca de 16 millones de personas afectadas mundialmente, y la prevalencia del Trastorno de Duelo Prolongado (TDP) pudiera incrementarse al 40%. Objetivo Revisar los tratamientos susceptibles de aplicar en pacientes con TDP por COVID-19. Método Se realizó la búsqueda en PUBMED y Scholar google con las palabras clave trastorno de duelo prolongado, duelo complicado, duelo y psicoterapia y tratamiento del duelo prolongado o complicado o complejo persistente. Resultados Se revisaron 50 artículos, se refirió la eficacia de la terapia interpersonal, la terapia racional emotiva del comportamiento, la terapia de apoyo, la terapia humanista, la terapia familiar sistémica, la terapia grupal, la terapia de escritura, la intervención basada en internet, y una modalidad de terapia cognitivo conductual aplicada al duelo prolongado, la terapia metacognitiva y la terapia de aceptación y compromiso. Discusión y conclusión No hay consenso sobre el uso preferencial de tratamientos psicoterapéuticos en personas con TDP por la pérdida de una familiar por COVID-19. La terapia grupal es efectiva en disminuir la intensidad del duelo no complicado, la terapia cognitivo conductual es altamente efectiva para disminuir la gravedad del duelo, la Terapia Metacognitiva diseñada específicamente para el TDP impacta positivamente en la depresión, ansiedad y calidad de vida; y la Terapia de Aceptación y Compromiso es útil en el restablecimiento de la espiritualidad. La psicoterapia es más eficaz cuando se combina con terapia farmacológica. Se sugiere la realización de estudios comparativos entre técnicas psicoterapéuticas para el manejo de pacientes con TDP asociado a COVID-19 y la adaptación de estas técnicas a ambientes virtuales.

Abstract Background It has been estimated that COVID-19 grief will affect approximately sixteen million people worldwide, while the prevalence of prolonged grief disorder (PGD) could rise to 40%. Objective To review treatments that can be administered to patients with PGD due to COVID-19. Method PUBMED and Google Scholar were searched with the following keywords: prolonged grief disorder, complicated grief, grief and psychotherapy, and treatment of prolonged grief, complicated grief or persistent complex grief. Results Fifty articles were reviewed on the efficacy of interpersonal therapy, rational emotional-behavioral therapy, supportive therapy, humanistic therapy, systemic family therapy, group therapy, writing therapy, Internet-based intervention, and a modality of cognitive behavioral therapy used with prolonged grief, metacognitive therapy, and acceptance and commitment therapy. Discussion and conclusion There is no consensus on the psychotherapeutic treatment of choice for people with PGD due to the loss of a family member to COVID-19. Group therapy is effective in reducing the intensity of uncomplicated grief, cognitive-behavioral therapy is highly efficacious in reducing the severity of grief, metacognitive therapy specifically designed for PGD has a positive impact on depression, anxiety, stress, rumination, and quality of life while Acceptance and Commitment Therapy is helpful for restoring spirituality. Psychotherapy is most effective when combined with drug therapy. It is suggested that comparative studies be undertaken of psychotherapeutic techniques for managing patients with PGD associated with COVID-19 and the adaptation of these techniques to virtual settings.

Abstract Background: Identifying subgroups of patients that may show distinct trajectories of change during psychotherapy in realistic settings is relevant for the development of personalized therapeutic processes. Aims: The present study sought to (a) identify trajectories of change in Chilean patients; (b) explore variables that may predict the likelihood of belonging to certain trajectories; and (c) examine whether these different trajectories result in differences in treatment outcomes. Method: Growth mixture modeling (GMM) and multinomial logistic regression analysis were carried out on the data of 400 patients receiving psychotherapy at a private outpatient clinic in Chile. Results: Three trajectories of change were identified: (a) moderate initial dysfunction with slight deterioration, (b) mild initial dysfunction with favorable change, and (c) high initial dysfunction with rapid favorable change. Patient's age was found to be a significant predictor of trajectory assigned, suggesting a poorer prognosis for older patients. Moreover, the trajectories were significant predictors of treatment outcome. Conclusions: These results can be used to develop patient-specific therapeutic interventions based on the trajectories they exhibit.

Resumen: Antecedentes: identificar subgrupos de pacientes que demuestren diferentes trayectorias de cambio terapéutico durante psicoterapia en contextos realistas es relevante para el desarrollo de procesos terapéuticos personalizados y efectivos. Objetivos: El presente estudio tuvo como objetivos (a) identificar trayectorias de cambios terapéutico en pacientes chilenos (b) explorar variables que puedan predecir la probabilidad de pertenecer a ciertas trayectorias y (c) examinar si estas diferentes trayectorias desembocan en distintos resultados terapéuticos. Método: se llevaron a cabo análisis de modelos de crecimientos mixto (Growth Mixture Modeling - GMM) y regresiones logísticas multinominales en una muestra de 400 pacientes chilenos recibiendo psicoterapia en un centro de salud mental privado. Resultados: se identificaron tres trayectorias de cambio terapéutico (a) disfunción inicial moderada con leve deterioro, (b) disfunción inicial leve con cambio favorable y (c) disfunción inicial severa con rápido cambio favorable. La edad de los pacientes fue considerada un factor predictor de trayectoria significativa, sugiriendo una peor prognosis para pacientes de mayor edad. Además, todas las trayectorias fueron predictoras del resultado terapéutico. Conclusiones: estos resultados pueden ser utilizados para desarrollar intervenciones enfocadas en el paciente, basadas en las trayectorias de cambio que exhiban.

Abstract Postpartum depression has a multidetermined etiology that needs attention and care. Among the symptoms are problems related to sleep, anxiety, discouragement, labile mood, and suicidal ideas. Early diagnosis and appropriate treatment are important for reducing the consequences it has on the life of the woman and her baby. Understanding psychotherapy as one of the interventions in the treatment of postpartum depression, based on the analysis of its effectiveness, the objective of this work is to carry out a systematic review on psychotherapy as an intervention in cases of postpartum depression. The research was carried out in the Coordination for the Improvement of Higher Level Personnel and Virtual Health Library, and in the databases: Scientific Electronic Library Online and Electronic Periodicals in Psychology, through the descriptors "psychotherapy" AND "postpartum depression", including studies on the efficacy of psychotherapy in comparison to the use of drugs and on psychotherapy as an intervention in puerperal women who presented symptoms of postpartum depression. Five articles were selected: three presented a comparison between the effects of psychotherapy and the use of the drugs sertraline and oxytocin on the decrease of depressive symptoms in puerperal women; one article evaluated the viability and results of a psychotherapic intervention in a group of puerperal adolescents who present symptoms of this diagnosis and one article evaluated the maintenance of the effects of two psychotherapies. It was concluded that psychotherapeutic intervention has effects under the decrease of symptoms in cases of postpartum depression, independently of psychological approach, proving to be effective.

Resumo A depressão pós-parto possui etiologia multideterminada e que necessita de atenção e cuidado. Dentre os sintomas estão problemas relacionados ao sono, ansiedade, desânimo, humor lábil e ideias suicidas. O diagnóstico precoce e tratamento adequado são importantes para diminuição das consequências que ela acarreta na vida da mulher e do bebê. Compreendendo a psicoterapia como uma das possíveis intervenções no tratamento de depressão pós-parto, a partir da análise sobre qual sua eficácia, o objetivo deste trabalho é realizar uma revisão sistemática sobre a psicoterapia como intervenção em casos de depressão pós-parto. A pesquisa foi realizada através da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior e Biblioteca Virtual em Saúde, e nas bases de dados: Scientific Electronic Library Online e Periódicos eletrônicos em Psicologia, por meio dos descritores “psychotherapy” AND “postpartum depression”, incluindo estudos sobre a eficácia da psicoterapia em comparação ao uso de fármacos e sobre a psicoterapia como intervenção em puérperas que apresentavam sintomas de depressão pós-parto. Foram selecionados cinco artigos: três apresentaram comparação entre os efeitos da psicoterapia e do uso dos fármacos sertralina e ocitocina na diminuição dos sintomas depressivos em puérperas; um artigo avaliou viabilidade e resultados de uma intervenção psicoterápica em um grupo de adolescentes puérperas que apresentam sintomas desse diagnóstico; por fim, um artigo que avaliou a manutenção dos efeitos de duas psicoterapias. Concluiu-se que a intervenção psicoterapêutica tem efeitos sob a diminuição dos sintomas depressivos nos casos de depressão pós-parto, independente da abordagem psicológica utilizada, mostrando-se eficaz.

Abstract The therapeutic alliance (TA) is one of the main predictors of good psychotherapeutic outcomes. Currently, intensive studies of the TA process in online psychotherapy are scarce. This study aimed to describe the TA process throughout the online treatment, considering indicators present in the psychotherapeutic process in general and the perception of the dyad regarding its level throughout the sessions (macroprocess). Studies involving the multilevel analysis of TA contribute to a better understanding and establishment of this in treatments. This was a naturalistic design through a systematic case study. A psychoanalytic therapist and a young adult patient with complaints of anxiety symptoms participated. The treatment consisted of 24 online sessions, videotaped, and transcribed and its outcome was considered successful. Data were collected using the Psychotherapy Process Q-Set, Working Alliance Inventory and the Rupture Resolution Rating System and analyzed using descriptive data. The results indicated a general collaborative process and high values on the part of the patient and the therapist in the domains of the TA (tasks, goals, and bond). In the microprocess, there were more avoidance disruptions and greater global impact of resolutions than there were disruptions. These findings were discussed from a psychodynamic perspective and constitute idiosyncrasies of care with this public. Finally, the limitations and suggestions for further studies regarding the alliance process in online psychotherapy are discussed.

Resumen Alianza terapéutica (AT) es uno de los principales predictores de buenos resultados psicoterapéuticos. Actualmente, los estudios intensivos del proceso de AT en psicoterapia en línea son escasos. Los estudios que involucran el análisis multinivel de la AT contribuyen a una mejor comprensión y establecimiento de esta en los tratamientos. Este estudio tuvo como objetivo describir el proceso de AT a lo largo del tratamiento en línea, considerando indicadores presentes en el proceso psicoterapéutico en general y la percepción de la díada de su nivel a lo largo de las sesiones (macroprocesos), así como su variación en las sesiones (microproceso). Es un diseño naturalista a través de un estudio de caso sistemático. Participaron una terapeuta de orientación psicodinámica y una paciente, adulta joven, con queja de síntomas de ansiedad. El tratamiento consistió en 24 sesiones en línea, grabadas en video y transcritas, y su resultado se consideró exitoso. Los datos fueron recolectados usando el Psicotherapy Process Q-Set, Working Alliance Inventory y el Rupture Resolution Rating System y analizados usando datos descriptivos. Los resultados indicaron un proceso colaborativo y altos valores por parte del paciente y el terapeuta en los dominios de AT (tareas, objetivos y vínculo). En el microproceso, hubo más interrupciones por evasión y un mayor impacto general de las resoluciones que de las interrupciones. Estos hallazgos fueron discutidos desde una perspectiva psicodinámica y configuran idiosincrasias del servicio brindado a esta audiencia. Finalmente, se señalan limitaciones y sugerencias para estudios adicionales sobre el proceso de alianza en psicoterapia en línea.

Resumo A aliança terapêutica (AT) é um dos principais preditores de bons desfechos psicoterapêuticos. Atualmente, estudos intensivos do processo de AT na psicoterapia on-line são escassos. Este estudo objetivou descrever o processo da AT ao longo do tratamento on-line, tendo em vista indicadores presentes no processo psicoterápico em geral e a percepção da díade sobre o seu nível ao longo das sessões (macroprocessos), bem como a sua variação nas sessões (microprocesso). Estudos que envolvem a análise multinível da AT contribuem para melhor compreensão e estabelecimento desta nos tratamentos. Trata-se de um desenho naturalístico por meio do estudo de caso sistemático. Participaram uma terapeuta de orientação psicanalítica e uma paciente, jovem adulta, com queixa para sintomas de ansiedade. O tratamento foi composto de 24 sessões on-line, videogravadas e transcritas e o seu desfecho considerado bem-sucedido. Os dados foram coletados por meio do Psychotherapy Process Q-Set, Working Alliance Inventory e do Rupture Resolution Rating System e analisados utilizando dados descritivos. Os resultados indicaram processo colaborativo e altos valores por parte do paciente e da terapeuta nos domínios da AT (tarefas, objetivos e vínculo). No microprocesso, houve mais rupturas de evitação, e impacto global maior das resoluções do que das rupturas na AT. Tais achados foram discutidos sob a perspectiva psicodinâmica e configuram idiossincrasias do atendimento com esse público. Por fim, são indicadas as limitações e sugestões para novos estudos sobre o processo da aliança na psicoterapia on-line.

SUMMARY Hoarding Disorder is characterized by an extreme difficulty to get rid of or discard objects, regardless of their real value and originating multiple symptoms and everyday life problems. The severity is major in old adults although the condition progresses throughout several decades of life. The case of a 49 years old man is presented: the illness started at age 15, keeping used books and notebooks with idea that they would be necessary in the future. This was associated with significant anxiety in some social situations; later, other objects such as tools, clothes and cookware beside were added with intensified anxiety relate to emotional and family losses. The patient sought medical attention in several centers without relief. Finally, his diagnosis, psychopharmacological and psychotherapeutic treatment were re-framed with favorable results.

RESUMEN El trastorno de acumulación se caracteriza por una extrema dificultad para deshacerse o descartar artículos, independientemente de su valor real, originando con ello múltiples síntomas y problemas cotidianos de todo tipo. Aunque la severidad es más marcada en adultos mayores, el cuadro es de instalación progresiva a lo largo de varias décadas. Se presenta el caso de un paciente varón de 49 años, con inicio de la enfermedad desde los 15 años, guardando libros y cuadernos usados con la idea de que podrían ser útiles en el futuro; además de manifestaciones significativas de ansiedad. La acumulación de otros objetos como herramientas, ropa y utensilios de cocina se fue intensificando junto con el incremento de la ansiedad tras varias pérdidas familiares. El paciente buscó atención médica en diferentes centros sin encontrar alivio. Finalmente, el diagnóstico, el tratamiento psicofarmacológico y psicoterapéutico fueron replanteados con resultados favorables.

RESUMO A realidade presente no horizonte educacional ainda é perpetrada por situações de não inclusão para alunos com diversidade funcional. O conto é apresentado como uma ferramenta psicoterapêutica muito adequada para trabalhar emoções. Através do conto, diferentes situações sociais são mais bem percebidas onde ainda existem barreiras e preconceitos em relação a diferentes grupos com deficiência. Este trabalho reflete sobre uma experiência com 52 alunos, com desenho quase experimental com grupo de pré-teste, pós-teste e controle, que baseia seu tratamento no uso de histórias. O instrumento VADA foi concluído antes do tratamento e após três meses. À luz dos resultados, pode-se concluir que, embora as atitudes em relação à diversidade não apresentem grandes preconceitos em tenra idade, o conto é um recurso ideal para sua melhoria. Nesse sentido, o desenho de projetos cujo eixo central são as histórias representa um passo à frente na construção de uma escola e sociedade mais inclusivas. funcional emoções deficiência 5 préteste, préteste pré teste, teste pré-teste pósteste pós controle meses resultados podese pode se idade melhoria sentido inclusivas

ABSTRACT The present reality in the educational horizon still continues perpetrated by situations of non-inclusion for students with functional diversity. The story is presented as a very suitable psychotherapeutic tool for working with emotions. Through the story, different social situations are better perceived where there are still barriers and prejudices towards different groups with disabilities. This work confirms an experience with 52 students, with a quasi-experimental design with pretest, posttest, and control group, which bases its treatment on the use of stories. The VADA instrument was completed before treatment and after three months. In light of the results, it is concluded that, although at early ages the attitudes towards diversity do not present great prejudices, the story is an optimal resource for its improvement. In this sense, the design of projects focused on stories is a step forward in the construction of a more inclusive school and society. noninclusion non inclusion emotions disabilities 5 quasiexperimental quasi experimental pretest posttest group months results that improvement sense society

RESUMEN La realidad presente en el horizonte educativo aún continúa perpetrada por situaciones de no inclusión para alumnado con diversidad funcional. El cuento se presenta como herramienta psicoterapéutica muy adecuada para trabajar las emociones. A través del cuento se perciben mejor las diferentes situaciones sociales, donde aún existen barreras y prejuicios hacia distintos colectivos con discapacidad. Este trabajo constata una experiencia de 52 estudiantes, con diseño cuasiexperimental con pretest, postest y grupo control, que basa su tratamiento en el uso de cuentos. El instrumento VADA fue cumplimentado antes del tratamiento y transcurridos tres meses. A la luz de los resultados se concluye que, si bien en edades tempranas las actitudes hacia la diversidad no presentan grandes prejuicios, el cuento es un recurso óptimo para su mejora. En este sentido, el diseño de proyectos centrados en cuentos supone un paso hacia delante en la construcción de una escuela y sociedad más inclusiva. funcional emociones sociales discapacidad 5 estudiantes pretest control meses mejora sentido inclusiva

ABSTRACT Objective: Substance misuse can lead to several consequences for physical and mental health. Physical exercise is an important ally to pharmacological and psychotherapeutic treatment for substance use. However, the literature is still scarce regarding long-term interventions. Thus, this study aims to describe the acceptability and effects of combined physical training intervention (aerobic and strength). Methods: This study comprises an n-of-1 clinical trial that was performed with a 64-year-old male individual with alcohol use disorder. The treatment lasted 12 weeks and evaluated the association of multidisciplinary interventions on quality of life, depressive symptoms, cognitive impairment, and anxiety. Results: The participant improved general quality of life (12.5%), no alterations were found for depressive symptoms, there was an improvement in cognition (20%), as well a reduction in the trait (16.2%) and state (14.7%) anxiety symptoms of the participant. Conclusions: These findings allude to the importance of non-drug therapeutic resources such as structured physical exercise, associated with other offers in the treatment of alcohol use disorder. Objective health However longterm long term Thus aerobic strength. strength . strength) Methods nof1 nof n 1 n-of- 64yearold yearold 64 year old disorder impairment Results 12.5%, 125 12.5% , 5 (12.5%) 20%, 20 20% (20%) 16.2% 162 16 2 (16.2% 14.7% 147 14 7 (14.7% Conclusions nondrug non drug n-of 6 12.5 (12.5% (20% 16.2 (16.2 14.7 (14.7 12. (12.5 (20 16. (16. 14. (14. (12. (2 (16 (14 (12 ( (1

RESUMO Objetivo: O uso de substâncias psicoativas pode levar a diversas consequências à saúde física e mental. O exercício físico é um importante aliado ao tratamento farmacológico e psicoterápico para o uso de substâncias. No entanto, a literatura ainda é escassa em relação às intervenções de longa duração. Dessa forma, este estudo objetiva descrever a aceitabilidade e os efeitos de uma intervenção de treinamento físico combinado (aeróbico e força). Métodos: Este estudo compreende um n-of-1 clinical trial que foi realizado com um indivíduo do sexo masculino, de 64 anos de idade, com transtorno por uso de álcool. O tratamento teve a duração de 12 semanas e avaliou a associação de intervenções multiprofissionais sobre a qualidade de vida, sintomas depressivos, comprometimento cognitivo e ansiedade. Resultados: O participante melhorou a qualidade de vida geral (12,5%), não foram encontradas alterações para sintomas depressivos, houve melhora na cognição (20%), bem como redução nos sintomas de ansiedade traço (16,2%) e estado (14,7%) do participante. Conclusões: Esses achados aludem à importância de recursos terapêuticos não medicamentosos como o exercício físico estruturado, associados às demais ofertas no tratamento para o transtorno por uso de álcool. Objetivo mental entanto forma aeróbico força. força . força) Métodos nof1 nof n of 1 n-of- masculino 6 idade álcool depressivos Resultados 12,5%, 125 12,5% , 5 (12,5%) 20%, 20 20% (20%) 16,2% 162 16 2 (16,2% 14,7% 147 14 7 (14,7% Conclusões estruturado n-of 12,5 (12,5% (20% 16,2 (16,2 14,7 (14,7 12, (12,5 (20 16, (16, 14, (14, (12, (2 (16 (14 (12 ( (1

INTRODUCTION: The successful use of ECT as treatment for catatonia, in the context of HIV (human immunodeficiency virus) infection, has been described previously. Ketamine has been used as an anaesthetic induction agent for ECT, although not considered the induction agent of choice. There are also case reports suggesting that ketamine may be an alternative treatment specifically for catatonia PATIENT PRESENTATION: This case report describes the management of a female patient who presented with catatonia, evidenced by stupor, waxy flexibility, mutism, negativism, and stereotypy, as well as stage four HIV infection, with poor response to previous psychotherapeutic interventions Management and outcome: We describe the course of management of this patient with ECT, following poor initial clinical response to ECT with propofol induction, the subsequent use of ketamine as an anaesthetic induction agent for ECT, with associated improvement in seizure quality, and good overall clinical response to ECT demonstrated thereafter. Conclusion and contributions: This case report suggests that ketamine may be a viable induction agent for ECT in this clinical setting.

INTRODUCTION: The successful use of ECT as treatment for catatonia, in the context of HIV (human immunodeficiency virus) infection, has been described previously. Ketamine has been used as an anaesthetic induction agent for ECT, although not considered the induction agent of choice. There are also case reports suggesting that ketamine may be an alternative treatment specifically for catatonia. PATIENT PRESENTATION: This case report describes the management of a female patient who presented with catatonia, evidenced by stupor, waxy flexibility, mutism, negativism, and stereotypy, as well as stage four HIV infection, with poor response to previous psychotherapeutic interventions. MANAGEMENT AND OUTCOME: We describe the course of management of this patient with ECT, following poor initial clinical response to ECT with propofol induction, the subsequent use of ketamine as an anaesthetic induction agent for ECT, with associated improvement in seizure quality, and good overall clinical response to ECT demonstrated thereafter. CONCLUSION AND CONTRIBUTIONS: This case report suggests that ketamine may be a viable induction agent for ECT in this clinical setting.

Resumen Las enfermedades cardiovasculares y la depresión se consideran problemas de salud pública, la depresión es un factor de riesgo para pacientes con insuficiencia cardiaca (IC) por sus implicaciones clínicas. El objetivo de este estudio fue describir dos modalidades de intervenciones psicoterapéuticas en el abordaje de la depresión en pacientes con IC. Métodos de búsqueda: Se realizaron búsquedas en las bases especializadas MEDLINE, PubMed, PsycINFO, Web of Science, CINAHL y Cochrane Library de 2010 a 2020. Criterios de selección: Se seleccionaron los artículos por título y resumen, publicados en los últimos 10 años, escritos en castellano o inglés y se eliminaron los registros repetidos. Obtención de los datos: Tres autores recopilaron la información de los estudios que se documentan. Resultados principales: Se incluyeron 4 estudios clínicos con 911 pacientes, se realizaron en 4 países en los últimos 10 años y se implementaron diferentes métodos de intervenciones digitales y visitas domiciliarias, los efectos de estos tratamientos han sido estadísticamente significativos para reducir los puntajes de depresión autoinformada en pacientes con IC que recibieron la intervención psicoterapéutica en alguna de estas modalidades a comparación de aquellos pacientes que solo recibieron un tratamiento estándar. Conclusiones: Debido al número limitado de estudios y de los diferentes métodos de intervención no se identifica un tratamiento estándar de la depresión en IC en estos formatos de atención, por lo que se recomienda más investigación en este campo de estudio.

Abstract Cardiovascular disease and depression are considered public health problems, depression is a risk factor for patients with heart failure (HF) for its clinical implications. The objective of this study was to describe two modalities of psychotherapeutic interventions in the approach to depression in patients with HF. Search methods: We searched the specialized databases MEDLINE, PubMed, PsycINFO, Web of Science, CINAHL and Cochrane Library from 2010 to 2020. Selection criteria. Articles were selected by title and abstract., published in the last 10 years, written in Spanish or English and repeated registrations were deleted. Obtaining the data: Three authors collected information from the studies being documented. Main results: We included 4 clinical studies with 911 patients, were conducted in 4 countries in the last 10 years and implemented different methods of digital interventions and home visits, the effects of these treatments have been statistically significant to reduce self-reported depression scores in patients with HF who received psychotherapeutic intervention in any of these modalities compared to those patients who only received a treatment. Conclusions: Due to the limited number of studies and different methods of intervention, a standard treatment of HF depression in these care formats is not identified, so more research in this field of study is recommended.