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Jamily Cerqueira Etinger Almeida Novais
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Construction of a protocol based on scientific evidence for psychological follow-up of health professionals in the long Covid-19 in a regional referral hospital
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Leader : NILIA MARIA DE BRITO LIMA PRADO
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MEMBRES DE LA BANQUE :
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NILIA MARIA DE BRITO LIMA PRADO
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ANDRE PEREIRA GONCALVES
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LILIANA SANTOS
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RAYANA SANTEDICOLA ANDRADE
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BRUNO CHAPADEIRO RIBEIRO
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Data: 7 févr. 2023
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Afficher le Résumé
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The post-covid-19 condition, illness in people who have recovered from COVID-19 but still report lasting effects of the infection persisting for weeks or months after COVID-19 infection may develop persistent and long-term psychological symptoms. Many infected healthcare workers report cognitive impairment, insomnia, depression, anxiety, shortness of breath, burnout, and PTSD have been associated with physical and mental health implications. Moreover, in the pandemic scenario, physical and psychological pressure have been associated with signs of occupational stress, among other causes of mental suffering. In this sense, psychological interventions for health care workers play a crucial role in dealing with the mental health implications of the new coronavirus pandemic. However, studies proposing instruments for monitoring the repercussions of the pandemic and the post-covid-19 condition on health professionals are still incipient. The studies located are restricted to the organization of care responses according to the severity of the disease, the provision of care to users. Thus, this study aimed to identify and analyze the evidence from the scientific literature and design an intervention for screening and psychosocial monitoring for implications of the pandemic and post-covid-19 condition in health professionals working in hospitals. To this end, a qualitative and descriptive research was developed, which included two stages of integrative synthesis review, a methodological study, and a technical product. The results were presented and discussed according to the articles and derived product: The first article is a rapid synthesis of scientific evidence entitled "Determinants for repercussions in the mental health of hospital health professionals in the Covid-19 pandemic" and sought to identify the conditioning and determining factors of psychological distress of health professionals who work in the front line in the hospital environment, before the reorganization of the work process in the context of the Covid-19 pandemic. The second article entitled "Synthesis of psychological and psychosocial interventions for hospital health professionals in the post-covid-19 context and with post-covid-19 condition" aimed to identify and systematize psychological and psychosocial interventions directed to hospital health professionals in the post-covid-19 context and those with post-covid-19 condition. The third article "proposition of psychological and psychosocial intervention for hospital health professionals with Post-covid-19 condition" synthesizes, from the interventions identified in the scientific literature, the priority aspects for the psychological follow-up of health professionals with Post-covid-19 condition who work in the hospital context. And finally, in a complementary way, the scientific articles provide theoretical subsidies to establish and refine the technical product derived from the research that constitutes a "Check-list for screening and psychosocial monitoring of hospital health professionals with the Post-covid-19 Condition". This dissertation enabled the systematization of strategies for psychosocial monitoring of hospital health professionals and the construction of a specific instrument. The methodology, by contemplating several stages, allowed a better understanding of the interventions that have been developed, contributing to the adequacy of care for health professionals in the hospital context. Moreover, it corroborates the scientific discussions around the post-Covid-19 psychological follow-up, a theme still scarce in the literature and practice of health systems today.
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2
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Larissa Bahia Ribeiro
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Effects of weakened affective bonds on the mental health of incarcerated women in Vitória da Conquista - BA
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Leader : SUELY AIRES PONTES
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MEMBRES DE LA BANQUE :
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MILENA MARIA SARTI
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RAFAEL COELHO RODRIGUES
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SUELY AIRES PONTES
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Data: 28 févr. 2023
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Afficher le Résumé
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Incarcerated people go through different processes of oppression, which culminate in the marginalization and invisibility of their demands, especially those related to mental health. By adding the gender focus to this discussion, a greater vulnerability is perceived among women deprived of liberty, who suffer from the weakening of their affective bonds due to imprisonment, and often have their demands unattended. Considering this scenario, the present study was developed with the general objective of understanding the effects of the weakening of affective bonds on the mental health of women in situations of deprivation of liberty. These were the specific objectives: investigate how the experience of incarceration is constructed in the narratives of incarcerated women; examine what role the affective bonds built with their children and/or partners play in the subjective experience of these women; to analyze, in discursive formations, how these components are engendered in the mental health of incarcerated women. For the construction of this dissertation, a bibliographic review of academic productions on the subject was carried out and subsequent analysis, which resulted in an academic article; then, another academic article was produced, outlining the historical course of prisons, their social function and the political and economic articulations of their use as a mechanism for maintaining power. Finally, the data analysis section explains the results and the methodology of the research. Six women deprived of liberty participated in this study, whose discursive material was collected through semi-structured interviews and analyzed in the light of Pecheuxtian Discourse Analysis. The analysis categories led to some conclusions: the weakening of affective bonds represents a source of anguish and psychic suffering; health changes appears mainly in the form of symptoms and chronic complaints; the recurrent use of medication was the most used alternative to deal with psychic suffering; the experience in prison is permeated by constant distrust and fear, which coexist with the formation of a support network between the incarcerated women. Seeking an intervention aimed at reducing mental health suffering in the spaces of the prison system, an intervention product was built, in the form of an orientation booklet for the health services of the penitentiary system. In this booklet, there are informations brought by the women about the aspects of living in prison, and the survival strategies developed by them in this context.
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3
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Alex Viana de Araujo
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INDICATORI DI SALUTE MENTALE, SODDISFAZIONE SUL LAVORO E GESTIONE DELLE PERSONE: UNO STUDIO CON I DIPENDENTI PUBBLICI DI UN ISTITUTO DI ISTRUZIONE SUPERIORE
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Leader : EDI CRISTINA MANFROI
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MEMBRES DE LA BANQUE :
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EDI CRISTINA MANFROI
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RAYANA SANTEDICOLA ANDRADE
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FERNANDA DAVID VIEIRA
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MAGNO OLIVEIRA MACAMBIRA
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Data: 14 avr. 2023
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Afficher le Résumé
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The central objective of this dissertation was to identify the relationships among indicators of mental health (negative affectivity), burnout syndrome, job satisfaction and personnel management policy, in order to propose an explanatory model of burnout syndrome for employees of a Public Federal Higher Education Institution. Participated in the study 180 federal public employees (professors and administrative technicians). Multidimensional instruments were used: Job Satisfaction Scale - EST, Maslach Burnout Inventory -MBI, Depression, Anxiety and Stress Scale - DASS 21, Scale of People Management Practices - Public EPGP, as well as sociolaboral variables. This work allowed the development of two articles and a technical report. The first of them sought to understand the mental health phenomenon in the work context of Higher Education Institutions, based on a systematic literature review, which analyzed the national publications in the period between 2011 and 2021. In the empirical article, were analyzed the dimensions of burnout syndrome that presented significant associations, negative and positive, and with different magnitudes, with the other variables of the study, which allowed the elaboration of a predictive model. Between them, emotional exhaustion stands out, showing a significant positive correlation with negative affectivity, having the highest shared variance in the study. Regression analysis showed that the predictive model for emotional exhaustion had greater explanatory power, selecting satisfaction with the nature of work, satisfaction with colleagues, and negative affectivity as the main correlated variables of the prediction. The technical report sought to present the descriptive analyzes of each professional category (technicians and teachers) and the separation of groups in order to highlight the specific working conditions of each category, as well as the mental health indicators, job satisfation and the policy of people management. This project was contemplated with a scientific initiation edict and had three graduate students, job satisfation, during the execution period, allowing a greater integration between the graduation and the post graduation. Finally, it is emphasized that the study brings an important contribution in order to show the indicators of mental health, job satisfaction, and perception of the people management policy, so that managers can develop interventions directed at improving the quality of life of public employees in Federal Public Institutions
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4
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Amanda Santos de Souza
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Implementation of an online short-term behavioral-analytic intervention for women with body image problems: action research
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Leader : PAULO COELHO CASTELO BRANCO
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MEMBRES DE LA BANQUE :
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ANDREA BATISTA DE ANDRADE CASTELO BRANCO
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LIANA ROSA ELIAS
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PAULO COELHO CASTELO BRANCO
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SÉRGIO DIAS CIRINO
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Data: 20 avr. 2023
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Afficher le Résumé
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The homogenization of the body aesthetic standard fosters discrepancies between the actual body shape and the desired one, which predominantly affects women. This is reflected in body image problems and provides the follow-up of models that result in suffering, thus configuring a relevant issue from a clinical point of view. However, few studies focusing on interventions have been carried out, especially in the Brazilian reality. Therefore, this study proposes to implement a short-term behavioral-analytic intervention, in the online modality, to address body image problems among women. This is an action research qualitative methodological investigation study. The proposed intervention will be carried out through individual online consultations, recorded for monitoring and then evaluated through interviews with the aim of investigating its effects. Data will be analyzed through thematic content analysis and discussed through the theoretical framework of Behavior Analysis.
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5
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KARENINA OLIVEIRA SANTOS
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PSYCHOSOCIAL IMPACTS OF CHILD'S BIRTH: CRITICAL PERIOD OF PANDEMIC BY COVID-19 IN BAHIA
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Leader : MONALISA NASCIMENTO DOS SANTOS BARROS
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MEMBRES DE LA BANQUE :
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MONALISA NASCIMENTO DOS SANTOS BARROS
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ANDREA BATISTA DE ANDRADE CASTELO BRANCO
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PATRÍCIA BRITO RIBEIRO DE OLIVEIRA
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Data: 28 avr. 2023
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Afficher le Résumé
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The national context, modified in function of the pandemic by covid-19, and the repercussion in care provided to pregnant women, during birth. Beyond fear, panic and uncertainties generated by unknown disease, pregnant was one the last groups to be included in the risc to get covid-19. Being given greater focus, in the country, and, in the state, after the first deaths of puerperal women. Previously, a concern was primarily directed to high-risk pregnant women. Parallel to all isso, permeou also, in pregnant and puerperal women, or suspicion about vertical transmission and on or cliff to carry out breast feeding. Against that background, it is relevant to investigate, the impacts of the pandemic in puerperal women during or critical period, initial, of dissemination of the doença, in the country, understood between the months of March and May, do year of 2020. This research is intended to disclose and to analyze how they were expected to attend birth in Bahia, to this public, in this period.
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6
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Miriã Lima Malheiros
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EXPERIENCES OF PARENTS / CAREGIVERS IN SCHOOL MONITORING OF CHILDREN DURING THE PANDEMIC BY COVID 19
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Leader : CARMEM VIRGÍNIA MORAES DA SILVA
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MEMBRES DE LA BANQUE :
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CARMEM VIRGÍNIA MORAES DA SILVA
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MONALISA NASCIMENTO DOS SANTOS BARROS
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MAYRA RIBEIRO
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Data: 16 juin 2023
Ata de defesa assinada:
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Afficher le Résumé
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The pandemic context caused some changes in family dynamics. With the suspension of classroom classes and the introduction of teaching in remote format, the supervision of parents and/or caregivers in their children's school activities became more necessary. In view of this scenario, this research aims to know the experiences of parents/caregivers in the school monitoring of children during the pandemic by COVID 19. Parents/caregivers of enrolled children in the initial grades of elementary school (1st to 5th grade) who are on the waiting list for Child Psychotherapy of a Psychology Service of a Higher Education Institution in a countryside city of Bahia will be participating in the survey. The research has an exploratory-descriptive qualitative methodology, with an action research approach, based on the cultural-historical method. The action research will be carried out through group interventions guided by collaborative dialogical practices that will make it possible to identify demands about the exercise of the parental relationship that are related to school monitoring during a pandemic - COVID 19 and to analyze the meanings and senses arising from the experiences of parents/caregivers in school monitoring. The analysis procedure will be from the cores of meanings. The present study proposes, as a final product, a Parental Orientation Program – POP as an internship proposal for a Higher Education Institution – HEI.
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7
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Otávio Ribeiro Lago Netto
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WHAT CAN HEALTH PSYCHOLOGT UNDER THE "ONTOLOGICAL TURN" CONTRIBUTE TO RESEARCH ON BASICO SANITATION IN RURAL AREAS?
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Leader : PAULO ROGERS DA SILVA FERREIRA
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MEMBRES DE LA BANQUE :
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PAULO ROGERS DA SILVA FERREIRA
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SERGIO LIZIAS COSTA DE OLIVEIRA ROCHA
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SONIA REGINA LOURENÇO
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Data: 22 juin 2023
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Afficher le Résumé
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Readers will find here a Psychology of Health put to the test. Or rather, open to the exercise of decentralization of human well-being. It is a more democratic Health Psychology in terms of understanding what matters, interactions, affections and the construction of a “common”, which has nothing to do with the struggle for equality among men (human rights) in a situation given. Based on the analysis of basic sanitation policies in rural areas, more precisely in the southwest of Bahia, the aim is to launch Health Psychology into the worldwide movement of the “ontological turn”, which is configured as a critique of the method used in modern science of the separation between nature x culture, subject x object, and in the case of human sciences, the centrality of analyzes in human protagonism. It starts from the question: What can Health Psychology under the “ontological turn” contribute to research on basic sanitation in rural areas? And it concludes that another Psychology of Health is possible: open to the decentralization of the human, or if you prefer, to a (re)composition of its object. This dissertation is part of research line 1: Clinical Practices and Mental Health and has as a technical product an technical video for managers of basic sanitation programs. It was approved by the Ethics Committee in Research for Human Beings of the Multidisciplinary Institute in Health of the Federal University of Bahia (CEP-IMS/UFBA), via Plataforma Brasil, under opinion number 5,826,940.
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8
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JULIANA DE ALMEIDA SILVA
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PSYCHOLOGICAL INTERVENTION FOCUSED ON PEOPLE GRIEFING IN THE COVID-19 PANDEMIC
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Leader : ANDREA BATISTA DE ANDRADE CASTELO BRANCO
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MEMBRES DE LA BANQUE :
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ANDREA BATISTA DE ANDRADE CASTELO BRANCO
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EMANUEL MEIRELES VIEIRA
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PAULO COELHO CASTELO BRANCO
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Data: 27 juin 2023
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Afficher le Résumé
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The Covid-19 pandemic triggered the experience of concrete and symbolic mourning. From the perspective of the Person-Centered Approach, grief can be understood as the experience of thoughts, feelings and physical sensations related to changes in the phenomenological field of a person, whose loss can generate tensions in the organism-environment relationship and threaten the self. The person-centered psychologist unconditionally considers and understands the bereaved person's loss from the client's internal frame of reference, facilitating the conscious symbolization of this experience. The aim of this study is to develop a person-centered intervention in the face of grief experienced by individuals who have lost loved ones due to Covid-19. This study converges with the objectives of the Clinical Practices and Mental Health line, as it develops a mental health practice aligned with the expanded clinic. This is a qualitative research that uses the methods of Action Research and Case Study. Two grieving clients were assisted, in which they participated from seven to ten sessions. To obtain empirical material, two semi-structured interviews and online individual psychological care sessions were carried out. The field script was used as a tool for monitoring and improving actions. The analysis of empirical material is guided by Content Analysis. Research results are presented in four studies. The first article proposes the development of an instrument (research product) that can be used as a care management tool or as a field guide to conduct the monitoring phase of a person-centered intervention in an action-research context. The second article comprises the grieving experiences from the perspective of the Person-Centered Approach, before the beginning of the therapeutic process. The third article focuses on the description and analysis of the interventions carried out in the participants' psychological care. The fourth article deepens one of the cases treated and presents an analysis on the symbolization of mourning in the therapeutic context. The results showed that person-centered interventions facilitated the process of working through the clients' grief, favoring contact with emotions, reorganizing the self and reducing the state of tension. It is considered that the development of the research brought direct benefits to the study participants and enabled the improvement of the professional practice of the psychologist-researcher. It is hoped that this research will contribute to support person-centered interventions in the face of grief and encourage new studies on the subject, especially in the area of Health Psychology.
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9
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GABRIEL NERY MATOS
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Academic Procrastination Experiencies: phenomenological analysisi
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Leader : PAULO COELHO CASTELO BRANCO
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MEMBRES DE LA BANQUE :
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CARMEM VIRGÍNIA MORAES DA SILVA
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PAULO COELHO CASTELO BRANCO
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PAULO EDUARDO RODRIGUES ALVES EVANGELISTA
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Data: 28 juin 2023
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Afficher le Résumé
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Considering the high incidence of the phenomenon of procrastination in academic settings, commonly known as Academic Procrastination, this dissertation is linked to the objective. of the Postgraduate Program in Health Psychology at the Federal University of Bahia, to identify new demands and health needs in individual and collective contexts. This study hypothesizes that it is possible to understand and comprehend the phenomenon of academic procrastination from a humanistic perspective, based on the contributions of Carl Rogers, as well as an empirical phenomenological approach, using Amedeo Giorgi's procedures. To achieve this, the specific objectives were to: ground the experience of academic procrastination according to the humanistic Rogerian perspective; and understand the phenomenon of academic procrastination from an empirical phenomenological, applied with four higher education students in Vitória da Conquista, Bahia. Drawing on the theoretical foundation of humanistic Rogerian psychology, a comprehension of procrastination was constructed through the lens of personality organization, disorganization, and reorganization fostering an understanding of academic procrastination as a defense mechanism that signals incongruities. In the pursuit of an empirical phenomenological understanding of the experience of academic procrastination, four categories were identified, which indicate comprehension of the visited experiences: procrastination in the educational environment; manifestations of distress and anxiety in procrastination; difficulties and strategies for dealing with procrastination; contextual elements influencing procrastination. This axis describes: the ways in which procrastination emerges in the participants' universes, report sensations and behaviors that signal manifestations of this distress, mention coping behaviors, and explore connections with contextual elements that are associated with academic procrastination. The entire work presents data that can serve as a basis for further empirical or theoretical research, as well as providing a foundation for the development of applied services for the care of the university population experiencing academic procrastination.
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10
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Luana Alves Ferraz
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Health Psychology under ontological turn: support to medical training in Palliative Care
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Leader : PAULO ROGERS DA SILVA FERREIRA
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MEMBRES DE LA BANQUE :
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PAULO ROGERS DA SILVA FERREIRA
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SONIA REGINA LOURENÇO
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JEAN SEGATA
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Data: 1 juil. 2023
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Afficher le Résumé
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The readers will find in this work a renovated Health Psychology, far from a humanism that is centralized in humans. This work is developed as a support to Palliative Care (PC) in Research Line 1: Clinical Practices and Mental Health of the Health Psychology Post Graduation Program of the Multidisciplinary Health Institute of Federal University of Bahia (PPGPSIMS/UFBA), oriented by professor Paulo Rogers S. Ferreira, PHD. This work has as a final product an workshop named Experience-pedagogical workshop for medical training: how to connect with the world in Palliative Care. Is is centralized in the ontological turn perspective, which contests the modern science division into nature X culture and subject X object and comprehend the actions in the world as mediations among all the actors, human and non-human. This work is divided into three chapters. The first one is a theoretical article named The transformation of the technical apparatus in Palliative Care (PC), which introduces the transformation of the inanimate technical apparatus (ICU and ICC equipments, sofas, bedrooms, etc) in animated support equipments, in Palliative Care. The analisys was oriented by Gilbert Simondon. The second chapter is a result of an empirical study, an article named Health Psychology under ontological turn: support to medical training in Palliative Care. It comprehends the medical training in Palliative Care in Medicine Graduation of the Multidisciplinary Health Institute of Federal University of Bahia (IMS/UFBA) specially how is the focus to the technical apparatus. The results concluded that the professors and students constantly work with the technical apparatus but do not recognize its participation (anima) as mediators of the Palliative Care process. In the last chapter it is proposed a product, which is a requirement os the Professional Masters Degree and is named Experience-pedagogical workshop for medical training: how to connect with the world in Palliative Care and allows the sensibility about the participation of the technical apparatus in the PC. This research was approved by the Ethical Commitee in Research with Humans of the Multidisciplinary Health Institute of Federal University of Bahia (CEP-IMS/UFBA) by authorization nº 5.935.129.
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11
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ANA LUIZA SANTOS FREITAS
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Multidisciplinary telemonitoring at the Psychosocial Care Center for Children and Adolescents in Vitória da Conquista: achievements and challenges for its implementation.
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Leader : LIVIA BOTELHO FELIX
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MEMBRES DE LA BANQUE :
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LIVIA BOTELHO FELIX
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NILIA MARIA DE BRITO LIMA PRADO
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THAYSE ANDRADE FERNANDES
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Data: 23 août 2023
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Afficher le Résumé
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The COVID-19 pandemic had a worldwide impact on the health area, especially during the period of social isolation, unexpectedly causing the urgent adaptation of the most diverse health services for distance care. Given this scenario, this study aimed to analyze the potential and restrictive aspects underlying the use of telemonitoring at the Center for Psychosocial Care for Children and Adolescents, located in Vitória da Conquista-Bahia. To this end, two articles were developed, the first of which was focused on bibliographical research using an exploratory-descriptive method to describe the trajectory of the use of Communication and Information Technologies in Brazil and list the different forms of distance monitoring aimed at children and adolescents during the pandemic period in national and international mental health services. The second article presents, through a case study of a qualitative nature, the experience of telemonitoring carried out by professionals from the multidisciplinary team during the year 2020, with users and their caregivers. Online forms were applied to the professionals and focus groups were held with service users, one group with adolescents and the other with family members. The results allowed us to conclude that, although there are limitations to accessing technological resources and the need for better structuring of the telemonitoring proposal, benefits were found in monitoring users and their families over the telephone, namely: reduction of waiting lines for care, strengthening the bond between users and the reference technician, agility in resolving behavioral situations such as crisis management, guidance on drug treatment and building the autonomy of patients and their caregivers in relation to treatment. This dissertation enabled the construction of a good practice guide for the implementation of telemonitoring in mental health services. Finally, it is outlined that telemonitoring is a powerful resource that, added to face-to-face care, tends to be a promising care strategy in mental health services.
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12
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THAINÁ SOUSA CAMPOS
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Evaluation of the Effectiveness of the Pay Attention! in Attention Training in Children Diagnosed with ADHD
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Leader : PATRICIA MARTINS DE FREITAS
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MEMBRES DE LA BANQUE :
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GUSTAVO MARCELINO SIQUARA
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MONICA CAROLINA DE MIRANDA
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PATRICIA MARTINS DE FREITAS
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Data: 13 sept. 2023
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Afficher le Résumé
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This study is the result of a project for the Professional Master's Degree in Health Psychology. It is linked to the Human Development and Educational Practices in Health research line at the Multidisciplinary Health Institute of the Federal University of Bahia. Neuropsychological studies contribute significantly to clinical work and specialized mental health care. ADHD is a neurobiological disorder characterized by changes in dopamine levels that are responsible for attention, and motor behavior, leading to difficulty in regulating attention responses to environmental stimuli. ADHD manifests itself through alterations in the neural circuitry of the prefrontal cortex. From the neuropsychological point of view, ADHD is evidenced by alternating neuronal circuits associated with the symptoms described above. Impairment is observed in the prefrontal cortex and, consequently, in the Executive Functions (EFs) - cognitive skills responsible for planning and performing tasks. Impairments in the EFs primarily involve sustained attention, working memory, planning, organization, and social behavior. In Brazil, the number of studies focused on attentional program interventions for children with ADHD is low, which contributes to the increased use of medication without consistent neurofunctional gains. The lack of studies on cognitive stimulation in children with ADHD contributes to increased medication use without consistent neurofunctional gains. The purpose of this study was to evaluate the clinical effectiveness of the Pay Attention! Program in reducing attention deficits in children with Attention Deficit Hyperactivity Disorder in the city of Vitória da Conquista - BA. The study design was quasi-experimental with the comparison of groups between pre and post-test. A comparison was made between two groups: children diagnosed with ADHD and submitted to the attentional intervention program Pay Attention! and children diagnosed with ADHD who did not receive the intervention. Twenty-four children aged 6 to 10 years (M=8.37) participated in the study, 13 children in the experimental group (EG) and 11 children in the control group (CG). After the Normality Test (Shapiro-Wilk Test), the non-parametric Wilcoxon test was used and the effect size r, was measured by Cohen's d. In the data analysis, outliers were identified in the EG and, for analysis purposes, the respective children were removed from the database. The results suggested significant changes in auditory attention measures for the group submitted to the intervention, improvement in clinical symptoms, and reading performance. Considering the results presented, the study demonstrates that the attention intervention program Pay Attention! has clinically significant effects on children with ADHD. In addition to the results regarding the effect of the program investigated, the dissertation consists of two Technical and Technological Products – TTP’s intending to disseminate ways of stimulating attention for children with ADHD. The TTPs developed are a 40- page Technical Manual on Cognitive Stimulation for professionals and those responsible for children with ADHD, published electronically, and the other was a training course for undergraduate and postgraduate students and professionals in the fields of education and health on cognitive stimulation for children with ADHD.
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13
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MARIANNA MATOS SANTOS
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Identification and monitoring of users and health professionals with the post-covid-19 condition: synthesis of evidence and recommendations.
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Leader : NILIA MARIA DE BRITO LIMA PRADO
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MEMBRES DE LA BANQUE :
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ANDRE PEREIRA GONCALVES
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EDI CRISTINA MANFROI
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NILIA MARIA DE BRITO LIMA PRADO
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THAYSE ANDRADE FERNANDES
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Data: 28 nov. 2023
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Afficher le Résumé
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T
This dissertation is in line with the Clinical Practices and Mental Health research line of the Professional Master's Degree in Health Psychology at the Federal University of Bahia. The study aimed to identify scientific and technical evidence to propose strategies for identifying and monitoring the mental health of workers with the Post-Covid-19 Condition who work in Primary Health Care (PHC). This is a study with a qualitative methodological approach, with a descriptive and exploratory design. The research was carried out in two stages: 1) development of a synthesis of scientific and technical evidence on the Post-Covid-19 Condition. 2) proposal of a newsletter, webinar and proposal for the identification and mental health monitoring of users and workers with the Post-Covid-19 Condition within the scope of Primary Health Care. The results were presented in articles and derived technical products. The first article "Synthesis of scientific evidence on strategies for monitoring the Post-Covid-19 Condition in primary care" synthesized strategies for monitoring in Primary Health Care (PHC). The second article entitled "Synthesis of recommendations for organizing care for users with post-covid-19 condition in Primary Health Care" compiled technical proposals on the management of people with this clinical condition in PHC. The third article, entitled "Recommendations for the clinical management of psychological symptoms of the Post-Covid-19 Condition in primary care", aimed to identify and systematize flows for monitoring the health, including mental health, of users and health professionals. These productions resulted in a "Newsletter for the Primary Health Care Research Network of the Brazilian Association of Collective Health (Abrasco)", which aimed to inform "the place of PHC in offering care to users and health professionals with post-Covid-19 sequelae". Another technical product consisted of a web lecture promoted by Telessaúde Bahia, as an activity of permanent distance education in health, Round Table - Health of health professionals and the post-covid-19 condition: debate and necessary reflections, which presented the results of the evidence on strategies or recommendations for organizing care for users and health workers with the Post-Covid-19 Condition within the scope of PHC, raising the debate about the flow of care for Primary Health Care managers and workers. And finally, the theoretical subsidies allowed us to refine the Technical Technological Product entitled: "Guide to instructions for identifying, monitoring and referring users and health professionals with the Post-Covid-19 Condition in Primary Health Care", with the aim of instrumentalizing the management of cases and the implementation of operational flows by multiprofessional teams, for users or health professionals with persistent symptoms, considering the multisystemic changes caused by the disease. This dissertation enabled the systematization of evidence, the design of flows aimed at the identification, screening and referral of cases within the scope of Primary Health Care (PHC), as well as the transfer of results to the services and management of the SUS.The methodology, which included several stages, allowed for a greater understanding of the guidelines and consensus, contributing to the adequacy of care for users and health professionals in the context of PHC, a topic that is still scarce in the literature and in the practice of health systems, especially local ones, today.
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14
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MARCELO SOUZA OLIVEIRA
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PROBLEMATIC USE OF ALCOHOL AND/OR OTHER DRUGS: SUBJECTIVE EFFECTS OF THE EXPERIENCE OF STAY IN LONG-TERM INSTITUTIONS
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Leader : SUELY AIRES PONTES
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MEMBRES DE LA BANQUE :
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MILENA MARIA SARTI
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RAFAEL COELHO RODRIGUES
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SUELY AIRES PONTES
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Data: 14 déc. 2023
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There are different care policies for people who use Psychoactive Substances (PAS). In Brazil, the asylum models, which start from the perspective of abstinence, currently coexist with the public health model, which has Harm Reduction as its main guideline. The latter, inserted in the Unified Health System, uses the Psychosocial Care Centers (CAPS) as its main monitoring service for people who use drugs. On the other hand, from the perspective of abstinence, there are the Therapeutic Communities (CTs) which, with advances in recent years, have become the dominant space for asylum treatment. Considering this context, the principal objective of this study was to analyze the effects of the experience of stay in long-term institutions for people who use drugs. As a specific objective, the implications of the hospitalization process with regard to social ties were investigated. To achieve the proposed objectives, semi-structured interviews were carried out with six people who experienced some period of hospitalization in at least one Therapeutic Community or similar institution. As an analysis method, we chose discourse analysis (AD) based on the contributions of Michel Foucault. This research, developed within the scope of a professional master's degree in Health Psychology, dialogues directly with the line of research Clinical Practices and Mental Health, and is justified by the potential to put into discussion and implement practices in the field of health psychology and in dialogue with the national reality. In the first article presented, aiming to support empirical research, an integrative literature review was carried out, with CTs as the main focus of analysis. The search was carried out in the Lilacs and Medline databases, and a total of 28 articles were selected for detailed analysis. We recognize contradictory statements regarding the origin, concept, definition and functioning of CTs, as well as inaccuracies regarding the standardization of the care offered. The results exposed serious weaknesses in guaranteeing the health security of these institutions. A practical difficulty was observed in standardizing and regulating CTs. In the second article presented, the aim was to carry out a theoretical-critical analysis of the discourses that circulate regarding people who use drugs and their relationship with neoliberal rationality. As an epistemological and theoretical foundation, we rely on the analyzes proposed by Michel Foucault regarding medical, legal and moral discourses. It was understood that the neoliberal context has intensified inequalities and social exclusion, also affecting the way in which policies for people who use drugs are developed. In the third chapter we present the results of the research carried out. From the analysis of the interviews, we discuss the discursive manifestations and the way in which they intertwine and influence each other with regard to policies for people who use drugs. The prohibitionist practices of therapeutic communities are regulated by standardizing conduct, updating what is considered normal, desirable, moral and legal, and reinforcing what is seen as abnormal, undesirable, immoral and illegal. The reproduction of prohibitionist discourses is fueled by the existence of segregation spaces and, in the case of CTs, the introduction of the Christian-moral foundation as a basis for treatment was noticed, legitimizing much of their conduct. Finally, the effects were the reinforcement of social practices of exclusion, silencing and stigmatization on subjects and groups that do not meet certain performance standards. From listening to people who went through the hospitalization experience, a technical-literary work was produced as a final product. Structured in the form of short texts, with a poetic-psychoanalytic tone, the work was made in search of creating that which cannot be represented directly.
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15
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FABIANA MARIA DE SOUZA
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ADOLESCENT MENTAL HEALTH AND RETURN TO IN-PERSON SCHOOL: Reflecting on "adolescence" in pandemic
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Leader : GABRIELA ANDRADE DA SILVA
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MEMBRES DE LA BANQUE :
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GABRIELA ANDRADE DA SILVA
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JANDERSON CARNEIRO DE OLIVEIRA
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MONALISA NASCIMENTO DOS SANTOS BARROS
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Data: 14 déc. 2023
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The present work, inserted in research line 1 - Clinical Practices and Mental Health, investigated the effect of social distancing during the Covid-19 pandemic on adolescents, resulting in recommendations for strategies to promote mental health in the school environment, from the perspective of expanded clinical practices. Adolescence is a period of intense biopsychosocial transformations, influenced by sociocultural aspects that impact the construction of subjectivities. The impacts of social distancing on the mental health of adolescents have been described, including an increase in the prevalence of mental disorders, learning disabilities, increased inequalities, and school dropout. This research aimed to analyze the challenges faced by adolescents in returning to in-person schooling after the easing of pandemic-related restrictions, as well as the current consequences and the strategies developed by both the adolescents and the school institution to address the difficulties encountered. An exploratory and descriptive study was conducted with a qualitative approach, using the methodology of focus groups, suitable for encouraging dialogue and the expression of feelings and opinions, leading to the search for solutions and proposals for common problems. The study took place in a state high school in Irecê, BA, Brazil, with the participation of a group of 10 adolescents, aged between 15 and 18 years. The content analysis, of a thematic-categorical type, resulted in four categories: 1. Pandemic challenges: encountering the unexpected; 2. Implications for the teaching-learning process; 3. Implications for adolescent mental health; 4. School Mental Health. It was observed that the pandemic significantly impacted the participants' perception of the process of adolescence, their mental health conditions, teaching-learning processes, and socialization, with repercussions still ongoing, requiring mental health interventions and specific learning support. Participants reported that the return to the school environment was unplanned and there is no mental health support, contrasting with the reality of students who returned anxious, confused, with difficulties in socialization and concentration, and with learning gaps. Therefore, we considered the importance of preparing the school community to deal with emotional demands in the post-pandemic period. Also, we highlight the relevance of implementing universalized and institutionalized school mental health policies, as well as the presence of a school psychologist to promote mental health in this context. A Conclusive Technical Report was prepared as the final product of the research, and provided to the participating institution for feedback and recommendations for promoting mental health in the school context.
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16
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LISANDRA MARIA FONTES PEREIRA CHAGAS
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BURNOUT SYNDROME IN MEDICINE STUDENTS: DANCE AS A POSSIBILITY OF EMOTIONAL REGULATION
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Leader : MONALISA NASCIMENTO DOS SANTOS BARROS
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MEMBRES DE LA BANQUE :
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ANA TELMA FERNANDES PEREIRA
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CARMEM VIRGÍNIA MORAES DA SILVA
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MONALISA NASCIMENTO DOS SANTOS BARROS
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Data: 15 déc. 2023
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Burnout syndrome is known as a phenomenon of the modern era, resulting from the interaction chronic stress in the workplace and personal characteristics. Recognized in various professions, it becomes quite common in professionals and students in the field of health. Global exhaustion, depersonalization and decline in professional satisfaction mark the symptomatological triad of the Syndrome. Objective: Analyze an emotional regulation program for undergraduate medical students, using dance as a resource therapeutic, with a focus on preventing and coping with Burnout Syndrome. Methodology: Quasi-experimental study, carried out on a sample of 176 students, from medical courses in the southwest region, who were invited to answer an online questionnaire composed of scales for the dimensions of burnout and emotional regulation, in a pre-test. You Participants with higher scores on the burnout scales and lower scores on the regulation scale emotional were invited to participate in the intervention, based on dance techniques and subsequently responded to a post-test, consisting of the scales (burnout and regulation emotional) and subjective questions about the intervention. Results: a rate of 10.8% of burnout among students, and a positive relationship between the use of strategies maladaptive disorders and burnout syndrome. The intervention process took place with a group small number of students, who evaluated the process as significantly positive, considering the importance of implementing support and care measures to face the academic stress. Based on the results obtained, it was possible to create a report for participating universities, with a suggestion to create a set of care actions in mental health in Medicine courses, with the assumption of emotional regulation of students.
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17
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GABRIEL CALHAU SIMÕES
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THERAPEUTIC WORKSHOPS WITH ARTISTIC RESOURCES AS A SUBJECTIVATION STRATEGY: AN ACTION RESEARCH STUDY IN CAPS II
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Leader : SUELY AIRES PONTES
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MEMBRES DE LA BANQUE :
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SUELY AIRES PONTES
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MILENA MARIA SARTI
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VANIA SAMPAIO ALVES
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Data: 18 déc. 2023
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Therapeutic Workshops (OTs) are one of the main care technologies developed within the scope of the reform, designed as a means of promoting innovations in the ways of caring and producing processes of subjectivation. At the present time, CAPS and workshops have been suffering precarious processes in their assistance. There is a shortage of scientific productions that discuss OTs and the different ways of conducting activities, especially in the interior of Brazil. Considering this scenario, the present study has the general objective of discussing the use of artistic resources as a care strategy in a therapeutic workshop in a mental health service of the CAPS II type, located in the city of Jequié-Bahia, having been developed on Professional Master's Degree in Health Psychology (IMS/UFBA), in the Clinical Practices and Mental Health research line. The specific objectives were: 1. Bibliographically review the productions about therapeutic workshops with artistic resources in CAPS; 2. Collectively build a therapeutic workshop with artistic resources with service users; 3. Investigate the process of implementing a TO that makes use of artistic resources; 4. Analyze what users say about the experience with art at OT; 5. Develop, together with users, a final product about artistic resources based on an action research process. In its introduction, we briefly present the nuances of work production and investigation with OTs through action research, followed by justifications and presentation of the problems that give meaning to the study. Then, in the second chapter, the basic theoretical concepts of the investigation are explained, as well as the state of the art of current production on OTs with artistic resources, in a critical reflection on the modes of conduct found in the literature review of an integrative nature. In the Methodology Chapter, the methodological path and the questions that motivated its choices are described and summarized. We opted for the investigative resource of action research in the present study, which can be summarized in 4 stages that organize its investigative cycle: Reflection, Diagnosis, Action and Evaluation. To complete these steps, the study used participant observation to familiarize itself with the environment and study participants, while also producing a bibliographical review to guide the approach to this issue. The reflection stage led to the decision to develop an action plan with TOs together with users in a conversation circle, in a collective production. The recognition of the need for OTs to return to CAPS, combined with the problems reported by users regarding the assistance provided, with the absence of therapeutic activities, led to the construction of an action plan combining 8 OTs of different modalities, carried out between May and August 2023 : OT for cutting and gluing magazines, OT with musical resources, an OT that aimed at a visit to the cinema and the consumption of a cinematographic production, two workshops carried out in sharing with service professionals, an OT for painting, an OT for poetry and one last photography OT. At the end, a new conversation circle of an evaluative nature was held. The research data was produced and analyzed through recordings and the production of a field diary and interpreted in light of Bardin's content analysis. The results and discussion found three important categories for the discussion on the ways of conducting OTs: Subjectivation Device, Mad Machine and Disconnected Ambivalent Actions, which will be better explained in chapter 4. Finally, in the final considerations, we present some reflections on the action research path in a process of self-criticism, in order to explain the limits and potential achieved by action research, as well as its longitudinal aspect that places the investigation now in a new moment, resulting from this first investigative cycle that was born in the program professional master's degree in Health Psychology. The last chapter, Notes for the future, summarizes guidelines for carrying out OTs. At the end, the appendices will present the final product resulting from an OT process built collectively with users.
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18
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ANA CLARA SANTOS ALVES DE OLIVEIRA FREITAS
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EFFECTS OF ZIKA VIRUS INFECTION ON THE DEVELOPMENT OF CHILDREN WITHOUT MICROCEPHALY
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Leader : PATRICIA MARTINS DE FREITAS
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MEMBRES DE LA BANQUE :
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FERNANDA DE OLIVEIRA FERREIRA
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FABRICIO FREIRE DE MELO
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PATRICIA MARTINS DE FREITAS
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Data: 19 déc. 2023
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This final work was developed to investigate the effects of congenital viral infections on neurodevelopment and present ways of identification through the assessment of neuropsychomotor development. The study is part of the completion of the Professional Master's Degree in Health Psychology and is linked to the line of Research Human Development and Educational Practices in Health. Through a systematic review of the literature, the effects of infections such as COVID-19 were investigated. The review was chosen as a methodological model with the objective of synthesizing the main findings in the literature and pointing out directions for the actions of health professionals. After the results of the review, it was verified the need to develop computer material for professionals and the population on the risks of viral infections and on the signs of identifying neuropsychomotor delay. Thus, the dissertation is composed of two products, a bibliographical one, which is the review article, and another technical product, which is the informative booklet. First the review article will be presented and then the booklet. First the review article will be presented and then the booklet. Review Article: The objective of this study was to carry out a systematic literature review and create an informative booklet for parents and health professionals. The systematic literature review investigated the impacts on child neurodevelopment related to congenital SARS-CoV-2 infection, focusing on the neurological consequences that may have on the neuropsychomotor development of babies and children. The studies analyzed in the systematic review showed identification of signs of delay through neuropsychomotor assessment scales; exposure to congenital infection was divided between symptomatic and asymptomatic pregnant women and the results identified neuropsychomotor delay in 71.4% of the studies analyzed. The informative booklet was developed with the aim of guiding parents and health professionals on the relationship between congenital virus infections, such as the Zika virus and SARS-CoV-2, related to possible delays in neurodevelopment, covering fundamental information about viral infections , neural development, child development and neurodevelopmental disorders. The booklet's approach is accessible and aims to facilitate understanding for both parents and healthcare professionals, offering valuable guidance. This work contributes to the scientific literature and provides a comprehensive synthesis of the implications of child neurodevelopment in the context of congenital infections, seeking to impact clinical practice and family support through the creation of an applicable and relevant educational tool.
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