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[PMID]:27098212
[Au] Autor:Aiach Dominitz V
[Ad] Endereço:Private Practice, Tel Aviv, Israel.
[Ti] Título:Gestalt Therapy Applied: A Case Study with an Inpatient Diagnosed with Substance Use and Bipolar Disorders.
[So] Source:Clin Psychol Psychother;24(1):36-47, 2017 Jan.
[Is] ISSN:1099-0879
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: The aim of the present paper is to open the discourse regarding the unmet needs of specific patients, especially those with substance use disorder and/or personality disorder where 'multimorbidities', and/or 'overdiagnosis' and/or 'diagnosis overlap' are frequent. An additional aim is to review the main therapeutic purpose and concepts of Gestalt therapy which might be appropriate in the treatment of these patients often characterized by their difficulties in being aware and in contact in the 'here and now'. METHODS: I first start with an overview of Gestalt therapy concepts. Then, I illustrate Gestalt's 'here and now' and awareness concepts applied during 18 sessions with an inpatient diagnosed with substance use and bipolar disorders. In addition, the patient had to face an open criminal charge, was regarded as having an antisocial personality disorder and argued suffering from post-traumatic stress disorder. RESULTS: After this two-month therapy period, the patient entered for the first time a daily rehabilitation program in the community, where he was doing well (this after a few prior hospitalizations). The awareness development in the 'here and now' through which different contact styles and cycles of experiences are experienced is a process that allowed the patient to start experiencing contact with himself, his true needs and his environment. This contributed to his well-being improvement, led and supported his rehabilitation and reinsertion within the society and decrease his relapses, either with drugs or criminal activities. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: People with substance use disorder (where 'multimorbidities', 'overdiagnosis' or 'diagnosis overlap' are frequent), people with personality disorder(s) or people who have difficulties in defining what really disturbs them are the same people who could benefit of GT encouraging awareness and contact development in the 'here and now'. Gestalt therapy should not be regarded as a practitioner's toolbox but as a therapeutic process allowing awareness and I-boundaries development in the 'here and now' through authentic and genuine relationships. The therapist's awareness and contact with themselves and their environment are reflected in the therapist's relaxed but awake and aware state of mind as well as their wise, spontaneous and mindful approach.
[Mh] Termos MeSH primário: Transtorno Bipolar/diagnóstico
Transtorno Bipolar/terapia
Terapia Gestalt
Hospitalização
Drogas Ilícitas
Transtornos Relacionados ao Uso de Substâncias/diagnóstico
Transtornos Relacionados ao Uso de Substâncias/terapia
[Mh] Termos MeSH secundário: Adulto
Transtorno da Personalidade Antissocial/diagnóstico
Transtorno da Personalidade Antissocial/psicologia
Transtorno da Personalidade Antissocial/terapia
Conscientização
Transtorno Bipolar/psicologia
Criança
Maus-Tratos Infantis/diagnóstico
Maus-Tratos Infantis/psicologia
Maus-Tratos Infantis/terapia
Terapia Combinada
Comorbidade
Diagnóstico Duplo (Psiquiatria)
Seguimentos
Seres Humanos
Israel
Acontecimentos que Mudam a Vida
Masculino
Fumarato de Quetiapina/uso terapêutico
Transtornos Relacionados ao Uso de Substâncias/psicologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Street Drugs); 2S3PL1B6UJ (Quetiapine Fumarate)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170512
[Lr] Data última revisão:
170512
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160422
[St] Status:MEDLINE
[do] DOI:10.1002/cpp.2016


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[PMID]:26861121
[Au] Autor:Klingemann J
[Ad] Endereço:Department of Studies on Alcohol and Drug Dependence, Institute of Psychiatry and Neurology, 9 Sobieskiego Str., 02-957 Warsaw, Poland zulewska@ipin.edu.pl.
[Ti] Título:Acceptance of Reduced-Risk Drinking as a Therapeutic Goal within the Polish Alcohol Treatment System.
[So] Source:Alcohol Alcohol;51(4):436-41, 2016 Jul.
[Is] ISSN:1464-3502
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: To assess views on the feasibility and acceptability of reduced-risk drinking (RRD) strategies within the very homogenous and abstinence-oriented Polish alcohol treatment system. METHODS: By online survey in 2014/15 we enquired into current attitudes of nationwide sample of professionals working in outpatient alcohol treatment facilities regarding non-abstinence goals as a function of severity of the disorder (abuse/dependence) and the finality of the outcome goal. RESULTS: Questionnaires were completed by experienced addiction therapists, trained primarily in cognitive-behavioral therapy (n= 246, response rate = 50%). Only one third accept RRD for alcohol dependent clients (fully or partially), the three fourths accept RRD for alcohol abusing clients (fully or partially). RRD as an intermediate goal of treatment is more accepted than when set up as a final treatment objective. RRD had significantly higher level of acceptance among younger professionals. Compared to male respondents, females were more open to offering RRD to patients experiencing alcohol-related problems. Finally, therapists working according to the principles of motivational interviewing or solution focused brief therapy were significantly more in favor of RRD than others. CONCLUSION: Comparing with other countries, the acceptance of RRD as a therapeutic objective in Poland is moderately low. Mistrust toward RRD strategies is mainly fueled by a belief that this strategy is not effective plus its inconsistency with therapists' own therapeutic philosophy.
[Mh] Termos MeSH primário: Transtornos Relacionados ao Uso de Álcool/terapia
Atitude do Pessoal de Saúde
Planejamento de Assistência ao Paciente
[Mh] Termos MeSH secundário: Consumo de Bebidas Alcoólicas/epidemiologia
Alcoolismo/terapia
Terapia Cognitiva
Feminino
Terapia Gestalt
Seres Humanos
Masculino
Polônia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160211
[St] Status:MEDLINE
[do] DOI:10.1093/alcalc/agv141


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[PMID]:26610167
[Au] Autor:Butollo W; Karl R; König J; Rosner R
[Ad] Endereço:Department of Psychology, Ludwig Maximilian University, Munich, Germany.
[Ti] Título:A Randomized Controlled Clinical Trial of Dialogical Exposure Therapy versus Cognitive Processing Therapy for Adult Outpatients Suffering from PTSD after Type I Trauma in Adulthood.
[So] Source:Psychother Psychosom;85(1):16-26, 2016.
[Is] ISSN:1423-0348
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Although there are effective treatments for posttraumatic stress disorder (PTSD), there is little research on treatments with non-cognitive-behavioural backgrounds, such as gestalt therapy. We tested an integrative gestalt-derived intervention, dialogical exposure therapy (DET), against an established cognitive-behavioural treatment (cognitive processing therapy, CPT) for possible differential effects in terms of symptomatic outcome and drop-out rates. METHODS: We randomized 141 treatment-seeking individuals with a diagnosis of PTSD to receive either DET or CPT. Therapy length in both treatments was flexible with a maximum duration of 24 sessions. RESULTS: Dropout rates were 12.2% in DET and 14.9% in CPT. Patients in both conditions achieved significant and large reductions in PTSD symptoms (Impact of Event Scale - Revised; Hedges' g = 1.14 for DET and d = 1.57 for CPT) which were largely stable at the 6-month follow-up. At the posttreatment assessment, CPT performed statistically better than DET on symptom and cognition measures. For several outcome measures, younger patients profited better from CPT than older ones, while there was no age effect for DET. CONCLUSIONS: Our results indicate that DET merits further research and may be an alternative to established treatments for PTSD. It remains to be seen whether DET confers advantages in areas of functioning beyond PTSD symptoms.
[Mh] Termos MeSH primário: Terapia Cognitiva
Transtornos de Estresse Pós-Traumáticos/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Escalas de Graduação Psiquiátrica Breve/estatística & dados numéricos
Terapia Cognitiva/métodos
Feminino
Terapia Gestalt/métodos
Seres Humanos
Masculino
Meia-Idade
Veteranos/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160115
[Lr] Data última revisão:
160115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151127
[St] Status:MEDLINE
[do] DOI:10.1159/000440726


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[PMID]:26394219
[Au] Autor:Fodor I
[Ad] Endereço:New York University.
[Ti] Título:A Female Therapist's Perspective on Growing Older.
[So] Source:J Clin Psychol;71(11):1115-20, 2015 Nov.
[Is] ISSN:1097-4679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As an older woman therapist, I find that my life experience grounds me in my work with people of all ages and backgrounds as they deal with life crises, aging issues, and loss. People with whom I work in therapy appreciate the fact that I am older and have had varied life experiences. Gender issues are still central to my work with clients whether I am working with a man or a woman. I am an integrative therapist, with a background in cognitive-behavioral therapy and gestalt therapy. Therapists need to help clients to identify less with their aging bodies and our culture's view of attractiveness, shifting instead to a paradigm that values life experience and the cultivation of wisdom. We need to find ways of embracing what we have learned about life instead of extolling youthful values. As I get older, I more fully appreciate a constructivism framework and life-cycle perspective, focusing on making sense of clients' life narratives. Storytelling and memoirs have both provided a framework for working with clients on coping with the many changes and challenges of life that bring them to therapy and added another layer to my integrative therapeutic work.
[Mh] Termos MeSH primário: Envelhecimento/psicologia
Terapia Cognitiva/métodos
Terapia Gestalt/métodos
Pessoal de Saúde/psicologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1607
[Cu] Atualização por classe:151008
[Lr] Data última revisão:
151008
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150923
[St] Status:MEDLINE
[do] DOI:10.1002/jclp.22221


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[PMID]:26162206
[Au] Autor:Brown P; Brown M
[Ad] Endereço:The Pierre Janet Centre, Australia pierrejanetcentre@gmail.com.
[Ti] Título:Pastoral Group Counselling at a High Security Prison in Israel: Integrating Pierre Janet's Psychological Analysis with Fritz Perls' Gestalt Therapy.
[So] Source:J Pastoral Care Counsel;69(1):40-5, 2015 Mar.
[Is] ISSN:1542-3050
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This is a report of a short-term, pastoral counselling group conducted with Jewish internees in a high security prison in Israel. It was held as an adjunct to daily secular individual and group counselling and rehabilitation run by the Department of Social Work. Pastoral counselling employed spiritual and psychosocial methodologies to reduce anger, improve prisoner frustration tolerance, and develop a sense of self-efficacy and communal identity. It combined semi-didactic scriptural input with Pierre Janet's personality model, Fritz Perls' gestalt therapy, and analysis of the group process.
[Mh] Termos MeSH primário: Terapia Cognitiva/métodos
Terapia Gestalt/métodos
Assistência Religiosa/métodos
Prisioneiros/psicologia
Psicoterapia de Grupo/métodos
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Imagens (Psicoterapia)/métodos
Israel
Meia-Idade
Prisões
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1509
[Cu] Atualização por classe:150711
[Lr] Data última revisão:
150711
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:150711
[St] Status:MEDLINE
[do] DOI:10.1177/1542305015572968


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[PMID]:25946950
[Au] Autor:Fahrutdinova LR; Nugmanova DR
[Ad] Endereço:. mtrushin@mail.ru.
[Ti] Título:Dynamics of psychological crisis experience with psychological consulting by gestalt therapy methods.
[So] Source:Glob J Health Sci;7(4):130-5, 2015 Jan 01.
[Is] ISSN:1916-9736
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:Dynamics of experience as such and its corporeal, emotional and cognitive elements in the situation of psychological consulting provisioning is covered. The aim of research was to study psychological crisis experience dynamics in the situation when psychological consulting by gestalt therapy methods is provided. Theoretical analysis of the problem of crisis situations, phenomenon and structural, and dynamic organization of experience of the subject of consulting have been carried out. To fulfill research project test subjects experience crisis situation have been selected, studied in the situation when they provided psychological consulting by methods of gestalt therapy, and methodology of study of crisis situations experience has been prepared. Specifics of psychological crisis experience have been revealed and its elements in different stages of psychological consulting by gestalt therapy methods. Dynamics of experience of psychological crisis and its structural elements have been revealed and reliable changes in it have been revealed. Dynamics of psychological crisis experience and its structural elements have been revealed and reliable changes in it have been revealed. "Desiccation" of experience is being observed, releasing its substantiality of negative impression to the end of consulting and development of the new experience of control over crisis situation. Interrelations of structural elements of experience in the process of psychological consulting have been shown. Effecting one structure causes reliable changes in all others structural elements of experience. Giving actual psychological help to clients in crisis situation by methods of gestalt therapy is possible as it was shown in psychological consulting sessions. Structure of client's request has been revealed - problems of personal sense are fixed as the most frequent cause of clients' applications, as well as absence of choices, obtrusiveness of negative thoughts, tend to getting stuck on events took place in the past, drawing into oneself, etc.
[Mh] Termos MeSH primário: Intervenção na Crise/métodos
Terapia Gestalt/métodos
Transtornos Mentais/terapia
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1508
[Cu] Atualização por classe:160422
[Lr] Data última revisão:
160422
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150508
[St] Status:MEDLINE
[do] DOI:10.5539/gjhs.v7n4p130


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[PMID]:25639732
[Au] Autor:Holzinger B; Klösch G; Saletu B
[Ad] Endereço:Institute for Consciousness and Dream Research, Vienna, Austria; Department of Psychology, Webster University, Vienna, Austria.
[Ti] Título:Studies with lucid dreaming as add-on therapy to Gestalt therapy.
[So] Source:Acta Neurol Scand;131(6):355-63, 2015 Jun.
[Is] ISSN:1600-0404
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aim of the present exploratory clinical study was to evaluate LD as an add-on therapy for treating nightmares. METHODS: Thirty-two subjects having nightmares (ICD-10: F51.5) at least twice a week participated. Subjects were randomly assigned to group: A) Gestalt therapy group (= GTG), or B) Gestalt and lucid dreaming group therapy (= LDG). Each group lasted ten weeks. Participants kept a sleep/dream diary over the treatment. Examinations with respect to nightmare frequency and sleep quality (Pittsburgh Sleep Quality Index) were carried out at the beginning, after five and ten weeks and at a follow-up three months later. RESULTS: Concerning nightmare frequency, a significant reduction was found in both groups after the ten-week-study and at the follow-up (Wilcoxon test: P ≤ 0.05). Significant reduction in dream recall frequency could only be observed in the GTG (Wilcoxon test: P ≤ 0.05). For subjects having succeeded in learning lucid dreaming, reduction was sooner and higher. Sleep quality improved for both groups at the follow-up (P ≤ 0.05, Wilcoxon test). Only the LDG showed significant improvement at the end of therapy (P ≤ 0.05). CONCLUSION: Lucid dreaming, in combination with Gestalt therapy, is a potent technique to reduce nightmare frequency and improve the subjective quality of sleep.
[Mh] Termos MeSH primário: Sonhos
Terapia Gestalt
Transtornos do Sono-Vigília/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1511
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150203
[St] Status:MEDLINE
[do] DOI:10.1111/ane.12362


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[PMID]:24689912
[Au] Autor:Tschuschke V; Crameri A; Koehler M; Berglar J; Muth K; Staczan P; Von Wyl A; Schulthess P; Koemeda-Lutz M
[Ad] Endereço:a Medical Psychology , University Hospital of Cologne , Cologne , Germany.
[Ti] Título:The role of therapists' treatment adherence, professional experience, therapeutic alliance, and clients' severity of psychological problems: Prediction of treatment outcome in eight different psychotherapy approaches. Preliminary results of a naturalistic study.
[So] Source:Psychother Res;25(4):420-34, 2015.
[Is] ISSN:1468-4381
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In this naturalistic study, 262 audiotaped psychotherapy sessions--randomly drawn from 81 individual therapies from eight different psychotherapy approaches--were rated completely on treatment adherence using a newly developed rating manual. In the therapy sessions, a relatively low percentage of treatment specific interventions (ranging from 4.2% to 27.8%) was found for all eight approaches, 50% to 73% of the interventions were nonspecific or common, and approximately 18% to 27% were intervention techniques from other approaches. Different types of psychotherapy differed highly significantly in levels of treatment adherence. There was no statistically significant association between the type of psychotherapy and its outcome, or between the degree of therapists' treatment fidelity and the treatment outcome. However, there were significant associations between therapists' degree of professional experience, clients' initial psychological burden, and treatment response. Clients' severity of psychological problems prior to treatment predicted quality of therapeutic alliance while therapists' treatment adherence was predicted by therapists' professional experience and by the quality of the therapeutic alliance. We discuss the seemingly indirect importance of treatment adherence for psychotherapy outcome that we found in this study in relation to findings from other studies and in the context of the role of schools within psychotherapy.
[Mh] Termos MeSH primário: Transtornos Mentais/terapia
Relações Profissional-Paciente
Processos Psicoterapêuticos
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Terapia pela Arte
Competência Clínica
Existencialismo
Transtornos da Alimentação e da Ingestão de Alimentos/terapia
Feminino
Terapia Gestalt
Seres Humanos
Masculino
Meia-Idade
Transtornos do Humor/terapia
Transtornos da Personalidade/terapia
Terapia Psicanalítica
Psicoterapia Psicodinâmica
Índice de Gravidade de Doença
Transtornos de Estresse Pós-Traumáticos/terapia
Transtornos Relacionados ao Uso de Substâncias/terapia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1604
[Cu] Atualização por classe:150521
[Lr] Data última revisão:
150521
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140403
[St] Status:MEDLINE
[do] DOI:10.1080/10503307.2014.896055


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[PMID]:24634051
[Au] Autor:Gaitan-Sierra C; Hyland ME
[Ad] Endereço:School of Psychology, Queen's University of Belfast, Belfast, UK.
[Ti] Título:Common Factor Mechanisms in Clinical Practice and Their Relationship with Outcome.
[So] Source:Clin Psychol Psychother;22(3):258-66, 2015 May-Jun.
[Is] ISSN:1099-0879
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: This study investigates three common factor mechanisms that could affect outcome in clinical practice: response expectancy, the affective expectation model and motivational concordance. Clients attending a gestalt therapy clinic (30 clients), a sophrology (therapeutic technique) clinic (33 clients) and a homeopathy clinic (31 clients) completed measures of expectancy and the Positive Affect and Negative Affect Schedule (PANAS) before their first session. After 1 month, they completed PANAS and measures of intrinsic motivation, perceived effort and empowerment. Expectancy was not associated with better outcome and was no different between treatments. Although some of the 54 clients who endorsed highest expectations showed substantial improvement, others did not: 19 had no change or deteriorated in positive affect, and 18 had the same result for negative affect. Intrinsic motivation independently predicted changes in negative affect (ß = -0.23). Intrinsic motivation (ß = 0.24), effort (ß = 0.23) and empowerment (ß = 0.20) independently predicted positive affect change. Expectancy (ß = -0.17) negatively affected changes in positive affect. Clients found gestalt and sophrology to be more intrinsically motivating, empowering and effortful compared with homeopathy. Greater improvement in mood was found for sophrology and gestalt than for homeopathy clients. These findings are inconsistent with response expectancy as a common factor mechanism in clinical practice. The results support motivational concordance (outcome influenced by the intrinsic enjoyment of the therapy) and the affective expectation model (high expectations can lead for some clients to worse outcome). When expectancy correlates with outcome in some other studies, this may be due to confound between expectancy and intrinsic enjoyment. KEY PRACTITIONER MESSAGE: Common factors play an important role in outcome. Intrinsic enjoyment of a therapeutic treatment is associated with better outcome. Active engagement with a therapeutic treatment improves outcome. Unrealistic expectations about a therapeutic treatment can have a negative impact on outcome.
[Mh] Termos MeSH primário: Afeto
Cultura
Motivação
Avaliação de Processos e Resultados (Cuidados de Saúde)
Processos Psicoterapêuticos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Instituições de Assistência Ambulatorial
Feminino
Terapia Gestalt
Homeopatia
Seres Humanos
Masculino
México
Meia-Idade
Relações Metafísicas Mente-Corpo
Poder (Psicologia)
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL STUDY; COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:150610
[Lr] Data última revisão:
150610
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140318
[St] Status:MEDLINE
[do] DOI:10.1002/cpp.1894


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[PMID]:24907640
[Au] Autor:Lundqvist LO; Zetterlund C; Richter HO
[Ad] Endereço:Centre for Rehabilitation Research, Örebro County Council, Örebro, Sweden; School of Law, Psychology, and Social Work, Örebro University, Örebro, Sweden; School of Health and Medical Sciences, Örebro University, Örebro, Sweden. Electronic address: lars-olov.lundqvist@orebroll.se.
[Ti] Título:Effects of Feldenkrais method on chronic neck/scapular pain in people with visual impairment: a randomized controlled trial with one-year follow-up.
[So] Source:Arch Phys Med Rehabil;95(9):1656-61, 2014 Sep.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine whether the Feldenkrais method is an effective intervention for chronic neck/scapular pain in patients with visual impairment. DESIGN: Randomized controlled trial with an untreated control group. SETTING: Low vision center. PARTICIPANTS: Patients (N=61) with visual impairment (mean, 53.3 y) and nonspecific chronic (mean, 23.8 y) neck/scapular pain. INTERVENTIONS: Participants were randomly assigned to the Feldenkrais method group (n=30) or untreated control group (n=31). Patients in the treatment group underwent one 2-hour Feldenkrais method session per week for 12 consecutive weeks. MAIN OUTCOME MEASURES: Blind assessment of perceived pain (visual analog scale [VAS]) during physical therapist palpation of the left and right occipital, upper trapezius, and levator scapulae muscle areas; self-assessed degree of pain on the Visual, Musculoskeletal, and Balance Complaints questionnaire; and the Medical Outcomes Study 36-Item Short-Form Health Survey bodily pain scale. RESULTS: Patients undergoing Feldenkrais method reported significantly less pain than the controls according to the VAS and Visual, Musculoskeletal, and Balance Complaints questionnaire ratings at posttreatment follow-up and 1-year follow-up. There were no significant differences regarding the Medical Outcomes Study 36-Item Short-Form Health Survey bodily pain scale ratings. CONCLUSIONS: Feldenkrais method is an effective intervention for chronic neck/scapular pain in patients with visual impairment.
[Mh] Termos MeSH primário: Dor Musculoesquelética/etiologia
Dor Musculoesquelética/reabilitação
Cervicalgia/etiologia
Cervicalgia/reabilitação
Manejo da Dor/métodos
Baixa Visão/complicações
[Mh] Termos MeSH secundário: Exercícios Respiratórios
Dor Crônica
Terapias Complementares
Terapia por Exercício
Feminino
Seguimentos
Terapia Gestalt
Seres Humanos
Masculino
Meia-Idade
Movimento
Exercícios de Alongamento Muscular
Dor Musculoesquelética/classificação
Cervicalgia/classificação
Medição da Dor
Modalidades de Fisioterapia
Qualidade de Vida
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1410
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:140608
[St] Status:MEDLINE



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