1. Universidade Federal da Bahia
  2. Instituto de Ciências da Saúde (ICS)
  3. Programa de Pós-Graduação em Processos Interativos dos Órgãos e Sistemas (PPGPIOS)
  4. Tese (PPGPIOS)
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dc.creatorDuran, Érica Panzani-
dc.date.accessioned2024-02-20T15:39:06Z-
dc.date.available2024-02-20T15:39:06Z-
dc.date.issued2023-12-20-
dc.identifier.citationDURAN, Érica Panzani. Ensaio clínico randomizado para avaliar a eficácia do tratamento on-line com terapia cognitiva processual, promoção da saúde baseada em mindfulness e psicoterapia positiva para transtorno do estresse pós-traumático durante a pandemia COVID-19. 2023. 194 f. Tese (Doutorado) - Universidade Federal da Bahia, Instituto de Ciências da Saúde, Programa de Pós-Graduação em Processos Interativos dos Órgãos e Sistemas, Salvador, 2023.pt_BR
dc.identifier.urihttps://repositorio.ufba.br/handle/ri/39047-
dc.description.abstractIntroduction: Post-Traumatic Stress Disorder (PTSD) often arises following exposure to traumatic events, as evidenced during the COVID-19 pandemic. Given the complexity of PTSD and the challenges posed by the pandemic, exploring effective online psychotherapy methods is crucial. This study examines trial-based cognitive therapy (TBCT), Mindfulness-Based Health Promotion (MBHP), and Positive Psychotherapy (PP) in treating PTSD. Objectives: To evaluate the effectiveness of these therapies in an online format during the COVID-19 pandemic and to compare their impacts on improving symptoms such as anxiety, depression, and guilt, as well as promoting well-being. Methods: A randomized, multicentric, single-blind clinical trial was conducted with 57 patients, divided into three groups, each undergoing one of the therapies over 14 online sessions. Outcomes were assessed using CAPS-5, HADS, WHO-5, and other relevant scales. Results: A detailed protocol for each psychotherapy modality was developed, aiming to minimize PTSD symptoms. The clinical trial revealed similar effects across the three modalities, indicating potential for the online format in reducing PTSD symptoms. Discussion: The results suggest that all tested therapies are promising for the online treatment of PTSD. However, it is important to note the study's limitations, including the sample size and treatment duration. The similar efficacy of the therapies may indicate flexibility in treating PTSD, allowing adaptation to individual patient needs. These findings are particularly relevant considering the increased rates of PTSD during the pandemic and the need for accessible, effective therapies. Future research should explore extended treatments and compare long-term outcomes. Conclusion: The study highlights the importance of developing and testing new online psychotherapy modalities for treating PTSD, a complex and severe disorder, exacerbated by the COVID-19 pandemic.pt_BR
dc.languageporpt_BR
dc.publisherUniversidade Federal da Bahiapt_BR
dc.rightsCC0 1.0 Universal*
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/*
dc.subjectTranstorno de estresse pós-traumáticopt_BR
dc.subjectTerapia cognitiva processualpt_BR
dc.subjectPsicologia positivapt_BR
dc.subjectPromoção da saúde baseada na atenção plenapt_BR
dc.subjectPromoção da saúdept_BR
dc.subjectAtenção plenapt_BR
dc.subjectCOVID-19pt_BR
dc.subjectPandemiaspt_BR
dc.subject.otherPost-traumatic stress disorderpt_BR
dc.subject.otherTrial-based cognitive therapypt_BR
dc.subject.otherPsychology, Positivept_BR
dc.subject.otherMindfulness-based health promotionpt_BR
dc.subject.otherHealth Promotionpt_BR
dc.subject.otherMindfulnesspt_BR
dc.subject.otherCOVID-19pt_BR
dc.subject.otherPandemicspt_BR
dc.titleEnsaio clínico randomizado para avaliar a eficácia do tratamento on-line com terapia cognitiva processual, promoção da saúde baseada em mindfulness e psicoterapia positiva para transtorno de estresse pós-traumático durante a pandemia COVID-19pt_BR
dc.title.alternativeRandomized clinical trial to evaluate the effectiveness of online treatment with trial-based cognitive therapy, mindfulness-based health promotion and positive psychotherapy for post-traumatic stress disorder during the COVID-19 pandemicpt_BR
dc.typeTesept_BR
dc.publisher.programPrograma de Pós-Graduação em Processos Interativos dos Órgãos e Sistemas (PPGORGSISTEM) pt_BR
dc.publisher.initialsUFBApt_BR
dc.publisher.countryBrasilpt_BR
dc.subject.cnpqCiências da Saúdept_BR
dc.contributor.advisor1Oliveira, Irismar Reis de-
dc.contributor.advisor1IDhttps://orcid.org/0000-0002-9680-9247pt_BR
dc.contributor.advisor1Latteshttp://lattes.cnpq.br/9917831991703953pt_BR
dc.contributor.referee1Petribú, Katia Cristina Lima de-
dc.contributor.referee1IDhttps://orcid.org/0000-0002-8861-0238pt_BR
dc.contributor.referee1Latteshttp://lattes.cnpq.br/1995559301140749pt_BR
dc.contributor.referee2Macambira, Simone Garcia-
dc.contributor.referee2Latteshttp://lattes.cnpq.br/0000934973237500pt_BR
dc.contributor.referee3Araújo, Ricardo Henrique de Sousa-
dc.contributor.referee3IDhttps://orcid.org/0000-0003-1404-8577pt_BR
dc.contributor.referee3Latteshttp://lattes.cnpq.br/9011584446631374pt_BR
dc.contributor.referee4Sena, Eduardo Ponde de-
dc.contributor.referee4IDhttps://orcid.org/0000-0002-6166-8093pt_BR
dc.contributor.referee4Latteshttp://lattes.cnpq.br/0566823974343659pt_BR
dc.contributor.referee5Oliveira, Irismar Reis de-
dc.contributor.referee5IDhttps://orcid.org/0000-0002-9680-9247pt_BR
dc.contributor.referee5Latteshttp://lattes.cnpq.br/9917831991703953pt_BR
dc.creator.IDhttps://orcid.org/0000-0003-3005-9057pt_BR
dc.creator.Latteshttps://lattes.cnpq.br/4974015924897227pt_BR
dc.description.resumoIntrodução: O transtorno de estresse pós-traumático (TEPT) surge frequentemente após a exposição a eventos traumáticos, como evidenciado durante a pandemia de COVID-19. Dada a complexidade do TEPT e os desafios impostos pela pandemia, é crucial explorar formas eficazes de psicoterapia online. Este estudo analisa a Terapia Cognitiva Processual (TCP), a Promoção da Saúde Baseada na Atenção Plena (MBHP) e a Psicoterapia Positiva (PP) no tratamento do TEPT. Objetivos: Avaliar a eficácia dessas terapias em formato online durante a pandemia de COVID-19 e comparar seus impactos na melhoria de sintomas como ansiedade, depressão e culpa, além de promover o bem estar. Métodos: Ensaio clínico randomizado, multicêntrico e cego simples com 57 pacientes, divididos em três grupos, cada um submetido a uma das terapias por meio de 14 sessões. Os resultados foram avaliados usando a CAPS-5, HADS e WHO-5, além de outras escalas relevantes. Resultados: Desenvolveu-se um protocolo detalhado para cada modalidade de psicoterapia, visando minimizar os sintomas de TEPT. O ensaio clínico revelou efeitos similares nas três modalidades, indicando potencial para o formato online na redução dos sintomas de TEPT. Discussão: Os resultados sugerem que todas as terapias testadas são promissoras no tratamento online do TEPT. No entanto, é importante notar as limitações do estudo, incluindo o tamanho da amostra e a duração do tratamento. A eficácia semelhante das terapias pode indicar uma flexibilidade no tratamento do TEPT, permitindo a adaptação às necessidades individuais dos pacientes. Esses achados são especialmente relevantes considerando o aumento das taxas de TEPT durante a pandemia e a necessidade de acessibilidade a terapias eficazes. Futuras pesquisas devem explorar tratamentos prolongados e comparar resultados em longo prazo. Conclusão: A investigação destaca a importância de desenvolver e testar novas modalidades de psicoterapia online para o tratamento do TEPT, um transtorno complexo e grave, exacerbado pela pandemia de COVID-19.pt_BR
dc.publisher.departmentInstituto de Ciências da Saúde - ICSpt_BR
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