Plantão psicológico centrado em pessoas com queixa de ansiedade

Abstract

This study developed and evaluated an interventional practice with adult individuals with anxiety in an Person-Centred Urgence Psychological Counselling (PCUPC) service and is linked to the Professional Master's Degree in Health Psychology, in the line of research Clinical Practices and Mental Health. The design is mixed convergent, with a qualitative emphasis and a practical action research design. The results are presented in three papers. Paper 1: The aim was to conceptually review the experience of anxiety based on national and international authors from the person-centred field. As a result, we observed the lack of a unified definition of the phenomenon of anxiety and the concern of Brazilian researchers to differentiate it from the experience of anguish. We proposed an integrative conceptual synthesis, locating anxiety as an affective response of the organism in the face of reality that threatens the concept we have of the world and of ourselves, orientated towards preserving the organism in the midst of incongruous functioning. Paper 2: The second study describes the development and content validation of the Rocha-Andrade-31 for the evaluation of Urgence Psychological Counselling Inventory (IRAn-31, Technological Technical Product of the research), a standardised 31-item self-report tool for evaluating PCUPC) services, developed based on the theoretical framework of the Person-Centred Approach (PCA) and the characteristics of this type of service. Eleven expert judges assessed the clarity of language, practical relevance and theoretical relevance of the items. The results showed satisfactory content validity coefficients (CVC) (>0.8), good theoretical adequacy for most of the factors and that most of the items were well understood by the target audience. Paper 3: The third study was designed to develop and evaluate an interventional practice with individuals experiencing anxiety in an PCUPC service with three women who took part in all the planned stages. The aim was to map the verbal interventions, apply a standardised assessment tool (the IRAn-31) and evaluate how the PCUPC service could impact on the participants' lives with a follow-up interview between six and seven weeks after the sessions. The practice developed was perceived as generating positive changes in the lives of two participants, with a reduction in psychological tension at the end of the sessions and the promotion of insights. The third participant's suffering intensified, although she felt welcomed and calmer in the first week after the meeting. We conclude that the PCUPC can be a promising strategy for caring for people with anxiety complaints.