Las prácticas de integración cuerpo-mente como promotoras de estados emocionales saludables / Mind­Body Integration Practices as Promoters of Healthy Emotional States / Práticas de integração corpo-mente como promotoras de estados emocionais saudáveis

Recientes investigaciones provenientes de diversos campos emergentes como la psiconeu-roinmunología, la medicina integrativa o la pigenética han dado cuenta de la estrecha vinculación entre los estados emocionales y la salud. El objetivo fue evaluar la eficacia de una intervención basada en la realización de prácticas de integración cuerpo-mente sobre la regulación emocional. Materiales y métodos: en 102 participantes, de entre 34 y 65 años de edad, se analizaron cambios en la Escala de Afectividad Positiva y Negativa (panas), antes y después de participar en la intervención propuesta, que se realizó durante ocho encuentros de seis horas de duración cada uno, a lo largo de cuatro meses. Resultados: se encontró un aumento en la afectividad positiva y una disminución en la afectividad negativa luego de la intervención. El índice de afectividad (i. e. afectividad positiva/afectividad negativa) se incrementó de una relación 2:1 a una relación 3:1. Esta última proporción ha sido asociada con estados saludables. Conclusiones: el estudio contribuye a demostrar el beneficio que brindan las prácticas de integración cuerpo-mente en la regulación emocional y la afectividad positiva. Esto podría propiciar un mayor bienestar psicofísico individual y colectivo.

Recent research from various emerging fields, such as psychoneuroimmunology, integra-tive medicine, and epigenetics, showed a close link between emotional states and health. This study was designed to evaluate the effectiveness of an intervention based on mind­body integration practices in emotional regulation. Materials and Methods: We evaluated changes in the positive and negative affectivity scale in 102 participants before and after the intervention, which was performed during eight meetings lasting 6 h each, for 4 months. Results: An increase in positive affectivity and a decrease in negative affectivity were found after the intervention. The affectivity index (i.e., positive affectivity/negative affectivity) increased from a 2:1 ratio to a 3:1 ratio. This latter ratio has been associated with healthy states. Conclusions: This study demonstrated that mind­body integration practices can confer to emotional regulation and positive affectivity. These beneficial effects could improve psychophysical well-being at both the individual and collective levels.

pesquisas recentes provenientes de vários campos emergentes, como a psiconeuroimuno-logia, medicina integrativa e epigenética, mostram a estreita ligação entre os estados emocionais e a saúde. O objetivo do presente trabalho é avaliar a eficácia de uma intervenção baseada na realização de práticas de integração corpo-mente, na regulação emocional. Materiais e métodos: em 102 participantes, entre 34 e 65 anos, foram analisadas as mudanças na escala de afetividade positiva e negativa (panas) antes e após a participação na intervenção proposta, que foi realizada durante 8 encontros de 6 horas de duração cada, durante 4 meses. Resultados: houve um aumento da afetividade positiva e diminuição da afetividade negativa após a intervenção. O índice de afetividade (ou seja, afetividade positiva/afetivi-dade negativa) aumentou, passando de uma relação de 2:1 para uma relação de 3:1, esta última propor-ção tem sido associada a estados saudáveis. Conclusões: o presente estudo contribui para demonstrar o benefício proporcionado pelas práticas de integração corpo-mente na regulação emocional e na afetivi-dade positiva. Isso poderia propiciar um maior bem-estar psicofísico a nível individual e coletivo.

Stress reduction via neuro-emotional technique to achieve the simultaneous resolution of chronic low back pain with multiple inflammatory and biobehavioural indicators: A randomized, double-blinded, placebo-controlled trial / 中西医结合学报

BACKGROUND@#Beginning with the concepts of stress developed by Selye, an approach to stress and pain management, known as neuro-emotional technique (NET), has been developed. It is a treatment approach based on the principle that the stressor effects of dormant and/or current unresolved issues or trauma are what determine one's bodily responses. These responses are relatively personalized to the conditioned, experiential and emotional reality of the individual.@*OBJECTIVE@#To determine the effect of NET on patients with chronic low back pain (CLBP) over time.@*DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS@#In a randomized, double-blinded, placebo-controlled study conducted in a single clinic, NET or control treatments were given twice weekly for 4 weeks in a population of 112 patients.@*MAIN OUTCOME MEASURES@#Outcome measures, including Oswestry Disability Index, Quadruple Visual Analogue Scale, the psychoneuroimmunology markers of blood serum levels of C-reactive protein, tumour necrosis factor-α, interleukin-1 (IL-1), IL-6, and IL-10, and 10 dimensions of the Short Form Health Survey scale, were assessed at baseline and at 1, 3 and 6 months following the intervention period.@*RESULTS@#Compared to placebo, NET produced clinical and statistical significance (P < 0.001) via declines of virtually all physiological, pain and disability markers, accompanied by gains in quality-of-life indicators at 0 (baseline), 1, 3 and 6 months. Reductions of the percentages of patients whose 5 biomarkers lay outside the normative range were achieved at 1, 3 and 6 months by NET but not control interventions.@*CONCLUSION@#A randomized, controlled trial of CLBP patients indicated that 8 NET interventions, compared to placebo, produced clinically and statistically significant reductions in pain, disability and inflammatory biomarkers, and improvements in quality-of-life measures.@*TRIAL REGISTRATION@#The trial was registered with the Australian and New Zealand Clinical Trials Registry (No. ACTRN12608000002381).

Ensino remoto de práticas corporais para os estudantes de terapia ocupacional no contexto da pandemia por COVID-19: desafios e aprendizados / Remote teaching of body practices for occupational therapy students in the context of the COVID-19 pandemic: challenges and lessons learned

As práticas corporais são parte significativa da formação e dos recursos terapêuticos utilizados por terapeutas ocupacionais. Sua aprendizagem implica na compreensão e experimentação da aplicação de diferentes técnicas, bem como do entendimento das diversas dimensões e relações destas com o corpo. Assim, o ensino das práticas corporais na pandemia por covid-19 trouxe desafios e aprendizados. Objetivo: Refletir sobre o ensino remoto ministrado na disciplina de Terapia Ocupacional e as Práticas Corporais II no Curso de Terapia Ocupacional da Universidade de São Paulo, campus capital. Método: Relato de experiência do ensino remoto desta disciplina no período da pandemia por Covid-19. Resultados: Identificou-se o aprendizado dos conteúdos, dos métodos e sua aplicação supervisionada em familiares/amigos dos estudantes, ainda que o ensino remoto de práticas corporais esteja longe do ideal. A maioria dos estudantes avaliou positivamente a oferta da disciplina valorizando as ferramentas digitais e estratégias para aprender a cuidar de si e do outro. Porém, foram evidenciadas desigualdades de acesso ao ensino remoto e às condições de moradia para participação na disciplina. Conclusão: Ainda que a disciplina tenha atingido seus objetivos possibilitando espaços de cuidado essenciais no período de pandemia constatou-se perdas no processo de ensino e aprendizagem

Body practices are a significant part of training and important therapeutic resources used by occupational therapists. In order for these practices to be learned, it is necessary to understand the application of the different techniques and the different dimensions and relationships of these with the body. Thus, the teaching of body practices in the context of the pandemic has brought challenges and learnings. Objective: To reflect on remote teaching during the discipline of Occupational Therapy and Body Practices II in the Occupational Therapy Course at the University of São Paulo, capital campus. Method: Experience report of remote teaching of the discipline during the Covid-19 pandemic period. Results: Students learned content, methods and applied them under supervision to their family/friends, but the remote teaching of body practices is far from expected. Most students evaluated the offer of the discipline as positive, specialy the use of digital tools and strategies to learn to take care of themselves and the others. However, there were inequalities in access to remote teaching and housing conditions for participation in the discipline. Conclusion: Although the discipline has achieved its objectives, allowing spaces for care in the pandemic period, there were losses in the teaching and learning process.

Positive impact of recreational techniques for the self-healing of the body / O impacto positivo das técnicas recreativas do autorestabelecimento do corpo

The aim of this study was to evaluate the effectiveness of Reiki (as well as the effectiveness of Physical Activities) on relatively healthy individuals (not hospital patients), members of a sample of 338 volunteers, and to confirm whether practicing Reiki contributes to psycho-emotional stabilization, having a beneficial impact on mood and emotional wellbeing. For the first time, a positive confirmation of Reiki was carried out in Ukraine. The respondents were divided into two main groups: non-Reikists (individuals who did not practice Reiki) and Reikists (individuals who practiced or taught Reiki). It was found that, in comparison with non-Reikists, the results obtained by Reikists were twice as good, showing higher levels of emotional comfort, less anxiety/dissatisfaction, and more optimism, energy and self-confidence. At that, senior pupils and university students of psychology performed worse. This study confirms that the practice of Reiki is a quickly healing, stimulating, long-term, and cost-effective technique, positively influencing to positive well-being, mood and psychosomatic responses.

O objetivo deste estudo foi identificar a eficácia do Reiki (assim como da atividade física) para pessoas relativamente saudáveis (não pacientes hospitalares) numa amostra de 338 participantes e confirmar que a prática do Reiki contribui para a estabilização psicoemocional, tem um efeito benéfico no humor e bem-estar. Pela primeira vez, uma confirmação positiva do Reiki foi realizada na Ucrânia. Os entrevistados foram divididos em dois grupos principais: não Reikistas (que não praticavam Reiki) e Reikistas (que praticavam ou ensinavam métodos de Reiki a outros). Foi descoberto que, sendo comparados aos não-Reikistas, os resultados dos Reikistas foram duas vezes melhores, revelando um nível mais altodo conforto emocional, menos ansiedade/insatisfação e mais otimismo, energia e autoconfiança. Ao mesmo tempo, alunos dos últimos anos de escolaridade assim como estudantes de especialidades psicológicas apresentaram os piores resultados. Este estudo confirma que a prática de Reiki é um método de recuperação rápida, estimulante, de longo prazo e economicamente eficaz que tem influência positiva no bem-estar, o humor e o estado psicossomático de uma pessoa.

Neurophysiological, cognitive-behavioral and neurochemical effects in practitioners of transcendental meditation - A literature review

SUMMARY The term meditation can be used in many different ways, according to the technique to which it refers. Transcendental Meditation (MT) is one of these techniques. TM could serve as a model for research on spiritual meditation, unlike the meditation techniques based on secular knowledge. The purpose of the present study is to conduct a bibliographic review to organize scientific evidence on the effects of TM on neurophysiology, neurochemistry, and cognitive and behavioral aspects of its practitioners. To conduct this critical narrative review of the literature, we searched for scientific papers on the PubMed database of the National Center for Biotechnology Information. The keywords used in the search were Transcendental Meditation, Neuroscience of meditation e Meditation and behavior. We selected 21 papers that analyzed different aspects that could be altered through meditation practice. We concluded that TM has positive and significant documentable neurochemical, neurophysiological, and cognitive-behavioral effects. Among the main effects are the reduction of anxiety and stress (due to the reduction of cortisol and norepinephrine levels), increase of the feeling of pleasure and well-being (due to the increase of the synthesis and release of dopamine and serotonin), and influence on memory recall and possible consolidation. Further studies are needed using creative and innovative methodological designs that analyze different neural circuitry and verify the clinical impact on practitioners.

RESUMO O termo meditação pode ser utilizado de diversas formas, de acordo com a técnica a que se refere. A meditação transcendental (MT) é uma dessas técnicas meditativas. A MT pode ser um modelo para pesquisas de meditação espiritual, diferentemente de técnicas de meditação baseadas em uma compreensão secular. O presente estudo objetiva realizar uma revisão bibliográfica para organizar as evidências científicas sobre os efeitos da MT sobre a neurofisiologia, neuroquímica e aspectos cognitivos e comportamentais dos seus praticantes. Para a realização desta revisão narrativa crítica da literatura, foi realizado um levantamento dos artigos científicos presentes na base de dados PubMed do National Center for Biotechnology Information. As palavras-chave utilizadas na busca foram Transcendental Meditation, Neuroscience of meditation e Meditation and behavior. Foram selecionados 21 artigos que analisavam diferentes aspectos que poderiam ser alterados pela prática meditativa. Conclui-se que a MT produz efeitos neuroquímicos, neurofisiológicos e cognitivo-comportamentais documentáveis em seus praticantes, de caráter positivo e significativo. Entre os principais efeitos estão a diminuição da ansiedade e do estresse (via diminuição nos níveis de cortisol e noradrenalina), aumento na sensação de prazer e bem-estar (em decorrência ao aumento na síntese e liberação de dopamina e serotonina) e influência na evocação e possível consolidação da memória. São necessários mais estudos utilizando desenhos metodológicos inovadores e criativos, analisando diferentes circuitos neurais e verificando o impacto clínico sobre os praticantes.

Terapia morfoanalítica nos transtornos de sintomas somáticos / Morphoanalytic therapy in somatic symptom disorders / Terapia morfoanalítica en los trastornos de síntomas somáticos

A Terapia Morfoanalítica (TM) é uma terapia psicocorporal analítica que possibilita a integração das experiências psicoafetivas a partir do corpo. Permite compreender o componente psíquico da manifestação física, bem como a somatização do fenômeno psíquico. Este estudo objetivou avaliar o efeito da TM em pessoas com transtornos de sintomas somáticos, além de observar o impacto desta terapia na vida pessoal destes indivíduos. Trata-se de um Estudo de Caso de dois indivíduos. Foram realizadas 24 sessões de TM, uma vez por semana, com duração de uma hora. As avaliações constituíram-se de coleta de dados pessoais e antropométricos, nível de dor e flexibilidade muscular, bem como avaliação da presença de ansiedade, depressão e alexitimia, por meio de questionários. Também foi realizada avaliação da modulação autonômica. A evolução psicoemocional foi acompanhada no decorrer de todo tratamento morfoanalítico. A eficácia da TM foi observada tanto nos índices emocionais, quanto físicos. Isso demonstra a efetividade desta modalidade terapêutica, que associa os trabalhos corporais com o trabalho verbal analítico, na melhor integração psicossomática.

Morphoanalytic Therapy (MT) is an analytical psycho-corporal therapy that enables the integration of psycho-affective experiences from the body. It allows us to understand the psychic component of physical manifestation as well as the somatization of the psychic phenomenon. This study aimed to evaluate the effect of MT in people with somatic symptom disorder, in addition to observe the impact of this therapy on the personal life of these individuals. This is a case study of two individuals. Twenty-four MT sessions were performed once a week, lasting one hour each. The evaluations consisted of personal and anthropometric data collection, pain level and muscular flexibility, as well as of the presence of anxiety, depression and alexithymia, through questionnaires. Autonomic modulation was also evaluated. The psychoemotional evolution was followed during all morphoanalytic treatment. The efficacy of MT was observed in emotional and physical indexes. This demonstrates the effectiveness of this therapeutic modality, which associates bodily works with analytical verbal work, in the best psychosomatic integration.

La Terapia Morfoanalítica (TM) es una terapia psico-corporal analítica que posibilita la integración de las experiencias psico-afectivas desde el cuerpo. Permite la comprensión del componente psíquico de la manifestación física, así como la somatización del fenómeno psíquico. Este estudio objetivó evaluar el efecto de la TM en personas con trastorno de síntomas somáticos, además de observar el impacto de esta terapia en la vida personal de estos individuos. Se trata de un estudio de caso de dos individuos. Se realizaron 24 sesiones de TM, una vez por semana, con una duración de una hora. Las evaluaciones se constituyeron de recolección de datos personales y antropométricos, nivel de dolor y flexibilidad muscular, así como evaluación de la presencia de ansiedad, depresión y alexitimia, por medio de cuestionarios. También se realizó una evaluación de la modulación autonómica. La evolución psicoemocional fue acompañada en el transcurso de todo tratamiento morfoanalítico. La eficacia de la TM fue observada tanto en los índices emocionales, como físicos. Esto demuestra la efectividad de esta modalidad terapéutica, que asocia los trabajos corporales con el trabajo verbal analítico, en la mejor integración psicosomática.

Halalopathy: A science of trust in medicine / 中西医结合学报

The human body is well organized, regulated and connected. One of the greatest scientific challenges today is to integrate mind, behaviour and health. Enormous advances in health care have been achieved. However, diseases like cancer still require treatment options beyond therapeutic drugs, namely surgery and radiation. Human being is not only made of cells, tissues and organs, but also feelings and sensations. Linking mental state with physical health is essential to include all elements of disease. For this purpose, halalopathy has been introduced as a new model to integrate mind, behaviour and health, where psychology, spirituality and rationality can be integrated together to generate a well-organized, regulated and connected health system. Halalopathic approaches are based on mind-trust-drug and mind-trust-belief. If the drug and human's belief are compatible, trust in the rationally designed drug will be synergized and placebo effects will be activated to initiate the healing process. Such an organized health system will lower the body's entropy and increase potential energy, which is an important aspect to promote the healing process, with a therapeutic drug toward complete recovery. This study enlightens laws of compatibility to initiate a domino chain effect to activate placebo effects and lower the body's entropy. The healing power of each effect will contribute to the healing process and enhance the total drug effects.

Adaptación y Validación Psicométrica de la Escala Estrategias de Afrontamiento Espiritual en Cuenca - Ecuador / Transversal Research: Validation and psychometric adaptation of the Scale of Spiritual Co ping Strategies in Cuenca - Ecuador

INTRODUCCIÓN: La investigación en el campo de la psicología de enlace se interesa por la esfera espiritual de las personas. Cuando el cuerpo enferma físicamente, el organismo implementaría estrategias que le posibiliten afrontar psicoemocionalmente las circunstancias. El objetivo del estudio fue evaluar las propiedades psicométricas de la escala Estrategias de Afrontamiento Espiritual en personas con enfermedades crónicas no transmisibles en la ciudad de Cuenca - Ecuador. MÉTODOS: Se realizó un estudio transversal. La muestra fue de 147 participantes. El trabajo de campo se desarrolló en tres instituciones de salud: Hospital de Especialidades José Carrasco Arteaga, Instituto del Cáncer SOLCA - Cuenca; y la Fundación al Servicio del Enfermo de Cáncer - Cuenca; durante el periodo de junio a diciembre de 2017. Se utilizó la escala Estrategias de Afrontamiento Espiritual. Los datos se analizaron en el programa SPSS versión 23. RESULTADOS: De los 147 participantes, 100 personas con cáncer, 29 con diabetes mellitus no insulinodependiente, 4 con hipertensión primaria y 14 con otras enfermedades. El 87.1% fueron católicos. El proceso estadístico inicial obtuvo un alfa de Cronbach de 0.820 al analizar los 20 ítems que se reducen a 17 (α=.821), porque 3 de ellos muestran bajas saturaciones. En el análisis factorial exploratorio mediante el análisis de componentes principales con una rotación ortogonal Varimax, la prueba Kaiser-Meyer-Olkin se obtuvo un resultado de 0.794 y la prueba de Bartlett resultó significativa p=< 0.001 (x2 = 810.49; gl = 136). CONCLUSIONES: Los preguntas que conforman los dos dominios de la escala original Estrategias de Afrontamiento Espiritual se redistribuyeron en este estudio agrupándose en cuatro factores. Producto de este proceso de investigación se obtuvo la versión Estrategias de Afrontamiento Espiritual - Cuenca, escala que demostró validez y fiabilidad en una población de participantes con enfermedades crónicas no trasmisibles de Cuenca - Ecuador.

BACKGROUND: Research in the field of liaison psychology is interested in the spiritual sphere of people. When the body becomes physically ill, the organism implements strategies that allow it to deal psycho-emotionally with the circumstances. The objective of the study was to evaluate the psychometric properties of the Spiritual Coping Strategies in people with chronic non-communicable diseases in the city of Cuenca - Ecuador. METHODS: A cross-sectional study a performed from June to December 2017. The sample included 147 participants and the fieldwork was carried out in three health institutions: José Carrasco Arteaga Specialty Hospital, Institute of Cancer SOLCA - Cuenca and Foundation for the Service of Cancer Sick. The scale of Spiritual Coping Strategies was used and data was analyzed in the SPSS program, version 23. RESULTS: Of the 147 participants, 100 people with cancer, 29 with non-insulin-dependent diabetes mellitus, 4 with primary hypertension and 14 with other chronic diseases. The 87.1% were catholics. The initial statistical process obtained a Cronbach's alpha of 0.820 when analyzing the 20 items that are reduced to 17 (α=.821), because three of them show low saturations. In the exploratory factor analysis through the analysis of principal components with a Varimax orthogonal rotation and the Kaiser-Meyer-Olkin test, obtained a result of 0.794 and the Bartlett test was significant p= <0.001 (x2 = 810.49; gl = 136).. CONCLUSIONS: The questions that make up the two domains of the original Scale of Spiritual Coping Strategies were redistributed in this study and grouped into four factors. The Strategies of Spiritual Coping - Cuenca version was obtained, a scale that demonstrated validity and reliability in a population of participants with chronic, non-communicable diseases in Cuenca - Ecuador.

A análise bioenergética como ferramenta de bem-estar num grupo de mulheres idosas / Bioenergetic analysis as a tool for well-being in an old women group / Análisis bioenergético como herramienta de bienestar en un grupo de mujeres mayores

Introdujo: Com o aumento do envelhecimento populacional a nivel mundial, ¡torneadamente em Portugal, tém-se desenvolvido programas de intervengo com idosos que visam a promo

Introduction: Due the growing aging population, namely in Portugal, there are few programs to enhance physical, emotional, and psychological well-being. Aim: To determine the perception of wellbeing, vitality and body awareness in a group of older women. Method: Descriptive qualitative study carried out during a psycho-corporal intervention in group of older women. The intervention consisted on the implementation of a program "Vivo no Corpo", throughout 12 weeks in weekly sessions of 90 minutes at a unit health in the city of Porto. Data for qualitative analysis were collected from the diaries of the participants in the program and were written during the sessions. The sample corresponds to women group, (n= 10) with a mean age of 68.4 years. Results: The participants perceived well-being throughout the program, as well as increased body awareness, which facilitated the cohesión of women throughout the sessions. Conclusions: Applying systematically bioenergetic analysis in group can be a tool and technique of intervention that promotes well-being in older women. Qualitative data were collected from session analysis of diaries. Results highlighted enhance of well-being perception throughout sessions, higher body perception and group cohesión.

Introducción: Con el creciente envejecimiento poblacional mundial, en Portugal, específicamente, se han diseñado programas de intervención en la población mayor, para aumentar su bienestar físico, emocional y psicológico. Objetivo: Determinar la percepción del bienestar, la vitalidad y la conciencia corporal en un grupo de mujeres mayores. Método: Estudio descriptivo-cualitativo en que se realizó una intervención psicocorporal, en un grupo de mujeres mayores. La intervención consistió en la implementación de un programa Vivo no Corpo, durante 12 semanas, en sesiones semanales de 90 minutos, en una unidad de salud de la ciudad de Oporto. Los datos para el análisis cualitativo se recolectaron a partir de los diarios de las participantes, en el programa y fueron escritos durante las sesiones. La muestra corresponde a mujeres (n = 10) con edad media de 68,4 años. Resultados: Las participantes percibieron aumento del bienestar a lo largo del programa, así como aumento de la comprensión de su cuerpo, lo que facilitó la cohesión de las mujeres a lo largo de las sesiones. Conclusiones: El análisis bioenergético aplicado en grupo, de forma sistemática, puede ser una herramienta y una técnica de intervención que promueve el bienestar en las mujeres mayores.

Método self-healing como estratégia de promoção à saúde e reabilitação de pessoas com esclerose múltipla no contexto da terapia ocupacional / Self-healing method as strategy to promote health and rehabilitation of people with multiple sclerosis in the context of occupational therapy

Introdução: A esclerose múltipla, doença neurológica crônica, de evolução contínua e diferenciada, demanda autoconhecimento do corpo, para melhor percepção das capacidades preservadas, das perdas gradativas e da repercussão na realização das atividades e na participação social. Objetivo: Analisar a experiência grupal de aplicação das técnicas corporais baseadas no método self-healing, para a promoção da saúde e reabilitação de pessoas com esclerose múltipla, desenvolvida pela terapia ocupacional. Método: Pesquisa qualitativa do tipo documental referente aos registros escritos e áudios transcritos das sessões grupais. Para análise dos dados foi utilizado o método do Discurso do Sujeito Coletivo. Resultados: Participaram do grupo terapêutico 10 adultos com esclerose múltipla, com idades e tempos de doença variados. Foram identificados cinco discursos relacionados às representações e experiências decorrentes da doença e dos efeitos do aprendizado das técnicas corporais do método self-healing. Como benefícios destacam-se maior percepção corporal, diminuição dos sintomas, melhora da capacidade funcional e reconhecimento da necessidade da prática corporal na rotina. Conclusão: O uso terapêutico do método self-healing demonstrou sua plicabilidade para a promoção da saúde e reabilitação, em conformidade com as políticas da saúde. Dada a pouca literatura existente sobre os benefícios do uso do método self-healing indica-se o desenvolvimento de novos estudos.

Introduction: Multiple sclerosis is a neurological chronic disease with continuous and differentiated evolution, it demands body self-knowledge for better understanding of preserved capacities, gradual losses and repercussion in the performance of activities and social participation. Objective: To analyze the group experience of the application of physical techniques based on self-healing method for health promotion and rehabilitation of people with multiple sclerosis, developed by Occupational Therapy. Method: Documental qualitative research referring to written records and audio transcripts of group sessions. Data analysis used the Collective Subject Discourse method. Results: Ten adults with multiple sclerosis, with varying ages and disease times, participated in the therapeutic group. Five participants reported representations and experiences due to the disease and the effect of learning the physical techniques of self-sealing. The benefits include a greater body awareness, decreased symptoms, improved functional capacity and recognition of the need of body practice routine. Conclusion: The therapeutic use of self-healing method demonstrated its applicability to promote the health benefits, rehabilitation, according to health policies. Due to limited literature on the benefits of using the self-healing method indicates the development of new studies.

Effect of psychosomatic therapy on pain control in patients with gynecological malignant tumor / 中国实用护理杂志

Objective To explore the effect of psychosomatic therapy on pain management in patients with gynecological malignant tumor, and to provide theoretical basis for improving the quality of pain management. Methods A total of 156 patients with gynecological malignant tumors were selected and 75 cases from August to November in 2015 were as the control group and 75 cases from December 2015 to March 2016 were as the intervention group. The control group received routine care in the wards, and the intervention group received psychosomatic therapy based on relaxation, image guidance, music therapy and personalized psychological counseling on the basis of routine nursing. The pain evaluation indexes of the two groups were compared. Results The number of the mild, moderate and severe pain in the intervention group were 56, 19, and 0, respectively, and 37, 41 and 3 in the control group, respectively. The difference between the 2 groups was statistically significant (Z=5.751, P<0.05). The number of the invalid, mild, obvious, complete remission of patients with cancer pain in the intervention group were 8, 14, 25, 28, respectively, and 18, 27, 21, 15 in the control group, respectively. The difference between the 2 groups was statistically significant (Z=2.081, P<0.05). The influence degree of pain on sleep was (4.96 ± 1.26) points in the intervention group and (5.72 ± 1.32) points in the control group, the difference was statistically significant (t=3.638, P<0.05). The satisfaction degree of pain control was (3.39 ± 1.15) points in the intervention group and (2.94 ± 0.74) points in the control group, and the difference was statistically significant (t=2.931, P<0.05). In the intervention group, 81.33％ (61/75) of one drug controlled pain program was used, which was higher than 64.20％ (52/81) of the control group (χ2=5.727, P<0.05). Conclusions Psychosomatic therapy can effectively relieve the pain of patients with gynecologic malignant tumor, and has guiding significance for the management of patients with cancer pain.

The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community

PURPOSE: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). METHODS: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. RESULTS: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. CONCLUSION: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

The effect of Reiki on blood hypertension / Efeito do Reiki na hipertensão arterial

Objective Determining the immediate effect of Reiki on abnormal blood pressure. Methods An experimental, double-blind study, in which were included 66 hypertensive patients, randomized to the three following study groups: control, placebo and experimental. The intervention lasted 20 minutes, the control group remained at rest, the placebo group received an imitation of the studied technique (mock Reiki) and the experimental group received the Reiki technique. Blood pressure was measured before and after the intervention by the same person with the same instrument. Results There was a decrease in blood pressure in the three groups and the reduction was greater in the experimental group, followed by the placebo and the control group. The ANOVA model for repeated measures showed a statistically significant difference among the groups (p <0.0001). Conclusion Reiki had a positive effect on reducing abnormal blood pressure, suggesting to be a complementary technique for the control of hypertension. .

Objetivo Verificar o efeito imediato do Reiki na pressão arterial alterada. Métodos Pesquisa experimental, duplo cego no qual foram incluídos 66 hipertensos, randomizados para três grupos de estudo: controle, placebo e experimental. A intervenção teve duração de 20 minutos, o grupo controle permaneceu em repouso, o grupo placebo recebeu uma imitação da técnica estudada e o grupo experimental recebeu a técnica de Reiki. A pressão arterial foi aferida antes e depois da intervenção pela mesma pessoa e como mesmo aparelho. Resultados Houve diminuição da pressão arterial nos três grupos e a redução maior foi no grupo experimental, seguido pelo grupos placebo e controle. O modelo ANOVA, para medidas repetidas mostrou que houve diferença estatísticamente significativa entre os grupos (p<0,0001). Conclusão O Reiki teve efeito positivo na diminuição da pressão arterial, sugerindo ser uma técnica complementar para o controle da hipertensão. .

A percepção de comportamentos relacionados à atenção plena e a versão brasileira do Freiburg Mindfulness Inventory / The perception of behavior related to mindfulness and the Brazilian version of the Freiburg Mindfulness Inventory

Mindfulness é uma prática e um modo de consciência que tem sido base para intervenções inovadoras no cuidado e promoção da saúde. Este estudo apresenta mindfulness , descreve e discute o processo de adaptação cultural do Freiburg Mindfulness Inventory (FMI) realizado para a língua portuguesa no Brasil. Da versão original deste instrumento pioneiro para avaliação de mindfulness foram criadas duas traduções, uma síntese e duas retrotraduções. Estas foram avaliadas por um comitê de 14 especialistas (budistas, linguistas, profissionais da saúde), que ajudaram a criar duas versões para o primeiro pré-teste no qual, por meio de entrevistas, foram levantadas sugestões de uma amostra de 41 pessoas da população. Considerando as dificuldades no entendimento dos conceitos não familiares à cultura brasileira, elaborou-se uma nova versão com explanações adicionais, a qual passou por uma nova avaliação dos especialistas e segundo pré-teste com 72 pessoas. Este processo buscou responder às limitações e desafios de se avaliar mindfulness em um país de cultura ocidental por meio de um instrumento de autorrelato fundamentado na psicologia budista. Com adequados níveis de clareza e equivalência com o instrumento original apresenta-se o Freiburg Mindfulness Inventory adaptado para o Brasil.

Mindfulness is a practice and a form of consciousness which has been the basis for innovative interventions in care and health promotion. This study presents mindfulness, describes and discusses the process of cultural adaptation of The Freiburg Mindfulness Inventory (FMI) to Brazilian Portuguese. From the original version of this pioneering instrument for assessing mindfulness two translations and two back-translations were made. These were evaluated by a committee of 14 experts (Buddhists, linguists, health professionals), who helped to create two versions for the first pre-test, based on which suggestions were made by a sample of 41 people of the population through interviews. Considering the difficulties in understanding the concepts that are unfamiliar to the Brazilian culture, a new version was prepared with additional explanations, which underwent a further evaluation of the experts and a second pre-test with 72 people. This process aimed at addressing the limitations and challenges of evaluating mindfulness in a country of western culture through a self-report instrument based on Buddhist psychology. With appropriate levels of clarity and equivalence with the original instrument, the Freiburg Mindfulness Inventory adapted for Brazil is presented.

Promoção da saúde e da qualidade de vidacom idosos por meio de práticas corporais / Health and quality of life promotion for old people using bodilypractices

O crescimento da população idosa está relacionado às melhores condições materiais de sobrevivência, aos avanços daspráticas de saúde e ao maior acesso à informação. As práticas corporais são reconhecidas como importante estratégiade promoção da saúde e prevenção de doenças na população idosa. O presente estudo visou a analisar dois grupos depráticas corporais orientados pelo método Self-healing, de Meir Schneider, desenvolvidos com pessoas em processo deenvelhecimento e idosos. Os grupos ocorreram no período de março a setembro de 2012, com duração de doze encontros,em um serviço universitário. Utilizou-se de questionário semiestruturado e da aplicação do SF-36. Participaram dogrupo vinte e cinco pessoas, com o predomínio de mulheres (88%). As idades variaram entre 57 e 76 anos, média de 65,8anos e escolaridade média de 3,6 anos. A maioria dos participantes realizava em casa as orientações aprendidas no grupo,com benefícios tanto físico, mental como emocional. No SF-36 houve melhora com significância estatística nos escoresdos domínios / aspectos físicos, dor e emocionais. Os efeitos na relação mente-corpo foram identificados pelos resultadospositivos em todos os domínios do SF-36, e no questionário semiestruturado. Os resultados sugerem que o método é eficaze traz benefícios para a capacidade funcional e qualidade de vida dessas pessoas.

The increasing of the elderly population is related to better material conditions for survival and progress of health practices.Bodily practices are recognized as an important strategy for health promotion and disease prevention for this population.This study aims to analyze the benefits of participating in groups of bodily practices under the perspective of Meir Schneider’sSelf-healing technique, developed with adults and the elderly. Groups took part from March to September 2012 intwelve meetings, coordinated by the INTEGRA Laboratory of the Occupational Therapy School at the University of SãoPaulo. A semi-structured questionnaire and the SF-36 were used. There were 25 participants; most of them women (88%),with an average age of 65.8 years (ranging from 57 to 76) and an average of 3.6 years of education. Most participantsperformed the guidelines taught in the group at home, with referred physical, mental and emotional benefits. There werestatistically significant improvements in SF36’s physical, emotional and bodily pain domains. The effects on the mind-bodyrelationship were identified by positive results in all domains of the SF-36 and the semi-structured questionnaire. Resultsindicate that the method used is effective and beneficial for functional capacity and quality of life of this population.

Effect of a Mind-Body Therapeutic Program for Infertile Women Repeating In Vitro Fertilization Treatment on Uncertainty, Anxiety, and Implantation Rate

PURPOSE: The study aimed to develop a mind-body therapeutic program and evaluate its effects on mitigating uncertainty, anxiety, and implantation rate of second-trial in vitro fertilization (IVF) women. METHODS: This study employed a nonequivalent control group nonsynchronized design. The conceptual framework and program content were developed from a preliminary survey of eight infertile women and the extensive review of the literature. Program focuses on three uncertainty-induced anxieties in infertile women: cognitive, emotional, and biological responses. To evaluate the effect of the intervention, the infertile women with unknown cause preparing for a second IVF treatment were sampled at convenience (26 experimental and 24 control). RESULTS: The experimental group in the study showed greater decrease in uncertainty and anxiety in premeasurements and postmeasurements than the control group did. However, no statistically significant differences in the implantation rate between groups were observed. CONCLUSION: This study is meaningful as the first intervention program for alleviating uncertainty and anxiety provided during the IVF treatment process. The positive effects of the mind-body therapeutic program in alleviating both uncertainty and anxiety have direct meaning for clinical applications.

The Effects of 8-weeks Jeol Meditation Program on Stress, Depression and Cardiovascular Risk Factors in Women / 農村醫學 地域保健

OBJECTIVES: There has been an increase in the use of mind-body therapies to control cardiovascular risk factors recently. This trial was designed to determine whether the 'jeol'(Korean Buddhists' prostration) meditation program, as a new mind-body intervention, was effective in managing stress, depression and controlling cardiovascular risk factors in women working at a geriatric hospital. METHODS: We conducted a randomized controlled trial to determine whether the 'jeol' meditation program could improve stress, anxiety, depression, and cardiovascular risk factors in women. We randomly assigned 57 participants to the intervention(29 participants) or control(28 participants) group. The subjects in the intervention group participated in a group Jeol meditation program once weekly, and practiced at home. The following variables were assessed: stress(Psychosocial Wellbeing Index), depression(Beck's Depression Inventory), body mass index(BMI), waist circumference, hemoglobin A1c(HbA1c), homeostasis model assessment(HOMA), low-density lipoprotein(LDL) cholesterol, high-density lipoprotein(HDL) cholesterol, and triglyceride were assessed. RESULTS: After the 8-week program, 2 participants from the intervention group and 1 from the control group dropped out. The subjects in the intervention group exhibited decreased scores for stress(t=5.102, p<0.01), depression(t=5.259, p<0.01), BMI(t=2.942, p=0.007), and waist circumference(t=2.582, p=0.016); however these scores did not demonstrate a significant decrease in participants of the control group. The other variables showed no significant difference between the groups. CONCLUSION: The 'jeol' meditation program evidently reduced stress, anxiety, depression, body weight, and waist circumference in women, which suggests that this program could be employed as a mind-body therapies.

Stress management and mind-body medicine: focusing on relaxation and meditation

Stress management is important and various stress management methods are required in the area of clinical preventive services. Although defining stress is somewhat complicated, stress can usually be divided into two concepts, stressors and the stress reaction. Stressors are stimuli that arouse the stress reaction. Examples are disasters, life events requiring changes, and everyday hassles. The stress reaction is often called the 'fight or flight reaction' and is mediated by the sympathetic nervous system and various hormones, including cortisol and catecholamine. Stress is closely related with health behaviors and several chronic diseases. Stress is measured using biological tests or self report, including questionnaires and interviews. Psychosocial Wellbeing Index-Short Form, Brief Ecounter PsychoSocial Instrument-Korean version, Global Assessment of Recent Stress Scale, and Symptom Checklist-90-Revised are examples of questionnaires that are widely used in Korea. Stress coping methods are categorized into stimuli-oriented methods, cognitive-behavioral methods, and mind-body interventions. Relaxation and meditation are widely used mind-body medical interventions. Relaxation Response and Mindfulness-Based Stress Reduction are two of the most widely used meditative programs in the Western mainstream medical system. Abdominal breathing, Progressive Muscular Relaxation, relaxing imagery, Autogenic Training, and biofeedback are other well-known techniques for relaxation and stress management. Relaxation and meditation are effective in improving health behaviors and quality of life, and complement the treatment methods of various chronic diseases, including cardiovascular disorders and cancer. Relaxation and meditation also seem to be effective methods for use in clinical preventive services. Program development, standardization, and further study are necessary for more widespread use of mind-body interventions in the area of clinical preventive services.

Mind-body interventions for the treatment of insomnia: a review / Intervenções mente-corpo para o tratamento de insônia: uma revisão

OBJECTIVE: As insomnia is highly prevalent, and side effects of medication are well-known, mind-body interventions are increasingly being sought. The objective of this study is to present a narrative review regarding the effects of mind-body interventions for the treatment of insomnia. METHOD: A PubMed search was conducted including only randomized, controlled trials in which the main objective was to treat insomnia. DISCUSSION: Twelve studies were selected. In three of the studies, objective parameters (polysomnography) were analyzed. Mind-body interventions were able to improve sleep efficiency and total sleep time. Most can ameliorate sleep quality; some can reduce the use of hypnotic drugs in those who are dependent on these drugs. CONCLUSION: According to the studies we selected, self-reported sleep was improved by all mind-body treatments, among them yoga, relaxation, Tai Chi Chih and music. Cognitive behavioral therapy seems to be the most effective mind-body intervention. Cognitive behavioral therapy was the only intervention that showed better results than medication. However, considering that only five of the twelve studies chosen reached a score of 3 in the Jadad scale, new studies with a higher methodological quality have to be conducted especially in mind-body interventions that belong to the complementary or alternative medicine field.

OBJETIVO: Considerando-se que a insônia é altamente prevalente, e os efeitos colaterais das medicações para seu tratamento são bem conhecidos, pesquisas no campo das intervenções mente-corpo têm sido desenvolvidas. O objetivo deste estudo é apresentar uma revisão narrativa sobre os efeitos das intervenções mente-corpo para o tratamento de insônia. MÉTODO: Uma busca pelo site Pubmed foi conduzida incluindo-se apenas estudos controlados e randomizados nos quais o principal objetivo era o tratamento da insônia. DISCUSSÃO: Doze estudos foram selecionados. Em três deles, parâmetros objetivos (polissonografia) foram analisados. Vários destes estudos mostraram melhora na qualidade do sono; em grupos de usuários de drogas hipnóticas ocorreu redução no uso das mesmas. CONCLUSÃO: De acordo com os estudos selecionados, todas as intervenções mente-corpo melhoraram ao menos a qualidade subjetiva do sono, dentre elas yoga, Tai Chi Chih e música. A terapia comportamental cognitiva parece ser a mais efetiva destas intervenções e foi a única que mostrou melhores resultados que a medicação. Porém, considerando que apenas cinco dos 12 estudos selecionados alcançaram o escore 3 na escala de Jadad, novos estudos com melhor qualidade metodológica precisam ser conduzidos especialmente dentre as intervenções mente-corpo que estão no campo das práticas complementares ou alternativas.

Mind-Body Approach in the Area of Preventive Medicine: Focusing on Relaxation and Meditation for Stress Management / 예방의학회지

OBJECTIVES: Emotional support and a stress management program should be simultaneously provided to clients as effective preventive services for healthy behavioral change. This study was conducted to review various relaxation and meditation intervention methods and their applicability for a preventive service program. METHODS AND RESULTS: The author of this paper tried to find various relaxation and meditation programs through a literature review and program searching and to introduce them. The 'Relaxation Response' and 'Mindfulness Based Stress Reduction (MBSR)' are the most the widely used meditative programs in mainstream medical systems. Abdominal breathing, Progressive Musclular Relaxation (PMR), Relaxative Imagery, Autogenic Training (AT) and Biofeedback are other well-known techniques for relaxation and stress management. I have developed and implemented some programs using these methods. Relaxation and meditation classes for cancer patients and a meditation based stress coping workshop are examples of this program. CONCLUSIONS: Relaxation and meditation seem to be good and effective methods for primary, secondary and tertiary preventive service programs. Program development and standardization and further study are needed for more and wider use of the mind-body approach in the preventive service area of medicine.