ABSTRACT
Interventions are required to modify physical activity behaviours in adolescents, and in this regard, education-based actions seem to be effective. The aim of this study was to explore the beliefs and perceptions of the context stakeholders with respect to adolescents' health behaviours, as well as intervention programmes to gain insight into the setting where the implementation of an intervention is required. Three focus groups were created with twenty-two participants (nine adolescents, four parents, six teachers, and three local politicians). The educational context, in collaboration with the community, was perceived as a setting with high a potential for physical activity promotion. Engagement and coordination of all stakeholders were considered necessary for a tailored intervention, in addition to programme institutionalization to ensure sustainability. Multilevel intervention with a whole-school and community approach is key to increasing physical activity levels among adolescents. (AU)
São necessárias intervenções para modificar os comportamentos de atividade física dos adolescentes e, nesse sentido, as ações baseadas na educação nas escolas parecem ser eficazes. O objetivo deste estudo foi explorar as crenças e percepções das partes interessadas do contexto em relação aos comportamentos de saúde dos adolescentes, bem como aos programas de intervenção para obter uma visão do ambiente em que uma intervenção deseja ser implementada. Foram criados três grupos focais com vinte e dois participantes (nove adolescentes, quatro pais, seis professores e três políticos locais). O contexto educativo, em colaboração com a comunidade, foi percebido como um ambiente com um alto potencial para a promoção da atividade física. O compromisso e a coordenação de todas as partes interessadas foram considerados necessários para uma intervenção personalizada, bem como a institucionalização do programa para garantir a sustentabilidade. A intervenção multinível com uma abordagem de toda a escola e da comunidade é fundamental para aumentar os níveis de atividade física entre os adolescentes. (AU)
Se necesitan intervenciones para modificar los comportamientos de actividad física en adolescentes y, en este sentido, las iniciativas desde la educación parecen ser efectivas. El objetivo de este estudio fue explorar las creencias y percepciones de las partes interesadas del contexto en relación con los comportamientos de salud de los adolescentes y los programas de intervención para conocer mejor el entorno en el que se quiere aplicar una intervención. Se crearon tres grupos focales con veintidós participantes (nueve adolescentes, cuatro padres, seis docentes y tres políticos locales). El contexto educativo, en colaboración con la comunidad, fue percibido como un ambiente con un alto potencial para la promoción de la actividad física. Se consideró necesario el compromiso y la coordinación de todas las partes interesadas para una intervención personalizada, así como la institucionalización del programa para garantizar la sostenibilidad. La intervención multinivel con un enfoque de toda la escuela y la comunidad es clave para aumentar los niveles de actividad física entre los adolescentes. (AU)
Subject(s)
Humans , Male , Female , AdolescentABSTRACT
The purpose of this paper is to present the diagnosis and treatment of idiopathic hypersomnia comorbidity tics disorder. The client is 15 years old， female， a senior student， with frequent blinking and a crooked mouth since childhood， diagnosed with tics disorder. She previously had consistently good academic performance. Since the COVID-19 epidemic in 2020， the client has been sleeping more， averaging 12 hours per day， accompanied by increased daytime sleep with fatigue after waking up， and a significant decline in her studies. She was diagnosed with idiopathic hypersomnia comorbidity persistent （chronic） movement or tic disorder. It was suggested that she adopt a method of comprehensive biopsychosocial intervention. Biotherapy with methylphenidate can improve her arousal， enhance attention and improve drowsiness， meanwhile， changes to tic symptoms must be monitored. Cognitive behavioral therapy was used to help the client correct cognitive biases， reshape cognitive structure， and establish confidence in rehabilitation. Mindfulness therapy was adopted to help the client adjust her emotions. In terms of social resources， the client was encouraged to explore resources actively， seek social support， and build therapeutic alliances. Through coordinating multiple resources， the client reduced symptoms of sleepiness and enhanced her adaptability to continue with her studies.
ABSTRACT
This paper reported a case of patient with body dysmorphic disorder in order to improve the clinical interview skills， diagnosis and treatment of clinicians in psychiatric department. The client was a 17-year-old unmarried male， came for psychological consultation because he was not satisfied with his appearance and had low self-esteem. After the changing of learning environment， the client showed excessive attention to his appearance along with low mood. The client was diagnosed with body dysmorphic disorder， and a biological-psychosocial comprehensive intervention was recommended. Sertraline combined with quetiapine was given as biotherapy to improve his mood and cognition. The psychotherapy included mindfulness-based stress reduction and cognitive behavioral therapy. These therapies helped the client learn to relax and correct cognitive biases. In terms of social resources， family members were encouraged to pay more attention to the client’s advantages， and schoolwork management on campus was strengthen. These methods promoted the development of client’s self-confidence.
Subject(s)
Humans , Caregivers/psychology , Psychosocial Impact , Dementia , Alzheimer Disease , GeriatricsABSTRACT
El siguiente artículo recoge las voces de víctimas de violencia política en tres escenarios geográficos y sociopolíticos: el Oriente Antioqueño, el sur de Córdoba y la ciudad de Medellín (Madres de la Candelaria). A través de relatos de vida y grupos focales, los y las participantes expresaron sus significaciones y experiencias en torno a su participación en escenarios de reparación, verdad y justicia propiciados por el Estado Colombiano (hasta junio de 2012) en el marco de las normas de transición que se han aplicado en un contexto donde no ha finalizado el conflicto armado y se mantienen altos índices de impunidad y coerción de la población civil. Se discuten, a partir de los testimonios, las consecuencias psicosociales que se generan en las personas, desde una mirada compleja, cuando acuden a estos mecanismos propiciados por las normas Colombianas. Abordando tanto los efectos de transformación y reparación, como aquellos que producen revictimización. Se concluye con una propuesta de justicia anamnética (Reyes Mate, 2003) que posibilite escenarios que respeten los derechos de las víctimas sin que esto implique revictimización ni obstáculos a logro de la paz.
The following article contains the voices of the victims of political violence in three geographical and sociopolitical scenarios in Colombia: The Eastern area of Antioquia, the Southern area of Cordoba and the city of Medellin (Mothers of the La Candelaria). Through stories of life and groups focus, participants expressed their meanings and experiences related to their participation in scenarios of repair, truth, and justice brought about by the Colombian State (as of June 2012) in the framework of the rules of transition which have been applied, in a context where the armed conflict has not ended yet, and where high levels of impunity and coercion of civilians have been maintained. Based on the testimonies collected, the psycho-social consequences generated in people, from a complex look, when they make use of these mechanisms supported by the Colombian standards, are discussed in this article. It addresses the transformation and the repair effects as well as those which cause re-victimization. As a conclusion, it proposes an anamnestic justice (Reyes Mate, 2003) which makes possible the respect of the rights of victims, without implying revictimization or obstacles to the achievement of peace.