Intervención psicoeducativa para potenciar la rehabilitación cardiovascular integral en pacientes convalecientes de infarto agudo de miocardio / A psychoeducational intervention to enhance comprehensive cardiovascular rehabilitation in patients convalescent from acute myocardial infarction

Introducción: La rehabilitación cardiovascular integral del paciente con infarto agudo de miocardio resulta fundamental para el logro de su bienestar físico y psicológico, y su reinserción a la vida social. Objetivo: Elaborar una estrategia de intervención psicoeducativa para potenciar la rehabilitación cardiovascular integral en pacientes convalecientes de infarto agudo de miocardio, con la visión de especialistas consultados. Métodos: Se realizó un estudio observacional, descriptivo y de corte transversal en el Hospital Universitario «Dr. Celestino Hernández Robau», de Santa Clara, entre octubre de 2019 y enero de 2021. La muestra estuvo conformada por 27 pacientes que asistieron a la consulta de Cardiología, y 7 especialistas según criterios de inclusión. Las técnicas aplicadas fueron: la revisión de historia clínica, entrevistas semiestructuradas a pacientes y especialistas, la encuesta sobre el conocimiento de la enfermedad, un autorreporte vivencial y la evaluación del estilo vida. Se utilizaron estadísticos descriptivos acorde a la medición de las variables, análisis de contenido y triangulación de la información. Resultados: En los pacientes diagnosticados con estilo de vida poco saludable, predominó un conocimiento medianamente suficiente de la enfermedad; la hipertensión arterial fue el principal factor de riesgo asociado. Se elaboró la estrategia de intervención según las necesidades psicoeducativas identificadas por los pacientes con la visión de especialistas consultados. Se constató que presentan carencia de habilidades para autocontrolar las reacciones emocionales posteriores al suceso cardiovascular. Conclusiones: La estrategia elaborada fue valorada satisfactoriamente por juicio de profesionales, indicándose la posibilidad de ser aplicada en los usuarios a los que está dirigida.

Introduction: comprehensive cardiovascular rehabilitation of patients with acute myocardial infarction is essential to achieve their physical and psychological well-being, and their reintegration into social life. Objective: to develop a psychoeducational intervention strategy to enhance comprehensive cardiovascular rehabilitation in patients convalescent from acute myocardial infarction, with the vision of consulted specialists. Methods: an observational, descriptive and cross-sectional study was carried out at "Dr. Celestino Hernández Robau" University Hospital, in Santa Clara, between October 2019 and January 2021. The sample consisted of 27 patients who come to the Cardiology consultation, and 7 specialists according to inclusion criteria. Medical history review, semi-structured interviews with patients and specialists, a survey on knowledge of the disease, an experiential self-report, and a lifestyle evaluation were the techniques applied. Descriptive statistics were used according to the measurement of the variables as well as content analysis and triangulation of the information. Results: a moderately sufficient knowledge of the disease prevailed in patients diagnosed with an unhealthy lifestyle; arterial hypertension was the main associated risk factor. The intervention strategy was developed according to the psychoeducational needs identified by the patients with the vision of the consulted specialists. We verified that they have a lack of abilities to self-control their emotional reactions after the cardiovascular event. Conclusions: the elaborated strategy was satisfactorily valued by professional judgment, which indicates the possibility of being applied to the users to whom it is directed.

Análisis dinámico de un equipo interprofesional que implementa un programa de atención psicosocial a víctimas de la guerra / Dynamic analysis of an interprofessional team implementing a psychosocial intervention program for war victims

Resumen Este estudio analiza los cambios estructurales experimentados por un equipo interprofesional que implementa un programa de intervención psicosocial dirigido a víctimas de la guerra en Colombia. Los equipos están compuestos por psicólogos, trabajadores sociales y facilitadores comunitarios que proporcionan atención a nivel individual, familiar y comunitario. Se aplicaron métodos de evaluación estructural para identificar cambios en la cohesión de las redes de reconocimiento entre profesionales, así como la preferencia para colaborar y el intercambio de información enviada y recibida. La recogida de información se produjo en dos series temporales -tiempo 1 (T1) y tiempo 2 (T2)- con un intervalo de tres meses. Se utilizó una estadística aplicada al análisis de datos relacionales para determinar los cambios en las redes en T1 y T2. En el período de referencia se incrementó la densidad en las redes de reconocimiento [. = 1.7105, (IC 95 %: -.0123 - .185), . < .0444] y de preferencia para trabajar [. = 2.0942, (IC 95 %: .005 - .1521), . < .0218]. Las redes de intercambio de información no experimentaron cambios significativos. Las regresiones múltiples a nivel diádico indican que la preferencia para trabajar e intercambiar información en T1, predicen el intercambio de información relativo tanto a peticiones de información recibidas como enviadas en T2. Se discuten los resultados para optimizar la implementación de programas de intervención psicosocial desarrolladas por equipos interprofesionales.

Abstract The study analyzes the structural changes experienced by an interprofessional team implementing a psychosocial intervention program for victims of war in Colombia. The program is called "PAPSIVI" (Programa de Atención Psicosocial y Salud Integral a Víctimas), which has been operating in Colombia since 2013, thanks to Law 1448 of 2011 to improve the quality of life and repair the damage of the victims of the armed conflict in Colombia. It only served people registered in the Single Registry of Victims (RUV), which had 9'165,126 records throughout the country until September 2021. This program follows a comprehensive and restorative approach that defines victims as protagonists of their own process of empowerment and positive change (Laplante and Holguin, 2006; Thompson, 1996). For this purpose, a multilevel intervention is carried out at the individual, family and community levels. The program is implemented by teams of professionals (psychologists, social workers and community facilitators) of varying sizes depending on the number of victims served in the municipalities. Psychologists provide individual psychological care and, to a lesser extent, family therapy is also offered to try to repair psychosocial damage from exposure to situations of violence (Oficina de Promoción Social, 2017). Social workers carry out community interventions to promote the associative fabric and social capital. Community promoters are facilitators and connect professionals with the potential beneficiaries of the intervention. The latter are very important, having themselves the status of victims, which increases the ecological validity of the intervention. Due to the characteristics of the implementation of this initiative, which takes into account the difficulties of the context (with situations of deprivation and vulnerability), as well as the particularities of the participants, it is valid to ask in this research what are the structural changes experienced by the teams of professionals who implement PAPSIVI. For this, structural evaluation methods were applied to identify changes in the cohesion of recognition networks among professionals, the preference to collaborate and the exchange of information sent and received. Data collection took place in two time series (T1 before - T2 after) with an interval of three months. Statistics applied to relational data analysis were used to determine changes in the networks at time T2. In the results it was found that in the baseline period the density in the recognition [t = 1.7105, (95 % CI: -.0123 - .185), p < .0444] and work preference [t = 2.0942, (95 % CI: .005 - .1521), p < .0218] networks increased. Information exchange networks did not experience significant changes. Multiple regressions at the dyadic level indicate that the preference for working and exchanging information at T1 predicts information exchange relative to both information requests received and sent at T2. It is concluded that the results shed light for: (a) optimize the design of psychosocial intervention teams; (b) improve their functioning by introducing horizontal organizational communication tools (among the members of each team), transversal (among the members of the teams implementing the program in different municipalities), and vertical (by promoting communication between professionals and program managers/responsible persons), and (c) achieve that changes in the structure of the teams serve as a diagnostic tool for functional problems of the team associated with the exchange of professional information and the referral of users. Ultimately, better integration of the teams leads to better psychosocial profiles of the users of programs such as PAPSIVI and allows them to better adapt their activities to the needs of the users, which improves the effectiveness of the intervention (Virto, 2021).

Factores de riesgo psicosocial asociados con la diabetes mellitus gestacional: revisión sistemática / Psychosocial risk factors associated with gestational diabetes mellitus: systematic review

La diabetes mellitus gestacional DMG es una enfermedad con consecuencias mortales, incapacitantes y costosas para las personas, las familias, las comunidades y los países. Con el fin de establecer de manera sistemática los factores de riesgo psicosocial asociados con la DMG que deberían ser monitoreados durante y después del embarazo se realizó una revisión sistemática en las bases de datos PubMed/Medline y Cochrane. Se encontraron 1188 artículos y se seleccionaron 41. Algunos temas principales fueron conflictos con prácticas culturales, estigma social, influencia de la etnia/raza, bajo nivel educativo, calidad del sueño, problemas con la lactancia materna, preocupación por la propia salud o la del bebé, baja percepción de riesgo de DMG o de diabetes mellitus tipo 2 en el futuro, estrés, ansiedad y depresión, conocimiento limitado, falta de apoyo de la pareja, de la familia o social y de los profesionales de la salud, bajos niveles de autocuidado/autoeficacia y dificultades con cambios en el estilo de vida. Estos factores deberían monitorearse en las embarazadas durante y después del parto. Los tratamientos deberían considerar el impacto psicológico y el riesgo de desarrollar diabetes mellitus tipo 2 después del parto, y deberían ser incluidos en las guías de práctica clínica. Las poblaciones multiétnicas y los grupos más vulnerables demográficamente y socioeconómicamente son más susceptibles de desarrollar DMG.

Gestational diabetes mellitus (GDM) is a disease with fatal, disabling, and costly consequences for individuals, families, communities and countries. To systematically establish the psychosocial risk factors associated with GDM that should be monitored during and after pregnancy. Systematic review in PubMed/Medline and Cochrane databases. 1188 articles were found and 41 were selected. Some main themes were conflicts with cultural practices, social stigma, ethnicity/race influence, low educational level, sleep quality, breastfeeding problems, concern for ones own health/baby, low perception of the risk of GDM/DM2 in the future, stress, anxiety and depression, limited knowledge, lack of support from the partner/family/social and health professionals, low levels of self-care/self-efficacy and difficulties with changes in the lifestyle. These factors should be monitored in pregnant women during and after delivery. Treatments should consider the psychological impact and the risk of developing DM2 after childbirth and should be included in clinical practice guidelines. Multi-ethnic populations and the most demographically and socioeconomically vulnerable groups are more susceptible to developing GDM.

Intervenção psicossocial para mulheres com histórico de tentativas de gravidez / Psychosocial intervention for women with a history of pregnancy attempts / Intervención psicosocial para mujeres con antecedentes de intentos de embarazo

OBJETIVO: A dificuldade ou impossibilidade para engravidar representa um problema vivenciado por mulheres no mundo inteiro, o que necessita de ações na área da saúde. OBJETIVO: Descrever um relato de experiência de uma intervenção psicossocial para mulheres com histórico de tentativas de gravidez. MÉTODO: Foram realizados seis encontros por meio do sistema remoto com o auxílio do Google Meet. Participaram sete mulheres, na faixa etária entre 30 e 37 anos, casadas, e com histórico de tratamentos para engravidar. Utilizou-se metodologia da Investigação Ação Participante (IAP) e os encontros iniciavam-se com uma temática proposta para discussão buscando fomentar o compartilhamento de experiências. RESULTADOS: Observou-se que as discussões possibilitaram a expressão de suas angústias provenientes das dificuldades para engravidar, o que inclui pressões sociais, percepções de inferioridade, incompletude, e falta de realização pessoal. CONCLUSÃO: O grupo de discussão representou uma estratégia promotora de mudanças e de reflexão/ação. Este espaço permitiu construir o apoio social para o enfrentamento dos desafios inerentes ao projeto maternal. Sugere-se a continuidade destas intervenções nas unidades de saúde e centros especializados para fomentar a promoção da saúde integral, assim como intervenções futuras que focalizem a inclusão dos cônjuges.

OBJECTIVE: The difficulty or impossibility of getting pregnant represents a problem experienced by women all over the world, which requires actions in the health area. OBJECTIVE: To describe an experience report of a psychosocial intervention for women with a history of pregnancy attempts. METHOD: Six meetings were held through the remote system with the help of Google Meet. Seven women participated, aged between 30 and 37 years old, married, and with a history of treatments to get pregnant. Participating Action Research (PAR) methodology was used and the meetings began with a proposed theme for discussion, seeking to encourage the sharing of experiences. RESULTS: It was observed that the discussions made it possible to express their anxieties arising from difficulties in getting pregnant, which includes social pressures, perceptions of inferiority, incompleteness, and lack of personal fulfillment. CONCLUSION: The discussion group represented a strategy to promote changes and reflection/action. This space made it possible to build social support to coping challenges inherent to the maternal project. It is suggested that these interventions be continued in health units and specialized centers to foster the promotion of comprehensive health, as well as future interventions that focus on the inclusion of spouses.

OBJETIVO: La dificultad o imposibilidad de quedar embarazada representa un problema vivido por mujeres de todo el mundo, que requiere acciones en el área de la salud. OBJETIVO: Describir un relato de experiencia de una intervención psicosocial para mujeres con antecedentes de intentos de embarazo. MÉTODO: Se realizaron seis reuniones a través del sistema remoto con la ayuda de Google Meet. Participaron siete mujeres, con edades entre 30 y 37 años, casadas y con antecedentes de tratamientos para quedar embarazadas. Se utilizó la metodología de Investigación Acción Participativa (IAP) y las reuniones comenzaron con una propuesta de tema de discusión, buscando incentivar el intercambio de experiencias. RESULTADOS: Se observó que las discusiones permitieron expresar sus angustias derivadas de las dificultades para quedar embarazada, que incluye presiones sociales, percepciones de inferioridad, incompletitud y falta de realización personal. CONCLUSIÓN: El grupo de discusión representó una estrategia para promover cambios y reflexión/acción. Este espacio permitió construir apoyo social para enfrentar los desafíos inherentes al proyecto materno. Se sugiere continuar con estas intervenciones en unidades de salud y centros especializados para promover la promoción de la salud integral, así como futuras intervenciones que se centren en la inclusión de los cónyuges.

Cuidados paliativos e intervenções psicológicas em uma instituição pública hospitalar / Palliative care and psychological interventions in a public hospital institution / Cuidados paliativos e intervenciones psicológicas en una institución hospitalaria pública

INTRODUÇÃO: Os cuidados paliativos (CP) são baseados em princípios e auxiliam o paciente no enfrentamento do curso de sua condição clínica através da prevenção e alívio do sofrimento. Realizado através de uma equipe multiprofissional, no contexto de uma internação hospitalar, a psicologia contribui com intervenções na situação psicoemocional do paciente em CP e seus familiares. OBJETIVO: Identificar as intervenções psicológicas mais utilizadas no tratamento de pacientes adultos internados em CP. MÉTODOS: Pesquisa documental de caráter retrospectivo, com delineamento transversal e descritivo. De natureza quantitativa, os dados foram investigados através de Análise Estatística Descritiva. Os dados foram coletados com 70 prontuários de pacientes adultos em CP internados entre os anos de 2019 e 2021 em um hospital público e que foram acompanhados pelo setor de psicologia. RESULTADOS: Foram identificadas 32 categorias de intervenções psicológicas relacionadas ao paciente e 38 ao cuidador. As categorias foram agrupadas por similaridade temática resultando no grupo de intervenções em demandas emocionais, intervenções em demandas cognitivas, condutas de orientação e psicoeducação, condutas de humanização e grupo de intervenções em demandas familiares. DISCUSSÃO: As condutas psicológicas nos CP podem auxiliar no acolhimento do sofrimento, integração das perdas e mudanças de papéis, elaboração do luto antecipatório, ressignificação da vida, morte, planos e objetivos, criação ou validação de recursos funcionais de enfrentamento e a dar condições biopsicossocioespirituais de lidar com o adoecimento. CONCLUSÃO: Evidenciou-se um grande número de intervenções psicológicas utilizadas no tratamento de pacientes de CP e seus cuidadores.

INTRODUCTION: Palliative Care (PC) is based on principles and helps the patient to face the course of their clinical condition through the prevention and relief of suffering. Carried out by a multidisciplinary team, in the context of a hospital stay, psychology contributes with interventions in the psycho-emotional situation of patients undergoing PC and their families. OBJECTIVE: To identify the most used psychological interventions in the treatment of adult patients hospitalized in PC. METHODS: Retrospective documentary research, with a cross-sectional and descriptive design. Quantitative in nature, the data were investigated through Descriptive Statistical Analysis. Data were collected from 70 medical records of adult PC patients admitted between the years 2019 and 2021 in a public hospital and who were followed up by the psychology sector. RESULTS: 32 categories of psychological interventions related to the patient and 38 to the caregiver were identified. The categories were grouped by thematic similarity resulting in the group of interventions in emotional demands, interventions in cognitive demands, guidance and psychoeducation conducts, humanization conducts and group of interventions in family demands. DISCUSSION: Psychological behaviors in PC can help in accepting suffering, integrating losses and changing roles, elaborating anticipatory grief, re-signification of life, death, plans and goals, creation or validation of functional coping resources and providing biopsychosocial-spiritual conditions of dealing with illness. CONCLUSION: There was evidence of a large number of psychological interventions used in the treatment of PC patients and their caregivers.

INTRODUCCIÓN: Los cuidados paliativos (CP) se basan en principios y ayudan al paciente a afrontar el curso de su cuadro clínico a través de la prevención y el alivio del sufrimiento. Realizada por un equipo multidisciplinario, en el contexto de una estancia hospitalaria, la psicología contribuye con intervenciones en la situación psicoemocional de los pacientes en CP y sus familias. OBJETIVO: Identificar las intervenciones psicológicas más utilizadas en el tratamiento de pacientes adultos hospitalizados en CP. MÉTODOS: Investigación documental retrospectiva, con un diseño transversal y descriptivo. De naturaleza cuantitativa, los datos fueron investigados a través del Análisis Estadístico Descriptivo. Se recogieron datos de 70 historias clínicas de pacientes adultos en CP ingresados entre los años 2019 y 2021 en un hospital público y que fueron seguidos por el sector de psicología. RESULTADOS: Se identificaron 32 categorías de intervenciones psicológicas relacionadas con el paciente y 38 con el cuidador. Las categorías fueron agrupadas por similitud temática resultando el grupo de intervenciones en demandas emocionales, intervenciones en demandas cognitivas, conductas de orientación y psicoeducación, conductas de humanización y grupo de intervenciones en demandas familiares. DISCUSIÓN: Los comportamientos psicológicos en CP pueden auxiliar en la aceptación del sufrimiento, la integración de las pérdidas y el cambio de roles, la elaboración del duelo anticipatorio, la resignificación de la vida, la muerte, los planes y metas, la creación o validación de recursos funcionales de afrontamiento y la provisión de condiciones biopsicosociales-espirituales de enfrentamiento de la enfermedad. CONCLUSIÓN: Se evidenció un gran número de intervenciones psicológicas utilizadas en el tratamiento de pacientes en CP y sus cuidadores.

Outcome of Program Kesihatan Optimum Sanubari (SANUBARI) Wellness-based Self-management Intervention in Coaching Healthcare Workers for Well-being in COVID-19 Pandemic

@#Introduction: This study measured the outcome of the Optimal Health Program (OHP) among frontline healthcare workers during the COVID-19 pandemic. The OHP is a wellness-based self-management intervention focused on well-being to gain optimal health. OHP is originally from Australia and has been translated, culturally adapted and branded as the Program Kesihatan Optimum Sanubari (SANUBARI). The program was conducted as a psychosocial intervention and the outcomes measured were self-efficacy, coping styles and well-being. Methods: Eligible participants were nurses who actively managed COVID-19 inpatients in Hospital Kuala Lumpur and committed to complete the intervention. Those who did not provide consent or had comorbidity, unstable medical or psychiatry illnesses were excluded. 43 nurses were recruited through convenience sampling method and completed outcome measures from General Self-Efficacy Scale, Brief COPE and WHO-5 Well-being Index, before and 1-month after the intervention. The OHP was conducted via group-based, using OHP Sanubari workbook with 5 weekly sessions by trained facilitators and lasted for 60 to 90 minutes per session. Results: Significant improvement was observed 1-month post intervention for self-efficacy (t(42)=5.64, p <0.001) and well-being(t(42)=2.14, p<0.05); different approach coping strategies(acceptance, use of informational support, positive reframing, active coping, and planning) and avoidant coping strategies(distraction, venting, denial, and substance use). Whilst, humor coping reduced significantly 1-month post-intervention (t(42)=3.66, p<0.05). Conclusion: This study reports the positive outcome of OHP on the mental health status of healthcare workers during the pandemic. This program can be considered as a tool towards optimal health throughout their career.

Atendimento psicossocial à mulher que comete ofensa sexual / Psychosocial attention for women that commit sexual offenses / Atención psicosocial para mujeres que cometen delitos sexuales

Objetivamos apresentar uma proposta de atendimento psicossocial grupal oferecida para mulheres adultas que cometeram ofensa sexual, cuidadoras e mães. A experiência está sendo desenvolvida no Distrito Federal, Brasil, com pessoas do gênero feminino provenientes de encaminhamento judicial. Carece que os profissionais das áreas da justiça, saúde, serviço social e psicologia avancem no estudo e na compreensão desta temática, de modo a pensarem a atuação e o apoio terapêutico a essas mulheres. O modo de atendimento é focal e breve, com ênfase na criação de um ambiente lúdico como facilitador das interações grupais e da discussão sobre os temas: identidade; confiança nas relações afetivas e sociais; vivência pessoal com violência física e sexual; configuração de gênero; e expressão da sexualidade e futuro. A abordagem individual também se baseia no enfoque dos temas mencionados. O oferecimento de ajuda à mulher cuidadora ou à mãe tem participação ativa na interrupção do circuito abusivo sexual, pois essa violência é extremamente ocultada, ocasionando uma prolongada vulnerabilidade para as vítimas. Ressalta-se o valor do texto indicando a descrição de ação voltada para uma população permanentemente não estudada e evitada em seu reconhecimento. Os limites desta proposta encontram-se na falta de outras iniciativas que possibilitem uma discussão sobre essa experiência.(AU)

We aim to present a proposal of a group psychosocial intervention offered for adult female sexual offenders, caregivers, and mothers. The intervention is being developed at Federal District, Brazil, with female people coming from judicial referrals. Professionals in the areas of justice, health, social work, and psychology need to advance in the study and understanding this theme to think about action and therapeutic support for these women. The intervention is a focal and brief approach, with emphasis on the creation of a ludic environment as a facilitator of group interactions and discussion about the themes: identity; trust in affective and social relationships; personal experience with physical and sexual violence; gender configuration; and sexuality expression and future. The individual approach is also based on focusing on these themes. The offering of help to the female caregiver or the mother has an active participation in the interruption of the sexual offense circuit, since this violence is extremely hidden, bringing a prolonged condition of vulnerability to the victims. The value of this text is highlighted indicating the description of an action directed to a population that is permanently not studied and whose recognition is avoided. The limits of this proposal are found in the absence of other initiatives that would allow a discussion about this experience.(AU)

Este texto presenta una propuesta de atención psicosocial grupal destinada a mujeres adultas que han cometido delito sexual, a cuidadoras y madres. La intervención se está desarrollando en el Distrito Federal (Brasil), con personas del género femenino provenientes de remisiones judiciales. Es necesario que los profesionales de las áreas de justicia, salud, trabajo social y psicología avancen en el estudio y comprensión de esta temática para pensar en el desempeño y apoyo terapéutico de estas mujeres. El servicio es enfocado y breve, con énfasis en la creación de un ambiente lúdico como facilitador de interacciones grupales y discusión sobre los temas: identidad; confianza en las relaciones afectivas y sociales; experiencia personal con violencia física y sexual; configuración de género; y expresión de la sexualidad y el futuro. El enfoque individual también se centra en estos temas. La oferta de ayuda a la mujer cuidadora o a la madre es importante para la interrupción del circuito de abuso sexual, ya que esta violencia es extremadamente oculta y provoca una vulnerabilidad prolongada a las víctimas. Se destaca el valor del texto con la descripción de la acción dirigida a una población que no es objeto de estudios ni reconocida. Los límites de esta propuesta se encuentran en la ausencia de otras iniciativas que permitan un debate sobre esta experiencia.(AU)

Post-traumatic psychological intervention in college athletes / Intervenção psicológica pós-traumática em atletas universitários / Intervención psicológica postraumática en deportistas universitarios

ABSTRACT Introduction: Injuries will always be with an athlete throughout their career. When analyzing the factors that cause athletic injuries, their coaches usually consider environmental and physical training factors, ignoring psychological factors. Objective: Investigate the mental health status of college athletes after serious injuries during competition, discussing the impact of sports injuries on athletes' mental health. Methods: Twelve college athletes were selected as research volunteers. They were divided into two groups by randomization. The control group was followed by traditional psychotherapy while the experimental group received the post-traumatic mental intervention. A comparison was carried out and mainly the general situation of sports injuries and the effect of intervention treatment were analyzed. The impact of psychological intervention methods on athletes' mental health after injuries were also studied using mathematical statistics to analyze the data. Results: There were significant differences in STAI scores in the experimental group before and after the intervention. BFS scores in the experimental group were significantly higher than those in the control group before and after an intervention. There was no significant difference in the indicators in the control group. Conclusion: Post-traumatic psychological intervention positively affects the mental health recovery of college athletes. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMO Introdução: Os ferimentos estarão sempre com um atleta durante toda a sua carreira. Ao analisar os fatores que causam as lesões atléticas, seus treinadores geralmente consideram fatores ambientais e de treinamento físico, ignorando os fatores psicológicos. Objetivo: Investigar o estado de saúde mental dos atletas universitários após as lesões graves durante as competições, discutindo o impacto das lesões esportivas sobre a saúde mental dos atletas. Métodos: Foram selecionados 12 atletas universitários como voluntários de pesquisa. Eles foram divididos em dois grupos por randomização. O grupo de controle foi acompanhado pela psicoterapia tradicional enquanto o grupo experimental recebeu intervenção mental pós-traumática. Foi efetuada a comparação e analisada principalmente a situação geral das lesões esportivas e o efeito do tratamento de intervenção. O impacto dos métodos de intervenção psicológica sobre a saúde mental dos atletas após lesões também foi estudado utilizando o método de estatística matemática que é usado para analisar os dados. Resultados: Houve diferenças significativas na pontuação do STAI no grupo experimental antes e depois da intervenção. Os índices de BFS no grupo experimental foram significativamente maiores do que os do grupo de controle antes e depois de uma intervenção. Não houve diferença significativa nos indicadores do grupo de controle. Conclusão: A intervenção psicológica pós-traumática tem um efeito positivo sobre a recuperação da saúde mental dos atletas universitários. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción: Las lesiones siempre acompañarán a un deportista a lo largo de su carrera. Al analizar los factores que causan las lesiones deportivas, los entrenadores suelen tener en cuenta los factores ambientales y de entrenamiento físico, ignorando los factores psicológicos. Objetivo: Investigar el estado de salud mental de los atletas universitarios después de sufrir lesiones graves durante las competiciones, analizando el impacto de las lesiones deportivas en la salud mental de los atletas. Métodos: Se seleccionaron doce atletas universitarios como voluntarios para la investigación. Se dividieron en dos grupos de forma aleatoria. El grupo de control recibió una psicoterapia tradicional, mientras que el grupo experimental recibió una intervención mental postraumática. Se realizó una comparación y se analizó principalmente la situación general de las lesiones deportivas y el efecto del tratamiento de intervención. También se estudió el impacto de los métodos de intervención psicológica en la salud mental de los deportistas después de las lesiones, utilizando el método de la estadística matemática para analizar los datos. Resultados: Hubo diferencias significativas en las puntuaciones del STAI en el grupo experimental antes y después de la intervención. Las puntuaciones del BFS en el grupo experimental fueron significativamente más altas que las del grupo de control antes y después de la intervención. No hubo diferencias significativas en los indicadores del grupo de control. Conclusión: La intervención psicológica postraumática tiene un efecto positivo en la recuperación de la salud mental de los deportistas universitarios. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Psychosocial intervention and mental health for older adults: a systematic review / 中国康复理论与实践

ObjectiveTo systematically review the effects of psychosocial support-related activities on mental health of older adults. MethodsRandomized controlled trails (RCTs) on mental health benefits for older adults were retrieved from PubMed, Web of Science, EBSCO and CNKI, until August, 2022. A systematic review was conducted. ResultsSeven RCTs were included, from Spain, Chile, Canada, Finland, the United Kingdom, South Korea and the United States, mainly from psychiatry, mental health of the elderly and other journals, published after 2017. The subjects aged 60 to 80 years, accounting to 1 258 cases. Psychosocial interventions included Pilates, mindfulness, behavioral activation, cognitive stimulation, daily difficult problem solving training, pain and depression symptom management, health education and guidance, nursing coordination, group exercise (such as circuit training, pedal training or rubber band training), and water sports, etc. The frequency of intervention was 30 to 120 minutes a time, one to nine times a week, and the intensity of the intervention was low to high intensity for four to 64 weeks. Intervention sites included sports venues, community health centres, ageing services, and intervention staff included sports therapists (yoga), psychologists, health professionals, community health services, and health care workers. All interventions were carried out under supervision. The benefits of psychosocial intervention on the mental health of the older adults mainly reflected in the improving cognitive function and self-efficacy, reducing anxiety and depression, improving depressed mood or loneliness, improving sleep quality, increasing sense of social integration and relieving pain and other problems. ConclusionMental health interventions (psychological interventions or support, social interventions or support, psychosocial interventions) and mental health-related interventions (physical activity interventions) benefit older people's mental health, including improving cognitive function, alleviating anxiety and depression, improving sleep quality, and improving quality of life and well-being.

PSYCHOSOCIAL INTERVENTION FOR REDUCING RELAPSE AND IMPROVING TREATMENT ADHERENCE IN BIPOLAR AFFECTIVE DISORDER WITH POOR SOCIO-OCCUPATIONAL FUNCTIONING AND HIGH EXPRESSED EMOTION IN THE FAMILY: A CASE REPORT

Introduction: Bipolar affective disorder (BPAD) is a chronic psychiatric disorder with an admixture of frequent and recurrent episodes of mania, hypomania, depression, or mixed episodes. More than 1% of the world's population and at least 0.3% of the Indian population are affected by BPAD. We have chosen a case of BPAD with multiple episodes to study the impact of psychosocial intervention in the management of the illness of the affected person and family. The index client, a male, Presentation of the case: 32 years of age, visited the Institute of Psychiatry (IOP) with caregivers and was referred to the psychiatric social work department of the IOP on April 24, 2019, with symptoms of mania and psychosis. He had 7-years history of psychiatric illness, including multiple episodes of mania and depression, as well as frequent irregular medication; burden and conflict, insufficient social support, poor communication and interaction patterns, poor coping and problem-solving skills in the family. Therapists imparted Interpersonal and Social Rhythm Therapy (IPSRT) and family-focused therapy to the client and family members. It was found that there Discussion: was a significant difference between pre- and postpsychosocial interventions in the life and wellbeing of a person with BPAD and his family. Post intervention, client's level of social and occupational functioning was increased, high expressed emotion had been notably decreased, adaptive patterns had been improved, and cohesion in the family had been strengthened. The client and his family members learned to prevent development of future episodes. Conclusion: Psychiatric social work interventions have been a key area in the management of BPAD involving the family, which helps in maintaining a prolonged euthymic period and better treatment compliance.

Stormfires in La Palma, Chile: Shared Meanings Emerging from a Post-disaster Community Intervention / Tormenta de fuego en la palma (chile): significados compartidos surgidos de una intervención comunitaria postdesastre

RESUMEN Los desastres socioambientales afectan desigualmente a las zonas rurales en comparación con las urbanas. Esta realidad hace que la movilización de recursos comunitarios sea esencial para afrontar estos eventos. El objetivo de este trabajo fue analizar la construcción de significados derivados del proceso de intervención comunitaria posterior a un desastre (incendio forestal) entre la comunidad La Palma y el equipo de la Fundación Tierra de Esperanza, planteando como pregunta de investigación ¿Qué significados compartidos surgen del proceso de intervención vivenciado por la comunidad de La Palma y el equipo interventor? El estudio tuvo un diseño fenomenológico, utilizando análisis interpretativo del discurso. Los resultados muestran la emergencia de categorías vinculadas a procesos identitarios, ruralidad, y el despliegue de procesos psicosociales durante la experiencia de intervención vinculados con el afrontamiento comunitario, apoyo social, rol clave de liderazgos femeninos y aprendizajes de la comunidad. Se discute cómo la toma de conciencia de esta comunidad rural incrementó su capacidad de agencia ante eventos en los que cuentan con escaso apoyo gubernamental.

ABSTRACT Socio-environmental disasters affect rural areas unequally, compared to urban areas. This reality makes the mobilization of community resources essential when facing these events. The objective of this study was to analyze the construction of meanings derived from the process of community intervention after a disaster (forest fires) between the La Palma community and the Tierra de Esperanza Foundation team, posing as a research question: What shared meanings emerge from the intervention process experienced by the La Palma community and the intervention team? The study had a phenomenological design, using interpretative discourse analysis. The results show the emergence of categories linked to identity processes, rurality, and the unfolding of psychosocial processes during the intervention experience, linked to community coping, social support, the key role of female leadership, and community learning. It is discussed how the awareness of this rural community increased its capacity for agency in the face of events with little government support.

Acolhimento institucional de adolescentes: uma intervenção psicossocial / Foster care for youth: a psychosocial intervention / Acogida institucional de adolescentes: una intervención psicossocial

O artigo relata intervenção psicossocial desenvolvida em instituição de acolhimento para adolescentes do sexo masculino com trajetória de vida nas ruas. Tratou-se de atuação em estágio curricular em Processos Psicossociais, tendo como aporte teórico a Psicologia Social Jurídica. A partir do levantamento, por meio da observação-participante, das demandas para capacitação dos educadores dessa instituição, elaborou-se intervenção que visou fortalecer o acolhimento institucional como um local de proteção, por meio do trabalho realizado com os educadores. O despreparo dos integrantes da rede de assistência social e saúde, a insuficiência de políticas públicas voltadas para a juventude no município e outros fatores decorrentes do estigma atribuído aos adolescentes acolhidos, majoritariamente negros e pobres, remetem às situações de violências e de violações de direitos que tem implicações subjetivas, econômicas, políticas, sociais e culturais. Como prática psi de enfrentamento ao racismo estrutural, intervir neste local auxilia na construção de uma sociedade justa e igualitária. (AU)

The intend of this article is to present the psychosocial intervention activities carried out in an institutional foster home facility for homelessness youth males. This involves acting in a Psychosocial Internship Curriculum, using Law & Social Psychology as its theoretical foundation. Based on the assessment developed through participant observation, the demands and instrumentation technician education requirements were developed that aimed to strengthen the institutional reception as a place of protection through the work carried out with the educators. The unpreparedness of the health care and social services network members, the inadequacy of public policies aimed at youth in the city of Belo Horizonte, and other factors resulting from the dangerousness speech attributed to the youth males received, mostly black and poor, lead to situations of violence and violations of human rights that it has subjective, economic, political, social and cultural implications. As a psicological practice to confronting structural racism, intervening in this place helps to build a just and egalitarian society. (AU)

Este artículo relata una intervención psicosocial desarrollada en una institución de acogida institucional para adolescentes del sexo masculino con trayectoria de vida en las calles. Esta fue una actuación en prácticas curriculares en Procesos Psicosociales, teniendo como soporte teórico la Psicología Social Jurídica. A partir de una encuesta, a través de la observación participante, de las demandas de capacitación de los educadores de esta institución, la intervención se elaboró con el objetivo de fortalecer la recepción institucional como lugar de protección, a través del trabajo realizado con los educadores. La falta de preparación de los miembros de la asistencia social y salud, la insuficiencia de políticas públicas dirigidas para la juventud en el municipio y otros factores resultantes del discurso de peligrosidad a los adolescentes recibidos, en su mayoría negros y pobres, conducen a situaciones de violencia y violaciones de los derechos que tienen implicaciones subjetivas, económicas, políticas, sociales y culturales. Cómo prática Psi de confrontar al racismo estructural, intervenir en este lugar ayuda a construir una sociedad justa y igualitaria. (AU)

Estratégias participativas para a intervenção em saúde: relato de experiência no pet-saúde graduasus / Participatory strategies for health intervention: experience report at Pet-Saúde graduasus / Estrategias participativas para la intervención sanitaria: informe de la experiencia en el Pet-Saúde graduasus

Este trabalho relata uma experiência de trabalho interdisciplinar desenvolvida por professores, estudantes de um Bacharelado em Saúde, profissionais de saúde, e atores sociais de uma comunidade, no âmbito do Programa de Educação para o Trabalho PET-Saúde GraduaSUS. A primeira parte do projeto se concentrou no diagnóstico participativo da situação de saúde na cidade de Porto Seguro, Brasil, e a partir do qual foram planejadas ações de intervenção junto à comunidade. Especificamente, o texto apresenta uma série de oficinas realizadas com alunos de uma escola da região, que apontaram a violência como um dos principais problemas em seu território. As oficinas foram oferecidas como dispositivo de reflexão, articulação e ela-boração de experiências de violência e, ao mesmo tempo, como espaço de reflexão e questionamento de práticas de discriminação e violação de direitos humanos, com as quais os jovens têm contato na sua vida cotidiana. O trabalho reafirmou o poder das estratégias participativas de intervenção social para produzir transformações sociais e subjetivas, inclusive em relação aos problemas no campo da saúde

This paper relates an interdisciplinary intervention experience developed by professors, students of a Bachelor of Health, health professionals and social actors from a community, within the PET-Saúde GraduaSUS. The first part of the project focused on a participatory diagnosis of the health situation in the city of Porto Seguro, Brazil. Specifically, the text descrives workshops carried out with students from a school of the region, who pointed out violence, as one of the main problems in their territory. The workshops were offered as a strategy for reflection, articulation and elaboration of experiences of violence and, at the same time, as a space for reflection and questioning of practices of discrimination and violation of human rights, experienced by young people in their daily life. The outcomes reaffirmed the power of participatory social intervention strategies to produce social and subjective transformations, including in relation to problems in the health field

Este trabajo relata una experiencia de trabajo interdisciplinario desarrollada por profesores, estudiantes de una Licenciatura en salud, profesionales de salud y actores sociales de una comunidad, dentro del Progra-ma de Educación para el Trabajo PET-Salud GraduaSUS. La primera parte del proyecto se concentró en un diagnóstico participativo de la situación de salud en la ciudad de Porto Seguro, Brasil, a partir del cual fueron planeadas acciones de intervención, junto con la comunidad. Específicamente, el texto presenta una serie de talleres realizados con, estudiantes de una escuela de la región, que apuntaron la violencia como uno de los principales problemas de su territorio. Los talleres fueron ofertados como un dispositivo de reflexión, articulación y elaboración de experiencias de violencia y, al mismo tiempo, como un espacio de reflexión y cuestionamiento de prácticas de discriminación y de violación de los derechos humanos, con las que los jóvenes tienen contacto en su cotidianidad. El trabajo reafirmo la potencia de las estrategias intervención social participativas para producir transformaciones sociales y subjetivas, inclusive en relación a problemas el campo de salud

Processos psicossociais, saúde mental e trabalho em um instituto federal de educação / Psychosocial processes, mental and occupational health in a Brazilian federal education institution

Resumo: Introdução: estudos sobre processos ou fatores psicossociais e suas possíveis relações com a saúde ocupacional no mundo contemporâneo do trabalho são necessários para poder intervir e minimizar vulnerabilidades sociais e psicológicas nos locais de trabalho. Objetivo: caracterizar os fatores psicossociais - protetivos e de risco à saúde mental - relacionados ao trabalho, sob a perspectiva de gestores e profissionais de saúde do trabalhador de uma instituição federal de educação., Métodos: pesquisa qualitativa com abordagem da psicodinâmica do trabalho. Os dados foram coletados por meio de grupos focais e interpretados com análise temática de conteúdo. Resultados: os fatores protetivos evidenciados incluíram ambiente e equipamentos; autonomia do trabalhador; participação nas decisões; relacionamento interpessoal; cultura institucional de apoio; e valorização social do trabalho. Como fatores de risco foram destacados intensificação e sobrecarga de trabalho; imprecisões de competências e responsabilidades; insegurança na carreira; e conciliação trabalho-família. Conclusão: condições de trabalho e aspectos individuais do trabalhador foram referidos tanto como fatores protetivos quanto de risco à saúde mental do trabalhador e podem propiciar parâmetros para a estruturação de programas de gestão de riscos psicossociais.

Abstract Introduction: research on psychosocial factors or processes and their possible relations to occupational health in the contemporary labor world are necessary for intervening and minimizing social and psychological vulnerabilities in the workplace. Objective: to characterize psychosocial factors, protective and of risk for work-related mental health, as seen by managers and occupational health professionals from a Brazilian federal education institution. Methods: qualitative research based on psychodynamics. We collected data by focus groups and interpreted them using content thematic analysis. Results: the highlighted protective factors included environment and equipment; worker autonomy; participation in decision-making; interpersonal relationships; supportive institutional culture; and social appreciation. Work intensification and overload; vagueness of competencies and responsibilities; career insecurity; and work-family balance were highlighted as risk factors. Conclusion: working conditions and worker's individual aspects emerged as both protective and risk factors for worker's mental health and can provide guidelines for developing psychosocial risk management programs.

The impact of Covid-19 on Latin American Psychology: research, profession, and public policy / O impacto da Covid-19 na Psicologia Latino-Americana: pesquisa, profissão e políticas públicas

In this paper, we offer an in-depth analysis of relevant scientific literature and a series of critical reflections based on a narrative review of the impact that the early stages of the Covid-19 pandemic had on Latin American psychology. We performed a non-exhaustive search, selection, and analysis of different documentary sources in scientific databases, institutional repositories, and websites of national and regional psychology organizations between May 25 and 31, 2020. In particular, we consulted SciELO, Redalyc, Dialnet, and Google Scholar using the following individual key words associated to psychology: "Coronavirus", "Covid-19" and "Pandemic". Various types of documents were retrieved for a subsequent in-depth analysis (e.g., articles, institutional documents, notes, bulletins, recommendation guides, etc.). Our review allowed us to identify three challenges for psychology in the region: (1) insertion of psychology in public policies; (2) construction of an own agenda of psychological research; (3) evaluation of practices and reorientation of professional training processes.

Neste artigo, é oferecida uma análise aprofundada da literatura científica relevante e uma série de reflexões críticas baseadas em uma revisão narrativa do impacto que os estágios iniciais da pandemia de Covid-19 tiveram na psicologia latino-americana. Foi realizada uma busca não exaustiva, seleção e análise de diferentes fontes documentais em bancos de dados científicos, repositórios institucionais e websites de organizações nacionais e regionais de psicologia entre 25 e 31 de maio de 2020. Em particular, foram consultadas as bases SciELO, Redalyc, Dialnet e Google Scholar usando as seguintes palavras-chave individuais associadas à psicologia: "coronavírus", "Covid-19" e "pandemia". Vários tipos de documentos foram recuperados para uma análise posterior em profundidade (por exemplo: artigos, documentos institucionais, notas, boletins, guias de recomendação, etc.). A revisão feita pelos autores permitiu identificar três desafios para a psicologia na região: (1) inserção da psicologia nas políticas públicas; (2) construção de uma agenda própria de pesquisa psicológica e (3) avaliação das práticas e reorientação dos processos de formação profissional.

Psychosocially-Assisted Pharmacological Treatment of Opioid Dependent Adults: A Systematic Review

Background: Opioid dependence is a conundrum that significantly contributes to global mortality, crimes, and transmission of diseases such as hepatitis (B and C), human immunodeficiency virus and perhaps, coronavirus disease 2019 (COVID-19). There are contradictory findings on the efficacy of psychosocially-assisted pharmacological treatment of opioid dependence in adults. Objective: The overall objective of this research is to investigate if psychosocially-assisted pharmacological therapy has significantly better effect than pharmacological therapy with regards treatment outcomes of opioid dependent adults. Methods: All methods employed in this study are in conformity with the preferred reporting items for systematic reviews and meta-analysis (PRISMA) framework for systematic review which involve identification, screening, eligibility and inclusion. This systematic review involved PubMed literature search on randomized controlled trials published between 1st January 2015 to 1st October 2021. Results: PubMed search yielded 5,216 articles which were screened using inclusion and exclusion criteria resulting in 19 articled being retained for data extraction. Of the 19 articles used in this study, 13 (68.4%) articles having a combined sample size of 1,928 (60.6%) showed that addition of psychosocial intervention to pharmacotherapy significantly improved abstinence from opioid abuse. Conclusion: The outcome of evaluation of the overall evidences presented in the 19 articles used in this study is that psychosocially-assisted pharmacological therapy is significantly better than pharmacological treatment with respect to enhancement of abstinence from opioid abuse among opioid-dependent adults. Additionally, this study has provided specific combinations of psychosocial and pharmacological treatment that can produce significant beneficial effect on opioid abstinence. The huge downturn in randomized controlled trials on treatment of opioid dependence among adults has been highlighted in this study.

Fundamentos teóricos para la formación de habilidades del cuidador de pacientes con daño cerebral adquirido

RESUMEN El presente texto hace referencia a la gran carga física y psíquica que contrae el cuidador como consecuencia del cuidado de pacientes con Daño Cerebral Adquirido. Su objetivo está dirigido a sistematizar los elementos epistemológicos acerca de la sobrecarga del cuidador de pacientes con Daño Cerebral Adquirido, en función de mejorar las repercusiones físicas, emocionales, médicas, sociales y económicas que pueden experimentar en su atención. Este artículo constituye una salida del proyecto de investigación Intervención psicosocial para perfeccionar la atención integral al paciente con Daño Cerebral Adquirido, el cual gestiona el Centro para el Desarrollo de las Ciencias Sociales y Humanísticas en Salud, de la Universidad de Ciencias Médicas de Camagüey. El tipo de estudio es Investigación- acción participativa y se ejecutó en el período comprendido entre enero de 2018 y febrero de 2020.

ABSTRACT The present text makes reference to the great load physics and psychic that contracts the caretaker like consequence of the care of patient with Acquired Brain Damage (ABD). Its objective is directed to base the epistemological elements on the caretaker's overload for its attention. It is intruded in inherent questions to the ABD and the physical, emotional repercussions, doctors, social, economic, and others that the caretakers of these patients can experience. This article constitutes an exit of the project of investigation Psychosocial intervention to perfect the integral attention to the patient with Acquired Brain Damage, which negotiates the Center for the Development of the Social and Humanistic Sciences in Health, of the University of Medical Sciences of Camagüey. The study type is of character Investigation-action participatory and it was executed in the period between January of 2018 and February of 2020.

Efecto de una intervención no farmacológica multidimensional en un grupo de personas con deterioro cognitivo leve

Background: Mild Cognitive Impairment (MCI) is defined as the intermediate stage between the cognitive changes associated with normal aging and dementia. People with MCI can benefit from the implementation of multidimensional non-pharmacological interventions. Aim: To determine the effect of a Multidimensional Intervention based on cognitive, physical, and social training (IMCFS) on the cognitive performance of a group of people with MCI. Materials and Methods: Pre and post intervention measurements of cognitive and physical parameters were performed in 10 adults aged 76 ± 4 years with MCI, who participated in the IMCFS lasting three months. Results: A significant improvement was observed in global cognitive performance, anterograde memory, visuospatial memory and in associative learning after IMCFS implementation. No significant effects of the IMCFS on attention, executive functions, language, and viso-constructive skills were observed. Conclusions: Older adults with MCI benefit from the implementation of a multidimensional intervention, such as IMCFS, which is feasible to implement and integrate into the programs offered by the Chilean healthcare network.

Viralizando Lygia Clark: sopros para contagiar de encanto a experiência do cuidado / Viralizing Lygia Clark: breaths to contaminate with enchantment the experience of care

RESUMO Esta escrita é desdobramento de um percurso investigativo comum das autoras a partir da obra da artista brasileira Lygia Clark, especialmente no que tange às interfaces arte-vida, arte-clínica, arte-política, implicadas em suas obras e proposições. Temos a psicologia e a dança como territórios profissionais-existenciais de partida e nos interessamos pelas experiências tecidas em uma trama transdisciplinar. No ano de centenário da artista, 2020, acordamos a memória inscrita no corpo da trajetória de Lygia Clark nos indagando sobre as possíveis contribuições de seu legado na contemporaneidade. Compreendemos que a violência colonial, que insiste nos tempos de agora, incide sobre o corpo, anestesiando sua dimensão sensível e absorvendo sua dimensão criadora, e se estabelece por meio de uma política de desencantamento da vida. O movimento de produção de saúde, que a trajetória de Lygia inspira, faz-nos afirmar seu percurso como possibilidade de ativação da dimensão sensível do corpo e de restauração do sentido de encanto. Por meio da partilha de algumas memórias de experimentações que foram criadas no contágio com a sua obra, desejamos criar sopros que liberem sentidos à aventura do viver e teçam espaços de ativação de uma saúde poética.

ABSTRACT This writing is an unfolding of a common investigative path of the authors based on the work of Brazilian artist Lygia Clark, especially concerning the interfaces art-life, clinical art, and political art involved in her works and propositions. We have psychology and dance as professional-existential starting territories and we are interested in the experiences woven through a transdisciplinary plot. In the artist's centennial year, 2020, we awoke the memory inscribed in the body of Lygia Clark's trajectory, asking ourselves about the possible contributions of her legacy in contemporary times. We understand that colonial violence, which insists on these time, affects the body, anesthetizing its sensitive dimension and absorbing its creative dimension, and is established through a policy of disenchantment with life. The movement of health production, which Lygia's path inspires, makes us affirm her path as a possibility of activating the sensitive dimension of the body and restoring the sense of enchantment. By sharing some memories of experiments that were created in contagion with Lygia's work, we want to create breaths that release meanings to the adventure of living and weave spaces for activating poetic health.

La rehabilitación psicosocial de víctimas del conflicto armado: encuentros entre salud pública y psicología social / Psychosocial rehabilitation of victims of the armed conflict: approaches between public health and social psychology

RESUMEN Este escrito se fundamenta en la necesidad de explicitar el aporte que hace la psicología social a la comprensión de un proceso de reparación a las víctimas de violaciones a los derechos humanos e infracciones al derecho internacional humanitario. Para dar cuenta de este aporte, se inicia argumentando por qué la reparación psicosocial es competencia de la salud pública a partir de la revisión del Plan Decenal de Salud Pública 2011-2021; luego se describen cuatro elementos que la psicología social comunitaria aporta a la salud pública para poder realizar procesos de rehabilitación psicosocial más consistentes y apropiados a las necesidades de las personas participantes en ellos.

ABSTRACT This essay is based on the need to make explicit contribution that community social psychology makes to the understanding of a process of reparation for victims of human rights violations and infractions of the international humanitarian law. To account for this contribution, it begins recognizing why psychosocial reparation could be an asset for public health based on the review of the Public Health Plan 20011-2021, pro-posed by Ministry of Health in Colombia. After those four elements that social psychology contributes to public health are described to carry out psychosocial rehabilitation processes that are more consistent and appropriate to the needs of the people participating in them.