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1.
Estud. pesqui. psicol. (Impr.) ; 21(2): 674-692, maio-ago. 2021.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1358782

ABSTRACT

Este estudo tem como objetivo realizar uma revisão de escopo sobre estratégias cognitivas e/ou comportamentais empregadas no tratamento de dependência de álcool e outras drogas no mundo, assim como levantar estudos sobre o uso destas abordagens em CAPS ad no Brasil. Foram levantados artigos de revisão sobre "estratégias cognitivas ou comportamentais para tratamento de dependência de álcool e outras drogas" e publicações com o tema "uso de terapias cognitivas e/ou comportamentais em CAPS ad". Foram encontradas apenas cinco publicações relatando emprego de terapias cognitivas e comportamentais em CAPS ad. Estes estudos descreveram intervenções em grupos coordenados por psicólogos, enfermeiros ou outros profissionais de nível superior. Foram incluídos ainda 23 artigos de revisão sobre resultados de tratamentos de base cognitivo-comportamental para tratamento de dependência de álcool e outras drogas. Conclui-se que as estratégias cognitivo-comportamentais apresentam várias características vantajosas à saúde pública, como a possibilidade de sistematização em protocolos, o que facilita sua aplicação e avaliação de resultados terapêuticos. No entanto, persistem obstáculos para adoção desta abordagem nos serviços de saúde mental no Brasil, sendo então necessário avançar no desenvolvimento de instrumentos de políticas públicas que permitam a difusão de boas práticas de intervenções comprovadamente custo-efetivas e acessíveis à população. (AU)


This study aims to conduct an escope review on the use of cognitive-behavioral approaches to treatment of alcohol and other drug addiction in CAPS ad, as well as find studies on the use of this approach in CAPS ad in Brazil. We conducted searches with the theme "use of cognitive and / or behavioral therapies in CAPS ad" and review articles on "cognitive or behavioral strategies for treatment of alcohol and other drug dependence". Only five publications were found reporting the use of cognitive and behavioral therapies in CAPS ad. These studies described interventions in groups coordinated by psychologists, nurses or other graduated professionals. Twenty-three review articles on outcomes of cognitive-behavioral treatments for addiction treatment of alcohol and other drugs were also included. We concluded that cognitive-behavioral strategies showcase several advantageous characteristics to public health, such as the possibility of systematization in protocols, which facilitates their application and evaluation of therapeutic results. However, obstacles to the adoption of this approach in mental health services in Brazil persist, so it is necessary to advance in developing public policy instruments that allow the dissemination of good practices in interventions that are proven to be cost-effective and accessible to the population. (AU)


Este estudio tiene como objetivo realizar una revisión del alcance sobre el empleo de abordajes cognitivo-conductuales para tratamiento de dependencia de alcohol y otras drogas en los CAPS ad en Brasil. Se levantaron publicaciones con el tema "uso de terapias cognitivas y/o conductuales en CAPS ad" y artículos de revisión sobre "estrategias cognitivas o conductuales para el tratamiento de la dependencia del alcohol y otras drogas". Se encontraron sólo cinco publicaciones que relatan empleo de terapias cognitivas y conductuales en CAPS ad. Estos estudios describieron intervenciones en grupos coordinados por psicólogos, enfermeros u otros profesionales de nivel superior. Se incluyeron 23 artículos de revisión sobre resultados de tratamientos de base cognitivo-conductual para tratamiento de dependencia de alcohol y otras drogas. Se concluye que las estrategias cognitivo-conductuales presentan varias características ventajosas para la salud pública, como la posibilidad de sistematización en protocolos, lo que facilita su aplicación y evaluación de resultados terapéuticos. Sin embargo, persisten obstáculos para la adopción de este enfoque en los servicios de salud mental en Brasil, por lo que es necesario avanzar en el desarrollo de instrumentos de política pública que permitan la difusión de buenas prácticas de intervenciones que demuestren ser costo-efectivas y accesibles a la población. (AU)


Subject(s)
Cognitive Behavioral Therapy , Substance-Related Disorders , Mental Health Services , Behavior Therapy
2.
Psicol. reflex. crit ; 34: 5, 2021. tab, graf
Article in English | LILACS, INDEXPSI | ID: biblio-1155190

ABSTRACT

Abstract This study evaluated the effects in the pain and sleep, and the clinic significance after an analytic-behavioral intervention to manage the condition of the physical and interpersonal environment related to pain. Four women with fibromyalgia and insomnia participated in a study with intervention withdrawal multiple baseline design and initial, intermediate, final, and follow-up assessments. Self-report instruments were used to assess pain intensity and disability, sleep quality, and insomnia severity, besides the actigraphy. Data showed that the intervention (20 sessions) was effective in reducing the sleep and pain problems in all participants by shifting two participants from clinical to non-clinical status in sleep indicators. The gains were maintained or increased in follow-up measures. However, the results should take into consideration the clinical condition and other variables that may have individually impacted the results.


Subject(s)
Humans , Female , Middle Aged , Behavior Therapy , Fibromyalgia/complications , Chronic Pain/therapy , Pain Management/methods , Sleep Initiation and Maintenance Disorders/complications , Treatment Outcome , Actigraphy
3.
Psicol. Estud. (Online) ; 26: e47074, 2021.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1346769

ABSTRACT

RESUMO. A Psicoterapia Analítica Funcional é uma abordagem clínica baseada em uma análise funcional comportamental do ambiente terapêutico típico. Seus objetivos e técnicas terapêuticas podem ser descritos em diferentes termos, privilegiando ou não a linguagem utilizada na análise experimental do comportamento. Na formulação original, é destinada a diminuir a frequência de comportamentos clinicamente relevantes (CCRs) problemáticos e aumentar a dos de progresso e de interpretação pela técnica das cinco regras: observar CCRs, evocar CCRs, reforçar CCRs, observar os efeitos da intervenção e implementar a generalização. Sob a influência da Ciência Contextual Comportamental, estes mesmos elementos passaram a ser descritos com o rótulo de 'Modelo Consciência, Coragem e Amor' (ACL, do inglês Awareness, Courage and Love). O objetivo deste trabalho foi identificar se a linguagem da nova proposição era compatível com a usada por B. F. Skinner. O método foi uma revisão destes termos, ou seus sinônimos, em importantes livros da obra de B. F. Skinner, notadamente uma literatura caracterizada por sua derivação dos achados de laboratório em pesquisas sobre o comportamento operante. Os livros consultados foram Ciência e comportamento humano, Sobre o behaviorismo, O comportamento verbal, Walden II e Questões recentes na análise comportamental. A revisão permitiu concluir que os termos consciência, coragem e amor já haviam sido explorados na literatura skinneriana, oferecendo análises funcionais e mostrando que seu uso é compatível com o sistema comportamental.


RESUMEN. La Psicoterapia Analítica Funcional es un enfoque clínico basado en un análisis funcional del comportamiento del ambiente terapéutico típico. Sus objetivos y técnicas terapéuticas pueden ser descritos en diferentes términos, privilegiando o no el lenguaje utilizado en el análisis experimental del comportamiento. En la formulación original, está destinada a disminuir la frecuencia de comportamientos clínicamente relevantes (CCR) problemáticos y aumentar la de los de progreso y de interpretación por la técnica de las cinco reglas: observar CCRs, evocar CCRs, reforzar CCRs, observar los efectos de la intervención e implementar la generalización. Bajo la influencia de la Ciencia Contextual Comportamental, estos mismos elementos pasaron a ser descritos con el rótulo 'Modelo Consciencia, Coraje y Amor' (ACL, del inglés Awareness, Courage and Love). El objetivo de este trabajo fue identificar si el lenguaje de la nueva proposición era compatible con la usada por B. F. Skinner. La metodología fué una revisión de estos términos, o sus sinónimos, en importantes libros de la obra de B. F. Skinner, notable por ser una literatura caracterizada por su derivación de los hallazgos de laboratorio en investigaciones sobre el comportamiento operante. Los libros consultados fueron Ciencia y comportamiento humano, Sobre el conductismo, El comportamiento verbal, Walden II y Cuestiones recientes en el análisis de la conducta. La revisión permitió concluir que los términos conciencia, coraje y amor ya habían sido explorados en la literatura skinneriana, ofreciendo análisis funcionales y demostrando que su uso es compatible con el sistema conductual.


ABSTRACT. Functional Analytic Psychotherapy is a clinical approach based on a behavioral functional analysis of the typical therapeutic setting. Its objectives and therapeutic techniques can be described in different terms, privileging or not the language used in the experimental analysis of behavior. In its original formulation, this approach aims to decrease the frequency of problematic clinically relevant behaviors (CRBs) and to increase those of progress and interpretation by the five-rules technique: observe CRBs, evoke CRBs, reinforce CRBs, observe the effects of the intervention, and implement generalization. Under the influence of the Behavioral Contextual Science, these same elements came to be described with the label 'Awareness, Courage and Love Model' (ACL Model). The goal of this study was to identify whether the language of this new proposition was compatible with that used by B. F. Skinner. The method was a review of these terms, or their synonyms, using important books of the work of B. F. Skinner, notably a literature characterized by its derivation of laboratory findings in research on operant behavior. The books consulted were Science and human behavior, About behaviorism, Verbal behavior, Walden II and Recent issues in the analysis of behavior. This review made it possible to conclude that the terms awareness, courage and love had already been explored in the Skinnerian literature, offering functional analyses and showing that their use is compatible with the behavioral system.


Subject(s)
Awareness , Behavior Therapy/methods , Behaviorism , Courage , Love , Psychotherapy , Science/education , Therapeutics/psychology , Verbal Behavior , Behavior , Occupational Therapists/psychology , Human Development , Interpersonal Relations
4.
Psicol. ciênc. prof ; 41: e228016, 2021. tab, graf
Article in Portuguese | LILACS-Express | LILACS, INDEXPSI | ID: biblio-1346804

ABSTRACT

Resumo Medos noturnos na infância estão associados a ansiedade, problemas de sono e problemas de comportamento diurnos. O objetivo deste artigo é apresentar um estudo de caso de uma intervenção comportamental breve para o medo noturno severo e comportamento de dormir com os pais em uma menina de oito anos de idade. O tratamento consistiu em uma sessão em que os pais foram orientados a ler o livro Dormindo com Rafi: Boa Noite Filhote para sua criança por um período de quatro semanas e a encorajá-la a conduzir uma série de rotinas pré-sono e dormir sozinha. Medo noturno, padrões de sono e problemas de comportamento foram avaliados com medidas de relato parental. A menina também foi questionada para reportar seus medos noturnos por meio de uma escala visual analógica. Verificou-se aumento no número de noites em que a criança dormiu em sua própria cama e redução dos medos noturnos. Os efeitos positivos no pós-tratamento foram mantidos no seguimento de três meses. O presente estudo fornece suporte inicial para o uso desta breve intervenção, que empregou princípios comportamentais básicos, como modelação, modelagem e dessensibilização sistemática no tratamento de medos noturnos em crianças.(AU)


Abstract Nighttime fears in childhood are associated with anxiety, sleeping problems, and daytime behavioral problems. This article presents a case study of a brief intervention for severe nighttime fears and co-sleeping problems in an eight-year-old girl. The treatment consisted of instructing the parents to read the book Dormindo com Rafi: Boa Noite Filhote (Sleeping with Rafi: Good Night, Darling) to their daughter for a four-week period, besides encouraging her to adopt a bedtime routine and to sleep on her own. Nighttime fear, sleep patterns, and behavioral problems were assessed with parent-report measures, and the girl was asked to track her nighttime fears using a visual analogue scale. The results showed an increase in the number of nights the child slept in her own bed and a reduction of nighttime fears, which were maintained at the 3-month follow-up. This study provides initial support for the use of this brief intervention that enlisted basic behavioral principles such as shaping, modeling, systematic desensitization, and reinforcement in the treatment of nighttime fears in children.(AU)


Resumen Los miedos nocturnos en la infancia están asociados a la ansiedad, a los problemas de sueño y a los problemas de comportamiento diurno. El objetivo de este artículo es presentar un estudio de caso de una intervención conductual breve para el miedo nocturno severo y comportamiento de dormir con los padres de una niña de 8 años de edad. El tratamiento consistió en una sesión en la que se orientó a los padres a leer el libro Dormindo com Rafi, Boa Noite, Filhote! ("Durmiendo con Rafi: buenas noches, mi hijo") para su hija, por un período de cuatro semanas, y la alentasen a conducir una serie de rutinas de presueño y a dormir sola. El miedo nocturno, los patrones de sueño y los problemas de comportamiento fueron evaluados con medidas de relato parental. Los miedos nocturnos de la niña también se evaluaron por una escala visual analógica. Se verificó un incremento de la cantidad de veces en que la niña durmió por las noches en su propia cama y una reducción de sus miedos nocturnos. Los efectos positivos en el postratamiento se mantuvieron tras tres meses. Este estudio proporciona soporte inicial para el uso de esta breve intervención que empleó principios comportamentales básicos, como modelado, desensibilización sistemática y refuerzo en el tratamiento de miedos nocturnos en niños.(AU)


Subject(s)
Humans , Female , Child , Anxiety , Psychotherapy, Brief , Sleep Wake Disorders , Behavior Therapy , Case Reports , Parents , Psychology , Bibliotherapy , Books , Nuclear Family , Night Terrors , Fear , Sleep Hygiene
5.
Psicol. ciênc. prof ; 41: e219590, 2021. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1340414

ABSTRACT

Resumo O estudo das habilidades sociais contribui para a compreensão das relações interpessoais, embora ainda haja poucos estudos que relacionem esse tema a crianças com altas habilidades/superdotação (AH/SD). Portanto, os objetivos deste estudo foram: a) descrever e comparar as habilidades sociais de crianças com AH/SD sob o ponto de vista da criança e de seus respectivos pais/responsáveis e professoras; b) descrever e comparar as habilidades sociais e os problemas de comportamento de crianças com AH/SD sob o ponto de vista de seus pais/responsáveis e professoras, considerando o sexo e comparando a importância das habilidades sociais para os dois grupos; e c) descrever a competência acadêmica das crianças segundo as professoras. Participaram dez pais/responsáveis, oito professoras e dez crianças estudantes do ensino fundamental identificados com AH/SD. Os participantes responderam ao questionário Sistema de Avaliação de Habilidades Sociais (SSRS) versão para pais, professores e alunos, e ao Questionário de Respostas Socialmente Habilidosas (QRSH), versão para pais e professores. Os resultados apontaram que as crianças apresentaram habilidades sociais acima da média para seus pais e professores, e abaixo da média no autorrelato das crianças. Entretanto, há indicativos de necessidade de atenção preventiva e de intervenção nos fatores que apresentaram déficits sociais de acordo com o relato dos três grupos de participantes em: autocontrole/civilidade; cooperação/empatia; assertividade/desenvoltura social; problemas de comportamento externalizantes e internalizantes; e hiperatividade. Tais dados possibilitam que sejam programadas intervenções preventivas, conforme indicação dos pais/responsáveis e professoras, condizentes com a necessidade apontada pelas próprias crianças para a promoção de habilidades sociais. (AU)


Abstract Studying social skills helps understanding interpersonal relations, but studies relating both issues in high-ability/gifted (HA/G) children are still scarce. Thus, this study aimed to describe (a) the social skills of HA/G children from the viewpoints of the children themselves, their parents/guardians, and teachers; (b) the social skills and behavioral problems of HA/G children from the viewpoints of their parents/guardians and teachers, considering gender and the importance attributed by each group to social skills; and (c) children academic competence according to their teachers. The study comprised ten parents/guardians, eight teachers, and ten elementary school students identified as presenting with high abilities/giftedness. Data were collected by means of the Social Skills Rating System (SSRS), applied to parents, teachers, and students; and the Socially Skillful Responses Questionnaire (SSRQ), applied to parents and teachers. For parents and teachers, children's social skills were considered above average, whereas for themselves they were considered below average. However, the three groups indicated social deficits in some factors that require preventive attention and interventions, namely: self-control/civility; cooperation/empathy; social assertiveness/resourcefulness; external and internalizing behavior problems; and hyperactivity. These findings enable the development of preventive interventions aimed at promoting social skills among HA/G children based on the reports of parents/guardians, teachers and children themselves. (AU)


Resumen Los estudios de las habilidades sociales contribuyen a la comprensión de las relaciones interpersonales, pero todavía son pocos los que relacionan este tema al de niños con altas habilidades/superdotados (AH/SD). Teniendo en cuenta esto, los objetivos de este estudio fueron: a) describir y comparar las habilidades sociales de niños con AH/SD desde el punto de vista del niño y de sus respectivos padres/responsables y profesoras; b) describir y comparar las habilidades sociales y los problemas conductuales de niños con AH/SD desde el punto de vista de sus padres/responsables y profesoras, considerando el sexo y la importancia de las habilidades sociales para ambos grupos; y c) describir la competencia académica de los niños según las profesoras. Participaron 10 padres/responsables, siendo ocho profesoras y diez alumnos de educación primaria de una escuela pública identificados con AH/SD. Los participantes respondieron al cuestionario Sistema de Evaluación de las Habilidades Sociales (SSRS), versión para padres, profesores y alumnos, y al Cuestionario de Respuestas Socialmente Habilidosas (CRSH), versión para profesores. Los resultados indicaron que los niños presentaban habilidades sociales mayor del promedio para sus padres y maestros y por debajo del promedio en el autoinforme de los niños. Sin embargo, se observó la necesidad de atención preventiva e intervención en los factores que presentaron déficits sociales de acuerdo con el relato de los tres grupos de participantes en: autocontrol/cortesía; cooperación/empatía; asertividad social/ingenio; problemas de conducta externos e internalizantes e hiperactividad. Estos datos permiten programar intervenciones preventivas, conforme indicación de los padres/responsables y profesoras y la necesidad de los propios niños, para la promoción de habilidades sociales. (AU)


Subject(s)
Humans , Male , Female , Child , Adult , Behavior , Child, Gifted , Social Skills , Problem Behavior , Parents , Aptitude , Assertiveness , Attention Deficit Disorder with Hyperactivity , Behavior Therapy , Child Behavior , Surveys and Questionnaires , Patient Compliance , Empathy , Self-Control , Impulsive Behavior , Interpersonal Relations
6.
Belo Horizonte; s.n; 2021. 174 p. ilus., tab..
Thesis in Portuguese | LILACS, BDENF | ID: biblio-1371608

ABSTRACT

A prostatectomia radical pode causar efeitos urinários indesejáveis como incontinência urinária, noctúria, urgência miccional, frequência e esvaziamento incompleto da bexiga. Disfunções miccionais acarretam sentimentos e vivência de exclusão social e, consequente diminuição na qualidade de vida. Para casos de incontinência urinária pós-prostatectomia radical é indicada a realização do treinamento muscular do soalho pélvico como primeira escolha para auxiliar no mecanismo de fechamento uretral. Dentre as práticas integrativas e complementares que têm contribuições na área da saúde, pode-se citar a acupuntura auricular. Esta baseia-se na estimulação de acupontos no pavilhão auricular para aliviar sinais e sintomas de diversas condições, dentre elas, os sintomas do trato urinário inferior. O objetivo deste estudo foi avaliar a efetividade da acupuntura auricular associada ao treinamento muscular do soalho pélvico na incontinência urinária pós-prostatectomia radical. Trata-se de um ensaio clínico randomizado baseado nas recomendações do Consolidated Standards of Reporting Trials e Standards for Reporting Interventions in Clinical Trials of Acupuncture. Os dados foram coletados entre abril de 2019 e abril de 2020. A amostra foi constituída por 60 homens com incontinência urinária após retirada do cateter vesical de demora, alocados em dois grupos: controle (n=30) que recebeu orientações sobre treinamento muscular do soalho pélvico; e intervenção (n=30) que recebeu acupuntura auricular associada às orientações sobre treinamento muscular do soalho pélvico. As orientações sobre treinamento muscular ocorreram durante oito sessões presenciais semanais associadas à entrega de um livreto que auxiliava a continuidade dos exercícios em domicílio. Para o grupo intervenção, a acupuntura auricular também foi ofertada em oito sessões semanais. A avaliação ocorreu em dois momentos: antes de qualquer tratamento (pré-teste) e após oito semanas de acompanhamento (9ª sessão ­ pós-teste). Foram utilizados os instrumentos questionário sociodemográfico e clínico, daily pad used, pad test de uma hora, escala de incontinência urinária pós-prostatectomia radical, International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) e King's Health Questionnaire (KHQ). O modelo longitudinal, com o uso das equações de estimações generalizadas e teste de diferença de proporções, foi empregado na análise estatística. O nível de significância adotado foi de 0,05. Resultados: a gravidade da incontinência urinária diminuiu entre o pré-teste e pós-teste no grupo intervenção e, também, no grupo controle sem diferenças estatísticas na evolução entre os dois grupos. Em relação ao impacto da incontinência na qualidade de vida, identificou-se diferença estatisticamente significativa entre os grupos no pós-teste ao nível do domínio "medidas de gravidade" (p=0,013), o que indicou menor impacto da IU para este domínio apenas no grupo intervenção. Na análise da frequência dos itens deste domínio, detectou-se diferença estatisticamente significativa entre os grupos no pós-teste para o item "troca suas roupas íntimas quando elas estão molhadas" (p=0,018). Evidenciou-se também que o grupo intervenção teve, respectivamente, 20,8% (p=0,007) e 25,3% (p=0,002) menos chance de apresentar noctúria e urgência miccional. Verificou-se também redução estatisticamente significativa no impacto da incontinência na qualidade de vida nos domínios "emoções" (p<0,001) e "sono e disposição" (p=0,008) no grupo intervenção. Conclusão: a AA não mostrou-se efetiva para potencializar a ação do treinamento muscular na redução da gravidade da incontinência urinária. Por outro lado, quanto ao impacto da incontinência urinária na qualidade vida, a associação da acupuntura auricular ao treinamento mostrou-se mais efetiva, principalmente pela diferença estatisticamente significativa entre os grupos no pós-teste para o domínio "medidas de gravidade", bem como pela redução da chance dos sintomas de noctúria e urgência miccional. Frente a esses achados, recomenda-se a associação das terapias como um cuidado efetivo aos homens com incontinência urinária pós-prostatectomia radical. Registro Brasileiro de Ensaios Clínicos: RBR-3jm5y2.


Radical prostatectomy can cause undesirable urinary effects such as urinary incontinence, nocturia, urinary urgency, frequency and incomplete emptying of the bladder. Voiding dysfunctions cause feelings and experience of social exclusion and, consequently, decrease in quality of life. For cases of urinary incontinence after radical prostatectomy, muscle training of the pelvic floor is indicated as the first choice to assist in the urethral closure mechanism. Among the integrative and complementary practices that have contributions in the health area, we can mention auricular acupuncture. This is based on the stimulation of acupoints in the ear to relieve signs and symptoms of several conditions, including lower urinary tract symptoms. The aim of this study was to evaluate the effectiveness of auricular acupuncture associated with pelvic floor muscle training in urinary incontinence after radical prostatectomy. This is a randomized clinical trial based on the recommendations of the Consolidated Standards of Reporting Trials and Standards for Reporting Interventions in Clinical Trials of Acupuncture. Data were collected between April 2019 and April 2020. The sample consisted of 60 men with urinary incontinence after removal of the indwelling bladder catheter, allocated into two groups: control (n = 30) who received guidance on floor muscle training pelvic; and intervention (n = 30) that received auricular acupuncture associated with guidelines on muscle training of the pelvic floor. The guidelines on muscle training took place during eight weekly face-to-face sessions associated with the delivery of a booklet that helped to continue the exercises at home. For the intervention group, auricular acupuncture was also offered in eight weekly sessions. The evaluation took place in two moments: before any treatment (pre-test) and after eight weeks of follow-up (9th session - post-test). The socio-demographic and clinical questionnaire, daily pad used, one-hour pad test, urinary incontinence scale after radical prostatectomy, International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and King's Health Questionnaire (KHQ) were used. The longitudinal model, using generalized estimation equations and proportional difference test, was used in the statistical analysis. The level of significance adopted was 0.05. Results: the severity of urinary incontinence decreased between the pre-test and post-test in the intervention group and also in the control group without statistical differences in the evolution between the two groups. Regarding the impact of incontinence on quality of life, a statistically significant difference was identified between the groups in the post-test at the level of the "severity measures" domain (p = 0.013), which indicated a lower impact of UI for this domain only in the intervention group. In the analysis of the frequency of the items in this domain, a statistically significant difference was detected between the groups in the post-test for the item "change your underwear when they are wet" (p = 0.018). It was also evident that the intervention group had, respectively, 20.8% (p = 0.007) and 25.3% (p = 0.002) less chance of presenting nocturia and urinary urgency. There was also a statistically significant reduction in the impact of incontinence on quality of life in the domains "emotions" (p <0.001) and "sleep and mood" (p = 0.008) in the intervention group. Conclusion: AA was not effective in potentiating the action of muscle training in reducing the severity of urinary incontinence. On the other hand, regarding the impact of urinary incontinence on quality of life, the association of ear acupuncture with training proved to be more effective, mainly due to the statistically significant difference between the groups in the post-test for the "severity measures" domain, as well as by reducing the chance of nocturia symptoms and urinary urgency. In view of these findings, the association of therapies as an effective care for men with urinary incontinence after radical prostatectomy is recommended. Brazilian Registry of Clinical Trials: RBR-3jm5y2.


Subject(s)
Humans , Male , Adult , Middle Aged , Aged , Young Adult , Prostatic Neoplasms/prevention & control , Urinary Incontinence , Acupuncture, Ear , Lower Urinary Tract Symptoms , Prostatectomy/nursing , Behavior Therapy , Pelvic Floor Disorders/rehabilitation
7.
Ter. psicol ; 38(1): 63-84, abr. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1115941

ABSTRACT

Resumen Dada la alta prevalencia de los Trastornos Mentales Comunes (TMC), la aplicación grupal de la Activación Conductual (AC) puede ser un abordaje eficaz, efectivo y más eficiente. El objetivo del presente trabajo es revisar los estudios publicados sobre la utilidad de la AC grupal para el tratamiento de la ansiedad y/o depresión. Método: Revisión sistemática. Resultados: Se incluyeron 17 estudios. Los pacientes que recibieron AC experimentaron mejoras en ansiedad y/o depresión y se informa de una mayor eficacia de AC frente a grupos control sin intervención. Conclusiones: La AC es útil para la prevención y el tratamiento de trastornos emocionales. No obstante, la heterogeneidad y limitaciones de los estudios impiden determinar los ingredientes terapéuticos exactos, y si éstos son específicos del enfoque y procedimiento de esta terapia. Sería necesario más investigación, de mayor calidad metodológica, y que evalúe los cambios en los patrones de activación/evitación objeto de intervención.


Abstract Given the high prevalence of Common Mental Disorders (CMD), group-based Behavioral Activation (BA) could be an efficacious, effective and more efficient approach. The objective of this work is to review the published studies about the usefulness of group-based BA for the treatment of anxiety and/or depression. Method: Systematic review. Results: 17 studies were included in the review. Patients who received BA experienced improvements in anxiety and/or depression and studies reported a greater efficacy of BA compared with no-intervention control groups. Conclusions: BA is useful for the prevention and treatment of emotional disorders. However, heterogeneity and limitations of the studies make it impossible to determine the exact therapeutic elements, and if they are specific to the approach and procedure of this therapy. More research would be necessary of a higher methodological quality to evaluate changes in the activation/avoidance patterns, which are the object of the intervention.


Subject(s)
Humans , Anxiety/therapy , Psychotherapy, Group , Behavior Therapy/methods , Depression/therapy , Anxiety/psychology , Behavior , Depression/psychology
8.
Rev. Bras. Psicoter. (Online) ; 22(1): 1-14, abr.2020.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1223755

ABSTRACT

Este artigo tem como objetivo descrever o estágio de atendimento individual na abordagem analíticocomportamental, oferecido pelo Laboratório de Pesquisa de Intervenção Cognitivo-Comportamental - LaPICC-USP (CPA - Instituição da FFCLRP-USP). Serão descritos os procedimentos de atendimento e supervisão assim como dados clínicos referentes aos atendimentos realizados entre 2009 e 2016. Trata-se de uma pesquisa descritiva com metodologia documental. As variáveis consideradas foram sexo, idade, escolaridade, ocupação, estado civil, indicação de atendimento, demanda e encaminhamento. Os resultados quantitativos foram analisados a partir de estatística descritiva, sendo atendidos 24 pacientes, havendo prevalência na busca espontânea por atendimento (54,17%), por clientela na faixa dos 20-29 anos (66,67%), com ensino superior completo (54,17%), economicamente ativa (83,33%), solteira (54,17%) e do sexo feminino (75,00%). Os procedimentos específicos relativos à supervisão também foram descritos com detalhes.(AU)


This article aims to describe the stage of individual care in the analytical-behavioral approach offered by the Research Laboratory of Cognitive-Behavioral Intervention - LaPICC-USP (CPA - Institution of FFCLRP-USP). The procedures of care and supervision will be described as well as clinical data referring to the visits performed between 2009 and 2016. It is a descriptive research with documentary methodology. The variables considered were sex, age, schooling, occupation, marital status, indication of care, demand and referral. The quantitative results were analyzed from descriptive statistics, with 24 patients being attended, with prevalence in the spontaneous search for care (54.17%), by clientele in the 20-29 age group (66.67%), with complete higher education (54.17%), economically active (83.33%), single (54.17%) and female (75.00%). Specific oversight procedures have also been described in detail.(AU)


Este artículo tiene como objetivo describir la etapa de atención individual en el abordaje analítico-conductual, ofrecido por el Laboratorio de Investigación de Intervención Cognitiva-Conductual - LaPICC-USP (CPA - Institución de FFCLRP-USP). Se describen los procedimientos de atención y supervisión así como datos clínicos referentes a las atenciones realizadas entre 2009 y 2016. Se trata de una investigación descriptiva con metodología documental. Las variables consideradas fueron sexo, edad, escolaridad, ocupación, estado civil, indicación de atención, demanda y encaminamiento. Los resultados cuantitativos fueron analizados a partir de estadística descriptiva, atendiendo a 24 pacientes, habiendo prevalencia en la búsqueda espontánea por atención (54,17%), por clientela en la franja de los 20-29 años (66,67%), con enseñanza superior completa (54,17%), económicamente activa (83,33%), soltera (54,17%) y del sexo femenino (75,00%). Los procedimientos específicos relativos a la supervisión también se describen con detalle.(AU)


Subject(s)
Research , Behavior Therapy , Education , Patients , Methodology
9.
Acta Medica Philippina ; : 479-484, 2020.
Article in English | WPRIM | ID: wpr-877203

ABSTRACT

@#Background and Objectives. Tuberculosis (TB) continues to be a public health concern in the Philippines. Vulnerable populations in congregate settings such as drug abuse treatment and rehabilitation centers (DATRCs) have higher risks of TB transmission and infection. With the Duterte administration’s intensified campaign against illegal drugs, government-retained DATRCs are filled to capacity. There is an identified need to profile drug users and dependents living in DATRCs. Furthermore, national guidelines for TB management specific to this population is absent. A study was conducted to determine the profile of admitted clients diagnosed with TB, TB prevalence, treatment outcomes and choice of TB diagnostic modalities in six (6) Luzon-based DATRCs from 2013-2015. Methods. All medical records of drug users admitted in this period were reviewed. Information on the total patient census was sought from DATRC heads and used to compute for prevalence. Results. A total of 347 records were obtained. Overall TB prevalence in the study sites was 7,216 per 100,000 population. The typical individual diagnosed with TB in a DATRC was male, with a mean age of 35 years, with at least high school education, and unemployed. Weight loss and fatigue were the most common symptoms reported. The majority (79.83%) completed TB treatment in the DATRCs. Sputum microscopy and chest x-ray were both used for TB diagnosis in 92.80% (322) of the cases. Conclusion. The high burden of TB in Luzon-based, government-retained DATRCs is alarming and underscore the critical need for standards and guidelines in the National Tuberculosis Control Program addressing the unique context of these facilities.


Subject(s)
Substance Abuse Treatment Centers , Prevalence , Philippines , Tuberculosis , Psychiatric Rehabilitation , Behavior Therapy
11.
Int. braz. j. urol ; 45(5): 889-900, Sept.-Dec. 2019. graf
Article in English | LILACS | ID: biblio-1040078

ABSTRACT

ABSTRACT Introduction Enuresis, defined as an intermittent urinary incontinence that occurs during sleep, is a frequent condition, occurring in about 10% of children at 7 years of age. However, it is frequently neglected by the family and by the primary care provider, leaving many of those children without treatment. Despite of many studies in Enuresis and recent advances in scientific and technological knowledge there is still considerable heterogeneity in evaluation methods and therapeutic approaches. Materials and Methods The board of Pediatric Urology of the Brazilian Society of Urology joined a group of experts and reviewed all important issues on Enuresis and elaborated a draft of the document. On September 2018 the panel met to review, discuss and write a consensus document. Results and Discussion Enuresis is a multifactorial disease that can lead to a diversity of problems for the child and family. Children presenting with Enuresis require careful evaluation and treatment to avoid future psychological and behavioral problems. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies.


Subject(s)
Humans , Child , Practice Guidelines as Topic/standards , Consensus , Enuresis/diagnosis , Enuresis/therapy , Behavior Therapy/methods , Algorithms , Cholinergic Antagonists/therapeutic use , Deamino Arginine Vasopressin/therapeutic use , Enuresis/classification , Antidiuretic Agents/therapeutic use , Antidepressive Agents, Tricyclic/therapeutic use
12.
Int. braz. j. urol ; 45(4): 790-797, July-Aug. 2019. tab
Article in English | LILACS | ID: biblio-1019876

ABSTRACT

ABSTRACT Objective The purpose of this study was to determine whether the presence of obesity was related with symptoms of nocturnal enuresis (NE) and the efficacy of behavioral intervention in the treatment of NE. Materials and Method The patients diagnosed with primary monosymptomatic nocturnal enuresis (PMNE) were studied retrospectively. NE severity was classified as mild, moderate, and severe according to the frequency of enuresis. The children were divided into three groups, namely normal weight (5th-84th percentile), overweight (85th-94th percentile), and obesity (≥95th percentile), according to their Body Mass Index (BMI) percentage. The relationship between obesity level and enuresis severity was analyzed. After three months of behavioral therapy, the efficacy of treatment among normal, overweight, and obese groups were evaluated. Moreover, the predictive risk factors for treatment failure were investigated. Results The rates of severe enuresis in patients with normal weight, overweight, and obesity were 63.9%, 77.5%, and 78.6%, respectively. Obese children depicted higher odds of having severe enuresis compared with normal-weight children (OR: 1.571; 95% confidence interval [CI]: 1.196-2.065; P=0.001). The odds of presenting with severe enuresis were 1.99 times higher in children who are obese or overweight compared to children with normal weight (OR: 1.994; 95% CI: 1.349-2.946; P=0.001). The complete response of the normal group was higher than those of the overweight and obese groups (26.8% vs. 14.0%, P=0.010; 26.8% vs. 0.0%, P=0.000). Overweight children showed higher complete response than obese ones (14.0% vs. 0.0%, P=0.009). Logistic regression analysis revealed that obesity level and enuresis frequency were significantly related to the treatment failure of behavioral intervention. Conclusions Obesity is associated with severe enuresis and low efficacy of behavioral therapy in children with nocturnal enuresis.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Behavior Therapy/methods , Nocturnal Enuresis/etiology , Nocturnal Enuresis/therapy , Pediatric Obesity/complications , Reference Values , Severity of Illness Index , Body Mass Index , Logistic Models , Sex Factors , Retrospective Studies , Risk Factors , Treatment Failure , Overweight/complications
13.
Arq. gastroenterol ; 56(2): 202-208, Apr.-June 2019. graf
Article in English | LILACS | ID: biblio-1019452

ABSTRACT

ABSTRACT BACKGROUND: Gastroesophageal reflux disease (GERD) is one of the most prevalent gastrointestinal diseases. GERD generates significant impairment in patients' quality of life and it is associated to relevant medical resources utilization. A better understanding of GERD pathophysiology in the past five decades has favored the evolution of therapeutic strategies from non-drug interventions and antacids to more efficacious and safer alternatives. OBJECTIVE: To summarize data about the historical evolution of GERD management in Brazil, focusing on medical therapy and addressing evidence on efficacy and safety of drug classes currently recommended. METHODS: A narrative review was conducted by systematizing information about discoveries on GERD pathophysiology. We also addressed efficacy and safety of medications currently used to reduce symptoms and improve endoscopic healing of esophageal lesions. A structured search on Pubmed was performed to identify systematic reviews and meta-analysis investigating GERD outcomes positively impacted by proton pump inhibitors (PPIs), the first choice of pharmacotherapy for the disease. RESULTS: The chronological development of therapeutic measures for GERD in Brazil evolved from lifestyle interventions with relative poor effect on symptoms related to esophageal acid exposure, particularly heartburn, to effective and safe pharmacological interventions such as histamine H2-receptor antagonists and PPIs. In the present days, some drug classes play a minor role in disease management, namely prokinetics and antacids, due to their reduced efficacy and relevant safety concerns (particularly with prokinetics). The main challenge for prescribers and researchers seems to be finding long-acting acid suppressants strategies able to ameliorate patients' symptoms and quality of life, thereafter, reducing medical resource consumption. The dual delayed-release PPI dexlansoprazole seems to respond for some of the limitations other PPIs have. CONCLUSION: Recognizing the historical evolution of GERD management can help care providers to better understand therapeutic options for their patients, as well as focus on unmet needs that deserve further attention. PPIs are still the first choice therapy, with good evidence in favor of their efficacy, despite some safety concerns. However, as with any medical intervention, it is recommended to prescribe PPIs for patients with clear indication, using adequate dosing and monitoring for adverse events.


RESUMO CONTEXTO: A doença do refluxo gastroesofágico (DRGE) é uma das doenças gastrointestinais mais prevalentes, resultando em limitações significativas na qualidade de vida dos pacientes e, também, relevante utilização de recursos médicos. Um melhor entendimento da fisiopatologia da doença nas últimas cinco décadas tem favorecido a evolução das estratégias de tratamento, desde intervenções não farmacológicas e antiácidos, a alternativas mais eficazes e seguras. OBJETIVO: Resumir os dados sobre a evolução histórica do manejo da DRGE no Brasil, focando na terapia medicamentosa e abordando evidências sobre a eficácia e segurança de classes medicamentosas atualmente recomendadas. MÉTODOS: Uma revisão narrativa foi conduzida para sistematizar informações sobre descobertas na fisiopatologia da DRGE e, também, sobre a eficácia e segurança de medicamentos utilizados atualmente para reduzir os sintomas e melhorar a cicatrização endoscópica de lesões esofágicas. Uma busca estruturada na base de dados Pubmed foi realizada para identificar revisões sistemáticas e metanálises que investigassem desfechos da doença impactados positivamente pelos inibidores da bomba de prótons (IBPs), a primeira escolha farmacológica para a doença. RESULTADOS: O desenvolvimento cronológico das medidas terapêuticas para a DRGE no Brasil evoluiu de modificações no estilo de vida que demonstraram relativamente pouco efeito sobre os sintomas relacionados à exposição esofágico ao ácido, particularmente a azia, a intervenções farmacológicas eficazes e seguras como os anti-histamínicos H2 e os IBPs. Atualmente, algumas classes de medicamentos exercem um papel menor no manejo da doença, procinéticos e antiácidos por exemplo, devido à sua eficácia reduzida e a preocupações relevantes quanto a segurança (particularmente com os procinéticos). O principal desafio para os prescritores e pesquisadores parece ser encontrar estratégias supressoras de ácidos de longa duração capazes de melhorar os sintomas e a qualidade de vida dos pacientes, reduzindo assim o consumo de recursos médicos. O dexlansoprazol, um IBP de liberação retardada dupla, parece responder a algumas limitações que outros IBPs têm. CONCLUSÃO: O reconhecimento da evolução histórica do manejo da DRGE pode auxiliar aos profissionais assistentes a melhor entender as opções terapêuticas para seus pacientes, assim como focar em necessidades não atendidas que necessitem de maior atenção. IBPs ainda são a terapia de escolha inicial, com boas evidências a favor de sua eficácia, apesar algumas questões acerca da segurança de seu uso. No entanto, assim como para qualquer intervenção medicamentosa, é recomendada a prescrição dos IBPs para pacientes com indicação clara, utilizando doses adequadas e monitorando a ocorrência de eventos adversos.


Subject(s)
Humans , Behavior Therapy/methods , Gastroesophageal Reflux/therapy , Evidence-Based Medicine , Life Style , Proton Pump Inhibitors/therapeutic use , Histamine H2 Antagonists/therapeutic use , Antacids/therapeutic use , Antiemetics/therapeutic use
14.
In. Castillo Pino, Edgardo A. Tratado de perineología: disfunciones del piso pélvico. Montevideo, Academia Nacional de Medicina, 2019. p.243-250.
Monography in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1348332
15.
Psicol. reflex. crit ; 32: 5, 2019. tab, graf
Article in English | LILACS, INDEXPSI | ID: biblio-984851

ABSTRACT

Abstract Background: Sleep problems are common in children and can have an effect on behavioral and emotional functioning. Despite the importance of sleep for children's health, there is a lack of studies on this topic in Brazil. The aim of this study was to evaluate the efficacy of behavioral intervention for sleep problems in young children and to investigate the effects on their daytime behavior. Methods: Sixty-two children (ages 1-5; M = 2.3, SD= 1.3) with bedtime problems and night waking were randomized to a parent-based intervention or a wait list control group. After the waiting period, the wait list participants were offered treatment. The intervention was composed of five sessions over 2 months, during which the parents were educated on their child's sleep and received guidance on the establishment of sleeping schedules and routines and on the use of extinction and positive reinforcement techniques. Sleep patterns and behavior problems were assessed with parent-report measures. Sleep patterns were also assessed with actigraphy. Assessments were completed at pre-intervention, post-intervention, 1-month follow-up, and 6-month follow-up. Results: Children who received intervention showed greater baseline to post-treatment improvements in sleep latency, night waking, behavior such as resisting going to bed, the desire to sleep with their parents, and daytime behavior than the control group. These improvements were maintained at follow-up. Conclusions: We concluded that behavioral parent-based intervention is effective in improving the quality of sleep and the diurnal behavior of children. This study provides initial support for use of this protocol in psychology clinics/schools. Brazilian clinical trials registration, RBR-4kxxd5. Retrospectively registered on December 13, 2016.


Subject(s)
Male , Female , Child, Preschool , Adult , Middle Aged , Parents/education , Behavior Therapy , Child Behavior/psychology , Sleep Initiation and Maintenance Disorders/psychology
16.
Psicol. reflex. crit ; 32: 14, 2019. tab, graf
Article in English | LILACS, INDEXPSI | ID: biblio-1020218

ABSTRACT

Background: Crack use has become a severe health problem in Brazil. Contingency management has shown robust evidence of efficacy in the treatment of cocaine use disorder (CUD) in high-income countries; however, it is still unclear how this intervention can impact treatment in low-income countries. Objective: To evaluate the efficacy of contingency management in the treatment of CUD among individuals with a previous history of poor treatment response in Brazil. Methods: Six months after the end of treatment, 32 participants previously allocated to the usual care condition (UCC) were invited to receive an additional 12 weeks of treatment in a contingency management condition (CMC), and 16 accepted the invitation. We compared data obtained from only the 16 participants (14 male) exposed to both treatment conditions. Results: Participants attended more treatment sessions and were retained in treatment for a longer period during the CMC than during the UCC (p < .01 for both). The proportion of negative cocaine samples submitted, the mean longest duration of cocaine abstinence, and the odds of being abstinent from cocaine during the 12 weeks of treatment were significantly higher during treatment in the CMC when compared to the UCC (p < .05). Conclusions: This study provides further evidence that contingency management is effective in promoting abstinence and retention in treatment among individuals with CUD with a history of poor treatment response. Our findings argue for the incorporation of CM among public treatment services for CUD in Brazil. Trial registration: This study was registered at ClinicalTrials.gov as NCT01815645 on March 21, 2013.


Subject(s)
Humans , Male , Female , Adult , Behavior Therapy , Crack Cocaine , Substance-Related Disorders/therapy , Brazil
17.
Article in English | WPRIM | ID: wpr-763493

ABSTRACT

Diet-related behavioral modification for healthy eating and lifestyle is required to improve childhood obesity. The present study aimed to develop customized nutritional intervention protocol and education program to find barriers to adhere healthy diet and lifestyle for moderate to severe obese children and adolescents and their families. Theoretical framework approaches can be used to change behavior and achieve goals. Previous studies that described the relationship between behavioral modification and nutrition education theory were reviewed. The social cognitive theory and transtheoretical model were employed with behavioral changes to target a healthful diet and lifestyle. The nutrition care process (NCP) model was adopted to customize nutrition care for the participants. Customized nutritional intervention protocol was developed following as the four steps of the NCP. Firstly, nutrition status of the participants was assessed by the nutrition expert. Nutrition problems were described as “inadequate energy intake,” “overweight/obesity,” or “food and nutrition-related knowledge deficit.” All nutrition sessions were designed for nutrition intervention to give nutritional knowledge and a practical mission in real life for individual goal setting and self-control. Meal planning, portion control, healthy snack selection and cooking with fruits and vegetables were consisted of five components of the nutrition education session. During each session, the participants and their families were interviewed by a nutrition expert for monitoring and evaluating diet-related goal setting and achievement. A theoretical and evidence-based nutritional intervention was developed for the secondary to tertiary prevention of childhood obesity. This nutrition intervention protocol and program might be helpful for the further research on childhood obesity. TRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0002111


Subject(s)
Adolescent , Behavior Therapy , Child , Cooking , Diet , Eating , Education , Fruit , Humans , Information Services , Life Style , Meals , Nutrition Assessment , Nutritional Status , Pediatric Obesity , Self-Control , Snacks , Tertiary Prevention , Vegetables
18.
Article in English | WPRIM | ID: wpr-739997

ABSTRACT

BACKGROUND: An inability to cope with threatening dental stimuli, i.e., sight, sound, and sensation of airotor, manifests as anxiety and behavioral management problems. Behavior modification techniques involving pre-exposure to dental equipment will give children a first-hand experience of their use, sounds, and clinical effects. The aim of this study was to compare the techniques of Tell-Show-Play-doh, a smartphone dentist game, and a conventional Tell-Show-Do method in the behavior modification of anxious children in the dental operatory. METHODS: Sixty children in the age group of 4-8 years, with Frankl's behavior rating score of 2 or 3, requiring Class I and II cavity restorations were divided into three groups. The groups were Group 1: Tell-Show-Play-doh; Group 2: smartphone dentist game; and Group 3: Tell-Show-Do technique and each group comprised of 20 children. Pulse rate, Facial Image Scale (FIS), Frankl's behavior rating scale, and FLACC (Face, Leg, Activity, Cry, Consolability) behavior scales were used to quantify anxious behavior. Operator compliance was recorded through a validated questionnaire. RESULTS: The results showed lower mean pulse rates, lower FIS and FLACC scores, higher percentage of children with Frankl's behavior rating score of 4, and better operator compliance in both the Tell-Show-Play-doh and smartphone dentist game groups than in the conventional Tell-Show-Do group. CONCLUSION: The Tell-Show-Play-doh and smartphone dentist game techniques are effective tools to reduce dental anxiety in pediatric patients.


Subject(s)
Anxiety , Behavior Rating Scale , Behavior Therapy , Child , Compliance , Dental Anxiety , Dental Equipment , Dentists , Heart Rate , Humans , Leg , Methods , Pediatric Dentistry , Sensation , Smartphone , Weights and Measures
19.
Article in English | WPRIM | ID: wpr-766284

ABSTRACT

Most patients with Tourette's disorder experience an uncomfortable sensory phenomenon called the premonitory urge immediately before experiencing tics. It has been suggested that premonitory urges are associated with comorbidities such as obsessive compulsive disorder, anxiety disorders, and attention-deficit/hyperactivity disorder, although these associations have been inconsistent. Most patients experience tics as a result of the premonitory urges, and after the tics occur, most patients report that the premonitory urges are temporarily relieved. As a consequence, several studies have assessed the premonitory urge and its potential therapeutic utility. Based on the concept that the premonitory urge induces tics, behavioral treatments such as Exposure and Response Prevention and Habit Reversal Therapy have been developed. However, it is still unclear whether habituation, the main mechanism of these therapies, is directly related to their effectiveness. Moreover, the observed effects of pharmacological treatments on premonitory urges have been inconsistent.


Subject(s)
Anxiety Disorders , Behavior Therapy , Comorbidity , Drug Therapy , Humans , Obsessive-Compulsive Disorder , Tics , Tourette Syndrome
20.
Article in Korean | WPRIM | ID: wpr-761483

ABSTRACT

Globally, the problem of obesity is increasing, and the prevalence of obesity in Korea is also rising rapidly. Obesity is a risk factor for cardiometabolic diseases including type 2 diabetes mellitus, hypertension, cardiovascular disease, and some types of cancer. Therefore, prevention of various metabolic diseases or symptom relief through effective treatment of obesity is a very important problem. According to the obesity guidelines of the Obesity Society of Korea in 2018, obesity medication is recommended for patients with a body mass index (BMI) of 30 kg/m² or more or a BMI of 27 kg/m² or more, and one or more obesity accompanying diseases (type 2 diabetes, hypertension, dyslipidemia). In this case, it is recommended that the basic treatment for obesity (diet, exercise, and behavior therapy) should be performed in parallel with Saxenda® treatment. The glucagon-like peptide 1 analogue, Saxenda®, has been validated as a long-term effective and safe treatment for obesity, and is expected to be a promising drug for the treatment of obesity and the prevention of pre-diabetes in the future. However, in Korea, where non-standard obesity treatments are widely practiced, it is necessary to improve the health of obese patients by being treated with Saxenda® along with diet, exercise and behavior therapy.


Subject(s)
Behavior Therapy , Body Mass Index , Cardiovascular Diseases , Diabetes Mellitus , Diabetes Mellitus, Type 2 , Diet , Glucagon-Like Peptide 1 , Humans , Hypertension , Korea , Metabolic Diseases , Metabolism , Obesity , Prevalence , Risk Factors , Specialization
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