Adherence to online psychotherapy during the COVID-19: a scoping review / Adesão à psicoterapia on-line durante a COVID-19: uma revisão de escopo / Adherencia a la psicoterapia online durante el COVID-19: una revisión del alcance

Evidence suggests that changes in online psychotherapy adherence factors occurred during the COVID-19 pandemic. Thus, this study aimed to review the perception of patients and psychotherapists regarding factors associated with adherence to online psychotherapy during the pandemic. Thus, 18 articles remained for analysis after searches in five databases and 25 factors associated with adherence to online psychotherapy were identified. The main factors for psychotherapists were confidence in professional skills and connection stability. For the patients, basic informatics skills and finding an adequate setting to participate in sessions. Furthermore, the factors fear of contagion, tiredness and the impossibility of face-to-face meetings emerged during the pandemic. Modifications of factors associated with pre-pandemic adherence were identified and strategies to overcome barriers related to online sessions were presented and discussed. The pandemic has increased adherence to online psychotherapy, although not everyone intends to follow this modality in the post-pandemic. (AU)

Evidências sugerem que ocorreram modificações nos fatores de adesão a psicoterapia online durante a pandemia de COVID-19. Assim, este estudo objetivou revisar a percepção dos pacientes e psicoterapeutas sobre fatores associados a adesão à psicoterapia online durante a pandemia. Restaram 18 artigos para análise após as buscas em cinco bases de dados. Foram identificados 25 fatores associados a adesão a psicoterapia on-line. Para os psicoterapeutas, os principais fatores foram a confiança nas habilidades profissionais e estabilidade da conexão. Para os pacientes, foram o conhecimento básico de informática e encontrar setting adequado para participar das sessões. Ademais, os fatores medo do contágio, cansaço e a impossibilidade de reuniões presenciais surgiram durante a pandemia. Modificações em fatores associados a adesão pré-pandemia foram identificadas e estratégias para contornar barreiras relacionadas aos atendimentos on-line foram apresentadas e discutidas. A pandemia aumentou a adesão a psicoterapia on-line, mas nem todos pretendem seguir nessa modalidade no pós-pandemia. (AU)

Evidencias sugieren que se produjeron cambios en los factores de adherencia a la psicoterapia en línea durante la pandemia del COVID-19. Por lo tanto, este estudio busca revisar las percepciones de pacientes y psicoterapeutas sobre los factores asociados a la adherencia a la psicoterapia en línea durante la pandemia. Se analizaron 18 artículos seleccionados tras una búsqueda en cinco bases de datos. Se identificaron 25 factores de la adherencia a la psicoterapia en línea. Para los psicoterapeutas, los principales factores fueron la confianza en las competencias profesionales y la estabilidad de la conexión. Ya para los pacientes, los factores básicos fueron las habilidades informáticas básicas y la búsqueda del entorno adecuado para participar en las sesiones. Además, durante la pandemia surgieron los factores miedo al contagio, cansancio y la imposibilidad de encuentros físicos. Se identificaron modificaciones en los factores asociados a adherencia prepandémica y se presentaron y discutieron estrategias para superar las barreras relacionadas con las sesiones en línea. La pandemia aumentó la adhesión a la psicoterapia en línea, aunque no todos tengan la intención de seguir esta modalidad en la pospandemia. (AU)

Burnout and resilience in intensive care Nursing professionals in the face of COVID-19: A multicenter study. / Burnout e resiliência em profissionais de enfermagem de terapia intensiva frente à COVID-19: estudo multicêntrico.

OBJECTIVE: to analyze the relationship between the Burnout dimensions and the work resilience of intensive care Nursing professionals in the COVID-19 pandemic in four hospitals from southern Brazil. METHOD: this is a multicenter and cross-sectional study, composed of 153 nurses and nursing technicians of the Intensive Care Units. Sociodemographic, health and work-related questions were collected, and the Maslach Burnout Inventory and Resilience at Work Scale 20 instruments were applied. The data were submitted to descriptive analysis and to bivariate and partial correlations (network analysis). RESULTS: work resilience presented an inverse correlation to emotional exhaustion (r=-0.545; p=0.01) and depersonalization (r=-0.419; p=0.01) and a direct one to professional achievement (r=0.680; p=0.01). The variable with the greatest influence on the correlation network was the perception of the impact of the pandemic on mental health. CONCLUSION: resilience interferes in the emotional exhaustion and low professional achievement domains of Burnout. Emotional exhaustion is conducted through minor psychological disorders, with an impact on the workers' physical and mental health variables. The development of institutional resilience should be encouraged in order to moderate the illness.

Burnout and resilience in intensive care Nursing professionals in the face of COVID-19: A multicenter study

Objective: to analyze the relationship between the Burnout dimensions and the work resilience of intensive care Nursing professionals in the COVID-19 pandemic in four hospitals from southern Brazil. Method: this is a multicenter and cross-sectional study, composed of 153 nurses and nursing technicians of the Intensive Care Units. Sociodemographic, health and work-related questions were collected, and the Maslach Burnout Inventory and Resilience at Work Scale 20 instruments were applied. The data were submitted to descriptive analysis and to bivariate and partial correlations (network analysis). Results: work resilience presented an inverse correlation to emotional exhaustion (r = -0.545;p = 0.01) and depersonalization (r = -0.419;p = 0.01) and a direct one to professional achievement (r = 0.680;p = 0.01). The variable with the greatest influence on the correlation network was the perception of the impact of the pandemic on mental health. Conclusion: resilience interferes in the emotional exhaustion and low professional achievement domains of Burnout. Emotional exhaustion is conducted through minor psychological disorders, with an impact on the workers' physical and mental health variables. The development of institutional resilience should be encouraged in order to moderate the illness. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Coping with stress in times of pandemic: a booklet proposal / Enfrentando o estresse em tempos de pandemia: proposição de uma Cartilha

A pandemia de COVID-19 está sendo um grande estressor. A autorregulação emocional e comportamental é alterada quando sob ameaça/desafio frente às três necessidades psicológicas básicas: competência, relacionamento e autonomia. O conhecimento psicológico, especialmente da Teoria Motivacional do Coping sobre processos de enfrentamento do estresse e suas consequências na saúde física e mental, embasou a proposição de uma Cartilha que visa à promoção da saúde e bem-estar. O material foi avaliado online por oito juízes quanto à compreensão da linguagem, conteúdo e pertinência. A versão final ficou com dezesseis páginas, ilustradas, estando organizada em três seções: Introdução, Identificação de respostas de estresse e Estratégias de enfrentamento referentes às necessidades psicológicas básicas. Para cada uma delas, a Cartilha apresenta três quadros, apontando "Dificuldades", "O que evitar" e "O que pode ser feito", além de um espaço para anotações. Esta tradução de conhecimento científico em material de divulgação e psicoeducação pode ser útil para leigos e para uso em serviços de saúde, estando disponível em mídias sociais.

The COVID-19 pandemic has been a major stressor. Emotional and behavioral self-regulation can change when there is a threat/challenge to the three basic psychological needs for competence, relatedness and autonomy. Psychological knowledge, especially the Motivational Theory of Coping, about processes of coping with stress and its consequences on physical and mental health supported the proposal of a booklet, aiming to assist in the health and well-being promotion. The material was assessed online by eight judges regarding their understanding of language, content and relevance. The final version has 16 pages, illustrated, organized in three sections: Introduction, Identifying stress responses and Coping strategies related to the basic psychological needs. For each of them, the Booklet presents three charts, pointing out "Difficulties", "What to avoid", "What can be done", and space for notes. This translation of scientific knowledge into promotional and psychoeducational material can be useful for lay people and can be used in health services, and it is available on social media.