Navegando por Palavras-chave "Family Therapy"
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- ItemSomente MetadadadosExplorando o efeito da terapia familiar sobre o padrão de uso de cannabis: uma análise de escopo(Universidade Federal de São Paulo (UNIFESP), 2021) Aguiar, Bruna Monteiro [UNIFESP]; Fidalgo, Thiago Marques [UNIFESP]; Universidade Federal de São PauloCannabis use disorder (CUD) is a chronic disease that might initiate during late childhood or early adolescent age, and that typically does not receive treatment until adulthood. As with other substances, the diagnosis of addiction involves the significant insertion of the substance into a patient's life, with clinically significant impairment of functionality in several areas. Among adolescents, CUD may manifest itself as an impairment in school performance, peer and family relationships, as well as basic emotional, cognitive, and psychological functioning. In view of the possible therapeutic approaches, recent studies show benefits of different types of family therapy in adolescent cannabis users. The objective of this dissertation is to review the literature in search of studies that correlate family therapy approaches such as Multifamily Educational Intervention (MEI), Multidimensional Family Therapy (MDFT), Family Functional Therapy (FFT), Family Support Network (FSN), Brief Strategic Family Therapy (BSFT), and cannabis use among adolescents. Research studies that found a correlation between these two factors were reviewed. From this survey, 663 papers were identified, of which, after reading their titles and abstracts, 564 were excluded. The remaining 99 articles were reviewed and 80 of them were excluded, resulting in 19 articles that were included in the review. The results of the review suggest that different family therapy approaches may help to reduce cannabis use among adolescents. The different modalities of family therapy can also prevent possible relapses, since they address essential themes for the development of good parenting practices and family functioning, reaching all members of the family.
- ItemSomente MetadadadosFamily intervention for schizophrenia(Wiley-Blackwell, 2010-01-01) Pharoah, Fiona; Mari, Jair de Jesus [UNIFESP]; Rathbone, John; Wong, Winson; Oxford & Buckinghamshire Mental Hlth NHS Fdn Trus; Universidade Federal de São Paulo (UNIFESP); Univ Sheffield; Yorkshire & Humber Postgrad DeaneryBackgroundPeople with schizophrenia from families that express high levels of criticism, hostility, or over involvement, have more frequent relapses than people with similar problems from families that tend to be less expressive of emotions. Forms of psychosocial intervention, designed to reduce these levels of expressed emotions within families, are now widely used.ObjectivesTo estimate the effects of family psychosocial interventions in community settings for people with schizophrenia or schizophrenia-like conditions compared with standard care.Search strategyWe updated previous searches by searching the Cochrane Schizophrenia Group Trials Register (September 2008).Selection criteriaWe selected randomised or quasi-randomised studies focusing primarily on families of people with schizophrenia or schizoaffective disorder that compared community-orientated family-based psychosocial intervention with standard care.Data collection and analysisWe independently extracted data and calculated fixed-effect relative risk (RR), the 95% confidence intervals (CI) for binary data, and, where appropriate, the number needed to treat (NNT) on an intention-to-treat basis. for continuous data, we calculated mean differences (MD).Main resultsThis 2009-10 update adds 21 additional studies, with a total of 53 randomised controlled trials included. Family intervention may decrease the frequency of relapse (n = 2981, 32 RCTs, RR 0.55 CI 0.5 to 0.6, NNT 7 CI 6 to 8), although some small but negative studies might not have been identified by the search. Family intervention may also reduce hospital admission (n = 481, 8 RCTs, RR 0.78 CI 0.6 to 1.0, NNT 8 CI 6 to 13) and encourage compliance with medication (n = 695, 10 RCTs, RR 0.60 CI 0.5 to 0.7, NNT 6 CI 5 to 9) but it does not obviously affect the tendency of individuals/families to leave care (n = 733, 10 RCTs, RR 0.74 CI 0.5 to 1.0). Family intervention also seems to improve general social impairment and the levels of expressed emotion within the family. We did not find data to suggest that family intervention either prevents or promotes suicide.Authors' conclusionsFamily intervention may reduce the number of relapse events and hospitalisations and would therefore be of interest to people with schizophrenia, clinicians and policy makers. However, the treatment effects of these trials may be overestimated due to the poor methodological quality. Further data from trials that describe the methods of randomisation, test the blindness of the study evaluators, and implement the CONSORT guidelines would enable greater confidence in these findings.
- ItemSomente MetadadadosTranstorno do Défict de Atenção/Hiperatividade e a dinâmica familiar(Universidade Federal de São Paulo (UNIFESP), 2011) Colonelli, Vera Lucia Lima Ladeira [UNIFESP]; Rizzutti, Sueli [UNIFESP]; http://lattes.cnpq.br/1441896240736591; http://lattes.cnpq.br/8798481585920893; Universidade Federal de São Paulo (UNIFESP)Attention-Deficit Hyperactivity Disorder (ADHD) is a disorder characterized by deficits of neurological basis that causes the absence of inhibition and self-control. The diagnosis is often clinic and based on three categories of symptoms: lack of attention, impulsivity and hyperactivity based on the Diagnosis and Statistic Manual of Mental Disorders (DSM-IV). The role of genetics and environmental factors in the etiology of ADHD has already been discussed in the literature. Objective: The objective is to understand and describe the presence of psychosocial risks in the family dynamic that can contribute to the development and maintenance of ADHD. Method: method qualitative through semi-directed interviews with the parents based on the model of family therapy created by Salvador Minuchin. The sample was composed of 15 families of children between 6 and 12 years old, who had gone through a multidisciplinary diagnostic evaluation in the Ambulatory of the Children Neuropsychological Center (NANI). They presented positive results for ADHD: inattentive type, hyperactive/impulsive and the combined type, without the presence of comorbidities. Results: The results of the interviews have permitted the understanding and the description of risk factors present in the family dynamics to the development of ADHD. These factors are: deficient family structure with the indefinition of parental roles, bonding fragility, lack of clear limits, family rows caused by the child’s behavior, painful family histories of the parents origin that can interfere in the formation of a positive bonding in the family. Final Considerations: In the families with a functional dynamic, which is with the presence of parental care, clear and flexible definition of parental roles, expression of feelings, affection security, parents as authority figures are not enough to inhibit ADHD but they function as protection factors to the development of the disorder. The evaluation of these factors is important because they can contribute to the family treatment.