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Psychoeducation is one of the strategies that must be used in the treatment of bipolar disorder patients and has demonstrated effectiveness in promoting medication compliance. The aim of this study was to evaluate the effectiveness of a psychoeducation program applied to nine patients diagnosed with bipolar disorder receiving treatment in a public hospital. For evaluation, scales of depression (Hamilton), mania (Young) and Quality of Life (WHOQOL) were used. Sixteen sessions of group care were performed and the results showed significant reduction in mania evaluation after the intervention after a six month follow-up and an improvement in the field “Physical” of the Quality of Life scale, evaluated before and after the intervention. Moreover, the high frequency of patients with mild depression and reports of family conflicts as antecedents of this episode showed the necessity of intervention with the family and a focus on social skills training.

Psychology has offered some contribution to improve clinical intervention for people with Bipolar Disorder (BD). The objective of this article was to do an integrative bibliographical revision about group interventions done in Brazil for people with such diagnosis. There was data search on Scielo, Thesis and Dissertation Data, PsycNet and Pubmed. The following descriptors were selected: Bipolar Disorder and Intervention; Bipolar Disorder and Group; Bipolar Disorder and Psychoeducation. The word “Brazil” was added on the international data search for the combinations mentioned above. There were 8 studies recovered and the main topic addressed was Psychoeducation. From the analysis of the studies it was possible to identify information related to two aspects: sessions (quantity, duration, topics addressed, professionals responsible for group development, length of sessions and follow-up, the reference psychological approach and what types of register were used), participants (total quantity, gender and age, inclusion and exclusion criteria and tools applied). Such research pointed out the need for the Psychologist to identify the demands of the population being treated and to establish intervention plans according to them, helping patients to develop behaviors that allow for the intervention to be more effective given the adversities related to the clinical diagnosis as such.Keywords: Bipolar Disorder, Psychological intervention, Psychoeducation.

A insônia é uma queixa frequente em pacientes com câncer de mama, e suas consequências podem causar impacto na qualidade de vida e no curso da doença. O objetivo deste estudo foi revisar a literatura especializada sobre a relação entre insônia e câncer de mama, abordando definição, prevalência, fatores etiológicos e as consequências da insônia no contexto da neoplasia mamária, bem como os tratamentos para insônia nessa população. A busca da literatura ocorreu nos bancos de dados Scopus, Web of Science e SciELO, utilizando as palavras chaves: insomnia, sleep, breast cancer, treatment, cognitive-behavioral therapy. Os estudos revisados demonstraram que a etiologia da insônia envolve fatores de predisposição, precipitação e perpetuação. Evidencia-se a importância da melhora na qualidade de sono em pacientes oncológicos, além de se indicar a combinação de terapia farmacológica e cognitivocomportamental no tratamento dos problemas de sono. Insomnia is a frequent complaint in patients with breast cancer and its consequences can impact the quality of life and course of the disease. The aim of this study was to review the literature on the relationship between insomnia and breast cancer, addressing the definition, prevalence, etiological factors and consequences of insomnia within the context of breast cancer, as well as treatments for insomnia in this population. A review of the literature searched the databases Scopus, Web of Science and Sciello using Uniterms: insomnia, sleep, breast cancer, treatment, cognitive-behavioral therapy. The studies reviewed showed that the etiology of insomnia involves predisposing, precipitation and perpetuation factors. This study highlights the importance of improved quality of sleep in cancer patients, and indicates the combination of pharmacotherapy and cognitive-behavioral treatment for sleep problems.

Submitted by Guilherme Lemeszenski (guilherme@nead.unesp.br) on 2013-08-22T18:58:00Z No. of bitstreams: 1 S0102-79722012000300010.pdf: 362032 bytes, checksum: dd8919c31fcf87c7bfc3fd800f903a26 (MD5) Made available in DSpace on 2013-08-22T18:58:00Z (GMT). No. of bitstreams: 1 S0102-79722012000300010.pdf: 362032 bytes, checksum: dd8919c31fcf87c7bfc3fd800f903a26 (MD5) Previous issue date: 2012-01-01 Made available in DSpace on 2013-09-30T19:53:18Z (GMT). No. of bitstreams: 2 S0102-79722012000300010.pdf: 362032 bytes, checksum: dd8919c31fcf87c7bfc3fd800f903a26 (MD5) S0102-79722012000300010.pdf.txt: 43906 bytes, checksum: 3a38d1c76005b124ea9c673d597f09a6 (MD5) Previous issue date: 2012-01-01 Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-20T15:13:50Z No. of bitstreams: 2 S0102-79722012000300010.pdf: 362032 bytes, checksum: dd8919c31fcf87c7bfc3fd800f903a26 (MD5) S0102-79722012000300010.pdf.txt: 43906 bytes, checksum: 3a38d1c76005b124ea9c673d597f09a6 (MD5) Made available in DSpace on 2014-05-20T15:13:50Z (GMT). No. of bitstreams: 2 S0102-79722012000300010.pdf: 362032 bytes, checksum: dd8919c31fcf87c7bfc3fd800f903a26 (MD5) S0102-79722012000300010.pdf.txt: 43906 bytes, checksum: 3a38d1c76005b124ea9c673d597f09a6 (MD5) Previous issue date: 2012-01-01 Este trabalho investigou a qualidade de sono de mulheres com câncer de mama e suas relações com qualidade de vida e depressão. Cinqüenta mulheres com câncer de mama (grupo clínico) e cinqüenta controles responderam um questionário médico-demográfico e ao instrumento Pittsburgh Sleep Quality Index. O grupo clínico também respondeu aos instrumentos Quality of Life Cancer-Survivor e Brief Zung Self-Rating Depression Scale. Verificou-se que mulheres com câncer tinham significativamente mais queixas de nictúria, calor e despertares noturnos. O grupo clínico com má qualidade do sono apresentou comprometimento na qualidade de vida e mais sintomas de depressão. em geral, a qualidade de sono em mulheres com câncer de mama pode predizer a qualidade de vida e o bem estar psicológico. This study investigated the sleep quality of women with breast cancer and their relationship with quality of life and depression. Fifty women with breast cancer (clinical group) and a control group of other 50 women without the disease answered a clinical-demographic questionnaire and the Pittsburgh Sleep Quality Index. The clinical group also completed the Quality of Life Cancer-Survivor and the Brief Zung Self-Rating Depression Scale questionnaires. It was found that women with breast cancer had significantly more complaints of nocturia, heat and nighttime awakenings. The clinical group with poor quality of sleep reported impaired quality of life and more symptoms of depression. In general terms, sleep quality in women with breast cancer can predict their quality of life and psychological well-being. Universidade Estadual de Londrina (UEL) Universidade Estadual Paulista Júlio de Mesquita Filho Universidade Estadual Paulista Júlio de Mesquita Filho