Victuri Alexandre Aguiar, Bolsoni-Silva Alessandra Turini
Programa de Pós Graduação em Psicologia do Desenvolvimento e Aprendizagem - Faculdade de Ciências - Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP) - Bauru, Avenida Engenheiro Luiz Edmundo Carrijo Coube, 14-01 Vargem Limpa, Bauru, SP, 17033-360, Brazil.
Departamento de Psicologia - Faculdade de Ciências - Universidade Estadual Paulista "Júlio de Mesquita Filho" (UNESP) - Bauru, Avenida Engenheiro Luiz Edmundo Carrijo Coube, 14-01 Vargem Limpa, Bauru, SP, 17033-360, Brazil.
Psicol Reflex Crit. 2022 Jul 14;35(1):21. doi: 10.1186/s41155-022-00226-y.
Terapia Analítico-Comportamental (TAC) (in English, behavioral-analytic therapy, behavior therapy, or clinical behavior analysis) is a possible intervention for cases of anxiety and depression, but it still has much to advance in terms of efficacy and clinical utility evidence. This article aims to describe the effects of a semi-structured intervention in the model of TAC regarding anxiety and depression, behavior, complaints, and satisfaction indicators. Participants included three women with children, marital relationships, and work, aged between 34 and 41 with complaints compatible with anxiety and depression disorders. The intervention used Promove - Saúde da Mulher (PSM) (in English, Promote Women's Health), which included 17 topics, most of them related to social skills. Instruments included the GAD-7 for anxiety, PHQ-9 for depression, IHS-2 Del Prette for social skills, a Complaints Checklist for monitoring clinical demands, and an Evaluation of the Therapeutic Process to describe clients' satisfaction rates. The results from the standardized instruments were statistically analyzed via the JT method. All three participants showed reliable improvements in anxiety and/or depression, improvement in most complaints, and satisfaction with the intervention and its outcomes. Acquisition of social skills occurred in two cases. One participant dropped out and another one relapsed at follow-up. The efficacy criteria were used to evaluate the internal validity of the present study. The study collected the first evidences of outcome and satisfaction for PSM, thus enabling future investigations on the efficacy and clinical utility of this intervention program.
分析行为疗法（TAC）（英文为行为分析疗法、行为疗法或临床行为分析）是针对焦虑和抑郁病例的一种可能的干预方法，但在疗效和临床实用性证据方面仍有很大的改进空间。本文旨在描述TAC模式下的半结构化干预对焦虑、抑郁、行为、主诉及满意度指标的影响。参与者包括三名有子女、婚姻关系及工作的女性，年龄在34至41岁之间，主诉符合焦虑和抑郁障碍。干预采用了“促进女性健康”（PSM），其中包括17个主题，大多数与社交技能相关。工具包括用于评估焦虑的GAD-7、用于评估抑郁的PHQ-9、用于评估社交技能的IHS-2 Del Prette、用于监测临床需求的主诉清单以及用于描述客户满意度的治疗过程评估。通过JT方法对标准化工具的结果进行了统计分析。所有三名参与者在焦虑和/或抑郁方面均有可靠改善，大多数主诉得到改善，对干预及其结果感到满意。两例出现了社交技能的习得。一名参与者退出，另一名在随访时复发。疗效标准用于评估本研究的内部效度。该研究收集了PSM的首批结果和满意度证据，从而为未来对该干预项目的疗效和临床实用性的研究提供了可能。
