Ache Ana Luiza da Silva, Montezano Bruno Braga, Mosqueiro Bruno Paz, Caldieraro Marco Antonio, Spanemberg Lucas, Salum Giovanni, Fleck Marcelo P
Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Departamento de Psiquiatria, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Programa de Pós-Graduação em Medicina e Ciências da Saúde, Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil. Programa de Pós-Graduação em Ciências Criminais, Escola de Direito, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Braz J Psychiatry. 2024;46:e20243749. doi: 10.47626/1516-4446-2024-3749. Epub 2024 Sep 21.
Single-session interventions are an effective strategy for reducing emotional distress. Enhanced psychoeducation, which includes empathic listening, risk stratification, symptom monitoring, and habit modification is particularly suitable for single-session interventions. We investigated predictors of response to an online enhanced psychoeducation intervention among essential service professionals during the COVID-19 pandemic in Brazil.
The TelePSI Project, financed by the Brazilian Ministry of Health, was a nationwide initiative that served more than 3,300 individuals in various psychotherapeutic modalities. Data were collected from April 2020 to December 2021. We included all participants with high levels of emotional distress who received single-session interventions. The final sample included 460 individuals (89.1% women, 81.1% health professionals). After 1 month, 300 participants were reassessed.
Overuse of social media, use of social networks to contact family and friends, playing video games, smoking, drinking alcohol, and spending time with pets were associated with less improvement in symptoms, whereas playing an instrument and previous psychological treatment were associated with greater symptom improvement. This highlights the impact of lifestyle factors on the efficacy of single-session interventions.
These results underscore the importance of considering individual lifestyle factors when implementing single-session interventions and contribute to a growing body of evidence that supports tailored application of psychoeducational strategies in mental health interventions, particularly in high-stress environments.
单次干预是减轻情绪困扰的有效策略。强化心理教育，包括共情倾听、风险分层、症状监测和习惯改变，特别适用于单次干预。我们调查了巴西新冠疫情期间一线服务专业人员对在线强化心理教育干预反应的预测因素。
由巴西卫生部资助的TelePSI项目是一项全国性倡议，为3300多名个体提供了各种心理治疗方式。数据收集于2020年4月至2021年12月。我们纳入了所有接受单次干预且情绪困扰程度较高的参与者。最终样本包括460名个体（89.1%为女性，81.1%为卫生专业人员）。1个月后，对300名参与者进行了重新评估。
过度使用社交媒体、通过社交网络联系家人和朋友、玩电子游戏、吸烟、饮酒以及与宠物相处时间与症状改善较少相关，而演奏乐器和先前接受过心理治疗与症状改善较大相关。这突出了生活方式因素对单次干预效果的影响。
这些结果强调了在实施单次干预时考虑个体生活方式因素的重要性，并为越来越多的证据做出了贡献，这些证据支持在心理健康干预中，特别是在高压力环境下，量身定制心理教育策略的应用。
