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Eventos adversos em psicoterapia. Uma revisão intregrativa de literatura
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Authors
Advisor(s)
Abstract(s)
Problema: Os eventos adversos em psicoterapia são frequentes, mas ainda
pouco estudados. A investigação depara-se com diversas dificuldades conceptuais e
metodológicas, no entanto é fundamental para a prática clínica ter uma visão abrangente
e contextualizada destes eventos. Objetivo: Este estudo teve como objetivo explorar a
ocorrência de eventos adversos em psicoterapia e analisar a sua prevalência, identificando
quais os eventos adversos mais comuns em psicoterapia e qual a sua relação com a aliança
terapêutica. Método: Utilizando a metodologia de revisão sistemática Preferred
Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) foi realizada uma
pesquisa nas bases de dados Web of Science e EBSCO que resultou em 13 artigos após a
aplicação dos critérios de elegibilidade, incluindo estudos quantitativos e qualitativos.
Resultados: Os eventos adversos durante a psicoterapia são muito comuns, sofrendo
variações entre os diferentes estudos, não apenas devido às definições, mas também
devido às metodologias e instrumentos utilizados para os avaliar. Conclusões: Os
resultados deste estudo reforçam a ideia da importância de monitorizar a aliança
terapêutica e os efeitos negativos sentidos durante a psicoterapia. Identificar e
compreender os efeitos adversos em psicoterapia é fundamental não apenas para a o
reconhecimento do poder de ação dos clientes como dos terapeutas.
ABSTRACT: : Adverse events in psychotherapy are common but still little studied. Research faces a number of conceptual and methodological difficulties, but it is essential for clinical practice to have a comprehensive and contextualized view of these events. Objective: The aim of this study was to explore the occurrence of adverse events in psychotherapy and analyse their prevalence, identifying the most common adverse events in psychotherapy and their relationship with the therapeutic alliance. Method: Using the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) systematic review methodology, a search was carried out in the Web of Science and EBSCO databases which resulted in 13 articles after applying the eligibility criteria, including both quantitative and qualitative studies. Results: Adverse events were reported in between 15% and 100% of participants, suffering variations between the different studies, not only due to definitions, but also due to the methodologies and instruments used to assess them. Conclusions: The results of this study reinforce the idea of the importance of monitoring the therapeutic alliance and the negative effects experienced during psychotherapy. Identifying and understanding adverse effects in psychotherapy is fundamental not only for recognizing the power of action of clients but also of therapists.
ABSTRACT: : Adverse events in psychotherapy are common but still little studied. Research faces a number of conceptual and methodological difficulties, but it is essential for clinical practice to have a comprehensive and contextualized view of these events. Objective: The aim of this study was to explore the occurrence of adverse events in psychotherapy and analyse their prevalence, identifying the most common adverse events in psychotherapy and their relationship with the therapeutic alliance. Method: Using the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) systematic review methodology, a search was carried out in the Web of Science and EBSCO databases which resulted in 13 articles after applying the eligibility criteria, including both quantitative and qualitative studies. Results: Adverse events were reported in between 15% and 100% of participants, suffering variations between the different studies, not only due to definitions, but also due to the methodologies and instruments used to assess them. Conclusions: The results of this study reinforce the idea of the importance of monitoring the therapeutic alliance and the negative effects experienced during psychotherapy. Identifying and understanding adverse effects in psychotherapy is fundamental not only for recognizing the power of action of clients but also of therapists.
Description
Dissertação de Mestrado apresentada no
ISPA – Instituto Universitário para
obtenção de grau de Mestre na
especialidade de Psicologia Clínica.
Keywords
Eventos adversos Efeitos negativos Psicoterapia Revisão sistemática Aliança terapêutica Adverse events Negative effects Psychotherapy Systematic review Working alliance