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La santé mentale par la gestion des projets personnels : une intervention auprès de jeunes retraités
More informationAbstractA personal goal-based intervention was offered to retired people aged 50 to 65 years with the objective of increasing their subjective well-being and their mental health. More specifically, the program presented here was aimed to promote the setting, planning, and realization of personal projects through a learning process based on a cognitive approach. At the end of the program, the experimental group (n = 117) had improved significantly more than the control group (n = 177) on all the goal and subjective well-being indicators, and this gain was maintained six months later. Some ideas to make the program more effective are discussed.
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AbstractThe authors start off by reviewing the origins and principal characteristics of feminist therapy as it appeared in the United States at the end of the 1960s. Following this step are analyzed the conditions for the emergence of feminist intervention in Québec and its specificity, terms commonly used by Québec practicians when describing their work among women. Emphasis is placed on the analysis of feminist intervention in institutional environments due to its remarkable development over the last few years. The article concisely presents the two main theoretical approaches that inspire the intervention, namely the socio-behavioral approach and the awareness approach. Following a brief overview of feminist intervention in Québec, the authors raise questions about its future.
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SUMMARYA two year group therapy with autistic children done by a group of therapists is presented in detail. Dramatised action is the medium of communication used for the most part. This method which lets patients play and express their supposed archaic fantaisies has brought about a modification of their autistic positions. The theoretical reference is based on a psychodynamic frame of Kleinien inspiration.
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This article reviews the literature on economic studies of evidence-based cognitive-behavioral treatment and pharmacotherapy for anxiety disorders. Articles were identified through electronic search of medical and psychological databases between 1980 and 2008. Seven studies were identified and included panic disorder, generalized anxiety disorder, specific phobia and social phobia. Results show that evidence-based cognitive-behavior therapy and pharmacotherapy are cost-effective, usually more than usual care. Although the evidence base needs to be strengthened, it appears beneficial in increasing access to evidence-based treatments for anxiety disorders from a societal perspective.
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AbstractThis study examines the symptoms of 30 adolescent girls who are under child protection care following sexual assault. In addition to describing the psychological profile of these adolescents, the study describes the sexual abuse, services received, and identifies factors that are likely to be linked to symptoms. Results show that adolescents present many psychological problems and that the majority experience distress necessitating clinical attention. Sexual abuses are at the extreme end of the large continuum reported in the literature and services are infrequent and irregular. Symptoms are associated with the time elapsed since the last sexual abuse and with services received. The discussion highlights the importance of adequacy between services and psychological profile of each adolescent while suggesting a model of recovery.
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529.More information
AbstractPharmacotherapy and cognitive-behavioral therapy (CBT) are efficient treatments for Panic disorder with agoraphobia (PDA) yet they remain expensive. This study aims to compare the cost/effectiveness ratio of a CBT for PDA versus a combined treatment of CBT and pharmacotherapy. Eighty-four people followed a CBT either alone or combined with medication. They have been evaluated before treatment, immediately after, as well as one and two years later. The therapy efficacy is calculated at each assessment according to a “Global Functioning Index”. Direct and indirect costs are calculated with the “Health Cost Interview”. Results suggest that both treatments are equally effective. However, CBT alone is less expensive than CBT with pharmacotherapy. Thus, it offers a better cost-effectiveness ratio that even increases in the long term.