Publications by authors named "Rafaelle Stark Stigger"

Article Synopsis
  • Defense mechanisms are psychological strategies people use to protect their sense of self, and in OCD, compulsive behaviors can be viewed as these mechanisms.
  • A study with 92 OCD patients evaluated the effectiveness of brief cognitive behavioral therapy by measuring changes in defense mechanisms at three different time points.
  • The results indicated a consistent improvement in mature defense mechanisms during therapy, suggesting patients were developing healthier ways to handle conflicts, while no significant changes were observed in neurotic or immature mechanisms.
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The COVID-19 pandemic has changed individuals and families, causing adverse psychological effects, especially in young adults, women, and parents. This study aimed to verify the prevalence of current major depressive episode (CMDE) in mothers of preschoolers (up to five years old) and its associated stressors during the COVID-19 pandemic in a municipality in the Southern Brazil. This is a cross-sectional, population-based study with mothers.

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Article Synopsis
  • The study assessed the effectiveness of brief cognitive behavioral therapy for treating antenatal depression and its impact on infant motor development at 3 and 18 months.
  • Data was collected from 336 non-intervened women and 108 women receiving therapy, showing an 80% effectiveness in reducing major depressive episodes in the treatment group.
  • Infants whose mothers received therapy scored higher in motor development tests compared to the control group, indicating positive effects on child development linked to maternal mental health interventions.
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The revised Helping Alliance Questionnaire (HAq-II) is among the most used instruments that measure therapeutic alliance. Despite its use in research, this instrument is not validated for the Brazilian population. The aim of this study was to explore the evidence of validity of the HAq-II based on the internal structure in a sample of Brazilian psychiatric patients.

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Article Synopsis
  • Postpartum depression (PPD) significantly impacts many women and is often the first sign of future mood disorders; this study evaluated the effectiveness of preventive cognitive behavioral therapy (CBT) for PPD.
  • Pregnant women at risk for depression were split into a CBT therapy group and a control group, with results showing a higher prevalence of PPD in the risk group but no significant difference between groups; the OQ-45 scores decreased, indicating improvement during therapy.
  • The study faced limitations, including a high refusal rate for treatment and lack of comparison with another therapy type, but concluded that brief CBT is effective in preventing PPD.
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Background: Family members tend to modify their routine by assisting or participating in the patient's rituals. These behaviors have been identified as family accommodation (FA).

Aims: The aim of this study was to describe the relationship between family accommodation of relatives of Obsessive-Compulsive Disorder (OCD) patients and their perceptions about the obsessions and compulsions of the patient.

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Quality of life (QOL) can be affected by the presence of mental disorders, like Obsessive-Compulsive Disorder (OCD). Thus, the evaluation and monitoring of QOL in patients with mental disorders enables the identification of priorities, making it possible to implement actions to improve QOL among health system users. The scope of this article is to measure QOL in OCD patients in primary health care.

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