Acceptability of a brief psychotherapeutic intervention protocol aimed at individuals who have experienced a highly stressful event
DOI:
https://doi.org/10.56294/saludcyt20251237Keywords:
trauma, psychotherapeutic intervention, acceptability, brief systemic therapy, highly stressful eventAbstract
Introduction: we speak of highly stressful events when a situation or event has the potential to generate negative consequences in the affected individuals, such as the presence of post-traumatic and depressive symptoms. The construction of programs that prevent the occurrence of this type of response and that are accepted by users is one of the current challenges, since it can influence the expected results.
Objective: to evaluate the acceptability of a brief systemic intervention protocol aimed at providing psychological support to people exposed to highly stressful events.
Methods: an exploratory sequential comparative mixed design was used. A six-session program was applied, evaluating by means of scales of depressive symptomatology, post-traumatic growth and satisfaction with life in two moments pre and post, subsequently eight users and two therapists were interviewed.
Results: the participants expressed a positive evaluation of the organized structure of the sessions, highlighting the empathy of the therapists as an important element. In addition, the use of relaxation techniques and narrative techniques were indicated as indicators of emotional well-being. In addition, a decrease in depressive symptoms and an increase in post-traumatic growth and life satisfaction were observed.
Conclusions: the results demonstrate acceptability of the users and therapists, resulting useful for the proposed objectives.
References
Sutin AR, Terracciano A, Deiana B, Naitza S, Ferrucci L, Uda M, et al. El alto neuroticismo y la baja conciencia están asociados con la interleucina-6. Psychol Med [Internet]. 2009;40(9):1485–93. Disponible en: http://dx.doi.org/10.1017/S0033291709992029
Breslau N, Kessler RC, Chilcoat HD, Schultz LR, Davis GC, Andreski P. Trauma and posttraumatic stress disorder in the community: the 1996 Detroit Area Survey of Trauma. Arch Gen Psychiatry [Internet]. 1998;55(7):626–32. Disponible en: http://dx.doi.org/10.1001/archpsyc.55.7.626
Powers MB, Halpern JM, Ferenschak MP, Gillihan SJ, Foa EB. A meta-analytic review of prolonged exposure for posttraumatic stress disorder. Clin Psychol Rev [Internet]. 2010;30(6):635–41. Disponible en: http://dx.doi.org/10.1016/j.cpr.2010.04.007
de la Rosa Gómez A, Cárdenas López G. Reacciones postraumáticas: revisión desde una perspectiva dimensional. Psicología Iberoamericana [Internet]. 14 de mayo de 2020; 24(1):70-8. Disponible en: https://psicologiaiberoamericana.ibero.mx/index.php/psicologia/article/view/81
Villar Aguirre Manuel. Factores determinantes de la salud: Importancia de la prevención. Acta méd. peruana [Internet]. 2011 Oct; 28( 4 ): 237-241. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172011000400011&lng=es.
Jané-Llopis Eva. La eficacia de la promoción de la salud mental y la prevención de los trastornos mentales. Rev. Asoc. Esp. Neuropsiq. [Internet]. 2004 Mar ( 89 ): 67-77. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0211-57352004000100005&lng=es.
Beyebach, M. (2006). 24 ideas para una psicoterapia breve. Herder.
Beyebach, M., & Herrero de Vega, M. (2010). 200 tareas en terapia breve individual, familiar y de parejas. Herder.
García, F. (2015). Terapia sistémica breve: Fundamentos y aplicaciones (2a ed.). RIL.
García, F. & Schaefer, H. (2015). Manual de técnicas de psicoterapia breve: Aportes desde la terapia sistémica. Mediterráneo
Herrero de Vega, M. (2016). Trabajando la autoestima en grupo: Un programa centrado en soluciones. En F. García & M. Ceberio (Eds.), Manual de terapia sistémica breve (pp. 381-394). Mediterráneo.
García, F., & Rincón, P. Prevención de Sintomatologia Postraumática en Mujeres con Cáncer de Mama: Un Modelo de Intervención Narrativo. Terapia psicológica, 2011; 29(2), 175-183. Disponible en: https://dx.doi.org/10.4067/S0718-48082011000200004
Aravena, E. (2020). Percepciones de cambio terapéutico en clientes con diagnóstico de síndrome de burnout que vivieron una psicoterapia humanista experiencial en Santiago [Tesis de Magister, Universidad de Chile]. https://repositorio.uchile.cl/bitstream/handle/2250/194655/Percepciones-de-cambio-terapeutico-en-clientes.pdf?sequence=1
Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, et al. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health [Internet]. 2011;38(2):65–76. Disponible en: http://dx.doi.org/10.1007/s10488-010-0319-7
Donkin L, Christensen H, Naismith SL, Neal B, Hickie IB, Glozier N. A systematic review of the impact of adherence on the effectiveness of e-therapies. J Med Internet Res [Internet]. 2011;13(3):e52. Disponible en: http://dx.doi.org/10.2196/jmir.1772
Rogers CB, Webb JB, Bauert L, Carelock J. Feasibility and acceptability of a guided self-help, text-messaging intervention to promote positive body image of emerging adult women. Front Glob Womens Health [Internet]. 2022;3:849836. Disponible en: http://dx.doi.org/10.3389/fgwh.2022.849836
Hernández, S. R., Fernández, C. C., & Baptista, L. P. (2014). Metodología de la investigación. McGraw-Hill Education.
Creswell, J. (2008). Mixed Methods Research: State of the Art. [Power Point resentation]. University of Michigan. Recuperado de itemaker.umich.edu/creswell.workshop/files/creswell_lecture_slides.ppt
Fuster Guillen DE. Investigación cualitativa: Método fenomenológico hermenéutico. Propós represent [Internet]. 2019 [citado el 3 de diciembre de 2024];7(1):201. Disponible en: https://revistas.usil.edu.pe/index.php/pyr/article/view/267
Bauer, M., & Aarts, B. (2004). A construção do corpus: Um princípio para a coleta de dados qualitativos. In A. Bauer & G. Gaskell (Orgs.), Pesquisa qualitativa com texto, imagem e som: Um manual prático (pp. 39-63). Vozes.
Gaskell, G., & Bauer, M. (2004). Para uma prestação de contas públicas: Além da amostra, da fidedignidade e da validade. In A. Bauer & G. Gaskell (Orgs.), Pesquisa qualitativa com texto, imagem e som: Um manual prático (pp. 470-490). Vozes.
Valles, M. S. (1998). Técnicas cualitativas de investigación social: Reflexión metodológica y práctica profesional. Síntesis.
Connor, K. M. & Davidson, J. R. (2001). SPRINT: A brief global assessment of posttraumatic stress disorder. International Clinical Psychopharmacology, 16(5), 279–284
Leiva-Bianchi, M. C., & Gallardo, I. (2013). Validación de la escala breve para diagnosticar estrés post-traumático (SPRINT-E) en una muestra de personas afectadas por el terremoto y tsunami del 27-F en Chile. Anales de Psicología, 29(2), 328-334.
Cann, A., Calhoun, L., Tedeschi, R., Taku, K., Vishnevsky, T., Triplett, K., & Danhauer, S. (2010). A short form of the Posttraumatic Growth Inventory. Anxiety, Stress, & Coping, 23 (2), 127-137. https://doi.org/10.1080/10615800903094273
García, F. & Wlodarczyk, A. (2016). Psychometric properties of the Posttraumatic Growth Inventory - Short Form among Chilean adults. Journal of Loss and Trauma, 21 (4), 303-314. https://doi.org/10.1080/15325024.2015.1108788
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x.
Psicométricas del PHQ-9 (Patient Health Questionnaire) en centros de atención primaria de Chile. Revista Médica de Chile, 147(1), 53-60. https://dx.doi.org/10.4067/S0034-98872019000100053
Diener, E., Emmps, R., Larsen, R., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49 (1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13
Arias, P., & García, F. (2018). Propiedades psicométricas de la Escala de Satisfacción con la Vida en población ecuatoriana adulta. Pensamiento Psicológico, 16(2), 21-29. https://doi.org/10.11144/Javerianacali.PPSI16-2.ppes
Gehrig, R., Palacios Ramírez, J., Blesa Aledo, B., Cobo de Guzman Godino, F., García Jiménez, M., Muñoz Sánchez, P., & Rodes García, J. (2014). Guía de criterios básicos de calidad en la investigación cualitativa. UCAM.
González, T., & Cano, A. (2010). Introducción al análisis de datos en investigación cualitativa: Tipos de análisis y proceso de codificación (II). Nure Investigación, 45 (1), 1-10.
Beyebach, M. (2019). Solution-focused therapy: A multi-theoretical review of its application and efficacy. Journal of Family Therapy, 41(3), 271-287. https://doi.org/10.1111/1467-6427.12207
Lebow, J. L. (2019). Couple and family therapy: An integrative map of the territory (2nd ed.). American Psychological Association.
Blanco, C., Estupiñá, F. J., Labrador, F. J., Fernández-Arias, I., Bernardo-de-Quirós, M., & Gómez, L. (2014). Uso de técnicas de relajación en una clínica de psicología. Anales de psicología, 30(2), 403–411. https://doi.org/10.6018/analesps.30.2.158451
Trepper, T. S., McCollum, E. E., De Jong, P., Korman, H., Gingerich, W., & Franklin, C. (2021). Solution-focused Brief Therapy Treatment Manual for Working With Individuals and Families. Journal of Marital and Family Therapy, 47(1), 182-199. https://doi.org/10.1111/jmft.12434
García, F. & Beyebach, M. (2022). Superar experiencias traumáticas: Una propuesta de intervención desde la terapia sistémica breve. Herder
Freedman, J., & Combs, G. (2020). Narrative therapy: The social construction of preferred realities. W.W. Norton & Company.
Payne, M. (2020). Narrative therapy: An introduction for counsellors. Sage Publications.
Vetlesen, N., & Rønnestad, M. H. (2021). Letters in therapy: A narrative practice in systemic therapy. Journal of Systemic Therapies, 40(2), 1-17.
Carr, A. (2019). Family therapy: Concepts, process and practice (3rd ed.). Wiley-Blackwell.
Carreño, J. (2016). Informed consent in clinical research:A dinamyc process. Persona y Bioética, 20(2), 232-243. http://doi: 10.5294/PEBI.2016.20.2.8
Kornhaber, R., Walsh, K., Duff, J., & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review. Journal of multidisciplinary healthcare, 9, 537–546. https://doi.org/10.2147/JMDH.S116957
Soriano, J., Del Carmen Pérez-Fuentes, M., Del Mar Molero, M., Tortosa, B., & González, A. (2019). Beneficios de las intervenciones psicológicas en relación al estrés y ansiedad: Revisión sistemática y metaanálisis. European journal of education and psychology 12(2), 191-206.
García, F. & Schaefer, H. (2015). Manual de técnicas de psicoterapia breve: Aportes desde la terapia sistémica. Mediterráneo
Beyebach, M. (2006). 24 ideas para una psicoterapia breve. Herder.
Nardone, G., y Portelli, C. (2017). Conocer a través del cambio: La evolución de la terapia breve estratégica. Herder
Vitry, G., Pakrosnis, R., Brosseau, O. G., y Duriez, N. (2021). Effectiveness and efficiency of Strategic and Systemic Therapy in naturalistic settings: Preliminary results from a Systemic Practice Research Network (SYPRENE). Journal of Family Therapy, 43(4), 516-537. https://doi.org/10.1111/1467-6427.12343
Gimeno-Peón, A. (2021). Mejorando los resultados en psicoterapia. Pirámide.
Zúñiga-Fajuri, Alejandra, & Zúñiga F., Mónica. (2020). Propuestas para ampliar la cobertura de salud mental infantil en Chile. Acta bioethica, 26(1), 73-80. https://dx.doi.org/10.4067/S1726-569X2020000100073
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Sandra Garabito Rifo, Felipe E. García (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
