Health care provision in Brazil: A dialogue between health professionals and lesbian, gay, bisexual and transgender service users
The aim of this study was to encourage the development of resources to improve health care for lesbian, gay, bisexual and transgender service users. Dialogues between health professionals and lesbian, gay, bisexual and transgender service users (inspired by the Public Conversations Project) highlighted the need (a) to improve communication between users and health professionals; (b) to question what constitutes an expert on lesbian, gay, bisexual and transgender care; (c) to reconfigure rigid notions about sexual identity; (d) to deconstruct the association between sexually transmitted diseases and lesbian, gay, bisexual a...
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Moscheta, M. S., Souza, L. V., Santos, M. A. Tags: Articles Source Type: research

Effectiveness of a multidimensional web-based intervention program to change Brazilian health practitioners attitudes toward the lesbian, gay, bisexual and transgender population
The objective of this study was to assess the effectiveness of a multidimensional (educational, affective and behavioural) web-based intervention to change healthcare practitioners’ attitudes toward lesbian, gay, bisexual and transgender population. It aimed to measure gender and sexual (GenSex) prejudice pre- and post-intervention in relation to sociodemographic characteristics. A total of 307 health practitioners from southern Brazil enrolled and completed the follow-up assessment. The intervention had significant effects, varying across traditionally high prejudiced groups. State- and street-level continuous preju...
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Costa, A. B., Pase, P. F., de Camargo, E. S., Guaranha, C., Caetano, A. H., Kveller, D., da Rosa Filho, H. T., Catelan, R. F., Koller, S. H., Nardi, H. C. Tags: Articles Source Type: research

Matrix Support in mental health: The experience in Vitoria, Espirito Santo
This study discusses the implementation of Matrix Support in Vitória, Espírito Santo, Brazil, through analysis of documents and semi-structured interviews. Results indicate that Matrix Support evolved over time to provide community services that reflect local reality, enabling the integration of mental health into primary care practices as well as boosting reduction in the number of psychiatric hospital admissions. Results suggest that the use of collaborative spaces to evaluate Matrix Support network and the services it provides helps to ensure that this strategy is not lost in hierarchies and specialisms. (...
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Iglesias, A., Avellar, L. Z. Tags: Articles Source Type: research

The matrix approach to mental health care: Experiences in Florianopolis, Brazil
This article reports on the experience of a matrix approach to mental health in primary health care. Professionals who work in the Family Health Support Nuclei, Núcleos de Apoio à Saúde da Família, pointed to challenges of this approach, especially regarding the difficulties of introducing pedagogic actions in the health field and problems related to work relationships. As the matrix approach and its practice are new aspects of the Brazilian Unified Health System, the academic knowledge must walk hand in hand with everyday professional practice to help improve the quality of the services offered...
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Soares, S., de Oliveira, W. F. Tags: Articles Source Type: research

Care in movement: Health psychology in the Sofia Feldman Maternity Hospital in Belo Horizonte, Brazil
This article shows how psychologists of a maternity hospital in a working-class district of a large Brazilian city adapted to an integral approach to health care in a way that helped other professionals to rethink practices. (Source: Journal of Health Psychology)
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Spink, P. K., Horta, J. C. A., Brigagao, J. M., Menegon, V. M., Spink, M.-J. P. Tags: Articles Source Type: research

Group work in the public health context: A proposal for training in psychology
The entry of psychologists into the public health sector in Brazil is usually connected to a traditional clinical model, and, thus, marked by a lack of training for group work. A reflection on the training of psychologists for group work is essential. Aiming at contributing to this theme, the objective of this article is to discuss the training for group work in the public health sector. In particular, we aim to introduce a proposal for training in psychology in a Brazilian public university, covering a theoretical–practical module, as well as basic and professionalizing internship programmes. (Source: Journal of Health Psychology)
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Rasera, E. F., Pegoraro, R. F., Pereira, E. R. Tags: Articles Source Type: research

Experiences in the health services network and in the street: Captures and detours in psychology training for public health services
This article discusses the internships at the psychosocial health system of Natal, Northeast region of Brazil, as part of training in psychology. The objective of these internships is to offer students work experiences in public health both inside and outside health services. Based on Institutional Analysis and Schizoanalysis, these experiences were examined through two analysers: (1) the power of knowledge and (2) the need for by-passes. We conclude that health provokes tensions between instituted practices in health services and those instituted in psychology training. (Source: Journal of Health Psychology)
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: de Sousa Severo, A. K., de Melo Arraes Amorim, A. K., Romagnoli, R. C. Tags: Articles Source Type: research

A good training based on insufficiency: Work in health care as an ethics
The article discusses psychology training in health care at the Federal University of São Paulo. It places curriculum guidelines in a changing movement of training for health professions, proposing Work in Health Care as one of its common axes. In the Baixada Santista campus, the course is based on learning by experience, public health services and multidisciplinary team work. Three vectors derived from the experience in this project and its assessment are discussed: a common clinic, work in health care as an ethics and the idea of good training by insufficiency. (Source: Journal of Health Psychology)
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Casetto, S. J., Henz, A. O., Garcia, M. L., Aguiar, F. B., Montenegro, J. T., Unzueta, L. B., Capozzolo, A. A. Tags: Articles Source Type: research

Psychologists in public health: Historical aspects and current challenges
This article presents the historical context of the insertion of psychology, as a profession, in health policies in Brazil, in order to understand its current challenges. Analysis was based on a non-systematic literature review about professional training, practice, and research in psychology. Three challenges were identified: working in high social vulnerability contexts, practice in multidisciplinary teams and the need to expand the research agenda. We conclude that dealing with these challenges will depend on the area’s capacity to reinvent itself and become more permeable to interdisciplinary dialogue. (Source: J...
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Ferreira-Neto, J. L., Henriques, M. A. Tags: Articles Source Type: research

SIB health psychology in Brazil: The challenges for working in public health settings
Considering the diversity of theoretical approaches and settings for psychological practice, this editorial provides a background for the articles that have been included in this special issue concerning health psychology in the context of the Brazilian Unified Health System (Sistema Unico de Saude). We addressed issues concerning the national curricular outline for undergraduate training in psychology and historical data on the social movements that led to the creation of the Sistema Unico de Saude and the Psychiatric Reform which created an important area for psychological work absorbing a considerable number of psycholo...
Source: Journal of Health Psychology - March 17, 2016 Category: Psychiatry & Psychology Authors: Spink, M.-J. P., Brigagao, J. M., Menegon, V. M., Vicentin, M.-C. G. Tags: Editorial Source Type: research

Experiences of physical activity: A phenomenological study of individuals with cystic fibrosis
Although extensive research has investigated the benefits of physical activity in cystic fibrosis, minimal exploration of the experiences for individuals from a qualitative, phenomenological perspective has been carried out. The aim of this study was to explore the subjective experiences of physical activity for individuals with cystic fibrosis. The health-care team, at an Adult Cystic Fibrosis Unit in the United Kingdom, recruited 12 participants to take part. Interview data were analysed using interpretative phenomenological analysis. A central theme of ‘self-monitoring’ emerged from the accounts and was embe...
Source: Journal of Health Psychology - January 10, 2016 Category: Psychiatry & Psychology Authors: Street, R., Mercer, J., Mills-Bennett, R., OLeary, C., Thirlaway, K. Tags: Articles Source Type: research

Start, stop, and continue: Preliminary insight into the appeal of self-injury e-communities
Nonsuicidal self-injury e-communication has gained heightened empirical and public interest. This is the first study to examine possible motives for nonsuicidal self-injury e-communication. A total of 68 nonsuicidal self-injury e-community members responded to open-ended questions concerning reasons for starting, temporarily stopping, and continuing nonsuicidal self-injury e-communication. Results from a thematic analysis indicated that being motivated to obtain support, get nonsuicidal self-injury help, help others, and better understand nonsuicidal self-injury represented motives for starting nonsuicidal self-injury e-co...
Source: Journal of Health Psychology - January 10, 2016 Category: Psychiatry & Psychology Authors: Lewis, S. P., Michal, N. J. Tags: Articles Source Type: research

Attachment toward the informal caregiver and perception of the amount of support received after elective surgery
This study investigated the relationship between attachment representations and help received from informal caregivers after elective surgery. In total, 98 respondents reported on their attachment toward their informal caregiver before surgery and on the amount of help they received from the caregiver after surgery. We found that anxious attachment was negatively related to all types of support except for ensuring and explaining medical care, whereas avoidant attachment was negatively related to emotional types of support. This study extends previous findings by demonstrating the influence of attachment representations on ...
Source: Journal of Health Psychology - January 10, 2016 Category: Psychiatry & Psychology Authors: Gur-Yaish, N., Zisberg, A., Levin, C. Tags: Articles Source Type: research

A daily diary assessment of female weight stigmatization
Research focused on assessing weight stigmatization has typically been conducted using cross-sectional, retrospective designs. Such designs may impair the scientific understanding of this stigma by limiting participants’ recall of frequencies and/or details about stigmatizing events. To address this, 50 overweight/obese women were recruited from public weight forums to complete week-long daily diaries. A total of 1077 weight-stigmatizing events were reported on the Stigmatizing Situations Inventory. Hierarchical linear modeling was used to investigate potential relationships between participant-level factors and repo...
Source: Journal of Health Psychology - January 10, 2016 Category: Psychiatry & Psychology Authors: Seacat, J. D., Dougal, S. C., Roy, D. Tags: Articles Source Type: research

The management of food cravings and thirst in hemodialysis patients: A qualitative study
This study set out to explore the experience of food cravings and thirst, and their management strategies in patients on hemodialysis. Semi-structured interviews with N = 32 hemodialysis patients were analyzed thematically. Findings indicated that food cravings and thirst were common in everyday life of patients and resulted in different emotional responses. A combination of cognitive and behavioral strategies was employed, including avoidance, controlled consumption, and substitution. Self-monitoring and compensatory strategies were also used to prevent or compensate for lapses. These findings lay the groundwork for futur...
Source: Journal of Health Psychology - January 10, 2016 Category: Psychiatry & Psychology Authors: Yu, J., Ng, H. J., Nandakumar, M., Griva, K. Tags: Articles Source Type: research