Os efeitos da terapia de aceitação e compromisso sobre respostas presentes nos quadros de pânico e agorafobia

• Autor(a) principal: LIMA , Valentina Ferreira Santos de Almada
• Data de Publicação: 2019
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFMA
• Texto Completo: https://tedebc.ufma.br/jspui/handle/tede/tede/2880
• topic: Terapia de aceitação e compromisso; Transtorno do pânico; Agorafobia; Evidências; Acceptance and commitment therapy; Panic disorder; Agoraphobia; Evidences; Tratamento e Prevenção Psicológica

Approximately 35% of the world‟s population has some anxiety disorder and the most common is Panic Disorder with or without Agoraphobia. Moreover, approximately 20% of patients undergoing effective interventions for anxiety do not respond to conventional interventions. One of the types of intervention that emerges as an alternative to this growing demand is the Acceptance and Commitment Therapy (ACT), which presents a different psychotherapeutic proposal from the conventional models. Considering ACT‟s proposal and the incorporation of the Evidence-Based Practice in Psychology, it is important to invest in research that investigates the effectiveness of this intervention. In this way, this research proposed to verify the effects of ACT on Panic Disorder responses in individuals who did not respond satisfactorily to previous interventions; and, specifically, to verify the effects of ACT on: 1) the level of psychological flexibility; 2) the level of mindfulness; 3) the frequency, intensity and duration of Panic episodes and 4) the avoidance responses of situations associated to Panic episodes. The method adopted was the single case experimental design with multiple baselines. Participated in the research three individuals diagnosed with Panic Disorder with or without Agoraphobia, which already had undergone previous interventions and undergone the following experimental conditions: baseline, eight ACT‟s intervention sessions and one follow-up session after on month of the end of the intervention, differing between them the moment the ACT was introduced. The instruments used were: Acceptance and Action Questionnaire – II, Freiburg Mindfulness Inventory and Panic and Agoraphobia Scale. The instruments were applied at the baseline, at the fourth intervention session, at the last intervention session and at the follow-up. For data analysis, the scores obtained in the instruments of each participant in the experimental conditions of baseline, half of the intervention, end of intervention and follow-up were compared. The results demonstrate that ACT produced as effects on the three participants: increased level of psychological flexibility; increased mindfulness; reduction in the frequency, intensity and duration of Panic episodes; decrease in the avoidance of Panic-related situations and decrease in Panic Disorder severity. Concludes that ACT was beyond the expected objective, because in addition to developing skills it proposes, such as psychological flexibility and mindfulness, contributed to reduce the severity of some symptoms. The data found in addition to the others presents in the literature contribute to the search for empirical evidence on the efficacy of psychotherapies and an important health issue, since the ACT protocol proved to be an alternative for Panic individuals who did not benefit from previous interventions.