Psychological Complaints at Psychological Emergency Service Associated with Referral to Extended Screening in a Psychology School Clinic
Source: By:Caíque Rossi Baldassarini, Naiara Alves Pereira, Larissa Nicolau Pitta, Marcelo Monteiro de Souza, Caroline de Oliveira Zago Rosa, Fernanda Pessolo Rocha
DOI: https://doi.org/10.30564/jpr.v4i1.4212
Abstract:The Psychological Emergency Service (PES) at psychology school clinics is an unscheduled and free psychological service to meet urgent demands. From this service, some patients whose complaints require more time for clinical work are referred to the Extended Screening (ES), a modality composed of six extra appointments. This study aims to analyze the sociodemographic profile of patients seen on PES in a Brazilian Psychology School Clinic, and to identify the demands that motivated referral to the ES, for better qualification of the care offered. This is a descriptive analysis research, carried out based on data from the medical records of 46 patients who went through the PES and were referred to the ES at the institution, between the years 2019 and 2021. Sociodemographic data were collected and, from the session reports, a content analysis of the thematic analysis modality was performed to identify the complaints. The participants’ age ranged from 18 to 65 years, with a mean of 32.28 years (sd = 10.95). There was a predominance of female participants (71.74%), that completed High School (39.14%) and had an income from one to two Brazilian minimum wages (32.61%). The most frequent complaints were depressive symptoms (56.52%) and difficulties in interpersonal relationships (32.61%). The results obtained, besides allowing the survey of the social and demographic profile of the clientele of the PES at the Psychology School Clinic, and demonstrating its social relevance by providing free psychological care, also show to be of great importance for the definition of more accurate criteria for referral to the ES of patients seen on PES.
References:[1]Sei, M.B., Colavin, J.R.P., 2016. Desistência e abandono da psicoterapia em um serviço-escola de Psicologia. Rev bras psicoter. 18(2), 37-49. [2]Ortolan, M.L.M., Sei, M.B., 2019. Avaliação do plantão psicológico de um serviço-escola de psicologia. Interação em Psicologia [Internet]. [cited 2022 Jan 02]; 23(2), 104-113. Available from: https://revistas.ufpr.br/psicologia/article/view/56248. DOI: http://dx.doi.org/10.5380/psi.v23i02.56248 [3]Tassinari, M., Durange, W., 2019. Plantão e a clínica da urgência psicológica. 1st ed. Curitiba: CRV. pp. 179. [4]Mahfoud, M., 2012. Plantão Psicológico: novos horizontes. 2E ed. São Paulo: Companhia Ilimitada. pp. 155. [5]Souza, S., Silva Filho, F.B., Montenegro, L.A.A., 2015. Plantão psicológico: ressignificando o humano na experiência da escuta e acolhimento. 1st ed. Curitiba: CRV. pp. 262. [6]Bean, M.K., Adams, E.L., Buscemi, J., Ford, S., Wischenka, D., Behrman, P., et al., 2021. Increase Access to Mental Health Services due to COVID-19-Related Parent and Family Stress. Society of Behavioral Medicine [Internet]. [cited 2021 Dec 29];1(1). Available from: https://www.sbm.org/UserFiles/image/covidFamilyMentalHlth-brief21_FINAL.pdf [7]Schmidt, B., Crepaldi, M.A., Bolze, S.D.A., Neiva-Silva, L., Demench, L.M., 2020. Saúde mental e intervenções psicológicas diante da pandemia do novo coronavírus (COVID-19). Estudos de Psicologia [Internet]. [cited 2021 Dec 29];37. Available from: https://www.scielo.br/j/estpsi/a/L6j64vKkynZH9Gc4PtNWQng/?lang=pt DOI: https://doi.org/10.1590/1982-0275202037e200063 [8]Riedel-Heller, S., Richter, D., 2020. COVID-19 Pandemic and Mental Health of the General Public: Is there a Tsunami of Mental Disorders?. Psychiatr Prax [Internet]. Nov [cited 2022 Jan 02]; 47(8), 452- 456. Available from: https://www.thieme-connect.de/ products/ejournals/abstract/10.1055/a-1290-3469. DOI: https://doi.org/10.1055/a-1290-3469 [9]Sani, G., Janiri, D., Di Nicola, M., Janiri, L., Ferretti, S., Chieffo, D., 2020 Mental health during and after the COVID-19 emergency in Italy. Psychiatry Clin Neurosci [Internet]. Jun [cited 2022 jan 02]; 74(6), 372. Avaiblable from: https://onlinelibrary.wiley. com/doi/10.1111/pcn.13004 DOI: https://doi.org/10.1111/pcn.13004 [10]Vindegaard, N., Benros, M.E., 2020. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain, Behavior, and Immunity [Internet]. [cited 2021 Dec 30]; 89, 531- 542. Available from: https://www.sciencedirect.com/science/article/pii/S0889159120309545 DOI: https://doi.org/10.1016/j.bbi.2020.05.048 [11]Shah, K., Bedi, S., Onyeaka, H., Singh, R., Chaudhari, G., 25 June 2020. The Role of Psychological First Aid to Support Public Mental Health in the COVID-19 Pandemic. Cureus [Internet]. [cited 2021 Dec 30]; 12. Available from: https://www.ncbi.nlm. nih.gov/pmc/articles/PMC7384717/ DOI: https://doi.org/10.7759/cureus.8821 [12]Prefeitura Municipal de Ribeirão Preto. Novo Centro de Saúde Mental vai suprir demanda antiga da cidade [Internet]. Ribeirão Preto: g1; c2021 [cited 2021 Nov 16]. Available from: https://g1.globo.com/sp/ribeirao-preto-franca/especial-publicitario/prefeitura-municipal-de-ribeirao-preto/noticia/2021/08/23/novo-centro-de-saude-mental-vai-suprir-demandaantiga-da-cidade.ghtml [13]Instituto Brasileiro de Geografia e Estatística. Cidades e Estados: Ribeirão Preto [Internet]. Brasília: IBGE, c2021 [cited 2021 Nov 16]. Available from: https://www.ibge.gov.br/cidades-e-estados/sp/ribeirao-preto.html [14]Lima, F.L.A., Carvalho, A.R.R.F., Pires, G.M., 2020. Plantão psicológico como estratégia de clínica ampliada: uma revisão integrativa. Revista Saúde & Ciência Online [Internet]. [cited 2022 Jan 03]; 9(1), 152- 169. Available from: https://rsc.revistas.ufcg.edu.br/index.php/rsc/article/view/386/380 DOI: https://doi.org/10.35572/rsc.v9i1.386 [15]Scorsolini-Comin, F., 2015. Plantão psicológico e o cuidado na urgência: panorama de pesquisas eintervenções. Psico-USF [Internet]. [cited 2022 Jan 01]; 20(1), 163-173. Available from: https://www.scielo.br/j/pusf/a/G7sNXfF8hfZfJFSxZTZHCnR/?lang=pt&format=html DOI: https://doi.org/10.1590/1413-82712015200115 [16]Maciel, B.H., Souza, V.F., Rocha, F.P., Rosa, C.O.Z., 2021. Survey on the Evasion Factors of a Psychology School Clinic. Journal of Psychological Research [Internet]. [cited 2021 Nov 15]; 3(4). Available from: https://ojs.bilpublishing.com/index.php/jpr/article/view/3695 DOI: https://doi.org/10.30564/jpr.v3i4.3695 [17]Minayo, M.C.S., 2014. O desafio do conhecimento: Pesquisa Qualitativa em Saúde. 14th ed. São Paulo: Hucitec. pp. 416. [18]Ministério da Saúde. Conselho Nacional de Saúde (Brasil). Resolução n. 466, de 12 de dezembro de 2012. Dispõe sobre diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União 13 jun 2013. Seção 1. [19]Motta, C.C.C., Moré, C.L.O.O., Nunes, C.H.S.S., 2017. O atendimento psicológico ao paciente com diagnóstico de depressão na Atenção Básica. Ciência & Saúde Coletiva [Internet]. [cited 2021 Nov 24]; 3(22), 911-920. Available from: https://www.scielo.br/j/csc/a/jNY3hpQHjXWCWV3Y8Hg4Vpq/?lang=pt DOI: https://doi.org/10.1590/1413-81232017223. 27982015 [20]Silva, M.N., Vieira, E.D., 2020. Um estudo sobre exclusão social e depressão a partir do plantão psicológico. Rev. UFG [Internet]. [cited 2022 Jan 02]; 20(26). Available from: https://www.revistas.ufg.br/revistaufg/article/view/66615 DOI: https://doi.org/10.5216/revufg.v20.66615 [21]Bordignon, C., Bonamigo, I.S., 2017. Os jovens e as redes sociais virtuais: Pesquisas práticas psicossociais. Pesqui. prát. Psicossociais [Internet]. [cited 2021 Nov 29];12(2), 310-326. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1809-89082017000200006 [22]Grochka, B.N., 2021. Relações na Pós Modernidade –a ausência de autoconhecimento e a dificuldade de solucionar conflitos. Psicologia Argumento [Internet]. [cited 2022 Jan 02]; 39(106), 985-1004. Available from: https://periodicos.pucpr.br/psicologiaargumento/article/view/28644/pdf DOI: https://doi.org/10.7213/psicolargum39.106.AO10 [23]Silva, F.R.C., Vitoriano, F.S., Neto, G.P.S., Bezerra, M.H.O., 2020. Os efeitos da pandemia nos transtornos de ansiedade. Encontro de Extensão, Docência e Iniciação Científica (EEDIC) [Internet]. [cited 2021 Nov 29]; 7. Available from: http://publicacoesacademicas.unicatolicaquixada.edu.br/index.php/eedic/article/view/4274 [24]Pimentel de-Medeiros, A.G.A., Vieira, O.A.G., Beraldo, E.M.M., dos-Santos, F.F.C., Silveira, E.G., de-Lima-Filho, L.E., Santana, S.M., 2021. Plantão psicológico cognitivo-comportamental na pandemia da Covid-19. Revista Brasileira de Terapias Cognitivas [Internet]. [cited 2021 Nov 24]; 17(1), 58-65. Available from: http://www.rbtc.org.br/detalhe_artigo.asp?id=329 DOI: https://doi.org/10.5935/1808-5687.20210008. [25]Torales, J., O‘Higgins, M., Castaldelli-Maia, J.M., Ventriglio, A., 2020. The outbreak of COVID-19 coronavirus and its impact on global mental health. International Journal of Social Psychiatry [Internet]. [cited 2021 Nov 24]; 66(4), 317- 320. Available from: https://journals.sagepub.com/doi/10.1177/0020764020915212 DOI: https://doi.org/10.1177%2F0020764020915212 [26]Usher, K., Bhullar, N., Durkin, J., Gyamfi, N., Jackson, D., 2020. Family violence and COVID-19: Increased vulnerability and reduced options for support. International Journal of Mental Health Nursing [Internet]. [cited 2021 Nov 24]; 29(4), 549- 552. Available from: https://onlinelibrary.wiley.com/doi/10.1111/inm.12735 DOI: https://doi.org/10.1111/inm.12735 [27]Prime, H., Wade, M., Browne, D., 2020. Risk and resilience in family well-being during the COVID-19 pandemic. Am Psychol. [Internet]. [cited 2022 Jan 04]; 75(5), 631-643. Available from: https://doi.apa.org/fulltext/2020-34995-001.html DOI: http://dx.doi.org/10.1037/amp0000660 [28]Pieh, C., Rourke, T.O., Budimir, S., Probst, T., 2020. Relationship quality and mental health during COVID-19 lockdown. PLos One [Internet]. [cited 2022 Jan 04]; 15(9). Available from: https://journals.plos.org/plosone/article?id=10.1371/journal. pone.0238906 DOI: https://doi.org/10.1371/journal.pone.0257118 [29]Assis, F.B., Martinhago, F., Queiroz, L.A., 2016. Atenção à saúde mental do homem. 1st ed. Florianópolis: Universidade Federal de Santa Catarina. pp. 86. [30]Liddon, L., Kingerlee, R., Barry, J.A., 2017. Gender differences in preferences for psychological treatment, coping strategies, and triggers to help-seeking. British Journal of Clinical Psychology [Internet]. [cited 2021 Nov 29]; 57(1), 42-58. Available from: https://bpspsychub.onlinelibrary.wiley.com/doi/abs/10.1111/bjc.12147DOI: https://doi.org/10.1111/bjc.12147 [31]Souza, A.C., Bartilotti, C.B., 2018. Perfil das pessoas inscritas e atendidas no serviço de Psicologia da UNISUL. Anima Educação [Internet]. [cited 2022 Jan 02]; 1(1), 1-25. Available from: https://repositorio.animaeducacao.com.br/bitstream/ANIMA/10357/1/Perfil%20das%20pessoas%20inscritas%0e%20 atendidas%20no%20Servi%c3%a7o%20de%20Psicologia%20da%20UNISUL.pdf [32]Costa, C.S.B., Fernandes, V.H.Z., Vital, P.S.A., Barbosa, L.M.M., Nascimento, M.L.D., Cardoso, A.P.F., 2020. Plantão de escuta psicológica: da implantação à expansão para promoção de saúde. Revista Saúde & Ciência Online [Internet]. [cited 2022 Jan 02]; 9(1), 130-151. Available from: hhttps://rsc.revistas.ufcg.edu.br/index.php/rsc/article/view/385 DOI: https://doi.org/10.35572/rsc.v9i1.385 [33]Kneavel, M., 2021. Relationship Between Gender, Stress, and Quality of Social Support. Psychological Reports [Internet]. [cited 2021 Nov 29]; 124(4), 1481-1501. Available from: https://journals.sagepub.com/doi/10.1177/0033294120939844 DOI: https://doi.org/10.1177/0033294120939844 [34] Macedo, J.P., Dimenstein, M., Sousa, H.R., Costa, A.P.A., Silva, B.I.B.M., 2018. A produção científica brasileira sobre apoio social: tendências e invisibilidades. Gerais, Rev. Interinst. Psicol. [Internet] [cited 2021 Nov 29]; 11(2), 258-278. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-82202018000200006&lng=pt&nrm=iso DOI: http://dx.doi.org/10.36298/gerais2019110206