"The show must go on" : lesões em bailarinos : impacto psicológico e contributo da psicologia para a reabilitação

Tese de mestrado, Psicologia (Psicologia Clínica e da Saúde - Núcleo de Psicoterapia Cognitivo-Comportamental e Integrativa), Universidade de Lisboa, Faculdade de Psicologia e de Ciências da Educação, 2008O presente trabalho consiste na elaboração de um corpo de conhecimento actualizado sobre a experiência psicológica de lesão músculo-esquelética em bailarinos profissionais, que se pretende útil para a planificação de um programa de intervenção psicológica na reabilitação. Expõem-se diferentes modelos teóricos de resposta psicológica pós-lesão e abordam-se os aspectos psicológicos na interface com o plano físico. Discutem-se potenciais especificidades do contexto da dança face ao desportivo. Constata-se que as intervenções comportamentais e cognitivas são as que melhor têm comprovado ser úteis na reabilitação de atletas lesionados, embora sejam insuficientes os dados que suportam tais êxitos no contexto da dança. Desenha-se um projecto de investigação que visa a recolha de dados específicos a esta população que permitam alicerçar uso de intervenções psicológicas para a optimização dos processos de reabilitação pós-lesão em bailarinos lesionados. Com base no exposto, planifica-se ainda um programa de intervenção psicológica cuja finalidade é promover a recuperação psicológica de bailarinos profissionais em situação de lesão musculo-esquelética e contribuir para a reabilitação física. A terminar reflecte-se sobre o conjunto do trabalho elaborado.The aim of the present dissertation is building an updated body of knowledge on professional dancer's psychological experience of physical injury, which can be useful to design rehabilitation psychological intervention programmes. Several theoretical models of psychological post-injury response and the interface to physical domain are explored. Potential differences between dance and sport context are discussed. It is argued that behavioural and cognitive interventions are the most effective and useful for the rehabilitation of injured athletes, but that is still to be agreed upon dance context because a lack of research data. A research project is designed targeting the gathering of eventual specific data on dancer's injury experience to support the use of psychological interventions to optimize post-injury rehabilitation processes. A psychological intervention program is developed relying on bibliographical revision. Its purpose is to promote psychological recovery from injury in professional dancers and also to assist a more effective physical rehabilitation. To conclude, the dissertation is discussed and steps forward are recommended

A systematic literature review Health behavior, health promotion and society

Frasquilho D. receives a grant from the Portuguese Foundation for Science and Technology (FCT), reference SFRH/BD/80846/2011. This paper was also supported by the ECOP project "Support for creating excellent research teams and intersectoral mobility at Palacky University in Olomouc" ( reg. no. CZ.1.07/2.3.00/30.0004), and by the Czech Ministry of Education, Youth and Sport under contract no. LG 14043 and LG 14042. The authors wish to thank Dr. Sharon Leahy from the University of St. Andrews who assisted in the proof-reading of the manuscript.Background: Countries in recession experience high unemployment rates and a decline in living conditions, which, it has been suggested, negatively influences their populations' health. The present review examines the recent evidence of the possible association between economic recessions and mental health outcomes. Methods: Literature review of records identified through Medline, PsycINFO, SciELO, and EBSCO Host. Only original research papers, published between 2004 and 2014, peer-reviewed, non-qualitative research, and reporting on associations between economic factors and proxies of mental health were considered. Results: One-hundred-one papers met the inclusion criteria. The evidence was consistent that economic recessions and mediators such as unemployment, income decline, and unmanageable debts are significantly associated with poor mental wellbeing, increased rates of common mental disorders, substance-related disorders, and suicidal behaviours. Conclusion: On the basis of a thorough analysis of the selected investigations, we conclude that periods of economic recession are possibly associated with a higher prevalence of mental health problems, including common mental disorders, substance disorders, and ultimately suicidal behaviour. Most of the research is based on cross-sectional studies, which seriously limits causality inferences. Conclusions are summarised, taking into account international policy recommendations concerning the cost-effective measures that can possibly reduce the occurrence of negative mental health outcomes in populations during periods of economic recession.publishersversionpublishe