BALINT GROUPS USING THE “<i>COLETIVOS EM SAÚDE MENTAL</i>” <i>M-HEALTH</i> APP DURING COVID-19

Secchi, Álisson; Scortegagna, Silvana Alba; Kantorski, Luciane Prado

doi:10.1590/1980-265X-TCE-2022-0262en

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Original Article • Texto contexto - enferm. 32 • 2023 • https://doi.org/10.1590/1980-265X-TCE-2022-0262en copy

BALINT GROUPS USING THE “COLETIVOS EM SAÚDE MENTAL” M-HEALTH APP DURING COVID-19

GRUPOS BALINT UTILIZANDO LA APLICACIÓN DE M-HEALTH LLAMADA “COLETIVOS EM SAÚDE MENTAL” DURANTE COVID-19

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to evaluate the potential effectiveness of Balint groups with health professionals using an m-Health device called “Coletivos em Saúde Mental”, during the SARS-COV-2.

Method:

a quasi-experimental pilot study, developed in three phases: initial assessment; longitudinal monitoring and reassessment. Eight health professionals participated in the study, mean age of 35.5 years old, of different genders and with various schooling levels. The instruments used were the following: Demographic questionnaire; Mental health; Depression, Anxiety and Stress Scale; COVID-19 Fear Scale; Post-Traumatic Stress Disorder. The Balint interventions totaled 24 sessions using an m-Health device between December 2021 to February 2022.

Results:

the health assessment indicated mental distress: before, 75%; after, 50% (mean, 1.70±0.05 vs 1.54±0.05; SD=0.378; 0.377; p=0.387); depression: before, 62.5%; after, 12.5% (mean, 1.91±0.05 vs 1.50±0.05; SD=0.688; 0.497; p=0.242); anxiety: before, 50%; after, 37.5% (mean, 1.71±0.05 vs 1.98±0.05; SD=0.703; 0.624; p=0.208); stress: before, 75%; after, 37.5% (mean, 2.36±0.05 vs 1.98±0.05; SD=0.697; 0.547; p=0.260); COVID-19 fear: before, from 14 to 31; after, from 10 to 26 (mean, 3.57±0.05 vs 2.82±0.05; SD=1.043; 1.038; p=0.005), with a 100% reduction; post-traumatic stress disorder, re-experiencing the trauma: before, 37.5%; after, 12.5%; avoidance: before, 25%; after, 25%; hyperstimulation: before, 25%; after, 12.5% (mean, 2.11±0.05 vs 1.66±0.05; SD=0.734; 0.615; p=0.133).

Conclusion:

the findings of this study show the potential of Balint groups to promote health professionals' mental health. These results cannot be generalized and further research is required to evaluate the effectiveness of Balint groups.

DESCRIPTORS:
Digital health; Mental Health; Crisis intervention; Innovation; Public health

Variable		n (%)
Gender	Female	7 (87.5)
Gender	Male	1 (12.5)
Age group	25-30 years old	1 (12.5)
	31-35 years old	3 (37.5)
	36-40 years old	3 (37.5)
	51.55 years old	1 (12.5)
Mean	35.5 years old
Standard deviation	1.48
Marital status	Single	4 (50)
Marital status	Married	4 (50)
Schooling	Technical level	2 (25)
Schooling	Graduate studies	6 (75)
Profession	Pharmacist	1 (12.5)
	Nutritionist	1 (12.5)
	Nurse	1 (12.5)
	Physician	1 (12.5)
	Physiotherapist	1 (12.5)
	Nursing technician	1 (12.5)
	Social worker	2 (25)
Workplace	Primary Care	3 (37.5)
	Hospital	4 (50)
	Private clinic	1 (12.5)
Working time	1-5 years	2 (25)
	6-10 years	1 (12.5)
	11-15 years	1 (12.5)
	16-20 years	3 (37.5)
	21-25 years	1 (12.5)
Do you have a diagnosis?	Depression	1 (12.5)
	Anxiety	2 (25)
	None	5 (62.5)
Have you already undergone psychiatric treatment?	Yes %	No %
Have you already undergone psychiatric treatment?	4 (50)	4 (50)
Have you already undergone psychological treatment?	5 (62.5)	3 (37.5)
Have you already thought about suicide?	3 (37.5)	5 (62.5)
Did you have COVID?	4 (50)	4 (50)
Have you felt lonely?	7 (87.5)	1 (12.5)
Medication use	2 (25)	6 (75)
Suicide attempt?	2 (25)	6 (75)
Heave you felt fear of virus contagion?	7 (87.5)	1 (12.5)

Variable	Before Yes n	%	Before No n	%	After Yes n	%	After No n	%
1- Do you have frequent headaches?	6	(75)	2	(25)	4	(50)	4	(50)
2- Do you have lack of appetite?	1	(12.5)	7	(87.5)	1	(12.5)	7	(87.5)
3- Do you sleep poorly?	6	(75)	2	(25)	4	(50)	4	(50)
4- Are you easily scared?	1	(12.5)	7	(87.5)	1	(12.5)	7	(87.5)
5- Do you have tremors in your hands?	0	(0)	8	(100)	-	-	8	(100)
6- Do you feel nervous, tense or worried?	8	(100)	-	-	4	(50)	4	(50)
7- Do you have poor digestion?	4	(50)	4	(50)	2	(25)	6	(75)
8- Do you have difficulty thinking clearly?	3	(37.5)	5	(62.5)	2	(25)	6	(75)
9- Have you felt sad lately?	5	(62.5)	3	(37.5)	2	(25)	6	(75)
10-Have you been crying more than usual?	3	(37.5)	5	(62.5)	2	(25)	6	(75)
11-Do you find it difficult to carry out your daily activities satisfactorily?	6	(75)	2	(25)	4	(50)	4	(50)
12-Do you have difficulty making decisions?	3	(37.5)	5	(62.5)	2	(25)	6	(75)
13-Do you have difficulties at work (is your work painful, does it cause you suffering?)	6	(75)	2	(25)	4	(50)	4	(50)
14-Are you unable to play a useful role in your life?	-	-	-	-	-	-	-	-
15-Have you lost interest in things?	2	(25)	6	(75)	-	-	8	(100)
16-Do you feel like a useless, worthless person?	2	(25)	6	(75)	-	-	-	-
17-Have you had the idea of ending your life?	-	-	-	-	-	-	-	-
18-Do you feel tired all the time?	6	(75)	2	(25)	3	(37.5)	5	(62.5)
19-Do you get tired easily?	6	(75)	2	(25)	4	(50)	4	(50)
20-Do you have unpleasant sensations in your stomach?	4	(50)	4	(50)	2	(25)	6	(75)

Symptoms	Score	Before	(%)	After	(%)
Symptoms	Score	n	(%)	n	(%)
Depression
Normal	0-9	3	(37.5)	7	(87.5)
Mild	10-13	2	(25)	0	(0)
Moderate	14-20	2	(25)	1	(12.5)
Severe	21-27	0	(0)	0	(0)
Extremely severe	>28	1	(12.5)	0	(0)
Anxiety
Normal	0-7	4	(50)	4	(50)
Mild	8-9	0	(0)	1	(12.5)
Moderate	10-14	3	(37.5)	2	(25)
Severe	15-19	0	(0)	0	(0)
Extremely severe	>20	1	(12.5)	1	(12.5)
Stress
Normal	0-14	2	(25)	5	(62.5)
Mild	15-18	2	(25)	2	(25)
Moderate	19-25	3	(37.5)	1	(12.5)
Severe	26-33	1	(12.5)	0	(0)
Extremely severe	>34	0	(0)	0	(0)

	Mean	Standard Deviation	p-value
SRQ-20			0.387
Before	1.70	0.378
After	1.54	0.377
DASS-21
Depression			0.242
Before	1.91	0.688
After	1.50	0.497
Anxiety			0.208
Before	1.71	0.703
After	1.52	0.624
Stress			0.260
Before	2.36	0.697
After	1.98	0.547
PCL-C			0.133
Before	2.11	0.734
After	1.66	0.615
EMC-19			0.005
Before	3.57	1.043
After	2.82	1.038

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Álisson Secchi alissonsecchi@gmail.com