Silva, Joana Ribeiro da
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Silva
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Joana Ribeiro da
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Joana Ribeiro da Silva
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Concluiu o(a) Doutoramento em Doutoramento em Psicologia Clínica em 2011 pelo(a) Universidade do Minho e Licenciatura em Psicologia, área de pré-especialização em Psicologia Clínica em 2005 pelo(a) Universidade do Minho. É Professora Auxiliar na Universidade Portucalense Infante Dom Henrique, Departamento de Psicologia e Educação.
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RISE-HEALTH@UPT
A RISE-Health tem seis linhas de investigação: Investigação Clínica e Translacional em Ciências Cardiovasculares; Investigação Clínica e Translacional em Oncologia; Investigação Clínica e Translacional em Doenças Inflamatórias e Degenerativas; Política de Saúde, Tecnologia e Transformação Digital; Saúde Comunitária e Desafios Societais.
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Publicação Acesso Aberto The meaning in loss protocol: A clinical trial of online grief therapy2024-06-28 - Batista, João; Alves, Daniela; Pires, Nuno; Silva, Joana Ribeiro da; Mendes, Inês; Magalhães, Carina; Rosa, Catarina; Oliveira, João Tiago; Gonçalves, Miguel M.; Neimeyer, Robert A.For a minority of the bereaved, the loss of a significant other can trigger an overwhelming emotional reaction and impaired functioning across life domains, known as prolonged grief disorder (PGD). Hence, ongoing efforts have been made to refine existing treatments to increase their efficacy and to accommodate the idiosyncrasies of grief reactions. This study presents the results of an open clinical trial of the feasibility and effectiveness of the Meaning in Loss (MIL) protocol in an online format. The brief intervention of 12 to 16 sessions combines constructivist and narrative strategies to explore and work through impediments to meaning reconstruction in loss. The sample included 25 participants diagnosed with PGD who were treated by six therapists. Baseline and post-therapy comparisons showed a significant improvement in all clinical measures (grief symptomatology, depression and general distress) and an increase of meaning making regarding the loss. Meaning making was found to be a prospective mediator of symptomatic improvement in grief across the course of therapy. These findings suggest the effectiveness of the MIL protocol in decreasing grief specific and associated symptomatology and argue for the relevance of further controlled evaluations of its efficacy. Moreover, results confirm previous findings that meaning making is a relevant factor in the evolution of grief reactions, including in the context of psychotherapy.Publicação Acesso Aberto Relational schemas as mediators of innovative moments in symptom improvement in major depression2017-08-05 - Batista, João; Freitas, Sara; Alves, Daniela; Machado, Anabela; Sousa, Inês; Fernández-Navarro, Pablo; Magalhães, Carina; Gonçalves, Miguel M.; Silva, Joana Ribeiro daObjectives: Innovative moments (IMs) are exceptions to the maladaptive framework of meaning that typically motivates clients to seek psychotherapy, and previous studies have shown that IMs are associated with psychotherapy outcomes. While IMs are exceptions that occur at the level of the therapeutic conversation, relational schemas are more stable patterns, and their increased flexibility may facilitate change during psychotherapy. With this in mind, we tested the hypothesis that IMs contribute to outcomes by improving the flexibility of relational schemas. Method: The Core Conflictual Relationship Theme (CCRT) was used to assess relational schemas. IMs were evaluated using the Innovative Moments Coding System. The sample included 22 clients diagnosed with major depressive disorder. The flexibility of the three components of the CCRT (Wishes, responses of the self (RS), and responses of others (RO)) were tested as mediators between IMs and outcomes. Results: The flexibility of the RS was a mediator between IMs and outcomes, but Wishes and RO were not. Conclusion: These findings align with previous research showing that RS is the component most open to change, whereas the other components seem less sensitive to change during brief therapy.