Letícia Rosito Pinto Kruel

Fatores associados a abandono precoce do tratamento em psicoterapia de orientação analítica

Abstract Introduction: The efficacy of psychoanalytic psychotherapy is well established in controlled clinical trials; however, someindividual characteristics that predict better outcomes are yet poorly studied. This study aimed at evaluating the association ofdemographics data, psychiatric diagnosis, clinical impairment, quality of life, aspects of psychotherapy suitability, defensivestyle and dropout before 3 months. Method: A consecutive sample of 56 subjects was evaluated after psychotherapy indication through a standardized protocol,World Health Organization Quality of Life Bref (WHOQOL-Bref), Self Report Questionnaire, Defensive Style Questionnaire,Scale of Defensive Functioning of Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV-TR) andGlobal Assessment of Functioning, and followed for 3 months. Results: Dropout rate was 12.5%. There was no difference between groups in respect to Global Assessment of Functioning, SelfReport Questionnaire and Defensive Style Questionnaire scores. Dropout patients reported to be satisfied with their health,despite psychopathological severity, even when other variables were controlled (p < 0.0001). The group that remained inpsychotherapy was better adjusted before treatment and had average or superior estimated intelligence (p < 0.05). More dropoutpatients presented lower levels of defensive style, by means of the Scale of Defensive Functioning of DSM-IV-TR.

Parental bonding and emotional response to trauma: A study of rape victims

Abstract The aim of this study was to examine the impact of parental bonding as a resilience or a risk factor for psychopathology after rape. Women rape victims were assessed regarding the perception of parental bonding in childhood, acute posttraumatic stress disorder symptoms, acute stress disorder (ASD), and clinical severity. The perception of having less affective parents was correlated with severity, and ASD was more frequent in participants with less affectionate and more controlling fathers. Perceived support was associated with clinical impairment. These findings could help in identifying those who need early interventions and highlight the importance of social and emotional support in facing traumatic situations, reinforcing aspects of the parent–child relationship that generate adults more apt to face adverse situations.