A qualitative exploration of Gestalt therapy and systemic pedagogy paediatric primary healthcare consultations in Agramunt (Spain).

Teresa Pujol Puyané, Laura Medina-Perucha, Tomàs López-Jiménez, Anna Berenguera
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Abstract

Introduction: Gestalt therapy (GT) and systemic pedagogy (SP) are useful tools to approach emotional difficulties and mental health problems among children and adolescents. The main objective of this study was to explore the perceptions on GT and SP techniques in paediatric mental health-related consultations in a primary healthcare (PHC) centre in Catalonia in 2018-2019, among families, healthcare, and education professionals.

Methods: Qualitative study, combining semi-structured interviews with families (N = 42) and professionals (N = 15), conducted after a series paediatric PHC consultations including GT and SP techniques. Interviews lasted between 15 and 90 min and were conducted at the PHC centre where GT/SP consultations took place, and at professionals' workplaces. Socio-demographics, reasons for consultation, and quantitative ratings on the perceived effectiveness of GT/SP consultations were also collected to combine these data with the qualitative interviews. Qualitative data were analyzed descriptively using thematic analysis. Quantitative data were analyzed by calculating frequencies (percentages) for categorical variables, and means, medians, and ranges for continuous variables.

Results: Narratives from families and healthcare professionals indicate that GT/SP consultations might have been effective in improving children and adolescents' symptomatology and emotional health. Improved well-being within the family context was another main finding, based on families' perceptions and experiences. Besides, GT/SP were considered acceptable for approaching emotional and mental health in PHC services, although barriers for implementation were identified.

Conclusions: This study presents data on the potential usefulness of GT/SP to design and implement services that promote emotional and mental health among children and adolescents in PHC. Also, for the development of health policies and future research in this area.

在阿格拉蒙特(西班牙)对格式塔疗法和系统教育学儿科初级保健咨询进行定性探索。
导言:格式塔疗法(GT)和系统教学法(SP)是解决儿童和青少年情绪困难和心理健康问题的有用工具。本研究的主要目的是探讨 2018-2019 年加泰罗尼亚地区一家初级医疗保健(PHC)中心的家庭、医疗保健和教育专业人员在儿科心理健康相关咨询中对格式塔疗法和系统教学法的看法:定性研究,结合对家庭(42 人)和专业人员(15 人)的半结构式访谈,在一系列包括 GT 和 SP 技术在内的儿科 PHC 咨询后进行。访谈持续 15 至 90 分钟,在进行 GT/SP 咨询的初级保健中心和专业人员的工作场所进行。此外,还收集了社会人口统计数据、咨询原因以及对 GT/SP 咨询效果的量化评分,以便将这些数据与定性访谈结合起来。采用主题分析法对定性数据进行描述性分析。定量数据的分析方法是计算分类变量的频率(百分比)和连续变量的平均值、中位数和范围:来自家庭和医疗保健专业人员的叙述表明,GT/SP咨询可能有效地改善了儿童和青少年的症状和情绪健康。另一个主要发现是,根据家庭的看法和经验,家庭环境中的幸福感得到了改善。此外,尽管发现了实施过程中存在的障碍,但人们认为在初级保健服务中,GT/SP 可用于处理情绪和心理健康问题:本研究提供了有关 GT/SP 的潜在有用性的数据,以设计和实施在初级保健服务中促进儿童和青少年情绪与心理健康的服务。结论:本研究提供的数据表明,GT/SP 对设计和实施促进儿童和青少年在初级保健中的情绪和心理健康的服务具有潜在的实用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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