Author: João Luís Alves Apóstolo
Publisher: Coimbra University Press/Nursing School of Coimbra (ESEnfC)
Date: September 2010
Price: 14,84 €
Size: 200 mm x 245 mm
N.º Pages: 193
The main aim of this work is to analyse the effect of mental images upon the negative affective-emotional states and comfort of individuals hospitalized in psychiatric institutions. This approach is based on Kolcaba’s conceptual and operational model of comfort, but also considers the arguments for consistency between affect, emotion and cognition in depressive, anxiety and stress disorders.
The work describes studies concerning patients’ experiences of psychiatric internment, and the effect of guided imagery on individuals with depressive disorders, in which patients are shown how to do breathing and muscle exercises and generate positive mental images that offer security and freedom. It also reports the results of the process to build and validate instruments to assess depression, anxiety, stress and comfort. A tapescript for a Guided Imagery CD is also provided.
The results suggest that individuals in psychiatric institutions feel imprisoned by their disease, and that although hospitalization may be experienced as discomfort, it is nevertheless considered to offer the possibility of release. It also indicates that positive thinking may be effective in reducing levels of anxiety, depression and stress and increasing the comfort of these individual, and that the instruments constructed and validated are of suitable quality to be used to diagnose and assess the results of intervention in individuals with affective-emotional disturbances.