Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes
Ano de defesa: | 2017 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Católica de Brasília
|
Programa de Pós-Graduação: |
Programa Stricto Sensu em Psicologia
|
Departamento: |
Escola de Saúde e Medicina
|
País: |
Brasil
|
Palavras-chave em Português: | |
Área do conhecimento CNPq: | |
Resumo em Inglês: | Childhood obesity has reached levels never seen in our history. The family environment is one of the factors that can contribute to the emergence and maintenance of obesity, on the other hand, the participation of families is also considered as fundamental in prevention and treatment. In the literature there is notably a shortage of studies that focus on this issue. The present research has as general objective to perform a psychosocial intervention with families of obese children and to investigate their experiences and perceptions about possible changes in family dynamics, eating habits and lifestyle. This is a qualitative research through action research from the perspective of the Systemic Approach to the Family. Three families with children diagnosed with obesity participated in this study, living in different administrative regions of the Federal District and having an average family income of two minimum wages. The instruments used for the collection were: family life cycle interview script, genogram, scripts for the Multifamily Group (MG), follow-up interview script, HAT-Helpful Aspects of Therapy and the CCI-Client Change Interview. After the signing of the Informed Consent Term, the families were interviewed separately and the genogram was built, with an average duration of two hours, at the UCB Applied Psychology Training Center (CEFPA). After a few weeks, in the same place, the families participated in the GM, which happened in five meetings, with biweekly intervals, each with an average duration of three hours. For these steps the researcher counted on scholarship students of Scientific Initiation of the course of Psychology. After two years, the families were interviewed by the researcher in their homes (follow-up) and each interview lasted an average of two hours. All stages of the research were recorded in audios, whose contents were later transcribed in full. The analysis of the information was made in the light of the Qualitative Epistemology in which the researcher realizes a constructive-interpretative production, and discussed based on the contribution of the systemic theory. The main aspects observed and discussed were organized in three stages: 1) the interview of the family life cycle: knowing the family and its history - the information collected showed the gestation of the babies without planning; Interaction pattern with conflicts, absence of parental authority and diffuse internal borders; Inadequate food pattern and difficulties in adhering to treatments. 2) The GM: interaction, learning and growth - transgenerational influences on the current food pattern and extensive family interferences; Difficulties in exercising the parental role and promoting adequate nutrition; Meanings of feeding and expression of intrafamilial affections; Attempts to make changes, and 3) the follow-up interview: revisiting families - jobs and activities remembered with ease; The changes made possible after the interventions; Current family dynamics with the presence of limits, authority and health care; Family contributions to the intervention model and expectations for the future. The present study, therefore, analyzed the families' experience in the psychosocial intervention, providing an in-depth and complex reading of the different factors related to childhood obesity and the family. This study can contribute to preventive actions and treatment of obesity, as well as help in the promotion of new research on the disease. |
Link de acesso: | https://bdtd.ucb.br:8443/jspui/handle/tede/2422 |
Resumo: | Childhood obesity has reached levels never seen in our history. The family environment is one of the factors that can contribute to the emergence and maintenance of obesity, on the other hand, the participation of families is also considered as fundamental in prevention and treatment. In the literature there is notably a shortage of studies that focus on this issue. The present research has as general objective to perform a psychosocial intervention with families of obese children and to investigate their experiences and perceptions about possible changes in family dynamics, eating habits and lifestyle. This is a qualitative research through action research from the perspective of the Systemic Approach to the Family. Three families with children diagnosed with obesity participated in this study, living in different administrative regions of the Federal District and having an average family income of two minimum wages. The instruments used for the collection were: family life cycle interview script, genogram, scripts for the Multifamily Group (MG), follow-up interview script, HAT-Helpful Aspects of Therapy and the CCI-Client Change Interview. After the signing of the Informed Consent Term, the families were interviewed separately and the genogram was built, with an average duration of two hours, at the UCB Applied Psychology Training Center (CEFPA). After a few weeks, in the same place, the families participated in the GM, which happened in five meetings, with biweekly intervals, each with an average duration of three hours. For these steps the researcher counted on scholarship students of Scientific Initiation of the course of Psychology. After two years, the families were interviewed by the researcher in their homes (follow-up) and each interview lasted an average of two hours. All stages of the research were recorded in audios, whose contents were later transcribed in full. The analysis of the information was made in the light of the Qualitative Epistemology in which the researcher realizes a constructive-interpretative production, and discussed based on the contribution of the systemic theory. The main aspects observed and discussed were organized in three stages: 1) the interview of the family life cycle: knowing the family and its history - the information collected showed the gestation of the babies without planning; Interaction pattern with conflicts, absence of parental authority and diffuse internal borders; Inadequate food pattern and difficulties in adhering to treatments. 2) The GM: interaction, learning and growth - transgenerational influences on the current food pattern and extensive family interferences; Difficulties in exercising the parental role and promoting adequate nutrition; Meanings of feeding and expression of intrafamilial affections; Attempts to make changes, and 3) the follow-up interview: revisiting families - jobs and activities remembered with ease; The changes made possible after the interventions; Current family dynamics with the presence of limits, authority and health care; Family contributions to the intervention model and expectations for the future. The present study, therefore, analyzed the families' experience in the psychosocial intervention, providing an in-depth and complex reading of the different factors related to childhood obesity and the family. This study can contribute to preventive actions and treatment of obesity, as well as help in the promotion of new research on the disease. |
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Ribeiro, Maria Alexinahttp://lattes.cnpq.br/0105178485100219http://lattes.cnpq.br/6160431300792648Nogueira, Heron Flores2018-06-20T14:42:15Z2017-07-26NOGUEIRA, Heron Flores. Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes. 2017. 211 f. Tese (Programa Stricto Sensu em Psicologia) - Universidade Católica de Brasília, Brasília, 2017.https://bdtd.ucb.br:8443/jspui/handle/tede/2422Childhood obesity has reached levels never seen in our history. The family environment is one of the factors that can contribute to the emergence and maintenance of obesity, on the other hand, the participation of families is also considered as fundamental in prevention and treatment. In the literature there is notably a shortage of studies that focus on this issue. The present research has as general objective to perform a psychosocial intervention with families of obese children and to investigate their experiences and perceptions about possible changes in family dynamics, eating habits and lifestyle. This is a qualitative research through action research from the perspective of the Systemic Approach to the Family. Three families with children diagnosed with obesity participated in this study, living in different administrative regions of the Federal District and having an average family income of two minimum wages. The instruments used for the collection were: family life cycle interview script, genogram, scripts for the Multifamily Group (MG), follow-up interview script, HAT-Helpful Aspects of Therapy and the CCI-Client Change Interview. After the signing of the Informed Consent Term, the families were interviewed separately and the genogram was built, with an average duration of two hours, at the UCB Applied Psychology Training Center (CEFPA). After a few weeks, in the same place, the families participated in the GM, which happened in five meetings, with biweekly intervals, each with an average duration of three hours. For these steps the researcher counted on scholarship students of Scientific Initiation of the course of Psychology. After two years, the families were interviewed by the researcher in their homes (follow-up) and each interview lasted an average of two hours. All stages of the research were recorded in audios, whose contents were later transcribed in full. The analysis of the information was made in the light of the Qualitative Epistemology in which the researcher realizes a constructive-interpretative production, and discussed based on the contribution of the systemic theory. The main aspects observed and discussed were organized in three stages: 1) the interview of the family life cycle: knowing the family and its history - the information collected showed the gestation of the babies without planning; Interaction pattern with conflicts, absence of parental authority and diffuse internal borders; Inadequate food pattern and difficulties in adhering to treatments. 2) The GM: interaction, learning and growth - transgenerational influences on the current food pattern and extensive family interferences; Difficulties in exercising the parental role and promoting adequate nutrition; Meanings of feeding and expression of intrafamilial affections; Attempts to make changes, and 3) the follow-up interview: revisiting families - jobs and activities remembered with ease; The changes made possible after the interventions; Current family dynamics with the presence of limits, authority and health care; Family contributions to the intervention model and expectations for the future. The present study, therefore, analyzed the families' experience in the psychosocial intervention, providing an in-depth and complex reading of the different factors related to childhood obesity and the family. This study can contribute to preventive actions and treatment of obesity, as well as help in the promotion of new research on the disease.A obesidade infantil atingiu índices nunca vistos na nossa história. O ambiente familiar é um dos fatores que podem contribuir para o surgimento e manutenção da obesidade, por outro lado, a participação das famílias é apontada também como fundamental na prevenção e no tratamento. Na literatura há notadamente uma escassez de estudos que enfoquem essa questão. A presente pesquisa tem como objetivo geral realizar uma intervenção psicossocial com famílias de crianças obesas e investigar suas vivências e percepções sobre possíveis mudanças na dinâmica familiar, nos hábitos alimentares e no estilo de vida. Trata-se de uma pesquisa qualitativa por meio de pesquisa-ação numa perspectiva da Abordagem Sistêmica da Família. Participaram deste estudo três famílias com crianças diagnosticadas com obesidade, moradoras de diferentes regiões administrativas do Distrito Federal e possuem renda familiar média de dois salários mínimos. Os instrumentos utilizados para a coleta foram: roteiro de entrevista do ciclo de vida familiar, genograma, roteiros para o Grupo Multifamiliar (GM), roteiro de entrevista de follow-up, HAT-Helpful Aspects of Therapy e o CCI-Client Change Interview. Após a assinatura do Termo de Consentimento Livre e Esclarecido, as famílias foram entrevistadas separadamente e foi construído o genograma, com duração média de duas horas, no Centro de Formação em Psicologia Aplicada (CEFPA) da UCB. Após algumas semanas, no mesmo local, as famílias participaram do GM, que aconteceu em cinco encontros, com intervalos quinzenais, cada um com duração média de três horas. Para essas etapas o pesquisador contou com alunos bolsistas de Iniciação Científica do curso de Psicologia. Após dois anos, as famílias foram entrevistadas pelo pesquisador em suas residências (follow-up) e cada entrevista teve duração média de duas horas. Todas as etapas da pesquisa foram registradas em áudios, cujo conteúdo foi posteriormente transcrito na íntegra. A análise das informações foi feita à luz da Epistemologia Qualitativa em que o pesquisador realiza uma produção construtivo-interpretativa, e discutidas com base no aporte da teoria sistêmica. Os principais aspectos observados e discutidos foram organizados em três etapas: 1) a entrevista do ciclo de vida familiar: conhecendo a família e sua história – as informações levantadas mostraram a gestação dos bebês sem planejamento; padrão interacional com conflitos, ausência de autoridade parental e fronteiras internas difusas; padrão alimentar inadequado e dificuldades em aderir aos tratamentos. 2) O GM: interação, aprendizado e crescimento – influências transgeracionais no padrão alimentar atual e interferências das famílias extensas; dificuldades de exercer o papel parental e promover alimentação adequada; significados da alimentação e expressão dos afetos intrafamiliares; tentativas de realizar mudanças e 3) a entrevista de follow-up: revisitando as famílias - os trabalhos e as atividades lembrados com facilidade; as mudanças possibilitadas após as intervenções; dinâmicas familiares atuais com presença de limites, autoridade e cuidados com a saúde; contribuições das famílias para o modelo de intervenção e expectativas para o futuro. O presente trabalho, portanto, analisou a vivência das famílias na intervenção psicossocial proporcionando uma leitura aprofundada e complexa dos diferentes fatores relacionados à obesidade infantil e à família. Este estudo pode contribuir para ações preventivas e de tratamento da obesidade, assim como auxiliar no fomento de novas investigações sobre a doença.Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-06-20T14:41:56Z No. of bitstreams: 1 HeronFloresNogueiraTeseParcial2017.pdf: 1090458 bytes, checksum: 7fb58690cffa20a016340355c25897be (MD5)Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2018-06-20T14:42:15Z (GMT) No. of bitstreams: 1 HeronFloresNogueiraTeseParcial2017.pdf: 1090458 bytes, checksum: 7fb58690cffa20a016340355c25897be (MD5)Made available in DSpace on 2018-06-20T14:42:15Z (GMT). No. of bitstreams: 1 HeronFloresNogueiraTeseParcial2017.pdf: 1090458 bytes, checksum: 7fb58690cffa20a016340355c25897be (MD5) Previous issue date: 2017-07-26application/pdfhttps://bdtd.ucb.br:8443/jspui/retrieve/5749/HeronFloresNogueiraTeseParcial2017.pdf.jpgporUniversidade Católica de BrasíliaPrograma Stricto Sensu em PsicologiaUCBBrasilEscola de Saúde e MedicinaDinâmica familiarObesidade infantilIntervenção psicossocialPsychosocial interventionChildhood obesityFamily dynamicsCNPQ::CIENCIAS HUMANAS::PSICOLOGIAIntervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UCBinstname:Universidade Católica de Brasíliainstacron:UCBTHUMBNAILHeronFloresNogueiraTeseParcial2017.pdf.jpgHeronFloresNogueiraTeseParcial2017.pdf.jpgimage/jpeg5942https://bdtd.ucb.br:8443/jspui/bitstream/tede/2422/4/HeronFloresNogueiraTeseParcial2017.pdf.jpg93726c11804c7d4a274c1fa8a643daa8MD54TEXTHeronFloresNogueiraTeseParcial2017.pdf.txtHeronFloresNogueiraTeseParcial2017.pdf.txttext/plain50086https://bdtd.ucb.br:8443/jspui/bitstream/tede/2422/3/HeronFloresNogueiraTeseParcial2017.pdf.txtab5b02fb8a00715daf4e388778525738MD53ORIGINALHeronFloresNogueiraTeseParcial2017.pdfHeronFloresNogueiraTeseParcial2017.pdfapplication/pdf1090458https://bdtd.ucb.br:8443/jspui/bitstream/tede/2422/2/HeronFloresNogueiraTeseParcial2017.pdf7fb58690cffa20a016340355c25897beMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81905https://bdtd.ucb.br:8443/jspui/bitstream/tede/2422/1/license.txt75558dcf859532757239878b42f1c2c7MD51tede/2422oai:bdtd.ucb.br:tede/24222018-06-21 01:06:20.701Biblioteca Digital de Dissertações da Universidade Católica de Brasília - UCBsdi@ucb.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 |
dc.title.por.fl_str_mv |
Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes |
title |
Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes |
spellingShingle |
Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes Nogueira, Heron Flores Dinâmica familiar Obesidade infantil Intervenção psicossocial Psychosocial intervention Childhood obesity Family dynamics CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
title_short |
Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes |
title_full |
Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes |
title_fullStr |
Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes |
title_full_unstemmed |
Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes |
title_sort |
Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes |
author |
Nogueira, Heron Flores |
author_facet |
Nogueira, Heron Flores |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Ribeiro, Maria Alexina |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0105178485100219 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6160431300792648 |
dc.contributor.author.fl_str_mv |
Nogueira, Heron Flores |
contributor_str_mv |
Ribeiro, Maria Alexina |
dc.subject.por.fl_str_mv |
Dinâmica familiar Obesidade infantil Intervenção psicossocial Psychosocial intervention Childhood obesity Family dynamics |
topic |
Dinâmica familiar Obesidade infantil Intervenção psicossocial Psychosocial intervention Childhood obesity Family dynamics CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
dc.description.abstract.eng.fl_txt_mv |
Childhood obesity has reached levels never seen in our history. The family environment is one of the factors that can contribute to the emergence and maintenance of obesity, on the other hand, the participation of families is also considered as fundamental in prevention and treatment. In the literature there is notably a shortage of studies that focus on this issue. The present research has as general objective to perform a psychosocial intervention with families of obese children and to investigate their experiences and perceptions about possible changes in family dynamics, eating habits and lifestyle. This is a qualitative research through action research from the perspective of the Systemic Approach to the Family. Three families with children diagnosed with obesity participated in this study, living in different administrative regions of the Federal District and having an average family income of two minimum wages. The instruments used for the collection were: family life cycle interview script, genogram, scripts for the Multifamily Group (MG), follow-up interview script, HAT-Helpful Aspects of Therapy and the CCI-Client Change Interview. After the signing of the Informed Consent Term, the families were interviewed separately and the genogram was built, with an average duration of two hours, at the UCB Applied Psychology Training Center (CEFPA). After a few weeks, in the same place, the families participated in the GM, which happened in five meetings, with biweekly intervals, each with an average duration of three hours. For these steps the researcher counted on scholarship students of Scientific Initiation of the course of Psychology. After two years, the families were interviewed by the researcher in their homes (follow-up) and each interview lasted an average of two hours. All stages of the research were recorded in audios, whose contents were later transcribed in full. The analysis of the information was made in the light of the Qualitative Epistemology in which the researcher realizes a constructive-interpretative production, and discussed based on the contribution of the systemic theory. The main aspects observed and discussed were organized in three stages: 1) the interview of the family life cycle: knowing the family and its history - the information collected showed the gestation of the babies without planning; Interaction pattern with conflicts, absence of parental authority and diffuse internal borders; Inadequate food pattern and difficulties in adhering to treatments. 2) The GM: interaction, learning and growth - transgenerational influences on the current food pattern and extensive family interferences; Difficulties in exercising the parental role and promoting adequate nutrition; Meanings of feeding and expression of intrafamilial affections; Attempts to make changes, and 3) the follow-up interview: revisiting families - jobs and activities remembered with ease; The changes made possible after the interventions; Current family dynamics with the presence of limits, authority and health care; Family contributions to the intervention model and expectations for the future. The present study, therefore, analyzed the families' experience in the psychosocial intervention, providing an in-depth and complex reading of the different factors related to childhood obesity and the family. This study can contribute to preventive actions and treatment of obesity, as well as help in the promotion of new research on the disease. |
dc.description.abstract.por.fl_txt_mv |
A obesidade infantil atingiu índices nunca vistos na nossa história. O ambiente familiar é um dos fatores que podem contribuir para o surgimento e manutenção da obesidade, por outro lado, a participação das famílias é apontada também como fundamental na prevenção e no tratamento. Na literatura há notadamente uma escassez de estudos que enfoquem essa questão. A presente pesquisa tem como objetivo geral realizar uma intervenção psicossocial com famílias de crianças obesas e investigar suas vivências e percepções sobre possíveis mudanças na dinâmica familiar, nos hábitos alimentares e no estilo de vida. Trata-se de uma pesquisa qualitativa por meio de pesquisa-ação numa perspectiva da Abordagem Sistêmica da Família. Participaram deste estudo três famílias com crianças diagnosticadas com obesidade, moradoras de diferentes regiões administrativas do Distrito Federal e possuem renda familiar média de dois salários mínimos. Os instrumentos utilizados para a coleta foram: roteiro de entrevista do ciclo de vida familiar, genograma, roteiros para o Grupo Multifamiliar (GM), roteiro de entrevista de follow-up, HAT-Helpful Aspects of Therapy e o CCI-Client Change Interview. Após a assinatura do Termo de Consentimento Livre e Esclarecido, as famílias foram entrevistadas separadamente e foi construído o genograma, com duração média de duas horas, no Centro de Formação em Psicologia Aplicada (CEFPA) da UCB. Após algumas semanas, no mesmo local, as famílias participaram do GM, que aconteceu em cinco encontros, com intervalos quinzenais, cada um com duração média de três horas. Para essas etapas o pesquisador contou com alunos bolsistas de Iniciação Científica do curso de Psicologia. Após dois anos, as famílias foram entrevistadas pelo pesquisador em suas residências (follow-up) e cada entrevista teve duração média de duas horas. Todas as etapas da pesquisa foram registradas em áudios, cujo conteúdo foi posteriormente transcrito na íntegra. A análise das informações foi feita à luz da Epistemologia Qualitativa em que o pesquisador realiza uma produção construtivo-interpretativa, e discutidas com base no aporte da teoria sistêmica. Os principais aspectos observados e discutidos foram organizados em três etapas: 1) a entrevista do ciclo de vida familiar: conhecendo a família e sua história – as informações levantadas mostraram a gestação dos bebês sem planejamento; padrão interacional com conflitos, ausência de autoridade parental e fronteiras internas difusas; padrão alimentar inadequado e dificuldades em aderir aos tratamentos. 2) O GM: interação, aprendizado e crescimento – influências transgeracionais no padrão alimentar atual e interferências das famílias extensas; dificuldades de exercer o papel parental e promover alimentação adequada; significados da alimentação e expressão dos afetos intrafamiliares; tentativas de realizar mudanças e 3) a entrevista de follow-up: revisitando as famílias - os trabalhos e as atividades lembrados com facilidade; as mudanças possibilitadas após as intervenções; dinâmicas familiares atuais com presença de limites, autoridade e cuidados com a saúde; contribuições das famílias para o modelo de intervenção e expectativas para o futuro. O presente trabalho, portanto, analisou a vivência das famílias na intervenção psicossocial proporcionando uma leitura aprofundada e complexa dos diferentes fatores relacionados à obesidade infantil e à família. Este estudo pode contribuir para ações preventivas e de tratamento da obesidade, assim como auxiliar no fomento de novas investigações sobre a doença. |
description |
Childhood obesity has reached levels never seen in our history. The family environment is one of the factors that can contribute to the emergence and maintenance of obesity, on the other hand, the participation of families is also considered as fundamental in prevention and treatment. In the literature there is notably a shortage of studies that focus on this issue. The present research has as general objective to perform a psychosocial intervention with families of obese children and to investigate their experiences and perceptions about possible changes in family dynamics, eating habits and lifestyle. This is a qualitative research through action research from the perspective of the Systemic Approach to the Family. Three families with children diagnosed with obesity participated in this study, living in different administrative regions of the Federal District and having an average family income of two minimum wages. The instruments used for the collection were: family life cycle interview script, genogram, scripts for the Multifamily Group (MG), follow-up interview script, HAT-Helpful Aspects of Therapy and the CCI-Client Change Interview. After the signing of the Informed Consent Term, the families were interviewed separately and the genogram was built, with an average duration of two hours, at the UCB Applied Psychology Training Center (CEFPA). After a few weeks, in the same place, the families participated in the GM, which happened in five meetings, with biweekly intervals, each with an average duration of three hours. For these steps the researcher counted on scholarship students of Scientific Initiation of the course of Psychology. After two years, the families were interviewed by the researcher in their homes (follow-up) and each interview lasted an average of two hours. All stages of the research were recorded in audios, whose contents were later transcribed in full. The analysis of the information was made in the light of the Qualitative Epistemology in which the researcher realizes a constructive-interpretative production, and discussed based on the contribution of the systemic theory. The main aspects observed and discussed were organized in three stages: 1) the interview of the family life cycle: knowing the family and its history - the information collected showed the gestation of the babies without planning; Interaction pattern with conflicts, absence of parental authority and diffuse internal borders; Inadequate food pattern and difficulties in adhering to treatments. 2) The GM: interaction, learning and growth - transgenerational influences on the current food pattern and extensive family interferences; Difficulties in exercising the parental role and promoting adequate nutrition; Meanings of feeding and expression of intrafamilial affections; Attempts to make changes, and 3) the follow-up interview: revisiting families - jobs and activities remembered with ease; The changes made possible after the interventions; Current family dynamics with the presence of limits, authority and health care; Family contributions to the intervention model and expectations for the future. The present study, therefore, analyzed the families' experience in the psychosocial intervention, providing an in-depth and complex reading of the different factors related to childhood obesity and the family. This study can contribute to preventive actions and treatment of obesity, as well as help in the promotion of new research on the disease. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-07-26 |
dc.date.accessioned.fl_str_mv |
2018-06-20T14:42:15Z |
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info:eu-repo/semantics/publishedVersion |
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dc.identifier.citation.fl_str_mv |
NOGUEIRA, Heron Flores. Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes. 2017. 211 f. Tese (Programa Stricto Sensu em Psicologia) - Universidade Católica de Brasília, Brasília, 2017. |
dc.identifier.uri.fl_str_mv |
https://bdtd.ucb.br:8443/jspui/handle/tede/2422 |
identifier_str_mv |
NOGUEIRA, Heron Flores. Intervenção psicossocial com famílias de crianças obesas por meio do grupo multifamiliar: vivências e percepções dos participantes. 2017. 211 f. Tese (Programa Stricto Sensu em Psicologia) - Universidade Católica de Brasília, Brasília, 2017. |
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https://bdtd.ucb.br:8443/jspui/handle/tede/2422 |
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por |
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por |
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openAccess |
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Universidade Católica de Brasília |
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Programa Stricto Sensu em Psicologia |
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UCB |
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Brasil |
dc.publisher.department.fl_str_mv |
Escola de Saúde e Medicina |
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Universidade Católica de Brasília |
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