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A importĂąncia do acompanhamento psicoterapĂȘutico no ajustamento psicossocial da mulher com cancro da mama
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Abstract(s)
Objetivo: O presente estudo teve como objetivo analisar e comparar o ajustamento
psicossocial de mulheres com o diagnĂłstico de cancro da mama, que efetuaram ou nĂŁo
acompanhamento psicolĂłgico ou psicoterapia, relativamente a variĂĄveis como ansiedade,
depressão, regulação emocional, expressão emocional, suporte social e crescimento póstraumåtico,
bem como avaliar as relaçÔes entre estas variåveis psicossociais.
MĂ©todo: A amostra foi constituĂda por 90 mulheres com diagnĂłstico de cancro da mama, 44
mulheres sem acompanhamento psicoterapĂȘutico (G1) e 46 mulheres acompanhadas em
psicoterapia (G2). Foram utilizadas as seguintes escalas: Escala de Ansiedade e DepressĂŁo
Hospitalar (HADS) para medir a ansiedade e a depressĂŁo; Escala de Dificuldades na
Regulação Emocional (DERS) para mensurar a regulação emocional; o Inventårio de Distress
Emocional (DDI) para avaliar a expressĂŁo emocional; a Escala Multidimencional de Suporte
Social Percebido (MSPSS) para mensurar o suporte social e o InventĂĄrio de Crescimento PĂłstraumĂĄtico
(PTGI) para avaliar o crescimento pĂłs-traumĂĄtico.
Resultados: O G2 apresentou menores nĂveis de depressĂŁo, menos dificuldades na expressĂŁo
emocional nomeadamente na consciĂȘncia e clareza, maior facilidade na expressĂŁo emocional,
nĂveis mais elevados de suporte social percebido e maior crescimento pĂłs-traumĂĄtico. No G1,
as dificuldades na regulação emocional e o suporte social foram preditores da expressão
emocional, a expressĂŁo emocional e o suporte social foram preditores do crescimento pĂłstraumĂĄtico,
o crescimento pĂłs-traumĂĄtico foi preditor do suporte social e a ansiedade foi
preditora da depressão. No G2, as dificuldades na regulação emocional foram preditoras da
expressão emocional e em conjunto com o crescimento pós-traumåtico foram também
preditores da depressĂŁo.
Objective: The present study aimed to analyse and to compare the psychosocial adjustment of women diagnosed with breast cancer, who did or did not undergo psychological counselling or psychotherapy, regarding variables such as anxiety, depression, emotional regulation, emotional expression, social support and posttraumatic growth as well as to evaluate the relations between these psychosocial variables. Method: The sample consisted of 90 women diagnosed with breast cancer, 44 women without psychotherapy (G1) and 46 women with psychotherapy (G2). The following scales were used: Hospital Anxiety and Depression Scale (HADS) to measure anxiety and depression; Difficulties in Emotional Regulation Scale (DERS) to measure emotional regulation; the Distress Disclosure Index (DDI) to assess emotional expression; the Multidimensional Scale of Perceived Social Support (MSPSS) to measure social support and the PostTraumatic Growth Inventory (PTGI) to assess posttraumatic growth. Results: G2 presented lower levels of depression, less difficulties in emotional expression, namely in awareness and clarity, greater ease in emotional expression, higher levels of perceived social support and greater posttraumatic growth. In G1, difficulties in emotional regulation and social support were predictors of emotional expression, emotional expression and social support were predictors of posttraumatic growth, posttraumatic growth was a predictor of social support and anxiety was a predictor of depression. In G2, difficulties in emotional regulation were predictors of emotional expression and in conjunction with posttraumatic growth were also predictors of depression.
Objective: The present study aimed to analyse and to compare the psychosocial adjustment of women diagnosed with breast cancer, who did or did not undergo psychological counselling or psychotherapy, regarding variables such as anxiety, depression, emotional regulation, emotional expression, social support and posttraumatic growth as well as to evaluate the relations between these psychosocial variables. Method: The sample consisted of 90 women diagnosed with breast cancer, 44 women without psychotherapy (G1) and 46 women with psychotherapy (G2). The following scales were used: Hospital Anxiety and Depression Scale (HADS) to measure anxiety and depression; Difficulties in Emotional Regulation Scale (DERS) to measure emotional regulation; the Distress Disclosure Index (DDI) to assess emotional expression; the Multidimensional Scale of Perceived Social Support (MSPSS) to measure social support and the PostTraumatic Growth Inventory (PTGI) to assess posttraumatic growth. Results: G2 presented lower levels of depression, less difficulties in emotional expression, namely in awareness and clarity, greater ease in emotional expression, higher levels of perceived social support and greater posttraumatic growth. In G1, difficulties in emotional regulation and social support were predictors of emotional expression, emotional expression and social support were predictors of posttraumatic growth, posttraumatic growth was a predictor of social support and anxiety was a predictor of depression. In G2, difficulties in emotional regulation were predictors of emotional expression and in conjunction with posttraumatic growth were also predictors of depression.
Description
Dissertação de mestrado apresentada ao
ISPA â Instituto UniversitĂĄrio para obtenção do grau
de Mestre na especialidade de Psicologia ClĂnica.
Keywords
Cancro da mama Psicoterapia Regulação emocional Expressão emocional Crescimento pós-traumåtico Breast cancer Psychotherapy Emotional regulation Emotional expression Posttraumatic growth