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Quando a resiliência faz a DII-ferença : como a resiliência modera o impacto do stress percebido no bem-estar subjetivo de pacientes com doença inflamatória intestinal
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Abstract(s)
Introdução: As doenças inflamatórias intestinais (DII) definem-se pela inflamação crónica do trato gastrointestinal. Com sintomas incapacitantes, as DII impactam significativamente a vida dos pacientes, originando maior stress e menor bem-estar. Pretende-se explorar o papel moderador da resiliência na relação entre o stress percebido e o bem-estar subjetivo (BES) nesta amostra.
Método: A amostra é composta por 134 participantes (Midade = 39,14; DP = 11,35) com DII. Os dados foram recolhidos via questionário online partilhado em associações e grupos de apoio às DII através dos seguintes instrumentos: a Escala de Stress Percebido; a Escala de Resiliência; a Escala de Afeto Positivo e Negativo e a Escala de Satisfação com a Vida.
Resultados: Todas as variáveis estavam significativamente correlacionadas entre si. O stress e a resiliência tiveram efeito direto significativo na componente cognitiva do BES (β = - 0,297; p ≤ 0,001 e β = 0,393; p ≤ 0,001) e no Afeto Positivo (β = -0,407; p ≤ 0,001 e β = 0,261; p ≤ 0,001) e Afeto Negativo (β = 0,618; p ≤ 0,001 e (β = -0,209; p ≤ 0,001). O efeito total e efeito indireto do stress na componente cognitiva e afetiva foram igualmente significativos, indicando que a resiliência modera a relação entre o stress percebido e o BES.
Conclusão: Este estudo destaca a importância de promover a resiliência em pacientes com DII, pois o seu efeito atenua o impacto do stress percebido no BES, o que contribui para uma diminuição da intensidade dos sintomas nestes pacientes.
Introduction: Inflammatory bowel diseases (IBD) are defined by chronic inflammation of the gastrointestinal tract. With disabling symptoms, IBD significantly impact patients' lives, causing greater stress and diminishing well-being. We intend to explore the moderating role of resilience in the relationship between perceived stress and subjective well-being (SWB) in this sample. Method: The sample is composed of 134 participants (Mage = 39.14, SD = 11.35) with IBD. Data were collected via an online questionnaire shared in IBD support groups and associations using the following instruments: the Perceived Stress Scale; the Resilience Scale; the Positive and Negative Affect Scale and the Satisfaction With Life Scale. Results: All variables were significantly correlated with each other. Stress and resilience had a significant direct effect on the cognitive component of SWB (β = -0.297, p ≤ 0.001 and β = 0.393, p ≤ 0.001) and on Positive Affect (β = -0.407, p ≤ 0.001 and β = 0.261, p ≤ 0.001) and Negative Affect (β = 0.618, p ≤ 0.001 and (β = -0.209, p ≤ 0.001). The total and indirect effects of stress on the cognitive and affective components were equally significant, indicating that resilience moderates the relationship between perceived stress and SWB. Conclusion: This study highlights the importance of promoting resilience in patients with IBD, as its effect attenuates the impact of perceived stress on BES, which contributes to a decrease in the intensity of symptoms in these patients.
Introduction: Inflammatory bowel diseases (IBD) are defined by chronic inflammation of the gastrointestinal tract. With disabling symptoms, IBD significantly impact patients' lives, causing greater stress and diminishing well-being. We intend to explore the moderating role of resilience in the relationship between perceived stress and subjective well-being (SWB) in this sample. Method: The sample is composed of 134 participants (Mage = 39.14, SD = 11.35) with IBD. Data were collected via an online questionnaire shared in IBD support groups and associations using the following instruments: the Perceived Stress Scale; the Resilience Scale; the Positive and Negative Affect Scale and the Satisfaction With Life Scale. Results: All variables were significantly correlated with each other. Stress and resilience had a significant direct effect on the cognitive component of SWB (β = -0.297, p ≤ 0.001 and β = 0.393, p ≤ 0.001) and on Positive Affect (β = -0.407, p ≤ 0.001 and β = 0.261, p ≤ 0.001) and Negative Affect (β = 0.618, p ≤ 0.001 and (β = -0.209, p ≤ 0.001). The total and indirect effects of stress on the cognitive and affective components were equally significant, indicating that resilience moderates the relationship between perceived stress and SWB. Conclusion: This study highlights the importance of promoting resilience in patients with IBD, as its effect attenuates the impact of perceived stress on BES, which contributes to a decrease in the intensity of symptoms in these patients.
Description
Dissertação de Mestrado apresentada no ISPA – Instituto Universitário para obtenção de grau de
Mestre na especialidade de Psicologia Clínica.
Keywords
DII stress percebido resiliência BES perceived stress resilience SWB