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Estudo quase-experimental a um programa de intervenção psicoterapêutica em grupo para facilitar o aumento de crescimento pós-traumático e a diminuição de estigma no VIH
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Advisor(s)
Abstract(s)
A investigação entre crescimento pós-traumático (CPT) e VIH é escassa. Relação
entre CPT e estigma é controversa. Existem evidências de intervenção psicoterapêutica
em grupo facilitar CPT em amostras clínicas, mas não no VIH. O principal objetivo foi
avaliar a eficácia de uma intervenção psicoterapêutica em grupo no aumento do CPT e
na diminuição de estigma no VIH. Desenho quantitativo, longitudinal, quase experimental e descritivo-observacional. Amostra de 42 seropositivos adultos, divididos
por GE (n = 21) e GC (n = 21). O GE foi sujeito a uma intervenção psicoterapêutica em
grupo de 9 semanas, semanal. Instrumentos: ICC, ICPT, PSS-10, Estigma VIH,
Expressão emocional, stress VIH, literacia VIH e capacidades. Concluiu-se que a
intervenção diminuiu o estigma (t(42) = -3,040; p = 0,004) e a Autoimagem Negativa (W
= -2,937; p = 0,003) significativamente e tendencialmente no CPT (t(40) = 1,659; p =
0,052), Força Pessoal (W = -1,685 ; p = 0,092), Mudança Espiritual (W = -1,790; p =
0,073), Estigma Personalizado (W = -1,936; p = 0,053) e Preocupações de Divulgação
(W = -1,937; p = 0,053) em comparação com GC. Correlações positivas foram
encontrada entre Apreciação pela Vida e Mudança Espiritual com estigma e
Autoimagem Negativa. Estigma e Capacidades Físicas explicou (F = 10,007; p ≤ 0,001)
Mudança Espiritual em 64% no GE. Estigma e Capacidades Sociais explicou (F =
6,062; p = 0,044) Apreciação pela Vida em 8% na amostra total. Expressão emocional
explicou CPT ( = 0,532; t = 3,994; p ≤ 0,001).
ABSTRACT: Research into post-traumatic growth (PTG) and HIV is scarce. The relationship between PTG and stigma is controversial. There is evidence of group psychotherapeutic intervention facilitating PTG in clinical samples, but not in HIV. The main objective was to evaluate the effectiveness of a group psychotherapeutic intervention in increasing PTG and decreasing stigma in HIV. Quantitative, longitudinal, quasi experimental and descriptive-observational design. Sample of 42 HIV-positive adults, divided into EG (n = 21) and CG (n = 21). The EG underwent a 9-week weekly group psychotherapeutic intervention. Instruments: CBI, PTGI-X, PSS-10, HIV stigma, emotional expression, HIV stress, HIV literacy and skills. It was concluded that the intervention reduced stigma (t(42) = -3.040; p = .004) and Negative Self-Image (W = - 2.937; p = .003) significantly and tendentially in PTG (t(40) = 1.659; p = .052), Personal Strength (W = -1.685 ; p = .092), Spiritual Change (W = -1.790; p = .073), Personalized Stigma (W = -1.936; p = .053) and Disclosure Concerns (W = -1.937; p = .053) compared to CG. Positive correlations were found between Appreciation for Life and Spiritual Change with stigma and Negative Self-Image. Stigma and Physical Capacities explained (F = 10.007; p ≤ .001) Spiritual Change in 64% of the EG. Stigma and Social Capabilities explained (F = 6.062; p = 0.044) Appreciation for Life in 8% of the total sample. Emotional Disclosure also explained PTG ( = 0.532; t = 3.994; p ≤ 0.001).
ABSTRACT: Research into post-traumatic growth (PTG) and HIV is scarce. The relationship between PTG and stigma is controversial. There is evidence of group psychotherapeutic intervention facilitating PTG in clinical samples, but not in HIV. The main objective was to evaluate the effectiveness of a group psychotherapeutic intervention in increasing PTG and decreasing stigma in HIV. Quantitative, longitudinal, quasi experimental and descriptive-observational design. Sample of 42 HIV-positive adults, divided into EG (n = 21) and CG (n = 21). The EG underwent a 9-week weekly group psychotherapeutic intervention. Instruments: CBI, PTGI-X, PSS-10, HIV stigma, emotional expression, HIV stress, HIV literacy and skills. It was concluded that the intervention reduced stigma (t(42) = -3.040; p = .004) and Negative Self-Image (W = - 2.937; p = .003) significantly and tendentially in PTG (t(40) = 1.659; p = .052), Personal Strength (W = -1.685 ; p = .092), Spiritual Change (W = -1.790; p = .073), Personalized Stigma (W = -1.936; p = .053) and Disclosure Concerns (W = -1.937; p = .053) compared to CG. Positive correlations were found between Appreciation for Life and Spiritual Change with stigma and Negative Self-Image. Stigma and Physical Capacities explained (F = 10.007; p ≤ .001) Spiritual Change in 64% of the EG. Stigma and Social Capabilities explained (F = 6.062; p = 0.044) Appreciation for Life in 8% of the total sample. Emotional Disclosure also explained PTG ( = 0.532; t = 3.994; p ≤ 0.001).
Description
Dissertação de Mestrado realizada sob a orientação da Professora Doutora Catarina Ramos, apresentada no Ispa – Instituto Universitário para obtenção de grau de Mestre na especialidade de Psicologia Clínica.
Keywords
Crescimento pós-traumático Disrupção de crenças centrais VIH ou vírus da imunodeficiência humana Intervenção psicoterapêutica em grupo Estigma Post-traumatic growth Disruption of core beliefs HIV or human immunodeficiency virus Group psychotherapeutic intervention Stigma