Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_SP |
Texto Completo: | https://tede2.pucsp.br/handle/handle/11890 |
Resumo: | Introduction: The peripheral facial paralysis (PFP) is due to reduction or interruption of axonal transport of the seventh cranial nerve resulting in complete or partial paralysis of the facial movements. The facial deformity and limitation of movement, rather than harming the aesthetics and functionality, may significantly interfere in interpersonal communication (VALENÇA et al., 1999; ADAMS, 1998). This deprivation in facially express emotions can cause a variety of psychological and social problems such as depression, anxiety and isolation. (FOUQUET, 2000; DIELS and COMBS, 1997). Purpose: To investigate the psychic contents and social effects associated with the PFP in adult subjects, performing a comparative analysis on three groups of subjects with PFP: flaccid phases, of recovery and latent. The results were used to prepare a roadmap for speech therapy evaluation of these aspects. Method: Clinical researche quantitative and qualitative. Casuistic: Sitiuation 1 16 adult subjects, of both sexes, aged from 43 to 88 years, with the PFP. Situation 2 - Clinical case study of a female patient 52 years, with the PFP facility for 18 years, diagnosed with unknown and currently has sequels. Procedure: Situation 1 - Open interviews with the subjects from the trigger question was: What were the consequences of the peripheral facial paralysis in your social and emotional life? The material was recorded on audio and video, literally transcribed, organized according to categorical analysis proposed by Bardin (2002) and submitted the frequency descriptive statistics and percentages of occurrence of each psychic content and social effects. Some subjects answered to more than one category. Situation 2 Speech therapy from March 2010 to July 2010 with the description of the procedures such as Facial Condition Assessment, treatment and content myofunctional psychological and social effects involved in this condition. Results and Discussion: The results indicated that compared the subjects with sequels have higher statistical significance of psychic contents and social effects associated with the PFP. Followed, respectively, which are flaccid phases and the recovery. The results suggest that the speech therapist, in addition to performing functional and esthetic of the subject affected by the PFP, listener need for psychological and social aspects involved in this clinical picture in order to assess and seek to reduce the degree of psychological distress and promote social adaptation for these patients. The development of a roadmap with psychological and social s indicators aspects facilitate the access of professionals to these contents. Conclusion: The biopsychosocial approach of patients affected by the PFP revealed broad and significant range of subjective contents that justify further studies that may contribute to the effectiveness of the clinical method in speech therapy of this clinical approach |
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Cunha, Maria Claudiahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4525656D2Silva, Mabile Francine Ferreira2016-04-27T18:11:51Z2015-05-182011-02-15Silva, Mabile Francine Ferreira. Psychological contents and social effects associated with the peripheral facial paralysis: speech therapy approach. 2011. 165 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011.https://tede2.pucsp.br/handle/handle/11890Introduction: The peripheral facial paralysis (PFP) is due to reduction or interruption of axonal transport of the seventh cranial nerve resulting in complete or partial paralysis of the facial movements. The facial deformity and limitation of movement, rather than harming the aesthetics and functionality, may significantly interfere in interpersonal communication (VALENÇA et al., 1999; ADAMS, 1998). This deprivation in facially express emotions can cause a variety of psychological and social problems such as depression, anxiety and isolation. (FOUQUET, 2000; DIELS and COMBS, 1997). Purpose: To investigate the psychic contents and social effects associated with the PFP in adult subjects, performing a comparative analysis on three groups of subjects with PFP: flaccid phases, of recovery and latent. The results were used to prepare a roadmap for speech therapy evaluation of these aspects. Method: Clinical researche quantitative and qualitative. Casuistic: Sitiuation 1 16 adult subjects, of both sexes, aged from 43 to 88 years, with the PFP. Situation 2 - Clinical case study of a female patient 52 years, with the PFP facility for 18 years, diagnosed with unknown and currently has sequels. Procedure: Situation 1 - Open interviews with the subjects from the trigger question was: What were the consequences of the peripheral facial paralysis in your social and emotional life? The material was recorded on audio and video, literally transcribed, organized according to categorical analysis proposed by Bardin (2002) and submitted the frequency descriptive statistics and percentages of occurrence of each psychic content and social effects. Some subjects answered to more than one category. Situation 2 Speech therapy from March 2010 to July 2010 with the description of the procedures such as Facial Condition Assessment, treatment and content myofunctional psychological and social effects involved in this condition. Results and Discussion: The results indicated that compared the subjects with sequels have higher statistical significance of psychic contents and social effects associated with the PFP. Followed, respectively, which are flaccid phases and the recovery. The results suggest that the speech therapist, in addition to performing functional and esthetic of the subject affected by the PFP, listener need for psychological and social aspects involved in this clinical picture in order to assess and seek to reduce the degree of psychological distress and promote social adaptation for these patients. The development of a roadmap with psychological and social s indicators aspects facilitate the access of professionals to these contents. Conclusion: The biopsychosocial approach of patients affected by the PFP revealed broad and significant range of subjective contents that justify further studies that may contribute to the effectiveness of the clinical method in speech therapy of this clinical approachIntrodução: A paralisia facial periférica (PFP) decorre da redução ou interrupção do transporte axonal ao sétimo nervo craniano resultando em paralisia completa ou parcial da mímica facial. A deformidade facial e a limitação de movimentos, mais do que prejudicar a estética e a funcionalidade, podem interferir significativamente na comunicação interpessoal (VALENÇA e cols., 1999; ADAMS, 1998). Essa privação em expressar facialmente as emoções pode acarretar uma variedade de problemas psíquicos e sociais, como depressão, ansiedade e isolamento. (FOUQUET, 2000; DIELS e COMBS, 1997). Objetivo: Investigar os conteúdos psíquicos e os efeitos sociais associados à PFP em sujeitos adultos, realizando uma análise comparativa em três grupos de sujeitos com PFP: nas fases flácida, de recuperação e sequelar. Os resultados obtidos foram utilizados para a elaboração de um roteiro de avaliação fonoaudiológica desses aspectos. Método: Pesquisa de natureza clínica quanti-qualitativa. Casuística: Situação 1 - 16 sujeitos adultos, ambos os sexos, na faixa etária de 43 a 88 anos, com PFP. Situação 2 - Estudo de caso clínico de uma paciente do sexo feminino, 52 anos, com instalação da PFP há 18 anos, com diagnóstico desconhecido e que atualmente apresenta sequelas. Procedimento: Situação 1 - Entrevistas abertas com os sujeitos, a partir da seguinte questão disparadora: Quais foram as consequências da paralisia facial periférica na sua vida social e emocional? . O material foi gravado em áudio e vídeo, transcrito literalmente, sistematizado de acordo com a Análise Categorial proposta por Bardin (2002) e submetidos as frequências estatística descritiva e porcentagens de ocorrência de cada conteúdo psíquico e efeitos sociais. Alguns sujeitos responderam para mais de uma categoria. Situação 2 Terapia fonoaudiológica no período de março de 2010 à julho de 2010 com a descrição dos procedimentos, como Avaliação da Condição Facial, terapêutica miofuncional e conteúdos psíquicos e sociais implicados nessa condição. Resultados e Discussão: Os resultados indicaram que, comparativamente, os sujeitos portadores de sequelas apresentam maior significância estatística de conteúdos psíquicos e efeitos sociais associados à PFP. Seguidos, respectivamente, dos que se encontram nas fases flácida e de recuperação. Os resultados sugerem que o fonoaudiólogo, além de realizar a reabilitação funcional e estética do sujeito acometido pela PFP, precisa ter escuta para aspectos psíquicos e sociais envolvidos nesse quadro clínico, de maneira a avaliar e buscar diminuir o grau de sofrimento psíquico e favorecer a adaptação social desses pacientes. A elaboração de um roteiro com indicadores dos aspectos psíquicos e sociais facilita o acesso dos profissionais a esses conteúdos. Conclusão: A abordagem biopsicosocial dos pacientes acometidos pela PFP revelou vasta, e significativa, gama de conteúdos subjetivos que justificam novos estudos que possam contribuir para a eficácia do método clínico fonoaudiológico na abordagem desse quadro clínicoConselho Nacional de Desenvolvimento Científico e Tecnológicoapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/24685/Mabile%20Francine%20Ferreira%20Silva.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFonoaudiologiaParalisia facialImpacto psicossocialFacial paralysisCase studyPsychosocial impactCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAConteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológicaPsychological contents and social effects associated with the peripheral facial paralysis: speech therapy approachinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTMabile Francine Ferreira Silva.pdf.txtMabile Francine Ferreira Silva.pdf.txtExtracted texttext/plain243624https://repositorio.pucsp.br/xmlui/bitstream/handle/11890/3/Mabile%20Francine%20Ferreira%20Silva.pdf.txt9349dcb56613fb6568180b24db28a8ceMD53ORIGINALMabile Francine Ferreira Silva.pdfapplication/pdf9401784https://repositorio.pucsp.br/xmlui/bitstream/handle/11890/1/Mabile%20Francine%20Ferreira%20Silva.pdf573d5ffa9ece93cede3e5dc40740209bMD51THUMBNAILMabile Francine Ferreira Silva.pdf.jpgMabile Francine Ferreira Silva.pdf.jpgGenerated Thumbnailimage/jpeg3441https://repositorio.pucsp.br/xmlui/bitstream/handle/11890/2/Mabile%20Francine%20Ferreira%20Silva.pdf.jpg7381cd349edded93c0c7344e73d2724dMD52handle/118902022-04-27 17:37:09.127oai:repositorio.pucsp.br:handle/11890Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2022-04-27T20:37:09Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.por.fl_str_mv |
Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica |
dc.title.alternative.eng.fl_str_mv |
Psychological contents and social effects associated with the peripheral facial paralysis: speech therapy approach |
title |
Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica |
spellingShingle |
Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica Silva, Mabile Francine Ferreira Paralisia facial Impacto psicossocial Facial paralysis Case study Psychosocial impact CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica |
title_full |
Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica |
title_fullStr |
Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica |
title_full_unstemmed |
Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica |
title_sort |
Conteúdos psíquicos e efeitos sociais associados à paralisia facial periférica: abordagem fonoaudiológica |
author |
Silva, Mabile Francine Ferreira |
author_facet |
Silva, Mabile Francine Ferreira |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Cunha, Maria Claudia |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4525656D2 |
dc.contributor.author.fl_str_mv |
Silva, Mabile Francine Ferreira |
contributor_str_mv |
Cunha, Maria Claudia |
dc.subject.por.fl_str_mv |
Paralisia facial Impacto psicossocial |
topic |
Paralisia facial Impacto psicossocial Facial paralysis Case study Psychosocial impact CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Facial paralysis Case study Psychosocial impact |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
Introduction: The peripheral facial paralysis (PFP) is due to reduction or interruption of axonal transport of the seventh cranial nerve resulting in complete or partial paralysis of the facial movements. The facial deformity and limitation of movement, rather than harming the aesthetics and functionality, may significantly interfere in interpersonal communication (VALENÇA et al., 1999; ADAMS, 1998). This deprivation in facially express emotions can cause a variety of psychological and social problems such as depression, anxiety and isolation. (FOUQUET, 2000; DIELS and COMBS, 1997). Purpose: To investigate the psychic contents and social effects associated with the PFP in adult subjects, performing a comparative analysis on three groups of subjects with PFP: flaccid phases, of recovery and latent. The results were used to prepare a roadmap for speech therapy evaluation of these aspects. Method: Clinical researche quantitative and qualitative. Casuistic: Sitiuation 1 16 adult subjects, of both sexes, aged from 43 to 88 years, with the PFP. Situation 2 - Clinical case study of a female patient 52 years, with the PFP facility for 18 years, diagnosed with unknown and currently has sequels. Procedure: Situation 1 - Open interviews with the subjects from the trigger question was: What were the consequences of the peripheral facial paralysis in your social and emotional life? The material was recorded on audio and video, literally transcribed, organized according to categorical analysis proposed by Bardin (2002) and submitted the frequency descriptive statistics and percentages of occurrence of each psychic content and social effects. Some subjects answered to more than one category. Situation 2 Speech therapy from March 2010 to July 2010 with the description of the procedures such as Facial Condition Assessment, treatment and content myofunctional psychological and social effects involved in this condition. Results and Discussion: The results indicated that compared the subjects with sequels have higher statistical significance of psychic contents and social effects associated with the PFP. Followed, respectively, which are flaccid phases and the recovery. The results suggest that the speech therapist, in addition to performing functional and esthetic of the subject affected by the PFP, listener need for psychological and social aspects involved in this clinical picture in order to assess and seek to reduce the degree of psychological distress and promote social adaptation for these patients. The development of a roadmap with psychological and social s indicators aspects facilitate the access of professionals to these contents. Conclusion: The biopsychosocial approach of patients affected by the PFP revealed broad and significant range of subjective contents that justify further studies that may contribute to the effectiveness of the clinical method in speech therapy of this clinical approach |
publishDate |
2011 |
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2011-02-15 |
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2015-05-18 |
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2016-04-27T18:11:51Z |
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info:eu-repo/semantics/publishedVersion |
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masterThesis |
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dc.identifier.citation.fl_str_mv |
Silva, Mabile Francine Ferreira. Psychological contents and social effects associated with the peripheral facial paralysis: speech therapy approach. 2011. 165 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/11890 |
identifier_str_mv |
Silva, Mabile Francine Ferreira. Psychological contents and social effects associated with the peripheral facial paralysis: speech therapy approach. 2011. 165 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011. |
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Programa de Estudos Pós-Graduados em Fonoaudiologia |
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Pontifícia Universidade Católica de São Paulo |
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