Avaliação de preditores de crescimento pós-traumático em uma população de mulheres com câncer de mama

• Autor(a) principal: Quiroga, Carolina Villanova
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/7940
• topic: Crescimento Pós-Traumático; Câncer de Mama; Ciclo Vital; Avaliação Psicológica; CIENCIAS HUMANAS::PSICOLOGIA

Posttraumatic growth (PTG) refers to a positive psychological change which results from challenging and tough situations. Studies show that the development of high levels of PTG after a specific situation is positively related to the use of adaptive coping strategies, rumination, perception of social support and the actual situation being experienced as traumatic, such as breast cancer. From this perspective, a tool that evaluates different emotional and interpersonal aspects of an individual with cancer can be useful when working with prevention and promotion of mental health and quality of life. Knowing predictors of PTG, already described in literature, can be used as a resource to aid the process of elaboration. That would enable thinking about treatments that prioritize possible positive aspects, working in adaptive coping strategies to assist in the situation elaboration. This dissertation had as an initial objective to verify if social support perception, rumination, and use of adaptive coping strategies show a significant correlation with levels of PTG in women with confirmed breast cancer diagnosis. In order to do that, a transversal and exploratory research with two studies was conducted. The first a systematic review that focused on compiling and discussing the results of studies that studied rumination and/or social support as predictors of PTG. The second a empiric study, transversal and exploratory, with the objective of verifying if PTG is a variable present in women with breast cancer in Brazil (n=84) and if rumination, social support and adaptive coping strategies prove to be predictors of it in this population. The Posttraumatic Growth Inventory, Ways of Coping Checklist, Scale of Perceived Social Support (adult version), Rumination and Reflection Questionnaire, Baptista Depression Scale (adult version) were used, and a sociodemographic and health scale was applied.On study 1, there were found 12 articles that corresponded to the including and excluding established criteria. Through quantitative analysis of the methodological and results quality, it was observed that there is almost a consensus of rumination and social support being predictor variables for PTG in different populations. As for study 2, marital social support and adaptive coping strategies were the predictors for PTG in the studied sample. The total score of social support did not appear as a predictor, but presented a significant positive correlation. Moreover, having a religion of identification contributed in regressive models for two different factors that composed the instrument utilized for PTG evaluation. From these studies, it was concluded that the social support, rumination, and adaptive coping strategies variables proved to be predictors of higher scores of PTG. However, it is believed that each one will present different contributions according to the studied populations. The study of predictors is still recent in Brazil regarding PTG. From this research, path is opened to other studies with different populations and methodologies in order to better understand the specificities of this model and its evaluated variables in the Brazilian context. Nonetheless, this dissertation contributes to the foundation of intervention strategies based on these predictors to this specific population.