Processos de Regula??o Emocional em Pessoas com o Diagn?stico de Doen?a Cel?aca

• Autor(a) principal: Fernandes, Ana Melanie Oliveira
• Data de Publicação: 2019
• Outros Autores: Galhardo, Ana (Orientadora)
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://repositorio.ismt.pt/jspui/handle/123456789/988
• topic: Doen?a cel?aca - Celiac disease; Processos de regula??o emocional - Emotion regulation processes; Sintomas psicopatol?gicos - Psychopathological symptoms; Qualidade de vida - Quality of life

A Doen?a Cel?aca (DC) ? uma condi??o cr?nica e autoimune. Quando um doente cel?aco ingere gl?ten, o corpo reage atacando o intestino delgado. O presente estudo teve como objetivos abordar vari?veis psicol?gicas como a sintomatologia depressiva, ansiosa e de stress, a qualidade de vida f?sica, psicol?gica, das rela??es sociais e a vergonha associada ? doen?a cr?nica, explorando o papel preditor de processos de regula??o emocional como o evitamento experiencial, a fus?o cognitiva, a autocompaix?o e o autojulgamento em indiv?duos com DC. Participaram neste estudo 67 sujeitos com diagn?stico de DC autorreportado, recrutados atrav?s de uma associa??o de pacientes, tendo completado online um question?rio sociodemogr?fico e cl?nico e os seguintes instrumentos de autorresposta: World Health Organization Quality of Life (Whoqol-Bref), Escalas de Ansiedade, Depress?o e Stress ? 21 (EADS-21), Self-Compassion Scale (SCS), Cognitive Fusion Questionnaire - Chronic Illness (CFQ-CI), Acceptance and Action Questionnaire -II (AAQ-II) e a Chronic Illness-related Shame Scale (CISS). Ao considerar os sintomas psicopatol?gicos de depress?o, ansiedade e stress verificouse que o ?ndice comp?sito de autojulgamento surge como o ?nico preditor significativo deste tipo de sintomas. Em rela??o ? fus?o cognitiva associada ? doen?a cr?nica verificou-se que surge como preditor significativo da vergonha associada ? doen?a. O autojulgamento e a autocompaix?o atuaram como preditores significativos da qualidade de vida psicol?gica. No que concerne ? qualidade de vida nos dom?nios f?sico e das rela??es sociais, observou-se que os processos de regula??o emocional e a vergonha associada ? doen?a cr?nica n?o contribu?ram para a sua explica??o. Relativamente ?s ?reas de vida afetadas pela DC, a vida social/conv?vio com amigos e as atividades de lazer/ hobbies foram apontadas como as mais relevantes. V?rios estudos referem a import?ncia do apoio psicol?gico dirigido a pessoas com DC e os dados do presente estudo apontam para a relev?ncia de integrar nestas interven??es a abordagem do autojulgamento e da fus?o cognitiva enquanto processos de regula??o emocional com um papel preditor na sintomatologia psicopatol?gica e na vergonha experienciada. / Celiac Disease (CD) is a chronic and autoimmune condition. When a celiac patient eats gluten, the body reacts by attacking the small intestine. The current study aimed to address psychological variables such as depressive, anxious and stress symptoms, physical, psychological and social relationships quality of life, and chronic illness related shame, exploring the predictive role of emotion regulation processes such as experiential avoidance. cognitive fusion, self-compassion and self-judgment in individuals with CD. Sixty-seven self-reported CD subjects recruited through a patients? association participated in this study and completed a sociodemographic and clinical questionnaire and the following self-report instruments: World Health Organization Quality of Life (Whoqol Bref), Depression, Anxiety, and Stress Scales - 21 ( EADS-21), Self-Compassion Scale (SCS), Cognitive Fusion Questionnaire - Chronic Illness (CFQ-CI), Acceptance and Action Questionnaire -II (AAQ-II) and Chronic Illness-related Shame Scale (CISS). When considering the psychopathological symptoms of depression, anxiety and stress, it was found that the composite self-judgment index appears as the only significant predictor of this type of symptoms. Regarding chronic illness related shame, chronic illness related cognitive fusion emerged as the only significant predictor. Self-judgment and self-compassion acted as significant predictors of psychological quality of life. Regarding the physical and social relationships quality of life domains, emotion regulation and shame had not predictive role. Concerning the life areas affected by CD, social life/socializing with friends and leisure activities/hobbies were identified as the more relevant. Several studies refer to the importance of psychological interventions directed to people with CD and the current study results point to the relevance of integrating in these interventions self-judgment and cognitive fusion as emotion regulation processes playing a role in psychopathological symptomatology and experienced shame.