Processos de Regula??o Emocional em Pessoas com o Diagn?stico de Psor?ase

• Autor(a) principal: Mendes, Rute Carolina Augusto
• 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/123456789/987
• topic: Psor?ase - Psoriasis; Depress?o - Depression; Ansiedade - Anxiety; Stress - Stress; Regula??o emocional - Emotional regulation; ?reas da vida afetadas - Affected life areas

Introdu??o: A Psor?ase ? uma doen?a dermatol?gica inflamat?ria cr?nica, n?o contagiosa, que afeta milh?es de pessoas em todo o mundo. A presen?a de sintomatologia psicopatol?gica nestes pacientes encontra-se documentada, mas o papel de processos de regula??o emocional continua por clarificar. Objetivos: Explorar o papel preditivo de vari?veis sociodemogr?ficas, cl?nicas, processos de regula??o emocional e da vergonha associada ? doen?a cr?nica nos sintomas psicopatol?gicos de depress?o, ansiedade e stress. Pretendeu-se, tamb?m, analisar o impacto que a Psor?ase pode ocasionar nas v?rias ?reas da vida. Metodologia: 148 sujeitos com idades entre os 21 anos e os 74 anos de idade participaram no estudo, de forma volunt?ria e an?nima, tendo este sido divulgado pela Associa??o Portuguesa da Psor?ase (PSOPortugal). Os participantes preencheram online um conjunto de instrumentos de autorresposta, nomeadamente, um question?rio sociodemogr?fico e cl?nico, a Escala de Depress?o, Ansiedade e Stress (EADS-21), Self-compassion Scale (SCS), Cognitive Fusion Questionnaire-Chronic Illness (CFQ-CI), Acceptance and Action Questionnaire-II (AAQ-II), Chronic Illness-Related Shame (CISS) e uma breve escala de impacto da doen?a a n?vel social, familiar e pessoal. Resultados: As vari?veis preditoras dos sintomas depressivos foram a inflexibilidade psicol?gica/evitamento experiencial, o autojulgamento, os anos de escolaridade e a vergonha associada ? doen?a cr?nica. No que respeita aos sintomas de ansiedade, as vari?veis preditoras foram a inflexibilidade psicol?gica/evitamento experiencial, os anos de escolaridade e o autojulgamento. Em rela??o aos sintomas de stress, os resultados sugerem que o autojulgamento, a inflexibilidade psicol?gica/evitamento experiencial e os anos de escolaridade atuaram como preditores significativos. Constatou-se que as ?reas da vida mais afetadas s?o as rela??es ?ntimas, as atividades de lazer e o estudo/trabalho, com as mulheres a evidenciarem valores m?dios mais elevados. Conclus?o: Na interven??o psicol?gica com pacientes psori?ticos, a avalia??o de processos de regula??o emocional, assim como da vergonha associada ? doen?a, devem ser aspetos considerados. As abordagens terap?uticas cognitivo-comportamentais contextuais, nomeadamente, os programas baseados no Mindfulness, a Acceptance and Commitment Therapy e a Compassion Focused Therapy poder?o ser adequadas para estes doentes, j? que visam a promo??o de estrat?gias de regula??o emocional adaptativas. / Introduction: Psoriasis is a chronic inflammatory dermatological disease, non-contagious, which affects millions of people worldwide. The presence of psychopathological symptoms in these patients is well documented, however, the role of emotion regulation processes remains to be clarified. Objectives: Explore the predictive role of sociodemographic and clinical variables, emotion regulation processes and shame associated with this chronic disease in psychopathological symptoms of depression, anxiety, and stress. Additionally, the impact that Psoriasis can cause in different life areas was also investigated. Method: 148 subjects with ages between 21 and 74 years old accepted to participate in this study, voluntarily and anonymously. The study was disseminated through the Associa??o Portuguesa da Psor?ase (PSOPortugal) social media. Participants completed online a set of self-report instruments, namely sociodemographic and clinical questionnaires, the Depression, Anxiety and Stress Scales-21 (DASS-21), Acceptance and Action Questionnaire-II (AAQ-II), Chronic Illness-Related Shame (CISS) and a brief scale which measure the impact of the disease on social, family and personal level. Results: The predictive variables of depressive symptoms were psychological inflexibility/experiential avoidance, self-judgement, years of schooling and shame associated with chronic illness. Regarding anxiety symptoms, the significant predictors were psychological inflexibility/experiential avoidance, years of schooling and self-judgment. Concerning stress symptoms, the results suggest that self-judgment and psychological inflexibility/experiential avoidance and the years of schooling acted as significant predictors. The most affected life areas were intimate relationships, leisure activities, and study/work, with women showing higher scores when compared to men. Discussion: In psychological intervention with psoriatic patients, the evaluation of emotion regulation processes, as well as shame associated with this disease, should be considered. Contextual cognitive-behavioural therapies, such as, Mindfulness based programs, Acceptance and Commitment Therapy and Compassion Focused Therapy could be appropriate and useful for these patients, considering that these approaches aim to promote adaptive emotion regulation strategies.