O papel de processos relacionados com a regulação emocional e da vergonha associada à doença crónica nos sintomas de depressão, ansiedade e stress de pessoas com doença celíaca

Palavras-chave: Doença celíaca, Regulação emocional, Sintomas psicopatológicos, Vergonha associada à doença crónica

Resumo

Objetivo: O presente estudo, de carácter exploratório, teve como principal objetivo examinar o papel preditor de processos relacionados com a regulação emocional (fusão cognitiva, evitamento experiencial, autocompaixão e autojulgamento) e da vergonha associada à doença nos sintomas psicopatológicos de depressão, ansiedade e stress em pacientes com diagnóstico de doença celíaca. Método: Através de uma associação de pacientes, foram recrutados 67 sujeitos com diagnóstico de doença celíaca autorreportado, os quais completaram online um questionário sociodemográfico e clínico e um conjunto de instrumentos de autorresposta, mais precisamente as Escalas de Ansiedade, Depressão e Stress – 21 (EADS-21), o Cognitive Fusion Questionnaire – Chronic Illness (CFQ-CI), o Acceptance and Action Questionnaire-II (AAQ-II), a Self-Compassion Scale (SCS), e a Chronic Illness-related Shame Scale (CISS). O papel mediador dos processos relacionados com a regulação emocional e da vergonha associada à doença crónica foi analisado através do cálculo de regressões lineares múltiplas hierárquicas. Resultados: O índice compósito de autojulgamento (autocriticismo, isolamento e sobreidentificação) revelou-se como o único preditor significativo dos sintomas de depressão, ansiedade e stress em pessoas com doença celíaca. Conclusões: Nas intervenções psicológicas dirigidas a pacientes com doença celíaca a avaliação e integração do autojulgamento enquanto processo de regulação emocional poderá ser relevante para a obtenção de ganhos terapêuticos no que se refere aos sintomas emocionais negativos de depressão, ansiedade e stress.

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Biografias Autor

Melanie Fernandes, Instituto Superior Miguel Torga, Coimbra, Portugal

MSc. em psicologia clínica, ramo Terapias Cognitivo-comportamentais

Ana Galhardo, Instituto Superior Miguel Torga, Coimbra; Centro de Investigação do Núcleo de Estudos e Intervenção Cognitivo-Comportamental, Coimbra, Portugal

Ph.D. em psicologia clínica; Mestre em psicologia clínica cognitivo-comportamental e sistémica pela Faculdade de Psicologia e Ciências da Educação da Universidade de Coimbra. Professora Assistente, Vice-Presidente do Conselho Pedagógico, Coordenador Científico de Psicologia e Membro do Conselho Científico do Instituto Superior Miguel Torga. Investigadora da Faculdade de Psicologia e Ciências da Educação da Universidade de Coimbra. 

Ilda Massano-Cardoso, Instituto Superior Miguel Torga, Coimbra; Faculdade de Medicina da Universidade de Coimbra; Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Portugal

Professora do Instituto Miguel Torga (ISMT). Membro do Conselho Científico do ISMT e Presidente do Conselho Pedagógico. Assistente visitante da Faculdade de Medicina da Universidade de Coimbra. Docente no Mestrado Integrado em Medicina e no Mestrado Integrado em Odontologia. Mestre em Saúde Pública e Ph.D. em Ciências da Saúde pela Faculdade de Medicina da Universidade de Coimbra.

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Publicado
2020-05-08
Como Citar
Fernandes, M., Galhardo, A., & Massano-Cardoso, I. (2020). O papel de processos relacionados com a regulação emocional e da vergonha associada à doença crónica nos sintomas de depressão, ansiedade e stress de pessoas com doença celíaca. Revista Portuguesa De Investigação Comportamental E Social, 6(1), 1–18. https://doi.org/10.31211/rpics.2020.6.1.162
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Artigo Original