Uma abordagem longitudinal da contribuição do trauma e da vergonha nos sintomas depressivos em adolescentes

Palavras-chave: Depressão, Adolescentes, Acontecimentos traumáticos, Sentimentos de vergonha, Estudo longitudinal

Resumo

Contexto: A revisão da literatura sobre potenciais fatores preditores dos sintomas depressivos em adolescentes tem mostrado que asexperiências traumáticas durante a infância, as experiências de vergonha e o género têm um contributo relevante.

Objetivo: Pretende-se com o presente estudoobservar a variabilidade intraindividual da vergonha, acontecimentos traumáticos e género e testar o poder preditivo destas variáveis a 6 meses na evolução de sintomas depressivos (variável dependente) em adolescentes.

Método: A amostra foi constituída por 325 adolescentes, com idades compreendidas entre os 12 e os 18 anos, distribuídos pela zona centro de Portugal e a frequentar o 3.º ciclo do ensino básico e ensino secundário. Foram utilizados o Inventário de Depressão para Crianças, a Escala Breve de vergonha e o Questionário de Trauma na Infância para a avaliação das variáveis referidas. Os resultados longitudinais foram analisados através de uma análise de regressão linear múltipla. 

Resultados: Verificou-se uma associação positiva entre experiências relatadas como traumáticas e as perceções de vergonha (T1) e os sintomas depressivos (T2, após 6 meses). O modelo de regressão linear múltipla explicou 63% da variância dos sintomas depressivos no T2, podendo contemplar-se que a pertença ao género feminino, a experiência de sentimentos de vergonha e de acontecimentos percebidos como abuso afetivo, abuso sexual e de negligência emocional (variáveis do trauma) permitiram predizer sintomas depressivos na adolescência.

Conclusão: Dado que existe alguma evidência do impacto de acontecimentos traumáticos do tipo abuso/negligência durante a infância e de perceções de vergonha, durante a adolescência no desenvolvimento de sintomas depressivos, será pertinente que estas variáveis sejam tidas em conta, quer na avaliação, quer nas intervenções psicoterapêuticas nesta etapa do desenvolvimento humano. Este estudo contribui para salientar o papel de fatores de vulnerabilidade para os sintomas depressivos na adolescência.

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Biografias Autor

Marina Cunha, Instituto Superior Miguel Torga, Coimbra Centro de Investigação em Neuropsicologia e Intervenção Cognitivo-comportamental, Universidade Coimbra

Professora auxiliar em Psicologia

Presidente do Conselho Científico do Instituto Superior Miguel Torga

 

Rute Almeida, Instituto Piaget de Viseu Instituto Superior Miguel Torga, Coimbra

Licenciada em Psicologia, Instituto Piaget de Viseu

Mestre em Psicologia Clinica, Ramo Terapia-Cognitivo Comportamental, Instituto Superior Miguel Torga, Coimbra

Sónia Cherpe, Centro de Investigação em Neuropsicologia e Intervenção Cognitivo-comportamental, Universidade de Coimbra

Doutorada em Psicologia

Psicóloga na Depression and Bipolar Support Association: Coimbra

Sónia Simões, Instituto Superior Miguel Torga, Coimbra

Doutorada em Saúde Mental

Coordenadora do Gabinete de Apoio Psicológico, Instituto Superior Miguel Torga

Mariana Marques, Serviço de psicologia médica, Universidade de Coimbra Instituto Superior Miguel Torga, Coimbra Centro Hospitalar e Universitário de Coimbra EPE, Coimbra

Professora auxiliar

Psicóloga no Centro Hospitalar e Universitário de Coimbra EPE, Coimbra

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Publicado
2018-10-01
Como Citar
Cunha, M., Almeida, R., Cherpe, S., Simões, S., & Marques, M. (2018). Uma abordagem longitudinal da contribuição do trauma e da vergonha nos sintomas depressivos em adolescentes. Revista Portuguesa De Investigação Comportamental E Social, 4(2), 49-59. https://doi.org/10.31211/rpics.2018.4.2.62
Secção
Artigo Original