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Alexitimia, ansiedade e depress?o em portadores de glaucoma / Depression, anxiety and alexithymia among glaucoma patientsRegina, Maria Cristina de Oliveira 08 February 2006 (has links)
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Previous issue date: 2006-02-08 / The present work has been done in order to verify alexithymia, anxiety and depression prevalence among glaucoma patients. To study the relationship of depression, anxiety and alexithymia symptoms of glaucoma patients. To evaluate patients with glaucoma at an ambulatory of ophthalmology on a Private Hospital, regarding their levels of depression, anxiety and alexithymia. To evaluate demographic aspects such as gender, age, scholarship, social and economic level and health items related to items studied. Subjects: There were 39 Glaucoma Patients, from ophthalmology ambulatory of Celso Pierro Hospital, whose voluntarily had been done their agreement to participate of the present research. Their age vary from 18 to 75 years old, both gender, different levels of scholarship and economic status. The data were collected consecutively, applying Toronto Alexithymia Scale, Beck Depression and Anxiety Inventories and Social and Demographic Questionnaire in an initial Exploratory Study. There were no differences among the sample except there was more female (66%) than male participants compounding the total sample. Regarding other aspects such as scholarship, marital state, social and economic level they were really similar, therefore homogeneous as group. The majority of the glaucoma patients have been presented alexithymia and minimal levels of depression and anxiety, which were expressed as high correlation between BAI and BDI scores. There was relationship between TAS-26 and BAI scores, and as lesser correlation, between TAS-26 and BDI. The hypotheses whose direction pointed to high level of depression and anxiety for glaucoma patients than people in general, and eventually alexithymia too, was not confirmed. In reality, there was alexithymia at this sample, and low level of anxiety and depression. However these low levels seem to be connected to long experience with their partial loss vision or their experience as normal viewer. / A presente pesquisa foi realizada para avaliar alexitimia, depress?o e ansiedade em portadores de glaucoma sob atendimento ambulatorial e como estas vari?veis encontram-se associadas. Avaliar tamb?m aspectos demogr?ficos tais como g?nero, idade, escolaridade,situa??o s?cio-econ?mico e itens relacionados a s?ude, considerando-se as vari?veis estudadas. Participantes: 39 pacientes do ambulat?rio de oftalmologia de Hospital e Maternidade Celso Pierro, com diagn?stico de glaucoma, idade entre 18 e 75 anos de idade, de ambos os g?neros (13 homens e 26 mulheres), diversos n?veis de escolaridade. Amostra ? Consecutiva do ponto de vista de sele??o. Trata-se de estudo explorat?rio sobre o tema. As medidas foram obtidas com a Escala de Alexitimia de Toronto TAS-26, o Invent?rio Beck de Depress?o- BDI e Invent?rio Beck de Ansiedade- BAI e o Question?rio S?cio-Demogr?fico. Com exce??o da vari?vel sexo, em que predominaram as mulheres, sob os demais aspectos a amostra revelou-se bastante homog?nea o que permitiu o estudo das vari?veis para todo o grupo. Os portadores de glaucoma apresentaram em sua maioria n?veis de alexitimia ( M=73,18, Dp= 11,56 ) compat?veis com os observados em amostras cl?nicas e com baixo n?vel de escolaridade. Foram observados baixos n?veis de ansiedade ( M=12,34, Dp=11,23) e depress?o ( M=12,31, Dp= 11,67) expressos em altos ?ndices de associa??o entre estas vari?veis. Estes baixos n?veis parecem relacionar-se com a estabilidade da situa??o visual desta amostra: perda visual parcial est?vel h? certo tempo, ou conserva??o de vis?o normal . Houve correla??o significante da TAS-26 com os escores da BAI ( r = 0, 49 , p< 0,01 bicaudal para amostra total e r = 0,55 , p<0,01 bicaudalpara amostra feminina ) e, em menor escala , com o BDI ( r =0,35 para amostra total ,p<0,05 bicaudal). E entre BAI e BDI verificou-se forte correla??o : r= 0, 68 para amostra total (p<0,001), r= 0,65 para amostra masculina e r= 0, 67 para amostra feminina (p <0,001). A hip?tese segundo a qual a amostra apresentaria ?ndices em m?dia mais elevados de depress?o, ansiedade, e eventualmente de alexitimia, que a popula??o geral, n?o se confirmou.
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