Made available in DSpace on 2016-04-04T18:27:56Z (GMT). No. of bitstreams: 1 Juliana Tavares Guzzon.pdf: 1553774 bytes, checksum: 7018a9210b3d18b53715613ea49ac9d5 (MD5) Previous issue date: 2011-02-22 / Pontif?cia Universidade Cat?lica de Campinas / According to World Health Organization, violence is a global problem that affects families of all cultures, ethnicities, politics, economics and political regimes. Women victims of violence are assisted by different institutions with different types of intervention: legal, psychological, social and / or medical. However, the quality and extent of changes that is presented, as a result of assistance provided, are not always recognized. The aim of this study was to evaluate the psychological aspects of women who are victim of violence in relation to the changing stage, the quality of adaptive effectiveness and severity of psychopathological symptoms in women victims of violence before being assisted by SOS Action Woman and Family and compare them to those women who have already been assisted by the institution. Methodologically the study used a randomized cross-sectional type, which is based on a comparison between two groups at different stages of a developmental process. The sample comprised of Group G1 (pre-assistance) with nine women in the initial phase of treatment, average age = 36.7, DP = 8.68, and a Group G2 (pos assistance) of nine women who had already completed treatment, average age=41, DP=11.28. They were evaluated individually with the rating scale of symptoms - EAS-40, Stage of Change Scale - EEM and Operational Adaptive Diagnostic Scale Redefined - EDAO-R. All were victims of repeated physical and psychological aggression, on average 11 years ago, perpetrated by intimate partners. Both groups were in the stages of change Pre-contemplation (lack of awareness of the problem and motivation to face it) and contemplation (acknowledges the problem but has no motivation to face it) according to the EEM. Psychopathological symptoms assessed with the EAS-40 had remained high even after the treatments. The participants of the Group post-assistance displayed adaptation between effective and moderately ineffective, while among the group of pre-assistance predominated severe or serious adaptations. The participants arrived at the institution with multiple impairments, in a confused mental state, not knowing what to do or whom to call, besides feeling skeptical of any possible treatment. The severity of the conflicts they face suggests the need for weekly psychological treatment for the long term (estimated at a minimum of one year) in order to restore self-esteem, self-confidence and overcoming profound cultural values which prevents them from overcoming the condition of victimization to which they are subjected to. / De acordo com a Organiza??o Mundial da Sa?de, a viol?ncia ? um problema mundial que afeta fam?lias de todas as culturas, etnias, pol?ticas econ?micas e regimes pol?ticos. Mulheres v?timas de viol?ncia s?o assistidas por diferentes institui??es com diferentes tipos de interven??o: jur?dica, psicol?gica, social e/ou m?dica. No entanto, a qualidade e extens?o das mudan?as que apresentam, em decorr?ncia do aux?lio prestado, nem sempre s?o conhecidas. O objetivo do presente estudo foi o de avaliar aspectos psicol?gicos de mulheres v?timas de viol?ncia no que diz respeito ao est?gio de mudan?a, a qualidade da efic?cia adaptativa e a severidade dos sintomas psicopatol?gicos em mulheres v?timas de viol?ncia antes de serem assistidas pelo SOS A??o Mulher e Fam?lia e compar?-los com os de mulheres que j? foram assistidas pela institui??o. Metodologicamente o estudo utilizou de delineamento do tipo Cross-Sectional, que se baseia na compara??o entre dois grupos em est?gios diferentes de um processo desenvolvimental. A amostra foi composta por um Grupo G1(pr?-assist?ncia) com nove mulheres em fase inicial de atendimento, idade m?dia=36,7 e DP=8,68; e um Grupo G2 (p?s-assist?ncia) de nove mulheres que j? haviam conclu?do atendimento, idade m?dia=41 e DP=11,28. Foram avaliadas individualmente com a Escala de Avalia??o de Sintomas EAS-40, Escala de Est?gio de Mudan?a - EEM e Escala Diagn?stica Adaptativa Operacionalizada Redefinida EDAO-R. Todas eram v?timas de agress?es f?sicas e psicol?gicas recorrentes, em m?dia h? 11 anos, perpetrada por parceiro ?ntimo. Ambos os grupos encontravam-se nos est?gios de mudan?a pr?-contempla??o (aus?ncia de consci?ncia do problema e de motiva??o para enfrent?-lo) e contempla??o (reconhece o problema, mas sem motiva??o para enfrent?-lo) de acordo com a EEM. Os sintomas psicopatol?gicos avaliados com a EAS-40 mantinham-se elevados mesmo ap?s os atendimentos. As participantes do Grupo p?s-assist?ncia apresentavam adapta??o entre eficaz e ineficaz moderada, enquanto que entre as do Grupo pr?-assist?ncia predominaram adapta??es ineficazes severa ou grave. As participantes chegam ? institui??o com v?rios comprometimentos, com confus?o de pensamento, sem saber o que fazer e a quem recorrer, al?m de se sentirem descrentes de algum tratamento poss?vel. A severidade dos conflitos que enfrentam sugere a necessidade de atendimentos psicol?gicos semanais de longo prazo (estima-se um m?nimo de um ano) para que possam recuperar a auto-estima, auto-confian?a e superar valores culturais profundamente arraigados, que as impedem de superar a condi??o de vitimiza??o ? que est?o sujeitas.