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Previous issue date: 2007-02-06 / Pontif?cia Universidade Cat?lica de Campinas / The study aimed at the evaluation of depression, alexithymia, quality of life and personality styles of people with idiopathic Parkinson s disease. The sample of 100 participants was integrated by 41% men and 59% women, from 38 to 90 years old, aged from 50 to 79 years old (Mo=75 and 77 years old); 72,45% are pensioners; 68% are originally from Sao Paulo State; 53% with schooling from 8 years or more. The majority of the participants (59%) had the disease for 6 years and was classified as the 2nd stage of Parkinson s disease (80% of them). Participants were evaluated according to the following instruments: Beck Depression Inventory (BDI), Toronto Alexithymia Scale (TAS), Parkinson's Disease Questionnaire (PDQ- 39) and Millon Inventory of Personality Styles (MIPS). The average score of BDI was 11,8 (SD= 7,4), summing up 47% of the people with light or moderate depression. Their common symptoms were lack of pleasure, irritation, insomnia, fatigue, lack of interest in sex, concern with health and with the impossibility of working. Most of the people were scored as alexithymic (59%). Quality of life scores had an average total of 27,34 (SD=14,29). The highest scores were physical discomfort (M=32,4, SD=23,7); activities of daily living (M=31,8, DP=20,4) and mobility (M=31,0, DP=22,5). As for personality styles, 80% and more present strong characteristics called opennesss, protection, sensation, introversion, reflection, affectivity, systematization and firmness. The structure equation modeling (SEM), analyzed through Partial Least Square (PLS), showed that depression contributes significantly to quality of life, alexithymia and the dimensions of cognitive and interpersonal behaviors (evaluated by MIPS). Results were discussed considering the multidetermination of depression in Parkinson s disease and the importance of the intervention in depression focusing the improvement of quality of life. A heuristic proposal involves the theoretical model about a multidetermination of the depression in the illness as a model obtained in this study following PLS. The limitations imposed by the homogeneity of some characteristics of the sample are discussed and new studies are suggested, including samples with different characteristics and on psychotherapy interventions that consider psychological disorders and the positive aspects (adaptive resources) identified in this research. / O objetivo foi avaliar a associa??o entre depress?o, alexitimia, qualidade de vida e estilos de personalidade de pessoas com Doen?a de Parkinson, atendidos na Associa??o Brasil- Parkinson. A amostra, de 100 participantes diagnosticados com Doen?a de Parkinson idiop?tica, ficou composta por 59% de homens e 41% de mulheres, com idades entre 38 e 90 anos, concentradas nas faixas et?rias entre 50 e 79 anos (Mo= 75 e 77 anos). A maioria ? aposentada (72,45%) e natural de S?o Paulo (68%), com escolaridade de 8 anos ou mais (53%). O tempo de curso da doen?a concentrou-se em at? 6 anos (59%) e a maioria encontra- se no Est?gio II da doen?a (80%). Os instrumentos de auto-relato utilizados foram a Escala de Depress?o de Beck (BDI), Escala de Alexitimia de Toronto (TAS), Parkinson s Disease Questionnaire (PDQ-39) e Invent?rio de Estilos de Personalidade de Millon (MIPS), aplicados individualmente. O escore m?dio do BDI foi de 11,8 (DP=7,4), tendo sido 47% das pessoas classificadas com depress?o leve ou moderada. Os sintomas de depress?o mais referidos foram: falta de prazer, irrita??o, dificuldade com o sono, cansa?o, falta de interesse em sexo, preocupa??o com a sa?de e preocupa??o em n?o poder trabalhar. A maioria das pessoas foi classificada como alexit?mica (59%). Quanto ? qualidade de vida, o escore total m?dio foi de 27,34 (DP=14,29), sendo que as dimens?es com escores mais altos foram desconforto corporal (M=32,4, DP=23,7); atividades da vida di?ria (M= 31,8, DP= 20,4) e mobilidade (M= 31,0, DP=22,5). Quanto ao estilo de personalidade, 80% ou mais da amostra apresentou como caracter?sticas fortes: abertura, prote??o, sensa??o, introvers?o, reflex?o, afetividade, sistematiza??o e firmeza. O modelo de equa??es estruturais (SEM), analisado atrav?s do Partial Least Square (PLS) apresentou a depress?o como a vari?vel preditora da qualidade de vida, da alexitimia e das dimens?es modos cognitivos e condutas interpessoais (estas avaliadas pelo MIPS). Os resultados foram discutidos considerando a multidetermina??o da depress?o na Doen?a de Parkinson e a import?ncia da interven??o sobre a depress?o com o objetivo de melhorar a qualidade de vida. ? proposta uma heur?stica para a compreens?o da multidetermina??o da Doen?a de Parkinson e do modelo obtido pela aplica??o do PLS. S?o discutidas as limita??es impostas pela homogeneidade de algumas caracteristicas apresentadas pela amostra e sugeridos novos estudos em amostras com caracter?sticas diferentes e sobre interven??es psicoterap?uticas que considerem tanto os dist?rbios psicol?gicos quanto os aspectos positivos (recursos adaptativos) identificados no presente estudo.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede.bibliotecadigital.puc-campinas.edu.br:tede/379 |
| Date | 06 February 2007 |
| Creators | Rocha, Glaucia Mitsuko Ataka da |
| Contributors | Yoshida, Elisa Medici Pizao, Neri, Anita Liberalesso, Witter, Geraldina Porto, Terzis, Antonios, Prebianchi, Helena Bazanelli |
| Publisher | Pontif?cia Universidade Cat?lica de Campinas, Programa de P?s-Gradua??o em Psicologia, PUC-Campinas, BR, CCV ? Centro de Ci?ncias da Vida |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_CAMPINAS, instname:Pontifícia Universidade Católica de Campinas, instacron:PUC_CAMP |
| Rights | info:eu-repo/semantics/openAccess |
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