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Previous issue date: 2013-12-11 / Chronic renal failure (CRF) is the gradual and progressive loss of kidney functions, which can promote severe restrictions and psychosocial impact into the individual?s life, even risking to lead her or him to death. Its high prevalence in the current context defines it as a worldwide public health problem. The present study aimed to evaluate the degree of association between adaptive efficacy, psychopathological symptoms and stress levels in chronic renal failure patients and verify whether these variables could predict their adaptive efficacy. We adopted the concept of adaptive efficacy, by Ryad Simon, a measure of the quality of the individual's responses to situations of their day-by-day. The sample was composed of 50 patients with chronic renal failure, of both sexes, attended hemodialysis unit of a general hospital inland city of S?o Paulo. The assessment instruments used were: EDAO-AR - Self-Report Scale of Adaptation, designed to evaluate the quality of the adaptation of the sector Affective-Relational (AR) and Productivity (Pr); EAS- 40 - Assessment Symptoms Scale-40, which assesses the severity of psychopathological symptoms according to four dimensions: psychoticism, obsessiveness-compulsiveness, somatization and anxiety; ISSL Lipp Stress Symptoms Inventory, which assesses the symptoms of stress in the psychological and physical, besides the person?s stress phase. The results suggested that the participants were divided into effectively adapted (76%) and poorly ineffectively adapted (24%). Regarding psychopathological symptoms, the average score was 0,41 (? 0,33) (cutoff 1[E1]); 56% showed no stress and 44 % had stress, in the Resistance Phase (34%) with predominant psychological symptoms of stress (73%). The values of the Spearman Rank Correlation (?) confirmed the initial hypotheses as they pointed to significant and negative associations between psychopathological symptoms and adaptive efficacy and between stress and adaptive efficacy; significant positive association between psychopathological symptoms and stress. The structural equations modeling (SEM) suggested that psychopathological symptoms predict psychological stress and adaptive efficacy, however physical stress and phases of stress are not depicted as predictors of adaptive efficacy. / A insufici?ncia renal cr?nica (IRC) consiste na perda gradativa e progressiva das fun??es dos rins, o que pode causar restri??es severas e impacto psicossocial ao indiv?duo, ou at? mesmo lev?-lo ? morte. Sua alta preval?ncia no contexto atual a define como um problema de sa?de p?blica em n?vel mundial. O presente estudo teve como objetivo avaliar o grau de associa??o entre a efic?cia adaptativa, os sintomas psicopatol?gicos e os n?veis de stress de pacientes renais cr?nicos e verificar se estas vari?veis poderiam predizer a sua efic?cia adaptativa. Adotou-se o conceito de efic?cia adaptativa, de Ryad Simon, uma medida da qualidade das respostas do indiv?duo ?s situa??es de seu dia-a-dia. A amostra ficou constitu?da por 50 pacientes com insufici?ncia renal cr?nica, de ambos os sexos, atendidos na unidade de hemodi?lise de um hospital geral do interior de S?o Paulo. Os instrumentos de avalia??o utilizados foram: EDAO-AR - Escala Diagn?stica Adaptativa Operacionalizada de Autorrelato, que permite avaliar a qualidade da efic?cia adaptativa do setor Afetivo-Relacional (A-R) e Produtividade (Pr); EAS-40 - Escala de Avalia??o de Sintomas 40, que avalia a severidade de sintomas psicopatol?gicos segundo quatro dimens?es: psicoticismo, obsessividade-compulsividade, somatiza??o e ansiedade; ISSL Invent?rio de Sintomas de Stress para Adultos de Lipp, que avalia a presen?a de sintomas de stress nos ?mbitos psicol?gico e f?sico, al?m da fase do stress em que a pessoa se encontra. Os resultados apontaram que os participantes ficaram distribu?dos em adapta??o eficaz (76%) e adapta??o ineficaz leve (24%). Quanto aos sintomas psicopatol?gicos, o escore m?dio foi de 0,41 (? 0,33) (ponto de corte 1[E1]); 56% n?o apresentaram stress e 44% apresentaram stress, dos quais 34% na Fase de Resist?ncia e com predom?nio de sintomas psicol?gicos do stress (73%). As correla??es por postos de Spearman (?) confirmaram as hip?teses iniciais, indicando associa??es significantes e negativas entre sintomas psicopatol?gicos e efic?cia adaptativa e entre stress e efic?cia adaptativa; associa??o significante positiva entre sintomas psicopatol?gicos e stress. A modelagem de equa??es estruturais (MEE) indicou que sintomas psicopatol?gicos predizem o stress psicol?gico e a efic?cia adaptativa, entretanto o stress f?sico e as fases do stress n?o se configuram como preditores da efic?cia adaptativa.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede.bibliotecadigital.puc-campinas.edu.br:tede/324 |
| Date | 11 December 2013 |
| Creators | Santos, M?rcia Calixto dos |
| Contributors | Yoshida, Elisa Medici Pizao, Enumo, S?nia Regina Fiorim, Rocha, Glaucia Mitsuko Ataka da |
| 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/masterThesis |
| 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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