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Previous issue date: 2016-02-25 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Adolescence is a period of development in which physical, emotional and social changes occur and adolescents become exposed to stress. Headaches are one of the symptoms of stress, a risk factor for psychopathological conditions, school absenteeism and difficulties in relationships, affecting quality of life. This study analyzed stressors and coping in relation to quality of life among adolescents experiencing headaches. A total of 54 adolescents (85.19% girls), aged from 14 to 18 years old and attending elementary, middle or high school in a public school in Sorocaba, SP, Brazil, participated. The following instruments were applied in classrooms: a) to characterize the sample ? Headache Questionnaire; a Characterization Interview Protocol developed for this study; and the Brazil Economic Criteria Classification; b) the Adolescent Perceived Events Scale (APES) was applied to identify stressors during adolescence; c) to assess coping with stressful events during adolescence ? Coping Scale (CS), with 12 coping families using the Motivational Theory of Coping; d) Responses to Stress Questionnaire ? Headache (RSQ-H) with authorized linguistic validation was used to analyze headache stressors and coping: and e) Quality of Life Headache - Youth Questionnaire (QLH-Y) was used to assess quality of life. Descriptive statistics, comparisons between groups and correlations were used in addition to network analyses. Daily headaches were prevalent in 42.59% of the sample, while 29.63% reported headaches several times a week associated with emotional triggers, such as feeling anxious or having concerns. The results showed that girls presented: a) greater perception of good and bad stressors (APES); b) Involuntary Engagement, Rumination, Emotional Excitement and Cognitive Interference (RSQ-H); c) Less Vital Strength and more Depression (QLH-Y). Daily headaches were related to a) stressful events during adolescence (APES), maladaptive coping, isolation and helplessness (CS); b) greater quantity of headache stressors (RSQ-H); c) Disengagement and Avoidance (RSQ-H); d) Depression (QLH-Y). The adolescents receiving medical care more frequently presented: a) positive headache coping with Emotional regulation, Emotional Expression, Secondary Control Engagement, Positive Thinking, Acceptance and Immobilization; b) Harmonization and Vital Strength (QLH-Y). Adolescents with a medical diagnosis of migraines presented: a) a lower perception of bad events (APES); b) greater Helplessness when coping with stressful events during adolescence (CS). Adolescents with headaches that last more than 24 hours more frequently presented: a) Involuntary Engagement; Emotional Excitement and Escape (RSQ-H); b) Fatigue (QLH-Y). These involuntary stress responses and maladaptive coping strategies, especially among girls, show difficulty in self-regulating when facing headache stressors, emphasizing the importance of prevention and the development of more efficient and specific interventions for this age range. Analyses helped understand the processes involved in headache coping among adolescents, showing how somatic symptoms, depression and stress and the impact of headaches on daily life are related. / A adolesc?ncia ? um per?odo do desenvolvimento em que ocorrem transforma??es f?sicas, emocionais e sociais, tornando o adolescente exposto ao estresse. Este tem como um dos sintomas as queixas de dor de cabe?a, que s?o fator de risco para quadros psicopatol?gicos, absente?smo escolar e dificuldades nos relacionamentos, afetando a qualidade de vida. Esta pesquisa analisou os eventos estressores e seu enfrentamento em suas rela??es com a qualidade de vida, em adolescentes com queixas de dor de cabe?a. Participaram 54 adolescentes (85,19% meninas), com 14 a 18 anos, cursando o final do Ensino Fundamental e o Ensino M?dio em uma escola p?blica de Sorocaba-SP. Foram aplicados na sala de aula os instrumentos: a) para caracteriza??o da amostra - Question?rio de Queixa de Dor de Cabe?a; Protocolo de Entrevista de Caracteriza??o, especialmente elaborado; e Crit?rio de Classifica??o Econ?mica Brasil; b) para identifica??o de estressores da adolesc?ncia: Adolescent Perceived Events Scale (APES); c) para avalia??o do enfrentamento de situa??es estressantes da adolesc?ncia: Escala de Coping (EC), com 12 fam?lias de coping, segundo a Teoria Motivacional do Coping; d) para an?lise dos estressores da dor de cabe?a e seu enfrentamento: Responses to Stress Questionnaire ? Headache (RSQ-H), com valida??o lingu?stica autorizada pelos autores; e) para avalia??o da qualidade de vida: Quality of Life Headache - Youth Questionnaire (QLH-Y). Foram feitas an?lises estat?sticas descritivas, de compara??es entre grupos e de correla??es, al?m de an?lise de redes. Houve preval?ncia de dores di?rias em 42,59% da amostra e v?rias vezes por semana em 29,63%, com crises associadas a gatilhos emocionais, como sentir-se ansioso e ter preocupa??es. Os resultados mostraram que as meninas apresentaram: a) maior percep??o de estressores bons e ruins (APES); b) Coping de Engajamento Involunt?rio, Rumina??o, Excita??o Emocional e Interfer?ncia Cognitiva (RSQ-H); c) menos For?a Vital e mais Depress?o (QLH-Y). A dor de cabe?a di?ria estava relacionada a: a) situa??es estressoras da adolesc?ncia (APES), coping mal adaptativo, Isolamento e Desamparo (EC); b) maior quantidade de estressores da dor de cabe?a (RSQ-H); c) Coping de Desengajamento e Evita??o (RSQ-H); d) Depress?o (QLH-Y). Os adolescentes em atendimento m?dico apresentaram mais: a) enfrentamento positivo da dor de cabe?a, com Regula??o Emocional, Express?o Emocional, Coping de Engajamento de Controle Secund?rio, Pensamento Positivo, Aceita??o e Paralisa??o; b) Harmonia e For?a Vital (QLH-Y). Os adolescentes com diagn?stico m?dico de enxaqueca apresentaram: a) menor percep??o de eventos ruins (APES); b) maior Desamparo no enfrentamento das situa??es estressantes da adolesc?ncia (EC). Os adolescentes com dor de cabe?a por mais de 24 horas apresentaram mais: a) Engajamento Involunt?rio, Excita??o Emocional e Fuga (RSQ-H); b) Fadiga (QLH-Y). Essas respostas de estresse involunt?rias e de coping mal adaptativo, especialmente nas meninas, mostram as dificuldades de autorregula??o diante de estressores da dor de cabe?a, alertando para a import?ncia da preven??o e a elabora??o de interven??es mais eficientes e espec?ficas para essa faixa et?ria. As an?lises realizadas auxiliaram na compreens?o dos processos envolvidos no enfrentamento da dor de cabe?a em adolescentes, evidenciando como sintomas som?ticos, depress?o e estresse e o impacto da dor de cabe?a na vida di?ria se relacionam.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede.bibliotecadigital.puc-campinas.edu.br:tede/852 |
| Date | 25 February 2016 |
| Creators | Mascella, Vivian |
| Contributors | Enumo, S?nia Regina Fiorim, Machado, Wagner de Lara, Carneiro, Berenice Victor, Perosa, Gimol Benzaquen, Rodrigues, Olga Maria Piazentin Rolim |
| Publisher | Pontif?cia Universidade Cat?lica de Campinas, Programa de P?s-Gradua??o em Psicologia, PUC-Campinas, Brasil, 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 |
| Relation | 2588426296948062698, 500, 500, 600, -8078962403216510360, 2075167498588264571 |
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