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Previous issue date: 2005-02-11 / The chronic renal failure is a disease that evolves slowly, gradually and irreversibly causing physical and emotional damage. Studies on the emotional aspects of patients undergoing hemodialysis procedures emphasize that they are a special group among chronic disease patients, because the procedure itself and the individual s dependence on the equipment involved assume great importance on the individual s life. These stressful aspects can, therefore, cause special effects on the emotions and behavior of these patients, overloading the depressive symptoms caused by uremia itself. Among the pathologies and conditions related to emotions, alexithymia stands out. The term been applied to an individual s difficulty to express emotions and affection. Alexithymia and its psychopathological symptoms are considered to have influence on diagnosis, prognosis, and the way a patient can cope with the different forms of treating renal failure. That being so, the evaluation and identification of these aspects can provide a better understanding of them in order to identify and offer to these patients more adequate psychological treatment and a program of prevention and mental health involving patients and the health team. For this study the sample include 48 patients who have been receiving hemodialysis at the hospital of the University School of Medicine in the state of S?o Paulo, Brazil. The sample was stratified according to the type of renal disease presented. The tools used were Identification Form, The Toronto Alexithyimia Scale (TAS) and the Symptoms Evaluation Scale (EAS-40). The sample was distributed like the following: men (60,4%); age between 40 and 59 years of age (58,3%); basic education (50%); retired or on sick leave (47,9%). High blood pressure (41,6%); diabetes mellitus (31,3%); chronic glomerule nephritis (27,1%). Regarding alexithymia 52% of the patients presented scores equal or superior to 74, and 4,2% presented scores equal or inferior to 62. 43,8% of the subjects are on the range between 63 and 73 points. The average score of the sample was 74 and DP 7,52. The results show that patients undergoing hemodialysis present high scores on TAS, regardless of sex, level of education, marital status, occupation, age or diagnosis, and the differences between these variables were not significant. Concerning the psychopathological symptoms, the average score was 0,63 and DP 0,37 , and there were no significant differences between the social and demographic variables. Regarding the association between alexithymia and psychopathological symptoms the results show significant relation between the total scores of TAS and EAS-40; and also between the total score of TAS and Factors 1, 2 and 3 of EAS-40, which fulfill the theoretical expectations. Although further research is needs to identify how these aspects believe in other groups, our finding confirm that alexithymia is related to psychopathological symptoms. / A insufici?ncia renal cr?nica (IRC) ? a uma doen?a de instala??o lenta, gradativa e irrevers?vel das fun??es renais, levando o indiv?duo a ter altera??es f?sicas e emocionais. Estudos sobre os aspectos emocionais de pacientes em hemodi?lise enfatizam que estes comp?em um grupo especial entre os portadores de doen?a cr?nica, pois o tratamento, e a depend?ncia dos equipamentos utilizados assume grande import?ncia na vida da pessoa. Assim, estes aspectos podem acentuar caracter?sticas especiais na sua afetividade e no seu comportamento, salientando que a pr?pria uremia pode produzir sintomas depressivos. Dentre as altera??es e patologias relacionadas ?s emo??es destaca-se a alexitimia, que designa a dificuldade de expressar afetos ou emo??es. Considera-se que a alexitimia e os sintomas psicopatol?gicos podem influenciar no diagn?stico, no progn?stico e na forma de rea??o do sujeito ? modalidade de tratar a insufici?ncia renal. Desta maneira a avalia??o e identifica??o destes aspectos possibilitam uma melhor compreens?o destes visando um tratamento psicol?gico mais adequado a esta popula??o e um trabalho de preven??o e promo??o da sa?de mental com estes pacientes e tamb?m com a equipe. Para este estudo a amostra ? composta de 48 pacientes em hemodi?lise de um hospital escola no interior de S?o Paulo. Esta foi estratificada em fun??o da doen?a renal apresentada. Os materiais utilizados foram ficha de Identifica??o, a Escala de Alexitimia de Toronto (TAS) e a Escala de Avalia??o de Sintomas (EAS-40). Amostra ficou distribu?da com um predom?nio de: pacientes do sexo masculino (60,4%), casados (50%), na faixa et?ria entre 40 e 59 anos de idade (58,3%), com ensino b?sico (50%), aposentados ou afastados do trabalho (47,9%). Quanto ao diagn?stico, 41,6% t?m hipertens?o arterial sang??nea, 31,3% diabetes mellitus e 27,1%, glomerunefrite cr?nica. Quanto ? alexitimia, observou-se que 52% dos participantes apresentaram pontua??o igual ou maior que 74 e que 4,2% obtiveram escore igual ou inferior a 62. E, 43,8% dos sujeitos encontram-se na faixa de 63 a 73 pontos. J? a m?dia geral da amostra foi 74 e DP 7,52. Verificou-se que pacientes submetidos a hemodi?lise apresentam altos escores na TAS, independentemente do sexo, n?vel de escolaridade, estado civil, atividade profissional, idade e hip?tese diagn?stica e que n?o houve diferen?as significantes entre estas vari?veis.Em rela??o aos sintomas psicopatol?gicos a pontua??o m?dia foi de 0,63 e DP 0,37 e tamb?m n?o houve diferen?as significantes nas categorias segundo as vari?veis s?cio-demogr?ficas. Em rela??o ? associa??o entre alexitimia e sintomas psicopatol?gicos averiguou-se correla??o significantes entre os escores totais da TAS e EAS_40 e entre o escore total da TAS e os fatores 1, 2 e 3 da EAS-40, que correspondem a expectativa te?rica. Logo, os resultados deste trabalho confirmam que para esta popula??o a alexitimia se associa com os sintomas psicopatol?gico e a necessidade de futuras pesquisas para conhecermos como estes aspectos se comportam em outras popula??es.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede.bibliotecadigital.puc-campinas.edu.br:tede/191 |
| Date | 11 February 2005 |
| Creators | Pregnolatto, Ana Paula Ferrari |
| Contributors | Yoshida, Elisa Medici Pizao, Laloni, Diana Tosello, Santos, Manoel Antonio dos |
| 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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