Avalia??o de preditores de crescimento p?s-traum?tico em uma popula??o de mulheres com c?ncer de mama

• Main Author: Quiroga, Carolina Villanova
• Other Authors: Argimon, Irani Iracema de Lima
• Format: Others
• Language: Portuguese
• Published: Pontif?cia Universidade Cat?lica do Rio Grande do Sul 2018
• Subjects: Crescimento P?s-Traum?tico; C?ncer de Mama; Ciclo Vital; Avalia??o Psicol?gica; CIENCIAS HUMANAS::PSICOLOGIA
• Online Access: http://tede2.pucrs.br/tede2/handle/tede/7940

Submitted by PPG Psicologia ([e-mail]) on 2018-04-02T19:21:49Z No. of bitstreams: 1 DIS_CAROLINA_VILLANOVA_QUIROGA.pdf: 1974519 bytes, checksum: 6331ed342432c52563d3dfa39511b9c7 (MD5) === Approved for entry into archive by Tatiana Lopes ([e-mail]) on 2018-04-12T13:33:29Z (GMT) No. of bitstreams: 1 DIS_CAROLINA_VILLANOVA_QUIROGA.pdf: 1974519 bytes, checksum: 6331ed342432c52563d3dfa39511b9c7 (MD5) === Made available in DSpace on 2018-04-12T13:37:17Z (GMT). No. of bitstreams: 1 DIS_CAROLINA_VILLANOVA_QUIROGA.pdf: 1974519 bytes, checksum: 6331ed342432c52563d3dfa39511b9c7 (MD5) Previous issue date: 2018-01-10 === Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES === Posttraumatic growth (PTG) refers to a positive psychological change which results from challenging and tough situations. Studies show that the development of high levels of PTG after a specific situation is positively related to the use of adaptive coping strategies, rumination, perception of social support and the actual situation being experienced as traumatic, such as breast cancer. From this perspective, a tool that evaluates different emotional and interpersonal aspects of an individual with cancer can be useful when working with prevention and promotion of mental health and quality of life. Knowing predictors of PTG, already described in literature, can be used as a resource to aid the process of elaboration. That would enable thinking about treatments that prioritize possible positive aspects, working in adaptive coping strategies to assist in the situation elaboration. This dissertation had as an initial objective to verify if social support perception, rumination, and use of adaptive coping strategies show a significant correlation with levels of PTG in women with confirmed breast cancer diagnosis. In order to do that, a transversal and exploratory research with two studies was conducted. The first a systematic review that focused on compiling and discussing the results of studies that studied rumination and/or social support as predictors of PTG. The second a empiric study, transversal and exploratory, with the objective of verifying if PTG is a variable present in women with breast cancer in Brazil (n=84) and if rumination, social support and adaptive coping strategies prove to be predictors of it in this population. The Posttraumatic Growth Inventory, Ways of Coping Checklist, Scale of Perceived Social Support (adult version), Rumination and Reflection Questionnaire, Baptista Depression Scale (adult version) were used, and a sociodemographic and health scale was applied.On study 1, there were found 12 articles that corresponded to the including and excluding established criteria. Through quantitative analysis of the methodological and results quality, it was observed that there is almost a consensus of rumination and social support being predictor variables for PTG in different populations. As for study 2, marital social support and adaptive coping strategies were the predictors for PTG in the studied sample. The total score of social support did not appear as a predictor, but presented a significant positive correlation. Moreover, having a religion of identification contributed in regressive models for two different factors that composed the instrument utilized for PTG evaluation. From these studies, it was concluded that the social support, rumination, and adaptive coping strategies variables proved to be predictors of higher scores of PTG. However, it is believed that each one will present different contributions according to the studied populations. The study of predictors is still recent in Brazil regarding PTG. From this research, path is opened to other studies with different populations and methodologies in order to better understand the specificities of this model and its evaluated variables in the Brazilian context. Nonetheless, this dissertation contributes to the foundation of intervention strategies based on these predictors to this specific population. === O crescimento p?s-traum?tico (CPT) trata de uma mudan?a psicol?gica positiva resultante de situa??es vividas em circunst?ncias desafiadoras e dif?ceis. Estudos apontam que o desenvolvimento de altos ?ndices de CPT ap?s uma situa??o espec?fica est? positivamente relacionado ao uso de estrat?gias de coping adaptativas, rumina??o, percep??o de suporte social e da situa??o vivida como traum?tica, como ? o caso do c?ncer de mama. Nesta perspectiva, uma medida que avalie diferentes aspectos emocionais e interpessoais do indiv?duo com c?ncer se mostra ?til no trabalho da preven??o e promo??o de sa?de mental e qualidade de vida. O conhecimento acerca dos preditores de CPT, j? descritos na literatura, pode ser usado como recurso para auxiliar no processo de elabora??o. Pode-se assim pensar em tratamentos que priorizem poss?veis aspectos positivos, trabalhando estrat?gias de enfrentamento adaptativas no que diz respeito ao aux?lio na elabora??o da situa??o. Esta disserta??o teve como objetivo geral verificar se percep??o de suporte social, rumina??o e uso de estrat?gias de coping adaptativas apresentam correla??o com os escores de CPT de mulheres com diagn?stico confirmado de c?ncer de mama. Trata-se de uma pesquisa transversal e explorat?ria, dividida em dois estudos. O primeiro uma revis?o sistem?tica que buscou copilar e discutir resultados de estudos que objetivaram estudar a rumina??o e/ou suporte social como preditores de CPT. O segundo um estudo emp?rico, transversal e explorat?rio, com objetivo de verificar se o CPT ? uma vari?vel presente em mulheres com c?ncer de mama no Brasil (n=84) e se rumina??o, suporte social e estrat?gias de coping adaptativas se mostram preditores do mesmo nesta popula??o. Utilizou-se o Invent?rio de Crescimento P?s-Traum?tico, Invent?rio de Estrat?gias de Coping de Folkman e Lazarus, Escala de Percep??o de Suporte Social, Question?rio de Rumina??o e Reflex?o, Escala Baptista de Depress?o ? vers?o adultos, e aplicada ficha de dados 10 sociodemogr?ficos e de sa?de. No estudo 1, encontrou-se 12 artigos que corresponderam aos crit?rios de inclus?o e exclus?o estabelecidos. Atrav?s de an?lise quantitativa da qualidade metodol?gica e qualitativa dos resultados, observou-se que h? quase consenso de que rumina??o e suporte social s?o vari?veis preditoras de CPT em diferentes popula??es. J? no estudo 2, o suporte social marital e estrat?gias de coping adaptativas foram preditoras de CPT na amostra estudada. O escore total de suporte social n?o se mostrou preditor, mas apresentou correla??o positiva significativa. Ademais, possuir religi?o de identifica??o contribuiu em modelos regressivos para dois diferentes fatores que comp?e o instrumento para avalia??o de CPT. A partir dos estudos, concluiu-se que as vari?veis suporte social, rumina??o e estrat?gias de coping adaptativas se mostram preditoras de maiores escores de CPT. Por?m, acredita-se que as mesmas apresentem diferentes contribui??es de acordo com as popula??es estudadas. O estudo de preditores ainda ? recente no Brasil no que diz respeito ao CPT. A partir desta pesquisa, abre-se espa?o para outros estudos, com diferentes popula??es e metodologias, a fim de melhor compreender as especificidades do modelo e das vari?veis avaliadas no contexto brasileiro. Entretanto, esta disserta??o contribui para o embasamento de estrat?gias de interven??o pautadas nestes preditores para esta popula??o espec?fica.