Caracterização da personalidade e estado emocional do portador de melanoma
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Data
2019-02-28
Autores
Totina, Viviane da Silva Clemente
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Universidade Estadual Paulista (Unesp)
Resumo
Introdução: O melanoma é um tipo de câncer de pele agressivo, gerando diferentes comportamentos ao diagnóstico, dependendo da situação emocional do indivíduo. O modo como o paciente recebe o diagnóstico pode estar associado à personalidade e sua relação com a vida. Objetivo: Identificar as características emocionais e as dimensões da personalidade do paciente com melanoma no momento diagnóstico. Métodos: Foram selecionados 30 pacientes no momento do diagnóstico de melanoma e 30 sem diagnóstico oncológico sendo, ambos os grupos submetidos à avaliação psicológica através de dois instrumentos: Escala de Ansiedade e Depressão (HADS) e Inventário Fatorial de Personalidade (IFP II). Resultados: Neste estudo os sintomas de ansiedade e depressão não tiveram significância estatística e foram sintomas predominantes no grupo controle do que no grupo melanoma. Na interpretação e análise de correspondência do IPF II deste estudo as variáveis estatisticamente significativas que caracterizam os pacientes com melanoma foram Assistência, Afago, Deferência, Afiliação, Persistência e Autonomia. A dimensão Ordem é característica no que se refere aos estádios clínicos mais avançados (III e IV). Discussão: Neste trabalho não observa uma associação direta de sintomas de ansiedade e depressão na fase diagnóstica, ponto que merece atenção na escuta clínica e evolução do tratamento. Notamos as pessoas com melanoma a tendência abandono de si e busca de reconhecimento, para manter o trabalho, boa execução e admiração do outro, bem como pouca tolerância ao desconforto psicológico, distanciando de suas necessidades individuais e cuidados na busca de sua independência, proporcionando o avanço da doença. A percepção da necessidade de reorganizar-se e cuidar-se quando já aumento sua proporção, portanto a observamos que mais pesquisas nesse campo contribuiriam na ampliação do indivíduo. Conclusão: Os resultados dessa pesquisa ampliam e atualizam a literatura presente revelando a importância do crescente desenvolvimento do conhecimento científico na compreensão existencial e dos importantes aspectos do paciente com melanoma.
Introduction: Melanoma is a type of aggressive skin cancer, generating different behaviors at diagnosis, depending on the individual's emotional situation. How the patient receives the diagnosis may be associated with personality and its relation to life. Objective: To identify the emotional characteristics and personality dimensions of the patient with melanoma at the moment of diagnosis. Methods: 30 patients were selected at the time of diagnosis of melanoma and 30 without oncological diagnosis. Both groups were submitted to psychological evaluation through two instruments: Anxiety and Depression Scale (HADS) and Factorial Personality Inventory (IFP II). Results: In this study the symptoms of anxiety and depression were not statistically significant and were predominant symptoms in the control group than in the melanoma group. In the interpretation and correspondence analysis of the IPF II of this study, the statistically significant variables that characterize patients with melanoma were Assistance, Cuddling, Deference, Affiliation, Persistence and Autonomy. The Order dimension is characteristic for the more advanced clinical stages (III and IV). Discussion: This study does not observe a direct association of anxiety and depression symptoms in the diagnostic phase, a point that deserves attention in clinical listening and treatment evolution. We note that people with melanoma tend to abandon themselves and seek recognition, to keep the job, good execution and admiration of the other, as well as little tolerance for psychological discomfort, distancing from their individual needs and care in the quest for their independence, providing the disease progression. The perception of the necessity to reorganize and to take care of itself when its proportion has already increased, therefore we observed that more research in this field would contribute in the enlargement of the individual. Conclusion: The results of this research amplify and update the present literature revealing the importance of the growing development of scientific knowledge in existential comprehension and important aspects of the patient with melanoma.
Introduction: Melanoma is a type of aggressive skin cancer, generating different behaviors at diagnosis, depending on the individual's emotional situation. How the patient receives the diagnosis may be associated with personality and its relation to life. Objective: To identify the emotional characteristics and personality dimensions of the patient with melanoma at the moment of diagnosis. Methods: 30 patients were selected at the time of diagnosis of melanoma and 30 without oncological diagnosis. Both groups were submitted to psychological evaluation through two instruments: Anxiety and Depression Scale (HADS) and Factorial Personality Inventory (IFP II). Results: In this study the symptoms of anxiety and depression were not statistically significant and were predominant symptoms in the control group than in the melanoma group. In the interpretation and correspondence analysis of the IPF II of this study, the statistically significant variables that characterize patients with melanoma were Assistance, Cuddling, Deference, Affiliation, Persistence and Autonomy. The Order dimension is characteristic for the more advanced clinical stages (III and IV). Discussion: This study does not observe a direct association of anxiety and depression symptoms in the diagnostic phase, a point that deserves attention in clinical listening and treatment evolution. We note that people with melanoma tend to abandon themselves and seek recognition, to keep the job, good execution and admiration of the other, as well as little tolerance for psychological discomfort, distancing from their individual needs and care in the quest for their independence, providing the disease progression. The perception of the necessity to reorganize and to take care of itself when its proportion has already increased, therefore we observed that more research in this field would contribute in the enlargement of the individual. Conclusion: The results of this research amplify and update the present literature revealing the importance of the growing development of scientific knowledge in existential comprehension and important aspects of the patient with melanoma.
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Melanoma, Sintomas de Ansiedade, Sintomas de Depressão, Dimensões de Personalidade, Symptoms of anxiety, Symptoms of depression, Dimensions of personality