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Abstract(s)
Podemos argumentar que as capacidades de identificar e descrever sentimentos subjetivos, distinguir emoções de sensações físicas e a capacidade de simbolizar ou relacionar o afeto e a fantasia são imprescindíveis para um funcionamento bom e equilibrado dos indivíduos, alexitimia é então dificuldades nestas capacidades descritas, que podem apresentar vários desafios ao individuo afetado. O presente trabalho está subdividido em duas partes. Em primeiro lugar, é apresentado um artigo de revisão de literatura, tendo este como objetivo conhecer o estado da arte em relação à alexitimia em indivíduos com dor crónica, tendo em consideração outras variáveis como dados sociodemográficos e clínicos dos indivíduos. A revisão efetuada permitiu concluir que, de forma geral, indivíduos com dor crónica apresentam níveis de alexitimia mais elevados. Na segunda parte da presente dissertação apresenta-se um estudo empírico que teve como objetivo descrever os níveis de alexitimia numa amostra geral de pacientes com dor crónica, tendo também em consideração outras variáveis como, dados sociodemográficos e clínicos, numa amostra constituída por 30 participantes com idades compreendidas entre os 24 e 86 anos (M= 55,23; DP=15,68) aos quais foram admistrados os seguintes instrumentos: um questionário sociodemográfico e clínico, a Escala de Alexitimia de Toronto (TAS-20), o Inventário Resumido da Dor (BPI) e, por fim, a Escala de Ansiedade e Depressão Hospitalar (HADS). Os resultados sugerem que, os níveis de alexitimia em indivíduos com dor crónica são elevados, para a maioria destes (76,7%; n=23). Os resultados demonstram ainda existir associações entre a alexitimia, níveis de intensidade da dor, ansiedade e depressão. Destaca-se a depressão, sendo que observou-se uma correlação positiva forte entre depressão e alexitimia (r=0,616 p<0,05). Outras variáveis como a ansiedade (r= 0,458 p<0,05) e dor no momento da avaliação (r= 0,371 p<0,05) demonstraram também estar correlacionados de forma positiva, ainda que fraca com a alexitimia. Com a realização desta dissertação concluímos que níveis de alexitimia elevados estão presentes em populações com dor crónica, estando também relacionados positivamente com depressão, ansiedade e intensidade de dor.
We could point out that the ability to identify and describe subjective feelings, to distinguish emotions from physical sensations and the ability to symbolize or relate affect and fantasy are essential for individuals to have a good and balanced functioning; alexithymia is therefore difficulties in these abilities, which can present various challenges to the affected individual. This paper is divided into two parts. Firstly, a literature review article is presented, which aims to find out the state of the art in regards to alexithymia in individuals with chronic pain, taking into account other variables such as the individuals' sociodemographic and clinical data. The review concluded that, in general, individuals with chronic pain have higher levels of alex ithymia. The second half of this dissertation presents an empirical study which aimed to describe the levels of alexithymia in a general sample of patients with chronic pain, also taking into account other variables such as sociodemographic and clinical data, in a sample consisting of 30 participants aged between 24 and 86 ( M = 55.23; SD =15.68) to whom the following instruments were administered: a sociodemographic and clinical questionnaire, the Toronto Alexithymia Scale (TAS 20), the Brief Pain Inventory (BPI) and, finally, the Hospital Anxiety and Depression Scale (HADS). The results s uggest that the levels of alexithymia in individuals with chronic pain are high for the majority of them (76.7%; n=23). The results also showed associations between alexithymia, levels of pain intensity, anxiety, and depression. Depression stood out, with a stron g positive correlation between depression and alexithymia ( r =0.616 p<0.05). Other variables such as anxiety ( r = 0.458 p <0.05) and pain at the time of assessment r = 0.371 p <0.05) were also found to be positively correlated, although weakly, with alexithymi a. With the conclusion of this dissertation, we found that high levels of alexithymia are present in populations with chronic pain, as well as being positively correlated with depression, anxiety, and pain intensity.
We could point out that the ability to identify and describe subjective feelings, to distinguish emotions from physical sensations and the ability to symbolize or relate affect and fantasy are essential for individuals to have a good and balanced functioning; alexithymia is therefore difficulties in these abilities, which can present various challenges to the affected individual. This paper is divided into two parts. Firstly, a literature review article is presented, which aims to find out the state of the art in regards to alexithymia in individuals with chronic pain, taking into account other variables such as the individuals' sociodemographic and clinical data. The review concluded that, in general, individuals with chronic pain have higher levels of alex ithymia. The second half of this dissertation presents an empirical study which aimed to describe the levels of alexithymia in a general sample of patients with chronic pain, also taking into account other variables such as sociodemographic and clinical data, in a sample consisting of 30 participants aged between 24 and 86 ( M = 55.23; SD =15.68) to whom the following instruments were administered: a sociodemographic and clinical questionnaire, the Toronto Alexithymia Scale (TAS 20), the Brief Pain Inventory (BPI) and, finally, the Hospital Anxiety and Depression Scale (HADS). The results s uggest that the levels of alexithymia in individuals with chronic pain are high for the majority of them (76.7%; n=23). The results also showed associations between alexithymia, levels of pain intensity, anxiety, and depression. Depression stood out, with a stron g positive correlation between depression and alexithymia ( r =0.616 p<0.05). Other variables such as anxiety ( r = 0.458 p <0.05) and pain at the time of assessment r = 0.371 p <0.05) were also found to be positively correlated, although weakly, with alexithymi a. With the conclusion of this dissertation, we found that high levels of alexithymia are present in populations with chronic pain, as well as being positively correlated with depression, anxiety, and pain intensity.
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Keywords
Alexitimia Dor crónica Ansiedade Depressão Portugal Alexithymia Chronic pain Anxiety Depression