Banca de DEFESA: ALISSANDRA MARQUES BRAGA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ALISSANDRA MARQUES BRAGA
DATE: 13/12/2023
TIME: 15:00
LOCAL: Auditório Marielle Franco - IE
TITLE:

Psychological aspects of asthma in adolescents: Intervention Proposal based on Cognitive Behavioral Therapy with a focus on Schemes. 

KEY WORDS:

Asthma, Adolescence, Cognitive Behavioral Therapy, Schemas.

PAGES: 123
BIG AREA: Ciências Humanas
AREA: Psicologia
SUMMARY:

Introduction: Experiencing a chronic illness commonly affects the quality of life of the individual and their family, in addition to the treatment having an economic impact on the health system. Asthma is one of the main chronic non-communicable diseases that affects people during adolescence, a phase of the life cycle marked by transformations, discoveries and decision-making. The limitations imposed by sudden asthma attacks can trigger depressive and anxious symptoms and contribute to the worsening of attacks, generating a picture of comorbidities. Objective: To analyze the effects of an integrative, individual, cognitive-behavioral psychological intervention focusing on Schemes, on the emotional state through the flexibility of Schemes and changes in behavior in the face of the trigger for asthma attacks in adolescents. Method: Multiple case study, with the participation of three adolescents with partially controlled asthma, carried out in a private Multiprofessional Clinic located in the southern region of Rio de Janeiro. The research was organized into three stages: a) Assessment of the adolescent's clinical and psychological profile, b) psychological intervention and c) post-intervention reassessment. The clinical assessment followed criteria and instruments based on the Global Initiative for Asthma (GINA), with the Asthma Control Test – ACT used to verify the degree of asthma control. The psychological profile was investigated through psychological interviews with adolescents and their guardians, as well as the application of the Personality Questionnaire for Children and Adolescents (EPQ – J), Young Schema Questionnaire for adolescents (QEA, reduced form), Multidimensional Scale Anxiety Scale for Children (MASC) and Baptista Depression Scale – Children and Youth Version (EBADEP-IJ). The intervention consisted of nine psychotherapeutic sessions using integrative techniques from Cognitive-Behavioral Therapy and Schema Therapy. Narrative analysis was carried out based on participants' verbal reports and textual production about their experiences, in addition to notes in the researcher's field diary. Results: Moderate levels of anxiety were found in the three participants and symptoms of depression were predominantly classified as mild. There was a predominance of the Personality Trait Neuroticism and the Initial Maladaptive Schema of Vulnerability to Harm and Illness. Fear was highlighted as the predominant emotion and avoidant behavior as the main form of coping. The analysis of the narratives showed an improvement in adherence to medication to control asthma and changes in behavior when faced with situations with the potential for an asthma attack. Psychoeducation acted as an important tool in this process. Conclusion: The need to deepen research on the family profile is highlighted, as well as the importance of developing public policies that support the implementation of psychological interventions as adjuvants in the management of asthma.

COMMITTEE MEMBERS:
Externa à Instituição - CLAUDIA BRANDÃO BEHAR - Unigranrio
Interna - 2151322 - JAQUELINE ROCHA BORGES DOS SANTOS
Presidente - 2077610 - LILIAN MARIA BORGES
Externo à Instituição - LUIS ANTÔNIO MONTEIRO CAMPOS - UCP
Externa à Instituição - Patricia Maria de Azevedo Pacheco
Interna - ***.841.587-** - VALERIA MARQUES DE OLIVEIRA - UFRRJ