Funcionamento cognitivo de pacientes com cancro da mama: Sua relação com a sintomatologia traumática
Date
2017-05
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Language
Portuguese
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Abstract
Evidências empíricas têm mostrado que doentes oncológicos submetidos a diversos
tratamentos apresentam alterações ao nível do funcionamento cognitivo (e.g. atenção,
memória, funções executivas). No entanto, foi possível constatar que estas alterações
podiam ser observadas mesmo antes de qualquer tratamento, o que sugere a necessidade
de considerar outras variáveis que possam estar a influenciar o funcionamento cognitivo
destes doentes. A sintomatologia traumática pode ser uma destas variáveis dado o caráter
potencialmente traumático de um diagnóstico oncológico. O presente estudo, de caracter
transversal e exploratório, teve como objetivo perceber de que forma a sintomatologia
traumática em mulheres com cancro da mama se associa a prejuízos no seu
funcionamento cognitivo. A amostra foi constituída por 20 mulheres diagnosticadas com
cancro da mama, avaliadas quanto ao seu funcionamento cognitivo (Teste de Stroop, Trail
Making Test (TMT), Escala de Inteligência Wechsler para Adultos (WAIS-III), Figura
Complexa de Rey (FCR-O), Teste Wisconsin de Classificação de Cartas (WCST), Teste
de Retenção Visual de Benton (TRVB), Teste de Aprendizagem Auditivo-Verbal de Rey
(RAVLT), Behavioral Assessment of the Dysexecutive Syndrome (BADS)) e
sintomatologia traumática (Escala de Impacto de Eventos Revista (IES-R)). Os
resultados mostram que 35% das participantes apresentam sintomatologia traumática a
níveis clinicamente significativos (ponto de corte >35,5). Além disso, foram encontradas
correlações significativas (p<.05) entre os resultados da IES-R e o funcionamento
executivo, particularmente a flexibilidade cognitiva. Os resultados desta investigação
apontam para uma vulnerabilidade do estado de saúde mental dos pacientes com cancro
da mama e para uma elevada prevalência dos défices cognitivos ao nível da atenção e
funcionamento executivo. Além disso, mostram uma associação entre sintomatologia
traumática e défice cognitivo sugerindo a necessidade de explorar melhor quais os
processos subjacentes a esta relação. Assim, seria pertinente a criação de programas de
intervenção psicológica com foco no trauma e na reabilitação cognitiva.
Empirical evidences have shown that cancer patients, submitted to several treatments, present changes in cognitive functioning level (e. g. attention, memory, executive functions). However, it was observed that these changes could be noticed even before the beginning of any treatment. Thus, some studies make aware of the need to consider other psychological variables that might influence the cognitive functioning of the patients. The traumatic symptomatology is one of the variables to be considered, since oncological disease can be a sufficiently traumatic event. The present study, with a transversal and exploratory character, had the aim of understand how the traumatic symptomatology, in woman with breast cancer, is related to losses in their cognitive functioning. The sample was composed of 20 women, diagnosed with breast cancer, evaluated in terms of cognitive action (Stroop Test, Trail Making Test (TMT), Wechsler Adult Intelligence Scale (WAIS-III), Rey Osterrieth Complex Figure (FCR-O), Wisconsin Card Sorting Test (WCST), Benton Visual Retention Test (BRVB), Rey Auditory Verbal Learning Test (RAVLT), Behavioral Assessment of the Dysexecutive Syndrome (BADS)) and traumatic symptomatology (Impacto f Event Scale - Revised (IES-R)). The results revealed that 35% of the participants presented traumatic symptomatology at clinically significant levels (cutoff >35%). Furthermore, significant correlations (p<.05) were found between the IES-R results and the executive functioning, particullarly the cognitive flexibility. The results of this research point to a vulnerability of the mental health status of breast cancer patients and to a high prevalence of cognitive deficits in attention and executive functioning. Futhermore, they reveal an association between traumatic symptomatology and cognitive deficit that suggest the need to better explore which processes underlie this relationship. Therefore, the creation of programs of psychological intervention, focused on trauma and cognitive rehabitation, would be pertinente.
Empirical evidences have shown that cancer patients, submitted to several treatments, present changes in cognitive functioning level (e. g. attention, memory, executive functions). However, it was observed that these changes could be noticed even before the beginning of any treatment. Thus, some studies make aware of the need to consider other psychological variables that might influence the cognitive functioning of the patients. The traumatic symptomatology is one of the variables to be considered, since oncological disease can be a sufficiently traumatic event. The present study, with a transversal and exploratory character, had the aim of understand how the traumatic symptomatology, in woman with breast cancer, is related to losses in their cognitive functioning. The sample was composed of 20 women, diagnosed with breast cancer, evaluated in terms of cognitive action (Stroop Test, Trail Making Test (TMT), Wechsler Adult Intelligence Scale (WAIS-III), Rey Osterrieth Complex Figure (FCR-O), Wisconsin Card Sorting Test (WCST), Benton Visual Retention Test (BRVB), Rey Auditory Verbal Learning Test (RAVLT), Behavioral Assessment of the Dysexecutive Syndrome (BADS)) and traumatic symptomatology (Impacto f Event Scale - Revised (IES-R)). The results revealed that 35% of the participants presented traumatic symptomatology at clinically significant levels (cutoff >35%). Furthermore, significant correlations (p<.05) were found between the IES-R results and the executive functioning, particullarly the cognitive flexibility. The results of this research point to a vulnerability of the mental health status of breast cancer patients and to a high prevalence of cognitive deficits in attention and executive functioning. Futhermore, they reveal an association between traumatic symptomatology and cognitive deficit that suggest the need to better explore which processes underlie this relationship. Therefore, the creation of programs of psychological intervention, focused on trauma and cognitive rehabitation, would be pertinente.
Keywords
Cancro da mama, Sintomatologia traumática, Funcionamento cognitivo, Breast cancer, Traumatic symptomatology, Cognitive functioning
Document Type
Master thesis
Publisher Version
Dataset
Citation
Ferreira, A.S.P. (2017). Funcionamento cognitivo de pacientes com cancro da mama: Sua relação com a sintomatologia traumática. (Dissertação de Mestrado), Universidade Portucalense, Portugal. Disponível no Repositório UPT, http://hdl.handle.net/11328/1886
Identifiers
TID
201705052
Designation
Dissertação de Mestrado em Psicologia Clínica e da Saúde
Access Type
Open Access