Regulação emocional em indivíduos com LCA em contexto de reabilitação

: avaliação da ansiedade e de depressão e identificação de fatores associados

Abstract

Introduction: Anxiety and depression are the emotional states most frequentlyaltered after Acquired Brain Injury (ABI). These emotional changes can influencemotivation and, consequently, be decisive in the progress of rehabilitation and in thequality of life of these individuals. Identifying factors that may be associated with anxiousand depressive symptoms may assist in the accuracy when detecting these symptoms.Thus, the present study has as main objective to identify sociodemographic, clinical, andquality of life factors associated with anxiety symptoms and depressive symptoms in anABI victim population in the context of neuropsychological rehabilitation.Methodology: This is a correlational study in a sample of 34 participants with ABIwho are in the context of neuropsychological rehabilitation. For data collection, asociodemographic questionnaire, the Montreal Cognitive Assessment (MoCA) was usedto assess cognitive functions, The World Health Organization Quality of Life(WHOQOL-BREF) to assess quality of life, The Work and Social Adjustment Scale(WSAS) in the assessment of functional capabilities, the Clinical Outcome in RoutineEvaluation (CORE-10) in the assessment of global mental health, and the HospitalAnxiety and Depression Scale (HADS) in the assessment of anxious and depressivesymptoms clinically significant. Descriptive analysis of the data and the relationship(association and regression) between variables was carried out.Results: According to the results obtained, 55.9% (n = 19) of the sample had anxioussymptoms, 52.9% (n = 18) had depressive symptoms and 41.2% (n = 14) had anxiety anddepressive symptoms. The data suggest that the probability of individuals with ABI todevelop anxiety symptoms increases with the severity of changes in global mental healthand that the probability of developing depressive symptoms is higher in women andwhose perception of quality of life in the psychological domain is lower. The occurrenceof symptom comorbidity is more likely in women with changes in global mental healthand whose perception of quality of life in the psychological domain is lower.Conclusion: The recognition of the sociodemographic, clinical, and quality of lifedimensions in detecting emotional changes after ABI is essential, as it can be decisive inidentifying factors that contribute to the development of anxiety symptoms anddepressive symptoms.

Date of Award	8 Apr 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Sandra Guerreiro (Supervisor) & Maria Vânia Silva Nunes (Supervisor)