FERNANDES, Susana    MCINTYRE, Teresa. Leventhal’s self-regulatory Model applied to breast cancer. []. , 38, 1, pp.51-63. ISSN 0870-8231.  https://doi.org/10.14417/ap.1701.

^len^aThe aim of this study was to examine psychosocial adjustment to breast cancer, according to Leventhal’s self-regulation model. We tried to understand the role of emotional adjustment and illness representations in coping. The participants were 74 Portuguese recently diagnosed breast cancer patients. Measures included the Portuguese versions of: The Hospital Anxiety and Depression Scale (HADS), to assess emotional adjustment (anxiety; depression); the Brief Illness Perception Questionnaire (B-IPQ), to evaluate illness perceptions; and the Mental Adjustment to Cancer Scale (Mini-MAC) to assess coping style. The principal hypothesis was that illness perceptions and emotional adjustment would be significant predictors of coping before surgery. The hypothesis was confirmed for most coping strategies. Emotional adjustment and illness representations were significant predictors of coping, which supports Leventhal’s Self-Regulatory Model, in this sample. Emotional adjustment and illness perceptions were significant predictors of Helplessness/Hopelessness, Anxious Preoccupation, and Fighting Spirit coping strategies.^lpt^aEste estudo analisa o ajustamento psicossocial ao cancro da mama, tendo por base o Modelo de auto-regulação de Leventhal. Procura compreender o papel do ajustamento emocional e representações de doença no coping. A amostra foi constituída por 74 mulheres Portuguesas recentemente diagnosticadas com cancro da mama. As medidas utilizadas foram: A Escala Hospitalar de Ansiedade e Depressão (HADS), para avaliar o ajustamento emocional (ansiedade e depressão); o Questionário de Perceções de Doença Breve (IPQ-B), para avaliar as perceções de doença; e a Escala de Ajustamento Mental ao Cancro (mini-Mac), para avaliar o coping. A hipótese previa que as perceções de doença e o ajustamento emocional fossem preditores significativos do coping, antes da cirurgia. A hipótese confirmou-se para a maioria das estratégias de coping, o que vai de encontro ao Modelo de auto-regulação de Leventhal. O ajustamento emocional e as perceções de doença são preditores significativos das estratégias de coping Impotência/Desesperança, Preocupação Ansiosa e Espírito de Luta.

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