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Psicologia, Saúde & Doenças

versão impressa ISSN 1645-0086

Psic., Saúde & Doenças v.2 n.2 Lisboa nov. 2001

 

O bem-estar psicológico de adolescentes com insuficiência renal crónica

Luísa Bizarro1

Faculdade de Psicologia e de Ciências da Educação da Universidade de Lisboa – Portugal

 

Resumo: Este estudo pretendeu avaliar o bem-estar psicológico de adolescentes com insuficiência renal crónica. As investigações até à data têm produzido resultados contraditórios. Umas apontam para que os jovens com uma doença crónica estão em maior risco para alterações ao bem-estar psicológico, outras sugerem que, embora a doença crónica possa ser uma condição difícil, não resulta necessariamente em alterações significativas desta variável quando comparada com jovens saudáveis. Neste estudo usou-se um instrumento especificamente desenvolvido para a avaliação do bem-estar psicológico de adolescentes, abrangendo duas vertentes: bem-estar psicológico como ausência de índices de dificuldades ou de perturbação e bem-estar psicológico como a presença de factores positivos ou recursos pessoais. Foram comparados dois grupos de adolescentes entre os 12 e os 18 anos, um com jovens saudáveis e outro com jovens com insuficiência renal crónica e dependentes de hemodiálise. Neste último foi ainda estudado o efeito da idade, do sexo e do tempo de hemodiálise. Os resultados apontaram para diferenças significativas no bem-estar psicológico dos dois grupos e evidenciaram aspectos relevantes se se pretender planear intervenções no sentido da promoção do bem-estar psicológico de adolescentes com insuficiência renal crónica.

Palavras chave: Adolescência, Bem-estar psicológico, Insuficiência renal crónica.

 

Psychological well-being inadolescents with chronic kidney disease

Abstract: This study assesses psychological well-being in adolescents with chronic kidney disease. Most of the research until now has produced contradictory results. Some concluded that adolescents with a chronic disease are at greater risk for psychological well-being changes, but others suggest that although a chronic disease may be a difficult condition, it does not result in significant alterations when compared with healthy adolescents. In this work it was used an instrument for the assessment of adolescent psychological well-being that addresses two domains: psychological well-being as an absence of disturbance signs and psychological well-being as the presence of personal resources. Two groups of 12 to 18 years old adolescents were compared: one healthy group and other with chronic kidney disease and being dialysis dependent. It was also analysed the effect of age and timing of dialysis. Results showed significant differences in psychological well-being between both groups and also some pertinent aspects for those who want to plan psychological interventions directed adolescents with chronic kidney disease.

Key words: Adolescence, Chronic kidney disease, Psychological well-being.

 

Texto completo disponível apenas em PDF.

Full text only available in PDF format.

 

 

Referências

Berndt, T.J., & Savin-Williams, R.C. (1993). Peer relations and frienships. In P.H. Tolan & B.J. Cohler (Eds.), Handbook of clinical research and practice with adolescents (pp. 203-220). New York: John Willey & Sons, Inc.

        [ Links ]

Bizarro, L. (1999). O bem-estar psicológico durante a adolescência. Dissertação de doutoramento. Faculdade de Psicologia e de Ciências da Educação da Universidade de Lisboa.

Blum, R.W., & Geber, G. (1992). Chronically ill youth. In E.R. McAnarney, R.R. Kreipe, D.P. Orr, & G.D. Comerci (Eds.), Textbook of adolescent medicine (pp. 222-258). Philadelphia: Saunders.

Caissy, G.A. (1994). Early adolescence – Understanding the 10 to 15 year old. New York: Plenum Press.

Compas, B.E. (1993). Promoting positive mental health during adolescence. In S.G. Millstein, A.C. Petersen, & E.O. Nightingale (Eds.), Promoting the health of adolescents – New directions for the twenty-first century (pp. 159-179). New York: Oxford University Press.

Diener, E. (1994). Assessing subjective well-being: Progress and opportunities. Social Indicators Research, 31, 103-157.

Dryfoos, J.G. (1997). The prevalence of problem behaviors: Implications for programs. In R.P. Weissberg, T.P. Gullotta, R.L. Hampton, B.A. Ryan, & G.R. Adams (Eds.), Enhancing children’s wellness (pp. 17-46). London: Sage Publications.

IEFP – Instituto de Emprego e Formação Profissional. (1994). Classificação Nacional das Profissões Serviço de Informação Científica e Técnica. Lisboa.

Eiser, C., & Berrenberg, J.L. (1995). Assessing the impact of chronic disease on the relationship between parents and their adolescents. Journal of Psychosomatic Research, 39 (2), 114.

Elmen, J., & Offer, D. (1993). Normality, turmoil and adolescence. In P.H. Tolan & B.J. Cohler (Eds.), Handbook of clinical research and practice with adolescents (pp. 5-16). New York: John Willey & Sons, Inc.

Fritz, G.K. (1992). Chronic illness and psychological health. In E.R. McAnarney, R.R. Kreipe, D.P. Orr, & G.D. Comerci (Eds.), Textbook of adolescent medicine (pp. 1133-1137). Philadelphia: Saunders.

Geldard, K., & Geldard, D. (1999). Counselling adolescents. London: Sage Publications.

Graber, J.A., & Brooks-Gunn, J. (1996). Transitions and turning points: Navigating the passage from childhood through adolescence. Developmental Psychology, 32 (4), 768-776.

Hamlett, K.W., Walker, W., Evans, A., & Weise, K. (1994). Psychological development of thecnology-dependent children. Journal of Pediatric Psychology, 19 (4), 493-503.

Hartup, W.W. (1993). Adolescents and their friends. In B. Laursen (Ed.), New directions for child development: Close friendships in adolescence (pp. 3-22). San Francisco: Jossey-Bass.

Kasak, A.E., Segal-Andrews, A.M., & Johnson, K. (1995). Pediatric psychology research and practice: A family systems approach. In M.C. Roberts (Ed.), Handbook of pediatric psychology (2nd ed., pp. 84-104). New York: Guilford Press.

Kliewer, W. (1997). Children’s coping with chronic illness. In S.A. Wolchik & I.N. Sandler (Eds.), Handbook of children’s coping – Linking theory and intervention (pp. 275-300). New York: Plenum Press

Newacheck, P.W., & Taylor, W.R. (1992). Childhood chronic illness: Prevalence, severity, and impact. American Journal of Public Health, 82, 364-371.

Offer, D., & Schonert-Reichl, K.A. (1992). Debunking the myths of adolescence: Findings from recent research. Journal of the American Academy of Child and Adolescent Psychiatry, 31 (6), 1003-1014.

Pless, I.B., & Roghman, K.J. (1971). Chronic illness and its consequences: Some observations based on three epidemiological surveys. Journal of Pediatrics, 79, 351-359.

Roberts, M.C. (1995). Handbook of pediatric psychology (2nd ed.). New York: Guilford Press.

Siegel, L.J. (1998). Children medically at risk. In R.J. Morris & T.R. Kratochwill (Eds.), The practice of child therapy (pp. 325-366). Allyn & Bacon.

Siegel, L.J., & Hudson, B.O. (1992). Hospitalization and medical care of children. In C.E. Walker & M.C. Roberts (Eds.), Handbook of clinical child psychology (2nd ed., pp. 845-858). New York: John Wiley & Sons.

Trindade, I., & Carvalho Teixeira, J.A. (1998). Psicologia da saúde infantil. Análise Psicológica, 1 (XVI), 155-158.

Walco, G.A., & Varni, J.W. (1991). Psychological adjustment in end-stage renal disease: A follow up study of former paediatric patients. Pediatrics, 89, 1075-1089.

Wallander, J.L., & Thompson, R.J. (1995). Psychosocial adjustment of children with chronic physical conditions. In M.C. Roberts (Ed.), Handbook of pediatric psychology (2nd ed., pp. 124-141). New York: Guilford Press.

Weiner, I.B. (1992). Psychological disturbance in adolescence. New York: John Wiley & Sons, Inc.

Weissberg, R.P., & Kuster, C.B. (1997). Let’s make “Healthy children 2010” a national priority! In R.P. Weissberg, T.P. Gullotta, R.L. Hampton, B.A. Ryan, & G.R. Adams (Eds.), Enhancing children’s wellness (pp. 1-16). London: Sage Publications.

 

1Contactar para E-mail: luisabizarro@clix.pt; Faculdade de Psicologia e de Ciências da Educação da Universidade de Lisboa, Alameda da Universidade, 1600 Lisboa, Portugal.