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Terapia por Eye Movement Dessensitization and Reprocessing e possível impacto nos níveis de bem-estar subjectivo : um estudo de caso
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Resumo(s)
Os acidentes rodoviários podem estar associados à sintomatologia da Perturbação Pós-
Stress Traumático (PPST), que por sua vez, pode estar associada ao risco de
desenvolvimento de depressão, suicídio, consumo excessivo de álcool, ansiedade e
problemas psicossomáticos. Cada caso traduz o sofrimento de um ser humano que vê
comprometida a sua saúde física e mental. A Saúde Mental é a base do bem-estar
individual e do funcionamento eficiente de uma comunidade. A promoção do bem-estar
tem destaque na promoção da saúde mental, e o Bem-Estar-Subjectivo (BES) é o foco
central deste estudo. Esta investigação consiste num estudo de caso exploratório, com o
objectivo de registar as possíveis variações nos níveis de BES, observadas ao longo de
um processo terapêutico de 25 sessões de terapia Eye Moviment and Dessensitisation
Reprocessing (EMDR). A participante no caso foi diagnosticada com PPST crónico
após um acidente de viação. Procedeu-se à avaliação do impacto utilizando os
instrumentos de avaliação: PCL-C Checklist, na avaliação da severidade dos sintomas
de PPST; escala de Satisfação com a Vida (ESCV), no registo dos níveis de satisfação
com a vida; e a Positive and Negative Affect Schedule (PANAS), no registo dos níveis
de afecto positivo e negativo; e a Escala Sobre a Felicidade (ESF), no registo dos níveis
de felicidade. Os resultados são indicativos de variações nos níveis de BES e grau de
severidade do quadro sintomático, sugerindo um possível impacto do EMDR no BES. A
inquestionável importância da saúde mental merece a formulação de hipóteses para
futura investigação empírica, de modo a contribuir e ajudar a lidar com os impactos
devastadores do PPST, e restituir níveis de BES, que por sua vez se vão reflectir na
qualidade de vida pessoal e comunitária.
Road traffic accidents are one of the possible causes of Post-Traumatic Stress Disorder (PTSD), which can be related to an increased risk of developing depression, excessive alcohol consumption, anxiety and psychosomatic symptoms. Each case is a reflection of the pain involved in feeling our physical and psychological health compromised. Mental Health is the basis of individual and community well-being, thus enabling its efficient functioning. Promoting well-being is vital to promoting mental health, and Subjective Well-Being (SWB), takes a central focus in this study. This investigation consists of an exploratory case study, aiming to register possible variations on SWB levels, over a period of 25 sessions of Eye Moviment and Dessensitisation Reprocessing (EMDR) therapy. The case study participant is a woman, who had been diagnosed with chronic PTSD, caused by a road traffic accident. The following measurement scales were used: PCL-C Checklist, to assess PTSD symptom severity; Satisfaction with Life Scale (SWLS), to assess Satisfaction with Life levels; Positive and Negative Affect Schedule (PANAS) to assess negative and positive affect levels; and Escala Sobre a Felicidade (ESAF), to assess happiness levels. The results obtained are suggestive of changes on both SWB levels and PTSD symptom severity levels, suggesting a possible impact of EMDR in SWB. The importance of Mental Health is unquestionable, and deserves the formulation of hypothesis for future empirical investigation, in order to enable and help deal with the devastating impacts provoked by PTSD, restore SWB levels, which in turn will have an impact on both individual and community quality of life.
Road traffic accidents are one of the possible causes of Post-Traumatic Stress Disorder (PTSD), which can be related to an increased risk of developing depression, excessive alcohol consumption, anxiety and psychosomatic symptoms. Each case is a reflection of the pain involved in feeling our physical and psychological health compromised. Mental Health is the basis of individual and community well-being, thus enabling its efficient functioning. Promoting well-being is vital to promoting mental health, and Subjective Well-Being (SWB), takes a central focus in this study. This investigation consists of an exploratory case study, aiming to register possible variations on SWB levels, over a period of 25 sessions of Eye Moviment and Dessensitisation Reprocessing (EMDR) therapy. The case study participant is a woman, who had been diagnosed with chronic PTSD, caused by a road traffic accident. The following measurement scales were used: PCL-C Checklist, to assess PTSD symptom severity; Satisfaction with Life Scale (SWLS), to assess Satisfaction with Life levels; Positive and Negative Affect Schedule (PANAS) to assess negative and positive affect levels; and Escala Sobre a Felicidade (ESAF), to assess happiness levels. The results obtained are suggestive of changes on both SWB levels and PTSD symptom severity levels, suggesting a possible impact of EMDR in SWB. The importance of Mental Health is unquestionable, and deserves the formulation of hypothesis for future empirical investigation, in order to enable and help deal with the devastating impacts provoked by PTSD, restore SWB levels, which in turn will have an impact on both individual and community quality of life.
Descrição
Tese de mestrado, Psicologia (Secção de Psicologia Clínica e da Saúde - Núcleo de Psicoterapia Cognitiva, Comportamental e Integrativa), Universidade de Lisboa, Faculdade de Psicologia, 2011
Palavras-chave
Bem-estar subjectivo Stress pós-traumático Teses de mestrado - 2011