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Dor crónica ou recorrente, ansiedade relacionada com a dor e impacto escolar numa amostra de adolescentes portugueses
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O objetivo do presente estudo foi contribuir para o conhecimento da experiência de dor, nomeadamente, crónica ou recorrente, e explorar a ansiedade relacionada com a dor e impacto académico da dor, na população adolescente portuguesa. A amostra comunitária foi composta por jovens entre os 11 e 19 anos do Agrupamento de Escolas de Azambuja, na região de Lisboa e Vale do Tejo. As medidas deste estudo foram todas de auto reporte, nomeadamente, o questionário sociodemográfico e de classificações escolares, o questionário Dor em Adolescentes, a Escala de Ansiedade Relacionada com a Dor (CPASS), a subescala de sintomas emocionais do Questionário de Capacidades e de Dificuldades (SDQ-Por) e a subescala de competência escolar da Escala de Autoconceito para Adolescentes (SPPA). Os resultados obtidos sugerem a adequação da versão Portuguesa da escala de ansiedade relacionada com a dor (CPASS). Observou-se uma elevada frequência quer da dor em geral, quer da dor crónica ou recorrente. Os adolescentes que reportaram dor crónica ou recorrente têm uma perceção das dores como significativamente mais graves e intensas, contudo, não foram verificadas diferenças quanto à ansiedade relacionada com a dor. O grupo de jovens que não relatou dores apresentou menos sintomas emocionais que os grupos que reportaram dor. Não foram verificadas diferenças significativas quanto ao sucesso e autoconceito académico nos jovens sem dor, com dor não crónica e com dor crónica. A ansiedade relacionada com a dor nos jovens com dor crónica permite prever uma percentagem reduzida, mas significativa, da gravidade da dor, e que a ansiedade relacionada com a dor nestes jovens é principalmente explicada pelos sintomas emocionais. Este estudo sugere a necessidade de focar da ansiedade relacionada com a dor e sintomas de internalização na intervenção com jovens com dor crónica ou recorrente.
The objective of the present study was contributing to the knowledge of the pain experience, namely chronic or recurrent pain, and explore pain anxiety and academic pain impact in the Portuguese adolescent population. The community sample was composed of young people aged between 11 and 19 years of the School Group of Azambuja, in the region of Lisboa e Vale do Tejo. The measures of this study were all self-reported, namely the socio-demographic and school classification questionnaire, the questionnaire Pain in Adolescents, the Child Pain Anxiety Symptoms Scale (CPASS), the Emotional Symptom subscale of the Strengths and Difficulties Questionnaire (SDQ-Por) and the school competency subscale of the Self Perception Profile for Adolescents (SPPA). The results suggest the adequacy of the Portuguese version of the Child Pain Symptoms Scale (CPASS). There was a high frequency of both pain in general and chronic or recurrent pain. Adolescents who report chronic or recurrent pain have a perception of pain as significantly more severe and intense, but no differences were verified for pain anxiety. The group of youngsters who did not report pain had less emotional symptoms than those reporting pain. There were no significant differences in success and academic self-concept in the adolescents without pain, with non-chronic pain and with chronic pain. Pain anxiety in youngsters with chronic pain allows predicting a reduced but significant percentage of the severity of pain, and that pain anxiety in these youngsters is mainly explained by emotional symptoms. This study suggests the need to focus on pain anxiety and internalization symptoms in intervention with youngsters with chronic or recurrent pain.
The objective of the present study was contributing to the knowledge of the pain experience, namely chronic or recurrent pain, and explore pain anxiety and academic pain impact in the Portuguese adolescent population. The community sample was composed of young people aged between 11 and 19 years of the School Group of Azambuja, in the region of Lisboa e Vale do Tejo. The measures of this study were all self-reported, namely the socio-demographic and school classification questionnaire, the questionnaire Pain in Adolescents, the Child Pain Anxiety Symptoms Scale (CPASS), the Emotional Symptom subscale of the Strengths and Difficulties Questionnaire (SDQ-Por) and the school competency subscale of the Self Perception Profile for Adolescents (SPPA). The results suggest the adequacy of the Portuguese version of the Child Pain Symptoms Scale (CPASS). There was a high frequency of both pain in general and chronic or recurrent pain. Adolescents who report chronic or recurrent pain have a perception of pain as significantly more severe and intense, but no differences were verified for pain anxiety. The group of youngsters who did not report pain had less emotional symptoms than those reporting pain. There were no significant differences in success and academic self-concept in the adolescents without pain, with non-chronic pain and with chronic pain. Pain anxiety in youngsters with chronic pain allows predicting a reduced but significant percentage of the severity of pain, and that pain anxiety in these youngsters is mainly explained by emotional symptoms. This study suggests the need to focus on pain anxiety and internalization symptoms in intervention with youngsters with chronic or recurrent pain.
Descrição
Tese de mestrado, Psicologia (Secção de Psicologia Clínica e da Saúde, Núcleo de Psicologia da Saúde e da Doença), Universidade de Lisboa, Faculdade de Psicologia, 2017
Palavras-chave
Dor crónica Ansiedade Escola Adolescência Teses de mestrado - 2017