<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0870-8231</journal-id>
<journal-title><![CDATA[Análise Psicológica]]></journal-title>
<abbrev-journal-title><![CDATA[Aná. Psicológica]]></abbrev-journal-title>
<issn>0870-8231</issn>
<publisher>
<publisher-name><![CDATA[ISPA-Instituto Universitário]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0870-82311998000400011</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Administração da Prova de Rorschach a uma amostra de doentes hipertensos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[Ana M.]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
<xref ref-type="aff" rid="A02"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="A03"/>
<xref ref-type="aff" rid="A04"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Amadeu]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Milheiro]]></surname>
<given-names><![CDATA[Cláudia]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barros]]></surname>
<given-names><![CDATA[Henrique De]]></given-names>
</name>
<xref ref-type="aff" rid="A03"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha-Gonçalves]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<xref ref-type="aff" rid="A05"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reis-Lima]]></surname>
<given-names><![CDATA[M. A.]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Centro de Saúde de Aldoar  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="A02">
<institution><![CDATA[,Unidade de Saúde do Carvalhido  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="A03">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="A04">
<institution><![CDATA[,Hospital de São João do Porto Serviço de Psiquiatria ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
</aff>
<aff id="A05">
<institution><![CDATA[,Hospital de São João do Porto  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>1998</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>1998</year>
</pub-date>
<volume>16</volume>
<numero>4</numero>
<fpage>667</fpage>
<lpage>674</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0870-82311998000400011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0870-82311998000400011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0870-82311998000400011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[A hipertensão arterial (HTA) é uma situação clínica importante com uma enorme repercussão na saúde pública. Apesar da aceitação do papel dos factores psico-sociais, permanece controverso o seu papel etiopatogénico. O objectivo do presente estudo foi investigar as possíveis relações entre o perfil psicológico (através da Prova de Rorschach) de 41 doentes com HTA, a adesão terapêutica e o grau de atingimento dos orgãos-alvo. Após a apresentação e discussão dos resultados são abordados aspectos da metodologia de investigação e as possíveis implicações do estudo do perfil psicológico dos doentes com HTA.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Hypertension is a critical issue of public health. Despite the agreement about the involvement of psychosocial factors there is still controversy about their etiopathogenic role. The aim of the present study was to investigate possible relations between the psychological profile of 41 hypertensive patients, assessed by the Rorschach´ projective technique, the level of patient´ compliance and the degree of severity of hypertension. Results are presented and discussed, as well as the methodological problems of assessment strategies. Current implications of the study of the hypertensive psychological profile are considered.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hipertensão arterial]]></kwd>
<kwd lng="pt"><![CDATA[perfil psicológico]]></kwd>
<kwd lng="pt"><![CDATA[técnica projectiva de Rorschach]]></kwd>
<kwd lng="pt"><![CDATA[envolvimento dos orgãos-alvo]]></kwd>
<kwd lng="pt"><![CDATA[adesão à terapêutica]]></kwd>
<kwd lng="en"><![CDATA[Hypertension]]></kwd>
<kwd lng="en"><![CDATA[psychological profile]]></kwd>
<kwd lng="en"><![CDATA[Rorschach projective technique]]></kwd>
<kwd lng="en"><![CDATA[target organ involvement]]></kwd>
<kwd lng="en"><![CDATA[therapeutic adherence]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p    ><b>Administra&ccedil;&atilde;o da Prova de Rorschach a uma amostra de doentes    hipertensos (<a name="top1"></a><a href="#1">*</a>) </b></p >       <P   ></P >       <P   >&nbsp;</P >        <P   align="right" >Ana M. Coelho (<a name="top2"></a><a href="#2">**</a>) </P >     <P   align="right" >Rui Coelho (<a name="top3"></a><a href="#3">***</a>) </P >     <P   align="right" >Amadeu Martins (<a name="top4"></a><a href="#4">****</a>) </P >     <P   align="right" >Cl&aacute;udia Milheiro (<a name="top5"></a><a href="#5">*****</a>) </P >     <P   align="right" >Henrique De Barros (<a name="top6"></a><a href="#6">******</a>) </P >     <P   align="right" >F. Rocha-Gon&ccedil;alves (<a name="top7"></a><a href="#7">*******</a>) </P >     <P   align="right" >M. A. Reis-Lima (<a name="top8"></a><a href="#8">********</a>) </P >       ]]></body>
<body><![CDATA[<P   align="justify" ></P >      <P    >&nbsp;</P >      <P   align="center" >RESUMO </P >     <P    >A hipertens&atilde;o arterial (HTA) &eacute; uma situa&ccedil;&atilde;o cl&iacute;nica    importante com uma enorme repercuss&atilde;o na sa&uacute;de p&uacute;blica.    Apesar da aceita&ccedil;&atilde;o do papel dos factores psico-sociais, permanece    controverso o seu papel etiopatog&eacute;nico. O objectivo do presente estudo    foi investigar as poss&iacute;veis rela&ccedil;&otilde;es entre o perfil psicol&oacute;gico    (atrav&eacute;s da Prova de Rorschach) de 41 doentes com HTA, a ades&atilde;o    terap&ecirc;utica e o grau de atingimento dos org&atilde;os-alvo. </P >     <P   >Ap&oacute;s a apresenta&ccedil;&atilde;o e discuss&atilde;o dos resultados s&atilde;o    abordados aspectos da metodologia de investiga&ccedil;&atilde;o e as poss&iacute;veis    implica&ccedil;&otilde;es do estudo do perfil psicol&oacute;gico dos doentes    com HTA. </P >     <P   ><I>Palavras-chave</I>: Hipertens&atilde;o arterial, perfil psicol&oacute;gico,    t&eacute;cnica projectiva de Rorschach, envolvimento dos org&atilde;os-alvo,    ades&atilde;o &agrave; terap&ecirc;utica. </P >     <P   >&nbsp;</P >     <P   >&nbsp;</P >     <P   align="center" >ABSTRACT </P >     <P   >Hypertension is a critical issue of public health. Despite the agreement about    the involvement of psychosocial factors there is still controversy about their    etiopathogenic role. </P >     ]]></body>
<body><![CDATA[<P   >The aim of the present study was to investigate possible relations between the    psychological profile of 41 hypertensive patients, assessed by the Rorschach&acute;    projective technique, the level of patient&acute; compliance and the degree    of severity of hypertension. </P >     <P   >Results are presented and discussed, as well as the methodological problems of    assessment strategies. Current implications of the study of the hypertensive    psychological profile are considered. </P >     <P   ><I>Key words</I>: Hypertension, psychological profile, Rorschach projective technique,    target organ involvement, therapeutic adherence. </P >        <P   >&nbsp;</P >     <P   >Texto completo dispon&iacute;vel apenas em PDF.</P >     <p >Full text only available in PDF format.</p>     <P   >&nbsp;</P >     <P   align="center" >REFER&Ecirc;NCIAS BIBLIOGR&Aacute;FICAS </P >     <!-- ref --><P   >Adler, C. S., & Adler, S. M. (1989). A psychodynamic perspective on self-regulation    in the treatment of psychosomatic disorders. In S. Cheren (Ed.), <I>Psychosomatic    medicine. Theory, physiology, and practice </I>(Vol. 2, pp. 841-898). Connecticut:    International Universities Press. </P >     &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000031&pid=S0870-8231199800040001100001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><P   >Alexander, F. (1939a). Psychoanalytic study of a case of essential hypertension. <I>Psychosomatic Medicine, 1</I>, 139-152. </P >    ]]></body>
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<body><![CDATA[<P    >Kaminiecki, H. (1978). Test de Rorschach dans l'hyper-tension arterielle. <I>Coeur      et M&eacute;decine Interne, 17</I>, 39-43. </P >       <P   >Kidson, M. A. (1973). Personality and hypertension. <I>Journal of Psychosomatic Research, 17</I>, 35-41. </P >    <P   >K&ouml;hler, T. H., Sherbaum, N., Richter, R., & B&ouml;ttcher, S. (1993). The relationship between neuroticism and blood pressure reexamined. <I>Psychotherapy and Psychosomatics, 60</I>, 100-105. </P >    <P   >Johnston, D. W. (1997). Hypertension. In A. Baum, S. Newman, J. Weinman, R. West, & C. McManus (Eds.), <I>Cambridge handbook of psychology, health, and medicine </I>(pp. 500-501). Cambridge: Cambridge University Press. </P >    <P   ><I>Manifesto do Grupo de Estudo de Hipertens&atilde;o Arterial </I>(1993). Lisboa: Sociedade Portuguesa de Cardiologia. </P >    <P   >Mc Intyre, T. M., & Silva, J. F. (1994). Hipertens&atilde;o arterial: A psicologia da Sa&uacute;de e modelos complementares de interven&ccedil;&atilde;o. In T. M. Mc Intyre (Ed.),<I>Psicologia da sa&uacute;de: &Aacute;reas de interven&ccedil;&atilde;o e perspectivas futuras </I>(pp. 122-137). Braga: APPORT. </P >    <P   >Moita, V. (1983). A ang&uacute;stia como conceito operat&oacute;rio na t&eacute;cnica projectiva de Rorschach. <I>An&aacute;lise Psicol&oacute;gica, 4 </I>(1), 5-16. </P >       <P   >Nogueira, J. B., & Costa, J. N. (1993). Anamnese e observa&ccedil;&atilde;o do      hipertenso. In J. Braz Nogueira, & J. Nogueira da Costa (Eds.), <I>Hipertens&atilde;o      arterial - cl&iacute;nica, diagn&oacute;stico e terap&ecirc;utica </I>(pp.      1-12). Lisboa: Permanyer Portugal. </P >       <P   >Nunes, A. C., Miguel, J. M. P., Neves, M. H. M., & Pissarra, M. I. M. (1988).      <I>Hipertens&atilde;o arterial em cuidados de sa&uacute;de prim&aacute;rios</I>.      Lisboa: Direc&ccedil;&atilde;o-Geral dos Cuidados de Sa&uacute;de Prim&aacute;rios.    </P >       <P   >Pereira-Miguel, J. M. (1993). Epidemiologia da hipertens&atilde;o arterial em      Portugal. In J. Braz Nogueira, & J. Nogueira Costa (Eds.), <I>Hipertens&atilde;o      arterial - Cl&iacute;nica, diagn&oacute;stico e terap&ecirc;utica </I>(pp.      13-21). Lisboa: Permanyer Portugal. </P >       ]]></body>
<body><![CDATA[<P   >Perini, C., Rauchfleisch, E., & B&uuml;hler, F. R. (1985). Personality characteristics and renin in essential hypertension. <I>Psychotherapy and Psychosomatics, 43</I>, 44-48. </P >    <P   >Pires, A. (1986). O Teste de Rorschach: Alguns aspectos relacionados com as cr&iacute;ticas e as novas perspectivas de utiliza&ccedil;&atilde;o. <I>Jornal de Psicologia, 5 </I>(5), 8-13. </P >        <P   >Rorschach, H. (1947). <I>Psychodiagnostics</I>. Bern: Hans Huber. </P >     <P   >Safar, M. E., Kaminiecki, H. A., Dimitriu, V. M., Levenson, J. A., & Pauleau,    N. F. (1978). Hemodynamic factors and Rorschach testing in borderline and sustained    hypertension. <I>Psychosomatic Medicine, 40</I>, 620-630. </P >       <P   >Santonastaso, P., Cantor, G., Ambrosio, G. B., & Zamboni, S. (1984). Hypertension and neuroticism. <I>Psychotherapy and Psychosomatics, 41</I>, 7-11. </P >    <P   >Silva, D. R. (1986). Reflex&otilde;es sobre algumas caracter&iacute;sticas das t&eacute;cnicas projectivas. <I>Jornal de Psicologia, 5</I>, 20-22. </P >    <P   >Silva, D. (1994). Metodologia de investiga&ccedil;&atilde;o e novos avan&ccedil;os no sistema integrativo do Rorschach. <I>An&aacute;lise Psicol&oacute;gica, 4</I>, 493-510. </P >       <P   >Soares, A. O. (1993). Diagn&oacute;stico da hipertens&atilde;o arterial secund&aacute;ria.      In J. Braz Nogueira, & J. Nogueira Costa (Eds.), <I>Hipertens&atilde;o arterial      - Cl&iacute;nica, diagn&oacute;stico e terap&ecirc;utica </I>(pp. 23-48).      Lisboa: Permanyer Portugal. </P >       <P   >Th&auml;ler, M., Weiner, H., & Reiser, M. (1957). Exploration of the doctor-patient relationship through projective techniques: Their use in psychosomatic illness. <I>Psychosomatic Medicine, 19</I>, 228-239. </P >    <P   >Thailer, A. S., Friedman, R., Harshfield, G. A., & Pickering, T. G. (1985). Psychologic differences between high, normal and low renin hypertensives. <I>Psychosomatic Medicine, 47</I>, 294-297. </P >    ]]></body>
<body><![CDATA[<P    >The Joint National Commitee (1993). The fifth report of the Joint National Commitee on detection, evaluation, and treatment of high blood pressure (JNCV). <I>Archives of Internal Medicine, 153</I>, 154-183. </P >    <P   >Whelton, P. K. (1994). Epidemiology of hypertension. <I>Lancet, 344</I>, 101-106. </P >    <P   >Whitehead, W. E., Blackwell, B., Silva, H., & Robinson, A. (1977). Anxiety and anger in hypertension. <I>Journal of Psychosomatic Research, 21</I>, 383-389. </P >       <P    >Wheatley, D., Balter, M., Levine, J., Lipman, R., Bauer, M. L., & Bonato, R.      (1975). Psychiatric aspects ofhypertension. <I>British Journal of Psychiatry,      127</I>, 327-326. </P >       <P   >van der Ploeg, H. M., van Buuren, E. T., & van Brummelen, P. (1985). The role of anger in hypertension. <I>Psychotherapy Psychosomatics, 43</I>, 186-193. </P >     <P   ></P >     <P    >&nbsp;</P >     <P   >(<a name="1"></a><a href="#top1">*</a>) Trabalho subsidiado pela Comiss&atilde;o    de Fomento da Investiga&ccedil;&atilde;o em Cuidados de Sa&uacute;de do Minist&eacute;rio    da Sa&uacute;de, pelo P. I. n.&ordm; 34/92. </P >     <P   >(<a name="2"></a><a href="#top2">**</a>) Centro de Sa&uacute;de de Aldoar, Unidade    de Sa&uacute;de do Carvalhido. </P >     <P    >(<a name="3"></a><a href="#top3">***</a>) Faculdade de Medicina da Universidade    do Porto. Servi&ccedil;o de Psiquiatria do Hospital de S&atilde;o Jo&atilde;o,    Porto. </P >     ]]></body>
<body><![CDATA[<P   >(<a name="4"></a><a href="#top4">****</a>) Psic&oacute;logo Cl&iacute;nico. </P >     <P    >(<a name="5"></a><a href="#top5">*****</a>) Psic&oacute;loga Cl&iacute;nica.  </P >     <P   >(<a name="6"></a><a href="#top6">******</a>) Faculdade de Medicina da Universidade    do Porto. </P >     <P   >(<a name="7"></a><a href="#top7">*******</a>) Hospital de S&atilde;o Jo&atilde;o,    Porto. </P >     <P   >(<a name="8"></a><a href="#top8">********</a>) Centro de Sa&uacute;de de Aldoar.</P >      ]]></body><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[C. S.]]></given-names>
</name>
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[S. M.]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[A psychodynamic perspective on self-regulation in the treatment of psychosomatic disorders]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Cheren]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[Psychosomatic medicine: Theory, physiology, and practice]]></source>
<year>1989</year>
<volume>2</volume>
<page-range>841-898</page-range><publisher-loc><![CDATA[Connecticut ]]></publisher-loc>
<publisher-name><![CDATA[International Universities Press]]></publisher-name>
</nlm-citation>
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</back>
</article>
