Anxiety, Depression and Traits of Personality in COPD Patients

Camila B. de Souza^*1, Sonia Cendon², Leny Cavalhero²,

José Roberto de Brito Jardim², & Miguel Bogossian²

¹Universidade Metodista de São Paulo; Universidade Federal de São Paulo, Brasil

²Departmento de Pneumologia - Universidade Federal de São Paulo; Escola Paulista de Medicina, Brasil

ABSTRACT: The present research was performed in order to describe the state-trait anxiety frequencies and the prevalence of depression in COPD patients. Data on psychological evaluation were obtained from The Human Figure Drawing (personality traits), Beck Depression Inventory (BID) and Trait-State Anxiety Inventory. Data on disease status was obtained through the Pulmonary Function Test (spirometry), Arterial Blood Gases measures, Borg Dyspnea Scale after a 6-minute walk test and clinical information. It was evidenced that the COPD patients had severe emotional control, many emotional difficulties in establishing intense personal relationship with exchange of tenderness and difficulties in expressing their emotions. COPD patients also had a high prevalence of anxiety and depression as personality characteristics, no matter the clinical disease stage.

Key words: Anxiety, COPD psychology, Depression, Psychological Tests.

Ansiedade, Depressão e Traços de Personalidade em Pacientes com DPOC

RESUMO: O presente estudo teve como objetivos descrever o estado às freqüências dos traços e estados de ansiedade e a prevalência de depressão em pacientes de DPOC e verificar a variação desses aspectos de acordo com parâmetros de função pulmonar. Os dados na avaliação psicológica foram obtidos do teste do desenho da figura humana (traços da personalidade), Inventário de depressão Beck (BDI) e do inventário de ansiedade Traço-Estado (IDATE). Os dados do estadiamento da doença foram obtidos com o teste de função pulmonar, medidas dos gases de sangue arterial, escala de dispnéia de Borg após o teste da caminhada de 6 minutos e dados da ficha clínica. Evidenciou-se que os pacientes apresentam um controle emocional severo, muitas dificuldades emocionais para estabelecer relacionamento pessoal intenso e troca de afeto e dificuldades para expressar suas emoções. Os pacientes de DPOC mostraram prevalência elevada da ansiedade e da depressão como uma característica da personalidade, sem interferência significativa do estágio clínico da doença.

Palavras chave: Ansiedade, Depressão, Doença Pulmonar Obstrutiva Crónica, Psicologia da Saúde, Testes psicológicos.

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