da Escala Reduzida de Ajustamento Mental ao Cancro (Mini-MAC)

José L. Pais-Ribeiro^*, Diana Ramos, & Susana Samico

Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto

RESUMO: O presente estudo visa estudar uma versão Portuguesa da Mini Mental Adjustment to Cancer Scale (Mini-MAC) tentanto manter a estrutura original da escala. Participaram 60 doentes com diagnóstico de cancro, 30 com cancro da mama (idade M=51,1 anos) e 30 com cancro cólo-rectal, 53,3% homens (idade M=53,33 anos). Discute-se o conceito de Coping e Ajustamento Mental subjacente à escala e estudou-se a sua relação com uma medida de resultado, a medida de qualidade de vida (QDV) específica para o cancro a Functional Assessment Cancer Therapy C e B. Os resultados apontam para a aglutinação de algumas das dimensões da Mini-MAC nomeadamente a "preocupação ansiosa" e o "desânimo-fraqueza", padrão que é idêntico ao encontrado noutros estudos e noutros idiomas. A relação entre os resultados da Mini-MAC e de QDV são fortes embora o seu padrão varie consoante o tipo de cancro. A forte associação das dimensões da Mini-MAC "Desânimo-Fraqueza" e "Preocupação Ansiosa" com, nomeadamente, a dimensão emocional da escala de QDV não é susceptível de esclarecer se estamos em presença de uma medida de coping ou de ajustamento. Os resultados encontrados permitem concluir que a escala em estudo apresenta um padrão idêntico ao de outros estudos, chamando-se a atenção para a fragilidade da dimensão "Fatalismo" que necessita de continuar a ser aperfeiçoada.

Palavras chave: Ajustamento, Cancro, Coping.

Contribution to a Conservative Validation of a Portuguese Version

ABSTRACT: The aims of the present study is to develop a Portuguese version of the Mini-Mental Adjustment to Cancer Scale (Mini-MAC) in a conservative way (maintaining the original dimensions and items). Participants include 60 cancer patients, 30 breast cancer (age 30 M=51,1 years) and 30 Colorectal cancer, 53,3% homens (age M=53,33 years). We discuss the concept of Coping and Mental Adjustment involved in the Mini-MAC scale and we study its relation with an outcome measure, the quality of life (DDV), using the Functional Assessment Cancer Therapy C and B. Results show the fusion of some dimensions of the Mini-MAC, namely Anxious Preoccupation and Helpless/Hopeless, a pattern similar to other researches in different languages. The relationship between dimensions of Mini-MAC and QDV are but varying in function of the cancer. The relationship between the dimensions Anxious Preoccupation and Helpless/Hopeless and the emotional dimension of the QDV scale, do not clarify the question if Mini-MAC scale is a measure of coping or a measure of adjustment. The Portuguese version of MiniMAC shows a similar pattern with the original version and with other versions. The metric properties of "Fatalism" dimension is a problematic, similarly with other studies.

Key words: Adjustment, Cancer, Coping.

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*Contactar para E-mail: jlpr@psi.up.pt