<?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>1645-0086</journal-id>
<journal-title><![CDATA[Psicologia, Saúde & Doenças]]></journal-title>
<abbrev-journal-title><![CDATA[Psic., Saúde & Doenças]]></abbrev-journal-title>
<issn>1645-0086</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Psicologia da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1645-00862023000100339</article-id>
<article-id pub-id-type="doi">10.15309/23psd240129</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Depressão, ansiedade, estresse e a não adesão ao tratamento medicamentoso de hanseníase]]></article-title>
<article-title xml:lang="en"><![CDATA[Depression, anxiety, stress and non-adherence to leprosy multidrug treatment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abrita]]></surname>
<given-names><![CDATA[Ana Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunha]]></surname>
<given-names><![CDATA[Rivaldo da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hans Filho]]></surname>
<given-names><![CDATA[Günter]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Albert de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal de Mato Grosso do Sul Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Campo Grande MS]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundação Oswaldo Cruz  ]]></institution>
<addr-line><![CDATA[Campo Grande Mato Grosso do Sul]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Federal de Mato Grosso do Sul Faculdade de Medicina Departamento de Dermatologia]]></institution>
<addr-line><![CDATA[Campo Grande Mato Grosso do Sul]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Federal de Mato Grosso do Sul Laboratório de Biofisiofarmacologia Instituto de Biociências]]></institution>
<addr-line><![CDATA[Campo Grande Mato Grosso do Sul]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>339</fpage>
<lpage>350</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1645-00862023000100339&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1645-00862023000100339&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1645-00862023000100339&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O presente trabalho tem como objetivo identificar preditores da adesão ao tratamento medicamentoso em pacientes com diagnóstico de hanseníase atendidos no Hospital Universitário Maria Aparecida Pedrossian - EBSERH e Hospital São Julião, em Campo Grande - MS. Trata-se de um estudo do tipo transversal, de cunho descritivo e correlacional. A amostra foi composta por 68 participantes com diagnóstico de hanseníase e em fase de tratamento de poliquimioterapia. Foram utilizados como instrumentos de coleta de dados: Entrevista Estruturada, a Depression Anxiety and Stress Scale - Short Form (DASS-21), Teste de Morisky-Green (TMG) e dados secundários provenientes de prontuários. Houve predomínio do sexo masculino (67,6%), com companheiro(a) (64,7%) e baixa escolaridade (67,6%). Já em relação à classificação operacional da hanseníase e ao grau de aderência ao tratamento medicamentoso, houve predomínio de casos multibacilares (92,6%) e um alto índice de não aderidos (47,1%). Com base nos testes de comparação e associação, os participantes classificados como não aderentes ao tratamento pelo TMG apresentaram uma média de escore significativamente superior em todos os domínios avaliados pelo DASS-21 quando comparados com os participantes considerados aderentes. Esse dado aponta para a maior gravidade de sintomas quanto à depressão, ansiedade e estresse no grupo considerado como não aderido ao tratamento pelo TMG, reforçando a necessidade de atendimento interdisciplinar nesse contexto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This study aims to identify predictors of adherence to multidrug treatment in patients diagnosed with leprosy treated at the University Hospital Maria Aparecida Pedrossian - EBSERH and Hospital São Julião, in Campo Grande - MS. This is a cross-sectional, descriptive and correlational study. The sample consisted of 68 participants diagnosed with leprosy and undergoing multidrug treatment. For data collection, the following instruments were used: Structured Interview, Depression Anxiety and Stress Scale - Short Form (DASS-21), Morisky-Green Test (MGT) and secondary data from medical records. There was a predominance of males (67.6%), with a partner (64.7%) and low education (67.6%). Regarding the operational classification of leprosy and the degree of adherence to multidrug treatment, there was a predominance of multibacillary cases (92.6%) and a high rate of non-adherents (47.1%). Based on the comparison and association tests, participants classified as non-adherent to treatment by the MGT had a significantly higher average score in all domains assessed by DASS-21 when compared to participants considered adherent. This data points to the greater severity of symptoms regarding depression, anxiety and stress in the group considered as not adhering to treatment by the MGT, reinforcing the need for interdisciplinary care in this context.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hanseníase]]></kwd>
<kwd lng="pt"><![CDATA[Adesão ao tratamento]]></kwd>
<kwd lng="pt"><![CDATA[Depressão]]></kwd>
<kwd lng="pt"><![CDATA[Ansiedade]]></kwd>
<kwd lng="pt"><![CDATA[Estresse psicológico]]></kwd>
<kwd lng="en"><![CDATA[Leprosy]]></kwd>
<kwd lng="en"><![CDATA[Treatment adherence]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[Anxiety]]></kwd>
<kwd lng="en"><![CDATA[Psychological stress]]></kwd>
</kwd-group>
</article-meta>
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