Avaliação dos padrões de resiliência em pacientes com epilepsia refratária do lobo temporal submetidos à córtico-amigdalo-hipocampectomia
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Data
2015-07-31
Autores
Brandalise, Maria Helena [UNIFESP]
Orientadores
Araujo Filho, Gerardo Maria de [UNIFESP]
Tipo
Dissertação de mestrado
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O objetivo do presente estudo foi o de avaliar os padrões de resiliência em pacientes com epilepsia refratária do lobo temporal por esclerose mesial temporal (ELT-EMT) submetidos à córtico-amigdalohipocampectomia (CAH) e com recorrência das crises através de um instrumento estruturado (Quest_Resiliência), bem como para medir os possíveis impactos negativos da ansiedade e dos sintomas depressivos no desenvolvimento da resiliência nesses pacientes. Métodos: Sessenta pacientes com idade entre 18 e 65 anos, acompanhados no Ambulatório de Epilepsias da Universidade Federal de São Paulo, com o diagnóstico clínico e eletroencefalográfico de ELT-EMT, que haviam sido submetidos à CAH e que apresentavam recorrência das crises epilépticas no momento do estudo foram incluídos, após a assinatura do Termo de Consentimento Livre e Esclarecido. A coleta dos dados foi realizada no período de Abril a Julho de 2013. Os instrumentos utilizados foram: Questionário sócio-demográfico, Quest_Resiliência, Inventário da Depressão de Beck (BDI) e Inventário da ansiedade Traço-Estado (IDATE). Resultados: O estudo mostrou níveis satisfatórios de resiliência ao estresse em pacientes com ELT-EMT submetidos à CAH e que apresentaram recidiva de crises. Tais resultados indicam que os pacientes podem beneficia-se de intervenções que possibilitem o enfrentamento do estresse. No entanto, observou-se um importante impacto negativo dos sintomas de ansiedade e sintomas depressivos no desenvolvimento da resiliência nesses pacientes Conclusão: Em função da escassez de pesquisas sobre os padrões de resiliência em pacientes com ELT-EMT e da alta prevalência de co-morbiades psiquiátricas, os estudos que podem apoiar o desenvolvimento de resiliência são necessários nessa população.
The objective of this study was to evaluate the patterns of resilience in patients with refractory temporal lobe epilepsy by mesial temporal sclerosis (ELT-EMT) submitted to the cortico-amigdalohipocampectomia (HAC) and with persistence of crises through a structured instrument (Quest_Resiliencia), as well as to measure the possible negative impact exercised by anxious and depressive symptoms in the development of resiliency in these patients. Methods: Sixty patients with age between 18 and 65 years, followed-up at the Outpatient Clinic of epilepsies of Federal University of Sao Paulo, with the clinical diagnosis and EEG of TLE-EMT, which had been submitted to the HAC and who had epileptic seizures at the time of the study were included in the study, after the signing of the consent form. The data collection was carried out during the period of April to July 2013. The instruments used were: clinical Questionnaire and socio-demographic, Quest_Resiliencia, Inventory of Depression Inventory (BDI) and Inventory of Trait anxiety (IDATE). Results: The present study showed satisfactory levels of resiliency to stress in patients with TLE-EMT submitted to HAC and recurrence of crises. These results indicate that patients may benefit from interventions that allow for coping with stress. However, it was observed a significant negative impact of anxious and depressive symptoms in the presence of resiliency in these patients. Conclusion: Due to the paucity of research on the patterns of resilience in patients with TLE-EMT and the high prevalence of co-morbiades psychiatric, studies that can support the development of resilience are needed in this population.
The objective of this study was to evaluate the patterns of resilience in patients with refractory temporal lobe epilepsy by mesial temporal sclerosis (ELT-EMT) submitted to the cortico-amigdalohipocampectomia (HAC) and with persistence of crises through a structured instrument (Quest_Resiliencia), as well as to measure the possible negative impact exercised by anxious and depressive symptoms in the development of resiliency in these patients. Methods: Sixty patients with age between 18 and 65 years, followed-up at the Outpatient Clinic of epilepsies of Federal University of Sao Paulo, with the clinical diagnosis and EEG of TLE-EMT, which had been submitted to the HAC and who had epileptic seizures at the time of the study were included in the study, after the signing of the consent form. The data collection was carried out during the period of April to July 2013. The instruments used were: clinical Questionnaire and socio-demographic, Quest_Resiliencia, Inventory of Depression Inventory (BDI) and Inventory of Trait anxiety (IDATE). Results: The present study showed satisfactory levels of resiliency to stress in patients with TLE-EMT submitted to HAC and recurrence of crises. These results indicate that patients may benefit from interventions that allow for coping with stress. However, it was observed a significant negative impact of anxious and depressive symptoms in the presence of resiliency in these patients. Conclusion: Due to the paucity of research on the patterns of resilience in patients with TLE-EMT and the high prevalence of co-morbiades psychiatric, studies that can support the development of resilience are needed in this population.
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Citação
BRANDALISE, Maria Helena. Avaliação dos padrões de resiliência em pacientes com epilepsia refratária do lobo temporal submetidos à córtico-amigdalo-hipocampectomia. 2015. 62 f. Dissertação (Mestrado em Psiquiatria e Psicologia Médica) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2015.