The role of emotion regulation related processes and chronic illness-related shame in depression, anxiety and stress symptoms of people facing coeliac disease

Revista Portuguesa de Investigação Comportamental e Social

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Title The role of emotion regulation related processes and chronic illness-related shame in depression, anxiety and stress symptoms of people facing coeliac disease
O papel de processos relacionados com a regulação emocional e da vergonha associada à doença crónica nos sintomas de depressão, ansiedade e stress de pessoas com doença celíaca
 
Creator Fernandes, Melanie
Galhardo, Ana
Massano-Cardoso, Ilda
 
Subject Doença celíaca
Regulação emocional
Sintomas psicopatológicos
Vergonha associada à doença crónica
Coeliac disease
Chronic illness-related shame
Emotion regulation
Psychopathological symptoms
 
Description Aim: The current exploratory study sought out to examine the predictive role of emotion regulation related processes (cognitive fusion, experiential avoidance, self-compassion, and self-judgment) and chronic illness-related to shame in the psychopathological symptoms of depression, anxiety and stress in patients presenting a diagnosis of coeliac disease. Method: Sixty-seven participants with self-reported coeliac disease were recruited through a patients’ association and completed an online sociodemographic and clinical questionnaire and a set of self-report instruments, namely the Anxiety, Depression, and Stress Scales – 21 (DASS-21), the Cognitive Fusion Questionnaire – Chronic Illness (CFQ-CI), the Acceptance and Action Questionnaire-II (AAQ-II), the Self-Compassion Scale (SCS), and the Chronic Illness-related Shame Scale (CISS). The mediating role of the emotion regulation related processes and the chronic illness-related shame was analyzed by calculating hierarchical multiple linear regressions. Results: The self-judgment composite index (self-criticism, isolation, and overidentification) was the only significant predictor of depression, anxiety, and stress symptoms in people with coeliac disease. Conclusions: In psychological interventions designed for patients with coeliac disease, assessment and clinical work targeting self-judgment as an emotion regulation process may be relevant to promote therapeutic gains regarding the negative emotional symptoms of depression, anxiety, and stress.
Objetivo: O presente estudo, de carácter exploratório, teve como principal objetivo examinar o papel preditor de processos relacionados com a regulação emocional (fusão cognitiva, evitamento experiencial, autocompaixão e autojulgamento) e da vergonha associada à doença nos sintomas psicopatológicos de depressão, ansiedade e stress em pacientes com diagnóstico de doença celíaca. Método: Através de uma associação de pacientes, foram recrutados 67 sujeitos com diagnóstico de doença celíaca autorreportado, os quais completaram online um questionário sociodemográfico e clínico e um conjunto de instrumentos de autorresposta, mais precisamente as Escalas de Ansiedade, Depressão e Stress – 21 (EADS-21), o Cognitive Fusion Questionnaire – Chronic Illness (CFQ-CI), o Acceptance and Action Questionnaire-II (AAQ-II), a Self-Compassion Scale (SCS), e a Chronic Illness-related Shame Scale (CISS). O papel mediador dos processos relacionados com a regulação emocional e da vergonha associada à doença crónica foi analisado através do cálculo de regressões lineares múltiplas hierárquicas. Resultados: O índice compósito de autojulgamento (autocriticismo, isolamento e sobreidentificação) revelou-se como o único preditor significativo dos sintomas de depressão, ansiedade e stress em pessoas com doença celíaca. Conclusões: Nas intervenções psicológicas dirigidas a pacientes com doença celíaca a avaliação e integração do autojulgamento enquanto processo de regulação emocional poderá ser relevante para a obtenção de ganhos terapêuticos no que se refere aos sintomas emocionais negativos de depressão, ansiedade e stress.
 
Publisher Instituto Superior Miguel Torga
 
Date 2020-05-08
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
text/html
application/xml
 
Identifier https://rpics.ismt.pt/index.php/ISMT/article/view/162
10.31211/rpics.2020.6.1.162
 
Source Portuguese Journal of Behavioral and Social Research; Vol. 6 No. 1 (2020): May; 1–18
Revista Portuguesa de Investigação Comportamental e Social; Vol. 6 N.º 1 (2020): Maio; 1–18
2183-4938
 
Language por
 
Relation https://rpics.ismt.pt/index.php/ISMT/article/view/162/377
https://rpics.ismt.pt/index.php/ISMT/article/view/162/378
https://rpics.ismt.pt/index.php/ISMT/article/view/162/407
 
Rights Direitos de Autor (c) 2020 Melanie Fernandes, Ana Galhardo, Ilda Massano-Cardoso
 

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