Não informado.

Author(s)

Ângela da Costa Almeida

• Document type: Master's Dissertation
• Press: Ribeirão Preto.
• Institution: Universidade de São Paulo (USP). Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (PCARP/BC)
• Defense date: 1998-03-24

Examining board members

Sonia Regina Loureiro; André Jacquemin; Julio Cesar Voltarelli

• Advisor: Sonia Regina Loureiro

Abstract

The bone marrow transplantation (BMT) as therapeutic modality has physical and psychological implications that only recently have been studied. Among components appraising quality of life of patients who undergo BMT are, as a rule, physical performance, psychological conditions and social interaction. The goal set by the present work is to evaluate psychological conditions and quality of life of patients who have undergone BMT at Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP (hospital belonging to the Medical School of Ribeirão Preto - Brazil). A sample of 10 men was divided in two groups - five at the initial adaptation period (three or four months after being discharged from hospital) and five living through a long-term adaptation period (at least, 12 months after being discharged from hospital). The patients were evaluated individually according to the following instruments: Clinical Interviews (open-ended questions), Self-Evaluation Anxiety-Trait-State Form, Locus Scale of Levenson Control, Anxiety and Depression (HAD) Scale for General Hospital, Rorschach-Test and Human Body Drawing. The obtained data were rated taking into account specific recommendations inherent to each technique. Analyses of the data integration, having the form of a case study, suggest that the after-BMT-adaptation level has a relationship with patterns of the previous-to-the-adaptation period indicating so that, when confronted with the impact of a BMT, defenses based on restriction and inhibition tend to be exacerbated as a form of psychosocial adjustment. The mechanism suggests a necessity of having a psychological approach to such patients in a healthcare multidisciplinary context. (AU)