Avaliação da imagem corporal em pacientes com artrite reumatóide e sua associação com autoestima
Tipo
TCC
Data de publicação
2024-06-13
Periódico
Citações (Scopus)
Autores
Santos, Luísa Miqueloto
Eler, Rhailyne Mari Paiva
Eler, Rhailyne Mari Paiva
Orientador
Skare, Thelma Larocca
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Título de Volume
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Resumo
A artrite reumatoide (AR) é uma doença inflamatória, crônica, poliarticular, com etiologia desconhecida. Cursa com destruição e remodelação óssea causando deformidades e dor, trazendo prejuízo na capacidade funcional, autoestima e autoimagem das pacientes. Objetivo: Verificar a possível relação entre a alteração da imagem corporal com a autoestima e a funcionalidade de pacientes com AR, considerando também a idade, o tempo de doença e o uso de corticosteróides. Metodologia: Estudo transversal observacional, com uma amostra de 96 mulheres com AR, acima de 18 anos. Foram aplicados questionários nas pacientes no ambulatório do Hospital Universitário Evangélico Mackenzie. Os dados coletados foram epidemiológicos e clínicos, avaliados por meio de questionários Rosenberg, HAQ (Health Assesment Questionnaire) e BDDE (Body Dysmorphic Disorder Examination) sobre a dismorfia corporal. Resultados: Observou-se, através da correlação entre alteração da imagem corporal, funcionalidade, autoestima e idade das pacientes, que quanto maiores os danos causados pela AR, maior o valor do BDDE e maior a alteração da imagem corporal das pacientes (R=0,45); já quanto maior a autoestima, menor a alteração da imagem corporal (R=-0,41) . Pacientes mais idosos têm menor valor de BDDE (R=-0,24). As principais queixas relatadas pelas pacientes em relação à imagem corporal foram, em ordem crescente, queda de cabelo, aumento de peso e deformidade articular. Não houve associação entre a presença de depressão e ansiedade e alteração no valor do BDDE, assim como tempo de doença e dose de corticoide. Conclusões: Nesta amostra observou-se uma relação entre a percepção da imagem corporal, a autoestima, a funcionalidade e a idade em pacientes com AR.
Rheumatoid arthritis (RA) is an inflammatory, chronic, polyarticular disease with an unknown etiology. It involves bone destruction and remodeling causing deformities and pain, impairing patients' functional capacity, self-esteem, and body image. Objective: To investigate the possible relationship between body image alteration, self-esteem, and functionality in RA patients, considering age, disease duration, and corticosteroid use. Methodology: A cross-sectional observational study was conducted with a sample of 96 women with RA, aged 18 or above. Questionnaires were administered to patients at the outpatient clinic of the Mackenzie Evangelical University Hospital. Data collected included epidemiological and clinical information, evaluated using the Rosenberg, HAQ (Health Assessment Questionnaire), and BDDE (Body Dysmorphic Disorder Examination) questionnaire on body dysmorphic disorder. Results: Correlations between body image alteration and functionality, self-esteem, and patients' age showed that the greater the damage caused by RA, the higher the BDDE value, indicating greater body image alteration (R=0.45); conversely, higher self-esteem was associated with lower body image alteration (R=-0.41), and older patients had lower BDDE values (R=-0.24). The main complaints reported by patients regarding body image were, in increasing order, hair loss, weight gain, and joint deformity. There was no association between the presence of depression and anxiety and changes in BDDE value, nor with disease duration and corticosteroid dose. Conclusions: On this sample, a relationship between body image perception, self-esteem, functionality, and age in RA patients was found.
Rheumatoid arthritis (RA) is an inflammatory, chronic, polyarticular disease with an unknown etiology. It involves bone destruction and remodeling causing deformities and pain, impairing patients' functional capacity, self-esteem, and body image. Objective: To investigate the possible relationship between body image alteration, self-esteem, and functionality in RA patients, considering age, disease duration, and corticosteroid use. Methodology: A cross-sectional observational study was conducted with a sample of 96 women with RA, aged 18 or above. Questionnaires were administered to patients at the outpatient clinic of the Mackenzie Evangelical University Hospital. Data collected included epidemiological and clinical information, evaluated using the Rosenberg, HAQ (Health Assessment Questionnaire), and BDDE (Body Dysmorphic Disorder Examination) questionnaire on body dysmorphic disorder. Results: Correlations between body image alteration and functionality, self-esteem, and patients' age showed that the greater the damage caused by RA, the higher the BDDE value, indicating greater body image alteration (R=0.45); conversely, higher self-esteem was associated with lower body image alteration (R=-0.41), and older patients had lower BDDE values (R=-0.24). The main complaints reported by patients regarding body image were, in increasing order, hair loss, weight gain, and joint deformity. There was no association between the presence of depression and anxiety and changes in BDDE value, nor with disease duration and corticosteroid dose. Conclusions: On this sample, a relationship between body image perception, self-esteem, functionality, and age in RA patients was found.
Descrição
Palavras-chave
artrite reumatoide , deformidade , autoestima , autoimagem , rheumatoid arthritis , deformity , self-esteem , body image