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Bem-estar psicológico e regulação emocional em jovens adultos com doença crónica diagnosticada na adolescência
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A presença de doença crónica pode comprometer a regulação emocional e o bem-estar psicológico, particularmente em jovens adultos que podem enfrentar simultaneamente as exigências da gestão da doença e a transição para a vida adulta. O presente estudo teve como objetivo analisar a relação entre dificuldades de regulação emocional e bem-estar psicológico em jovens adultos com doenças crónicas diagnosticadas na adolescência, bem como comparar dois grupos clínicos: diabetes mellitus tipo 1 e asma. Participaram 40 jovens adultos portugueses (18-30 anos), que responderam a um questionário sociodemográfico e clínico, à Escala de Bem-Estar Psicológico de Ryff e à Difficulties in Emotion Regulation Scale – Short Form (DERS-SF). Os resultados confirmaram uma associação negativa significativa entre regulação emocional e bem-estar psicológico, transversal a todas as dimensões avaliadas. Não foram encontradas diferenças significativas entre os dois grupos clínicos. O histórico de internamento hospitalar associou-se a maiores dificuldades de regulação emocional, com efeito grande, e o impacto percebido da doença revelou-se o preditor mais forte da dificuldade de regulação emocional. O suporte percebido na gestão da doença associou-se positivamente a todas as dimensões do bem-estar. Os resultados reforçam a importância das representações subjetivas da doença e do suporte social no ajustamento psicológico, e sugerem a necessidade de intervenções que promovam a literacia emocional e o fortalecimento das redes de apoio nesta população.
The presence of chronic disease may compromise emotion regulation and psychological well-being, particularly in young adults who may simultaneously face the demands of disease management and the transition to adulthood. The present study aimed to analyse the relationship between difficulties in emotion regulation and psychological well-being in young adults with chronic diseases diagnosed during adolescence, as well as to compare two clinical groups: type 1 diabetes mellitus and asthma. Forty Portuguese young adults (aged 18-30) completed a sociodemographic and clinical questionnaire, Ryff's Psychological Well-Being Scale, and the Difficulties in Emotion Regulation Scale – Short Form (DERS-SF). Results confirmed a significant negative association between emotion regulation difficulties and psychological well-being, consistent across all dimensions assessed. No significant differences were found between the two clinical groups. A history of hospitalisation was associated with greater difficulties in emotion regulation, with a large effect size, and perceived disease impact emerged as the strongest predictor of emotion regulation difficulties. Perceived support in disease management was positively associated with all dimensions of well-being. The findings highlight the importance of subjective disease representations and social support in psychological adjustment, and suggest the need for interventions that promote emotional literacy and the strengthening of support networks in this population.
The presence of chronic disease may compromise emotion regulation and psychological well-being, particularly in young adults who may simultaneously face the demands of disease management and the transition to adulthood. The present study aimed to analyse the relationship between difficulties in emotion regulation and psychological well-being in young adults with chronic diseases diagnosed during adolescence, as well as to compare two clinical groups: type 1 diabetes mellitus and asthma. Forty Portuguese young adults (aged 18-30) completed a sociodemographic and clinical questionnaire, Ryff's Psychological Well-Being Scale, and the Difficulties in Emotion Regulation Scale – Short Form (DERS-SF). Results confirmed a significant negative association between emotion regulation difficulties and psychological well-being, consistent across all dimensions assessed. No significant differences were found between the two clinical groups. A history of hospitalisation was associated with greater difficulties in emotion regulation, with a large effect size, and perceived disease impact emerged as the strongest predictor of emotion regulation difficulties. Perceived support in disease management was positively associated with all dimensions of well-being. The findings highlight the importance of subjective disease representations and social support in psychological adjustment, and suggest the need for interventions that promote emotional literacy and the strengthening of support networks in this population.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Bem-estar psicológico Regulação emocional Jovem adulto Doenças crónicas Saúde mental