Atribuição de causalidade para o câncer de mama e câncer ginecológico: a doença sob o olhar das pacientes

• Ano de defesa: 2013
• Autor(a) principal: Biagigo, Fabiana Rocha
• Orientador(a): Araújo, Ceres Alves de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Psicologia: Psicologia Clínica
• Departamento: Psicologia
• País: BR
• Palavras-chave em Português: Câncer de mama; Câncer ginecológico; Crenças causais; Atribuição causal; Teoria da atribuição; Psico-oncologia; Psicologia analítica
• Palavras-chave em Inglês: Breast cancer; Gynecologic cancer; Causal beliefs; Causal attribution; Attribution theory; Psycho-oncology; Analytical psychology
• Área do conhecimento CNPq: CNPQ::CIENCIAS HUMANAS::PSICOLOGIA
• Link de acesso: https://tede2.pucsp.br/handle/handle/15277

The overarching objective of this study is to investigate 197 women in treatment stage diagnosed with either breast or gynecologic cancer in regard to their beliefs about the causes of their very own diseases. Specifically, the present study aims to establish correlations of these subjects reported causal beliefs with selected sociodemografic and clinical variables. All subjects found themselves under treatment at a public hospital located in São Paulo, where the data was collected. The tools adopted specifically for data collection were a sociodemografic and clinical questionnaire as well as the Causes subscale from Illness Perception Questionnaire Revised (IPQ-R). A quantitative method was implemented and Analytical Psychology used for theoretical reference. Subjects reported several factors as causes for their cancer and attributed an important role to stress and emotional factors. The predominant causes mentioned were: stress or worry (77,2%), worries or family problems (77,2%), emotional state (69,5%), poor medical care administered in the past (54,3%), changes in the body defense system (52,3%) and fate or bad luck (45,3%). The sociodemografic and clinical variables (age, educational level, household income, type of cancer, tobacco addiction, changes in healthcare behavior, religion, family or own history of cancer and psychological treatment) influenced the causal beliefs reported by the subjects. Marital status was not observed as having influence over causal attribution. Low educational level on top of lack of information as well as low family income presented great influence in causal beliefs in regard to these subjects. Educational campaigns are crucial initiatives to the studied subjects, especially those targeting causes and factors that if acted upon might mitigate risk of cancer