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

Melanie Fernandes; Ana Galhardo; Ilda Massano-Cardoso

doi:10.31211/rpics.2020.6.1.162

Authors

Melanie Fernandes Miguel Torga Higher Education Institute, Coimbra, Portugal https://orcid.org/0000-0002-7433-7234
Ana Galhardo Miguel Torga Higher Education Institute; Centre for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences of the University of Coimbra, Portugal https://orcid.org/0000-0002-3484-6683
Ilda Massano-Cardoso Miguel Torga Higher Education Institute; Faculty of Medicine of the University of Coimbra; Center for Health Studies and Research, Coimbra university, Portugal https://orcid.org/0000-0003-2510-2348

DOI:

https://doi.org/10.31211/rpics.2020.6.1.162

Keywords:

Coeliac disease, Chronic illness-related shame, Emotion regulation, Psychopathological symptoms

Abstract

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.

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