This study intended to measure the scores of psych-emotional constructs and self-management in patients with inflammatory bowel diseases (IBD), compare those scores according to the type of IBD, and verify the influence of these measures on self-management in health. This is a cross-sectional study performed at the outpatient clinic of a public Hospital. The patients were adults and diagnosed with IBD; they answered instruments of measure of selfesteem, anxiety and depression, health status and of activation. Pearson's correlation test and Student's t test evaluated the variables of interest. The level of significance was 0.05. We evaluated 65 patients (average age = 40.71; SD = 14.26). We found high score of activation (average = 57.5; SD = 13.38) and high score of self-esteem (average = 31.58; SD = 4.98), moderate score of anxiety (average = 8.24; SD = 4.38) and low score of depression (average = 5.47; SD = 3.53). Significant correlations were observed, from low to moderate magnitude, between the other measures and activation (p < 0.05). There were weak correlations between activation and time since diagnosis; anxiety and number of comorbidities (p < 0.05). We have concluded that patients with IBD presented high self-esteem, moderate levels of anxiety, low levels of depression and a high level of activation. Longer time since diagnosis was related with better self-management in health.

The present study aimed measure self-esteem, anxiety and depression and activation scores in individuals with cancer; compare these scores according to whether or not chemotherapy was performed and verify the influence of these constructs in the self-management in health. This study is a Cross-sectional study with a quantitative approach, performed at the outpatient clinic of a school hospital. The instrument was answered by adult patients, diagnosed with cancer for at least 6 months and in outpatient follow-up. We used the Pearson correlation test and the Student t test in order to evaluate the variables of interest. The level of significance was 0.05. Seventy patients participated in the study; forty six of them were women. The average age was 50.17 years (SD = 11.26) and the average of the education level in years was 8.27 (SD = 3.73). The most prevalent cancer was the breast cancer. The average score obtained by the instruments were: 32.71 (SD = 4.64) for self-esteem; 6.07 (SD = 3.84) for anxiety; 4.90 (SD = 3.76) for depression and 64.24 (SD = 15.21) for activation. We observed weak correlations of these constructs with activation (p <0.05) and that the use of chemotherapy did not interfere with the score of these measures (p> 0.05). The education level presented a weak correlation with the measure of activation (r = 0.240, p <0.05), and comorbidities presented weak correlation with the measure of self-esteem (r =-0.274, p <0.05). In conclusion, the cancer patients presented high selfesteem, low anxiety and depression symptoms and high activation. There is a weak relationship between measures evaluated and the self-management in health.

Objective: This study aimed to measure the scores of psychoemotional and self-management constructs in patients with rheumatic diseases (RD), to compare these scores according to the RD type and to verify the influence of these measures on self-management in health.Methods: Cross-sectional study, carried out in an ambulatory of a public hospital of Brazil. Adult patients, with diagnosis of RD, responded to self-esteem, anxiety and depression, health and activation scales. Spearman’s correlation tests, independence tests, mean or median tests, multiple linear regressions evaluated the variables of interest at a significance level of .05.Results: Eighty-six patients (mean age = 45.23, SD = 14.30) were evaluated. High activation (mean = 65.83, SD = 14.20) and self-esteem scores (mean = 30.67, SD = 5.65) were observed, while moderate anxiety scores (mean = 8.21, SD = 4.37) and low scores for depression (mean = 6.37, SD = 3.98). Significant correlations were observed, from low to moderate magnitude, among other measures with activation (p < .05). There were weak correlations between activation and formal study time, self-esteem with age and family income, depression and number of comorbidities diagnosed or self-reported (p < .05). The RD type no affects any of the constructs evaluated.Conclusions: It was concluded that patients with rheumatic diseases presented high self-esteem, moderate anxiety levels and low levels of depression and a high level of activation. Lower number of diagnosed comorbities, higher formal study time was related to better self-management in health.

RESUMOIntrodução: O diabetes mellitus (DM) e a obesidade (OB) são doenças crônicas que repercutem negativamente em diversos aspectos da vida, sendo fundamental que o paciente adote comportamentos saudáveis para autogerir a saúde. Objetivos: Mensurar as variáveis psicoemocionais e de ativação de indivíduos com doenças metabólicas, comparar essas variáveis segundo o tipo de doença e verificar a influência de variáveis sociodemográficas e clínicas na autogestão em saúde. Método: Estudo transversal, de abordagem quantitativa, realizado em um hospital público. Pacientes adultos, com diagnóstico de DM ou OB, no mínimo 6 meses, responderam os instrumentos avaliativos (constructos psicoemocionais e ativação). Resultados: Participaram do estudo 80 indivíduos, com idade média de 48,39 (DP=14,59) anos e 65% eram mulheres. Os escores médios foram: 30,81 (DP=5,08) para autoestima, 65,05 (DP=17,69) para estado de saúde, 8,53 (DP=4,75) para ansiedade, 6,53 (DP=4,42) para depressão e 64,61 (15,54) para ativação. Indivíduos com DM apresentaram melhor autoestima e ativação, no entanto tiveram mais sintomas de ansiedade que os OB (p<0,05). Os indivíduos OB referiram melhor estado de saúde, apesar de apresentarem índices maiores de sintomas depressivos (p<0,05). Quanto às correlações, verificou-se que a variável comorbidades correlacionou com todas as medidas (p<0,05), exceto com a ativação. A variável idade correlacionou apenas com a ansiedade. Conclusões: Nossa amostra apresentou níveis elevados de autoestima, de estado de saúde e de ativação e baixos níveis de ansiedade e depressão. Indivíduos com DM apresentaram melhor autoestima e mais sintomas de ansiedade que os OB; e os OB apresentaram melhor estado de saúde e mais sintomas depressivos. ABSTRACTIntroduction: Diabetes mellitus (DM) and obesity (OB) are chronic diseases that have negative repercussions in several aspects of life, being essential that the patient adopt healthy behaviors to self-manage health. Objectives: To measure the psycho-emotional variables and activation of individuals with metabolic diseases, to compare these variables according to the type of disease and to verify the influence of sociodemographic and clinical variables on health self-management. Method: A cross-sectional, quantitative approach, carried out in a public hospital. Adult patients, with diagnosis of DM or OB, at least 6 months, answered the evaluative instruments (psychoemotional constructs and activation). Results: Participants were 80 individuals, with a mean age of 48.39 (SD = 14.59) years and 65% were women. The mean scores were: 30.81 (SD = 5.08) for self-esteem, 65.05 (SD = 17.69) for health status, 8.53 (SD = 4.75) for anxiety, Rev. Aten. Saúde, São Caetano do Sul, v. 16, n. 57, p. 13-23, jul./set., 2018 RAS Rev. Aten. Saúde, São Caetano do Sul, v. 16, n. 57, p. 13-23, jul./set., 2018ARTIGO ORIGINAL 6.53 SD = 4.42) for depression and 64.61 (15.54) for activation. Individuals with DM presented better self--esteem and activation, however they had more anxiety symptoms than OB (p <0.05)...