Psicologia aplicada à cardiologia: um estudo sobre emoções relatadas em exame de holter

Abstract

RESUMO -Estudos sobre fatores de risco associados a doenças do coração dão ênfase às emoções negativas e não esclarecem quanto aos efeitos cardíacos de vivências de alegria ou segurança. Realizou-se uma investigação com 30 pessoas submetidas ao exame de Holter 24 horas, visando identificar emoções e episódios de vida diária que ocorrem simultaneamente a arritmias cardíacas. Reuniram-se registros de arritmias, atividades e emoções, complementados por entrevistas semiestruturadas. Verificaram-se diferenças acentuadas entre gêneros: mulheres apresentaram mais arritmias que homens. Nas mulheres, arritmias ventriculares ocorreram mais simultaneamente à preocupação do que à ansiedade e não se mostraram relacionadas à raiva. A tristeza não foi associada a arritmias ventriculares por nenhum dos gêneros.Palavras-chave: emoções; arritmias cardíacas; Holter; gênero. Psychology Applied to Cardiology: A Study on Emotions Reported during Holter MonitoringABSTRACT -Studies on risk factors associated with heart diseases emphasize the negative emotions and do not enlighten the cardiologic effects in response to joy or security. It was carried out an investigation with 30 people, submitted to 24 hours Holter monitoring, aiming at identifying emotions and episodes of daily life that occur simultaneously with cardiac arrhythmias. In doing so, records of arrhythmias, activities and emotions were gathered, additionally supported by semi-structured interviews. Great gender differences were found: women presented more arrhythmias than men. In women, ventricular arrhythmias occurred more simultaneously to worries than with respect to anxiety and were not related to anger. In both genders sadness was not associated with ventricular arrhythmias.

Quality of life of patients who undergone myocardial revascularization surgery

“…All facets contributed to this result, except the facet negative feeling. Negative feeling cause physiological change with negative impact on CAD prognosis and may influence directly in following medical orientation that requires behavioral change (25) .…”

Emotions of students involved in cases of bullying

“…16 In that sense, the emotions represent aspects that, from a personal perspective, can help to clarify the harmful effects of the aggressions on victims and aggressors. That is so because, in different situations, social interaction underlie the emotional conditions, determining the occurrence of emotions, the way they will be expressed and the consequences they entail, 17 as the emotional conditions stimulate actions that determine physiological activity patterns that support behavior. In other words, the emotions exert a mediating effect between external and internal events, modulating the reaction and behavioral response to bullying.…”

Psychological Approach to the Cardiac Arrhythmias: Focus on the Emotions

“…The men presented a mean of 68.15 ventricular arrhythmias and 67.69 supraventricular arrhythmias. That is, the women presented more than twice the number of supraventricular than ventricular arrhythmias, however, these arrhythmias were distributed differently throughout the examination period (Bonomo & Araujo, 2009). …”

“…Additionally, from the standpoint of diagnostic evaluation, this feature is relatively simple and accessible. In view of these scientific and clinical interests, a study was conducted with the following objectives: a) to identify emotions simultaneous to arrhythmias at different times of the day; b) to verify that the same activity can be presented simultaneously to arrhythmias at different times of day; c) to verify the occurrence of similar arrhythmias in individuals with similar emotional reports; d) to identify aspects of daily experience that occur simultaneously to arrhythmias, e) to verify whether people that conduct similar activities present similar arrhythmias and f) to describe and analyze the association between emotions and activities reported during the 24-hour Holter Examination (Sánchez, 2007;Bonomo & Araujo, 2009). A total of 13 men and 17 women participated in the investigation, aged between 48 and 69 years, with complete high school education as the minimum level of schooling, who did not use antiarrhythmic medication, antipsychotics or beta blockers and had the ability to communicate orally and in writing.…”