The Zulliger-CS in Elderly on Hemodialysis and the Relationship Between External Variables

Abstract

Abstract:The use of reliable instruments is an ethical condition to exert psychological evaluation. The aim of the study was to investigate the validity of the Zulliger test in the evaluation of elderly with chronic kidney disease (CKD) with focus on cognitive constructs and interpersonal relationships of elderly with Chronic Kidney Disease; and investigate the relationship with external variables. Palavras-chave: técnicas projetivas, avaliação psicológica, doenças crônicas, idosos El Zulliger-SC con Ancianos en Hemodiálisis y la Relación Entre Variables ExternasResumen: El uso de instrumentos seguros es condición ética para el ejercicio de la evaluación psicológica. Se buscó evidenciar la utilidad del Zulliger para evaluar ancianos con enfermedad renal crónica (ERC); y verificar la relación con variables externas. Los 60 participantes, 30 del grupo clínico (GC) y 30 del grupo no clínico (GNC), contestaron un protocolo sociodemográfico, el Mini Examen del Estado Mental y el Zulliger en el Sistema comprensivo. El GC presentó caída de las variables Xu% (p = 0,031, d = 0,58), R (p = 0,002, d = 0,78), Fd (p = 0,021, d = 0,65) y aislamiento (p = 0,006, d = 0,61), elevación de X-% y PHR>GHR. Hubo asociación positiva entre tiempo del diagnostico y apoyo familiar (rho = 0,403, p = 0,027). Se ratifica la relevancia del Zulliger y apoyo familiar como potenciador de salud.

Validity evidence of the Zulliger-CS in older adults with Parkinson’s disease

“…Some authors believe that PD patients voluntarily accept help and display less authoritarian and more passive behaviors because as the disease progresses, they tend to need more help and care (Bhimani, 2014;Queiroz, 2012). Surprisingly, Gregoleti and Scortegagna (2017) found reduced Fd in patients undergoing hemodialysis, however, they reported a positive relationship between family and social support. In addition to the underlying differences between CKD and the PD and the psychosocial characteristics of caregiving environments, the relationship between the external variables and a more active social and family support may have contributed to minimize dependent behaviors.…”

“…The available studies are related to the Brazilian normative data published in 2009 (Franco, Cardoso, Villemor-Amaral, & Primi, 2012) regarding the evidence for convergent and discriminant validity of the Pfister test (Franco & Villemor-Amaral, 2009) and the evaluation of older adults with Chronic Kidney Disease (CKD) (Gregoleti & Scortegagna, 2017). Investigating older people with CKD in a sample of 60 people, mean age of 73.1 years (Standard Deviation -SD = 5.8), Gregoleti and Scortegagna (2017), found that patients undergoing hemodialysis had interpersonal problems demonstrated by the decrease in the food responses (Fd) (p = 0.021, d = 0.65), isolation (p = 0.006, d = 0.61), and by the proportion of poor over good human representation responses (Poor Human Representations -PHR > Good Human Representations -GHR).…”

Convergent Validity of Zulliger-CS with the Social Skills Inventory for the Elderly

“…The confrontation of stress and the control of negative emotions (Pinto et al, 2016), the social interaction and the academic performance (Bolsoni-Silva & Loureiro, 2014;Feitosa et al, 2012) are also reported in adults with higher social skills scores. In the study by Gregoleti and Scortegagna (2017), elderly patients with chronic kidney disease when compared to those free of disease, presented a decrease in R, which for the authors may derive from deprivation of leisure and interests, and employment restrictions.…”

Técnicas projetivas na avaliação psicológica com idosos: Revisão de estudos brasileiros (2000-2018)

“…número amostral variou de 1 a 100 participantes, a média de idade variou de 67,5 a 75 anos. Os estudos tiveram como objetivo avaliar o funcionamento psicológico e da personalidade dos idosos(GIL, 2001;OLIVEIRA et al, 2001;COELHO et al, 2010;DALLAGNOL, 2014); a validade e normatização dos instrumentos(BASTOS-FORMIGHIERI;PASIAN, 2012;GREGOLETI;RIEN et al, 2017) e entendimento do psicodiagnóstico (POZZI; BOFF, 2013). Estudos brasileiros com uso de testes projetivos na avaliação de idosos.…”