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Avaliação da eficácia de um programa de intervenção na cognição social em pessoas com esquizofrenia : estudo de caso múltiplo
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Apesar do avanço científico, na compreensão e no tratamento das pessoas com diagnóstico de esquizofrenia, esta doença mental grave continua a ser considerada como a mais incapacitante, com impacto no funcionamento psicossocial e qualidade de vida daqueles que dela padecem (Wold Health Organization, 2008). De entre os aspetos que têm vindo a ser identificados como estando comprometidos nestes doentes, encontram-se os défices de informação social, emocional comportamental, ou seja, alterações que constituem manifestações e modificações no mecanismo do processamento emocional, sendo isto designado como cognição social (Marques- Teixeira, 2007) O mundo do individuo com défices na cognição social ganha novos significados, pois é distanciado da realidade comum partilhada pela sociedade em geral, é como se não conseguisse sair dele para se colocar no papel dos demais, implicando incapacidade na compreensão mental dos outros (Green & Horan, 2010). O presente estudo de caso múltiplo teve como principal objetivo avaliar o impacto da versão portuguesa de um programa de intervenção na cognição social (Social Cognition and Interaction Training (Penn, et al., 2009), na melhoria do funcionamento neste domínio em pessoas com diagnóstico de esquizofrenia No estudo realizado por Penn e colaboradores (2009) ficou evidente uma melhoria das habilidades sociais, o que se tornou deveras encorajador e entusiasmante, já que o propósito do estudo seria o impacto considerável na cognição social. Tal facto veio a confirmar-se neste estudo, em alguns domínios da cognição social dos pacientes 1 e 2, podendo demonstrar o impacto do programa SCIT e a mudança social cognitiva. Desta forma, torna-se necessário dar continuidade ao estudo sobre esta importante dimensão do funcionamento humano no sentido de contribuir para a recuperação de pessoas com o diagnóstico de esquizofrenia.
Despite the scientific advances in the understanding and treatment of people with schizophrenia, this serious mental illness is still considered as the most disabling, with impact on psychosocial functioning and quality of life of those who suffer from it. (Wold Health Organization, 2008). Among the aspects that have been identified as being engaged in these patients are the deficits in social information, behavioral, emotional, or changes which are events and changes in emotional processing mechanism, this being referred to as social cognition. (Marques- Teixeira, 2007). The world of the individual with deficits in social cognition gain new meanings as it is distanced from the common reality shared by society in general, it is as if he could not get out of it to put on other's roule, implying disability in mental understanding of others (Green & Horan, 2010). This multiple case study aimed to assess the impact of the portuguese version of an intervention program in social cognition (Social Cognition and Interaction Training (Penn et al., 2009), improving the functioning in this area in people with diagnosis of schizophrenia. In the study conducted by Penn, et al. (2009) there was an obvious improvement of social skills, which became truly encouraging and exciting, since the purpose of the study would be considerable impact on social cognition. Thus, this would confirm the shaft in certain areas of patients 1 and 2, can elucidate the relationship between the SCIT cognitive and social change. Thus, it is necessary to continue the study of this important aspect of human functioning in order to contribute to the recovery of people diagnosed with schizophrenia.
Despite the scientific advances in the understanding and treatment of people with schizophrenia, this serious mental illness is still considered as the most disabling, with impact on psychosocial functioning and quality of life of those who suffer from it. (Wold Health Organization, 2008). Among the aspects that have been identified as being engaged in these patients are the deficits in social information, behavioral, emotional, or changes which are events and changes in emotional processing mechanism, this being referred to as social cognition. (Marques- Teixeira, 2007). The world of the individual with deficits in social cognition gain new meanings as it is distanced from the common reality shared by society in general, it is as if he could not get out of it to put on other's roule, implying disability in mental understanding of others (Green & Horan, 2010). This multiple case study aimed to assess the impact of the portuguese version of an intervention program in social cognition (Social Cognition and Interaction Training (Penn et al., 2009), improving the functioning in this area in people with diagnosis of schizophrenia. In the study conducted by Penn, et al. (2009) there was an obvious improvement of social skills, which became truly encouraging and exciting, since the purpose of the study would be considerable impact on social cognition. Thus, this would confirm the shaft in certain areas of patients 1 and 2, can elucidate the relationship between the SCIT cognitive and social change. Thus, it is necessary to continue the study of this important aspect of human functioning in order to contribute to the recovery of people diagnosed with schizophrenia.
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Palavras-chave
Cognição social Domínios da cognição social Esquizofrenia Social Cognition and Interaction Training (SCIT) Social cognition Schizophrenia Social cognition domains