O papel da PSPT e da regulação emocional na tomada decisão em profissionais de emergência médica durante uma simulação virtual de uma emergência médica crítica
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2023
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Este estudo teve como principal objetivo avaliar a regulação emocional e sintomas de perturbação de estresse pós-traumático (PSPT) em profissionais de serviços de emergência médica e examinar a relação com a tomada de decisão numa situação de emergência médica, simulada através da realidade virtual (RV). Método: A amostra incluiu 77 participantes, 26 (33.8%) do sexo feminino e 51 (66.2%) do sexo masculino com idades compreendias entre os 19 e os 70 anos (M = 36, DP = 1.42). No que concerne aos anos de serviços, o mínimo era 0 e o máximo 42 (M = 15, DP = 1.4). No que concerne às medidas, foram utilizadas o Questionário sociodemográfico, a Escala de Dificuldades de Regulação Emocional, o Posttraumatic Stress Disorder Checklist for DSM‐5 (PCL‐5). Resultados: Depois de ajustadas a idade, sexo e grau de escolaridade, a regulação emocional, β = -.36, t = -2.07, p = .042, 95% IC [-2.85, -.05], e PSPT score total, β = .46, t = 2.70, p = .009, 95% IC [.78, 5.17] foram preditores estatisticamente significativos da variável predita (tomada de decisão). Ou seja, níveis mais altos de sintomas de PSPT e níveis mais baixos de regulação emocional foram preditores de tempos de reação mais elevados para tomar a decisão certa. No entanto, a regulação emocional não se revelou uma variável mediadora na relação entre a PSPT e o tempo de resposta certa (i.e. tomada decisão). Conclusões: Este estudo sugere a necessidade de se fazerem rastreios de PSPT entre profissionais de emergência médica, uma vez que esta não tem apenas implicações para a saúde mental do sujeito, mas também parece interferir no funcionamento enquanto este se encontra numa situação de emergência médica. A realidade virtual poderá contribuir para o desenvolvimento de formações que possam ser incorporadas no treino destes profissionais.
Palavras-chave: PSPT, Realidade Virtual, Regulação Emocional, Socorristas, Tomada Decisão.
The main objective of this study was to evaluate the emotional regulation and symptoms of post-traumatic stress disorder (PTSD) in professionals of medical emergency services and to examine the relationship with decision making in a medical emergency, simulated through virtual reality (VR). Method: The sample included 77 participants, 26 (33.8%) were female and 51 (66.2%) were male, aged between 19 and 70 years (M = 36, SD = 1.42). Regarding the years of service, the minimum was 0 and the maximum was 42 (M = 15, SD = 1.4). Regarding the measures, the Sociodemographic Questionnaire, the Emotional Regulation Difficulties Scale, the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) were used. Results: After adjusting for age, sex and education level, emotion regulation, β = -.36, t = -2.07, p = .042, 95% CI [-2.85, -.05], and total PTSD score, β = .46, t = 2.70, p = .009, 95% CI [.78, 5.17] were statistically significant predictors of the predicted variable (decision making). That is, higher levels of PTSS symptoms and lower levels of emotion regulation were predictors of higher reaction times for making the right decision. However, emotion regulation did not prove to be a mediating variable in the relationship between PTSD and right response time (decision making). Conclusions: This study suggests the need to perform PTSD screenings among emergency medical professionals, since this not only has implications for the subject's mental health, but also seems to interfere with functioning while he is in a medical emergency. Virtual Reality can contribute to the development of training that can be incorporated into the training of these professionals. Keywords: PTSD, Virtual Reality, Emotional Regulation, First Responders, Decision Making.
The main objective of this study was to evaluate the emotional regulation and symptoms of post-traumatic stress disorder (PTSD) in professionals of medical emergency services and to examine the relationship with decision making in a medical emergency, simulated through virtual reality (VR). Method: The sample included 77 participants, 26 (33.8%) were female and 51 (66.2%) were male, aged between 19 and 70 years (M = 36, SD = 1.42). Regarding the years of service, the minimum was 0 and the maximum was 42 (M = 15, SD = 1.4). Regarding the measures, the Sociodemographic Questionnaire, the Emotional Regulation Difficulties Scale, the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) were used. Results: After adjusting for age, sex and education level, emotion regulation, β = -.36, t = -2.07, p = .042, 95% CI [-2.85, -.05], and total PTSD score, β = .46, t = 2.70, p = .009, 95% CI [.78, 5.17] were statistically significant predictors of the predicted variable (decision making). That is, higher levels of PTSS symptoms and lower levels of emotion regulation were predictors of higher reaction times for making the right decision. However, emotion regulation did not prove to be a mediating variable in the relationship between PTSD and right response time (decision making). Conclusions: This study suggests the need to perform PTSD screenings among emergency medical professionals, since this not only has implications for the subject's mental health, but also seems to interfere with functioning while he is in a medical emergency. Virtual Reality can contribute to the development of training that can be incorporated into the training of these professionals. Keywords: PTSD, Virtual Reality, Emotional Regulation, First Responders, Decision Making.
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Orientação: Ricardo José Martins Pinto
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MESTRADO EM PSICOLOGIA CLÍNICA E DA SAÚDE, PSICOLOGIA, STRESS PÓS-TRAUMÁTICO, AJUSTAMENTO EMOCIONAL, EMERGÊNCIA MÉDICA, SIMULAÇÃO MÉDICA, REALIDADE VIRTUAL, SOCORRISMO, TOMADA DE DECISÃO, CLINICAL PSYCHOLOGY, HEALTH PSYCHOLOGY, POST-TRAUMATIC STRESS, EMOTIONAL ADJUSTMENT, MEDICAL EMERGENCY, MEDICAL SIMULATION, VIRTUAL REALITY, FIRST AID, DECISION MAKING, PSYCHOLOGY, PSICOLOGIA CLÍNICA, PSICOLOGIA DA SAÚDE