Crianças com vitiligo : um estudo clinico e comparativo entre dois tipos de tratamento

AUTOR(ES)

Luciane Faleiros Lombello

DATA DE PUBLICAÇÃO

2002

RESUMO

Vitiligo is an acquired, idiopathic disease that is often associated with a positive familial history and it is characterized by achromic or hypochromic patches of different shapes and sizes, that often disfigure the individual. It affects between 1% t03% ofthe human race, is more prevalent in the female sex and approxirnately 50% of these patients develop some kind of disease by the age of 10 years. Some studies on psychoneuroirnrnunological mechanisms consider emotional estresse a fundamental part of its etiology ~ither as a catalyst or an aggravator (8). The psychosocial aspects of vitiligo great1y affect the patient s self-esteem and act as feedback factors in the evolution and aggravation ofthe disease (33). The objectives ofthis study are to: a) assess the eventual differences in the response to treatment of 18 children with vitiligo who used the same medication but, in of 9 of these patients, it was applied group psychotherapy; b) the second objective recognize and understand the emotional aspects presented by children with vitiligo. Nine children with vitiligo between 8 years to 12 years old participated in analytical group psychotherapy. These sessions, which lasted for an hour, were held fortnight1yand the group of parents or individuaIs responsible for the children participated sirnultaneously in similar sessions. Thirty sessions were conducted over a year and six months and the children were assessed montWy. They were treated with specific medication (Viticromin@) in combination with phototherapy. These children presented behavioral changes such as: better performance at school, redution of inhibition, stronger family ties, repigmentation of all or a great majority of the lesions. These results showed a statistical difference with the results of the group of children that did not have submitted to psychotherapy. It would be better to associate analytical group psychotherapy for vitiligo in the treatment of vitiligo in children

ASSUNTO(S)

comportamento humano vitiligo psicoterapia de grupo emoções

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