Modos de esquemas em pacientes bariátricos: um estudo com o inventário de modos de esquemas (SMI)

Abstract

This exploratory research consisted of identifying Schema Modes of 10 pre-bariatric participants. For this, a structured interview was applied to collect the following information: gender, weight, age, marital status, education and family income. Afterwards, the participants answered the Schema Mode Inventory (SMI), a questionnaire consisting of 118 questions. Participants' responses were submitted to non-parametric statistical analyses, due to the small sample size. The statistics used in this study were: descriptive statistics and Mann Witney test. From the Mann Witney test, it was observed that two subgroups in this sample were p<0.005. Despite this data, considering the sample size, for all correlational analyzes the calculation of the Spearman coefficient was established. The SMI indicated significant correlations between BMI and modes: Impulsive Child (0.584); Undisciplined Child (0.779); Enraged Child (0.595); Self-Relieving Protective Coping Mode (0.455) and Punitive Parent Mode (0.339) with (p<0.005). In SMI, participants had higher mean scores in healthy modes (happy child: 4.88 and healthy adult: 4.17) followed by self-relieving protector: 3.07 and demanding father/mother: 3.67. It was concluded that impulsive and compulsive behavior, such as psychic states, regulate or deregulate the maintenance of weight and body mass, as the greater the impulsivity/compulsiveness, the greater the body mass. The most harmful activated mode for the mental health of pre-bariatric patients identified in the survey was the demanding father/mother mode. The survey data point to the need to intervene for the deactivation of critical modes in bariatric patients, as a way to promote mental health, quality of life and treatment adherence Keywords: schema modes, bariatric patients, SMI.