Abstract
The present work was the result of a research project to obtain the title of Master in Health Sciences at the Faculty of Medical Sciences of Santa Casa de São Paulo. Objective: To identify the coping strategies used by patients with SPMS, and their relation with the personality profile. Methods: This is a cross-sectional, descriptive, observational study with a quantitative approach. The sample consisted of 23 patients undergoing treatment at CATEM, ISCMSP. A Sociodemographic Form, the Factorial Personality Inventory II, and the Ways of Coping with Problems Scale were used. To analyze the results, we used descriptive and inferential analyses, and explored sociodemographic variables, personality characteristics, and coping resources with the use of statistical tests suitable for the study. Results: The results showed the predominance of females, aged 51 years, with an EDSS equal to 7.0 and in need of some type of support. Fantasy was the main coping resource used, with its components spirituality, religious beliefs, and faith. Aggressiveness was the main personality trait: it was not found to be an aspect related to activities having a hostile character, but rather to active tendencies towards the outside world and self-assertion; it might even be deemed constructive if we consider aggressiveness as a combative aspect, strictly related to survival. This inclination was confirmed as we went on to identify other relevant personality traits that are indicative of individuals who seek affection and external support, but also crave some degree of independence, autonomy, self-sufficiency, freedom, and dominance over their lives so that they can accomplish something with tenacity and perseverance as a way of personal satisfaction and overcoming limits. Conclusion: These findings make it evident that patients with SPMS can bring specific demands and needs in terms of a multidisciplinary therapeutic treatment.
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