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O idoso e sua espiritualidade: impacto sobre diferentes aspectos do envelhecimento

The elderly and their spirituality: impact on different aspects of aging

Resumos

INTRODUÇÃO: O interesse sobre a espiritualidade e a religiosidade sempre existiu no curso da história humana, a despeito de diferentes épocas ou culturas. Contudo, apenas recentemente a ciência tem demonstrado interesse em investigar o tema. Estudos e pesquisas demonstram que a faixa etária acima dos 65 anos é aquela com mais contato frente a sua espiritualidade e religiosidade. O objetivo do presente estudo é realizar uma revisão da literatura científica que norteia essa temática e investigar qual o impacto da espiritualidade em diferentes aspectos do envelhecimento. METODOLOGIA: Pesquisa nas bases de dados Pubmed/Medline, LILACS e Scielo, nos idiomas inglês e português, entre 1966 e 2009, utilizando as palavras-chave aged/idoso e spirituality/espiritualidade. RESULTADOS: Foram incluídos 48 artigos divididos nas seguintes temáticas: envelhecimento bem-sucedido, bem-estar, qualidade de vida, doenças crônico-degenerativas, doenças neuro-psiquiátricas, funcionalidade, mortalidade e impacto no fim da vida. CONCLUSÃO: Conclui-se que o envelhecimento possui uma relação íntima com a espiritualidade nos seus mais diferentes aspectos e percebe-se que há uma escassez de pesquisas sobre espiritualidade/religiosidade em idosos.

Espiritualidade; Geriatria; Idoso; Religião


The interest on spirituality and religion has always existed in the course of human history, despite different periods or cultures. However, only recently, science has shown interest in investigating this issue. Studies demonstrate that those aged 65 years old or more have more contact with their spirituality and religiosity. This article aims to conduct a review from scientific literature that deals with this issue and investigate the impact of spirituality on different aspects of ageing. METHODS: A search on Pubmed/Medline, LILACS and Scielo was carried out, including articles from 1966 to 2009, in English or Portuguese, using the keywords: aged/idoso e spirituality/espiritualidade. RESULTS: Forty eight articles were included and divided in: successful aging, well-being, quality of life, chronic-degenerative diseases, neuro-psychiatric diseases, functional status, mortality and end of life care. CONCLUSION: Aging has a close relationship with spirituality in many different aspects and there is a paucity of research on spirituality/religiosity in the elderly.

Spirituality; Religiousness; Geriatrics; Elderly


ARTIGO DE REVISÃO REVIEW ARTICLE

O idoso e sua espiritualidade: impacto sobre diferentes aspectos do envelhecimento

The elderly and their spirituality: impact on different aspects of aging

Giancarlo LucchettiI; Alessandra Lamas Granero LucchettiII; Rodrigo Modena BassiIII; Fabio NasriIV; Salete Aparecida da Ponte NacifV

ISetor de Geriatria da Irmandade da Santa Casa de Misericórdia de São Paulo e Grupo de Estudos em Envelhecimento da Associação Médico-Espírita de São Paulo. São Paulo, SP, Brasil

IICentro Interdisciplinar de Assistência e Pesquisa em Envelhecimento, Faculdade de Ciências Médicas de Minas Gerais e Grupo de Estudos em Envelhecimento da Associação Médico-Espírita de São Paulo. São Paulo, SP, Brasil

IIIGrupo de Estudos em Envelhecimento da Associação Médico-Espírita de São Paulo. São Paulo, SP, Brasil

IVPrograma de Geriatria e Gerontologia do Hospital Albert Einstein e Grupo de Estudos em Envelhecimento da Associação Médico-Espírita de São Paulo. São Paulo, SP, Brasil

VDisciplina de Clínica Médica da Universidade Federal de São Paulo e Grupo de Estudos em Envelhecimento da Associação Médico-Espírita de São Paulo. São Paulo, SP, Brasil

Correspondência / Correspondence Correspondence Correspondência / Giancarlo Lucchetti E-mail: g.lucchtti@yahoo.com.br

RESUMO

INTRODUÇÃO: O interesse sobre a espiritualidade e a religiosidade sempre existiu no curso da história humana, a despeito de diferentes épocas ou culturas. Contudo, apenas recentemente a ciência tem demonstrado interesse em investigar o tema. Estudos e pesquisas demonstram que a faixa etária acima dos 65 anos é aquela com mais contato frente a sua espiritualidade e religiosidade. O objetivo do presente estudo é realizar uma revisão da literatura científica que norteia essa temática e investigar qual o impacto da espiritualidade em diferentes aspectos do envelhecimento.

METODOLOGIA: Pesquisa nas bases de dados Pubmed/Medline, LILACS e Scielo, nos idiomas inglês e português, entre 1966 e 2009, utilizando as palavras-chave aged/idoso e spirituality/espiritualidade.

RESULTADOS: Foram incluídos 48 artigos divididos nas seguintes temáticas: envelhecimento bem-sucedido, bem-estar, qualidade de vida, doenças crônico-degenerativas, doenças neuro-psiquiátricas, funcionalidade, mortalidade e impacto no fim da vida.

CONCLUSÃO: Conclui-se que o envelhecimento possui uma relação íntima com a espiritualidade nos seus mais diferentes aspectos e percebe-se que há uma escassez de pesquisas sobre espiritualidade/religiosidade em idosos.

Palavras-chave: Espiritualidade. Geriatria. Idoso. Religião.

ABSTRACT

The interest on spirituality and religion has always existed in the course of human history, despite different periods or cultures. However, only recently, science has shown interest in investigating this issue. Studies demonstrate that those aged 65 years old or more have more contact with their spirituality and religiosity. This article aims to conduct a review from scientific literature that deals with this issue and investigate the impact of spirituality on different aspects of ageing.

METHODS: A search on Pubmed/Medline, LILACS and Scielo was carried out, including articles from 1966 to 2009, in English or Portuguese, using the keywords: aged/idoso e spirituality/espiritualidade.

RESULTS: Forty eight articles were included and divided in: successful aging, well-being, quality of life, chronic-degenerative diseases, neuro-psychiatric diseases, functional status, mortality and end of life care.

CONCLUSION: Aging has a close relationship with spirituality in many different aspects and there is a paucity of research on spirituality/religiosity in the elderly.

Key words: Spirituality. Religiousness. Geriatrics. Elderly.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

REFERÊNCIAS

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3. Koenig HG, Mccullough ME, Larson DB. Handbook of Religion and Health. New York: Oxford University Press; 2001. 712.

4. James M. Voice of the people 2005 : religiosity around the world. Gallup International.[ Acessado em: 10 de fev de 2009] Disponível em: http://extranet.gallup-international.com/uploads/internet/Religiosity%20around%20the%20world%20VoP%2005%20press%20release.pdf.

5. McFadden SH. Religion and well being in aging persons in an aging society. Journal of Social Issues 1995; 51 (2): 161-175.

6. Instituto Brasileiro de Geografia e EstatísticaCenso Demográfico - 2000 : Características Gerais da População. Censo Demográfico 2000: Características gerais da população. [Acesso em 10 Fev 2009].Censo Demográfico - 2000 : Características Gerais da PopulaçãoCenso Demográfico - 2000 : Características Gerais da População Disponível em: http://www.ibge.gov.br/home/estatistica/populacao/censo2000/populacao/religiao_Censo2000.pdf

7. Rowe JW, Kahn RL. Successful aging. The Gerontologist 1997; 37 (4): 433-440.

8. Moraes JFD, Souza VBA. Factors associated with the successful aging of the socially-active elderly in the metropolitan region of Porto Alegre. Rev Bras Psiquiatr 2005; 27(4): 302-308.

9. Rosa LHT. Estudo dos fatores associados ao envelhecimento bem-sucedido de idosos da comunidade de Barra Funda-RS. Tese [ Doutorado apresentada ao Programa de Pós-Graduação] -- Pontifícia Universidade Católica do Rio Grande do Sul ; 2008.

10. Wong PTP. Spirituality, meaning and successful aging. In: PTP Wong & PS Fry (Eds.) The human quest for meaning: a handbook of psychological research and clinical applications. NJ: Lawrence Erlbaum Associates; 1998. 359-394.

11. Crowther MR, et al. Rowe and Kahn's Model of Successful Aging Revisited Positive Spirituality—The Forgotten Factor. The Gerontologist 2002; 42:613-620.

12. Vecchia RD, et al. Qualidade de vida na terceira idade: um conceito subjetivo. Rev bras epidemiol 2005; 8(3): 246-252.

13. Sawatzky R, Ratner PA, Chiu L. A Meta-Analysis of the Relationship Between Spirituality and Quality of Life. Social Indicators Research 2005; 72(2): 153-188.

14. Katsuno T. Personal Spirituality of Persons with Early-Stage Dementia. Dementia 2003, 2(3): 315-335.

15. Spreitzer E, Snyder EE. Correlates of life satisfaction among the aged. Journal of Gerontology 1974; 29: 454-458.

16. Krause N. Measuring religiosity in later life. Research on aging 1993; 15: 170-197.

17. Wang CW ,et al. The impact of spirituality on health-related quality of life among Chinese older adults with vision impairment. Aging & Mental Health 2008; 12(2): 267 – 275.

18. Doenças crônico-degenerativas e obesidade: estratégia mundial sobre alimentação saudável, atividade física e saude. [Acessado em 31 mar 2009] Disponível em: http://www.opas.org.br/publicmo.cfm?codigo=66.

19. McCauley J, et al. Daily spiritual experiences of older adults with and without arthritis and the relationship to health outcomes. Arthritis Care and Research 2007; 59(1): 122-128.

20. Bartlett SJ, et al. Spirituality, well-being, and quality of life in people with rheumatoid arthritis. Arthritis Rheum.2003 Dec 15;49(6):778-83

21. Potter ML, Zauszniewski JA. Spirituality, resourcefulness, and arthritis impact on health perception of elders with rheumatoid arthritis. J Holist Nurs.2000;18(4):311-31.

22. Hummer RA, et al. Religious involvement and U.S adult mortality. Demography 1999; 36(2): 273-285.

23. Bekelman DB, et al. Spiritual Well-Being and Depression in Patients with Heart Failure. Journal of General Internal Medicine 2007; 22(4): 470-477.

24. Giaquinto S, Spiridigliozzi C, Caracciolo B. Can Faith Protect From Emotional Distress After Stroke? Stroke 2007;38:993-997

25. Gillum RF, Ingram DD. Frequency of Attendance at Religious Services, Hypertension, and Blood Pressure: The Third National Health and Nutrition Examination Survey. Psychosomatic Medicine 2006, 68:382-385.

26. Stavig GR, Igra A, Leonard AR. Hypertension among Asians and pacific islanders in California. Am J Epidemiol 1984; 119(5): 677-691.

27. Krause N et al. Religion, Death of a Loved One, and Hypertension Among Older Adults in Japan. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 2002; 57:S96-S107.

28. Fehring RJ, Miller JF, Shaw C. Spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancer. Oncology Nursing Forum1997;24:663–671

29. Pressman P, et al. Religious belief, depression, and ambulation status in elderly women with broken hips. Am J Psychiatry 1990; 147:758-760.

30. Parker M ,et al. Religiosity and mental health in southern, community-dwelling older adults. Aging & Mental Health 2003;7:390–397

31. Blay SL,et al. The Relationship Between Religiosity and Tobacco, Alcohol Use, and Depression in an Elderly Community Population. Am J Geriatric Psychiatry 2008; 16(11): 934-943.

32. Koenig HG. Religion and Depression in Older Medical Inpatients. Am J Geriatric Psychiatry 2007; 15(4): 282-291.

33. Beekman AT ,et al. Consequences of major and minor depression in later life: A study of disability, well-being and service utilization. Psychological Medicine1997;27:1397–1409.

34. Koenig HG, George LK, Peterson BL. Religiosity and remission of depression in medically ill older patients. Am J Psychiatry 1998;155:536–542

35. Tapanya S, Nicki R, Jarusawad O. Worry and intrinsic/extrinsic religious orientation among Buddhist (Thai) and Christian (Canadian) elderly persons. Int J Aging and Human Development 1997; 44: 73-83.

36. Baker M, Gorsuch R. Trait anxiety and intrinsic/extrinsic religiousness. Journal for the scientific Study of Religion 1982; 21: 119-122.

37. Kaufman Y ,et al. Cognitive decline in Alzheimer disease. Impact of spirituality, religiosity, and QOL. Neurology 2007;68:1509-1514.

38. Hill TD ,et al. Religious Attendance and Cognitive Functioning Among Older Mexican Americans. J Gerontol Series B: Psychological Sciences and Social Sciences 2006, 61:P3-P9.

39. Smith LG. P2-262: Prayer as an intervention for agitated dementia residents. Alzheimer´s and dementia 2008; 4(4-Sup 1): T448.

40. Khouzam HR, Smith CE , Bissett B. Bible therapy: a treatment of agitation in elderly patients with Alzheimer's disease. Clinical gerontologist 1994; 15(2): 71-74.

41. Vance DE. Spiritual Activities for Adults with Alzheimer's Disease The Cognitive Components of Dementia and Religion. Journal of Religion, Spirituality & Aging 2005, 17(1/2): 109-130.

42. Bingham V, Habermann B. The influence of spirituality on family management of Parkinson's disease. 2006 Dec;38(6):422-7.

43. Pargament KI ,et al. Religious Coping Methods as Predictors of Psychological, Physical and Spiritual Outcomes among Medically Ill Elderly Patients: A Two-year Longitudinal Study. J Health Psychology 2004; 9(6): 713-730.

44. Koenig HG, George LK, Titus P. Religion, Spirituality, and Health in Medically Ill Hospitalized Older Patients. J Am Geriatrics Society 2004; 52(4): 554-562.

45. Kim J, Heinemann AW. Spirituality, quality of life and functional recovery following medical rehabilitation: Paper presented at the 106th annual convention of the American Psychological Association. São Francisco ;1998

46. Pargament KI , et al. Religious Struggle as a Predictor of Mortality Among Medically Ill Elderly Patients. Arch Internal Medicine 2001; 161(15): 1881-1885.

47. Chida Y, Steptoe A, Powell LH. Religiosity/Spirituality and Mortality. A Systematic Quantitative Review. Psychother Psychosom 2009;78:81-90.

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49. Hall DE. Religious Attendance: more Cost-Effective Than Lipitor?The Journal of the American Board of Family Medicine 2006; 19:103-109.

50. Murray SA ,et al. Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliative Medicine 2004;18 (1): 39-45.

51. Ehman JW,et al. Do Patients Want Physicians to Inquire About Their Spiritual or Religious Beliefs If They Become Gravely Ill? Archives of Internal Medicine 1999; 159(15): 1803-1806.

52. McClain CS, Rosenfeld B, Breitbart W. Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. The Lancet 2003; 361(9369): 1603-1607.

53. Puchalski CM, Dorff RE, Hendi IY. Spirituality, religion, and healing in palliative care. Clinics in Geriatric Medicine 2004; 20(4): 689-714.

54. Lo B ,et al. Discussing religious and spiritual issues at the end of life: a practical guide for physicians. JAMA 2002; 13;287(6):749-54.

55. Peres MFP, et al. A importância da integração da espiritualidade e da religiosidade no manejo da dor e dos cuidados paliativos. Rev psiquiatr clín 2007, 34(supl. 1): 82-87.

56. Lucchetti G, Granero AL, Bassi RM, Latorraca R, Nacif SAP. Espiritualidade na prática clínica: o que o clínico deve saber? Rev Bras Clin Med 2010;8(2):154-8.

57. Sherman AC, et al. Religious Struggle and Religious Comfort in Response to Illness: Health Outcomes among Stem Cell Transplant Patients. Journal of Behavioral Medicine 2005; 28(4): 359-367.

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Recebido: 15/10/2009

Revisado: 23/6/2010

Aprovado: 03/9/2010

  • 1
    World Health Organization. World Population Prospects: The 2004 Revision. [acesso em: 31mar 2009] ; Disponível em: http://www.un.org/esa/population/publications/WPP2004/2004Highlights_finalrevised.pdf
  • 2
     Cavalcante AM. Psiquiatria on line Brasil: a psicologia do idoso.[ Acesso em 11 fev 2009] .Disponível em: http://www.polbr.med.br/arquivo/mour0502.htm
  • 3
    Koenig HG, Mccullough ME, Larson DB. Handbook of Religion and Health. New York: Oxford University Press; 2001.  712.
  • 4
     James M. Voice of the people 2005 : religiosity around the world. Gallup International.[ Acessado em: 10 de fev de 2009] Disponível em: http://extranet.gallup-international.com/uploads/internet/Religiosity%20around%20the%20world%20VoP%2005%20press%20release.pdf
  • 5
    McFadden SH. Religion and well being in aging persons in an aging society. Journal of Social Issues 1995; 51 (2): 161-175.
  • 6
     Instituto Brasileiro de Geografia e EstatísticaCenso Demográfico - 2000 : Características Gerais da População. Censo Demográfico 2000: Características gerais da população. [Acesso em 10 Fev 2009].Censo Demográfico - 2000 : Características Gerais da PopulaçãoCenso Demográfico - 2000 : Características Gerais da População Disponível em: http://www.ibge.gov.br/home/estatistica/populacao/censo2000/populacao/religiao_Censo2000.pdf
  • 7
    Rowe JW, Kahn RL. Successful aging. The Gerontologist 1997; 37 (4): 433-440.
  • 8
    Moraes JFD, Souza VBA. Factors associated with the successful aging of the socially-active elderly in the metropolitan region of Porto Alegre. Rev Bras Psiquiatr 2005;  27(4): 302-308.
  • 9
    Rosa LHT. Estudo dos fatores associados ao envelhecimento bem-sucedido de idosos da comunidade de Barra Funda-RS. Tese [ Doutorado apresentada ao Programa de Pós-Graduação] -- Pontifícia Universidade Católica do Rio Grande do Sul ; 2008.
  • 10
     Wong PTP. Spirituality, meaning and successful aging. In: PTP  Wong & PS Fry (Eds.) The human quest for meaning: a handbook of psychological research and clinical applications. NJ: Lawrence Erlbaum Associates; 1998. 359-394.
  • 11
     Crowther MR, et al. Rowe and Kahn's Model of Successful Aging Revisited Positive Spirituality—The Forgotten Factor. The Gerontologist 2002;  42:613-620.
  • 12
    Vecchia RD, et al. Qualidade de vida na terceira idade: um conceito subjetivo. Rev bras epidemiol  2005;  8(3): 246-252.
  • 13
    Sawatzky R, Ratner PA, Chiu L. A Meta-Analysis of the Relationship Between Spirituality and Quality of Life. Social Indicators Research 2005; 72(2): 153-188.
  • 14
    Katsuno T. Personal Spirituality of Persons with Early-Stage Dementia. Dementia 2003, 2(3): 315-335.
  • 15
    Spreitzer E, Snyder EE. Correlates of life satisfaction among the aged. Journal of Gerontology 1974; 29: 454-458.
  • 16
    Krause N. Measuring religiosity in later life. Research on aging 1993; 15: 170-197.
  • 17
    Wang CW ,et al. The impact of spirituality on health-related quality of life among Chinese older adults with vision impairment. Aging & Mental Health 2008; 12(2): 267 – 275.
  • 18
     Doenças crônico-degenerativas e obesidade: estratégia mundial sobre alimentação saudável, atividade física e saude. [Acessado em 31 mar 2009] Disponível em: http://www.opas.org.br/publicmo.cfm?codigo=66
  • 19
    McCauley J, et al. Daily spiritual experiences of older adults with and without arthritis and the relationship to health outcomes. Arthritis Care and Research 2007; 59(1): 122-128.
  • 20
     Bartlett SJ, et al. Spirituality, well-being, and quality of life in people with rheumatoid arthritis. Arthritis Rheum.2003 Dec 15;49(6):778-83
  • 21
     Potter ML, Zauszniewski JA. Spirituality, resourcefulness, and arthritis impact on health perception of elders with rheumatoid arthritis. J Holist Nurs.2000;18(4):311-31.
  • 22
     Hummer RA, et al. Religious involvement and U.S adult mortality. Demography 1999; 36(2): 273-285.
  • 23
     Bekelman DB, et al. Spiritual Well-Being and Depression in Patients with Heart Failure. Journal of General Internal Medicine 2007; 22(4): 470-477.
  • 24
     Giaquinto S, Spiridigliozzi C, Caracciolo B. Can Faith Protect From Emotional Distress After Stroke? Stroke 2007;38:993-997
  • 25
     Gillum RF, Ingram DD. Frequency of Attendance at Religious Services, Hypertension, and Blood Pressure: The Third National Health and Nutrition Examination Survey. Psychosomatic Medicine 2006, 68:382-385.
  • 26
     Stavig GR, Igra A, Leonard AR. Hypertension among Asians and pacific islanders in California. Am J Epidemiol 1984; 119(5): 677-691.
  • 27
     Krause N et al. Religion, Death of a Loved One, and Hypertension Among Older Adults in Japan. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 2002;  57:S96-S107.
  • 28
     Fehring RJ, Miller JF, Shaw C. Spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancer. Oncology Nursing Forum1997;24:663–671
  • 29
     Pressman P, et al. Religious belief, depression, and ambulation status in elderly women with broken hips. Am J Psychiatry 1990; 147:758-760.
  • 30
     Parker M ,et al. Religiosity and mental health in southern, community-dwelling older adults. Aging & Mental Health 2003;7:390–397
  • 31
     Blay SL,et al. The Relationship Between Religiosity and Tobacco, Alcohol Use, and Depression in an Elderly Community Population. Am J Geriatric Psychiatry 2008; 16(11): 934-943.
  • 32
     Koenig HG. Religion and Depression in Older Medical Inpatients. Am J Geriatric Psychiatry 2007; 15(4): 282-291.
  • 33
     Beekman AT ,et al. Consequences of major and minor depression in later life: A study of disability, well-being and service utilization. Psychological Medicine1997;27:1397–1409.
  • 34
     Koenig HG, George LK, Peterson BL. Religiosity and remission of depression in medically ill older patients. Am J Psychiatry 1998;155:536–542
  • 35
     Tapanya S, Nicki R, Jarusawad O. Worry and intrinsic/extrinsic religious orientation among Buddhist (Thai) and Christian (Canadian) elderly persons. Int J Aging and Human Development 1997; 44: 73-83.
  • 36
     Baker M, Gorsuch R. Trait anxiety and intrinsic/extrinsic religiousness. Journal for the scientific Study of Religion 1982; 21: 119-122.
  • 37
     Kaufman Y ,et al. Cognitive decline in Alzheimer disease. Impact of spirituality, religiosity, and QOL. Neurology 2007;68:1509-1514.
  • 38
     Hill TD ,et al. Religious Attendance and Cognitive Functioning Among Older Mexican Americans. J Gerontol Series B: Psychological Sciences and Social Sciences 2006, 61:P3-P9.
  • 39
     Smith LG. P2-262: Prayer as an intervention for agitated dementia residents. Alzheimer´s and dementia 2008; 4(4-Sup 1): T448.
  • 40
     Khouzam HR, Smith CE , Bissett B. Bible therapy: a treatment of agitation in elderly patients with Alzheimer's disease. Clinical gerontologist 1994; 15(2): 71-74.
  • 41
     Vance DE. Spiritual Activities for Adults with Alzheimer's Disease The Cognitive Components of Dementia and Religion. Journal of Religion, Spirituality & Aging 2005, 17(1/2): 109-130.
  • 43
     Pargament KI ,et al. Religious Coping Methods as Predictors of Psychological, Physical and Spiritual Outcomes among Medically Ill Elderly Patients: A Two-year Longitudinal Study. J  Health Psychology 2004; 9(6): 713-730.
  • 44
     Koenig HG, George LK, Titus P. Religion, Spirituality, and Health in Medically Ill Hospitalized Older Patients. J Am Geriatrics Society 2004; 52(4): 554-562.
  • 45
     Kim J, Heinemann AW. Spirituality, quality of life and functional recovery following medical rehabilitation: Paper presented at the 106th annual convention of the American Psychological Association. São Francisco ;1998
  • 46
  • Correspondence

    Correspondência /
    Giancarlo Lucchetti
    E-mail:
  • Datas de Publicação

    • Publicação nesta coleção
      18 Out 2012
    • Data do Fascículo
      Mar 2011

    Histórico

    • Aceito
      03 Set 2010
    • Revisado
      23 Jun 2010
    • Recebido
      15 Out 2009
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