Terapia de activación conductual en pacientes con cáncer

• Concepción Fernández Rodríguez ^[1] ; Erica Villoria Fernández ^[1] ; Isaac Amigo Vázquez ^[1]
  1. [1] Universidad de Oviedo

     Universidad de Oviedo

     Oviedo, España

     
• Localización: Anales de psicología, ISSN-e 1695-2294, ISSN 0212-9728, Vol. 27, Nº. 2, 2011, págs. 278-291
• Idioma: español
• Títulos paralelos:
  • Behavioral activation treatment for cancer patients
• Enlaces
  • Texto completo
• Dialnet Métricas: 12 Citas
• Resumen
  • español

    Objetivo: Valorar la eficacia de la Terapia de Activación Con-ductual con pacientes con cáncer de pulmón y cáncer de mama durante el tratamiento oncológico. Procedimiento: Se establecen como criterio de resultado: frecuencia e intensidad de síntomas de enfermedad y/o trata-miento; afectación de la autonomía personal, actividad doméstica, laboral, ocio, relaciones familiares y sociales y alteraciones emocionales. Los datos se recogen mediante escalas estandarizadas (IK, HAD, QLQ-C30), autoin-forme y entrevista clínica en cada sesión de tratamiento y en un seguimien-to de tres meses. Se empleó un grupo control que ocupó el mismo número de sesiones en la evaluación de la calidad de vida. El total de participantes con cáncer de mama fueron 54 (G.C.: N = 29 / G.E.: N = 25) y con cáncer de pulmón 84 (G.C.: N = 37 / G.E.: N = 47). Resultados: Los análisis de comparación inter e intra grupos indican que entre los pacientes con cáncer de pulmón, el G.E. presenta significativamente menos pérdida de apetito, dificultades para dormir, ansiedad, depresión y mayor recupera-ción de actividades cotidianas y de ocio. Entre los pacientes con cáncer de mama no hay diferencias entre grupos pero el efecto tiempo resultó signi-ficativo en la evolución negativa del cansancio y la fatiga. Conclusiones: los pacientes que, durante el tratamiento con quimioterapia, mantienen sus actividades cotidianas y de ocio no presentan alteraciones emocionales. La activación conductual puede contribuir a mejorar la calidad de vida y pre-venir alteraciones emocionales

  • English

    Aim: In this research was evaluated the efficacy of the behav-ioural activation therapy in patients suffering lung cancer and breast cancer along the oncologic treatment. Measures: The variables used as outcome criterion were: frequency and intensity of the illness symptoms and/o medical treatment; affectation of personal autonomy, daily life activity, leisure, work activity, family and social relationships and emotional distur-bances. Data were collected through standardized scales (IK, HAD, QLQ-C30), self-report and clinical interview in each of the treatment sessions and three months follow-up. The control group underwent the same number of sessions of assessment. The total number of participants with breast cancer was 54 (control group 29 and experimental group 25) and lung cancer 84 (control group 37 and experimental group 47. Results: The subjects of the experimental group of lung cancer showed a higher recov-ery of daily life activities and leisure and less difficulty sleeping, anxiety, depression and less loss of appetite. In the breast cancer no differences were found between groups but the effect of time was significant in the variables tiredness and fatigue. Conclusions: The patients that, during chemotherapy treatment, maintain their daily activities and leisure activities do not show emotional disturbances. The behavioural activation can contribute to improving the quality of life and prevent emotional distur-bances in cancer

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