La violencia, además de considerarse como una condición inherente a las relaciones humanas, también se concibe como un problema de salud pública que afecta significativamente la salud mental de las personas implicadas. De hecho, son varios los estudios que reportan las implicaciones o secuelas psicológicas en combatientes y población civil expuesta a conflictos bélicos o similares que impliquen violencia. Algunas de las cifras exponen que hasta un 30% de las personas expuestas a violencia padecen síndrome de estrés postraumático y depresión, incluso se ha reportado un 100% en poblaciones con una afectación muy significativa (Larizgoitia et al., 2011). Por tanto, el abordaje psicológico, requiere competencias amplias que inscriban un campo de conocimiento inter o transdisciplinar que vincule las cualidades y procesos humanos, sus circunstancias vitales y contextuales en el tiempo y, particularmente, los recursos personales, familiares y comunitarios.

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The purpose of the present study was to establish the association between self-efficacy, perception of disease, emotional regulation, and fatigue and the health-related quality of life in older adults living in the departments of Cesar and Atlántico in Colombia and who have been diagnosed with a chronic disease. The participants were 325 older adults of both sexes, with literacy and no presence of cognitive impairment in the Mini-Mental State Examination (MMSE); A non-probabilistic sampling was carried out. We used the MOS-SF-36 questionnaire, the Brief Illness Perception Questionnaire scale for measuring the perception of disease, the Stanford Patient Education Research Center’s Chronic Disease Self self-efficacy questionnaire for chronic patients, the Difficulties in Emotional Regulation Scale, and the Fatigue Severity Questionnaire as measurement instruments. The design was non-experimental cross-sectional with a correlational scope. The results indicate that self-efficacy, disease perception, emotional regulation and severity of fatigue are variables that could impact the physical function of quality of life, confirming that self-efficacy would work as a factor that decreases the probability that a participant score low on this dimension of quality of life. On the other hand, both the perception of the disease and the severity of fatigue were identified as factors that probably negatively influence quality of life.

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