Medicina Conductual: Avances y Perspectivas

doi:10.29410/qtp.21.11

2021

DOI: 10.29410/qtp.21.11

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Medicina Conductual: Avances y Perspectivas

Abstract: Evaluación y tratamiento cognitivo-conductual para el dolor en pacientes con enfermedad crónica

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Quality of life assessment and therapeutic adherence in Mexican patients with type 2 diabetes

Pérez-Ortiz,

Becerra-Gálvez,

Mancilla-Díaz

et al. 2024

Int J Diabetes Dev Ctries

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Background Patients with diabetes mellitus experience physical health needs, but also psychological health needs, as some studies have suggested that addressing the psychological variables associated with diabetes mellitus may improve the biochemical parameters of the disease. Objectives To assess the quality of life (QoL) and therapeutic adherence (TA) in Mexican patients with controlled and uncontrolled type 2 diabetes mellitus (T2DM), as well as related QoL sociodemographic and clinical variables. Methods 201 people with T2DM answered a battery of psychological tests to assess TA (Therapeutic Adherence Survey or TAS-15), QoL (WHOQOL-BREF-16) and disease-related quality of life (DRQoL-27), aside from an expressly designed questionnaire that gathered sociodemographic data and took information from medical records into consideration. The average age of the participants was 65.12 ± 11.617 years and 57.2% were female, who have suffered from diabetes for 13.4 years on average ± 8.088 and an average 158.84 mg/dL ± 61.913 fasting plasma glucose. Results The correlation analyses revealed that a higher perception of QoL, the lower the perception that having diabetes affected QoL (p<0.01); the higher the TA, the lower the QoL (p<0.01); and the higher the TA, the lower the perception that having diabetes affected QoL (p<0.01). The participants with an uncontrolled T2DM exhibited a better QoL than those that manage their glucose levels (p = 0.015). The participants’ level of education had a positive effect on QoL (β = 0.163, IC 95%: 0.429─3.415, p = 0.012), whereas the DRQoL had a negative effect (β = -0.546, IC 95%: -0.127─-0.080, p = 0.001). Conclusions If the TA of patients with T2DM increases, the overall QoL as well as the DRQoL will improve. Hence, these variables must be considered as therapeutic targets in clinical practice.

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Quality of life assessment and therapeutic adherence in Mexican patients with type 2 diabetes

Pérez-Ortiz,

Becerra-Gálvez,

Mancilla-Díaz

et al. 2024

Int J Diabetes Dev Ctries

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Intervención Cognitivo-Conductual para disminuir depresión y ansiedad en una persona con asma: Estudio de caso

González

Pérez-Bautista

2021

RDIPyCS

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Se ha identificado que la percepción de la enfermedad es una variable que regula el afrontamiento de la enfermedad y su impacto emocional en pacientes con enfermedades crónicas como el asma. Las intervenciones psicológicas en este padecimiento van dirigidas, principalmente, a mejorar la adaptación a la enfermedad y disminuir sus consecuencias emocionales. Se presenta un estudio de caso sistemático de una mujer con asma, ansiedad y depresión. El propósito de la intervención fue modificar la percepción de enfermedad y disminuir los síntomas de ansiedad y depresión. La evaluación se basó en el Análisis Funcional de la Conducta, el Cuestionario Breve de Percepción de Enfermedad (BIPQ) y la Escala de Ansiedad y Depresión Hospitalaria (HADS). Los resultados se valoraron con el Cambio Clínico Objetivo (CCO) y mostraron una modificación clínicamente significativa en la percepción de enfermedad, específicamente en la percepción de impacto emocional (-100%), en las consecuencias percibidas de esta (-85%) y en su control percibido (100%). Además, decrementó el nivel de ansiedad (-45 %) y depresión (-75%). Se concluye que las intervenciones psicológicas deben de formar parte del tratamiento multidisciplinario en pacientes con enfermedades crónicas para favorecer una mejoría en calidad de vida y minimizar sus repercusiones emocionales

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Medicina Conductual: Avances y Perspectivas

Abstract: Evaluación y tratamiento cognitivo-conductual para el dolor en pacientes con enfermedad crónica

Cited by 2 publications

References 54 publications

Quality of life assessment and therapeutic adherence in Mexican patients with type 2 diabetes

Quality of life assessment and therapeutic adherence in Mexican patients with type 2 diabetes

Intervención Cognitivo-Conductual para disminuir depresión y ansiedad en una persona con asma: Estudio de caso

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