La relevancia de la intervención psicosocial en pacientes con cáncer de mama
Bibliographic record
Abstract
ResumenEl diagnóstico de cáncer y su progresión, genera altos niveles de estrés que se acompañan en algunos casos con alteraciones psicológicas.Objetivos: Analizar la incidencia de alteraciones psicológicas en pacientes con cáncer de mama y su posible modificación mediante un tratamiento cognitivo-conductual, que aplica relajación, imaginación guiada y otras técnicas de control del estrés.Método: Se evaluó la presencia de depresión, ansiedad y alexitimia mediante el Inventario de Depresión de Beck, el Inventario de Ansiedad Estado/Rasgo de Spielberger y la Escala de Alexitimia de Toronto, en 26 pacientes con cáncer de mama y 18 controles sin cáncer, con edad promedio de 48±11 años.Ocho pacientes participaron durante 5 días en un programa de intervención psicosocial, y se midió depresión, ansiedad, alexitimia y bienestar físico percibido, antes y una semana después de participar en el programa.Resultados: Las pacientes presentaron mayor frecuencia de depresión, ansiedad estado y rasgo; las mujeres del grupo control presentaron mayor frecuencia de alexitimia.Se observó mayor severidad de depresión y alexitimia en las pacientes.Un mayor porcentaje de pacientes presentó simultáneamente depresión y ansiedad estado/rasgo.La participación en Abstract Cancer diagnosis and disease progression induce high levels of stress that in some people go along with depression and anxiety.Objectives: To analyze the incidence of psychological alterations in breast cancer patients and possible modifications by a cognitive-behavioral treatment, that included relaxation and guided-imagery as well as stress management.Methods: Depression, anxiety and alexithymia were diagnosed by the use of Beck' Depression Inventory, Spielberger' State/Trait Anxiety Inventory and Toronto Alexithymia Scale in 26 breast cancer patients and 18 controls without cancer with mean age 48±11 years.Eight patients attended for 5 days to a psychosocial intervention program.Depression, anxiety, alexithymia and perceived physical well-being were measured before and one week after program attendance.Results: Higher frequency of depression, state and trait anxiety was detected in patients in opposition to controls who showed higher frequency of alexithymia.Patients showed increased severity of depression and alexithymia.Furthermore, a higher percentage of patients showed simultaneous expression of depression and state/trait anxiety.Lower levels of state anxiety levels (p<0.02) and trait anxiety were detected after support program Financiado por FONACIT S1-2001000942 el programa de apoyo psicosocial determinó disminución en los niveles de ansiedad estado (p<0,02) y ansiedad rasgo.Pacientes con diagnóstico previo de depresión no presentaron indicadores de la misma después de la intervención.Conclusiones: Las pacientes con cáncer de mama presentan más alteraciones psicológicas que las personas sin cáncer.La intervención psicosocial puede mejorar la calidad de vida del paciente con cáncer de mama al disminuir la ansiedad y la depresión que frecuentemente acompañan a la enfermedad.Palabras clave: Cáncer de mama, tratamiento psicológico, calidad de vida. attendance. Patients with previous depression diagnosis did not showed depression indicators after intervention.Conclusion: Breast cancer patients showed higher incidence of psychological alterations than persons without cancer.Psychosocial Interventions can increase the quality of life in breast cancer patients by decreasing the anxiety and depression they present.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".