Background: There is evidence of a high prevalence of depression and anxiety in university students. Therefore, college time is a key period where prevention of mental disorders through interventions that promote resilience and mental health can be relevant. Currently, there are interventions available, but these are insufficient for those who need them. Online interventions are tools that can facilitate global accessibility and are easy for young people to use. CORE (Cultivating Our Resilience) is a self-administered online program, based on Ryff's psychological wellbeing model, to promote resilience and coping skills in university students at risk of developing symptoms of depression or anxiety. The objective is to evaluate the effectiveness of this intervention protocol in comparison with an active control condition targeting healthy lifestyle, and a waiting list control condition. The study will be conducted in four populations of Spanish-speaking university students (Spain, Argentina, Colombia, and Mexico). Methods: The study design is a randomized controlled trial (RCT). At least 324 university students will be randomly assigned to three conditions: 1) CORE, a 6-week training program to improve resilience; 2) HLP, a 6-week training to promote a healthy lifestyle; and 3) WL, waiting list control condition. The primary outcome measure will be the Connor-Davidson resilience scale. Additionally, measures of anxiety, depression, quality of life and sociodemographic variables (age, sex, incomes, marital status, among others) will be collected. Participants will be evaluated at pre-treatment, after each module, 6 weeks after allocation, and at 3-month follow-up. Intention-to-treat and per-protocol analyses will be performed.
ResumenEste trabajo es parte de un estudio longitudinal llevado a cabo en pacientes con cáncer y su objetivo es analizar la calidad de vida y su relación con las estrategias de afrontamiento. Se evidencia la necesidad de explorar y describir estos aspectos para obtener una mirada integradora del vivenciar de los enfermos neoplásicos, en función de un futuro trabajo interdisciplinario. Los sujetos fueron obtenidos en un hospital de Mar del Plata, Argentina. Fueron administrados un Cuestionario de Calidad de Vida, un Inventario de Respuestas de Afrontamiento y una entrevista semiestructurada que indaga variables sociodemográficas y psicológicas. Se muestran las relaciones entre las estrategias utilizadas por los pacientes para afrontar la enfermedad y su percepción de la calidad de vida. Son halladas fuertes correlaciones entre las estrategias de evitación y el deterioro en la mayoría de las dimensiones de la calidad de vida. Para concluir, se efectúan reflexiones e hipótesis al respecto. Palabras-Clave: Calidad de vida; Afrontamiento; Psicooncología; Cáncer. Coping and quality of life. A study with patient with cancer AbstractThis study is part of a longitudinal research with oncologic patients and aims to analyze their quality of life and its relationship with coping. To explore and describe this aspects is important to give an integrative and interdisciplinary view about oncologic illness. The sample was gathered in an hospital of Mar del Plata, Argentina. A Quality of Life Questionnaire, a Coping Responses Inventory and a semi-structured interview were administered to collect information about the proposed variables, demographic and psychological characteristics. The results show the significance of relationship between coping with illness and the perceived quality of life, mainly between avoidance cognitive strategies and deterioration in the most of the dimension of the quality of life. Results and hypothesis proposed are discussed. Keywords: Quality of life; Coping; Psycho-oncology; Cancer. IntroducciónEn el campo de las enfermedades físicas y específicamente en la psicooncología la dificultad radica en establecer, dentro del amplio mundo de las variables psicológicas, cuáles tienen un mayor peso específico a la hora de predecir el tipo de patología física que puede tener un individuo concreto, o bien cuáles pueden predecir un mejor ajuste, calidad de vida y un mayor tiempo de supervivencia una vez establecida la enfermedad. Algunas de las variables psicológicas estudiadas son, por ejemplo, personalidad, afrontamiento, soporte social, stress, ansiedad, depresión, rotulación y evaluación del problema, por ejemplo (GrossarthMaticek, 2000;Schnoll, Harlow, Stolbach & Brandt, 1998;Stiebler Leal, 1993).Si a esto añadimos la necesidad de establecer vías de conexión entre los aspectos psico-sociales y los biológicos, comprenderemos que la dificultad es máxima y que, dada nuestra capacidad limitada de procesamiento, debemos contentarnos, hoy por hoy, con establecer relaciones empíricas entre algunas variables tanto ...
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