2 resultados para Early stage breast cancer, Radiation therapy, Accelerated partial breast irradiation, External beam conformal radiation therapy, Lumpectomy, Target delineation, Fractionation, Whole breast radiation therapy
em Portal de Revistas Científicas Complutenses - Espanha
Acceptance of relapse fears in breast cancer patients: effects of an act-based abridged intervention
Resumo:
Objective: Relapse fear is a common psychological scar in cancer survivors. The aim of this study is to assess the effects of an abridged version of Acceptance and Commitment Therapy (ACT) in breast cancer patients.Method: An open trial was developed with 12 non-metastatic breast cancer patients assigned to 2 conditions, ACT and waiting list. Interventions were applied in just one session and focused on the acceptance of relapse fears through a ‘defusion’ exercise. Interference and intensity of fear measured through subjective scales were collected after each intervention and again 3 months later. Distress, hypochondria and ‘anxious preocupation’ were also evaluated through standardized questionnaires.Results: The analysis revealed that ‘defusion’ contributed to decrease the interference of the fear of recurrence, and these changes were maintained three months after intervention in most subjects. 87% of participants showed clinically significant decreases in interference at follow-up sessions whereas no patient in the waiting list showed such changes. Statistical analysis revealed that the changes in interference were significant when comparing pre, post and follow-up treatment, and also when comparing ACT and waiting list groups. Changes in intensity of fear, distress, anxious preoccupation and hypochondria were also observed.Conclusions: Exposure through ‘defusion’ techniques might be considered a useful option for treatment of persistent fears in cancer patients. This study provides evidence for therapies focusing on psychological acceptance in cancer patients through short, simple and feasible therapeutic methods.
Resumo:
El nacimiento de los primeros centros de anuncios en España data de la segunda mitad del siglo XIX. Uno de ellos es Roldós y Compañía. En un período en el que la publicidad es una actividad incipiente, los primeros profesionales recurren a lo que mejor saben hacer para darse a conocer: anuncios. A través del estudio de la autopublicidad de esta agencia realizada durante las últimas décadas del siglo XIX no solo veremos el progresivo desarrollo de este tipo de piezas (formal y de contenidos) sino también la evolución de todos los agentes que participan en la actividad: agencia, anunciantes y medios de comunicación. En este contexto, el centro de anuncios hace las veces de anunciante y de agencia. Es decir, ejerce una triple función: es el emisor del mensaje y es, a la vez, quien lo confecciona y quien gestiona su inserción en los medios. La historia de la publicidad se escribe junto a la agencia Roldós y Compañía. Por tanto su autopublicidad es un fiel reflejo de todo cuanto ha ocurrido en España desde el nacimiento de la profesión hasta finales del siglo XIX, un período caracterizado por la frecuente presencia de este tipo de anuncios en la prensa escrita del momento.
