Impacto de la resiliencia en pacientes con Artritis Reumatoide
| Contribuinte(s) |
Anaya, Juan-Manuel |
|---|---|
| Data(s) |
03/05/2016
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| Resumo |
Introducción: La artritis reumatoide (AR) es una enfermedad autoinmune-inflamatoria, que compromete las articulaciones diartrodiales. Tiene una importante repercusión sistémica que incluye la depresión; por lo tanto, tiene un severo impacto sobre la calidad de vida. Es posible que mecanismos de defensa, tales como la resiliencia, puedan amortiguar dicho impacto. Metodología: estudio de corte transversal, multicéntrico (análisis inicial dentro del grupo AR, con muestra no probabilística de 66 pacientes, posterior selección aleatoria simple de 16 pacientes de la muestra inicial y selección de 16 individuos sanos pareados). Posteriormente, se comparó la resiliencia entre sujetos con AR y sujetos sanos, mediante las escalas RS y CD-RISC25. Adicionalmente, se aplicaron las escalas EEAE, EADZ, SF-36 y PANAS. Los datos fueron evaluados mediante el coeficiente de correlación de Spearman, las pruebas U Mann-Whitney, Kruskall-Wallis, T de Student y análisis de varianza. Resultados: se encontraron diferencias significativas en las estrategias de afrontamiento no espirituales en grupos de resiliencia baja, media y alta; diferencias en las medianas de resiliencia en los grupos de depresión por EAZD en los pacientes. No se encontraron resultados significativos en las variables clínicas de la AR ni en la comparación con sujetos sanos. Conclusiones: el uso de estrategias de afrontamiento no espirituales y la ausencia de depresión, se asoció a mayores niveles de resiliencia en los pacientes con AR, por lo cual, los componentes emocionales y cognitivos se asocian a la resiliencia. Centro de Estudio de Enfermedades Autoinmunes (CREA) Introduction: Rheumatoid arthritis (RA) is an autoimmune-inflammatory disease, which affects diarthrodial joints. It has a significant systemic impact including depression; therefore, it has a severe impact on quality of life. It is possible that defense mechanisms, such as resilience to cushion the impact. Methodology: cross-sectional study, multicenter (Initial analysis within the AR group, with non-probabilistic sample of 66 patients, subsequent simple random selection of 16 patients of the initial sample and selection of 16 matched healthy individuals). Subsequently, resilience among subjects with RA and healthy subjects were compared, using the RS and CD-RISC25 scales. Additionally, EEAE, EADZ, SF-36 and PANAS scales were applied. Data were evaluated using the Spearman correlation coefficient, the Mann-Whitney U Test, Kruskal-Wallis, T Student, and ANOVA. Results: Significant differences were found in the non-spiritual coping strategies in groups of low, medium and high resilience; differences in the medians of resilience groups EAZD depression in patients. No significant results were found in clinical variables or the RA compared to healthy subjects. Conclusions: The use of non-spiritual coping strategies and the absence of depression, was associated with higher levels of resilience in RA patients, therefore, the emotional and cognitive components associated with resilience. |
| Formato |
application/pdf |
| Identificador | |
| Idioma(s) |
spa |
| Publicador |
Facultad de medicina |
| Direitos |
info:eu-repo/semantics/openAccess |
| Fonte |
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| Palavras-Chave | #Epidemiología #614.4 #Epidemiología #Resiliencia psicológica #Artritis reumatoide #Enfermedades autoinmunes #resilience #spiritual coping strategies #non-spiritual coping strategies #rheumatoid arthritis #quality of life #depression |
| Tipo |
info:eu-repo/semantics/bachelorThesis info:eu-repo/semantics/acceptedVersion |
