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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2006, Number 6

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Rev Invest Clin 2006; 58 (6)

Effectiveness of a cognitive-behavioural program to reduce anxiety in medically ill patients

Sánchez-Román S, Velasco-Furlong L, Rodríguez-Carvajal R, Baranda-Sepúlveda J

Language: Spanish
References: 40
Page: 540-46
PDF size: 90.84 Kb.


ABSTRACT

The aim of this work is to evaluate four programs to reduce anxiety in medically ill patients: psicoeducative, cognitive, behavioural or control. One hundred and seventy seven patients from the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán were assigned randomly to one of this programs and were evaluated before and after them with the Anxiety Hamilton Scale and the State-Trait Anxiety Inventory (STAI). Program effectiveness was evaluated with descriptive and a Pre-post difference mean analysis. Results show that the program that obtained the best results in reducing anxiety levels was the Psicoeducative Program, reducing significantly the anxiety levels evaluated with both measures. This indicates that in patients that assist to a general hospital, the combination of different psychological techniques such as providing information to the patient, relaxation training and other cognitive strategies are effective in reducing tension, worries, nervousness and levels of anxiety related with their illness.


REFERENCES

  1. Cano-Vindel A, Fernández JC. Perfiles de ira y ansiedad en el asma bronquial. Ansiedad y Estrés 1999; 5: 25-35.

  2. Linford L. Aspectos generales de la ansiedad: análisis preliminar. En: Linford L. Factores de ansiedad en la asistencia global al enfermo. Ámsterdam: Excerta Médica; 1973, p. 1-7.

  3. Echeburúa E. Ansiedad crónica. Evaluación y tratamiento. Madrid: Eudema Psicología; 1993.

  4. Cano-Vindel A, Miguel-Tobal JJ, González H, Iruarrizaga I. El afrontamiento de la ansiedad en las drogodependencias. Anales de Psicología 1994; 10: 145-56.

  5. Martínez-Sánchez F, Fernández J. Emoción y Salud. Desarrollos en Psicología Básica y Aplicada. Presentación del Monográfico. Anales de Psicología 1994; 10: 101-10.

  6. Chappel LC, Seed PT, Briley AL, Kelly F, Lee R, Hunt BJ, Parmar K, Bewley SJ, Shennan AH, Steer PJ, Philip J, Poston L. Effect of antioxidants on the concurrente of preeclampsia in woman at increased risk: a randomized trial. Lancet 1999; 354: 810-17.

  7. Fernández-Abascal EG, Palmero F. Emociones y salud. Barcelona: Ariel; 1999.

  8. Cano-Vindel A, Miguel-Tobal JJ. Emociones y Salud. Ansiedad y Estrés 2001; 7: 111-21.

  9. Terrones-González A, Salvador-Moysén J, Lechuga-Quiñones AM, Martínez-López Y, Garvalena-Vázquez MJ, Nápoles-González C. Diferencias en ansiedad estado-rasgo entre adolescentes con hipertensión inducida por el embarazo y adolescentes embarazadas sanas. Ansiedad y Estrés 2003; 9: 7-16.

  10. Miguel-Tobal JJ, Cano-Vindel A, Casado MI, Escalona A. Emociones e hipertensión. Implantación de un programa cognitivo-conductual en pacientes hipertensos. Anales de Psicología 1994; 10: 199-216.

  11. Miguel-Tobal JJ, Casado MI, Cano-Vindel A, Spielberger CD. El estudio de la ira en los trastornos cardiovasculares mediante el empleo del Inventario de Expresión de Ira Estado-Rasgo- STAXI. Ansiedad y Estrés 1997; 3: 5-20.

  12. Creer, TL. Emotions and asthma. Editorial, Journal of Asthma 1993; 30: 1-3.

  13. Céspedes JM, Miguel-Tobal JJ, Cano-Vindel A. The assessment of emotional disturbances in head-injured patients. Psicothema 2000; 12: 99-106.

  14. Nogúes V, González R, Sifre S. Ansiedad y enfermedad inflamatoria intestinal. Ansiedad y Estrés 2000; 6: 281-94.

  15. Heretik A, Korbasova S, Matejickova V, Prikazska M. Affective symptomatology in patients with non-specific inflammatory intestinal disease. Ceska a Slovenska Psychiatrie 1994; 90: 91-6.

  16. Davis MC, Matthews KA, Twamley EW. Is life more difficult on mars or venus? A meta-analytic review of sex differences in major and minor life events. Annals of Behavioral Medicine 1999; 21: 83-97.

  17. Edwards R, Augustson EM, Fillingim R. Sex specific effects of pain related anxiety on adjustment to chronic pain. Clinical Journal of Pain 2000; 16: 46-53.

  18. Dancey CP, Backhouse S. Toward a better understanding of patients with irritable bowel syndrome. Journal of Advanced Nursery 1993; 93: 1443-50.

  19. García Vega E, Fernández C, Sánchez JL. Behavioral profile of the patient with Crohn’s disease. Revista Española de Enfermería 1994; 86: 791-5.

  20. Addolorato G, Stefanini GF, Capristo E, Caputo F, Gasbarrini A. Anxiety and depression in adult untreated celiac subjects and in patients affected by inflammatory bowel disease: a personality “trait” or a reactive illness? Hepato-Gastroenterology 1996; 43: 1513-17.

  21. Porcelli P, Leoci C, Guerra V. A prospective study of the relationship between disease activity and psychologic distress in patients with inflammatory bowell disease. Scandinavian Journal of Gastroenterology 1996; 31: 792-6.

  22. García E, Fernández C. Algunos factores predictors en la enfermedad de Crohn. Psicothema 1998; 10: 143-51.

  23. Morlet A. Aspectos psiquiátricos en enfermedades gastrointestinales. En Salin RS (Ed.). Psiquiatría en Medicina Interna. México: Mc Graw Hill; 2003, p. 59-76.

  24. Medina-Mora ME, Borges G, Lara Muñoz C, Benjet C, Blanco Jaimes J, Fleiz Bautista C, et al. Prevalencia de trastornos mentales y uso de servicios: resultados de la Encuesta Nacional de Epidemiología Psiquiátrica en México. Salud Mental 2003; 26: 1-16.

  25. Spiegel B, Bloom JR, Kraener HC, Gotteil E. Effect of psychosocial treatment on survival of patients with metastasic breast cancer. The Lancet 1989; 14: 888-91.

  26. Sebastián J, Bueno MJ, Mateos N, García P. Evaluación de un programa de intervención sobre cáncer de mama. Boletín de Psicología 1999; 65: 53-73.

  27. Velasco L, Sánchez S, Arcila D. La psicoterapia en el paciente enfermo desde el punto de vista médico. En Salin RS (Ed.). Psiquiatría en Medicina Interna. México: Mc Graw Hill; 2003, p. 7-24.

  28. Echeburria Odriozola E. Evaluación y tratamiento psicológico de los trastornos de ansiedad. Madrid: Fundación Universidad-Empresa; 1993.

  29. Spielberger CD, Gorsuch RL, Lushene RE. STAI Manual of State Trait Anxiety Inventory (Self-Evaluation Questionnaire). Palo Alto, California: Consulting Psychologists, Press; 1970.

  30. Hamilton H. The assessment of anxiety states by rating. British Journal of Medical Psychology 1959; 32: 50-5.

  31. Greenwood MM, Benson H. The efficacy of progressive relaxation in systematic desensitization and a proposal for an alternative competitive response. The relaxation response. Behavior Research and Therapy 1977; 15: 337-43.

  32. Lehrer PM, Hochron SM, Mayne T. Relaxation and music therapies for asthma among patients prestabilized on asthma medication. Journal of Behavioral Medicine 1994; 17: 1–24.

  33. Smyth JM, Soefer MH, Hurewitz A, Stone AA. The effect of taperecorded relaxation training on well-being, symptoms, and peak expiratory flow rate in adult asthmatics: A pilot study. Psychology & Health 1999; 14: 487–501.

  34. Bertucci NM. Responsiveness to relaxation for distress in HIV(+) patients. Dissertation Abstracts International: Section B: The Sciences and Engineering 2000; 60(8-B): 4201.

  35. Gordon WA, Friedenbergs L, Diller M, Hibbard C, Wolf L, Levine R, Lipkins O, Ezrachi D, Lucido D. Efficacy of psychosocial intervention with cancer patients. J Consult Clin Psych 1980; 48: 743.

  36. Buckelew SP, Conaway R, Parker J, Deuser W, Read J, Witty T, et al. Biofeedback/Relaxation training and exercise interventions for fibromyalgia: a prospective trial. Arthritis Care and Research 1995; 11: 196-209.

  37. Cruess DG, Antoni MH, McGregor BA, Kilbourn KM, Boyers AE, Alferi SM, et al. Cognitive-behavioral stress management reduces serum cortisol by enhancing benefit finding among women being treated for early stage breast cancer. Psychosomatic Medicine 2000; 62: 304-8.

  38. Weissbecker I, Salmon P, Studts JL, Floyd AR, Dedert E, Sephton SE. Mindfulness-based stress reduction and sense of coherence among women with fibromyalgia. Journal of Clinical Psychology in Medical Settings 2002; 9: 297-307.

  39. Nelson WR, Walker C, McCain GA. Cognitive behavioral treatment of fibromyalgia syndrome: preliminary findings. Journal of Rheumatology 1992; 19: 98-103.

  40. Habib S, Cooke J, Cairns QL. Stress management for atopic dermatitis. Behaviour Change 1999; 16: 226-36.




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