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      Prevención de Sintomatologia Postraumática en Mujeres con Cáncer de Mama: Un Modelo de Intervención Narrativo Translated title: Prevention of Posttraumatic Symptomatology in Women with Breast Cancer: A Narrative Intervention Model


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          Esta investigación evalúa un programa grupal narrativo para la prevención de sintomatología postraumática y otras variables asociadas en mujeres recientemente diagnosticadas con cáncer de mama. Para ello se seleccionó a 32 mujeres diagnosticadas en los Hospitales Higueras de Talcahuano y Regional de Concepción; 14 de ellas fueron asignadas al grupo experimental y 18 al grupo control. Los resultados indican que el programa fue efectivo en la reducción de la sintomatología postraumática, sintomatología depresiva y sintomatología somática. No se encontraron diferencias significativas en la variable autoestima. Los puntajes obtenidos en sintomatología postraumática seguían descendiendo a los tres meses de seguimiento. Se analizan alcances y limitaciones de este estudio.

          Translated abstract

          This study evaluates a group program narrative for the prevention of post-traumatic symptomatology and other associate variables in women recently diagnosed with breast cancer. 32 women diagnosed with this pathology in two Hospitals: Higueras of Talcahuano and Regional of Concepción were selected; 14 of them were assigned to experimental group and 18 to the control group. Results indicate that the program was effective in the reduction of the post-traumatic, depressive and somatic symptomatology. There were not significant differences in the self-esteem variable. The scores obtained in post-traumatic symptomatology continued descending three months follow up. The reaches and limitations of this study are analyzed.

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          Most cited references56

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          Forming a story: the health benefits of narrative.

          Writing about important personal experiences in an emotional way for as little as 15 minutes over the course of three days brings about improvements in mental and physical health. This finding has been replicated across age, gender, culture, social class, and personality type. Using a text-analysis computer program, it was discovered that those who benefit maximally from writing tend to use a high number of positive-emotion words, a moderate amount of negative-emotion words, and increase their use of cognitive words over the days of writing. These findings suggest that the formation of a narrative is critical and is an indicator of good mental and physical health. Ongoing studies suggest that writing serves the function of organizing complex emotional experiences. Implications for these findings for psychotherapy are briefly discussed.
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            Trial of interpersonal counselling after major physical trauma.

            The purpose of the present study was to determine if interpersonal counselling (IPC) was effective in reducing psychological morbidity after major physical trauma. One hundred and seventeen subjects were recruited from two major trauma centres and randomized to treatment as usual or IPC in the first 3 months following trauma. Measures of depressive, anxiety and post-traumatic symptoms were taken at baseline, 3 months and 6 months. The Structured Clinical Interview for DSM IV diagnoses was conducted at baseline and at 6 months to assess for psychiatric disorder. Fifty-eight patients completed the study. Only half the patients randomized to IPC completed the therapy. At 6 months the level of depressive, anxiety and post-traumatic symptoms and the prevalence of psychiatric disorder did not differ significantly between the intervention and treatment-as-usual groups. Subjects with a past history of major depression who received IPC had significantly higher levels of depressive symptoms at 6 months. IPC was not effective as a universal intervention to reduce psychiatric morbidity after major physical trauma and may increase morbidity in vulnerable individuals. Patient dropout is likely to be a major problem in universal multi-session preventative interventions.
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              Control emocional, estilo represivo de afrontamiento y cáncer: ansiedad y cáncer


                Author and article information

                Role: ND
                Role: ND
                Terapia psicológica
                Ter Psicol
                Sociedad Chilena de Psicología Clínica (Santiago )
                December 2011
                : 29
                : 2
                : 175-183
                [1 ] Universidad de Concepción Chile
                [2 ] Universidad Pedro de Valdivia Chile



                SciELO Chile

                Self URI (journal page): http://www.scielo.cl/scielo.php?script=sci_serial&pid=0718-4808&lng=en
                PSYCHOLOGY, CLINICAL

                Clinical Psychology & Psychiatry
                Breast cancer,narrative therapy,post-traumatic stress disorder,Cáncer de mama,terapia narrativa,estrés postraumático


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