La relevancia de la flexibilidad psicológica en el contexto del cánceruna revisión de la literatura

  1. Aldo Aguirre-Camacho 1
  2. Bernardo Moreno-Jiménez 1
  1. 1 Universidad Autónoma de Madrid
    info

    Universidad Autónoma de Madrid

    Madrid, España

    ROR https://ror.org/01cby8j38

Revista:
Psicooncología: investigación y clínica biopsicosocial en oncología

ISSN: 1696-7240

Año de publicación: 2017

Volumen: 14

Número: 1

Páginas: 11-22

Tipo: Artículo

DOI: 10.5209/PSIC.55808 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Psicooncología: investigación y clínica biopsicosocial en oncología

Objetivos de desarrollo sostenible

Resumen

La flexibilidad psicológica ha sido relacionada con diversos indicadores positivos en individuos con problemas de salud mental y enfermedades crónicas, y ha sido identificada como un importante mecanismo de cambio psicoterapéutico. Sin embargo, la atención prestada a la flexibilidad psicológica en la psicooncología ha sido limitada, a pesar de su potencial relación con el distrés relacionado con el cáncer. El objetivo de la presente revisión descriptiva fue reunir los estudios que han examinado la asociación entre la flexibilidad psicológica y distintos indicadores de bienestar en pacientes con cáncer, o evaluado el impacto de intervenciones destinadas a incrementar el nivel de flexibilidad psicológica en pacientes con cáncer. A pesar del bajo número de estudios, los resultados demuestran de forma consistente que la flexibilidad psicológica está asociada a altos niveles de bienestar en pacientes con cáncer, incluso en presencia de deterioro físico. Para finalizar, se presentan algunas implicaciones para la práctica clínica en psico-oncología.

Referencias bibliográficas

  • Aguirre-Camacho A, Pelletier G, González-Márquez A, Blanco-Donoso LM, García-Borreguero P, Moreno-Jiménez B. The relevance of experiential avoidance in breast cancer distress: insights from a psychological group intervention. Psychooncology 2017;26:469-475. Doi: 10.1002/pon.4162
  • Arch JJ, Mitchell JL. An Acceptance and Commitment Therapy (ACT) group intervention for cancer survivors experiencing anxiety at re-entry. Psycho-oncology. 2016;25:610-5. Doi: 10.1002/pon.3890
  • Blanchard D, Erblich J, Montgomery GH, Bovbjerg DH. Read all about it: the over-representation of breast cancer in popular magazines. Prev Med 2002;35:343-8. Doi: 10.1006/pmed.2002.1088
  • Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behav Ther 2011;42:676-88. Doi: 10.1016/j.beth.2011.03.007
  • Bray F, McCarron P, Parkin DM. The changing global patterns of female breast cancer incidence and mortality. Breast Cancer Res 2004;6:229. Doi: 10.1186/bcr932
  • Brown P, Zavestoski SM, McCormick S, Mandelbaum J, Luebke T. Print media coverage of environmental causation of breast cancer. Sociol Health Illn 2001;23:747-75.
  • Camacho AA, Garland SN, Martopullo C, Pelletier G. Positive and negative meanings are simultaneously ascribed to colorectal cancer: relationship to quality of life and psychosocial adjustment. Palliat Support Care 2014 1;12:277-86. Doi: 10.1017/S1478951513000151
  • Chambers SK, Morris BA, Clutton S, Foley E, Giles L, Schofield P, et al. Psychological wellness and health-related stigma: a pilot study of an acceptance-focused cognitive behavioural intervention for people with lung cancer. Eur J Cancer Care 2015;24:60-70. Doi: 10.1111/ecc.12221
  • Ciarrochi J, Fisher D, Lane L. The link between value motives, value success, and well-being among people diagnosed with cancer. Psychoncology 2011;20:1184-92. Doi: 10.1002/pon.1832
  • Clarke JN, Everest MM. Cancer in the mass print media: Fear, uncertainty and the medical model. Soc Sci Med 2006;62:2591-600. Doi:10.1016/j.socscimed.2005.11.021
  • Cribb G, Moulds ML, Carter S. Rumination and experiential avoidance in depression. Behav Change 2006;23:165-76. Doi:10.1375/bech.23.3.165
  • DiLorenzo TA, Schnur J, Montgomery GH, Erblich J, Winkel G, Bovbjerg DH. A model of disease-specific worry in heritable disease: the influence of family history, perceived risk and worry about other illnesses. J Behav Med 2006;29:37-49. Doi: 10.1007/s10865-005-9039-y
  • Dutta-Bergman MJ. Primary sources of health information: Comparisons in the domain of health attitudes, health cognitions, and health behaviors. Health comm 2004;16:273-88.
  • Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: A preliminary study. Psychooncology 2013;22:459-64. Doi: 10.1002/pon.2083
  • Georges J, Benson JM, Wikler EW, Weldon KJ, Baumgart M, Jansen S. Key Findings from a five-country survey of public attitudes about Alzheimer’s disease. Poster presented at AAIC. 2011 Jul.
  • Goodwin CL, Forman EM, Herbert JD, Butryn ML, Ledley GS. A pilot study examining the initial effectiveness of a brief acceptance-based behavior therapy for modifying diet and physical activity among cardiac patients. Behav Mod 2012;36:199-217. Doi: 10.1177/0145445511427770
  • Gottlieb N. The age of breast cancer awareness: what is the effect of media coverage? J Natl Cancer Inst 2001;93:1520–1522. Doi:10.1093/jnci/93.20.1520
  • Hall AG, Khoury AJ, Lopez ED, Lisovicz N, Avis-Williams A, Mitra A. Breast cancer fatalism: the role of women’s perceptions of the health care system. J Health Care for the Poor and Underserved 2008;19:1321-35. Doi: 10.1353/hpu.0.0091.
  • Hawkes AL, Pakenham KI, Chambers SK, Patrao TA, Courneya KS. Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial. Ann Behav Med 201448:359-70. Doi: 10.1007/s12160-014-9610-2.
  • Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press; 2011.
  • Hulbert-Williams NJ, Storey L, Wilson KG. Psychological interventions for patients with cancer: psychological flexibility and the potential utility of Acceptance and Commitment Therapy. Eur J Cancer Care 2015;24:15-27. Doi: 10.1111/ecc.12223
  • Hulbert-Williams NJ, Storey L. Psychological flexibility correlates with patient-reported outcomes independent of clinical or sociodemographic characteristics. Suppor Care Cancer 2016;24:2513-21. Doi: 10.1007/s00520-015-3050-9
  • Karekla M, Constantinou M. Religious coping and cancer: Proposing an acceptance and commitment therapy approach. Cogn Behav Practice 2010;17:371-81. Doi:10.1016/j.cbpra.2009.08.003
  • Kashdan TB, Barrios V, Forsyth JP, Steger MF. Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behav Res Ther 2006;44:1301-20.
  • Miller SJ, O’Hea EL, Lerner JB, Moon S, Foran-Tuller KA. The relationship between breast cancer anxiety and mammography: Experiential avoidance as a moderator. Behav Med 2011;37:113-8. Doi: 10.1080/08964289.2011.614291
  • Mohabbat-Bahar S, Maleki-Rizi F, Akbari ME, Moradi-Joo M. Effectiveness of group training based on acceptance and commitment therapy on anxiety and depression of women with breast cancer. Iran J Cancer Prev 2015;8:71.
  • Montesinos F, Luciano C. Acceptance of relapse fears in breast cancer patients: Effects of an ACT-based abridged intervention. Psicooncología 2016;13:7-21. Doi:10.5209/rev_PSIC.2016.v13.n1.52484
  • Montesinos Marín F, Hernández Montoyo B, Luciano Soriano MC. Aplicación de la Terapia de Aceptación y Compromiso en pacientes enfermos de cáncer. Análisis y Modificación de Conducta 2001;27:503-23.
  • Montiel CB, Moya TR, Venditti F, Bernini O. On the contribution of psychological flexibility to predict adjustment to breast cancer. Psicothema 2016;28:266-71. Doi: 10.7334/psicothema2015.271
  • Najvani BD, Neshatdoost HT, Abedi MR, Mokarian F. The effect of acceptance and commitment therapy on depression and psychological flexibility in women with breast cancer. Zahedan J Res Med Sci 2015;17. Doi:10.17795/zjrms965
  • Niederdeppe J, Levy AG. Fatalistic beliefs about cancer prevention and three prevention behaviors. Cancer Epidemiol Biomarkers Prev 2007;16:998-1003. Doi: 10.1158/1055-9965.EPI-06-0608
  • Nordin L, Rorsman I. Cognitive behavioural therapy in multiple sclerosis: a randomized controlled pilot study of acceptance and commitment therapy. J Rehab Med 2012;44:87-90. Doi: 10.2340/16501977-0898.
  • Páez MB, Luciano C, Gutierrez O. La aplicación de la Terapia de Aceptación y Compromiso (ACT) en el tratamiento de problemas psicológicos asociados al cáncer. Psicooncología 2005;2:49-70.
  • Páez MB, Luciano C, Gutiérrez O. Tratamiento psicológico para el afrontamiento del cáncer de mama. Estudio comparativo entre estrategias de aceptación y de control cognitivo. Psicooncología 2007;4:75-95.
  • Rees CE, Bath PA. Mass media sources for breast cancer information: their advantages and disadvantages for women with the disease. JDoc. 2000;56:235-49. Doi:10.1108/EUM0000000007114
  • Roemer L, Salters K, Raffa SD, Orsillo SM. Fear and avoidance of internal experiences in GAD: Preliminary tests of a conceptual model. Cognit Ther Res 2005;29:71-88.
  • Rost AD, Wilson K, Buchanan E, Hildebrandt MJ, Mutch D. Improving psychological adjustment among late-stage ovarian cancer patients: examining the role of avoidance in treatment. Cogn Behav Pract 2012;19:508-17. Doi:10.1016/j.cbpra.2012.01.003
  • Singer S, Das-Munshi J, Brähler E. Prevalence of mental health conditions in cancer patients in acute care—a meta-analysis. Ann Oncol 2010;21:925–930. Doi:10.1093/annonc/mdp515.
  • Tull MT, Gratz KL, Salters K, Roemer L. The role of experiential avoidance in posttraumatic stress symptoms and symptoms of depression, anxiety, and somatization. J Nerv Mental Dis 2004;192:754-61.
  • Wang C, O’Neill SM, Rothrock N, Gramling R, Sen A, Acheson LS, et al. Comparison of risk perceptions and beliefs across common chronic diseases. Prev Med 2009;48:197-202. Doi: 10.1016/j.ypmed.2008.11.008
  • Wegner DM. Ironic processes of mental control. Psychol Rev 1994;101:34-52.