Modelo sociocognitivo de la satisfacción vital en personas con enfermedad crónica

  1. Vega, María Teresa 1
  1. 1 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

Journal:
EJIHPE: European Journal of Investigation in Health, Psychology and Education

ISSN: 2174-8144 2254-9625

Year of publication: 2018

Volume: 8

Issue: 3

Pages: 157-167

Type: Article

DOI: 10.30552/EJIHPE.V8I3.275 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: EJIHPE: European Journal of Investigation in Health, Psychology and Education

Abstract

Life satisfaction is an important indicator of subjective well-being in chronic patients. In this paper, the sociocognitive health model is used to analyze the psychosocial variables that influence life satisfaction. An explanatory model is proposed in which life satisfaction is determined by the stress experienced, the feeling of efficacy to face the difficulties derived from the disease and the perception of personal autonomy. A transversal design was developed with a sample of 64 people suffering from chronic diseases. The patients were contacted through health associations and a questionnaire was administered. It is found that stress and coping self-efficacy are direct and significant determinants of satisfaction. In this sense, participants who perceive themselves to be less stressed and more able to cope experience more satisfaction in life. Those who are more coping are those who feel less stress. Functional autonomy, lower in women than in men, indirectly conditions satisfaction, through stress and coping self-efficacy, so that the lower the perceived autonomy, the greater the perceived stress and the less the coping efficiency. The proposed model explains 35% of life satisfaction. The results reflect the need to train cognitive strategies to cope with the disease and to train the patient to have greater functional autonomy and less dependence on the social environment.

Bibliographic References

  • Bäbler, J., y Schwarzer, R. (1996). Measuring generalized self-beliefs: a spanish adaptation of the general self-efficacy scale. Ansiedad y Estrés, 2(1), 1-18. doi: 10.1037/t11407-000
  • Bandura, A. (1987). Pensamiento y acción: fundamentos sociales. Madrid: Martínez Roca.
  • Bandura, A. (1999). Autoeficacia: Cómo afrontamos los cambios de la sociedad actual. Bilbao: DDB.
  • Beckmann J., y Kellmann M. (2004). Self-regulation and recovery:approaching an understanding of the process ofrecovery from stress. Psychological Reports, 95, 1135-1153.
  • Blinderman, C., Homel, P., Billings, A., Tennstedt, Sh., y Portenoy, R. (2009). Symptom distress and quality of life in patients with advanced chronic obstructive pulmonary disease. Journal of Pain and Symptom Management, 38(1), 115-123.
  • Boufar, L., y Bastin, E. (1994). La perspective future des personnes âgées en fonction de la perte d'autonomie et du type d'habitation. International Journal of Psychology, 29(1), 39-53. doi: 10.1080/00207599408246530
  • Castellón, A., y Romero, V. (2004). Autopercepción de la calidad de vida. Revista Multidisciplinar de Gerontología, 14(3), 131-137.
  • Checton, M., Greene, K., Magsamen-Conrad, K., y Venetis, M. (2012). Patients’ and partners’ perspectives of chronic illness and its management. Families, Systems, & Health, 30(2), 114-129. doi: 10.1037/a0028598
  • Costanzo, E., Lutgendorf, S., Mattes, M., Trehan, S., Robinson, C., Tewfik, F., y Roman, S. (2007). Adjusting to life after treatment: distress and quality of life following treatment for breast cancer. British Journal of Cancer, 97(12), 1625-1631. doi 10.1038/ sj.bjc.6604091
  • De Dios, M.J., Barrón, A., Arias, A., y Braschi, L. (2012). Estrés y enfermedad de Crohn: diferencias entre enfermos de Crohn con brote, sin brote y personas sanas. Ansiedad y Estrés, 18(2- 3), 167-176.
  • Diener, E., Emmons, R.A., Larsen, R.J., y Griffin, S. (1985). The Satisfaction with life scale. Journal of Personality Assessment, 49(1), 71-75.
  • Godoy-Izquierdo, D., Godoy, J.F., López-Chicherri, I., Martínez, A., Gutiérrez, S., y Vázquez, L. (2008). Autoeficacia para el afrontamiento del estrés en una muestra adulta española. Ansiedad y Estrés, 14(1), 13-29.
  • Golden-Kreutz, D., Thornton, L., Wells-DiGregorio, S., Frierson, G., Jim, H., Carpenter, K.,…Andersen, B. (2005). Traumatic stress, perceived global stress and life events: Prospectively predicting quality of life in breast cancer patients. Health Psychology, 24(3), 288-296. doi: 10.1037/02...
  • Hernández, Z.E., Ehrenzeweig, Y., y Navarro, A.M. (2009). Factores psicológicos, demográficos y sociales asociados al estrés y a la personalidad resistente en adultos mayores. Pensamiento Psicológico, 5(12), 13-28.
  • Herrero, J., Gracia, E. y Musitu, G. (1996) Salud y comunidad. Evaluación de recursos y estresores. Valencia: Conselleria de Cultura, Educació y Ciencia de la Generalitat Valenciana.
  • Juárez, M.V., De la Cruz, J.A., y Baena, A.J. (2017). El estrés y las enfermedades crónicas. Medicina Familiar Andalucía, 18(2), 198-203.
  • Kenny, D.A., Kashy, D., y Bolger, N. (1998). Data analysis in social psychology. In D. Gilbert, S. Fiske, y G. Lindzey (Eds.), Handbook of social psychology (4th ed., pp. 233-265). New York: McGraw-Hill.
  • Koivumaa-Honkanen, H., Honkanen, R., Viinamaki, H., Eikkila, K., Kaprio, J., y Koskenvuo, M. (2000). Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. American Journal of Epidemiology, 152(10), 983–991.
  • Kreitler, S., Peleg, D., y Ehrenfeld, M. (2007). Stress, self-efficacy and quality of life in cancer patients. Psicho Oncology, 16, 329-341.
  • Lazarus, R., y Folkman, S. (1986). Estrés y procesos cognitivos. Barcelona: Martínez Roca.
  • León, J. M., y Medina, S. (2002). Psicología Social de la Salud. Sevilla: CS.
  • Lostaunau, V., Torrejón, C., y Cassaretto, M. (2017). Estrés, afrontamiento y calidad de vida relacionada a la salud en mujeres con cáncer de mama. Actualidades en Psicología, 31(122), 75-90.
  • Malfatto, G., y Parati, G. (2013). Relationship of Illness Severity with Health and Life Satisfaction in Patients with Cardiovascular Disease: The Mediating Role of Self-efficacy Beliefs and Illness Perceptions. Journal of Happiness Studies, 14, 1585-1599. doi: 10.1007/s10902- 012-9397-4
  • Moos, R.H. (1982). Coping with acute health crises. En T. Millon, C. Green y R. Meagher (Eds.), Handbook of clinical health psychology (pp.129-151). New York: Plenum.
  • Okun, M.A., y Stock, W.A. (1987). The construct validity of subjective well-being measures: An assessment via quantitative research syntheses. Journal of Community Psychology, 15, 481–492.
  • Organización Mundial de la Salud (2014). Estadísticas Sanitarias Mundiales 2014. Una mina de información sobre Salud Pública Mundial. Ginebra: Organización Mundial de la Salud.
  • Orozco-Gómez, A.M., Castiblanco-Orozco, L. (2015). Factores Psicosociales e Intervención Psicológica en Enfermedades Crónicas No Transmisibles. Revista Colombiana de Psicología, 24(1), 203-217. doi: 10.15446/rcp.v24n1.42949
  • Preacher, K.J., y Hayes, A.F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
  • Rodríguez, J. (1995). Psicología Social de la Salud. Madrid: Síntesis.
  • Sánchez, M.J., García, J.M., Valverde, M., y Pérez, M. (2014) Enfermedad crónica: satisfacción vital y estilos de personalidad adaptativos. Clínica y Salud, 25, 85-93.
  • Schwartzmann, L. (2003). Calidad de vida relacionada con la salud: aspectos conceptuales. Ciencia y Enfermería, 9(2), 9-21. doi: 10.4067/S0717- 95532003000200002
  • Victorio, A. (2008). La relación entre la percepción de estrés y satisfacción con la vida de morbilidad. Psicología Iberoamericana, 16(1), 52-58.