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Síndrome de Burnout que sufren los cuidadores de personas con discapacidad victimas de violencia familiar.
Thesis Subjects > Psychology Europe University of Atlantic > Teaching > Final Master Projects Cerrado Español La relevancia e interés por el estudio del Síndrome de Burnout que sufren los cuidadores de personas con discapacidad en Honduras, ha sido obviado por investigadores en este país, a pesar que ha sido un tema importante ha carecido de relevancia e interés por las personas o entes involucrados, esta temática ha sido poco estudiada en nuestro país. La presente investigación pretende contribuir al conocimiento sobre esta área y tiene como finalidad analizar los diversos factores sociales y psicológicos, que explican mayores niveles de cargas que experimenta el cuidador en este contexto social. La presente tesis está compuesta por un enfoque metodológico, cuantitativo, en la cual el instrumento de recolección datos es el cuestionario de Maslach Invetntory Burnout, aplicándose esta de manera tradicional, entrevistando a los participantes de manera presencial.Este estudio analiza las consecuencias del síndrome de burnout que sufre el cuidador de personas con discapacidad, también se estudia y se relaciona con otros factores que influyen negativamente en la labor que desempeña el cuidador, como el conocimiento que ellos tienen específicamente sobre la discapacidad, así también el peso que tiene la aplicación de políticas públicas, esta pretende defender los derechos de las personas con discapacidad, entre ellas crear condiciones favorables, ya que es un sector de los más vulnerables en Honduras.Los testimonios de los participantes manifiestan un impacto negativo en ellos y en la familia, ya que las condiciones para atender de manera integral a una persona con discapacidad son escasas, esto crea ciertos sentimientos de frustración, desesperación en los involucrados, sin embargo también transmiten sentimientos de empatía y servicio por las personas Discapacidad que atienden, mencionan que los sentimientos de sobrecarga no son solamente por la persona con discapacidad, sino por la limitantes como conocimiento, factor económico y falta de apoyo social.La evidencia que arroja la escala de burnout, permite constatar que los testimonios de los cuidadores de personas con discapacidad, también prueba la desestabilidad emocional que presentan la mayoría de los cuidadores, si bien es cierto de la muestra son pocos los cuidadores que presentan el síndrome de burnout, hay un buen porcentaje con la probabilidad de llegar a desarrollar este síndrome a futuro. Los cuidadores de personas con discapacidad se enfrentan a un gran reto a lo largo del proceso, por lo que es fundamental apoyarlas, acompañarlas, empoderarlas, mediante modelos de intervención social, que los prepare con herramientas en su labor como cuidadores de personas con discapacidad.Así mismo es importante garantizar una intervención integral, con programas socioeducativos para familias y cuidadores, es responsabilidad de las políticas sociales inclusivas y sanitarias, estas facilitan la conciliación de la vida personal, familiar y social, para reducir el impacto psicológico que genera la carga de los cuidadores en sus vidas. metadata Rivera Urrutia, Deiby Gloribeth mail glori_rivera_12@hotmail.com (2022) Síndrome de Burnout que sufren los cuidadores de personas con discapacidad victimas de violencia familiar. Masters thesis, Universidad Europea del Atlántico.
Full text not available from this repository.Abstract
La relevancia e interés por el estudio del Síndrome de Burnout que sufren los cuidadores de personas con discapacidad en Honduras, ha sido obviado por investigadores en este país, a pesar que ha sido un tema importante ha carecido de relevancia e interés por las personas o entes involucrados, esta temática ha sido poco estudiada en nuestro país. La presente investigación pretende contribuir al conocimiento sobre esta área y tiene como finalidad analizar los diversos factores sociales y psicológicos, que explican mayores niveles de cargas que experimenta el cuidador en este contexto social. La presente tesis está compuesta por un enfoque metodológico, cuantitativo, en la cual el instrumento de recolección datos es el cuestionario de Maslach Invetntory Burnout, aplicándose esta de manera tradicional, entrevistando a los participantes de manera presencial.Este estudio analiza las consecuencias del síndrome de burnout que sufre el cuidador de personas con discapacidad, también se estudia y se relaciona con otros factores que influyen negativamente en la labor que desempeña el cuidador, como el conocimiento que ellos tienen específicamente sobre la discapacidad, así también el peso que tiene la aplicación de políticas públicas, esta pretende defender los derechos de las personas con discapacidad, entre ellas crear condiciones favorables, ya que es un sector de los más vulnerables en Honduras.Los testimonios de los participantes manifiestan un impacto negativo en ellos y en la familia, ya que las condiciones para atender de manera integral a una persona con discapacidad son escasas, esto crea ciertos sentimientos de frustración, desesperación en los involucrados, sin embargo también transmiten sentimientos de empatía y servicio por las personas Discapacidad que atienden, mencionan que los sentimientos de sobrecarga no son solamente por la persona con discapacidad, sino por la limitantes como conocimiento, factor económico y falta de apoyo social.La evidencia que arroja la escala de burnout, permite constatar que los testimonios de los cuidadores de personas con discapacidad, también prueba la desestabilidad emocional que presentan la mayoría de los cuidadores, si bien es cierto de la muestra son pocos los cuidadores que presentan el síndrome de burnout, hay un buen porcentaje con la probabilidad de llegar a desarrollar este síndrome a futuro. Los cuidadores de personas con discapacidad se enfrentan a un gran reto a lo largo del proceso, por lo que es fundamental apoyarlas, acompañarlas, empoderarlas, mediante modelos de intervención social, que los prepare con herramientas en su labor como cuidadores de personas con discapacidad.Así mismo es importante garantizar una intervención integral, con programas socioeducativos para familias y cuidadores, es responsabilidad de las políticas sociales inclusivas y sanitarias, estas facilitan la conciliación de la vida personal, familiar y social, para reducir el impacto psicológico que genera la carga de los cuidadores en sus vidas.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Cuidadores, síndrome de burnout, personas con discapacidad, violencia familiar |
| Subjects: | Subjects > Psychology |
| Divisions: | Europe University of Atlantic > Teaching > Final Master Projects |
| Date Deposited: | 25 Oct 2023 23:30 |
| Last Modified: | 25 Oct 2023 23:30 |
| URI: | https://repositorio.uneatlantico.es/id/eprint/1110 |
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Introduction Cancer in older adults is often associated with functional limitations, geriatric syndromes, poor self-rated health, vulnerability, and frailty, and these conditions might worsen treatment-related side effects. Recent guidelines for patients with cancer during and after treatment have documented the beneficial effects of exercise to counteract certain side effects; however, little is known about the role of exercise during cancer treatment in older adults. Materials and Methods This is a multicentre randomised controlled trial in which 200 participants will be allocated to a control group or an intervention group (the sample size has been calculated to detect a clinical difference of 1 point in Short Physical Performance Battery (SPPB) score, assuming an α error of 0.05, a β error of 0.20, and a 10 % loss rate). Patients aged ≥70 years, diagnosed with any type of solid cancer and candidates for systemic treatment are eligible. Subjects in the intervention group are invited to participate in a 12-week supervised multicomponent exercise programme in addition to receiving usual care. Study assessments are conducted at baseline and three months. The primary outcome measure is physical function as assessed by the SPPB. Secondary outcome measures include comprehensive geriatric assessment scores (including social situation, basic and instrumental activities of daily living, cognitive function, depression, nutritional status, polypharmacy, geriatric syndromes, pain, and emotional distress), anthropometric characteristics, frailty status, physical fitness, physical activity, cognitive function, quality of life, fatigue, and nutritional status. Study assessments also include analysis of inflammatory, endocrine, and nutritional mediators in serum and plasma as potential frailty biomarkers at mRNA and protein levels and multiparametric flow cytometric analysis to measure immunosenescence markers on T and NK cells. Discussion This study seeks to extend our knowledge on exercise interventions during systemic anticancer treatment in patients over 70 years of age. Results from this research will guide the management of older adults during systemic treatment in hospitals seeking to enhance the standard of care.
Julia García-García mail , Ana Rodriguez-Larrad mail , Maren Martinez de Rituerto Zeberio mail , Jenifer Gómez Mediavilla mail , Borja López-San Vicente mail , Nuria Torrego Artola mail , Izaskun Zeberio Etxetxipia mail , Irati Garmendia mail , Ainhoa Alberro mail , David Otaegui mail , Francisco Borrego Rabasco mail , María M. Caffarel mail , Kalliopi Vrotsou mail , Jon Irazusta mail , Haritz Arrieta mail , Mireia Peláez mail mireia.pelaez@uneatlantico.es, Jon Belloso mail , Laura Basterretxea mail ,
García-García
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Background Physical inactivity and suboptimal diet in pregnancy are important modifiable risk factors for gestational diabetes, a major contributor to pregnancy complications. Objectives We aimed to assess the effects of physical activity and/or diet-based lifestyle interventions during pregnancy on gestational diabetes and if these vary by maternal (body mass index, age, parity, ethnicity, education) and intervention characteristics using individual participant data meta-analysis of randomised trials, and a cost-effectiveness analysis. Data sources International Weight Management in Pregnancy Collaborative Network database was updated by searching major databases from February 2017 to March 2022. Review methods The main outcomes were gestational diabetes by any criteria and by the National Institute for Health and Care Excellence. Other outcomes were gestational diabetes as per International Association of Diabetes in Pregnancy Study Group and maternal and perinatal outcomes. We performed a two-stage random-effects individual participant data meta-analysis to obtain summary estimates (odds ratio) with 95% confidence intervals. Study quality of included trials was assessed, and heterogeneity summarised using τ2. Where possible, we added the aggregate data from non-individual participant data trials to the meta-analysis. We ranked interventions by effectiveness using network meta-analysis and undertook model-based economic evaluation to assess cost-effectiveness. The cost-effectiveness analysis took an NHS cost perspective compared an overall lifestyle intervention versus usual care with a time horizon covering the beginning of pregnancy until the discharge of the mother and infant from the hospital following delivery. Results Ninety-two trials (32,284 women) were included; 54 (23,698 women) provided individual participant data. Lifestyle interventions reduced the odds of gestational diabetes (any criteria) by 10% in individual participant data trials (odds ratio 0.90, 95% confidence interval 0.80 to 1.02, 54 studies, 23,361 women), and the findings reached statistical significance when non-individual participant data were included (odds ratio 0.81, 95% confidence interval 0.73 to 0.89, 92 studies, 31,947 women). Physical activity significantly reduced the odds of gestational diabetes by 36% (odds ratio 0.64; 95% confidence interval 0.48 to 0.84), and diet by 19% (odds ratio 0.81; 0.69 to 0.96), but not mixed interventions. Women with middle (odds ratio 0.68, 95% confidence interval 0.51 to 0.90) and high educational level (odds ratio 0.71, 95% confidence interval 0.54 to 0.93) benefited more than those with low educational status, and no differences by maternal body mass index, age, parity or ethnicity. There was no significant reduction in gestational diabetes defined by National Institute for Health and Care Excellence criteria (odds ratio 0.98, 95% confidence interval 0.84 to 1.13) in individual participant data trials. For gestational diabetes defined using International Association of Diabetes in Pregnancy Study Group criteria, interventions reduced gestational diabetes by 14% (odds ratio 0.86, 95% confidence interval 0.75 to 0.97, τ2 = 0.00, 16 studies, 6174 women) in individual participant data trials and by 17% (odds ratio 0.83, 95% confidence interval 0.72 to 0.95, τ2 = 0.01, 25 studies, 7883 women) when non-individual participant data trials were added. Overall, physical activity reduced caesarean section (odds ratio 0.83; 0.72 to 0.96), small-for-gestational age (odds ratio 0.72; 0.56 to 0.92) and large-for-gestational age babies (odds ratio 0.81; 0.71 to 0.94); diet-based interventions reduced any preterm birth (odds ratio 0.37; 0.20 to 0.68) compared to controls. No differences were observed for other outcomes. Lifestyle interventions were on average more expensive and more effective at averted gestational diabetes and major outcome averted compared to usual care. Limitations We could not identify the specific intervention components and delivery methods associated with improved outcomes, due to variations in reporting. Conclusion Lifestyle interventions in pregnancy prevent gestational diabetes, and the effects vary according to the definition of gestational diabetes. Physical activity-based interventions may be the most effective.
John Allotey mail , Dyuti Coomar mail , Joie Ensor mail , Chidubem Okeke Ogwulu mail , Gabriel Ruiz Calvo mail , Mark Monahan mail , Valencia Kabeya mail , Rachel McNeill mail , Anna Boath mail , Ghadir Mahmoud mail , Cheryce Harrison mail , Mahnaz Bahri Khomami mail , Helena Teede mail , Nicola Heslehurst mail , Graham A Hitman mail , Sharon Anne Simpson mail , Krish Nirantharakumar mail , Julie Dodds mail , Kelly C Allison mail , Garry Shen mail , Elisabetta Petrella mail , Fabio Facchinetti mail , Christina Vinter mail , Mireia Peláez mail mireia.pelaez@uneatlantico.es, Dorte Møller Jensen mail , Narges Sadat Motahari-Tabari mail , Tarja I Kinnunen mail , Jonatan R Ruiz mail , Annick Bogaerts mail , Kristina Martha Renault mail , Alka Kothari mail , Jose Guilherme Cecatti mail , Fionnuala M McAuliffe mail , Suzanne Phelan mail , Lucilla Poston mail , Ana Pilar Betrán mail , Ngawai Moss mail , Stamatina Iliodromiti mail , Frances Austin mail , Nuria García de la Torre mail , Alfonso Luis Calle Pascual mail , Javier Zamora mail , Tracy Roberts mail , Richard D Riley mail , Shakila Thangaratinam mail ,
Allotey
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Objectives Common mental disorders (CMDs), including depression and anxiety, are highly prevalent in primary care, yet access to psychological therapies, which are the first-line treatment for these conditions, remains limited. This study evaluated the effectiveness of the Clinical Psychology in Primary Care Programme in Cantabria during its first year of implementation, which integrated clinical psychologists into primary care teams to deliver brief, evidence-based interventions. Design Naturalistic observational pre–post study in primary care. Methods A total of 1149 patients (66% women; M = 44 years) were assessed with the PHQ-9 and GAD-7 before and after a brief psychological intervention of up to eight sessions per patient delivered individually or in groups. Linear mixed-effects models examined pre–post changes and moderators (intervention format, age, sex). Reliable change, deterioration and recovery were calculated. Results Significant and clinically meaningful reductions were observed in depressive (ΔPHQ-9 = −7.8) and anxiety symptoms (ΔGAD-7 = −7.1; p < .001). Individual therapy produced greater improvements than group interventions, and younger participants showed slightly larger gains; sex showed no effect. Moderate variability in outcomes was observed across therapists. Among completers, large effect sizes were found (dRM ≈ 1.3); 73% achieved reliable improvement and 51% met reliable recovery criteria, while deterioration rates were below 1%. Conclusions Findings support the consolidation and expansion of the integration of clinical psychologists into primary care, providing evidence that the psychological interventions delivered in this context are a feasible, equitable and effective approach to treating CMDs in the Spanish public health system.
César González‐Blanch mail cesar.gonzalezblanch@uneatlantico.es, Noelia Rodríguez‐Pérez mail , María Camino‐Sánchez mail , Rosario Bengochea-Seco mail , Cintia Montes‐Novoa mail , David Gil-Sanz mail david.gil@uneatlantico.es, Silvia Pérez‐Monzón mail , Blanca Uriz‐Zafra mail , Mikel Muñiz‐Videchea mail , Paula Díaz‐Gómez mail , Amador Priede mail ,
González‐Blanch
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Obesity is recognised to be a risk factor for breast cancer since adipose tissue influences the tumour microenvironment. This study aims to investigate the effect of the secretome of 3T3-L1 adipocytes untreated or treated with liquorice root extract (LRE), containing flavonoids, phenolic acids, and saponins on MCF-7 breast cancer cells. By treating adipocytes with LRE, the secretion of certain pro-tumorigenic factors like IGFBP-6, resistin, and VEGF was reduced. MCF-7 cells exposed to conditioned medium from LRE-treated adipocytes exhibited an increase in reactive oxygen species levels, downregulation of the Nrf2 antioxidant pathway, and increased autophagy. Those conditions reduced cell viability, migration, and colony formation. Additionally, there was downregulation of genes associated with oestrogen signalling and tumour-related processes, including CYP19A1 (aromatase), ERα, Her2, and components of the renin–angiotensin system (RAS). These findings suggest that LRE can modulate the adipocyte secretome to influence breast cancer cell behaviour under obesity-related in vitro conditions.
Danila Cianciosi mail , Yasmany Armas Diaz mail , Bei Yang mail , Zexiu Qi mail , Ge Chen mail , José L. Quiles mail jose.quiles@uneatlantico.es, Massimiliano Gasparrini mail , Manuela Cassotta mail manucassotta@gmail.com, Rubén Calderón Iglesias mail ruben.calderon@uneatlantico.es, Maurizio Battino mail maurizio.battino@uneatlantico.es, Francesca Giampieri mail francesca.giampieri@uneatlantico.es,
Cianciosi
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Theaflavins are characteristic polyphenols formed during black tea fermentation. They play an important role in tea color and quality. With the increasing global consumption of black tea, interest in fermentation-derived polyphenols has grown. Recent studies have examined the chemical properties and reported bioactivities of theaflavins. However, current findings remain scattered and lack a unified food chemistry perspective. This review summarizes the formation chemistry of theaflavins during black tea fermentation. It compares the key factors affecting their composition and abundance, including catechin precursors, enzymatic oxidation, and fermentation conditions. Structural features of different theaflavin derivatives are discussed. Particular attention is given to galloylated theaflavins, which show higher reactivity in experimental systems. Reported bioactivities are briefly addressed to illustrate structure-activity relationships. Challenges related to production standardization, stability, and bioaccessibility are also highlighted.
Yuxuan Zhao mail , Jingyimei Liang mail , Hui Cao mail , Jianbo Xiao mail ,
Zhao