RESUMO
Background and objectives: Body image is a predictor of psychological adjustment to cancer and a risk factor for depression. Questionnaires to assess body image in cancer patients assume a preconceived concept of body image and do not reflect the patient's subjective experience. This study aims to develop a content categories system for analyzing body constructs in breast cancer patients from their own experience. Methods: The sample comprised 542 constructs, from 23 patients subjected to surgery (12 mastectomy/11 breast-conserving surgery) and 24 controls. Participants were assessed with the Body Grid. Three independent judges coded the constructs elicited following a tentative categories system. Result: Six categories appeared: Objective Appearance, Esthetics, Function, Strength, Energy and Emotions, with similar distribution in the samples. Objective Appearance, Esthetics and Emotions were the most used. The inter-rater agreement was very good. Conclusions: These findings highlight the importance of knowing which thematic areas concern the most to each patient and the absent ones in their constructions, in order to focus psychotherapy on the developing of new meanings that allow a more integrated body image
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Assuntos
Humanos , Feminino , Teoria da Construção Pessoal , Mastectomia/psicologia , Imagem Corporal/psicologia , Fatores de Risco , Preferência do Paciente/psicologia , Tomada de Decisões , Mastectomia Profilática/psicologiaRESUMO
Introducción: los trastornos mentales en la infancia son el motivo de consulta no orgánica más importante y el grupo de condiciones crónicas más común atendido en las consultas de Atención Primaria pediátrica. La detección e intervención precoz de estos problemas favorece una rápida recuperación, resultando a largo plazo en una menor carga asistencial. Método: en el Centro de Salud de Ventura Rodríguez se ha desarrollado un programa piloto con 16 cuidadores principales de los niños y niñas de cero a cinco años, que acudían a las consultas de Pediatría. El programa se llevó a cabo en dos grupos, siguiendo un formato de escuela de padres. Para cada grupo se realizaron dos sesiones de hora y media de duración en las que se combinaron contenidos teóricos con actividades prácticas. Resultados: en el primer grupo se reflejaron valoraciones positivas acerca de la utilidad de los contenidos y se consideró viable la continuidad del programa. En el segundo grupo, el 100% de los participantes evaluó el grupo como "bueno" o "muy bueno" y consideró útil toda la información del programa. Conclusiones: los resultados de este programa fueron satisfactorios, lo cual apoya la necesidad de seguir desarrollando actividades de prevención y colaboración entre Salud Mental y Atención Primaria pediátrica (AU)
Introduction: childhood mental disorders are the most important non-organic reasons for consultation and the most common chronic conditions attended in Pediatric Primary Care. Early detection and intervention may prevent or ameliorate the development of these disorders and reduce healthcare burden in the long run. Methods: we designed a parenting program for 16 parents or principal caregivers of 0-5-aged children. Participants were recruited from the Pediatric Primary Care services of the Ventura Rodriguez Health Center in Madrid. Participants were divided into two groups according to their children's™s age. Our program was carried out in two sessions of one hour and a half combining theoretical contents and practical activities. Results: in the first group, we obtained positive qualitative results regarding the usefulness of the addressed contents and the viability of the program. Quantitative data showed that 100% participants in the second group assessed the program as "Good" or "Very Good" and considered useful all the information provided in the program. Conclusion: our results support the necessity of implementing prevention activities in the field of childhood mental health. It is also important to promote cooperation between Pediatric Primary Care and Mental Health services
