Afrontamiento de problemas de salud en personas muy mayores
Resumen
En este estudio se evalúan las estrategias de afrontamiento ante problemas de salud en la vejez avanzada y su contribución sobre varios resultados de funcionamiento. 159 personas mayores de 75 años no institucionalizadas identificaron su problema de salud reciente más importante, las estrategias empleadas para hacerle frente, su percepción de autoeficacia en el manejo del problema y su grado de satisfacción vital. Los resultados confirman la utilización de variadas estrategias, siendo la activa-comportamental resolver el problema la más empleada. Además, junto a las estrategias de afrontamiento activas, tanto cognitivas como comportamentales, los análisis correlacionales indican que las personas muy mayores recurren a modos de afrontamiento pasivos y evitativos. Por otra parte, los análisis de regresión múltiple ponen de manifiesto que utilizar acciones directas y racionales para solucionar los problemas de salud predice la autoeficacia en el manejo del problema y protege la satisfacción vital en esta etapa. Estos resultados confirman que las personas muy mayores conservan la capacidad para manejar eficazmente sus problemas de salud y, al mismo tiempo, mantener su bienestar, aportando evidencia sobre el papel adaptativo del afrontamiento en la vejez avanzada.Descargas
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Aldwin, C.M. (2007). Stress, coping, and development: An integrative approach. New York, NY: Guilford.
Aldwin, C.M., & Park, C.L. (2004). Coping and physical health outcomes: an overview. Psychology and Health, 19, 277-281.
Aldwin, C.M., Sutton, K.J., Chiara, G., & Spiro, A. (1996). Age differences in stress, coping and appraisal: findings from the normative aging study. Journal of Gerontology, 51, 179-188.
Artistico, D., Cervone, D., & Pezzuti, L. (2003). Perceived self-efficacy and everyday problem solving among young and older adults. Psychology and Aging, 18, 68-79.
Baltes, P.B., & Mayer, K.U. (1999). The Berlin Aging Study: Aging from 70 to 100. New York, NY: Cambridge University Press.
Boerner, K. (2004). Adaptation to disability among middle-aged and older adults: The role assimilative and accommodative coping. Journal of Gerontology: Psychological Sciences, 54, S230-237.
Brandtstädter, J., & Rothermund, K. (2002). The life-course dynamics of goal pursuit and goal adjustment: A two-process framework. Developmental Review, 22, 117-150.
Carver, C.S. (2004). Negative affects deriving from the behavioural ap-proach system. Emotion, 4, 3-22.
Chida, Y., & Hamer, M. (2008). Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations: a quantitative review of 30 years of investigations. Psychological Bulletin, 134, 829-885.
Diehl, M., Coyle, N., & Labouvie-Vief, C. (1996). Age and sex differences in strategies of coping and defense across the life span. Psychology and Aging, 11, 127-139.
Diener, E., Emmons, R.A., Larsen, R.J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71-75.
Diener, E., Ng., W., Harter, J., & Arora, R. (2010). Wealth and happiness across the world: Material prosperity predicts life evaluation, while psychosocial prosperity predicts positive feeling. Journal of Personality and Social Psychology, 97, 143-156.
Dunkel-Schetter, C., Feinstein, L.G., Taylor, S.E., & Falke, R.L. (2000). Patterns of coping with cancer. En R.M. Suin & G.R. VandenBos (Eds.). Cancer patients and their families: Readings on disease course, coping, and psychological interventions (pp. 35-51). Washington D.C.: American Psychological Association.
Fernández-Abascal, E.G. (1997). Estilos y estrategias de afrontamiento. En E.G. Fernández-Abascal, (Ed.), Cuadernos de prácticas de motivación y emoción (pp. 189-206). Madrid, España: Pirámide.
Franks, H.M., & Roesch, S.C. (2006). Appraisals and coping in people living with cancer: A meta-analysis. Psycho-Oncology, 15, 1027-1037.
Hamarat, E., Thompson, D., Zabrucky, K.M., Steele, D., & Matheny, K.B. (2001). Perceived stress and coping resource availability as predictors of life satisfaction in young, middle-aged, and older adults. Experimental Aging Research, 27, 181-196.
Harnish, J.D., Aseltine, R.H., & Gore, S. (2000). Resolution of stressful experiences as an indicator of coping effectiveness in young adults: An event history analysis. Journal of Health and Social Behavior, 41, 121-136.
Heckhausen, J., Wrosch, C., & Schulz, R. (2010). A motivational theory of lifespan development. Psychological Review, 117, 32-60.
Holland, K.D., & Holahan, C.K. (2003). The relation of social support and coping to positive adaptation to breast cancer. Psychology and Health, 18, 15-29.
Hosmer, D.W., & Lemeshow, S. (1989). Applied logistic regression. New York, NY: John Wiley & Sons.
Isaacowitz, D.M., & Seligman, M.E.P. (2001). Is pessimism a risk factor for depressive mood among community-dwelling older adults? Behaviour Research and Therapy, 39, 255-272.
Isaacowitz, D.M., & Seligman, M.E.P. (2002). Cognitive style predictors of affect change in older adults. International Journal of Aging and Human Development, 54, 233-253.
Jonker, A.A., Comijs, H.C., Knipscheer, K.C., & Deeg, D.J. (2009). The role of coping resources on change in well-being during persistent health decline. Journal of Aging and Health, 21, 1063-1082.
Kraaij, V., Garnefski, N., & Maes, S. (2002). The joint effects of stress, coping, and coping resources on depressive symptoms in the elderly. Anxiety, Stress, and Coping, 15, 163-177.
Kraaij, V., Pruymboom, E., & Garnefski, N. (2002). Cognitive coping and depressive symptons in the elderly: a longitudinal study. Aging and Mental Health, 6, 275-281.
Löffler, C., Kaduszkiewicz, H., Stolzenbach, C., Streich, W., Fuchs, A., van den Bussche, H., Stolper, F., & Altiner, A. (2012). Coping with multimorbility in old age – a qualitative study. BMC Family Practice, 13, 45.
Martin, P., Rott, C., Poon, L.W., Courtenay, B., & Lehr, U. (2001). A mo-lecular view of coping behavior in older adults. Journal of Aging and Health, 13, 72-91.
McKenna, M.C., Zevon, M.A., Corn, B., & Rounds, J. (1999). Psychosocial factors and the development of breast cancer: A meta-analysis. Health Psychology, 18, 520-531.
Meléndez, J.C., Mayordomo, T., Sancho, P. y Tomás, J.M. (2012). Coping strategies: Gender differences and development throughout Life Span. The Spanish Journal of Psychology, 15, 1089-1098.
Montero, I. y León, O.G. (2005). Sistema de clasificación del método en los informes de investigación en Psicología. International Journal of Clinical and Health Psychology, 5, 115-127.
Montorio, I., Nuevo, R., Márquez, M., Izal, M. y Losada, A. (2003). Characterization of worry according to severity of anxiety in elderly living in the community. Aging and Mental Health, 7, 334-341.
Moos, R.H., Brennan, P.L., Schutte, K.K., & Moos, B.S. (2006). Older adults´coping with negative life events: common processes of managing health, interpersonal, and financial/work stressors. International Journal of Aging and Human Development, 62, 39-59.
Moskowitz, J.T., Hult, J.R., Duncan, L.G., Cohn, M.A., Maurer, S., Busso-lari, C., & Acree, M. (2012). A positive affect intervention for people experiencing health-related stress: Development and non-randomized pilot test. Journal of Health Psychology, 17, 676-692.
Ong, A.D., Bergeman, C.S., & Boker, S.M. (2010). Resilience comes of age : Defining features in later adulthood. Journal of Personality, 77, 1777-1804.
Penley, J.A., Tomaka, J., & Wiebe, J.S. (2002). The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 6, 551-603.
Prokopcakova, A. (2004). Choice of coping strategies in the interaction: anxiety and type of a demanding life situation (a research probe). Studia Psychologica, 46, 235-238.
Revenson, T.A., Abraído-Lanza, A.F., Majerovitz, S.D., & Jordan, C. (2005). Couples coping with chronic illness: What’s gender got to do with it? En T.A. Revenson, K. Kayser, & G. Bodenmann (Eds.), Couples coping with stress: Emerging perspectives on dyadic coping (pp. 137-156). Washington DC: American Psychological Association.
Rothermund, K., & Brandtstädter, J. (2003). Depression in later life: cross-sequential patterns and possible determinants. Psychology and Aging, 18, 80-90.
Smith, J., Fleeson, W., Geiselmann, B., Settersten Jr., R.A., & Kunzmann, U. (1999). Sources of well-being in very old age. En P.B. Baltes, & K.U. Mayer (Eds.), The Berlin Aging Study: Aging from 70 to 100 (pp. 450-471). New York, NY: Cambridge University Press.
Sonnenberg, C.M., Deeg, D.J., van Tilburg, T.G., Vink, D., Stek, M.L., & Beekman, A.T. (2013). Gender differences in the relation between depression and social support in later life. International Psychogeriatrics, 25, 61-70.
Staudinger, U.M.; Freund, A.M.; Linden, M., & Maas, I. (1999). Self, per-sonality, and life regulation: Facets of psychological resilience in old age. En P.B. Baltes y K.U. Mayer (Eds.), The Berlin aging study: Aging from 70 to 100 (pp. 302-328). New York, NY: Cambridge University Press.
Schwarzer, R., & Renner, B. (2000). Social-cognitive predictors of health behaviour: Action self-efficacy and coping self-efficacy. Health Psychology, 19, 487-49.
Taylor, S.E., & Stanton, A.L. (2007). Coping resources, coping processes, and mental health. Annual Review of Clinical Psychology, 3, 377-401.
Thomae, H. (2002). Haciéndole frente al estrés en la vejez. Revista Latinoamericana de Psicología del Ciclo Vital, Envejecimiento y Vejez, 34, 41-54.
Thompson, R.J., Mata, J., Jaeggi, S.M., Buschkuekl, M., Jonides, J., & Gotlib, I.H. (2010). Maladaptive coping, adaptive coping, and depressive symptoms: Variations across age and depressive state. Behavioral Research Theory, 48, 459-466.
Tobin, D.J., Holroyd, K., Reynolds, R.V. & Wigal, J.K. (1989). The hierarchical factor structure of the Coping Strategies Inventory. Cognitive Therapy and Research, 13, 343-361.
UNFPA (2012). Ageing in the twenty-first century: A celebration and a challenge. New York, NY: UNFPA.
Urcuyo, K.R., Boyers, A.E., Carver, C.S., & Antoni, M.H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychology and Health, 20, 175-192.
Vaillant, G.E. (2000). Adaptive mental mechanisms: Their role in a positive psychology. American Psychologist, 55, 89-98.
Villar, F., Triadó, C., Solé, C. y Osuna, M.J. (2003). Bienestar, adaptación y envejecimiento: Cuando la estabilidad significa cambio. Revista Multidisciplinar de Gerontología, 13, 152-162.
Wu, G., Feder, A., Cohen, H., Kim, J.J., Calderon, S., Charney, D.S., & Mathé, A.A. (2013). Understanding resilience. Frontiers in Behavioral Neurosciences, 7, 10.
Wrosch, C., Heckhausen, J., & Lachman, M.E. (2000). Primary and secondary control strategies for managing health and financial stress across adulthood. Psychology and Aging, 15, 387-399.
Yancura, L., & Aldwin, C. (2008). Coping and health in older adults. Current Psychiatry Reports, 10, 5-10.
Zaza, C., Sellick, S.M., & Hillier, L.M. (2005). Coping with cancer: What do patients do. Journal of Psychosocial Oncology, 23, 55-73.
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