Adaptation to the disease, resilience and optimism in woman with breast cancer.

This research aims to determine the relationship between the variables adaptation to the disease, resilience and dispositional optimism in women with breast cancer in Montería (Colombia). This study is a descriptive-correlational type, evaluating 116 participants. The instruments applied were the Font Quality of Life Questionnaire, to assess the Index of Adaptation to Disease, Wagnild and Young's Resilience Scale (RS) and the Life Orientation Test-Revised (LOT-R). The statistical program SPSS 25.0 was used for the analysis of the data. A normality test was performed which led to the application of the Spearman correlation coefficient. Findings indicated the presence of adaptation in the participants and resilient and optimistic characteristics, however, there is no significant relationship between these variables and adaptation to the disease.

Riesgo de suicidio en adolescentes escolarizados / Risk of suicide in schooled adolescents

Resumen Introducción: El riesgo de suicidio aumenta durante la adolescencia por factores que actúan acumulativamente. El estudio tuvo como objetivo identificar los factores asociados al peligro de suicidio en adolescentes escolarizados. Materiales y métodos: En una muestra de 565 adolescentes escolarizados se midió el riesgo de suicidio a través de la escala de Plutchick y se identificó su asociación con el género, funcionamiento familiar, ser víctima de desplazamiento forzado, tener antecedentes familiares de intento y/o suicidio consumado, síntomas psiquiátricos, dependencia a sustancias psicoactivas, acoso escolar y adicción al internet, por medio de la aplicación de instrumentos válidos y confiables. Resultados: Un 28,8 % de los adolescentes escolarizados presentó riesgo de suicidio. La mayoría de los factores estudiados se asociaron al riesgo de suicidio, tales como el género (χ² = 14,539a; gl = 1; p = 0,000), víctima de desplazamiento (χ² = 4,095a; gl = 1; p = 0,043), antecedentes familiares de suicidio e intento de suicidio (χ² = 54,891a; gl = 1; p = 0,000), funcionalidad familiar (χ² = 82,819a; gl = 3; p = 0,000), síntomas psiquiátricos (χ² = 187,915a; gl = 1; p = 0,000), consumo de riesgo de marihuana (χ² = 6,830a; gl = 1; p = 0,009), cocaína (χ² = 6,023a; gl = 1; p = 0,014) y tranquilizantes (χ² = 6,354a; gl = 1; p = 0,012), acoso escolar (χ² = 8,754a; gl = 1; p = 0,003) y adicción al internet (χ² = 16,486a; gl = 1; p = 0,000). Conclusión: El riesgo de suicidio en los adolescentes escolarizados está asociado a varios factores, es decir es un fenómeno multifactorial, por lo que se sugiere estrategias integrales de prevención con enfoque de gestión integral de riesgos, que permitan identificar tempranamente el riesgo de suicidio para priorizar las medidas preventivas y terapéuticas como parte integral del proceso educativo de los adolescentes.

Abstract Introduction: The risk of suicide increases during adolescence due to risk factors that act cumulatively. The objetive of the study was to identify the factors associated with the risk of suicide in adolescents enrolled in school. Materials and methods: In a sample of 565 adolescents enrolled in school, the risk of suicide was measured using the Plutchick scale and its association with gender, family functioning, being a victim of forced displacement, having a family history of attempted and / or completed suicide, psychiatric symptoms, psychoactive substances dependence, bullying and internet addiction, through the application of valid and reliable instruments. Results: 28,8 % of school adolescents presented risk of suicide. Most of the factors studied were associated with risk of suicide, such as gender (χ² = 14,539a; gl = 1; p = 0,000), victim of displacement (χ² = 4,095a; gl = 1; p = 0,043), family history of suicide and suicide attempt (χ² = 54,891a; gl = 1; p = 0,000), family functionality (χ² = 82,819a; gl = 3; p = 0,000), psychiatric symptoms (χ² = 187,915a; gl = 1; p = 0,000), risky consumption of marijuana (χ² = 6,830a; df = 1; p = 0,009), cocaine (χ² = 6,023a; df = 1; p = 0,014) and tranquilizers (χ² = 6,354a; gl = 1; p = 0,012), bullying (χ² = 8,754a; gl = 1; p = 0,003) and internet addiction (χ² = 16,486a; gl = 1; p = 0,000). Conclusion: The risk of suicide in school adolescents is associated with several factors, that is, it is a multi- factorial phenomenon, so comprehensive prevention strategies with a comprehensive risk management approach are suggested, which allow early identification of suicide risk to prioritize measures. preventive and therapeutic as an integral part of the educational process of adolescents.

Adaptation to the Disease, Resilience and Optimism in Woman with Breast Cancer. / Adaptación a la enfermedad, resiliencia y optimismo en mujeres con cáncer de mama.

This research aims to determine the relationship between the variables adaptation to the disease, resilience and dispositional optimism in women with breast cancer in Montería (Colombia). This study is a descriptive-correlational type, evaluating 116 participants. The instruments applied were the Font Quality of Life Questionnaire, to assess the Index of Adaptation to Disease, Wagnild and Young's Resilience Scale (RS) and the Life Orientation Test-Revised (LOT-R). The statistical program SPSS 25.0 was used for the analysis of the data. A normality test was performed which led to the application of the Spearman correlation coefficient. Findings indicated the presence of adaptation in the participants and resilient and optimistic characteristics, however, there is no significant relationship between these variables and adaptation to the disease.

Estructura factorial del Cuestionario de Apoyo Social MOS en ancianos colombianos con dolor crónico / Factorial structure of the MOS Social Support Survey among senior and elder Colombian population diagnosed with chronic pain

Resumen El Cuestionario de Apoyo Social MOS es uno de los instrumentos que más se utilizan en la investigación y en la práctica gerontológica, pero no hay estudios acerca de su validez para la evaluación de ancianos colombianos. El objetivo de esta investigación fue valorar si la estructura de 4 factores descrita en otras poblaciones es válida, estudiar la fiabilidad y determinar diferencias atribuibles a género y convivencia con una pareja. Se trabajó con una muestra intencional de 463 mayores, de diversas regiones de Colombia. El análisis estadístico de los ítems evidenció ausencia de normalidad y altas correlaciones inter ítems e ítemescala (superiores a .60), por lo que se seleccionó el método de Mínimos Cuadrados no Ponderados (ULS) para el análisis factorial confirmatorio, con el que se evaluaron tres modelos (de un factor, de tres y de cuatro factores correlacionados) siendo el de 4 factores el que obtuvo mejores índices (NFI=.997; AGFI=.996; RMR=.056; NFI=.996). Los coeficientes alfa de las subescalas estaban entre .86 y .98. Se encontraron diferencias significativas en apoyo social percibido atribuibles al género y a tener pareja. Los resultados sustentan la validez del cuestionario MOS para la evaluación del apoyo social percibido por adultos mayores colombianos con dolor crónico.

Abstract Perceived social support refers to one's confidence that social support or resources are available if needed. It is related to health and quality of life in elderly, so it is recommended to be evaluated. The Social Support Survey MOS have been used but there is no evidence about its validity in Colombian ancient people with chronic pain. The aim of this study was to assess the factorial structure and reliability for the Social Support Survey MOS among a group of elderly people with chronic muskuloesqueletal pain; furthermore, differences between gender and married were investigated. 463 old people of different regions of Colombia were assessed with MOS and with a sociodemographic interview. Cronbach ranged between .86 y .98. Item correlations were higher than .60. The model of 4 correlated factors showed good fit (NFI= .997, AGFI= .996, RMR= .056 y GFI= .996), as shown by similar studies in other populations. Differences in social support perceived by gender and marital status were found. The results support the validity for the MOS to evaluate social support in ancient Colombian people with chronic muskuloesqueletal pain.