RESUMO
The purpose of the present study was to establish the association between self-efficacy, perception of disease, emotional regulation, and fatigue and the health-related quality of life in older adults living in the departments of Cesar and Atlántico in Colombia and who have been diagnosed with a chronic disease. The participants were 325 older adults of both sexes, with literacy and no presence of cognitive impairment in the Mini-Mental State Examination (MMSE); A non-probabilistic sampling was carried out. We used the MOS-SF-36 questionnaire, the Brief Illness Perception Questionnaire scale for measuring the perception of disease, the Stanford Patient Education Research Center's Chronic Disease Self self-efficacy questionnaire for chronic patients, the Difficulties in Emotional Regulation Scale, and the Fatigue Severity Questionnaire as measurement instruments. The design was non-experimental cross-sectional with a correlational scope. The results indicate that self-efficacy, disease perception, emotional regulation and severity of fatigue are variables that could impact the physical function of quality of life, confirming that self-efficacy would work as a factor that decreases the probability that a participant score low on this dimension of quality of life. On the other hand, both the perception of the disease and the severity of fatigue were identified as factors that probably negatively influence quality of life.
RESUMO
BACKGROUND: Self-efficacy alludes to personal competence in an individual's effectiveness when facing stressful situations. This construct has been related to different domains of the health field, finding that high levels of self-efficacy benefit human functioning and enhance well-being. METHODS: The present study aimed to determine the psychometric properties of the self-efficacy scale for managing chronic diseases (SEMCD-S) by assessing factorial, convergent and divergent validity, reliability, and measurement invariance. Likewise, the comparison of self-efficacy according to socio-demographic characteristics was proposed by contrasting latent factors. An instrumental, transactional, descriptive, and non-experimental design study was carried out with the participation of 325 Colombian senior citizens. RESULTS: The findings suggest that the scale has appropriate psychometric properties. The one-factor structure exhibited a satisfactory fit, the mean-variance extracted reported acceptable figures and the correlation analysis with other constructs supported this instrument's convergent and discriminant validity. Likewise, it was invariant to the different socio-demographic aspects examined, while the internal consistency figures were high. Differences in the means of the latent factors were only detected in the academic grade. In this case, older adults with a primary school level attained higher self-efficacy values than those who had completed high school or university studies. CONCLUSIONS: It is concluded that the self-efficacy scale for chronic disease management is a valid and reliable instrument that can be used in the Colombian context to measure and compare this construct.
Assuntos
Gerenciamento Clínico , Autoeficácia , Humanos , Idoso , Psicometria , Reprodutibilidade dos Testes , Colômbia , Doença Crônica , Inquéritos e QuestionáriosRESUMO
Resumen. El objetivo de la investigación fue evaluar los niveles de Burnout en una muestra poblacional de psicólogos colombianos, dada la poca información al respecto. Para ello, se evaluaron 351 psicólogos con una edad promedio de 36 anos (60 % hombres y 40% mujeres) con el Inventario de Burnout de Psicólogos - IBP y el Inventario de Sintomatologia del Estrés - ISE, siguiendo las consideraciones éticas vigentes, y se analizó la información con estadisticos comparativos y correlacionales. Se identificaron altos niveles de agotamiento emocional y despersonalización; se encontraron niveles bajos tanto a nivel de estrés fisico, psicológico y social, y se encuentran diferencias estadisticamente significativas conforme a variables sociodemográficas, anos de experiencia laboral y de graduación, y tipo de vinculación laboral. Los análisis plantearon que las variables agotamiento emocional y realización personal correlacionaron con la sintomatologia derivada del estrés laboral. Estos resultados permiten concluir que el aumento en sintomas psicológicos podria estar asociado con mayores niveles de estrés percibido y de Burnout, pero estos, a su vez, podrian ser mitigadas a partir de la presencia de algunas variables tanto sociodemográficas como de la historia académica y laboral.
Abstract. The objective of this research was to evaluate the levels of Burnout in a sample of Colombian psychologists, taking into account the scarcity of respective information. For this, 351 psychologists with an average age of 36 years old (60% men & 40% women) were evaluated with the Burnout Inventory of Psychologists - IBP and the Stress Symptomatology Inventory - ISE instruments, following the current ethics considerations, and this information was analyzed information with comparative and correlational statistics. High levels of emotional exhaustion and depersonalization were identified; at the level of stress symptoms, we found low levels both at the level of physical, psychological and social stress, and we found statistically significant differences according to sociodemographic variables, years of work experience and graduation, and type of work contract. Analyses showed that emotional exhaustion and personal realization correlated with the symptoms derived from work stress. These results could conclude that the increase in psychological symptoms could be associated with higher levels of perceived stress and exhaustion, but these in turn, could be mitigated based on the presence of some variables, both sociodemographic and academic and work history.