{"id":114596,"date":"2018-03-11T10:42:42","date_gmt":"2018-03-11T10:42:42","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neuroticismo-y-trastorno-por-estres-postraumatico-un-estudio-meta-anala%c2%adtico\/"},"modified":"2018-03-11T10:42:42","modified_gmt":"2018-03-11T10:42:42","slug":"neuroticismo-y-trastorno-por-estres-postraumatico-un-estudio-meta-anala%c2%adtico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/psicologia\/neuroticismo-y-trastorno-por-estres-postraumatico-un-estudio-meta-anala%c2%adtico\/","title":{"rendered":"Neuroticismo y trastorno por estr\u00e9s postraum\u00e1tico: un estudio meta-anal\u00edtico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Fabiola Beatriz Soler Ferreria <\/strong><\/h2>\n<p>Resumen justificaci\u00f3n: tanto el trastorno de estr\u00e9s postraum\u00e1tico (tept) como el neuroticismo tienen importantes implicaciones en salud p\u00fablica. Existen evidencias cient\u00edficas que sugieren que el neuroticismo podr\u00eda incrementar el riesgo de tept ante la exposici\u00f3n a un evento traum\u00e1tico. Sin embargo, existen resultados contradictorios en la literatura cient\u00edfica. objetivos: analizar la evidencia sobre la influencia del neuroticismo en el desarrollo del tept en personas expuestas a una experiencia traum\u00e1tica. m\u00e9todo: b\u00fasqueda: se realiz\u00f3 una revisi\u00f3n sistem\u00e1tica con las palabras clave &quot;neuroticism and ptsd or post-traumatic stress disorder&quot; en las bases de datos: psycinfo, psycarticle, medline, embase, tripdatabase y google acad\u00e9mico. Selecci\u00f3n y extracci\u00f3n de datos: los criterios de inclusi\u00f3n fueron: (a) estudios emp\u00edricos (casos-controles, cohortes o transversales) que informen de medidas de neuroticismo como rasgo de la personalidad, as\u00ed como de sintomatolog\u00eda o diagn\u00f3stico de tept, valorados ambos a trav\u00e9s de una escala emp\u00edricamente validada\/establecida o seg\u00fan el cumplimiento de los criterios diagn\u00f3sticos de las clasificaciones internacionales dsm o cie, utilizando los mismos instrumentos en toda la muestra; (b) que informen de la relaci\u00f3n directa existente entre neuroticismo y tept de manera cuantitativa, en muestras de sujetos que han estado expuestos a un evento traum\u00e1tico; (c) art\u00edculos escritos en ingl\u00e9s o espa\u00f1ol, (d) publicados hasta octubre de 2012. La selecci\u00f3n fue hecha por dos evaluadores independientes. Dos evaluadores independientes, siguiendo un protocolo de codificaci\u00f3n preelaborado, registraron las caracter\u00edsticas de los estudios, incluyendo un listado con criterios de calidad metodol\u00f3gica. Las discrepancias se resolvieron por consenso. An\u00e1lisis estad\u00edstico: tras un an\u00e1lisis descriptivo de los estudios seleccionadso, se calcul\u00f3 el tama\u00f1o del efecto medio con el modelo de efectos aleatorios. Para valorar la heterogeneidad se construy\u00f3 un forest plot y se estimaron los \u00edndices q de cochran e i2. Se estim\u00f3 tambi\u00e9n el posible sesgo de publicaci\u00f3n, as\u00ed como el efecto de posibles variables moderadoras, y su porcentaje de varianza explicada. Finalmente, se estim\u00f3 un modelo predictivo con las variables moderadoras m\u00e1s significativas.  resultados: 210 estudios fueron localizados, de los que 36 estudios (34 art\u00edculos) fueron incluidos y codificados. El tama\u00f1o del efecto medio del neuroticismo encontrado (r+ = 0,371, ic al 95% de 0,327 y 0,414) refleja una correlaci\u00f3n positiva de intensidad media alta seg\u00fan el criterio de cohen, aunque con alta heterogeneidad en los resultados. No se ha detectado un potencial sesgo de publicaci\u00f3n. El an\u00e1lisis de variables moderadoras lleva a la construcci\u00f3n de un modelo predictivo con tres variables: valoraci\u00f3n de la etnia, edad y tipo de muestra (comunitaria vs cl\u00ednica).  discusi\u00f3n: la evidencia actual respalda al neuroticismo como factor de riesgo para el tept tras la exposici\u00f3n a un evento estresante, siendo esta asociaci\u00f3n mayor conforme aumenta la edad, en muestras comunitarias y en estudios que no valoran la etnia. Las investigaciones futuras deber\u00edan abordar este tema, as\u00ed como el influjo de otras posibles variables moderadoras. Entre las limitaciones de este estudio cabe se\u00f1alar la dificultad para seleccionar los estudios y el bajo n\u00famero de ellos que reportan algunas variables moderadoras. Entre sus fortalezas, la b\u00fasqueda sistem\u00e1tica en m\u00e1s de tres bases de datos, la selecci\u00f3n y codificaci\u00f3n por dos evaluadores independientes seg\u00fan manual protocolarizado y el an\u00e1lisis del sesgo de publicaci\u00f3n. conclusiones: nuestros resultados confirman que el neuroticismo puede considerarse un factor de riesgo para el tept, en personas que han estado expuestas a un evento traum\u00e1tico. Estos hallazgos son importantes para la elaboraci\u00f3n de actuaciones preventivas y de intervenci\u00f3n.   abstract background: post-traumatic stress disorder (ptsd) and neuroticism have important public health implications. There is scientific evidence to suggest that neuroticism may increase the risk of ptsd when exposed to a traumatic event. However, there are conflicting reports in the scientific literature. objective: to examine the evidence regarding the influence of neuroticism in the development of ptsd in people who have experienced a traumatic experience. methods: search strategy: a systematic review was conducted in different databases (psycinfo, psycarticle, medline, embase, tripdatabase and google scholar) using the following keywords: &quot;neuroticism and ptsd or post-traumatic stress disorder&quot;. Selection and data extraction: the  inclusion criteria were: (a) empirical studies (case-control, cohort or cross-sectional studies) which report on measures of neuroticism as a personality trait and symptoms or diagnosis of ptsd assessed, both, through any empirically validated scale or by established diagnostic criteria according to dsm or icd, using the same instrument throughout the whole sample; (b) studies reporting the direct relationship between neuroticism and ptsd by quantitative data in subjects who have been exposed to a traumatic event; (c) articles written in english or spanish; (d) studies published until october 2011. The selection was made by two independent reviewers. Two independent reviewers, following a pre-established encoding protocol, coded the studies characteristics, including a checklist of methodological quality criteria. Disagreements were solved by consensus. Statistical analysis: after a descriptive analysis of the selected studies, the mean effect size was calculated with random-effects model. To assess heterogeneity, a forest plot was built and the cochran&apos;s q statistic and the i2 index were calculated. The publication bias, the effect of potential moderator variables and the percentage of explained variance were also estimated. Finally, a predictive model was calculated including the most significant moderating variables. outcomes: from 201 identified studies, out of which 36 studies (34 papers) were included and data extracted. The mean effect size found (r + = 0.371, 95% ci: 0.327 &#8211; 0.414) suggests a positive correlation of medium to high intensity by cohen&apos;s criterion, though with a high heterogeneity. There is no threat of publication bias. Analysis of moderator variables leads to the construction of a predictive model with three variables: assessing ethnicity, age and sample type (clinical vs. Community).  discussion: current evidence supports the neuroticism as a risk factor to develop ptsd after being exposed to a stressful event. This association becomes greater with increasing age, in community samples and in studies that do not assess the ethnicity. Future research should address this issue, as well as the influence of other potential moderating variables. Difficulties in the identification of selection criteria in detected studies and the small number of them reporting the moderating variables are among the limitations of this meta-analysis. Its strengths are the systematic search in more than three independent databases, the selection and evaluation of each paper by two independent researchers using a standardized data extraction form and the analysis of publication bias. conclusions: current evidence supports that neurocticism can be considered as a risk factor to develop a ptsd in people exposed to a traumatic event. These findings should be considered in the development of future preventive actions and treatment interventions.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neuroticismo y trastorno por estr\u00e9s postraum\u00e1tico: un estudio meta-anal\u00edtico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neuroticismo y trastorno por estr\u00e9s postraum\u00e1tico: un estudio meta-anal\u00edtico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Fabiola Beatriz Soler Ferreria <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/07\/2013<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Julio S\u00e1nchez Meca<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fulgencio Marin Martinez <\/li>\n<li>Antonio Vall\u00e9s ar\u00e1ndiga (vocal)<\/li>\n<li>rosa m. Nu\u00f1ez nu\u00f1ez (vocal)<\/li>\n<li>marina Iniesta sepulveda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fabiola Beatriz Soler Ferreria Resumen justificaci\u00f3n: tanto el trastorno de estr\u00e9s postraum\u00e1tico (tept) como el neuroticismo tienen [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[8235,324,325],"tags":[118451,227090,46690,46689,218603,54039],"class_list":["post-114596","post","type-post","status-publish","format-standard","hentry","category-murcia","category-psicologia","category-psicopatologia","tag-antonio-valles-arandiga","tag-fabiola-beatriz-soler-ferreria","tag-fulgencio-marin-Martinez","tag-julio-sanchez-meca","tag-marina-iniesta-sepulveda","tag-rosa-m-nunez-nunez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/114596","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=114596"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/114596\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=114596"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=114596"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=114596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}