{"id":65606,"date":"2018-03-09T22:53:45","date_gmt":"2018-03-09T22:53:45","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-comparada-de-la-terapia-cognitiva-conductual-y-la-gestion-personal-en-pacientes-con-fibromialgia\/"},"modified":"2018-03-09T22:53:45","modified_gmt":"2018-03-09T22:53:45","slug":"eficacia-comparada-de-la-terapia-cognitiva-conductual-y-la-gestion-personal-en-pacientes-con-fibromialgia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/psicologia\/eficacia-comparada-de-la-terapia-cognitiva-conductual-y-la-gestion-personal-en-pacientes-con-fibromialgia\/","title":{"rendered":"Eficacia comparada de la terapia cognitiva-conductual y la gesti\u00f3n personal en pacientes con fibromialgia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Antonio Merayo Alonso <\/strong><\/h2>\n<p>Objetivo: determinar la eficacia de la terapia cognitivo conductual (tcc), gesti\u00f3n personal (gp) frente a tratamiento farmacol\u00f3gico (tf) en el manejo del dolor en pacientes con fibromialgia (fm).  metodolog\u00eda: ensayo aleatorizado y controlado, en el que se compara dos grupos de intervenci\u00f3n psic\u00f3l\u00f3gicas, una de caracer cl\u00ednico y otra de caracter psicosocial para disminuir la percepci\u00f3n de dolor : grupo 1 (tcc) 12 sesiones con t\u00e9cnicas cognitivo-conductuales; grupo 2 (self-management), 6 sesiones de aprendizaje de gesti\u00f3n personal de la enfermedad, basado en la la teor\u00eda de la autoeficacia; grupo 3 (control) tratamiento farmacol\u00f3gico (tf). Los pacientes se captaron en el servicio de reumatolog\u00eda del hospital macarena (sevilla) consecutivamente y se aleatorizar\u00e1n mediante muestreo simple aleatorio, en bloques, manteniendo oculta la asignaci\u00f3n a pacientes, terapeutas y evaluadores.  Variables dependientes principales: intensidad del dolor (escala num\u00e9rica visual y n\u00c2\u00ba de puntos dolorosos. Variables secundarias: calidad de vida espec\u00edfica (fibromyalgia impact questionnaire \u00c2\u00bffiq\u00c2\u00bf) , calidad de vida general (eq-5d)  y distr\u00e9ss, (ansiedad y depresi\u00f3n medio con el cuestionario de goldberg) y credibilidad de la intervenci\u00f3n. Seguimiento: 9 meses, con evaluaciones basal a los 3, 6 y 9 meses de cada intervenci\u00f3n.  An\u00e1lisis: descriptivo de los grupos mediante medidas de tendencia central y dispersi\u00f3n. Pruebas no param\u00e9tricas, diferencias de tama\u00f1o del efecto. An\u00e1lisis de intenci\u00f3n de tratar. Significaci\u00f3n cl\u00ednica y diferencias en tama\u00f1o del efecto.  resultados y conclusiones: cuando se hace un an\u00e1lisis global para evaluar la eficacia de la intervenci\u00f3n, mediante kruskal-wallis de dos factores (tipo de intervenci\u00f3n y momento de la evaluaci\u00f3n), los resultados se\u00f1alan que \u00fanicamente hay cambios significativos entre los tres tipos de intervenci\u00f3n con el paso del tiempo en las variable de intensidad de dolor, calidad de vida general, impacto de la enfermedad y malestar emocional. De acuerdo con estos an\u00e1lisis, los resultados m\u00e1s positivos se obtienen a trav\u00e9s del programa cognitivo-conductual. Los grupos aumentan la sintomatolog\u00eda a lo largo del seguimiento. Se cuestiona que el grupo de control (farmacol\u00f3gico s\u00f3lo, en lista de espera) sea el patr\u00f3n de referencia para este tipo de estudios.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia comparada de la terapia cognitiva-conductual y la gesti\u00f3n personal en pacientes con fibromialgia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia comparada de la terapia cognitiva-conductual y la gesti\u00f3n personal en pacientes con fibromialgia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Antonio Merayo Alonso <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/06\/2008<\/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>Francisco Javier Cano Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel angel Vallejo pareja <\/li>\n<li>Francisco Revuelta p\u00e9rez (vocal)<\/li>\n<li>rosario Antequera jurado (vocal)<\/li>\n<li>Rafael Cobos romana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Antonio Merayo Alonso Objetivo: determinar la eficacia de la terapia cognitivo conductual (tcc), gesti\u00f3n personal (gp) 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