Publicado dic 15, 2021



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar


Joaquín García-Alandete https://orcid.org/0000-0003-0769-4060

Sandra Pérez Rodríguez

José Heliodoro Marco

##plugins.themes.bootstrap3.article.details##

Resumen

Se analizan las diferencias en sentido de la vida (SV) en personas diagnosticadas con trastorno mental. Participaron 157 pacientes españoles (28 hombres, 17.83%, y 129 mujeres, 82.17%) con edades entre los 13 y los 68 años (M = 32.58, DT = 13.34) y con diagnóstico de trastorno del espectro esquizofrénico (n = 20), de la conducta alimentaria (n = 85), ansiedad (n = 28) y depresivo mayor (n = 24). Se utilizó una adaptación española del test del Propósito de Vida, que mostró una excelente consistencia interna, v = 0.91. Un análisis de covarianza mostró un efecto significativo del diagnóstico sobre el SV (F(4, 192) = 27.08, p = 0.000, h2 = 0.371), tras controlar los efectos de género (F(1, 192) = 2.34, p = 0.128), edad (F(1, 192) = 0.58, p = 0.447) y tiempo de evolución del trastorno (F(1, 192) = 0.29, p = 0.589). El test de Bonferroni mostró diferencias significativas entre los grupos esquizofrénico y alimentario y los de ansiedad y depresión. El SV podría desempeñar un rol positivo en la intervención terapéutica en personas con trastorno mental. Proponerse y alcanzar metas vitales significativas es exitoso en el manejo de trastornos mentales e influencia positivamente el proceso terapéutico.

Keywords

meaning in life, Purpose-in-Life Test, diagnosis, mental disorder, psychopathologysentido de la vida, test de Purpose-in-Life, diagnóstico, trastorno mental, psicopatología

References
Aftab, A., Lee, E. E., Klaus, F., Daly, R., Wu, T. C., Tu, X., Huege, S., & Jeste, D. V. (2019). Meaning in life and its relationship with physical, mental, and cognitive functioning: A study of 1,042 community-dwelling adults across the lifespan. Journal of Clinical Psychiatry, 81(1), 19m13064. https://doi.org/10.4088/JCP.19m13064

Altman, D. G. (1991). Practical statistics for medical research. Chapman and Hall.

Ameli, M. (2016). Integrating logotherapy with cognitive behavior therapy: A worthy challenge. In A. Batthyány (Eds.), Logotherapy and existential analysis: Proceedings of the Viktor Frankl Institute Vienna (Vol. 1, pp. 197-217). Springer. https://doi.org/10.1007/978-3-319-29424-7_18

American Psychiatric Association (APA). (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Author.

D’Abundo, M., & Chally, P. (2004). Struggling with recovery: Participant perspectives on battling an eating disorder. Qualitative Health Research, 14(8), 1094-1106. https://doi.org/10.1177/1049732304267753

Fervaha, G., Agid, O., Takeuchi, H., Foussias, G., & Remington, G. (2016). Life satisfaction and happiness among young adults with schizophrenia. Psychiatry Research, 242, 174-179. https://doi.org/10.1016/j.psychres.2016.05.046

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). User’s guide for the structured clinical interview for DSM-IV Axis I Disorders: Clinician version (1st ed.). American Psychiatric Press.

Fox, A. P., & Leung, N. (2009). Existential well-being in younger and older people with anorexia nervosa: A preliminary investigation. European Eating Disorders Review, 17(1), 24-30. https://doi.org/10.1002/erv.895

Frankl, V. E. (2014). Theory and therapy of the mental disorders. Routledge.

Fulford, D., Meyer-Kalos, P. S., & Mueser, K. T. (2020). Focusing on recovery goals improves motivation in first-episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 55(1), 1629-1637. https://doi.org/10.1007/s00127-020-01877-x

García-Alandete, J. (2015). Does meaning in life predict psychological well-being? An analysis using the Spanish versions of the Purpose-In-Life Test and the Ryff’s Scales. Euroean Journal of Counselling Psychology, 3(2), 89-98. https://doi.org/10.5964/ejcop.v3i2.27

García-Alandete, J., Gallego, B., Pérez, S., & Marco, J. H. (2019). Meaning in life among adolescents: Factorial invariance of the Purpose in Life Test and buffering effect on the relation between emotional dysregulation and hopelessness. Clinical Psychology and Psychotherapy, 26(1), 24-34. https://doi.org/10.1002/cpp.2327

García-Alandete, J., Rosa, E., & Sellés, P. (2013). Factorial structure and internal consistency of a Spanish version of the Purpose-In-Life Test. Universitas Psychologica, 12(2), 517-530. https://doi.org/10.11144/Javeriana.UPSY12-2.efci

Glaw, X., Kable, A., Hazelton, M., & Inder, K. (2017). Meaning in life and meaning of life in mental health care: An integrative literature review. Issues in Mental Health Nursing, 38(3), 243-252. https://doi.org/10.1080/01612840.2016.1253804

IBM. (2017). IBM SPSS Statistics for Windows, Version 25.0. IBM Corp.

Kelftaras, G., & Katsogianni, I. (2012). Spirituality, meaning in life, and depressive symptomatology in individuals with alcohol dependence. Journal of Spirituality and Mental Health, 14(4), 268-288. https://doi.org/10.1080/19349637.2012.730469

Koivumaa-Honkanen, H. T., Honkanen, R., Antikainen, R., Hintikka, J., & Viinimäki, H. (1999). Self-reported life satisfaction and treatment factors in patients with schizophrenia, major depression and anxiety disorder. Acta Psychiatrica Scandinavica, 99(5), 377-384. https://doi.org/10.1111/j.1600-0447.1999.tb07244.x

Koivumaa-Honkanen, H. T., Viinamäki, H., Honkanen, R., Tanskanen, A., Antikainen, R., Niskanen, L., Jääskeläinen, J., & Lehtonen, J. (1996). Correlates of life satisfaction among psychiatric patients. Acta Psychiatrica Scandinavica, 94(5), 372-378. https://doi.org/10.1111/j.1600-0447.1996.tb09875.x

Lan, C. M., & Su, T. M. (2007). Life meaning of patients with schizophrenia. Chang Gung Nursing, 18(4), 475-385.

Lungu, A., & Linehan, M. M. (2017). Dialectical behavior therapy: overview, characteristics, and future directions. In S. G. Hofmann & G. J. G. Asmundsonr, (Eds.), The Science of Cognitive Behavioral Therapy (pp. 429-459). Academic Press.

Marco, J. H., Cañabate, M., Llorca, G., & Pérez, S. (2019). Meaning in life moderates hopelessness, suicide ideation, and borderline psychopathology in participants with eating disorders: A longitudinal study. Clinical Psychology & Psychotherapy, 27(2), 146-158. https://doi.org/10.1002/cpp.2414

Marco, J. H., García-Alandete, J., & Pérez, S. (2020). Meaning in life in eating disorders patients with non-suicidal self injuries. Revista Argentina de Clínica Psicológica, 29(5), 468-477. https://doi.org/10.24205/03276716.2020.1044

Marco, J. H., García-Alandete, J., Pérez, S., & Botella, C. (2014). Meaning in life as a mediator variable between depression and hopelessness in patients with borderline personality disorder. Behavioral Psychology, 22(2), 291-303.

Marco, J. H., García-Alandete, J., Pérez, S., Guillén, V., Jorquera, M., Espallargas, P., & Botella, C. (2015). Meaning in life and non-suicidal self-injury: A follow-up study with participants with borderline personality disorder. Psychiatry Research, 230(2), 561-566. https://doi.org/j.psychres.2015.10.004

Marco, J. H., Guillen, V., & Botella, C. (2017). The buffer role of meaning in life in hopelessness in women with borderline personality disorders. Psychiatry Research, 247, 120-124. https://doi.org/10.1016/j.psychres.2016.11.011

Marco, J. H., Pérez, S., & García-Alandete, J. (2016). Meaning in life buffers the association between risk factors for suicide and hopelessness in participants with mental disorders. Journal of Clinical Psychology, 72(7), 689-700. https://doi.org/10.1002/jclp.22285

Marco, J. H., Pérez, S., García‐Alandete, J., & Moliner, R. (2017). Meaning in life in people with borderline personality disorder. Clinical Psychology and Psychotherapy, 24(1), 162-170. https://doi.org/10.1002/cpp.1991

Martela, F., & Steger, M. (2016). The three meanings of meaning in life: Distinguishing coherence, purpose, and significance. Journal of Positive Psychology, 11(5), 531-545. https://doi.org/17439760.2015.1137623

Moghbel, S., & Haghayegh, S. A. (2019). The effectiveness of acceptance and commitment therapy on resilience, meaning in life, and family function in family caregivers of patients with schizophrenia. The Horizon of Medical Sciences, 25(4), 298-311. https://doi.org/10.32598/hms.25.4.298

Roberts, G. (1991). Delusional belief systems and meaning in life: A preferred reality? British Journal of Psychiatry, 159(Suppl. 14), 19-28. https://doi.org/10.1192/S0007125000296438

Rosmarin, D. H., & Koenig, H. G. (Eds.) (2020). Handbook of spirituality, religion, and mental healt. Academic Press. https://doi.org/10.1016/C2017-0-04790-0

Saarni, S. I., Härkänen, T., Sintonen, H., Suvisaari, J., Koskinen, S., Aromaa, A., & Lönnqvist, J. (2006). The impact of 29 chronic conditions on health-related quality of life: A general population survey in Finland using 15D and EQ-5D. Quality of Life Research, 15(8), 1403-1414. https://doi.org/10.1007/s11136-006-0020-1

Sacco, W. P., & Beck, A. T. (1995). Cognitive theory and therapy. In E. E. Beckham & W. R. Leber, (Eds.), Handbook of Depression: Treatment, Assessment and Research (2nd ed., pp. 329-351). Guilford Press.

Schulenberg, S. E., Strack, K. M., & Buchanan, E. M. (2011). The meaning in life questionnaire: Psychometric properties with individuals with serious mental illness in an inpatient setting. Journal of Clinical Psychology, 67(12), 1210-1219. https://doi.org/10.1002/jclp.20841

Seow, L. S. E., Vaingankar, J. A., Abdin, E., Sambasivam, R., Jeyagurunathan, A., Pang, S., Chong, S. A., & Subramaniam, M. (2016). Positive mental health in outpatients with affective disorders: Associations with life satisfaction and general functioning. Journal of Affective Disorders, 190, 499-507. https://doi.org/10.1016/j.jad.2015.10.021

Sivaraman, K. P. (2003). Life goals: The concept and its relevance to rehabilitation. Clinical Rehabilitation, 17(2), 192-202. https://doi.org/10.1191/0269215503cr599oa

Stolovy, T., Lev-Wiesel, R., Doron, A., & Gelkopf, M. (2009). The meaning in life for hospitalized patients with schizophrenia. The Journal of Nervous and Mental Disease, 197(5), 133-135. https://doi.org/10.1097/NMD.0b013e3181963ede

Volkert, J., Schulz, H., Brütt, A. L., & Andreas, S. (2014). Meaning in life: Relationship to clinical diagnosis and psychotherapy outcome. Journal of Clinical Psychology, 70(6), 528-535. https://doi.org/10.1002/jclp.22053

Williams, D. T., Hirsch, S., & Coffey, B. (2007). Mood and anxiety symptoms in an adolescent with pervasive developmental disorder not otherwise specified and moderate mental retardation. Journal of Child and Adolescence Psychopharmacology, 17(5), 721-726. https://doi.org/10.1089/cap.2007.17503
Cómo citar
García-Alandete, J., Pérez Rodríguez, S., & Marco, J. H. . (2021). Diferencias en sentido de la vida en pacientes diagnosticados con trastorno mental. Universitas Psychologica, 20, 1–10. https://doi.org/10.11144/Javeriana.upsy20.dmlp
Sección
Artículos

Artículos más leídos del mismo autor/a