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Inicio Medicina Clínica (English Edition) Approaching psychosocial complexity in patients with cancer
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Vol. 154. Issue 3.
Pages 86-93 (February 2020)
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Vol. 154. Issue 3.
Pages 86-93 (February 2020)
Brief report
DOI: 10.1016/j.medcle.2019.03.031
Approaching psychosocial complexity in patients with cancer
Abordaje de la complejidad psicosocial en pacientes con cáncer
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Francisco Luis Gil Moncayoa,b,
Corresponding author
fgil@iconcologia.net

Corresponding author.
, Jorge Maté Méndeza,b, Cristian Ochoa Arnedoa, Anna Casellas-Graua, Jordi Trelis Navarroc, Josep Maria Borràs Andrésd
a Observatorio de Atención Psicosocial en Cáncer, Unidad de Psicooncología, Hospital Duran i Reynals, Instituto Catalán de Oncología, Hospitalet de Llobregat, Barcelona, Spain
b Grupo de Investigación en Estrés y Salud (GIES), Facultad de Psicología, Universidad Autónoma de Barcelona, Bellaterra, Barcelona, Spain
c Dirección Asistencial, Hospital Duran i Reynals, Instituto Catalán de Oncología, Hospitalet de Llobregat, Barcelona, Spain
d Plan Director de Oncología de Cataluña, Hospital Duran i Reynals, Instituto Catalán de Oncología, Hospitalet de Llobregat, Barcelona, Spain
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Table 1. Sociodemographic characteristics of the patients analysed (n = 27).
Abstract
Background and aim

To assess emotional distress and complexity of patients referred to the Psychosocial Committee.

Material and methods

A pre-post single group study was performed in a sample of oncological patients. From the 144 patients referred to the committee, 27 were attended by psychosocial specialists. The patients’ levels of emotional distress and psychosocial complexity were reviewed one month later.

Results

After having been attended according to the Committee’s indications, the patients showed significant decreases in emotional distress. The initial mean of 8 points on the emotional distress scale decreased to 5.81 points after having been referred to the specialist. This decline was also observed in psychosocial complexity. Before attendance, 70.4% patients showed high levels of complexity, and 7.4% showed low levels. After attendance, the percentages of patients with high levels of psychosocial complexity reduced to 48.1% and patients with low complexity increased to 22.2%.

Conclusions

The Committee provides an instrument to refer patients who show high levels of psychosocial complexity and require preferential and multidisciplinary attention. The Committee optimizes resources due to its efficiency in resolving complex cases.

Keywords:
Neoplasms
Oncology
Psycho-oncology
Psychosocial
Complexity
Resumen
Antecedentes y objetivo

Evaluar el malestar emocional y nivel de complejidad de pacientes presentados al Comité Psicosocial.

Materiales y métodos

Estudio pre-post con un solo grupo en pacientes con cáncer. De los 144 pacientes, 27 fueron derivados por el comité a especialistas del área psicosocial, y revisados sus niveles de malestar emocional y de complejidad un mes después.

Resultados

Después de ser atendidos según indicaciones del Comité, los pacientes mostraron un descenso significativo de los valores en malestar emocional: la media inicial de 8 puntos en la escala visual analógica de malestar emocional descendía a 5.8 puntos. El descenso se reflejó también en los niveles de complejidad: antes de ser revisados, un 70.4% de los pacientes mostraba un alto nivel de complejidad y un 7.4%, nivel bajo. Después de ser atendidos, los porcentajes de pacientes con alta complejidad se redujeron al 48.1% en los enfermos con alta complejidad, y aumentaron al 22.3% los de baja complejidad.

Conclusiones

El Comité ofrece un instrumento para derivar los casos de mayor complejidad que requieren de una atención preferente y multidisciplinar, permitiendo optimizar recursos, por su eficacia en la resolución de casos complejos.

Palabras clave:
Cáncer
Oncología
Psicooncología
Psicosocial
Complejidad

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