Design and evaluation of the efficacy of a psychoeducational navigation program to reduce symptoms of anxiety and depression in Mexican women with breast cancer

  • Flor E. Larios-Jiménez Universidad de Guadalajara. Guadalajara, México.
  • Leivy P. González-Ramírez
  • Sara K. Rivas-Medina Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara
  • Antonio Oceguera-Villanueva Instituto Jalisciense de Cancerología, Guadalajara.
  • Adelfo Barragán-Ruíz UMAE Hospital de Ginecoobstetricia
  • Andrés de J. Morán-Mendoza UMAE Hospital de Especialidades, CMNO IMSS
  • Juan M. Castro-Cervantes
  • Pedro Solano-Murillo Facultad de Psicología, Universidad Michoacana de San Nicolás de Hidalgo, Morelia. México.
  • Gilberto Morgan-Villela
  • Mónica Montero-Ramírez
  • Fabiola González- Betanzos Facultad de Psicología, Universidad de Colima
  • Roberto Montes-Delgado Facultad de Psicología, Universidad Michoacana de San Nicolás de Hidalgo
  • Rebeca Robles-García Instituto Nacional de Psiquiatría “Ramón de la Fuente Muñiz”, Ciudad de México
  • ´Adrián Daneri-Navarro Departamento de Fisiología. Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara. Guadalajara, México
DOI: https://doi.org/10.5209/psic.87573
Keywords: Psychoeducational program, health education, relaxation techniques, anxiety, depression, breast cancer

Abstract

Objective: Breast cancer (BC) is a public health problem. Anxiety and depression are the main comorbidities that afflict this sector, the navigation psychoeducational program (NPP) is presented as an effective psychosocial strategy in public hospitals in Mexico.Method: The NPP was adapted and its efficacy evaluated in 47 women with BC from three hospitals in the Guadalajara Metropolitan Area. The NPP integrated emotional accompaniment, health education and relaxation techniques. Symptoms and levels of anxiety and depression were evaluated pre-post intervention with the Hospital Anxiety and Depression Scale (HADS). Results: A decrease was found in anxiety symptoms pre-test (M= 6.79, SD= 4.01) and post-test (M= 4.19, SD= 3.03), the same as in depression symptoms before (M= 6.02, SD= 4.07) and after (M= 4.23, SD= 3.05). Statistically significant differences were obtained between the pre- and post-intervention evaluations both in the dimensions and in the global score (p<0.001). Conclusions: The NPP showed efficacy in reducing symptoms and levels of anxiety and depression in Mexican women with BC. We suggest replicating the program in other cancer care contexts in compliance with national regulations.

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Author Biographies

Leivy P. González-Ramírez

Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey

Juan M. Castro-Cervantes

 Facultad de Psicología, Universidad de Colima, Colima. México.

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Published
2023-04-11
How to Cite
Larios-Jiménez F. E. ., González-Ramírez L. P. ., Rivas-Medina S. K. ., Oceguera-Villanueva A. ., Barragán-Ruíz A. ., Morán-Mendoza A. d. J. ., Castro-Cervantes J. M. ., Solano-Murillo P. ., Morgan-Villela G. ., Montero-Ramírez M. ., González- Betanzos F. ., Montes-Delgado R. ., Robles-García R. . y Daneri-Navarro ´. . (2023). Design and evaluation of the efficacy of a psychoeducational navigation program to reduce symptoms of anxiety and depression in Mexican women with breast cancer. Psicooncología, 20(1), 121-138. https://doi.org/10.5209/psic.87573
Issue
Vol. 20 No. 1 (2023)
Section
Articles

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