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Ítem Afrontamento do cáncer: Adaptação ao espanhol e validação do Mini-MAC em população Colombiana] [Afrontamiento del cáncer: Adaptación al español y validación del Mini-MAC en población colombiana(Fundacion para el Avance de la Psicologia, 2015-01-01) J. ROMÁN CALDERÓN; A. KRIKORIAN; C. PALACIO; J. ROMÁN CALDERÓN; A. KRIKORIAN; C. PALACIO; Universidad EAFIT. Departamento de Humanidades; El Método Analítico y sus Aplicaciones en las Ciencias Sociales y Humanas (EAFIT – Ude A)Objective: To examine the psychometric properties of the spanish version of the Mini-MAC in a Colombian cancer sample. Methods: one hundred and twentysix cancer patients completed the adapted Mini-MAC, the Hospital Anxiety and Depression Scale (HADS) and the Detection of Emotional Distress Scale (DED). Descriptive, correlational and internal consistency statistics were obtained. An Principal Component Analysis (PCA) and a Path Analysis using Structural Equation Modeling (SEM) were performed. Results: A 4-factor solution was derived: Helplessness/Hopelessness (HH), Anxious Preoccupation (AP), Cognitive Avoidance (CA) and Fighting Spirit (FS). PCA values indicated a factor solution explaining 58.9% of the variance. Significant correlations were found between HH and AP, and HH and FS. CA significantly correlated with AP and FS. Significant correlations between Mini-MAC, HADS and DED were found. Cronbach´s Alpha was superior to.6 in all cases. SEM analysis indicated that HH and AP have a positive effect on anxiety and a negative one on the emotional state, explaining 49% of the variance. CA had a negative effect on the emotional state. Altogether, HH, AP y CA explained 39% of the variance on emotional state. Conclusion: The Colombian version of the Mini-MAC is valid and reliable. It constitutes an adequate tool for assessment of coping in cancer. © 2015, Fundacion para el Avance de la Psicologia. All rights reserved.Ítem Coping with Cancer: Spanish Adaptation and Validation of the Mini-MAC Scale in a Colombian Population(Fundacion para el Avance de la Psicologia, 2015-01-01) J. ROMON CALDERON; A. KRIKORIAN; C. PALACIO; J. ROMON CALDERON; A. KRIKORIAN; C. PALACIO; Universidad EAFIT. Departamento de Humanidades; El Método Analítico y sus Aplicaciones en las Ciencias Sociales y Humanas (EAFIT – Ude A)Objective: To examine the psychometric properties of the Spanish version of the Mini-MAC in a Colombian cancer sample. Methods: one hundred and twenty-six cancer patients completed the adapted Mini-MAC, the Hospital Anxiety and Depression Scale (HADS) and the Detection of Emotional Distress Scale (DED). Descriptive, correlational and internal consistency statistics were obtained. An Principal Component Analysis (PCA) and a Path Analysis using Structural Equation Modeling (SEM) were performed. Results: A 4-factor solution was derived: Helplessness/Hopelessness (HH), Anxious Preoccupation (AP), Cognitive Avoidance (CA) and Fighting Spirit (FS). PCA values indicated a factor solution explaining 58.9% of the variance. Significant correlations were found between HH and AP, and HH and FS. CA significantly correlated with AP and FS. Significant correlations between Mini-MAC, HADS and DED were found. Cronbach's Alpha was superior to .6 in all cases. SEM analysis indicated that HH and AP have a positive effect on anxiety and a negative one on the emotional state, explaining 49% of the variance. CA had a negative effect on the emotional state. Altogether, HH, AP y CA explained 39% of the variance onemotional state. Conclusion: The Colombian version of the Mini-MAC is valid and reliable. It constitutes an adequate tool for assessment of coping in cancer.Ítem Predictors of suffering in advanced cancer.(SAGE PUBLICATIONS INC, 2014-08-01) A. KRIKORIAN; J. LIMONERO; J. PABLO ROMAN; J. JAIRO VARGAS; C. PALACIO; A. KRIKORIAN; J. LIMONERO; J. PABLO ROMAN; J. JAIRO VARGAS; C. PALACIO; Universidad EAFIT. Departamento de Humanidades; El Método Analítico y sus Aplicaciones en las Ciencias Sociales y Humanas (EAFIT – Ude A)CONTEXT: Suffering is a complex experience. Identifying its predictors is useful to signal at-risk patients. OBJECTIVE: To identify suffering predictors in patients with advanced cancer in palliative care. METHODS: A total of 98 patients participated in the study. A semistructured interview examining suffering levels and physical, psychological, social, and spiritual aspects was used. Instruments included Pictorial Representation of Illness and Self Measure (PRISM), Edmonton Symptom Assessment System (ESAS), Detection of emotional distress (DED), and Structured Interview of Symptoms and Concern (SISC). Variance-based structural equation model was used for the data analysis. RESULTS: All measures were valid and reliable. The structural model explained 64% of the variance. Suffering levels were directly determined by psychological and adjustment problems and indirectly determined by physical, psychological, and spiritual aspects and coping strategies. CONCLUSION: Our study supports the proposed theoretical model and signals the important mediating effect of psychological and spiritual variables between physical symptoms and suffering.