Examinando por Autor "Iraurgi Castillo, Ioseba"
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Ítem Desarrollo y evidencias preliminares de validez de la escala de necesidades relaciones de Erskine(UNED - Universidad Nacional de Educación a Distancia, 2024) Iraurgi Castillo, Ioseba; Gómez Marroquín, Ignacio; Gorbeña, Susana; Mauriz Etxabe, Amaia; Erskine, RichardLa psicoterapia relacional integrativa de Erskine se apoya en un modelo teórico de ocho necesidades relacionales básicas para el que no existe una herramienta de evaluación que facilite la investigación y la indagación terapéutica. Se describe el proceso de desarrollo de una nueva escala que garantice la correcta evaluación de las ocho necesidades, incluyendo análisis de expertos, de comprensibilidad y un análisis preliminar de la estructura factorial y primeros datos de validez. Los resultados apuntan hacia una óptima validez aparente y de contenido (coeficientes kappa de concordancia inter-jueces entre.62 y .96), una alta fiabilidad (alpha de Crombach de .96 para el total de la escala y por encima de .76 en las ocho dimensiones teóricas), y datos psicométricos alentadores. Se discuten las líneas de mejora, entre las cuales se destaca la posibilidad de refinar la escala reduciendo el número de ítems en futuros análisis con muestras tanto clínicas como normativas amplias y heterogéneas.Ítem Differences in quality of life and emotional well-being in breast, colon, and lung cancer patients during outpatient adjuvant chemotherapy: a longitudinal study(Lippincott Williams and Wilkins, 2023) Ulibarri-Ochoa, Ainhoa; Ruiz-de-Alegría, Begoña; López-Vivanco, Guillermo; García-Vivar, Cristina; Iraurgi Castillo, IosebaBackground Adjuvant chemotherapy used at each cancer site may affect quality of life (QoL) and emotional well-being (affect) of cancer patients differently; however, these differences between groups have not been studied. Objectives The aim of this study was to assess differences in QoL and affect by cancer site at the start of outpatient adjuvant chemotherapy, whether QoL and affect change during this treatment, and whether adverse effects influence these variables. Methods A multicenter longitudinal descriptive study was conducted with 247 participants with breast, colon, or lung cancer at the beginning (T1) and end of treatment (T2). We used the SF-12 Health Survey, Positive and Negative Affect Scale, and an "ad hoc"adverse effects questionnaire. Results At the start of chemotherapy, the lung group had poorer Physical Component Summary and poorer positive and negative affect (P <.05) scores. In the end-of-treatment comparisons, breast and colon cancer patients' status had worsened, whereas lung cancer patients had tended to stabilize, although they remained the most vulnerable. Adverse effect severity was significant for Physical Component Summary (r = -0.13, P =.035), with decreases in positive affect (r = -0.17, β = -.16) and increases in negative affect (r = 0.15, β =.14). Conclusions Changes in QoL and emotional state differ between groups, implying a need for varying levels of follow-up and emotional support. Patients with lung cancer seem particularly vulnerable. Implications for Practice Cancer nurses could strengthen the assessment of patients undergoing chemotherapy using more sensitive instruments such as the Positive and Negative Affect Scale and considering differences by cancer site, to provide care tailored to individual patient needs and preferences.Ítem Discrepancy between experience and importance of recovery components in the symptomatic and recovery perceptions of people with severe mental disorders(BioMed Central Ltd, 2021-12) Penas, Patricia; Uriarte, José Juan; Gorbeña, Susana; Slade, Mike; Moreno-Calvete, María Concepción; Iraurgi Castillo, IosebaBackground: Personal recovery has become an increasingly important approach in the care of people with severe mental disorders and consequently in the orientation of mental health services. The objective of this study was to assess the personal recovery process in people using mental health services, and to clarify the role of variables such as symptomatology, self-stigma, sociodemographic and treatment. Methods: Standardised measures of personal recovery process, clinical recovery, and internalized stigma were completed by a sample of 312 participants in a Severe Mental Disorder program. Results: Users valued most the recovery elements of: improving general health and wellness; having professionals who care; hope; and sense of meaning in life. Significant discrepancies between perceived experience and relative importance assigned to each of the components of the REE were observed. Regression modeling (χ2 = 6.72, p =.394; GFI =.99, SRMR =.03) identified how positive discrepancies were associated with a higher presence of recovery markers (β =.12, p =.05), which in turn were negatively related to the derived symptomatology index (β = −.33, p <.001). Furthermore, the relationship between clinical and personal recovery was mediated by internalized stigma. Conclusions: An improvement in psychiatric services should be focused on recovery aspects that have the greatest discrepancy between importance and experience, in particular social roles, basic needs and hope. Personal and clinical recovery are correlated, but the relationship between them is mediated by internalized stigma, indicating the need for clinical interventions to target self-stigma.Ítem Effect of the Wii Sports Resort on the improvement in attention, processing speed and working memory in moderate stroke(BioMed Central Ltd., 2019-02-28) Unibaso Markaida, Iratxe; Iraurgi Castillo, Ioseba; Ortiz Marqués, Nuria; Amayra Caro, Imanol; Martínez Rodríguez, SilviaBackground: Stroke is the most common neurological disease in the world. After the stroke, some people suffer a cognitive disability. Commercial videogames have been used after stroke for physical rehabilitation; however, their use in cognitive rehabilitation has hardly been studied. The objectives of this study were to analyze attention, processing speed, and working memory in patients with moderate stroke after an intervention with Wii Sports Resort and compared these results with a control group. Methods: A pre-post design study was conducted with 30 moderate stroke patients aged 65 ± 15. The study lasted eight weeks. 15 participated in the intervention group and 15 belong to the control group. They were assessed in attention and processing speed (TMT-A and B) and working memory (Digit Span of WAIS-III). Parametric and effect size tests were used to analyze the improvement of those outcomes and compared both groups. Results: At the baseline, there was no difference between TMT-A and B. A difference was found in the scalar score of TMT-B, as well as in Digit Backward Span and Total Digit Task. In TMT-A and B, the intervention group had better scores than the control group. The intervention group in the Digit Forward Span and the Total Digit obtained a moderate effect size and the control group also obtained a moderate effect size in Total Digit. In the Digit scalar scores, the control group achieved better results than the intervention group. Conclusions: The results on attention, processing speed and working memory improved in both groups. However, according to the effect sizes, the intervention group achieved better results than the control group. In addition, the attention and processing speed improved more than the working memory after the intervention. Although more studies are needed in this area, the results are encouraging for cognitive rehabilitation after strokeÍtem The effects of an intervention to improve mental health during the COVID-19 quarantine: comparison with a COVID control group, and a pre-COVID intervention group(Routledge, 2022) Gorbeña, Susana; Gómez Marroquín, Ignacio; Govillard Garmendia, Leila; Sarrionandia Vadillo, Sare; Macía Guerrero, Patricia; Penas, Patricia; Iraurgi Castillo, IosebaObjectiveThe COVID-19 pandemic has constituted an unprecedented challenge to society and science and it has provided an unexpected opportunity to explore the effects of a positive intervention in times of adversity and confinement. The goal was to evaluate the effects of a theory driven group intervention to cultivate mental health and flourishing. Design: A pre post design with three groups (151 individuals) was conducted, including an experimental group that received the intervention during the pandemic, a pre-COVID intervention group, and a COVID control group. Main Outcome Measures: Based on Keyes’ concept of positive mental health, measures of subjective, psychological and social well-being were obtained, as well as an indicator of psychological distress (GHQ12). Results: Intervention groups showed an increase in well-being and the COVID control group a decrease. Change scores revealed significant differences. Overall percentage of individuals at risk of ill health in baseline was 25.2%, but after the intervention, the COVID control group reached 64.1%. Conclusions: Despite the limitations, the present findings suggest that interventions to sustain and improve mental health in times of crisis and adversity can be an effective approach.Ítem Evidencias de adecuación psicométrica de la versión española de la Escala HoNOS(Asociación Iberoamericana de Diagnóstico y Evaluación, 2024) Uriarte, José Juan; Iglesias López, Nerea; Penas, Patricia; Moreno-Calvete, María Concepción; Álvarez, Alexander; Iraurgi Castillo, IosebaOutcome evaluation in mental health intervention programs is presented as an alternative of choice for assessing the effectiveness of treatments. For its implementation, it is necessary to have measuring instruments adequately adapted and validated to the context of application. The aim of the study is to provide evidence of the psychometric adequacy of HoNOS adapted to Spanish. A total of 281 users selected by probabilisticstratified sampling participated in the study. The HoNOS scale was used and the dimensional structure that best fits the data to the theoretical model of symptom clustering was tested using confirmatory factor analysis techniques. Evidence was presented showing the HoNOS scale as an appropriate instrument for result assessment in severe mental illnesses. These results make it possible to propose both the use of an overall assessment index and the use of the specific dimensions proposed by the instrument’s authorsÍtem Expression of resilience, coping and quality of life in people with cancer(Public Library of Science, 2020-07-29) Macía Guerrero, Patricia; Barranco, Mercedes; Gorbeña, Susana; Iraurgi Castillo, IosebaConsidering the importance of coping strategies and resilience in adapting to the stress caused by cancer, the objective of this research is to explore which coping strategies are the most used, in order to know whether different groups of levels of resilience and an appropriate coping style are related to a higher quality of life and better adaptation to the disease. There were 74 participants with cancer in this study (79.7% of them were women) ranging in age from 29 to 85 years (M = 50.9). Different instruments were used to measure the resilience construct (ER-20 items Resilience Scale), coping strategies (Cognitive Emotion Regulation Questionnaire-Short) and quality of life (General Health Questionnaire). People with higher resilience showed higher scores in the use of adaptive strategies, being acceptance and positive revaluation the most frequent ones. Regarding perception of quality of life, people with lower resilience showed statistically significant differences in the dimensions of pain and general health, which were likewise the most common ones for people with lower resilience. A significant association has been demonstrated between resilience and an adaptive coping, which at the same time are positively linked to quality of life of people with cancer. This study provides information about how different groups of resilience levels are related with coping and quality of life in people with cancer. It could be useful information for psychologists in the oncological area who have to take decisions in the clinical context. A practical consequence would involve trying to modify the type of coping, as well as increasing the level of resilience in people with cancer, in order to achieve a better adjustment to the disease.Ítem A global health model integrating psychological variables involved in cancer through a longitudinal study(Frontiers Media S.A., 2022-07-28) Macía Guerrero, Patricia ; Gorbeña, Susana; Barranco, Mercedes ; Iglesias López, Nerea; Iraurgi Castillo, IosebaThe literature has shown the relevance of certain psychological variables in adjustment to cancer. However, there is a great variability, and these features could be modified through the disease process. The aim of this study is to provide an integrated and global perspective of the importance of variables such as coping, resilience, emotional control, social support, affect, and others in cancer patients through a longitudinal study, with the objective of exploring their associations and underlying interactions. The sample was composed of 71 people diagnosed with cancer who were attending psychological support at the Spanish Association Against Cancer (Biscay). We assessed the following variables in two periods of 6 months: perceived stress (PSS), emotional control (CECS), resilience (CD-RISC), coping strategies (CERQ), personality (NEOFFI), social support (MOSS), affect (PANAS), emotional distress (GHQ), quality of life (SF-12) and visual-analogic scales (EVA). Results: Results showed predictive effects of perceived stress on physical health perception (β = −0.22; t = −3.26; p = 0.002). Mental health perception was influenced by almost all the psychological variables. Consciousness at baseline (βCo = 0.15; p = 0.003), change in Extraversion (βEx = 0.16; p = 0.001) and Resilience (βRe = 0.15; p = 0.002) had significant effects on perceived mental health. This study provides a global health model that integrates and explores associations between psychological variables related to cancer disease. This information could be useful for guiding personalized psychotherapeutic interventions, with the aim of increasing adjustment to disease.Ítem Percepción docente sobre la inclusión educativa del alumnado con altas capacidades intelectuales(Red Iberoamericana de Investigación sobre Cambio y Eficacia Escolar, 2024) Martínez Izaguirre, Miryam; Álvarez, Alexander; Iraurgi Castillo, IosebaEl sistema educativo ha de velar por una educación de calidad e inclusiva para todo el alumnado, haciendo extensiva su misión al alumnado con altas capacidades intelectuales (ACI). En consecuencia, el marco normativo vigente reconoce las necesidades específicas de apoyo educativo que presenta este colectivo y la necesaria personalización de su educación. El presente estudio, de carácter cuantitativo, tiene por objeto analizar las percepciones de 124 docentes de Educación Primaria y Secundaria Obligatoria de la Comunidad Autónoma del País Vasco (España) hacia la inclusión educativa del alumnado con ACI, a través de una escala que recoge tanto la importancia otorgada como el nivel de implementación en la práctica. El análisis de los resultados a través de la técnica AIR facilita la detección de los aspectos a priorizar para que la inclusión educativa del alumnado con ACI supere el plano de la planificación educativa. Los resultados muestran que los docentes coinciden en la necesidad de garantizar la inclusión educativa del alumnado con ACI a través de la mejora de su abordaje. Destacan como principales áreas de mejora la implicación activa de todos los agentes intervinientes, una mayor cualificación pedagógica de los docentes, y una mayor dotación de recursos que garantice la viabilidad de su atención educativa.Ítem The relationship between serious leisure and recreation specialization in sportspeople with and without physical disabilities(Elsevier Ltd, 2021-02-18) Iraurgi Castillo, Ioseba; Romero Da Cruz, Sheila ; Madariaga Ortuzar, Aurora; Araújo, DuarteThis study analyzes whether the relationship between serious leisure and recreation specialization differs for federated sportspeople with and without physical disabilities. Sportspeople with and without physical disabilities in the Basque Country (Spain) (n = 370) completed a questionnaire assessing the component dimensions of two constructs, “serious leisure” and “recreation specialization”. The Serious Leisure Inventory and Measure (SLIM) and the Recreation Specialization Index (RSI) were used in the analysis. Results showed an association between these concepts in competitive sports in both samples. However, the magnitudes of association between the total of both concepts were higher in the group with physical disabilities. Regarding perceptions about their sports practice, the group without physical disabilities showed higher levels of specialization but there were no substantial differences between their levels of serious leisure participation. In conclusion, seriousness and specialization were found to be key issues for sportspeople's practice of leisure, regardless of their physical conditionÍtem The role of personal recovery and internalised stigma on the expression of symptomatology in severe mental disorders: mediating and moderating effects(Elsevier Ltd, 2024-9-1) Penas, Patricia; Uriarte, José Juan; Álvarez, Alexander; Moreno-Calvete, María Concepción; Garay, María Asunción; Iraurgi Castillo, IosebaObjective: Given the relevance of internalised stigma in people suffering from a mental disorder, in the present study, the possible mediating and moderating role of self-stigma in the relationship between personal recovery and symptomatology has been studied. Method: 265 participants with severe mental disorder completed the following instruments: ISMI (self-stigma), REE (personal recovery) and HoNOS, CGI, GAF and EuroQol (symptomatology). Results: both the mediation and moderation analyses show significant results, which would indicate that internalised stigma has an effect on the relationship between personal recovery and symptomatology. Also, people with lower level of personal recovery and greater self-stigma have greater symptomatology than those who are in more advanced personal recovery processes and have a lower perception of internalised stigma. Discussion: the findings of this study suggest that self-stigma has an effect, and the improvement at personal recovery and symptomatology is accentuated when people with a severe mental disorder have a better management of internalised stigma. Therefore, it may be interesting to include this variable in recovery interventions.Ítem Role of resilience and emotional control in relation to mental health in people with cancer(SAGE Publications Ltd, 2022-01) Macía Guerrero, Patricia; Gorbeña, Susana; Barranco, Mercedes; Alonso, Estíbaliz; Iraurgi Castillo, IosebaThis study explored the relationship between emotional control, resilience, and mental health in cancer. Patients with cancer were recruited (n = 170). Courtauld Scale of Emotional Control, Connor-Davidson Resilience Scale, and the General Health Questionnaire were selected. Assuming the absence of interaction among the variables, they were analyzed separately. Four groups resulted, finding statistically significant differences (F(4, 165) = 18.03; p < 0.001). High resilience and low emotional control seem to be protective attributes, and high emotional control has demonstrated to be a risk factor for mental health. Considering differences in cancer-related psychological variables could derive in personalized psychotherapeutic interventions.Ítem Social support seeking among women victims of intimate partner violence: a qualitative analysis of lived experiences(Springer, 2025-04) Puente Martínez, Alicia; Reyes Sosa, Hyram; Ubillos Landa, Silvia; Iraurgi Castillo, IosebaPurpose: Intimate partner violence against women is a major source of morbidity and mortality among women worldwide. In this study, 131 testimonies of female victims of intimate partner violence (IPV) are examined to study the factors associated with victims’ decision to seek social support (formal and informal). Method: Semi-structured interviews were conducted with female victims of IPV in Spain. The IRaMuTeQ 7 software was used to analyze the discourses. A total of 10,845 words with 1183 different forms were examined. Results: The analysis identified six clusters. Cluster 1 (18% of the total content) reflects the emotional component of aggression (fear of death). Cluster 2 (13.1%) describes psychological aggression (threatening), and Cluster 3 (17.2%) refers to the use of power within relationships (control). Cluster 6 (13.8%) includes different types of physical aggression (hitting); and Clusters 4 (21%) and 5 (16.9%) refer to formal (judging) and informal (friends) social support. Conclusions: Results indicated a strong association between emotions (e.g., fear of dying) and physical and psychological aggression. Non-fatal strangulation represented an extreme form of physical violence that was used to control women increasing the risk of violence becoming lethal. Women tended to seek more support when the violence increased, and they perceived a greater risk to their children. There was an association between suffering violence, power, control, and seeking formal and informal social support. Results have significant implications to interrupt coercive control processes and to motivate help seeking behaviors in victims of IPV.Ítem Tool used to assess co-benefits of nature-based solutions in urban ecosystems for human wellbeing: second validation via measurement application(Multidisciplinary Digital Publishing Institute (MDPI), 2025-01) Herranz Pascual, Miren Karmele; Anchustegui, Paula; Cantergiani, Carolina; Iraurgi Castillo, IosebaIn recent years, nature-based solutions have been used in urban regeneration interventions to improve the adaptation and resilience of these places, contributing to improved environmental quality and cultural ecosystem functions, including people’s physiological, social, and mental health and wellbeing. However, when it comes to the assessment of psychological wellbeing and social benefits (psychosocial co-benefits), the existing evidence is still limited. To contribute to the advancement of knowledge on nature’s contribution to people in relation to this type of benefit, it is necessary for us to develop and test assessment tools to contribute to the development of a robust nature-based solutions monitoring framework. In this paper, the second phase of the validation of a psychosocial co-benefit assessment tool for nature-based urban interventions is presented. This tool is structured around two dimensions: the perceived health and wellbeing and social co-benefits. The first validation was carried out with experts using the Delphi method. The second validation presented in this paper was based on a sample of users, evaluating a set of eight urban spaces at different levels of naturalisation and openness. The results indicate that the tool is sensitive to the differences in naturalisation and openness in the public urban places analysed. The most relevant contextual variables to explain the psychosocial co-benefits are openness, the surfaces covered by tree branches, the water surface area, and naturalisation.