Coping is at the first line at current research about health-illness, but it is facing a conceptual confusion that limits its efficiency. We have assessed the use of coping and the affective state in ambulatory and hospitalized Chronic obstructive pulmonary disease (COPD) patients, with three aims: a) getting of information about the use of coping and the affective states in COPD patients; b) determination of coping sensitivity levels to the stressors that configure medical situations; and c) establishment of capacity of this concept to predict the presence of emotional disorders. Our results have shown us the weakness of coping concept, now that its lack of sensitivity to the shaping items in the stressful situation and its incapacity to collect the modulating factors of the affective state; we have pointed out several explanations to this situation and proposed changes in coping evaluation and definition.
El concepto de afrontamiento ocupa un lugar de primer orden en la investigación actual en el ámbito de la salud-enfermedad, pero se enfrenta a una situación de confusión conceptual que limita su operatividad. Hemos evaluado el uso de estrategias de afrontamiento y el estado afectivo en pacientes ambulatorios y hospitalizados que padecen una Enfermedad Pulmonar Obstructiva Crónica (EPOC) con un triple objetivo: a) obtener información sobre el uso de estrategias de afrontamiento y acerca del estado afectivo en los enfermos con EPOC; b) determinar los niveles de sensibilidad del concepto de Afrontamiento a los estresores que configuran las situaciones médicas; y c) establecer la capacidad de este concepto para predecir la presencia de alteraciones afectivas. Nuestros resultados nos han mostrado la debilidad del concepto de Afrontamiento, dada su falta de sensibilidad a los elementos que configuran la situación estresante y su incapacidad para recoger los factores moduladores del estado afectivo; hemos apuntado algunas explicaciones a esta situación y propuesto modificaciones en la definición y evaluación del Afrontamiento.
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