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Inflexibilidad psicológica en cuidadores principales de pacientes en situación de final de vida.

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Title: Inflexibilidad psicológica en cuidadores principales de pacientes en situación de final de vida.
Alternate Title: Psychological Inflexibility in Primary Caregivers of Patients at the End of Life.
Authors: Montaner Casino, Xavier1 xmontaner@cssv.cat, Freixedes Martínez, Vanessa1 vfreixedes@cssv.cat, Kallenbach Guibelalde, Carmen2 carmenkallenbach@gmail.com
Source: Psicooncologia. ene-jun2026, Vol. 23 Issue 1, p61-72. 12p.
Subjects: Families & psychology, Home care services, Cross-sectional method, Palliative treatment, Data analysis, Psychological distress, Scientific observation, Questionnaires, Patient-family relations, Psychological adaptation, Descriptive statistics, Burden of care, Statistics, Terminally ill, Barthel Index, Mental depression, Psychosocial factors
Geographic Terms: Spain
Abstract (English): Objectives: The burden experienced by informal caregivers of patients at the end of life is a growing concern in palliative care. This study aimed to evaluate the relationship between caregiver burden and psychological inflexibility in primary caregivers of patients receiving home-based palliative care in the CSSV PADES service (Barcelona). Methods: A cross-sectional observational study was conducted between February 2023 and February 2024 with 35 primary caregivers. Psychological inflexibility was assessed using the AAQ-II and CFQ, depressive symptoms with the PHQ-9, caregiver burden with the Zarit scale, patient dependency with the Barthel Index, emotional distress with DME, and symptom intensity with EDM. Descriptive statistics and Spearman correlations were performed. Results: Psychological inflexibility and cognitive fusion were significantly correlated with depressive symptoms (PHQ-9) and showed positive associations with caregiver burden (Zarit). No significant association was found between caregiver burden and patient emotional distress (DME). Higher psychological inflexibility was associated with greater perceived caregiver burden. Conclusions: Findings highlight the protective role of psychological flexibility in informal caregivers in palliative contexts. Interventions based on Acceptance and Commitment Therapy (ACT) may help reduce emotional and physical burden. Future research should include longitudinal designs and larger samples to confirm causality and evaluate intervention effects. Keywords: Psychological flexibility, caregiver burden, palliative care, informal caregivers, psychological inflexibility, emotional distress. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: la sobrecarga que sufren los cuidadores informales de pacientes en situación de final de vida es una preocupación creciente en cuidados paliativos. Este estudio tuvo como objetivo evaluar la relación entre la sobrecarga del cuidador y la inflexibilidad psicológica en cuidadores principales de pacientes atendidos en domicilio por el servicio PADES del CSSV (Barcelona). Método: se realizó un estudio observacional transversal entre febrero de 2023 y febrero de 2024 con 35 cuidadores principales. Se evaluaron: la inflexibilidad psicológica mediante el AAQ-II y el CFQ, los síntomas depresivos con el PHQ-9, la sobrecarga del cuidador con la escala de Zarit, la dependencia del paciente con el índice de Barthel, el malestar emocional con DME y la intensidad de síntomas con EDM. Se realizaron análisis descriptivos y correlaciones de Spearman. Resultados: La inflexibilidad psicológica y la fusión cognitiva se correlacionaron significativamente con los síntomas depresivos (PHQ-9) y mostraron asociaciones positivas con la sobrecarga del cuidador (Zarit). No se encontró asociación significativa entre la sobrecarga y el malestar emocional del paciente (DME). Una mayor inflexibilidad psicológica se asoció con una mayor percepción de sobrecarga. Conclusiones: los resultados destacan el papel protector de la flexibilidad psicológica en cuidadores informales en contextos paliativos, sugiriendo que intervenciones basadas en Terapia de Aceptación y Compromiso (ACT) podrían reducir la carga emocional y física. Futuras investigaciones deberían incorporar diseños longitudinales y muestras más amplias para confirmar causalidad y evaluar los efectos de las intervenciones. [ABSTRACT FROM AUTHOR]
Copyright of Psicooncologia is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Inflexibilidad psicológica en cuidadores principales de pacientes en situación de final de vida.
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  Data: Psychological Inflexibility in Primary Caregivers of Patients at the End of Life.
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  Data: <searchLink fieldCode="AR" term="%22Montaner+Casino%2C+Xavier%22">Montaner Casino, Xavier</searchLink><relatesTo>1</relatesTo><i> xmontaner@cssv.cat</i><br /><searchLink fieldCode="AR" term="%22Freixedes+Martínez%2C+Vanessa%22">Freixedes Martínez, Vanessa</searchLink><relatesTo>1</relatesTo><i> vfreixedes@cssv.cat</i><br /><searchLink fieldCode="AR" term="%22Kallenbach+Guibelalde%2C+Carmen%22">Kallenbach Guibelalde, Carmen</searchLink><relatesTo>2</relatesTo><i> carmenkallenbach@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Psicooncologia%22">Psicooncologia</searchLink>. ene-jun2026, Vol. 23 Issue 1, p61-72. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Families+%26+psychology%22">Families & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Palliative+treatment%22">Palliative treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Scientific+observation%22">Scientific observation</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-family+relations%22">Patient-family relations</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Burden+of+care%22">Burden of care</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Terminally+ill%22">Terminally ill</searchLink><br /><searchLink fieldCode="DE" term="%22Barthel+Index%22">Barthel Index</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Spain%22">Spain</searchLink>
– Name: Abstract
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  Data: Objectives: The burden experienced by informal caregivers of patients at the end of life is a growing concern in palliative care. This study aimed to evaluate the relationship between caregiver burden and psychological inflexibility in primary caregivers of patients receiving home-based palliative care in the CSSV PADES service (Barcelona). Methods: A cross-sectional observational study was conducted between February 2023 and February 2024 with 35 primary caregivers. Psychological inflexibility was assessed using the AAQ-II and CFQ, depressive symptoms with the PHQ-9, caregiver burden with the Zarit scale, patient dependency with the Barthel Index, emotional distress with DME, and symptom intensity with EDM. Descriptive statistics and Spearman correlations were performed. Results: Psychological inflexibility and cognitive fusion were significantly correlated with depressive symptoms (PHQ-9) and showed positive associations with caregiver burden (Zarit). No significant association was found between caregiver burden and patient emotional distress (DME). Higher psychological inflexibility was associated with greater perceived caregiver burden. Conclusions: Findings highlight the protective role of psychological flexibility in informal caregivers in palliative contexts. Interventions based on Acceptance and Commitment Therapy (ACT) may help reduce emotional and physical burden. Future research should include longitudinal designs and larger samples to confirm causality and evaluate intervention effects. Keywords: Psychological flexibility, caregiver burden, palliative care, informal caregivers, psychological inflexibility, emotional distress. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: la sobrecarga que sufren los cuidadores informales de pacientes en situación de final de vida es una preocupación creciente en cuidados paliativos. Este estudio tuvo como objetivo evaluar la relación entre la sobrecarga del cuidador y la inflexibilidad psicológica en cuidadores principales de pacientes atendidos en domicilio por el servicio PADES del CSSV (Barcelona). Método: se realizó un estudio observacional transversal entre febrero de 2023 y febrero de 2024 con 35 cuidadores principales. Se evaluaron: la inflexibilidad psicológica mediante el AAQ-II y el CFQ, los síntomas depresivos con el PHQ-9, la sobrecarga del cuidador con la escala de Zarit, la dependencia del paciente con el índice de Barthel, el malestar emocional con DME y la intensidad de síntomas con EDM. Se realizaron análisis descriptivos y correlaciones de Spearman. Resultados: La inflexibilidad psicológica y la fusión cognitiva se correlacionaron significativamente con los síntomas depresivos (PHQ-9) y mostraron asociaciones positivas con la sobrecarga del cuidador (Zarit). No se encontró asociación significativa entre la sobrecarga y el malestar emocional del paciente (DME). Una mayor inflexibilidad psicológica se asoció con una mayor percepción de sobrecarga. Conclusiones: los resultados destacan el papel protector de la flexibilidad psicológica en cuidadores informales en contextos paliativos, sugiriendo que intervenciones basadas en Terapia de Aceptación y Compromiso (ACT) podrían reducir la carga emocional y física. Futuras investigaciones deberían incorporar diseños longitudinales y muestras más amplias para confirmar causalidad y evaluar los efectos de las intervenciones. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psicooncologia is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=194638020
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        Value: 10.5209/psic.108428
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        Text: Spanish
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      – SubjectFull: Families & psychology
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      – SubjectFull: Home care services
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      – SubjectFull: Cross-sectional method
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      – SubjectFull: Spain
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