Emely Pérez Ramirez Normarie Torres-Blasco Olga Garduño-Ortega Eida Castro-Figueroa Rosario Costas-Muñiz

Resumen

En Puerto Rico, durante el periodo de 1990 al 2010, la incidencia de todos los tipos de cáncer tuvo un aumento gradual estadísticamente significativo a razón de 0.3% cada año. Igualmente hubo un aumento en la sobrevivencia de un 1% a 2%. Esto ha significado un incremento en la demanda de servicios integrados dada su importancia y su rol en el proceso de sobrevivencia. En la actualidad el tratamiento para la condición de cáncer es más especializado y complejo. Por lo que existe una gran necesidad de capacitar profesionales preparados para atender a las necesidades psicosociales de los pacientes y sobrevivientes de cáncer. No obstante, en Puerto Rico son escasos los recursos de adiestramiento en psico-oncología. Un total de 113 estudiantes graduados participaron en una encuesta en línea sobre las necesidades de adiestramiento en investigación. Los resultados sugieren que este es el primer estudio en documentar estas necesidades. Los resultados demuestran un alto nivel de interés en la práctica clínica y de investigación psico-oncológica (80.2%, n=81), pero existe pobre conocimiento general y de oportunidades en adiestramientos especializados (13.6%, n=14) para estudiantes interesados en el campo de la psico-oncología. Estos resultados demuestran la necesidad de crear nuevas oportunidades de adiestramiento en el área de psico-oncología.

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Keywords
References
American Cancer Society (2017). Cancer facts and figures 2017. Atlanta: American Cancer Society.

Bernal, G., & Ortiz-Torres, B. (2009). Barriers to research and capacity building at Hispanic-serving institutions: the case of HIV/AIDS research at the University of Puerto Rico. Am J Public Health, 99 Suppl 1, S60-65. doi:10.2105/AJPH.2007.12173.

Bultz, B. D. (2016). Cancer Care and the Role of Psychosocial Oncology: Where are We and Where are We Going? Asia-Pacific Journal of Oncology Nursing, 3(2), 118–120. http://doi.org/10.4103/2347-5625.182929

Castro, E. M., et al. (2015). "Identifying clinical and support service resources and network practices for cancer patients and survivors in southern Puerto Rico." Supportive Care in Cancer 23(4): 967-975.

Centro Comprensivo del Cáncer (2013). Boletín del Registro Central de Cáncer, Vol. 1, No. 2. Recuperado el 29 de mayo de 2017 de http://www.estadísticas.gobierno.pr/iepr/Link
Click. aspx?fileticket=XNd4xX_dMjg%3D&tabid=186.

Costas-Muniz, R. P., et al. (2017). "Ethnic differences in psychosocial service use among non-Latina white and Latina breast cancer survivors." Journal of Psychosocial Oncology: 1-14.

Die-Trill, M. and Holland, J. (1995). A model curriculum for training in psycho-oncology. Psycho-Oncology, 4: 169–182. doi:10.1002/pon.2960040302

Ford, J. G., Howerton, M. W., Lai, G. Y., Gary, T. L., Bolen, S., Gibbons, M. C., Tilburt, J., Baffi, C., Tanpitukpongse, T. P., Wilson, R. F., Powe, N. R. & Bass, E. B. (2008). Barriers to recruiting underrepresented populations to cancer clinical trials: A systematic review. Cancer, 112: 228–242. doi:10.1002/cncr.23157.

Giese-Davis, J., Waller, A., Carlson, L. E., Groff, S., Zhong, L., Neri, E., & Bultz, B. D. (2012). Screening for distress, the 6th vital sign: common problems in cancer outpatients over one year in usual care: associations with marital status, sex, and age. BMC Cancer, 12, 441. http://doi.org/10.1186/1471-2407-12-441.

Holland, J. C. (1993). Principles of psycho-oncology. In Holland JF, et al., eds. Cancer Medicine, 3rd edn. Baltimore, Williams and Wilkins, 1993, 1017±1033.

Kaplan, C. P., Nápoles, A., Davis, S., Lopez, M., Pasick, R. J., Livaudais-Toman, J., & Pérez-Stable, E. J. (2016). Latinos and Cancer Information: Perspectives of Patients, Health Professionals and Telephone Cancer Information Specialists. Journal of Health Disparities Research and Practice, 9(2), 154–167.

Lent, R. W., Brown, S. D., & Hackett, G. (1994). Toward a unifying social cognitive theory of career and academic interest, choice, and performance [Monograph]. Journal of Vocational Behavior, 45, 79-122.

Luque, J. S., Quinn, G. P., Montel-Ishino, F. A., Arevalo, M., Bynum, S. A., Noel-Thomas, S. & Tampa Bay Community Cancer Network Partners. (2012). Formative Research on Perceptions of Biobanking: What Community Members Think. Journal of Cancer Education: The Official Journal of the American Association for Cancer Education, 27(1), 91–99. http://doi.org/10.1007/s13187-011-0275-2

Muñoz-Antonia, T., Ung, D., Montiel-Ishino, F. A., Nelson, A., Canales, J., & Quinn, G. P. (2015). African Americans’ and Hispanics’ Information Needs About Cancer Care. Journal of Cancer Education: The Official Journal of the American Association for Cancer Education, 30(2), 327–332. http://doi.org/10.1007/s13187-014-0721-z

Patient Protection and Affordable Care Act, 42 U.S.C. § 18001 (2010).

Rosenberg, A. R., & Wolfe, J. (2011). Palliative care for adolescents and young adults with cancer. Cancer, 117(10 Suppl), 2323–2328. http://doi.org/10.1002/cncr.26044

Roth, A. & Hoge, M. A. (2010). Training Psychiatrists and Psychologist in Psycho-Oncology. In J. C. Holland (2nd ed.), Psycho-oncology (pp. 588-593). New York, New York: Oxford University Press.

Siegel, R. L., Miller, K. D. and Jemal, A. (2017). Cancer statistics, 2017. CA: A Cancer Journal for Clinicians, 67: 7–30. doi:10.3322/caac.21387

Bibliografía

Appleyard, C. B., Antonia, S. J., Sullivan, D. M., Santiago-Cardona, P. G., Caceres, W., Velez, H., . . . Wright, K. L. (2014). Building a long distance training program to enhance clinical cancer research capacity in Puerto Rico. Rev Recent Clin Trials, 9(4), 254-262.

Brown, M. J., Thacker, L. R., & Cohen, S. A. (2013). Association between Adverse Childhood Experiences and Diagnosis of Cancer. PLoS One, 8(6). doi:10.1371/journal.pone.0065524.

Buki, L. P., Borrayo, E. A., Feigal, B. M., & Carrillo, I. Y. (2004). Are all latinas the same? Perceived breast cancer screening barriers and facilitative conditions. Psychology of Women Quarterly, 28(4), 400-411. doi:10.1111/j.1471-6402.2004.00157.x.

Camacho, A., Gonzalez, P., Buelna, C., Emory, K. T., Talavera, G. A., Castaneda, S. F., & Roesch, S. C. (2015). Anxious-depression among Hispanic/Latinos from different backgrounds: results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Soc Psychiatry Psychiatr Epidemiol, 50(11), 1669-1677. doi:10.1007/s00127-015-1120-4.

Carrion, I. V., Nedjat-Haiem, F. R., Martinez-Tyson, D., & Castaneda, H. (2013). Advance care planning among Colombian, Mexican, and Puerto Rican women with a cancer diagnosis. Support Care Cancer, 21(5), 1233-1239. doi:10.1007/s00520-012-1652-z.

Castro, E. M., Jimenez, J. C., Quinn, G., Garcia, M., Colon, Y., Ramos, A., & Nazario, C. M. (2015). Identifying clinical and support service resources and network practices for cancer patients and survivors in southern Puerto Rico. Supportive Care in Cancer, 23(4), 967-975. doi:10.1007/s00520-014-2451-5

Colón-López, V., Ortiz, A. P., Soto-Salgado, M., Torres-Cintrón, M., Mercado-Acosta, J. J., & Suárez, E. (2013). Anal cancer incidence and mortality in Puerto Rico. Puerto Rico Health Sciences Journal, 32(2), 76-81.

Correa-Fernandez, V., Carrion-Baralt, J. R., Alegria, M., & Albizu-Garcia,
C. E. (2013). Correlates associated with unipolar depressive disorders in a Latino population. Psychopathology, 46(3), 163-171. doi:10.1159/000339527

Costas Muñiz, R. (2010). Ajuste familias y síntomas psicológicos en una muestra puertorriqueña de hijos(as) adolescentes de pacientes y/o sobreviventes de cáncer (Disertación doctoral). . Río Piedras: UMI Dissertation Publishing.

Costas-Muniz, R. (2012). Hispanic adolescents coping with parental cancer. Support Care Cancer, 20(2), 413-417. doi:10.1007/s00520-011-1283-9

Coughlin, S. S., & Uhler, R. J. (2002). Breast and cervical cancer screening practices among Hispanic women in the United States and Puerto Rico, 1998-1999. Preventive Medicine, 34(2), 242-251. doi:10.1006/pmed.2001.0984

Cruz Martínez, I. (2013). Factores protectores de resiliencia identificados en experiencias vividas por adolescentes con cáncer : implicaciones para la consejería (Disertación no publicada). Universidad de Puerto Rico: Río Piedras.

Dyer, K. E. (2015). "Surviving is not the same as living": Cancer and Sobrevivencia in Puerto Rico. Social Science and Medicine, 132, 20-29. doi:10.1016/j.socscimed.2015.02.033

Dyer, K. E., & Quinn, G. P. (2016). Cancer and fertility preservation in Puerto Rico: a qualitative study of healthcare provider perceptions. Support Care Cancer. doi:10.1007/s00520-016-3166-6

Fuentes, S., & Blasco, T. (2012). Factores predictores de la adaptación a la enfermedad en pacientes recién diagnosticadas de cáncer de mama que acuden a un servicio de psicooncología. Anales de psicología, 28(3), 736-742. Retrieved febrero 19, 2023, from http://dx.doi.org/10.6018/analesps.28.3.156031

Goldman, R. E., Diaz, J. A., & Kim, I. (2009). Perspectives of colorectal cancer risk and screening among dominicans and Puerto Ricans: Stigma and misperceptions. Qualitative Health Research, 19(11), 1559-1568. doi:10.1177/1049732309349359

Gonzalez, D., Suarez, E. L., & Ortiz, A. P. (2015). Cervical Cancer Screening and Sexual Risky Behaviors among a Population of Hispanic Origin. Womens Health Issues, 25(3), 254-261. doi:10.1016/j.whi.2015.01.002

Hughes, D. C., Tirado-Gomez, M., Vallejo, L., Gonzalez, V., Trevino-Whitaker, R. A., Villanueva, G., & Basen-Engquist, K. (2015). Comparing determinants of physical activity in Puerto Rican, Mexican-American, and non-Hispanic white breast cancer survivors. Springerplus, 4, 416. doi:10.1186/s40064-015-1190-5

López-Charneco, M., Pérez, C. M., Soto-Salgado, M., Rodríguez, L., González, D., Serrano, R., . . . Ortiz, A. P. (2013). Correlates of colorectal cancer screening among hispanics: Results from the 2008 Puerto Rico Behavioral Risk Factor Surveillance System survey. Puerto Rico Health Sciences Journal, 32(2), 68-75.

Mulero-Portela, A. L., Santaella, C. L., & Gomez, C. C. (2013). Development of a questionnaire to assess the determinants of exercise among breast cancer survivors in Puerto Rico. Physiother Theory Pract, 29(5), 379-392. doi:10.3109/09593985.2012.746763

Oliver-Vazquez, M., Sanchez-Ayendez, M., Suarez-Perez, E., & Velez-
Almodovar, H. (1999). Planning a breast cancer health promotion. Qualitative and quantitative data on Puerto Rican elderly women. Promot Educ, 6(4), 16-19, 44, 54.

Ortiz, A. P. (2010). Factors Associated With Cervical Cancer Screening in Puerto Rico (vol 7, pg A58, 2010). Preventing Chronic Disease, 7(5), 1.

Ortiz, A. P., Hebl, S., Serrano, R., Fernandez, M. E., Suarez, E., & Tortolero-Luna, G. (2010). Factors Associated With Cervical Cancer Screening in Puerto Rico. Preventing Chronic Disease, 7(3), 10.

Ortiz-Ortiz, K. J., Ramirez-Garcia, R., Cruz-Correa, M., Rios-Gonzalez, M. Y., & Ortiz, A. P. (2014). Effects of Type of Health Insurance Coverage on Colorectal Cancer Survival in Puerto Rico: A Population-Based Study. PLoS One, 9(5), 8. doi:10.1371/journal.pone.0096746

Palacios, C., Trak, M. A., Betancourt, J., Joshipura, K., & Tucker, K. L. (2015). Validation and reproducibility of a semi-quantitative FFQ as a measure of dietary intake in adults from Puerto Rico. Public Health Nutrition, 18(14), 2550-2558. doi:10.1017/s1368980014003218

Portela, A. L., Santaella, C. L., Gomez, C. C., & Burch, A. (2008). Feasibility of an Exercise Program for Puerto Rican Women who are Breast Cancer Survivors. Rehabil Oncol, 26(2), 20-31.

Quinn, G. P., McIntyre, J., & Vadaparampil, S. T. (2011). Preferences for hereditary breast and ovarian cancer information among Mexican, Cuban and Puerto Rican women at risk. Public Health Genomics, 14(4-5), 248-258. doi:10.1159/000284582

Sanchez Ayendez, M., Oliver Vazquez, M., Suarez Perez, E., Velez Almodovar, H., & Maria Nazario, C. (1997). [Knowledge and beliefs on breast cancer and early detection practices among older women in Puerto Rico]. P R Health Sci J, 16(3), 265-270.

Santiago, E., Gonzalez, M. J., Matos, M. I., & Perez, C. M. (1998). Association between dietary fat and breast cancer in Puerto Rican postmenopausal women attending a breast cancer clinic. P R Health Sci J, 17(3), 235-241.

Scherr, C. L., Vasquez, E., Quinn, G. P., & Vadaparampil, S. T. (2014). Genetic counseling for hereditary breast and ovarian cancer among Puerto Rican women living in the United States. Reviews on Recent Clinical Trials, 9(4), 245-253.

Simmons, V. N., Jiménez, J. C., Castro, E., Litvin, E. B., Gwede, C. K., Vadaparampil, S. T., . . . Quinn, G. P. (2011). Initial efforts in community engagement with health care providers: Perceptions of barriers to care for cancer patients in Puerto Rico. Puerto Rico Health Sciences Journal, 30(1), 28-34.

Torres-Cintrón, M., Ortiz, A. P., Ortiz-Ortiz, K. J., Figueroa-Valles, N. R., Perez-Irizarry, J., Diaz-Medina, G., & Suarez-Perez, E. (2012). Using a Socioeconomic Position Index to Assess Disparities in Cancer Incidence and Mortality, Puerto Rico, 1995-2004. Preventing Chronic Disease, 9, 10. doi:10.5888/pcd9.100271

Ward, S. E., & Hernandez, L. (1994). PATIENT-RELATED BARRIERS TO MANAGEMENT OF CANCER PAIN IN PUERTO-RICO. Pain, 58(2), 233-238. doi:10.1016/0304-3959(94)90203-8
Cómo citar
Necesidades de Adiestramiento de Investigación en Medicina Conductual, Psicología de la Salud y Psicooncología en Estudiantes Graduados en Puerto Rico. (2017). Revista Puertorriqueña De Psicologia, 28(2), 296-313. https://www.repsasppr.net/index.php/reps/article/view/369
Sección
Artículo de investigación

Cómo citar

Necesidades de Adiestramiento de Investigación en Medicina Conductual, Psicología de la Salud y Psicooncología en Estudiantes Graduados en Puerto Rico. (2017). Revista Puertorriqueña De Psicologia, 28(2), 296-313. https://www.repsasppr.net/index.php/reps/article/view/369