Browsing by Author "Fernández, María Beatriz"

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    Loneliness in Older Chilean People: Importance of Family Dysfunction and Depression
    (2021) Carrasco Gorman, Marcela; Fernández, María Beatriz; Alexander, Emma; Herrera, María Soledad
    Loneliness is considered a public health problem that negatively affects wellbeing, especially in the older population. In Latin-American countries, most of the older population live with their family. Although this is thought to diminish feelings of loneliness, there is scarce data to support this. The objective of this study is to determine the prevalence of loneliness and evaluate its association with objective social networks, family functioning and perception of social support, in a sample of older people from Santiago, Chile. A survey was conducted of a representative sample of community older people (60–97 years) from Santiago, Chile, using the UCLA abbreviated scale of loneliness. Logistic regression was performed to test the variables related to the loneliness of older people. A total of 1,217 older people were interviewed. 88% were living with at least one person at home and 92% had living children. Using the UCLA abbreviated scale, 45% were found to perceive feelings of loneliness at least some of the time. Logistic regression showed significant association between loneliness and family dysfunction; depressive symptoms; living alone; not having a partner (widowed, separated or single); having little contact with relatives and friends; feeling a lack of social support; and sensation of poor self-efficacy. Loneliness is a prevalent public health problem in this older Latin-American community. Living accompanied does not protect against loneliness, particularly in vulnerable groups such as those with depression, or when there are family conflicts. The high prevalence of loneliness strongly conveys the need for public health policies to address loneliness in older people.
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    Predictors of Unmet Needs in Chilean Older People with Dependency: A Cross-Sectional Study
    (2023) Carvacho, Raffaela; Carrasco, Marcela; Fernández, María Beatriz; Miranda-Castillo, Claudia
    Approximately one in five Chilean older adults has some degree of dependency. Limited evidence is available on self-perceived needs in Latin-American older people. The main aim of this study was to identify predictors of unmet needs of dependent older persons without cognitive impairment, considering personal and primary informal caregivers’ factors. This cross-sectional study was conducted with a sample of 77 dyads of older people with dependency and their caregivers. A survey was administered, evaluating sociodemographic characteristics, anxious and depressive symptomatology, health-related quality of life, and social support. Older people’s self-reported met and unmet needs and caregivers’ burden and self-efficacy were also assessed. To determine predictors of unmet needs, a multiple regression analysis was carried out. Most participants had mild to moderate levels of dependency. The most frequent unmet needs were “daytime activities” (33.8%), “company” (23.4%), “benefits” (23.4%), and “psychological distress” (24.7%). Older people’s higher level of dependency and anxious symptomatology were predictors of a higher number of unmet needs, with a model whose predictive value was 31%. The high prevalence of anxious symptomatology and its relationship with the presence of unmet needs highlight the importance of making older people’s psychological and social needs visible and addressing them promptly.
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    Religious Coping, Experiential Avoidance, Self‑Compassion, and Post‑Traumatic Stress by COVID‑19: a Serial Mediation Study
    (2023) Fuentes-Ferrada, Reiner; Cerda-Planas, Catalina; Fernández, María Beatriz
    The COVID-19 pandemic has brought consequences to mental health, with religiosity being a relevant coping factor in reducing the negative impact of the health crisis. Based on a convenience sample of Chilean adults, this study sought to explore the relationship between religious coping and post-traumatic stress due to COVID-19, hypothesizing that this relationship would be mediated by experiential avoidance and self-compassion. A non-experimental cross-sectional design was used, applying an online survey to 300 adults who lived in Chile. The results show that all variables are related and that experiential avoidance (EA) and self-compassion play a serial mediating role in the relationship between negative religious coping (NRC) and post-traumatic stress. Furthermore, the results showed that religious coping, experiential avoidance, self-compassion, and COVID-19 post-traumatic stress are signifcantly interrelated. Moreover, a serial mediation was found among the variables: higher experiential avoidance and lower level of self-compassion mediate the impact of COVID-19 post-traumatic stress in people with negative religious coping. At the end of the article, the implications of the results and how these variables interact in a serial mediation mechanism that sheds further light on the relationships between negative religious coping, mental health, and adverse situations such as COVID-19 are discussed.