Trabajos de Titulación - Ingeniería Psicología Clínica
URI permanente para esta colecciónhttps://dspace.ucacue.edu.ec/handle/ucacue/1865
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Ítem Acceso Abierto Eficacia de la terapia cognitivo conductual en consumidores de alcohol en América.(Universidad Católica de Cuenca., 2025) Celi Palacio, Yamiled Ximena; Campoverde Pesantez, Augusta Ximena; 1150981379Introduction. Cognitive Behavioral Therapy (CBT) is an effective psychotherapeutic intervention for treating problematic alcohol consumption, helping individuals modify the thought and behavioral patterns that contribute to addiction. In the Americas, CBT has demonstrated positive results. However, its effectiveness can be influenced by sociocultural and economic factors, as well as patient adherence to treatment. Objective. To analyze the efficacy of CBT in treating problematic alcohol consumption in the Americas. Methodology. A literature review was conducted following the PRISMA methodology, with a qualitative, descriptive, and exploratory approach, including 20 studies published between 2019 and 2024. Results. CBT has proven effective in reducing alcohol consumption, supporting treatment, and preventing relapse. Its impact varies depending on the social and cultural context, complicating the generalization of results. Therefore, the study compared North and South America. In the United States, its use with regular drinkers has effectively modified dysfunctional patterns of thought and behavior. In South America, its effectiveness has also been reported; however, it is conditioned by sociocultural and economic factors, adapting to resource-limited contexts such as limited access to mental health services, the standardization of protocols, and the lack of long-term follow-up. Conclusion. CBT is an effective therapeutic tool; however, its success depends on the social context, the personalization of treatment, and its integration with complementary approaches. This combination optimizes results for each patient.Ítem Acceso Abierto Trastorno de ansiedad en mujeres víctimas de violencia de pareja.(Universidad Católica de Cuenca., 2025) Calozuma López, Angie Nayely; León Prieto, María Elizabeth; 0750519324Introduction. Intimate Partner Violence (IPV) is cataloged as a conflict that requires global attention due to the increase in intimidation experienced by the female population through their spouse or partner. Its importance lies in the psychological consequences associated with the presence of anxiety disorders that generate difficulties in women's well-being. Objective. To describe the presence of anxiety disorders as a consequence of intimate partner violence. Methodology. A descriptive literature review was conducted using digital databases from the Catholic University of Cuenca, including Scopus, Web of Science, Redalyc, and Google Scholar, focusing on articles published within the last five years that addressed women between the ages of 18 and 25. Development. Anxiety disorders and intimate partner violence have long been linked, with fear, dread, and excessive worry being common expressions of the aversive situations experienced by women, reflecting the presence of mental disorders and difficulties in women's well-being. Conclusion. Anxiety disorder in women due to violence constitutes a complex challenge involving psychological and social aspects. Traumatic experiences resulting from emotional, physical, and sexual intimidation leave a significant mark on mental well-being, triggering symptoms of anxiety, post-traumatic stress, and other related disorders. Addressing this issue through a comprehensive approach, including psychological, social, and legal support, is essential.Ítem Acceso Abierto Afectación emocional: ansiedad, depresión y estrés en familiares cuidadores de víctimas con cáncer.(Universidad Católica de Cuenca., 2025) Salazar Sánchez, Heidy Jazmina; León Prieto, María Elizabeth; 2200153670Introduction: Family members of oncology patients, whether direct relatives, partners, or friends, play a crucial role in their care, support, and protection, dedicating long hours to assisting them. Cancer not only impacts the patient but also those who care for them, generating psychological effects in caregivers. Often, some of the negative consequences experienced by oncology patients also affect the primary caregiver, who is responsible for providing care to the patient. As the disease progresses, caregivers often experience symptoms of stress, depression, and anxiety, which can persist over time, frequently leading to the development of severe mental disorders. Objective: To identify the factors related to the development of anxiety, depression, and stress in family members of oncology patients. Methodology: A literature review with a qualitative approach was conducted using the virtual library databases of the "Catholic University of Cuenca" such as Scopus, Web of Science, Taylor & Francis, Google Scholar, and SciELO. Results and Conclusions: The factors that influence psychological conditions in caregivers of oncology patients are diverse and complex. It is estimated that caregivers experience negative consequences on their mental health as a result of providing care to the patient, with factors such as the patient's age and the stage of the disease playing a determining role. These caregivers often experience symptoms of anxiety, depression, and stress.Ítem Acceso Abierto Relación del apego desorganizado en la niñez y trastorno límite de personalidad en adultos emergentes de 18 a 29 años.(Universidad Católica de Cuenca., 2025) Romero Sinchi, Jennifer Alexandra; Vintimilla Espinoza, María José; 0106480676Introduction. Attachment is the feeling of protection and security that children experience in early childhood, which is developed through the care provided by their caregivers. This bond influences personality, understood as the way they express themselves and relate to others. However, negligence and abuse can lead to problems such as disorganized attachment and Borderline Personality Disorder (BPD), affecting an individual's trust, interpersonal relationships, and overall well-being. Objective. To relate disorganized attachment in childhood and Borderline Personality Disorder in emerging adults aged 18 to 29 years. Methodology. A qualitative and descriptive approach was used by reviewing scientific articles and books in databases such as Scopus, PubMed, and Web of Science. Results. The research revealed that the type of care received in childhood significantly impacts personal development. Particularly, an ambivalent parenting style leads to difficulties in shaping the adult personality, influence the development of pathologies and psychological problems, and hinder the individual's functionality and adaptability in their everyday environment. Conclusion: BPD is closely linked to early caregiving experiences. The absence of secure attachment patterns in childhood makes it difficult to establish healthy relationships and affects emotional stability in adulthood.Ítem Acceso Abierto Vulnerabilidad psicológica en el rendimiento deportivo y estrategias de afrontamiento.(Universidad Católica de Cuenca., 2025) Jaramillo Criollo, Julio Cesar; Songor Illescas, Stalin Patricio; 1104702665Introduction: The relationship between psychological vulnerability and athletic performance in high-pressure contexts was examined, highlighting the importance of mental health in athletes. Emotional and social factors influencing competitive ability were identified, demonstrating the need for effective coping strategies. Objective: To determine the relationship between psychological vulnerability and athletic performance, identifying athletes’ coping strategies and the interventions to strengthen or develop them. Methodology: A literature review was conducted based on 11 scientific publications (2019-2024) retrieved from databases such as PubMed and Scopus. Results: Up to 35% of athletes were found to experience anxiety, depression, and stress, affecting their performance. Strategies such as resilience, concentration, self-confidence, stress management, social support, and problem-solving were identified, while proposed interventions to strengthen them included automated skills, visualization, mindfulness, cognitive restructuring, positive self-talk, and emotion regulation, reducing psychological vulnerability by 25% and 35% and improving performance by up to 28%. Conclusion: It was concluded that psychological vulnerability negatively impacted athletic performance, while comprehensive coping strategies were fundamental in mitigating this effect. Interdisciplinary support emerged as a key element in adapting interventions to each context, emphasizing the importance of jointly addressing emotional and social aspects in the sports environment.Ítem Acceso Abierto Factores de riesgo y protección de conductas delictivas en adolescentes: una revisión sistemática.(Universidad Católica de Cuenca., 2025) Guamán Latacela, Jessica Priscila; Castro Ochoa, Fabián Leonardo; 0302390778Introduction: Adolescent delinquency has increased in recent years, negatively impacting social, economic, and individual development. This translates into family disintegration, a high number of deaths, high economic costs, and an unsafe environment. Objective: To analyze the prevalence of delinquent behavior in adolescents and its relationship with associated risk and protective factors. Methodology: A systematic review was conducted in databases such as PubMed, Scopus, and ProQuest, using DeCS and MeSH terms. Studies on adolescents aged 12 to 18 were analyzed, excluding theses, blogs, and documents with little scientific evidence. Furthermore, the methodological analysis was based on the PRISMA 2020 and JBI criteria. Results: Twenty-two studies were selected from a total of 2,395 articles. The most common risk factors were parental supervision, association with delinquent peers, academic failure, school dropout, low socioeconomic status, adverse childhood experiences, neglect, substance use, impulsivity, personality traits such as histrionics and egocentrism, and male gender. On the other hand, the most relevant protective factors included functional families, prosocial relationships, high parental supervision, empathy, female gender, positive childhood experiences, and social support. However, emotional intelligence proved to be the least significant factor. Conclusion: The combination of several risk factors increases adolescents' vulnerability, leading them to make impulsive decisions and engage in delinquent behavior. However, protective factors, such as a functional family, prosocial relationships, and social support, can mitigate this impact, reducing the probability of engaging in delinquent behavior.Ítem Acceso Abierto Relación entre el trastorno por consumo de sustancias y el deterioro de las funciones cognitivas en adolescentes: Revisión Sistemática.(Universidad Católica de Cuenca., 2025) Feijóo Valarezo, María Alejandra; Maldonado Astudillo, Ana Paula; Narváez Pillco, Viviana Faviola; 0705766772; 1726714262Introduction: Substance use in adolescents is considered a serious public health issue associated with impaired cognitive function. These impairments significantly impact various areas, including academic performance and social and emotional development, affecting the well-being of adolescents. Objective: To analyze the relationship between Substance Use Disorder (SUD) and impaired cognitive function in adolescents, considering the prevalence of impairment and sociodemographic factors. Method: A systematic review was conducted using a qualitative and descriptive approach based on the PRISMA method. The search included studies published in English and Spanish from the past five years. Databases such as Taylor & Francis, Web of Science, and Scopus were used, using MeSH and DeCS terms and Boolean operators. The NOS Scale was used to assess methodological quality and risk of bias. Results: The search showed 1,321 records obtained using the Rayyan tool, following inclusion and exclusion criteria. After analysis, 10 studies were selected for incorporation. It was found that adolescents with SUD have impaired memory, attention, and executive functions. Impairment varies depending on the substance consumed: alcohol, cannabis, crack cocaine, methamphetamines, and multiple substance use. Sociodemographic factors such as socioeconomic status, social context, age, gender, religion, frequency of use, mental health, sports, and educational level influence the severity of impairment of cognitive functions. Conclusion: There is a clear relationship between SUD and impaired cognitive function.Ítem Acceso Abierto Factores socioambientales, psicológicos y culturales que influyen la conducta alimentaria en estudiantes universitarios.(Universidad Católica de Cuenca., 2025) Vásquez Toro, Dayana Del Carmen; Torres Moscoso, Amanda de los Ángeles; 0705646743Introduction: The transition to university life involves significant lifestyle changes, increased autonomy, and responsibilities, which influence students' eating behavior and increase the risk of developing eating disorders (EDs). Objective: To analyze the socio-environmental, psychological, and cultural factors that influence the eating behavior of university students, both pathological and non- pathological. Method: A descriptive and qualitative literature review of articles published between 2019 and 2024 in Scopus, PubMed, and SciELO databases was conducted. Development: The findings revealed irregular eating patterns, such as low consumption of fruits and vegetables, high intake of ultra-processed foods, and skipping meals, which are associated with psychological factors such as stress, anxiety, and body dissatisfaction. Furthermore, social and cultural pressure exacerbates these behaviors, while a lack of self-management skills in eating habits and supporting systems contributes to these problems. Conclusion: The results show that socio-environmental factors, such as the influence of social pressure and family dynamics, affect the eating behaviors of university students, favoring unhealthy behaviors. At the psychological level, anxiety, stress, and body dissatisfaction are key factors in the development of eating disorders. In addition, cultural factors, such as body image expectations and changes in eating habits due to adaptation to a new environment, significantly impact eating behavior.Ítem Acceso Abierto Los conflictos familiares y su relación con el trastorno del estado de ánimo en adolescentes.(Universidad Católica de Cuenca., 2025) Armijos Maldonado, Karla Dayana; Sánchez Collaguazo, Daniela Alejandra; Torres Moscoso, Amanda de los Ángeles; 0706087590; 1106000720Family conflicts, defined as disagreements among family members, have significant consequences on adolescents’ mental health, including mood disorders such as anxiety and depression. These conflicts can potentially increase suicidal thoughts and attempts, even leading to death. This research aims to analyze the relationship between family conflicts and the development of mood disorders in adolescents. Regarding the methodology, a literature review design with a qualitative approach and a descriptive scope was employed. Articles published between 2019 and 2024 were included to provide an updated and substantiated analysis. The results showed that family conflicts have a significant impact on adolescents’ mental health, addressing aspects such as intimate partner violence, lack of communication, divorce, and economic difficulties. Adolescents exposed to family conflicts experienced elevated levels of anxiety, manifesting as intense fear, constant worry, and a permanent state of alertness. The presence of depressive symptoms such as distraction, emotional irritability, discouragement, and loss of interest in pleasurable activities was also observed. Lack of communication, domestic violence, and economic difficulties not only affect family dynamics but also significantly impact the emotional well-being of adolescents. To promote a healthy family environment and reduce the incidence of mood disorders in adolescents, it is essential to implement strategies such as assertive communication and strengthening positive family bonds within the home.Ítem Acceso Abierto Terapia asistida con animales de compañía en niños con TDAH e Hiperactividad.(Universidad Católica de Cuenca., 2025) Coronel Cobos, Andrés Elías; Arévalo Proaño, Claudia Carolina; 0105099956Introduction: Animal-assisted therapy (AAT) is a psychological alternative to traditional methods, where the use of companion animals helps children with Attention Deficit Hyperactivity Disorder (ADHD) to regularize their symptoms and have greater effectiveness. Objective: To analyze animal-assisted therapy as a psychological alternative in the treatment of children with ADHD. Methodology: The design was a qualitative and descriptive literature review. Results: AAT requires using various animals, such as dogs, cats, horses, and farm animals, each presenting particular requirements and benefits. In addition, this type of alternative therapy is an effective complement to traditional therapies since it allows better adherence to treatment and its long-term results. Finally, the benefits provided by this assisted therapy are psychological, physical, and social. Conclusion: AAT provides positive benefits in children with ADHD, including proper emotional management, improved interpersonal relationships, and reduction in stress, anxiety, and hyperactivity.Ítem Acceso Abierto Autopercepción y estereotipos en la sexualidad del adulto mayor.(Universidad Católica de Cuenca., 2025) Heras Lozada, Ruth Valeria; Pizarro Ludeña, Ana Cristina; Polo Martínez, Eulalia Maribel; 0803579945; 0705311876Sexuality in older adults is often overlooked or undervalued due to cultural, educational, and social prejudices. Studies indicate that stereotypes and self-perception influence older adults' experiences and attitudes toward sexuality. This study aimed to analyze the influence of self-perception and stereotypes on the sexuality of older adults, identifying factors such as age, gender, and beliefs that affect their sexual behavior. A qualitative literature review was conducted, selecting articles published between 2019 and 2024 from academic databases, including PubMed and Web of Science. The results revealed that older adults perceived their sexuality as a relevant aspect of their well-being. However, it was often influenced by prejudices that associated old age with asexuality or lack of sexual interest. Women faced more barriers due to gender roles that restricted the expression of their sexuality. Furthermore, a lack of sexual education and professional support hindered their overall experience of sexuality. These results, as such, underscore the importance of sexuality in old age as a central aspect of good emotional and physical well-being. In conclusion, sexuality in old age remains relevant to the emotional and physical well-being of older adults. However, social stereotypes and a lack of information and support, limit its expression. This study provides theoretical value for creating more effective intervention models and therapeutic approaches according to the needs of this population group.Ítem Acceso Abierto Adaptación y validación del test AF5 de autoconcepto en la población ecuatoriana: un estudio piloto.(Universidad Católica de Cuenca., 2025) Meneses Meneses , Edwin Vinicio; Moreno Galeano, Lilian Viviana; Viñanzaca López, Juan Pablo; 0107337479; 0919648337Self-concept is a multidimensional construct that plays a key role in personal development and social interactions. However, instruments for assessing it must be adapted to specific contexts. This pilot study aims to adapt and validate the AF-5 Self-Concept Test in the Ecuadorian population, ensuring its cultural adaptation and psychometric properties. A quantitative approach was employed with 210 young adults aged 19 to 30 years. The process included linguistic and cultural adaptation, evaluation by expert judges, and validity and reliability analyses using exploratory factor analysis and statistical tests, such as Cronbach's alpha and McDonald's Ω. The results showed that Bartlett's test of sphericity (χ² = 3177, p < 0.001) and the KMO index (0.863) confirmed the adequacy of the data, identifying five theoretical factors (academic/work, social, emotional, family, and physical), plus one additional factor, explaining 54.3% of the variance. The overall reliability of the test was high (α = 0.906, Ω = 0.911), although the family subscale was less consistent (α = 0.493). In conclusion, the adapted version of the AF-5 Test demonstrated validity and reliability, allowing for the assessment of self- concept in the Ecuadorian context. Its use in research and clinical practice with young adults is recommended, as well as future studies with larger samples to consolidate its psychometric properties.Ítem Acceso Abierto Experiencias adversas en la infancia y bienestar psicológico subjetivo en universitarios de la ciudad de Cuenca.(Universidad Católica de Cuenca., 2025) Castro Urgiles, Claudia Paulina; Silva Sánchez, María Belén; Paredes Tello, Verónica Isabel; 0106399645; 0105264451Introduction: Previous studies have shown that traumatic childhood experiences, such as abuse or violence, can affect mental health during the transition to early adulthood, especially in the academic context. These experiences increase the risk of developing psychological disorders, such as anxiety, depression, or difficulties in managing stress, which directly impacts their quality of life. However, there is limited research on how these adversities impact university students in Cuenca, which justifies the present study. Objective: To establish the relationship between adverse childhood experiences and subjective psychological well-being in university students in Cuenca. Method: The study used a quantitative, observational, and cross-sectional design with a descriptive-correlational approach. The sample included 90 students, selected through convenience sampling, who completed the Adverse Childhood Experiences International Questionnaire (ACE-IQ) and the Psychological Well-being Scale (PWS). Results: The findings indicate that women have a higher prevalence of ACEs compared to men, while the average psychological well-being of the participants was at an intermediate level. No statistically significant relationship was found between ACEs and psychological well-being. Conclusions: It is suggested that, although ACEs are common, their impact may be moderated by factors such as resilience and social support. This benefits health professionals and educators by providing relevant data to design preventive interventions and support programs, as well as students, who could receive personalized strategies to strengthen their emotional well-being and better manage adversities. However, limitations include the small sample size and no control over external variables.Ítem Acceso Abierto Factores Biopsicosociales y su relación con el orgasmo femenino: Una revisión sistemática.(Universidad Católica de Cuenca., 2025) Cedeño Freire, Camila Pauleth; Flores Bonilla, Damaris Analía; Mazón Ávila, Juan Pablo; 0150447464; 1050309077This study analyzes the influence of biopsychosocial factors on the frequency and intensity of female orgasm in sexually active adult women. The methodology followed PRISMA guidelines through a search in Scopus and PubMed to select 20 cross-sectional studies published between 2014 and 2024 in Spanish, Portuguese, and English. The selection was conducted using the Rayyan platform, and methodological quality was assessed using the Joanna Briggs Institute (JBI). Subsequently, the risk of bias was assessed and documented using the ROBVIS pro forma. The results revealed that anxiety, depression, self-esteem, partner communication, cultural norms, and sexual taboos can significantly affect a woman's experience of orgasm. Biological factors such as menopause and genital self-image also play a role, although their impact is less significant compared to psychological and social factors. Finally, mental health and social conditions play a determining role in the experience of the female orgasm. Therefore, the importance of sex education and the elimination of stigma is emphasized to improve women's sexual satisfaction and overall well-being.Ítem Acceso Abierto Imagen corporal y la relación de trastornos alimenticios en adolescentes: Una revisión sistemática.(Universidad Católica de Cuenca., 2025) Guayanay Gusqui, Keiner Zahid; Castro Ochoa, Fabián Leonardo; 0706861614Introduction: During adolescence, eating disorders affect mental and physical well-being. Unrealistic beauty standards and social pressure influence dissatisfaction with body image. Objective: To comprehensively examine the most relevant evidence on body image perception and its relationship with eating disorders in adolescents. Methodology: A qualitative systematic review was conducted using databases such as PubMed, Scopus, and Web of Science, together with DeCS and MeSH terms. Studies on adolescents aged 11 to 20 years in indexed journals were prioritized, excluding theses, case studies, and papers in the publication process. Methodological quality was assessed using PRISMA 2020 and JBI. Results: Out of 2,395 identified studies, 10 were selected, showing that body dissatisfaction is a variable for the increase in eating disorders. The influence of social media and exposure to idealized beauty models increase the distortion of self-image and the reproduction of unbalanced eating behaviors. Conclusion: Low self-esteem, social media use, and body image perception influence the occurrence of eating disorders. Skills supported by self-compassion and literacy can mitigate their effects. It is advisable to implement school programs that promote a healthy body image and reduce the prevalence of anorexia nervosa, bulimia nervosa, and binge-eating disorder, which affects more females.Ítem Acceso Abierto Factores de riesgo, Imagen corporal y autoestima en adolescentes: una revisión sistemática.(Universidad Católica de Cuenca., 2025) Carrasco Íñiguez, Renata Nicole; Robles Andrade, Merijoel; Castro Ochoa, Fabián Leonardo; 0107230354; 0105602411Adolescence is a stage that begins in puberty and continues through the age of 20, characterized by several biological, emotional, and social changes. Throughout this period, young people experience excessive concerns about their bodies, which can lead to a negative body image. Body perception is characterized by how a person perceives their own body and the behaviors they adopt about it. Self-esteem, on the other hand, is associated with both emotional and behavioral issues. This study’s main objective is to identify the influence of external risk factors, the environment, and the social context on body image perception and self-esteem in adolescents. Method: Observational and cross-sectional studies from 2014 to 2024 were included. The databases used were PubMed, Scopus, and ProQuest. The level of bias was assessed using JBI. Results: Ten articles were selected, reflecting external factors such as family environment, social environment (peers), and media, as well as the relationship that the study variables have. The results indicate that social media, peers, and family bullying are external factors that negatively intervene in adolescents' body image and self-esteem. It was also evident that body image and self-esteem are interrelated. Discussion: External factors include social media, social comparisons, peer pressure, and bullying, affecting adolescents' body image and self-esteem.Ítem Acceso Abierto Impacto de la personalidad dependiente en las relaciones interpersonales de los adultos tempranos.(Universidad Católica de Cuenca., 2025) Flores Robles, María del Cisne; Arias Lucero, Mario Alfredo; Torres Moscoso, Amanda de los Ángeles; 1150571931; 1104088321Dependent personality affects between 3% and 5% of the adult population. This personality type is associated with mental health issues such as anxiety, depression, and low self-esteem, which significantly impact the individual's relationships. Furthermore, the negative influence of dependent personality on interpersonal dynamics underscores the importance of exploring this topic in greater depth. As it is an underexplored area, this research needs to achieve a more precise and detailed understanding of dependent personality and its relevance in the social and emotional contexts. Therefore, the objective is to analyze the characteristics of dependent personality and its impact on the interpersonal relationships of young adults. Methodology: A qualitative and descriptive literature review was conducted using databases such as PubMed and Scopus, where studies from 2019 to 2024 were selected that analyzed dependent personality in young adults, excluding duplicate documents and those that did not meet the proposed objectives. Results: According to the studies, dependent personality typically emerges in late adolescence (ages 15-18) and consolidates in early adulthood (ages 20-40), affecting autonomy and interpersonal relationship dynamics, leading to unstable relationships that are vulnerable to toxic patterns and significantly impacts personal, social, and family development. Conclusion: This research shows that dependent personality limits the quality of interpersonal bonds a person can maintain, affecting the previously mentioned areas and also the individual’s self-perception.Ítem Acceso Abierto La familia como red de apoyo en el sufrimiento percibido de mujeres con Fibromialgia.(Universidad Católica de Cuenca., 2025) Toapanta Ramírez, Katherine Marcela; Tamayo Piedra, Mónica del Carmen; 0150691152Introduction: Fibromyalgia, which primarily affects women between the ages of 30 and 50, is characterized by pain, fatigue, and psychological disturbances. Its emotional impact can be intensified by a lack of family support, making it difficult to manage the condition. However, limited research on this relationship hinders the development of effective interventions to improve patients’ well-being. Therefore, the objective of this review is to analyze the relationship between family support and perceived suffering in women with fibromyalgia. Methodology: A descriptive literature review was conducted using keywords related to the study variables, such as family support, emotional suffering, and fibromyalgia, in databases including Scopus, Taylor & Francis, PubMed, and ScienceDirect. Results: Studies published between 2014 and 2024 were included, focusing on correlational, cross-sectional research and systematic reviews involving adult women with Fibromyalgia (FM). It is highlighted that a stable support system—especially from the family—can reduce emotional suffering, whereas a lack of understanding exacerbates symptoms. It was identified that many women with FM face challenges in their traditional roles, leading to feelings of guilt and frustration. Conclusion: Family support is fundamental for women with fibromyalgia, as it influences their emotional well-being. A lack of understanding and a sense of isolation can worsen their distress. The condition also affects family dynamics, especially in traditional gender roles, which can impact self-esteem. Family cohesion and awareness of the disease facilitate adaptation.Ítem Acceso Abierto Factores de riesgo que influyen en la conducta suicida en adultos en Latinoamérica.(Universidad Católica de Cuenca., 2025) Maldonado Alvarado, Mayra Graciela; De Armas Mesa, Idania; 0706100880The risk factors influencing suicidal behavior in adults in Latin America were analyzed, considering psychosocial factors. This research aimed to identify and describe factors contributing to suicide prevention in the region. A narrative literature review with a qualitative approach was conducted, compiling studies published between 2015 and 2024. Data sources were extracted from recognized databases such as Web of Science, Scopus, and PubMed, and studies were selected according to strict exclusion and inclusion criteria, thus ensuring the validity and relevance of the data analyzed. The findings demonstrated that psychosocial factors, economic hardship, unemployment, and domestic violence significantly increase the risk of suicide among Latin American adults. This impact is especially relevant in vulnerable populations and individuals with limited access to mental health services. The lack of psychological care further exacerbates the issue, highlighting the need to implement interventions. It was determined that these factors have a crucial impact on suicidal behavior, which highlights the importance of strengthening support systems and expanding the availability of mental health services. Despite the limitations of the research, such as the reliance on secondary sources and the methodological diversity of the reviewed studies, the results provide a solid foundation for future research and the design of suicide prevention strategies in Latin America.Ítem Acceso Abierto Técnicas de afrontamiento de la ansiedad por desempeño en deportistas de alto rendimiento.(Universidad Católica de Cuenca., 2025) León Martinez, Marco Andrés; Songor Illescas, Stalin Patricio; 0105158463Developing and applying effective coping techniques are essential for athletes, coaches, and mental health professionals in the sports field. However, a primary challenge is the variability in the effectiveness of these techniques. This literature examines coping techniques for performance anxiety in high-performance athletes, addressing effective strategies based on scientific evidence. The methodology used was based on a detailed search in databases such as Scopus, PubMed, and SciELO. The selected articles were analyzed using a qualitative and descriptive approach. The results highlight that the most effective coping techniques combine cognitive and physical interventions; similarly, CBT and mindfulness have proven useful in restructuring negative thoughts and reducing stress. Furthermore, factors such as the athlete's experience, the type of sport, and the social environment significantly influence the effectiveness of interventions. This study offers a relevant theoretical framework for creating personalized strategies with a higher impact on managing anxiety in elite athletes. This study provides a relevant theoretical consolidation for creating personalized strategies with a higher impact index.