<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7450</journal-id>
<journal-title><![CDATA[Revista Colombiana de Psiquiatría]]></journal-title>
<abbrev-journal-title><![CDATA[rev.colomb.psiquiatr.]]></abbrev-journal-title>
<issn>0034-7450</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Psiquiatria.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74502018000400211</article-id>
<article-id pub-id-type="doi">10.1016/j.rcp.2017.04.003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trastornos de ansiedad y depresión en relación con la calidad de vida de pacientes con cáncer de mama en estadio localmente avanzado o diseminado]]></article-title>
<article-title xml:lang="en"><![CDATA[Anxiety and Depression Disorders in Relation to the Quality of Life of Breast Cancer Patients with Locally Advanced or Disseminated Stage]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valderrama Rios]]></surname>
<given-names><![CDATA[Martha Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Pedraza]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cancerología E.S.E.  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>47</volume>
<numero>4</numero>
<fpage>211</fpage>
<lpage>220</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0034-74502018000400211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0034-74502018000400211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0034-74502018000400211&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Evaluar patrones de asociación entre ansiedad y depresión y los diferentes elementos del constructo de calidad de vida en pacientes con cáncer de mama en estadio localmente avanzado o diseminado.  Métodos: Se aplicó una sola medición mediante las escalas FACIT-B y HADS a 107 mujeres con diagnóstico de cáncer de mama en estadios IIB, IIIA, IIIB, HIC y IV, confirmado histológicamente. Para analizar patrones de asociación, se utilizaron métodos de análisis factorial y escalamiento multidimensional.  Resultados: Se encontró ansiedad clínica en el 84,1% (IC95%, 75,8-90,5%) de las pacientes y depresión clínica en el 25,2% (IC95%, 17,3-34,6%). El análisis factorial agrupa los ítems de los 2 instrumentos en 4 dominios, que dieron cuenta del 59% de la varianza total, donde 2 ítems (H11 y B8) presentaron valores de unicidad altos y cargas factoriales bajas. El escalamiento multidimensional señala 5 agrupaciones, que muestran proximidad entre síntomas depresivos y síntomas físicos, así como entre síntomas ansiosos y lo referente a funcionalidad y ambiente sociofamiliar.  Conclusiones: En pacientes con enfermedad neoplásica, la HADS detecta una alta frecuencia de síntomas depresivos y especialmente ansiosos, lo que hace recomendable revaluar sus propiedades sicométricas para pacientes con cáncer. La asociación entre síntomas depresivos de la HADS y síntomas físicos del constructo de calidad de vida apunta a la dificultad para el diagnóstico de trastorno depresivo en pacientes con cáncer, por lo que puede ser necesario desarrollar instrumentos que permitan ubicar síntomas o características clínicas que faciliten este diagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[abstract  Objective:  To evaluate patterns of association between anxiety and depression and the different elements of the construct of quality of life, in patients with locally advanced breast cancer or disseminated stages.  Methods: With a single measure over time, HADS and FACIT-B scales were applied in 107women histologically confirmed to have breast cancer, in stages IIB, IIIA, IIIB, IIIC and IV. Factor analysis and multidimensional scaling methods were used to analyze patterns of association.  Results: In 84.1% of the patients clinical anxiety was found (95%CI, 75.8-90.5%) and clinical depression in 25.2% (95%CI, 17.3-34.6%). Factor analysis groups items of the two scales in 4 domains which accounted for 59% of the total variance, where 2 items (H11 and B8) showed high values of uniqueness and low factor loadings. Multidimensional scaling suggests five groups, showing proximity between depressive symptoms and physical symptoms, as well as between anxious symptoms and related to functionality and social and family environment.  Conclusions: The HADS in patients with neoplastic disease detects a high frequency of depressive and especially anxious symptoms, which makes it advisable to reevaluate their psychometric properties in patients with cancer. The association between depressive symptoms of HADS and physical symptoms of quality of life construct is in favor of the difficulty of diagnosing depressive disorder in patients with cancer, so it may be necessary to develop instruments that allow locating symptoms or clinical characteristics that facilitate this diagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ansiedad]]></kwd>
<kwd lng="es"><![CDATA[depresión]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[neoplasias de la mama]]></kwd>
<kwd lng="en"><![CDATA[anxiety]]></kwd>
<kwd lng="en"><![CDATA[depression]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
<kwd lng="en"><![CDATA[breast neoplasms]]></kwd>
</kwd-group>
</article-meta>
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