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El trabajo pretende determinar si las preocupaciones de las mujeres recién diagnosticadas de cáncer de mama que reciben atención psico-oncológica predicen la adaptación a la enfermedad durante los meses siguientes. Se evaluaron las preocupaciones de 53 mujeres recién diagnosticadas de cáncer de mama antes de comenzar el tratamiento oncológico. La adaptación a la enfermedad se evaluó retrospectivamente, mediante la valoración que realizaron dos psicooncólogas de las historias clínicas de las pacientes. Ninguna preocupación concreta predecía el grado de adaptación de las pacientes, pero el sumatorio total de preocupaciones sí era predictor del nivel de adaptación durante la fase de diagnóstico. El nivel de adaptación durante el tratamiento se relacionaba con estar tomando psicofármacos antes del diagnóstico. El nivel total de preocupaciones y tomar psicofármacos antes del diagnóstico son factores que pueden servir para identificar pacientes que, aún recibiendo atención psicológica, tienen riesgo de mala adaptación durante el diagnóstico y tratamiento oncológico de un cáncer de mamaThe aim of this work is to assess whether worries expressed by women with breast cancer recently diagnosed and receiving psychological assistance predict future levels of adaptation to illness.Worries of 53 breast cancer patients were assessed at diagnosis and before starting the oncological treatments. Adaptation to illness was assessed retrospectively by two experienced psychologists reading the patients’ clinical reports once these patients finished their treaments. Scores on each worry were not related with adaptation to illness. However, adaptation at diagnosis was predicted by the worries global score, whereas adaptation to illness during the treatment was related with the intake of psychotropic drugs prior to cancer diagnosis. The intensity of worries at diagnosis, and the intake of psychotropic drugs prior to cancer diagnosis, could allow to identify breast cancer patients who, although receiving psychological assistance, are at risk of developing low levels of adaptation to illness during at diagnosis and during the subsequent oncological treatment

Factores predictores de la adaptación a la enfermedad en pacientes recién diagnosticadas de cáncer de mama que acuden a un servicio de psicooncología