El estrés crónico y la Terapia Cognitiva Centrada en Mindfulness: Una nueva dimensión en psiconeuroinmunología

  • Manolete S. Moscoso University of South Florida (Estados Unidos)
Palabras clave: Estrés crónico, Calidad de vida, Cáncer, Mindfulness, Psiconeuroinmunología

Resumen

En el presente artículo se hace una revisión del concepto de estrés crónico desde una perspectiva psiconeuroinmunólogica. Se examina un extenso número de estudios multidisciplinarios que demuestran las interacciones entre el cerebro y los sistemas nervioso, endocrino e inmune en el desarrollo de enfermedades. Se presenta una nueva visión acerca del estrés y se hacen las distinciones correspondientes en relación con la respuesta fisiológica, emocional, comportamental y estilo de vida del individuo. Se examina el impacto negativo del estrés crónico con un énfasis especial en la enfermedad del cáncer, y finalmente se hace referencia al programa de la Terapia Cognitiva Centrada en Mindfulness (TCCM) como una forma de intervención biopsicosocial promisoria para contrarrestar los efectos nocivos del estrés crónico.

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Armeli, S.; Todd, M. & Mohr, C. (2005). A daily process approach to individual differences in stress-related alcohol use. Journal of Personality, 73(6), 1-30.

Bandura, A. (1997). Self-efficacy: The exercise of control. Nueva York: W. H. Freeman.

Bishop, S. R. (2002). What do we really know about Mindfulnessbased stress reduction? Psychosomatic Medicine, 64, 71-83. Cannon, W. B. (1915). Bodily changes in pain, hunger, fear, and rage. Boston: C. T. Branford Co., Inc.

Cannon, W. B. (1932). The wisdom of the body. Nueva York: W. W. Norton & Co., Inc.

Carlson, L. E.; Speca, M.; Patel, K. D. & Goodey, E. (2003). Mindfulnessbased stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosomatic Medicine, 65, 571-581.

Carlson, L. E.; Speca, M.; Patel, K. D. & Goodey, E. (2004). Mindfulnessbased stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology, 29, 448-474.

Carlson, L. E.; Speca, M.; Patel, K. D. & Faris, P. (2007). One year prepost intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of Mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior and Immun., 21, 1038-1049.

Carlson, L. E.; Ursuliak, Z.; Goodey, E.; Angen, M., & Speca, M. (2001). The effects of a Mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Support Care Cancer, 9, 112-123.

Dallman, M. F. (2003). Chronic stress and obesity: A new view of ‘comfort food’. Proc. Natl. Acad. Sci. USA, 100, 11696-11701.

Dhabhar, F. S. & McEwen, B. S. (1997). Acute stress enhances while chronic stress suppresses cellmediated immunity in vivo: A potential role for leukocyte trafficking. Brain, Behavior, and Immunity, 11(4), 286-306.

Epel, E.; Lapidus, R. & McEwen, B. (2000). Stress may add bite to appetite in women: A laboratory study of stress-induced cortisol and eating behavior. Psychoneuroendocrino logy, 26, 37-49.

Goldstein, D. S. & Eisenhofer, G. (2000). Sympathetic nervous system physiology and pathophysiology in coping with the environment. En B.S. McEwen (Ed.). Coping with the environment: neural and endocrine mechanisms. Vol. 4, 21-43. Nueva York: Oxford University Press.

Kiecolt-Glaser, J. K.; McGuire, L. & Robles, T. F. (2002). Psychoneuroimmunology: psychological influences on immune function and health. J. Consult. Clin. Psychol., 70, 537-547.

Kiecolt-Glaser, J. K.; Preacher, K. J.; MacCallum, R. C.; Atkinson, C.; Malarkey, W. B. & Glaser, R. (2003). Chronic stress and age-related increases in the proinflammatory cytokine IL-6. Proc. Natl. Acad. Sci. USA. 100, 9090-9095.

Koob, G. F. (1999). Corticotropin-releasing factor, norepinephrine, and stress. Biol. Psychiat., 46, 1167- 1180.

Lazarus, R. S. (1993). Coping theory and research: Past, present, and future. Psychosomatic Medicine, 55(3), 234-247.

Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal, and coping. Nueva York: Springer.

Lengacher, C. A.; Johson-Mallard, V.; Post-White, J.; Moscoso, M. S.; Jacobsen, P. B.; Klein et al. (2009). Randomized controlled trial of Mindfulness-based stress reduction (MBSR) for survivors of breast cancer. Psycho-Oncology. DOI: 10.1002/pon. 1529.

MacPherson, A.; Dinkel, K. & Sapolsky, R. (2005). Glucorticoids worsen excitotoxin-induced expression of pro-inflammatory cytokines in hippocampal cultures. Exper. Neurol., 194, 376-383.

Martin, J. L. & Dean, L. (1993). Effects of AIDS-related bereavement and HIV-related illness on psychological distress among gay men – A 7-year longitudinal study 1985-1991. Journal of Consulting and Clinical Psychology, 661(1), 94-103.

McEwen, B. S. (1998). Protective and damaging effects of stress mediators. New England J. Med., 338, 171-179.

McEwen, B. S. (2001). Plasticity of the hippocampus: adaptation to chronic stress and allostatic load. Annals of the New York Academy of Sciences, 933, 265-277.

McEwen, B. S. (2006). Sleep deprivation as a neurobiologic and physiologic stressor, allostastis and allostatic load. Metabolism, 55, S20- S23.

McEwen, B. S. (2007). The physiology and neurobiology of stress and adaptation, Central role of the brain. Physiol. Rev., 87, 873-904.

McEwen, B. S. & Wingfield, J. C. (2003). The concept of allostasis in biology and biomedicine. Horm. & Behav., 43, 2-15.

Moscoso, M. S. (1995). Manejo cognitivo-conductual del estrés en individuos VIH-1 seropositivos. Avances en Psicología Clínica Latinoamericana, 13, 39-53.

Moscoso, M. S. (2009). De la mente a la célula: Impacto del estrés en psiconeuroinmunoendocrinología. Revista Liberabit, 15 (2), 143-152.

Moscoso, M. S.; McCreary, D.; Goldenfarb, P.; Knapp, M. & Rohr, J. (1999). Construction of an inventory to measure emotional distress in cancer patients. PsychoOncology, 8(6), S4.

Moscoso, M. S.; McCreary, D.; Goldenfarb, P.; Knapp, M. & Reheiser, E. (2000). A brief screening inventory to measure emotional distress in cancer patients. Psycho-Oncology, 9(5), S53.

Moscoso, M. S. & Reheiser, E. C. (2010). Construct validity of the Emotional Distress Inventory in patients with cancer. Ansiedad y Estres, 16 (1), 83-94.

Moscoso, M. S.; Reheiser, E. C. & Hann, D. (2004). Effects of a brief Mindfulness-based stress reduction intervention on cancer patients. Psycho-Oncology, 13(1), S12.

Padgett, D. A. & Glaser, R. (2003). How stress influences the immune response. Trends in Immunology, 24(8), 444-448.

Sapolsky, R. M. (1996). Why stress is bad for your brain. Science, 273, 749-750.

Sapolsky, R. M.; Romero, L. M. & Munck, A. U. (2000). How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocrine Review, 21, 55-89.

Selye, H. (1936). A syndrome produced by diverse nocuous agents. Nature, 138, 32.

Speca, M.; Carlson, L. E.; Goodey, E. & Angen, M. (2000). A randomized, wait-list controlled clinical trial: the effect of a Mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62, 613-622.

Spielberger, C. D. & Moscoso, M. S. (1996). Reacciones emocionales del estrés: Ansiedad y cólera. Avances en Psicología Clínica Latinoamericana,14, 59-81.

Steinman, L. (2004). Elaborate interactions between the immune and nervous systems. Nat. Immunol, 5, 575-581.

Sterling, P. & Eyer, J. (1988). Allostasis, a new paradigm to explain arousal pathology. En S. Fisher & J. Reason (Eds.). Handbook of life stress, cognition and health (pp. 629-649). Nueva York: John Wiley & Sons.

Taub, D. (2008). Novel Connections between the Neuroendocrine and Immune Systems: The Ghrelin Immunoregulatory Network. Vitam. Hor., 77, 325-346.

Taylor, S. E.; Klein, L. C.; Lewis, B. P.; Gruenewald, T. L.; Gurung, R. A. R. & Undergraff, J. A. (2000). Biobehavioral responses to stress in females: tend-and-befriend, not fight-or-flight. Psychological Review, 107, 4121-4129.

Venter, C. (2008). Genes have very little impact on life outcomes. India Today, 3.

Witek-Janusek, L.; Gabram, S. & Mathews, H. L. (2007). Psychologic stress, reduced NK cell activity, and cytokine dysregulation in women experiencing diagnostic breast biopsy. Psychoneuroendocrinology, 32, 22-35.

Publicado
2010-03-19
Cómo citar
Moscoso, M. S. (2010). El estrés crónico y la Terapia Cognitiva Centrada en Mindfulness: Una nueva dimensión en psiconeuroinmunología. Persona, (013), 11-29. https://doi.org/10.26439/persona2010.n013.262
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