CASUS

139-146

Authors: Andrea Salinas Rosas; Richard Paucar Yangua

Objective: to determine the strength of association between coping styles and strategies and quality of life in adolescents with spina bifida (EB). Methodology: the study was cross-sectional and explanatory. The sample size was 70 adolescents with EB of both sexes and ages between 12 and 18 years. The study variables were quality of life and coping. Also, sociodemographic variables were included. The ordinal logistic regression model was used where Odds Ratios (OR) were calculated. Results: 25.7% of respondents reported a very good quality of life and 18.7 presented a coping style to solve the problem. Regarding the style to solve the problem (OR: 1.06) and the strategy of looking for relaxing diversions (OR: 1.28) were associated with high levels of quality of life.However, nonproductive coping (OR: 0.96) and lack of coping strategies (OR: 0.75), self-blame and reserve for themselves (OR: 0.81) were associated with a decrease in quality of life. Conclusions: high levels of quality of life are strongly associated with style solving the problem. However, a decrease in the quality of life is associated with the nonproductive coping style and the strategies of lack of coping and self-blame. Therefore, it is necessary to create intervention programs to reduce the sequelaeof nonproductive styles and coping strategies in adolescents with EB.

156-162

Authors: María Salazar Farfán

The objective was to determine the relationship between emotional intelligence and resilience in parents of students with disabilities of a special basic education center. A cross-sectional correlational study was carried out. For the statistical analysis T-Student and ANOVAwas used. The Trait Meta-Mood Scale (TMMS-24) and the resilience scale of Wagnild Young were used. Asimilar proportion of low resilience (44.4%) between fathers and mothers were found. There is a significant correlation between emotional intelligence and resilience with a direct relationship between the levels of both variables. Although there is an association between the type of disability and the levels of both main variables, there are differences in their behavior with respect to the type of disability of the children. There is a need to intervene with programs that enhance emotional intelligence and resilience considering these differences.

169-178

Authors: Yordanis Enríquez Canto

Children with Down syndrome have various health, behavioral and learning problems that require special attention. Because of this, they have difficulties in receiving adequate attention. Consequently, inefficiency in the health and education system impactson a personal and family level. However, in Peru, there is a gap of empirical and qualitative information about the impact on the lives of children with Down syndrome and their parents. Using a qualitative analysis of the contents of an interview with a mother, seven themes linked to the impact of these two areas were identified: orientation and support, work environment and health condition, relationship with the health system, relationship with the school, discrimination towards people with disabilities,change of perspective regarding disability and unconventional communication. The results show that the forms of inefficiency of the health and education systems have a negative impact on the lives of people with disabilities and their families. This impact affects family and work life, it also determines educational and health decisions. Likewise, there are still persistent forms of non-acceptance and more or less evident forms of discrimination, notwithstanding efforts for inclusion. Negative attitudes towards disability can be conditioned by their severity. The acceptance of disability is a process in which perception is modified. In it, it is fundamental to focus on the person and not simply on their limited condition.

185-189

Authors: Alicio Domínguez Jara

Despite the existence of international agreements and national regulations, current data from the Ministry of Education indicate that there are few educational institutions that receive at least one student with disability in Lima on the inclusive process.This lack evidences the need for special education to change the focus to carry out a quality educational service for all children and adolescents with disabilities. Inclusive education presents barriers that hinder it. It should be noted that the difficulty of accessing the school is maintained due to the distance and the existence of architectural barriers. Added to the physical barriers are others linked to the teaching mode. Among the challenges facing inclusion, the main challenge is a change in the perception we have of people with disabilities. The idea that people with disabilities are holders of rights should be assumed. However, the biggest challenge is for the State. It must undertake all necessary efforts to guarantee a totally free education for people with disabilities.

200-208

Authors: Giovani Díaz Gervasi; Claudia Cahui Ramírez

Clinical case report of an adult patient with an obsessive compulsive disorder and a moderate to severe level of disability derived from it. The case was approached from a biopsychosocial perspective under a cognitive-behavioral psychotherapeutic approach.During the evaluation and diagnosis, obsessive thoughts, compulsions and intense depressive symptoms were found. Subsequently, a psychological intervention plan was applied in two phases aimed to reduce the intensity of clinical symptoms. Functionality was encouraged in the individual, family, social, personal fulfillment and productivity areas. The program was carried out for two and a half years with continuous and follow-up sessions to verify and reinforce the changes. After the process, a substantial improvement was obtained in the face of obsessive thoughts and the reduction of compulsive behaviors. The level of disability was reduced, improving the relationship with the family and social environment. Also, It was achieved labor insertion and good performance. The integral approach, not only focused on the clinical diagnosis of the person, allows an effective psychological intervention according to the specific needs of the case. Cognitive-behavioral techniques prove to be useful in the treatment of OCD, comorbidities and in the increase of quality of life and personal productivity.