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Enfermedad Ansiedad y culpabilidad interpersonal
Marta Rodini1, Gaia Piscopiello2, Martina Trevisan2
1Control-Mastery Theory Italian Group, Rome, Italy.
Psychodynamic psychiatry
|September 2, 2025
Resumen
La culpa interpersonal, particularmente la culpa de separación / deslealtad, contribuye significativamente a la ansiedad por enfermedad en individuos con ansiedad general. Abordar la culpa y la reactividad autónoma es clave para los resultados efectivos de la psicoterapia.
Área de la Ciencia:
- Psicología
- Psicología clínica
- La psiquiatría
Sus antecedentes:
- La ansiedad por enfermedad es una preocupación significativa que afecta la salud mental.
- La teoría del dominio del control ofrece un marco para comprender la angustia psicológica.
- La interacción entre la culpa, la ansiedad y los síntomas somáticos requiere más investigación.
Objetivo del estudio:
- Investigar la relación entre la ansiedad por enfermedad y la culpa interpersonal.
- Explorar las asociaciones entre la ansiedad por enfermedad y la ansiedad general, la depresión, la alexitimia y la reactividad autónoma.
- Examinar la influencia de los factores sociodemográficos y las experiencias infantiles en la ansiedad por enfermedad.
Principales métodos:
- 201 participantes completaron cuestionarios validados que evaluaban la ansiedad por enfermedad, la culpa interpersonal, la ansiedad, la depresión, la alexitimia, el funcionamiento de la personalidad y la reactividad autónoma.
- Se recogieron datos sociodemográficos y experiencias infantiles.
- Se realizaron análisis de correlación y regresión múltiple jerárquica.
Principales resultados:
- La ansiedad por enfermedad se asoció positivamente con la culpa interpersonal, la ansiedad general, la depresión, la alexitimia y la reactividad autónoma.
- La culpa de la separación / deslealtad y la culpa de la carga estaban más fuertemente relacionadas con la ansiedad por enfermedad.
- La ansiedad general surgió como el predictor más fuerte de la ansiedad por enfermedad, seguido por la culpa de la separación / deslealtad y la reactividad autónoma.
Conclusiones:
- La culpa interpersonal parece ser un factor crucial en el mantenimiento de la ansiedad por la enfermedad.
- La combinación de ansiedad, separación/culpa de deslealtad y sobre-reactividad autónoma contribuye a la ansiedad por enfermedad.
- Las intervenciones terapéuticas dirigidas a la culpa y la regulación autónoma pueden mejorar los resultados para las personas con ansiedad por enfermedad.
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