Claudia Miranda-Castillo

Claudia Miranda-Castillo
Universidad Andrés Bello | UNAB · Faculty of Nursing

PhD in Aging and Mental Health
Director of Millennium Institute for Care Research

About

49
Publications
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1,371
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Publications

Publications (49)
Technical Report
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Este informe se enmarca en el proyecto de investigación “Trayectorias de salud mental, estresores y recursos de afrontamiento psicológico de estudiantes de educación superior de la región de Valparaíso a partir de la pandemia por COVID-19”. El estudio, que se desarrolla en el contexto del Instituto Milenio para la investigación en Depresión y Perso...
Article
Objectives: This study aims to evaluate a comprehensive model that includes predictors of use, types of internet use, and psychological well-being outcomes in the older population. Methods: The total sample comprised 650 older Internet users. Structural equation modeling was used to estimate the effect of predictors (i.e., effort expectancy, per...
Article
Background: The global population is ageing, with an estimated one in five people aged 60 by 2050. Latin America is one of the fastest ageing areas of the world and accurate clinical and research assessment measures of mental health in this ageing population are needed. It is not known which psychometric measures of older people's mental health an...
Article
Full-text available
The COVID-19 pandemic has revealed existing gaps in policies, systems and services, stressing the need for concerted global action on healthy aging. Similar to the COVID-19 pandemic, dementia is a challenge for health systems on a global scale. Our hypothesis is that translational potential lies in cross-country learning by involving three high-inc...
Article
Objectives: The objective of this study was to explore the experiences and feelings of older adults with MCI during the COVID-19 outbreak in Chile and to know what strategies they used to overcome social isolation. Method: A qualitative design was used. Ten participants with a diagnosis of MCI took part in this study. All interviews were recorde...
Article
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Background: Chilean higher education students have faced highly stressful events in 2020, including confinement and remote education. This population is particularly susceptible to mental health problems, such as high levels of stress, anxiety, and depression. Aim: To evaluate possible negative impacts of confinement by COVID-19 on Chilean higher e...
Article
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Background: In the COVID-19 pandemic, older adults from vulnerable ethnoracial groups are at high risk of infection, hospitalization, and death. We aimed to explore the pandemic’s impact on the well-being and cognition of older adults living in the United States (US), Argentina, Chile, Mexico, and Peru. Methods: 1,608 (646 White, 852 Latino, 77 Bla...
Article
Full-text available
Background In the COVID-19 pandemic, older adults from vulnerable ethnoracial groups are at high risk of infection, hospitalization, and death. We aimed to explore the pandemic's impact on the well-being and cognition of older adults living in the United States (US), Argentina, Chile, Mexico, and Peru. Methods 1,608 (646 White, 852 Latino, 77 Blac...
Article
In order to address the complexity of needs of dependent older people, multidimensional and person-centered needs assessment is required. The objective of this review is to describe met and unmet needs of dependent older people, living in the community or in institutions, and the factors associated with those needs. Selection criteria included pape...
Article
Background: People with dementia and their family caregivers may face a great burden through social isolation due to the COVID-19 pandemic, which can be manifested as various behavioral and clinical symptoms. Objective: To investigate the impacts of social isolation due to the COVID-19 pandemic on individuals with dementia and their family careg...
Data
Este informe se enmarca en el proyecto de investigación “Efecto del Confinamiento en el contexto de la pandemia por COVID-19 en la salud mental y recursos psicológicos de afrontamiento de estudiantes de educación superior”. El estudio, que cuenta con la aprobación del Comité de Ética de MIDAP (Instituto Milenio para la investigación en Depresión y...
Article
Full-text available
Background: Chilean higher education students have faced highly stressful events in 2020, including confinement and remote education. This population is particularly susceptible to mental health problems, such as high levels of stress, anxiety, and depression. Aim: To evaluate possible negative impacts of confinement by COVID-19 on Chilean higher...
Article
In Chile, it is estimated that about 200.000 persons have dementia and this number will triplicate by 2020. Most care is provided by family caregivers who experience a negative impact on their physical and mental health. The aim of this study was to identify which factors from family caregivers and the person with dementia (PwD) were related to car...
Poster
Full-text available
Introducción Desde marzo del 2020 en Chile, diversas áreas de la vida se han visto afectadas por la presencia del virus COVID-19, entre ellas, el ámbito académico, donde estudiantes han debido adaptarse a una modalidad de aprendizaje on-line (1). Esto puede llegar a influir, particularmente en los/as estudiantes universitarios/as puesto que son un...
Article
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Introduction: Expert knowledge is critical to fight dementia in inequitable regions like Latin American and Caribbean countries (LACs). However, the opinions of aging experts on public policies’ accessibility and transmission, stigma, diagnostic manuals, data-sharing platforms, and use of behavioral insights (BIs) are not well known. Methods: We in...
Article
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Background The needs of people with dementia (PWD) have not been assessed in any Latin American country. Several European countries have already related unmet needs with quality of life, caregiver’s age, burden, stress, anxiety and depression. The aim of this study was to identify met and unmet needs in Chilean older adults with dementia and to det...
Article
Full-text available
Background: The needs of people with dementia (PWD) have not been assessed in any Latin American country. Several European countries have already related unmet needs with quality of life, caregiver’s age, burden, stress, anxiety and depression. The aim of this study was to identify met and unmet needs in Chilean older adults with dementia and to de...
Article
Background: Currently in Chile there is lack of validated tools for measuring anxiety in the elderly population. Considering this, the purpose of this study was to validate the Geriatric Anxiety Inventory (GAI) in the country. Method: An analysis of the psychometric properties of the GAI was carried out, using a non-clinical sample of 301 older adu...
Article
Background Mind-body interventions have been associated with a range of positive outcomes in older adults with mild cognitive impairment (MCI). The aim of the present study was to review the impact of different non-pharmacological programs based on mind-body intervention for older adults with MCI. Methods A comprehensive search method as required...
Article
Background: Being a caregiver comprises several challenges in order to maintain the wellbeing of people with dementia and their caregivers. The aim of this study was to describe the coping mechanisms, social support and depressive and anxiety symptoms in informal caregivers, and to determine their relationship with unmet needs of people with dement...
Article
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Introducción: La falta de adherencia a la medicación antipsicótica sigue siendo un problema en el tratamiento de pacientes con esquizofrenia, más aún en población indígena. Objetivo: Evaluar las diferencias en la adherencia farmacológica, medida a través de la actitud hacia los antipsicóticos, entre pacientes aymara y no-aymara con esquizofrenia....
Article
Background: Over 35 million people are estimated to be living with dementia in the world and the societal costs are very high. Case management is a widely used and strongly promoted complex intervention for organising and co-ordinating care at the level of the individual, with the aim of providing long-term care for people with dementia in the com...
Article
Objectives Physical exercise has been associated with a range of positive outcomes including improvements in psychological well-being. The aim of the present study was to review current evidence on the effects of physical activity interventions for carers of people with dementia. Methods Systematic review. We searched electronic databases and key a...
Article
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Background: Schizophrenia is a debilitating mental illness that has a significant impact not only in the patient but also in the entire family as well. Caregivers assume almost the totality of the patient care. This responsibility exposes caregivers to an intense burden with negative consequences for them and the rest of the family system. This is...
Article
Background Activity levels remain low in care homes, but activity engagement can enhance residents' quality of life. AimThis study aimed to assess an occupational therapy programme designed to enable care home staff to increase activity provision. MethodA cluster randomised controlled trial with blinded assessment of outcome was conducted. A total...
Article
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Introduction: This study evaluated the impact of the primary caregiver on the quality of life (QL) of patients with advanced cancer. Method: The research design is exploratory descriptive-correlational with non-probabilistic sampling for convenience with error not exceeding 5%. The sample was composed of 34 patients diagnosed with advanced cancer a...
Article
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Background: Caring for a person with dementia is associated with well-documented increases in burden and distress and decreases in mental health and wellbeing. Studies assessing burden in caregivers of patients with dementia and its determinants are scarce in Latin America. Objective: The main objective of this study was to assess the extent and...
Article
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Background Few reports have been published about differences in perspectives on perceived needs among community-residing people with dementia, their family caregivers, and professionals. The aim of this study was to compare these perspectives. Method During 2006 and 2007, one-hundred and fifty two interviews of people with dementia and their careg...
Article
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Cognitive Stimulation Therapy (CST) is a psychosocial intervention for people with dementia that has been successful in Anglo-Saxon population. The aim of this study was to assess the effectiveness of CST in a sample of Chilean elders. The participants were 22 patients diagnosed with Alzheimer's disease (AD) in mild to moderate stage, who were livi...
Article
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Schwartz defines cultural values as motivational types, where each value reflects goals and objectives to be achieved. According to Schwartz, cultural values are related to an orientation that is individualistic (values referred to as power, achievement, hedonism, stimulation and self-direction), collectivistic (benevolence, tradition and conformit...
Article
Deinstitutionalization has forced families of patients with schizophrenia to take responsibility of informal care, without having the tools to exert their role properly. The aim of this study was to evaluate the coping strategies of caregivers of patients with schizophrenia, belonging to the Aymara ethnic group, (aborigines who are located on the h...
Article
Full-text available
Durante el ano 2011 se resolvieron los concursos FONDECYT regular 2012 y de Iniciacion a la investigacion 2011. En el concurso de Iniciacion a la Investigacion, se presentaron 525 proyectos, de los cuales fueron aprobaron 262. De estos, 7 corresponden a Psicologia (de un total de 12 proyectos postulados), por un valor de 322.630 millones de pesos,...
Article
Full-text available
There is lack of evidence about the unmet needs of people with dementia (PWD) living at home and the predictors of high levels of unmet needs. The main aim of this study was to identify the relationship between unmet needs, social networks and quality of life of PWD living at home. One hundred and fifty two community dwelling PWD and 128 carers wer...
Article
In the U.K. about 141,460 people with dementia (PWD) live alone. They are at risk of social isolation and inadequate social and medical supervision. The aims of this study were to identify the needs of PWD living alone and to compare the needs of PWD living alone versus those living with others. It was predicted that PWD living alone would have sig...
Article
Full-text available
A couple of decades ago, hospitals or psychiatric institutions were in charge of caring for patients with schizophrenia; however, nowadays this role is performed by one or more patient's relatives. Evidence shows that informal caregivers experience negative changes in their quality of life (QOL). The aim of this study is to review the main factors...
Data
Variables associated with QOL in family caregivers of patients with schizophrenia. The table shows the variables associated with QOL in family caregivers of patients with schizophrenia found in the literature review [46-53].
Article
Background. Psychiatric disorder is common amongst elderly patients in medical and surgical wards but frequently goes underdiagnosed. This group of patients also presents with needs that are complex and varied and which, therefore, can be difficult to identify. The aim of this study was to identify met and unmet needs of patients referred to old ag...
Article
Full-text available
The study evaluates the psychometric characteristics of the multidimensional social support scale of Zimet et al. (1988). With this purpose, a pilot application was carried out in twelve elders, showing that it was necessary to make some adaptations to the instrument. Then, the adapted instrument was applied in seventy-six elders from the Metropoli...
Article
Full-text available
The study evaluates the psychometric characteristics of the multidimensional social support scale of Zimet et al. (1988). With this purpose, a pilot application was carried out in twelve elders, showing that it was necessary to make some adaptations to the instrument. Then, the adapted instrument was applied in seventy-six elders from the Metropoli...
Article
Full-text available
Summary Background. Psychiatric disorder is common amongst elderly patients in medical and surgical wards but frequently goes underdiagnosed. This group of patients also presents with needs that are complex and varied and which, therefore, can be difficult to identify. The aim of this study was to identify met and unmet needs of patients referred t...
Article
Background: In the UK about 141,460 people with dementia (PWD) living at home live alone. They have high number of unmet needs (UN) and are at high risk of social isolation. In order to provide person-centred care, needs of PWD must be studied considering their own views. Finally, in order to improve well being it is important to know which factors...
Article
Full-text available
Tesis (Mag. en Psicología, mención Psicología Clínica)--Pontificia Universidad Católica de Chile, 2002. Incluye bibliografía.

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Projects

Projects (7)
Project
To generate scientific knowledge about informal and formal caregiving of dependent older people and people with intellectual and developmental disability, through the characterization of caregiving from an integral perspective and the development of suitable evidence-based interventions. In order to achieve this, MICARE is based on three principles: i) the definition of “caregiving” through an integral perspective which includes not only negative but also positive outcomes. ii) the rights-based approach which considers not only caregivers’ but also care-recipients' rights. iii) the study of both, informal and formal caregiving.
Project
Objetivo General: Evaluar el impacto de estresores familiares y académicos emergentes durante la pandemia por COVID-19 sobre la salud mental de estudiantes de educación superior que viven actualmente situación de confinamiento. Objetivos específicos: 1. Identificar estresores familiares y académicos de riesgo para el desarrollo de sintomatología ansiosa y depresiva. 2. Establecer el efecto modulador (moderador/mediador) de recursos de afrontamiento psicológico en la relación entre estresores familiares/académicos y sintomatología ansiosa y depresiva. 3. Establecer el efecto modulador (moderador/mediador) de características sociodemográficas en la relación entre estresores familiares/académicos y sintomatología ansiosa y depresiva.
Project
General aim: To determine trajectories and predictors of depressive and anxious symptoms in family caregivers of people with dementia Specific aims: 1. To identify trajectories of depressive and anxious symptoms in family caregivers of people with dementia 2. To determine profile(s) of family caregivers who are more likely to present trayectories with higher depressive and anxious symptoms. 3. To identify people with dementia's, family caregivers' and social factors which act as predictors of depressive and anxious symptoms in the trajectories of family caregivers mental health.