Cjuno Suni, Julio Cesar

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Cjuno Suni, Julio Cesar
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Cjuno Suni, Julio Cesar
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Cjuno, Julio
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Universidad Peruana Unión
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  • Publicacion
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    Adaptación y análisis psicométrico del cuestionario de ansiedad generalizada (GAD-7) al Quechua Collao en Perú
    (Instituto Nacional de Salud, 2024-06-21)
    Cjuno Suni, Julio Cesar  
    ;
    Villegas Mejia, Raul Alexis  
    ;
    Coronado-Fernández, Jovita
    Objetivos. Adaptar del inglés al contexto cultural y lingüístico del Quechua Collao y analizar las propiedades psicométricas del Cuestionario de Ansiedad Generalizada de 7 ítems (GAD-7) en Puno, Perú. Material y métodos. El GAD-7 en su versión original fue traducido a la variedad del quechua Collao y se analizaron sus propiedades psicométricas, los participantes fueron bilingües (español y quechua) mayores de 18 años y de ambos sexos. Se evaluó el análisis factorial exploratorio (AFE) empleando el análisis paralelo, el análisis factorial confirmatorio (AFC) y los índices de bondad de ajuste; asimismo se analizó la fiabilidad mediante el alfa clásico y Omega de Mc Donald. Resultados. Los jueces y participantes del grupo focal realizaron la adaptación cultural y lingüística del GAD-7 al Quechua Collao; el AFE reportó la presencia de un único factor (KMO=0,88, p=0,01); mientras que el AFC confirmó adecuados ajustes en el modelo unifactorial (CFI=0,994; TLI=0,991; SRMR=0,027; RMSEA=0,092), una buena confiabilidad (α=0,896; ω=0,894) y además fue invariante en grupos de edad, sexo, estado civil y grado de instrucción. Conclusiones. El cuestionario presentó validez para un modelo unidimensional del GAD-7 adaptado al Quechua Collao, así como una óptima confiabilidad e invarianza por los grupos evaluados. Su uso podría beneficiar la investigación y atención de la ansiedad.
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    Narrative review on the therapeutic approach to violence against women during the covid-19 pandemic in latin america
    (Horizon Research Publishing, 2023-08-01)
    Cjuno Suni, Julio Cesar  
    ;
    Ordoñez León, Patricia  
    ;
    Richard Pérez, Sara Esther  
    ;
    Quinteros Zuñiga, Damaris Susana  
    ;
    Hernández-Vásquez, Ronald Miguel
    Violence against women during the pandemic has become a problem that has affected the world and to date has caused the death of many women. Although mental health has shown a growing interest in research, it is still very susceptible to being affected. This research described the scientific literature on the challenges in the psychotherapeutic approach in victims of violence against women during the COVID-19 pandemic in Latin America. A narrative review was carried out with a search of documents in the Scopus, Web of Science and PubMed databases, using descriptors for women, violence against women, COVID-19 and Latin America. As a result, 12 studies were included, which reported that the use of helplines, digital platforms of care and teletherapy were advantageous in several Latin American countries during the pandemic; difficulties were found in the accessibility of care for cases, collapse of telephone lines, technical problems of the system and the need for training for health professionals and service providers. It can be concluded that the coping strategies most used during the pandemic were the help services, through telephone and virtual care; there was difficulty in following up and monitoring the case in the medium and long terms, so further studies could focus on it. The main limitation of this work is methodological, since a number of studies could have been excluded from the searches for not including some of the terms in the search equation.
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    Cultural adaptation to quechua and psychometric analysis of the patient health questionnaire (PHQ-9) in a peruvian population
    (2023-09-26)
    Cjuno Suni, Julio Cesar  
    ;
    Julca Guerrero, Félix Claudio
    ;
    Oruro Zuloaga, Yulisa  
    ;
    Cruz-Mendoza, Frinee
    ;
    Auccatoma-Quispe, Admirson
    Objetivo. Traducir y adaptar culturalmente el Patient Health Questionnaire (PHQ-9) a tres variedades del quechua y analizar su validez, confiabilidad e invarianza. Materiales y métodos. 1) Fase de adaptación cultural: el PHQ-9 fue traducido del inglés a tres variantes del quechua (Central, Chanca, Cuzco-Collao) y traducido nuevamente al inglés, posteriormente expertos y grupos focales permitieron adaptar culturalmente las traducciones. 2) Fase psicométrica: se evaluó la uni-dimensionalidad del PHQ-9 adaptado mediante un Análisis Factorial Confirmatorio (CFA), la confiabilidad se evaluó mediante consistencia interna (Alpha y Omega), y la invarianza de medida según variedades del quechua y variables sociodemográficas se evaluó empleando CFA multigrupos y modelos MIMIC (Múltiples Indicadores y Múltiples Causas). Resultados. Cada una de las adaptaciones del PHQ-9 a las tresvariedades de quechua reportaron ítems claros y culturalmente equivalentes. Posteriormente, con 970 datos de quechuahablantes adultos varones y mujeres, el modelo general unidimensional reportó un ajuste adecuado (índice de ajuste comparativo: 0,990, índice de Tucker-Lewis: 0,987, residuo estandarizado cuadrático medio: 0,048, raíz del error cuadrático medio de aproximación: 0,071), lo mismo ocurrió para cada variedad del quechua. La confiabilidad fue alta para todas las variedades (α = 0,865 – 0,915; ω = 0,833 – 0,881). Los resultados del CFA multigrupos y modelos MIMIC confirmaron invarianza de medida según variante del quechua, sexo, residencia, edad, estado civil y nivel educativo. Conclusiones. Las adaptaciones del PHQ-9 a Quechua Central, Chanca y Cuzco-Collao ofrecen una medición válida, confiable e invariante, confirmando que se pueden hacer comparacionesen los grupos evaluados. Su uso beneficiará a la investigación y a la atención en salud mental de poblaciones quechuahablantes.
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    Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials
    (Tehran University of Medical Sciences, 2024)
    Hernandez Bustamante, Milton Manuel  
    ;
    Cjuno Suni, Julio Cesar  
    ;
    Hernández-Vásquez, Ronald Miguel
    ;
    Ponce-Meza, Jacqueline C.
    Objective: Borderline personality disorder (BPD) is a serious public health problem. Dialectical Behavior Therapy (DBT) is a program that has provided encouraging results for its treatment. However, scientific evidence about its efficacy is scarce. Therefore, we aimed to describe the scientific production on the components of the DBT program and its therapeutic efficacy in the treatment of people with BPD. Method: A systematic review with relevant keywords was conducted based on studies available in Scopus, Web of Science, and PubMed until June 2023, including studies in English, research on therapeutic intervention, studies with a randomized controlled trial (RCT) design that included people with the diagnosis of BPD. Results: We found 18 RCTs, most of which supported the effectiveness of DBT for BPD. There were a total of 1,755 participants in these studies, most of whom were women. These studies looked for treating self-injurious behaviors, suicidal thoughts or ideations, number of visits to emergency services, and frequency of hospital admissions. Most studies revealed that both short-term DBT and standard DBT improved suicidality in BPD patients with small or moderate effect sizes, lasting up to 24 months after the treatment period. Furthermore, these studies showed that DBT can significantly improve general psychopathology and depressive symptoms in patients with BPD. Improvement of compliance, impulsivity, mood instability, as well as reduction in hospitalization rate are other findings observed in the trials following DBT. Conclusion: Although DBT shows efficacy in the treatment of BPD, heterogeneity in the methodologies employed is highlighted. Therefore, it is necessary to design studies from a homogeneous theoretical and methodological framework.
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    Translation and validation of the satisfaction with life scale in the native Quechua (Collao variant) language of southern Perú
    (Elsevier Ltd, 2023-11-01)
    Mamani Benito, Oscar Javier  
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    Carranza Esteban, Renzo Felipe  
    ;
    Cjuno Suni, Julio Cesar  
    ;
    Tito-Betancur, Madona
    ;
    Caycho-Rodríguez, Tomás
    Research on life satisfaction in indigenous populations is limited due to language barriers. Therefore, this paper aimed to translate and validate the Life Satisfaction Scale into the original Quechua language (collao variant) of southern Peru. The research was classified as instrumental and transversal and was conducted with the voluntary participation of 242 Quechua adults speaking the collao variant. The instrument that was translated was the 5-item SWLS, previously adapted to Peruvian Spanish. The internal structure was analyzed under an analytical-factorial approach, and the discrimination and difficulty of the items were evaluated from the item response theory (IRT). Expert judgment was favorable for all items (V > 0.70), confirming the 1-dimensional structure of the scale (χ2 = 8.972, df = 5, p = .000; CFI = 0.985; TLI = 0.970 and RMSEA = 0.057), with acceptable reliability (ω = 0.65). All the items of the scale presented adequate discrimination indices; in addition, the results of the evaluation of factorial invariance as a function of gender demonstrated configurational equivalence but an absence of metric invariance. In conclusion, the SWLS translated into Collao Quechua (collao variant) has a stable factorial structure and adequate internal consistency, although it was not possible to completely demonstrate the invariance by gender, it can be used for initial investigations to measure satisfaction with life of the Quechua-speaking indigenous population of southern Peru.
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    Consumo de sustancias psicoactivas en población peruana durante la pandemia COVID-19
    (2022-03-20)
    Vallejos-Flores, Miguel
    ;
    Saavedra-López, Miguel A.
    ;
    Hernández, Ronald M.
    ;
    Calle-Ramírez, Xiomara M.
    ;
    Cjuno Suni, Julio Cesar  
    Introducción: El estudio tuvo como objetivo determinar la prevalencia de consumo de sustancias psicoactivas en pobladores peruanos durante la pandemia. Método: La investigación fue de tipo cuantitativa descriptiva, diseño no experimental de corte transversal, la muestra estuvo constituida por 1932 sujetos de ambos sexos, las edades oscilan entre los 18 - 65 años. Para la recolección de información se elaboró una encuesta con preguntas relacionadas al consumo de sustancias psicoactivas, información laboral y familiar durante la pandemia. Resultados: En los resultados se encontró que las personas que realizan teletrabajo consumen más el alcohol, tabaco, energizantes, tranquilizantes y marihuana; quienes laboran de manera remota presentan mayor consumo de tranquilizantes. El alcohol es la droga legal más consumida, seguida del tabaco y marihuana. Se halló disminución del consumo de sustancias durante la cuarentena. Las personas que consumen alcohol presentaron mayores porcentajes de contagio y pérdida de un familiar. Asimismo, consideran que tiene apoyo de sus familiares o amigos para hacer frente a un contagio del COVID-19. Conclusiones: Se concluye que en la población peruana prevale el consumo de alcohol, tabaco y marihuana, se presenta disminución del consumo de sustancias psicoactivas; sin embargo, se sigue consumiendo a pesar de las restricciones establecidas pero el estado peruano y los riesgos que produce el consumo.
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    Academic Procrastination, Depressive Symptoms and Suicidal Ideation in University Students: A look during the Pandemic
    (Tehran University of Medical Sciences, 2023)
    Cjuno Suni, Julio Cesar  
    ;
    Palomino Ccasa, Joel  
    ;
    Silva Fernandez, Ronald Gianmarco  
    ;
    Soncco Aquino, Milagros Polonia  
    ;
    Lumba Bautista, Obelita  
    Objective: The aim is to determine the relationship between academic procrastination, depressive symptoms and suicidal ideation in students of the Faculty of Health Sciences. Method: It was a non-experimental and cross-sectional study of correlational scope. The non-probabilistic convenience sample, made up of 578 participants between 16 and 30 years old (69% female), completed the Academic Procrastination Scale, the Positive and Negative Suicidal Ideation Inventory (PANSI) and the Beck Depression Inventory (BDI-II). Frequencies and percentages were estimated at a descriptive level, the partial correlation coefficient and multiple linear regression were utilized to examine the associations between academic procrastination and suicidal ideation. Results: Subjects with a higher score of academic procrastination and BDI-II reported higher scores for suicidal ideation than those with a lower score (P < 0.01). A positive significant relationship was found between total academic procrastination and its subscales and suicidal ideation (P < 0.01). This correlation remained significant after controlling for depression (P < 0.05). Moreover, multiple linear regression revealed that academic procrastination, its subscales and depressive symptoms could explain about 20% of the total suicidal ideation in university students (R2 = 0.198). Conclusion: Increased levels of academic procrastination increase suicidal ideation in college students during the pandemic. These results suggest the need to create interventions for the prevention of this problem in the fields of educational and public health.
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    COVID-19-Related Experiences and Perspectives of Peruvian College Students: A Descriptive Study
    (SAGE Publications Inc., 2024)
    Bazo-Alvarez, Juan Carlos
    ;
    Bazalar-Palacios, Janina
    ;
    Quiñones-Negrete, Magaly
    ;
    Ipanaqué-Zapata, Miguel
    ;
    Cjuno Suni, Julio Cesar  
    The COVID-19 pandemic drastically affected higher education and higher education students around the world, but few studies of college students’ experiences during the COVID-19 pandemic have been conducted in Latin America. This study describes the COVID-19-related experiences and perspectives of Peruvian college students. We surveyed 3,427 full-time college students (average age: 23 years) attending a multi-campus Peruvian university in fall 2020. Participants were recruited through the digital platform of the learning management system at their university, email, and social media. We asked participants how they were managing risks related to COVID-19; the continuity of social, educational, and work activities; and the psychological and economic impacts of the pandemic on their lives. Since March 2020, 73.0% of participants reported COVID-19-related symptoms, but only 33.9% were tested for COVID-19. During the national quarantine imposed by the Peruvian government (March 15–June 30, 2020), 64.3% of participants remained in their house. Furthermore, while 44.0% of participants were working in February 2020 (95% CI: [41.7%, 46.4%]), only 23.6% (95% CI: [21.7%, 25.7%]) were working immediately after the pandemic began (i.e., at the end of April 2020). Participants were more stressed about the health and educational implications of COVID-19 for Peruvian society and their families than about themselves. The public health, economic, and educational implications of COVID-19 on college students are continuing to unfold. This study informed Peruvian higher education institutions’ continued response to the COVID-19 pandemic, the progressive return to postpandemic activities, as well as other future pandemics and other crises.
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    Influence of Family Functioning and Communication on Intimate Partner Violence in Female University Students who Migrated to Metropolitan Lima
    (2023-09-11)
    Cjuno Suni, Julio Cesar  
    ;
    Cruz, Fárida Nasserina Malca
    ;
    Hernández, Ronald M.
    ;
    Saavedra-López, Miguel A.
    ;
    Ponce-Meza, Jacqueline C.
    Objective: To determine the influence of family functioning and family communication as predictors of intimate partner violence in female university students who migrated internally to Metropolitan Lima in Peru. Material And Methods: Cross-sectional and predictive study, developed in a sample of n=310 young women, with an average age of 21 years, selected by non-probabilistic convenience sampling. The Family Adaptability and Cohesion Evaluation Scale (FACES-IV), the Family Communication Scale (FCS) and the Woman Abuse Screening Tool (WAST) were used. Descriptive and inferential analyses were estimated for the relationship of variables, Pearson's coefficient and multiple linear regression to determine the prediction of intimate partner violence using SPSS v. 26. Results: We found significant inverse relationships between intimate partner violence and family communication, balanced cohesion, balanced flexibility and rigid flexibility. While the chaotic flexibility scale was directly related to intimate partner violence. Likewise, family communication and family functioning predict 13.1% of intimate partner violence, and as family communication increases, intimate partner violence decreases (β= -0.10; 95%CI: -0.16 to -0.03). Conclusion: Coming from families with balanced cohesion, rigid, balanced flexibility decrease the risk of being victims of intimate partner violence and dysfunctional family communication increases intimate partner violence predicting 13.1% of intimate partner violence. Further studies could increase the sample of rural and urban areas to confirm the approximation we report.
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