Clinical Intervention Proposal Based on Cognitive Behavioral Therapy and Positive Psychology to Improve Treatment Adherence and Psychological Well-Being in Adolescents with Uncontrolled Asthma

Authors

DOI:

https://doi.org/10.5281/zenodo.17109059

Keywords:

cognitive-behavioral, positive psychology, ashtma, treatment adherence, clinical psychology, psychological well-being

Abstract

Uncontrolled asthma in adolescents constitutes a public health issue with physical, emotional, and social implications. Despite the availability of effective treatments, poor therapeutic adherence remains a critical barrier to achieving disease control. This article presents a clinical and salutogenic intervention proposal based on the principles of cognitive-behavioral therapy and positive psychology, aiming to improve both treatment adherence and psychological well-being in adolescents diagnosed with uncontrolled asthma. The intervention involves structured group sessions that address dysfunctional beliefs, strengthen self-efficacy, promote positive emotions, and enhance personal and contextual resources. This approach not only seeks to reduce distress but also to foster psychological flourishing among adolescents, representing an innovative perspective that opens new avenues for clinical intervention and research in this population, as well as in individuals with other chronic conditions.

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Author Biographies

Carolina Delgado Domínguez, Universidad Veracruzana

PhD in Psychology, Master’s in Public Health, and Bachelor’s Degree in Psychology. Researcher at the Institute of Psychological Research and professor at the Faculty of Psychology, Universidad Veracruzana.
Member of the National System of Researchers (SNII).

Mauricio Fidel Mendoza Gonzalez , Universidad Veracruzana

Physician. Researcher at the Institute of Public Health of the Universidad Veracruzana. Member of the Academic Body UV-478 (Health Situation Analysis). Member of the Observatory of Medical Education and Human Rights (OBEME). Epidemiologist assigned to the Regional Hospital of Xalapa, IMSS Bienestar. Female member of the National System of Researchers (SNII).

Roberto Lagunes Córdoba, Universidad Veracruzana

PhD in Science. Researcher at the Institute of Psychological Research, Universidad Veracruzana. Member of the National System of Researchers (SNII).

References

Fredrickson, B. L., Cohn, M. A., Coffey, K. A., Pek, J., & Finkel, S. M. (2008). Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Journal of Personality and Social Psychology, 95(5), 1045–1062. https://doi.org/10.1037/a0013262

Guajardo Balderas, V., Cadena Santos, F., Alarcón Luna, N. S., Alatorre Esquivel, M. A., Yáñez Castillo, B. G., & Reyes Enríquez, A. (2020). Calidad de vida en niños y adolescentes con asma en una población mexicana. Enfermería Universitaria, 17(1), 23–30. https://doi.org/10.22201/enfermeria.23958421e.2020.1.430

Guzmán-Carrillo, K. Y., González-Betanzos, F., Rivera-Heredia, M. E., Montes Delgado, R., Salazar Garza, M. L., & Aguirre Martínez, J. I. (2022). Intervención cognitivo conductual para promover la adhesión al tratamiento médico, recursos psicológicos y calidad de vida en pacientes pediátricos con hemodiálisis en México. Revista de Psicología Clínica con Niños y Adolescentes, 9(2), 26–31. https://doi.org/10.21134/rpcna.2022.09.2.3

Herrera G., A. M., Abara E., S., Álvarez G., C., Astudillo M., C., Corrales V., R., Chala C., E., Dazenies S., C., Koppmann A., A., Lezana S., V., Mamani J., R., Palomino M., M. A., Pérez H., M. A., Pierry V., C., Rivera K., N., Saavedra B., M., & Vargas G., V. (2024). Consenso chileno SOCHINEP-SER para el diagnóstico y tratamiento del asma en el adolescente. Revista Chilena de Enfermedades Respiratorias, 40(3), 170–190. https://revchilenfermrespir.cl/index.php/RChER/article/view/1227

Kendall, P. C. (2010). Tratamiento cognitivo-conductual para trastornos de ansiedad en adolescentes: Manual para el terapeuta + Cuaderno de actividades El Gato Valiente. Docta Ediciones.

Lugo-González, I. V., & Pérez-Bautista, Y. Y. (2021). Intervención cognitivo-conductual para disminuir depresión y ansiedad en una persona con asma: Estudio de caso. Revista Digital Internacional de Psicología y Ciencia Social, 7(2), 364–383. https://doi.org/10.22402/j.rdipycs.unam.7.2.2021.331.364-383

Melero Moreno, C. (2018). Adherencia al tratamiento en asma. Situación actual. Open Respiratory Archives, 1(4), 251–256. https://www.separcontenidos.es/revista3/index.php/revista/article/view/116/136

Organización Mundial de la Salud. (2023). Asma. https://www.who.int/es/news-room/fact-sheets/detail/asthma

Ornelas-Aguirre, J. M., & Murillo-Zamora, E. (2022). Impacto del asma en la calidad de vida de adolescentes mexicanos. Salud Pública de México, 64(3), 293–300.

Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719–727. https://doi.org/10.1037/0022-3514.69.4.719

Secretaría de Salud. (2021). Programa de Acción Específico para Enfermedades Respiratorias Crónicas. Gobierno de México. www.gob.mx/salud/documentos/programa-de-accion-especificao

Seligman, M. E. P. (2011). Flourish: A visionary new understanding of happiness and well-being. Free Press

Seligman, M. E. P. (2018). La vida que florece: una nueva visión del bienestar y la salud mental. Barcelona: Ediciones B.

Sharrad, K.J., Sanwo, O., Cuevas-Asturias, S., Kew, K.M., Carson-Chahhoud, K.V., y Pike, K.C. (2024). Psychological interventions for asthma in children and adolescents. Cochrane Database of Systematic Reviews,1 (1). doi: 0.1002/14651858.CD013420.pub2.

Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well‐being and alleviating depressive symptoms with positive psychology interventions: A practice‐friendly meta‐analysis. Journal of Clinical Psychology, 65(5), 467–487. https://doi.org/10.1002/jclp.20593

Vázquez, C., Hervás, G., Rahona, J. J., & Gómez, D. (2009). Bienestar psicológico y salud: Aportaciones desde la psicología positiva. Anuario de Psicología Clínica y de la Salud, 5, 15–28.

Velázquez-Jurado, H., Flores-Torres, A., Pérez-Peralta, L., et al. (2023). Cognitive behavioral treatment to improve psychological adjustment in people recently diagnosed with type 2 diabetes. Health Psychology and Behavioral Medicine, 11(1), 2179058. https://doi.org/10.1080/21642850.2023.2179058

Vergara Aguirre, S. N., Chavarría Santiago, O. A., Rodríguez Medina, D. A., Domínguez Trejo, B., & Zamudio Silva, P. (2019). Intervención cognitivo-conductual para promover adherencia terapéutica y regulación autonómica en pacientes con diabetes mellitus tipo 2. Psicología y Salud, 29(2), 221–231. https://doi.org/10.25009/pys.v29i2.2587Psicología y Salud

World Health Organization. (2023). Adherence to long-term therapies: Evidence for action. WHO.

Published

2025-09-02

How to Cite

Delgado Domínguez, C., Mendoza Gonzalez , M. F., & Lagunes Córdoba, R. (2025). Clinical Intervention Proposal Based on Cognitive Behavioral Therapy and Positive Psychology to Improve Treatment Adherence and Psychological Well-Being in Adolescents with Uncontrolled Asthma. Universita Ciencia, 13(37), 180–197. https://doi.org/10.5281/zenodo.17109059