Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada
85 páginas
- Autores:
-
Contreras Lobo, María Angélica
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2019
- Institución:
- Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
- Repositorio:
- Repositorio Institucional UDCA
- Idioma:
- spa
- OAI Identifier:
- oai:repository.udca.edu.co:11158/2644
- Acceso en línea:
- https://repository.udca.edu.co/handle/11158/2644
- Palabra clave:
- Depresión
Padres e hijos
Trastorno Autístico
- Rights
- openAccess
- License
- Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales
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Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada |
| title |
Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada |
| spellingShingle |
Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada Depresión Padres e hijos Trastorno Autístico |
| title_short |
Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada |
| title_full |
Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada |
| title_fullStr |
Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada |
| title_full_unstemmed |
Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada |
| title_sort |
Depresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizada |
| dc.creator.fl_str_mv |
Contreras Lobo, María Angélica |
| dc.contributor.advisor.spa.fl_str_mv |
Bello, Leonardo, dir. |
| dc.contributor.author.spa.fl_str_mv |
Contreras Lobo, María Angélica |
| dc.subject.mesh.spa.fl_str_mv |
Depresión Padres e hijos Trastorno Autístico |
| topic |
Depresión Padres e hijos Trastorno Autístico |
| description |
85 páginas |
| publishDate |
2019 |
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2019 |
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2020-01-16T21:33:30Z |
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2020-01-16T21:33:30Z |
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Trabajo de grado - Pregrado |
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MH017 C65d 2019 (205743) |
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MH017 C65d 2019 (205743) |
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Oono IP, Honey EJ, McConachie (2013). Parent-mediated early intervention for young children with autism spectrum disorders ( ASD ) ( Review ) SUMMARY OF FINDINGS FOR THE MAIN COMPARISON, (4). https://doi.org/10.1002/14651858.CD009774.pub2.www.cochranelibrary.co m Elfert, M., & Mirenda, P. (2006). The experiences of behavior interventionists who work with children with autism in families’ homes. Autism, 10(6), 577– 591. https://doi.org/10.1177/1362361306068502 Estes, A., Olson, E., Sullivan, K., Greenson, J., Winter, J., Dawson, G., & Munson, J. (2013). Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders. Brain and Development, 35(2), 133–138. https://doi.org/10.1016/j.braindev.2012.10.004 Congreso de Colombia. (2015). PROYECTO DE LEY 083 DE 2015 CÁMARA por la cual se crea el Sistema General para la Atención Integral y Protección a Personas con Trastorno del Espectro Autista (T.E.A.) y en condiciones similares y se dictan otras disposiciones. Preece, D., & Almond, J. (2008). Supporting families with children on the autism spectrum: using structured teaching approaches in the home and community. Good Autism Practice (GAP), 9(2), 44–53. Retrieved from www.autismeducationtrust.org.uk http://www.researchgate.net/publication/235641087%0Ahttp://www.aettraini nghubs.org.uk/wp-content/uploads/2012/08/12_Support-for-families-athome.pdf%0Ahttp://www.ingentaconnect.com/content/bild/gap/2008/000000 09/00000002/ar Bitsika, V., Sharpley, C. F., Andronicos, N. M., & Agnew, L. L. (2017). What worries parents of a child with Autism? Evidence from a biomarker for chronic stress. Research in Developmental Disabilities, 62, 209–217. https://doi.org/10.1016/j.ridd.2017.02.003 Fávero-Nunes, Maria Ângela, & Santos, Manoel Antônio dos. (2010). Depression and quality of life in mothers of children with pervasive developmental disorders. Revista Latino-Americana de Enfermagem, 18(1), 33-40. https://dx.doi.org/10.1590/S0104-11692010000100006 Posar-Annio,ViscontiPaola(2017) Autism in 2016: the need for answers. ornal de Pediatria (Rio J),93,11-119. http://dx.doi.org/10.1016/j.jped.2016.09.002 O’Nions, E., Happé, F., Evers, K., Boonen, H., & Noens, I. (2018). How do Parents Manage Irritability, Challenging Behaviour, Non-Compliance and Anxiety in Children with Autism Spectrum Disorders? A MetaSynthesis. Journal of Autism and Developmental Disorders, 48(4), 1272– 1286. https://doi.org/10.1007/s10803-017-3361-4 Da Paz, N. S., & Wallander, J. L. (2017, February 1). Interventions that target improvements in mental health for parents of children with autism spectrum disorders: A narrative review. Clinical Psychology Review. Elsevier Inc. https://doi.org/10.1016/j.cpr.2016.10.006 Kim, K., Kim, J., Voight, A., & Ji, M. (2018). Listening to the screaming whisper: a voice of mother caregivers of children with autistic spectrum disorder (ASD). International Journal of Qualitative Studies on Health and Well-Being, 13(1). https://doi.org/10.1080/17482631.2018.1479585 Bonis, S. (2016). Stress and Parents of Children with Autism: A Review of Literature. Issues in Mental Health Nursing, 37(3), 153–163. https://doi.org/10.3109/01612840.2015.1116030 Depape, A. M., & Lindsay, S. (2015). Parents’ experiences of caring for a child with autism spectrum disorder. Qualitative Health Research, 25(4), 569–583. https://doi.org/10.1177/1049732314552455 Mohammadi, M., & Zarafshan, H. (2014). Family function, parenting style and broader autism phenotype as predicting factors of psychological adjustment in typically developing siblings of children with autism spectrum disorders. Iranian Journal of Psychiatry, 9(2), 55–63. Gael I. Orsmond1, and Marsha Mailick2. (2004). SIBLINGS OF INDIVIDUALS WITH AUTISM SPECTRUM DISORDERS ACROSS THE LIFE COURSE. 314 MRDD Research Reviews37(4), 37–49. https://doi.org/10.1002/mrdd Instituto Colombiano De Bienestar Familiar. Orientaciones pedagogicas para la atencion y la promocion de la inclusion de niñas y niños menores de seis años con autismo.(2007) Pfd Disponible en: https://www.icbf.gov.co/sites/default/files/cartilla-autismo-5.pdf DSM-IV. (1995). EspectroAutista.Info – Manual Diagnóstico y Estadístico de los Trastornos Mentales (DSM-IV). Espectroautista.Info. Retrieved from http://espectroautista.info/criterios-diagn�sticos/DSM-IV#idm258454850656 American Psychiatric Association. (2013). Cautionary statement for forensic use of DSM-5. In Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. http://dx.doi.org/10.1176/appi.books.9780890425596 Organizacion Mundial de la Salud.(2018,Abril2)Trastornos del Espectro Autista.Recuperado de: https://www.who.int/es/news-room/factsheets/detail/autism-spectrum-disorders Organizacion Mundial de la Salud.(2017) Depresion. Recuperado de: https://www.who.int/topics/depression/es/ Ministerio De Salud y proteccion Social. Protocolo clinico para el diagnostico, tratamiento y ruta de evacuacion integral de niños con trastorno del espectro autista .(Marzo 2015) Aylott, J. (2001). Understanding and listening people with autism, BRITISH JOURNAL OF NURSING, 2001,166–172. Balbuena Rivera, Francisco. (2007). Breve revisión histórica del autismo. Revista de la Asociación Española de Neuropsiquiatría, 27(2), 61- 81. Recuperado en 08 de mayo de 2019, de http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0211- 57352007000200006&lng=es&tlng=es. Artigas-Pallares, Josep, & Paula, Isabel. (2012). El autismo 70 años después de Leo Kanner y Hans Asperger. Revista de la Asociación Española de Neuropsiquiatría, 32(115), 567-587. https://dx.doi.org/10.4321/S0211- 57352012000300008 Garrabé de Lara, Jean. (2012). El autismo: Historia y clasificaciones. Salud mental, 35(3), 257-261. Recuperado en 07 de mayo de 2019, de http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185- 33252012000300010&lng=es&tlng=es American Psyquiatric Association.Autism Spectrum Disorder.(2013) Recuperado de: https://ghr.nlm.nih.gov/condition/autism-spectrum-disorder American Psyquiatric Association.Depression.(2017 Enero) Recuperado de: https://www.psychiatry.org/patients-families/depression/what-is-depression Alexis, M., & Gaona, V. (2017). Revisiòn De Instrumentos Validados En Colombia Para El Diagnóstico Del Trastorno Del Espectro Autista. Botto, Alberto, Acuña, Julia, & Jiménez, Juan Pablo. (2014). La depresión como un diagnóstico complejo: Implicancias para el desarrollo de recomendaciones clínicas. Revista médica de Chile, 142(10), 1297- 1305. https://dx.doi.org/10.4067/S0034-98872014001000010 Boshoff, K., Gibbs, D., Phillips, R. L., Wiles, L., & Porter, L. (2016, November 1). Parents’ voices: ‘why and how we advocate’. A meta-synthesis of parents’ experiences of advocating for their child with autism spectrum disorder. Child: Care, Health and Development. Blackwell Publishing Ltd. https://doi.org/10.1111/cch.12383 Firth, I., & Dryer, R. (2013). The predictors of distress in parents of children with autism spectrum disorder. Journal of Intellectual and Developmental Disability, 38(2), 163–171. https://doi.org/10.3109/13668250.2013.773964 ngersoll, Brooke Meyer, Katherine Becker, Mark W.(2011) Increased rates of depressed mood in mothers of children with ASD associated with the presence of the broader autism phenotype,4,143-148.DOI: 10.1002/aur.170 Fernańdez-Alcántara, M., García-Caro, M. P., Pérez-Marfil, M. N., HuesoMontoro, C., Laynez-Rubio, C., & Cruz-Quintana, F. (2016). Feelings of loss and grief in parents of children diagnosed with autism spectrum disorder (ASD). Research in Developmental Disabilities, 55, 312–321. https://doi.org/10.1016/j.ridd.2016.05.007 Chan, K. K. S., Lam, C. B., Law, N. C. W., & Cheung, R. Y. M. (2018). From child autistic symptoms to parental affective symptoms: A family process model. Research in Developmental Disabilities, 75, 22–31. https://doi.org/10.1016/j.ridd.2018.02.005 E.A., K., & A.A., K. (2015). Maternalmental health after a child’s diagnosis of autism spectrum disorder. JAMA - Journal of the American Medical Association, 313(1), 81–82. Bekhet, Abir K. Johnson, Norah L. Zauszniewski, Jaclene A. Effects on Resilience of Caregivers of Persons With Autism Spectrum Disorder: The Role of Positive Cognitions. Journal of the American Psychiatric Nurses Association2012.18(6):337-44. doi: 10.1177/1078390312467056. Burke, M. M., Taylor, J. L., Urbano, R., & Hodapp, R. M. (2012). Predictors of future caregiving by adult siblings of individuals with intellectual and developmental disabilities. American Journal on Intellectual and Developmental Disabilities, 117(1), 33–47. https://doi.org/10.1352/1944- 7558-117.1.33 Santos, Cristina Mamédio da Costa, Pimenta, Cibele Andrucioli de Mattos, & Nobre, Moacyr Roberto Cuce. (2007). Estrategia PICO para la construcción de la pregunta de investigación y la búsqueda de evidencias. Revista LatinoAmericana de Enfermagem, 15(3), 508- 511. https://dx.doi.org/10.1590/S0104-11692007000300023 Congreso de Colombia. (2015). PROYECTO DE LEY 083 DE 2015 CÁMARA por la cual se crea el Sistema General para la Atención Integral y Protección a Personas con Trastorno del Espectro Autista (T.E.A.) y en condiciones similares y se dictan otras disposiciones. Asamblea Mundial de la Salud aprobó la resolución titulada "Medidas integrales y coordinadas para gestionar los trastornos del espectro autista", Ginebra Mayo 2014 Beltrán, María del Carmen, Freyre, Miguel-Ángel, & Hernández-Guzmán, Laura. (2012). El Inventario de Depresión de Beck: Su validez en población adolescente. Terapia psicológica, 30(1), 5- 13. https://dx.doi.org/10.4067/S0718-48082012000100001 Bojorquez Chapela, Ietza, & Salgado de Snyder, Nelly. (2009). Características psicométricas de la Escala Center for Epidemiological Studies-depression (CES-D), versiones de 20 y 10 reactivos, en mujeres de una zona rural mexicana. Salud mental, 32(4), 299-307. Recuperado en 06 de mayo de 2019, de http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185- 33252009000400005&lng=es&tlng=es. Roa-Díaz, Zayne; Vargas-Porras, Carolina; Parra, Dora Inés. Propiedades psicométricas del Hopkins Symptom Checklis-10: Análisis Rasch en estudiantes de enfermería Colombia. Evidentia. 2017; vol. 14. Disponible en: <http://www.index-f.com/evidentia/v14/e11606.php Kousha, M., Attar, H. A., & Shoar, Z. (2016). Anxiety, depression, and quality of life in Iranian mothers of children with autism spectrum disorder. Journal of Child Health Care, 20(3), 405–414. https://doi.org/10.1177/1367493515598644 Fávero-Nunes, M. Â., & Santos, M. A. dos. (2010). Depresión y calidad de vida en madres de niños con trastornos invasores de desarrollo. Rev Lat Am Enfermagem, 18(1), 33–40. Retrieved from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104- 11692010000100006 Cohrs, A. C., & Leslie, D. L. (2017). Depression in Parents of Children Diagnosed with Autism Spectrum Disorder: A Claims-Based Analysis. Journal of Autism and Developmental Disorders, 47(5), 1416–1422. https://doi.org/10.1007/s10803-017-3063-y Marshall, B., Kollia, B., Wagner, V., & Yablonsky, D. (2017). Identifying Depression in Parents of Children With Autism Spectrum Disorder: Recommendations for Professional Practice. Journal of Psychosocial Nursing and Mental Health Services, 56(4), 23–27. https://doi.org/10.3928/02793695- 20171128-02 Reed, P., Picton, L., Grainger, N., & Osborne, L. A. (2016). Impact of diagnostic practices on the self-reported health of mothers of recently diagnosed children with ASD. International Journal of Environmental Research and Public Health, 13(9). https://doi.org/10.3390/ijerph13090888 Ingersoll, B., Meyer, K., & Becker, M. W. (2011). Increased rates of depressed mood in mothers of children with ASD associated with the presence of the broader autism phenotype. Autism Research, 4(2), 143–148. https://doi.org/10.1002/aur.170 Baker, J. K., Seltzer, M. M., & Greenberg, J. S. (2011). Longitudinal Effects of Adaptability on Behavior Problems and Maternal Depression in Families of Adolescents With Autism. Journal of Family Psychology, 25(4), 601–609. https://doi.org/10.1037/a0024409 Hou, Y. M., Stewart, L., Iao, L. S., & Wu, C. C. (2018). Parenting stress and depressive symptoms in Taiwanese mothers of young children with autism spectrum disorder: Association with children’s behavioural problems. Journal of Applied Research in Intellectual Disabilities, 31(6), 1113–1121. https://doi.org/10.1111/jar.12471 Weitlauf, A. S., Vehorn, A. C., Taylor, J. L., & Warren, Z. E. (2014). Relationship satisfaction, parenting stress, and depression in mothers of children with autism. Autism, 18(2), 194–198. https://doi.org/10.1177/1362361312458039 MacHado Junior, S. B., Celestino, M. I. O., Serra, J. P. C., Caron, J., & Pondé, M. P. (2016). Risk and protective factors for symptoms of anxiety and depression in parents of children with autism spectrum disorder. Developmental Neurorehabilitation, 19(3), 146–153. https://doi.org/10.3109/17518423.2014.925519 Singh, P., Ghosh, S., & Nandi, S. (2017). Subjective Burden and Depression in Mothers of Children with Autism Spectrum Disorder in India: Moderating Effect of Social Support. Journal of Autism and Developmental Disorders, 47(10), 3097–3111. https://doi.org/10.1007/s10803-017-3233-y Zablotsky, B., Anderson, C., & Law, P. (2013). The association between child autism symptomatology, maternal quality of life, and risk for depression. Journal of Autism and Developmental Disorders, 43(8), 1946–1955. https://doi.org/10.1007/s10803-012-1745-z Gatzoyia, D., Kotsis, K., Koullourou, I., Goulia, P., Carvalho, A. F., Soulis, S., & Hyphantis, T. (2014). The association of illness perceptions with depressive symptoms and general psychological distress in parents of an offspring with autism spectrum disorder. Disability and Health Journal Falk, N. H., Norris, K., & Quinn, M. G. (2014). The Factors Predicting Stress, Anxiety and Depression in the Parents of Children with Autism. Journal of Autism and Developmental Disorders, 44(12), 3185–3203. https://doi.org/10.1007/s10803-014-2189-4 Willis, K., Timmons, L., Pruitt, M., Schneider, H. L., Alessandri, M., & Ekas, N. V. (2016). The Relationship Between Optimism, Coping, and Depressive Symptoms in Hispanic Mothers and Fathers of Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 46(7), 2427–2440. https://doi.org/10.1007/s10803- 016-2776-7 Taylor, J. L., & Warren, Z. E. (2012). Maternal depressive symptoms following autism spectrum diagnosis. Journal of Autism and Developmental Disorders, 42(7), 1411–1418. https://doi.org/10.1007/s10803-011-1375-x Garside, Ruth (2018) A COMPARISON OF METHODS FOR THE SYSTEMATIC REVIEW OF QUALITATIVERESEARCH: TWO EXAMPLES USING META- ETHNOGRAPHY AND META-STUDY.11(1-22)DOI: 10.1016/j.explore.2017.07.0 |
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Bello, Leonardo, dir.Contreras Lobo, María Angélica2020-01-16T21:33:30Z2020-01-16T21:33:30Z2019https://repository.udca.edu.co/handle/11158/2644MH017 C65d 2019 (205743)85 páginasPara poner en contexto, en el mundo se considera que el 1% de la población padece alguna forma del trastorno del espectro autista, esto no puede dar una idea de la cantidad de familias que deben convivir con personas con TEA, generalmente son los padres o hermanos quienes frecuentemente interrumpen aspectos de su vida diaria o sus proyectos de vida, tales como relaciones sociales y/o trabajo entre otros, esto, para satisfacer las necesidades del individuo con trastorno del espectro autista. La responsabilidad, el desconocimiento al enfrentar este síndrome, el saber que qué esta condición en su ser querido será permanente, desencadena un sin número factores, que terminan por afectar la vida y generan una cadena de estrés que resulta en un estado de vulnerabilidad para los padres hacia el desarrollo de depresión. La depresión constituye un trastorno de salud mental que tiene un impacto en la vida de una persona y de su familia en particular cuando se presenta en los padres de un individuo con autismo, el identificar síntomas depresivos en los padres, puede mejorar su salud y puede ayudar con el pronóstico de sus hijos. En la actualidad la mayoría de intervenciones existentes se enfocan solamente en el individuo con Trastorno del espectro autista, por lo que se debería concientizar a la comunidad de la salud sobre la depresión en esta población y se debe identificar como un problema que está interfiriendo con el buen desarrollo de los individuosTo put into context, in the world it is considered that 1% of the population suffers from some form of autistic spectrum disorder, this can’t give an idea of the number of families that must live with people with TEA, usually parents or siblings who frequently interrupt aspects of their daily life or their life projects, such as social relationships and / or work among others, this, to meet the needs of the individual with autism spectrum disorder. The responsibility, the ignorance in facing this syndrome, the knowledge that what this condition in your loved one will be permanent, unleashes a number of factors, which end up affecting life and generate a chain of stress that results in a state of vulnerability for the parents towards the development of depression. Depression is a mental health disorder that has an impact on the life of a person and their family in particular when it occurs in the parents of an individual with autism, identifying depressive symptoms in parents, can improve their health and can help with the prognosis of their children.Currently most of the existing interventions focus only on the individual with Autism Spectrum Disorder, so the health community should be made aware of depression in this population and should be identified as a problem that is interfering with the good development ofIncluye bibliografíaPregradoMédico(a) Cirujanoapplication/pdfspaBogotá : Universidad de Ciencias Aplicadas y Ambientales, 2019Facultad de Ciencias de la SaludMedicinaDerechos Reservados - Universidad de Ciencias Aplicadas y Ambientaleshttps://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessAtribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0)http://purl.org/coar/access_right/c_abf2DepresiónPadres e hijosTrastorno AutísticoDepresión en padres y cuidadores de personas con trastorno del espectro autista : revisión sistematizadaTrabajo de grado - Pregradohttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisinfo:eu-repo/semantics/publishedVersionTexthttp://purl.org/redcol/resource_type/TPhttp://purl.org/coar/version/c_970fb48d4fbd8a85Oono IP, Honey EJ, McConachie (2013). 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Journal of Autism and Developmental Disorders, 42(7), 1411–1418. https://doi.org/10.1007/s10803-011-1375-xGarside, Ruth (2018) A COMPARISON OF METHODS FOR THE SYSTEMATIC REVIEW OF QUALITATIVERESEARCH: TWO EXAMPLES USING META- ETHNOGRAPHY AND META-STUDY.11(1-22)DOI:10.1016/j.explore.2017.07.0PublicationORIGINALFINFI.pdfFINFI.pdfapplication/pdf1892789https://repository.udca.edu.co/bitstreams/8e088328-071f-4f68-ba25-ebe661d5e0a9/downloadfb2d9d002fafcec90f07e22d5b9af4c6MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-814775https://repository.udca.edu.co/bitstreams/8643d37f-d61c-432a-90e9-0a6273835a1f/downloadf661acf14bedbf9f5d13897a0387e751MD52TEXTFINFI.pdf.txtFINFI.pdf.txtExtracted texttext/plain124184https://repository.udca.edu.co/bitstreams/88ef1472-b06d-4f7e-8b6b-1673862cd6f4/download8ebcc51ecd888434391224cfc561a51aMD53THUMBNAILFINFI.pdf.jpgFINFI.pdf.jpgGenerated 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 nombre de la parte o las partes que el Autor Original y/o el Licenciante hubieren designado para la atribución (v.g., un instituto patrocinador, editorial, publicación) en la información de los derechos de autor del Licenciante, términos de servicios o de otras formas razonables; el título de la Obra si está provisto; en la medida de lo razonablemente factible y, si está provisto, el Identificador Uniforme de Recursos (Uniform Resource Identifier) que el Licenciante especifica para ser asociado con la Obra, salvo que tal URI no se refiera a la nota sobre los derechos de autor o a la información sobre el licenciamiento de la Obra; y en el caso de una Obra Derivada, atribuir el crédito identificando el uso de la Obra en la Obra Derivada (v.g., "Traducción Francesa de la Obra del Autor Original," o "Guión Cinematográfico basado en la Obra original del Autor Original"). Tal crédito puede ser implementado de cualquier forma razonable; en el caso, sin embargo, de Obras Derivadas u Obras Colectivas, tal crédito aparecerá, como mínimo, donde aparece el crédito de cualquier otro autor comparable y de una manera, al menos, tan destacada como el crédito de otro autor comparable.
d.	Para evitar toda confusión, el Licenciante aclara que, cuando la obra es una composición musical:
i.	Regalías por interpretación y ejecución bajo licencias generales. El Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública o la ejecución pública digital de la obra y de recolectar, sea individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), las regalías por la ejecución pública o por la ejecución pública digital de la obra (por ejemplo Webcast) licenciada bajo licencias generales, si la interpretación o ejecución de la obra está primordialmente orientada por o dirigida a la obtención de una ventaja comercial o una compensación monetaria privada.
ii.	Regalías por Fonogramas. El Licenciante se reserva el derecho exclusivo de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), una agencia de derechos musicales o algún agente designado, las regalías por cualquier fonograma que Usted cree a partir de la obra (“versión cover”) y distribuya, en los términos del régimen de derechos de autor, si la creación o distribución de esa versión cover está primordialmente destinada o dirigida a obtener una ventaja comercial o una compensación monetaria privada.
e.	Gestión de Derechos de Autor sobre Interpretaciones y Ejecuciones Digitales (WebCasting). Para evitar toda confusión, el Licenciante aclara que, cuando la obra sea un fonograma, el Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública digital de la obra (por ejemplo, webcast) y de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, Acinpro), las regalías por la ejecución pública digital de la obra (por ejemplo, webcast), sujeta a las disposiciones aplicables del régimen de Derecho de Autor, si esta ejecución pública digital está primordialmente dirigida a obtener una ventaja comercial o una compensación monetaria privada.
5. Representaciones, Garantías y Limitaciones de Responsabilidad.
A MENOS QUE LAS PARTES LO ACORDARAN DE OTRA FORMA POR ESCRITO, EL LICENCIANTE OFRECE LA OBRA (EN EL ESTADO EN EL QUE SE ENCUENTRA) “TAL CUAL”, SIN BRINDAR GARANTÍAS DE CLASE ALGUNA RESPECTO DE LA OBRA, YA SEA EXPRESA, IMPLÍCITA, LEGAL O CUALQUIERA OTRA, INCLUYENDO, SIN LIMITARSE A ELLAS, GARANTÍAS DE TITULARIDAD, COMERCIABILIDAD, ADAPTABILIDAD O ADECUACIÓN A PROPÓSITO DETERMINADO, AUSENCIA DE INFRACCIÓN, DE AUSENCIA DE DEFECTOS LATENTES O DE OTRO TIPO, O LA PRESENCIA O AUSENCIA DE ERRORES, SEAN O NO DESCUBRIBLES (PUEDAN O NO SER ESTOS DESCUBIERTOS). ALGUNAS JURISDICCIONES NO PERMITEN LA EXCLUSIÓN DE GARANTÍAS IMPLÍCITAS, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
6. Limitación de responsabilidad.
A MENOS QUE LO EXIJA EXPRESAMENTE LA LEY APLICABLE, EL LICENCIANTE NO SERÁ RESPONSABLE ANTE USTED POR DAÑO ALGUNO, SEA POR RESPONSABILIDAD EXTRACONTRACTUAL, PRECONTRACTUAL O CONTRACTUAL, OBJETIVA O SUBJETIVA, SE TRATE DE DAÑOS MORALES O PATRIMONIALES, DIRECTOS O INDIRECTOS, PREVISTOS O IMPREVISTOS PRODUCIDOS POR EL USO DE ESTA LICENCIA O DE LA OBRA, AUN CUANDO EL LICENCIANTE HAYA SIDO ADVERTIDO DE LA POSIBILIDAD DE DICHOS DAÑOS. ALGUNAS LEYES NO PERMITEN LA EXCLUSIÓN DE CIERTA RESPONSABILIDAD, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
7. Término.
a.	Esta Licencia y los derechos otorgados en virtud de ella terminarán automáticamente si Usted infringe alguna condición establecida en ella. Sin embargo, los individuos o entidades que han recibido Obras Derivadas o Colectivas de Usted de conformidad con esta Licencia, no verán terminadas sus licencias, siempre que estos individuos o entidades sigan cumpliendo íntegramente las condiciones de estas licencias. Las Secciones 1, 2, 5, 6, 7, y 8 subsistirán a cualquier terminación de esta Licencia.
b.	Sujeta a las condiciones y términos anteriores, la licencia otorgada aquí es perpetua (durante el período de vigencia de los derechos de autor de la obra). No obstante lo anterior, el Licenciante se reserva el derecho a publicar y/o estrenar la Obra bajo condiciones de licencia diferentes o a dejar de distribuirla en los términos de esta Licencia en cualquier momento; en el entendido, sin embargo, que esa elección no servirá para revocar esta licencia o que deba ser otorgada , bajo los términos de esta licencia), y esta licencia continuará en pleno vigor y efecto a menos que sea terminada como se expresa atrás. La Licencia revocada continuará siendo plenamente vigente y efectiva si no se le da término en las condiciones indicadas anteriormente.
8. Varios.
a.	Cada vez que Usted distribuya o ponga a disposición pública la Obra o una Obra Colectiva, el Licenciante ofrecerá al destinatario una licencia en los mismos términos y condiciones que la licencia otorgada a Usted bajo esta Licencia.
b.	Si alguna disposición de esta Licencia resulta invalidada o no exigible, según la legislación vigente, esto no afectará ni la validez ni la aplicabilidad del resto de condiciones de esta Licencia y, sin acción adicional por parte de los sujetos de este acuerdo, aquélla se entenderá reformada lo mínimo necesario para hacer que dicha disposición sea válida y exigible.
c.	Ningún término o disposición de esta Licencia se estimará renunciada y ninguna violación de ella será consentida a menos que esa renuncia o consentimiento sea otorgado por escrito y firmado por la parte que renuncie o consienta.
d.	Esta Licencia refleja el acuerdo pleno entre las partes respecto a la Obra aquí licenciada. No hay arreglos, acuerdos o declaraciones respecto a la Obra que no estén especificados en este documento. El Licenciante no se verá limitado por ninguna disposición adicional que pueda surgir en alguna comunicación emanada de Usted. Esta Licencia no puede ser modificada sin el consentimiento mutuo por escrito del Licenciante y Usted.

 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