DEPARTAMENT PERSONALITAT, AVALUACIÓ I TRACTAMENTS PSICOLÒGICS ESTUDIO PSICOLÓGICO DEL PACIENTE CON OBESIDAD MÓRBIDA SOMETIDO A INTERVENCIÓN QUIRÚRGICA: ANÁLISIS DE LAS DIFERENTES VARIABLES QUE PUEDEN AFECTAR A LA PÉRDIDA DE PESO REGINA FERNÁNDEZ CANET UNIVERSITAT DE VALENCIA Servei de Publicacions 2009
Aquesta Tesi Doctoral va ser presentada a València el dia 14 de novembre de 2008 davant un tribunal format per: - Dª. Adelia de Miguel Negredo - D. Abilio Reig Ferrer - D. Antonio José Torres García - Dª. Amelia Díaz Martínez - Dª. Angela Beleña Mateo Va ser dirigida per: Dª. Mª José Báguena Puigcerver D. Joaquín Ortega Serrano Copyright: Servei de Publicacions Regina Fernández Canet Depòsit legal: I.S.B.N.:978-84-370-7431-3 D.L.:V-1290-2009 Edita: Universitat de València Servei de Publicacions C/ Artes Gráficas, 13 bajo 46010 València Spain Telèfon: 963864115
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= COFK>H20(' #-0+3) #;4&%!F( #%*"8*$*,*+#A*+&.&'"$&*,&.# +*"*+$?D3G@( 19% 81% SIN ÉXITO CON ÉXITO?@ AO FK:<H - <=O FK::H 2+3+3 #=BOFK@H+30+3) #;4&% -G( #%*"8* $*,*+# A* +&.* " $&*)8*"% #+ $#"* $,&+&'"= +&#&*"%&$$?D3G@( 5% SIN ÉXITO CON ÉXITO 95% == AOFKAH-0 BCOFK@H2+3 +3 #COFK=H+30+3) #;4&% -!( #%*"8*$*,*+#A*+&.&'"$&*)8*"% #+$#"* $,&+&'"= +&#&*"*+$?D3G@( 12% SIN ÉXITO CON ÉXITO 88% 78
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= ))"' % =) 2! - # # (1) :) " + ( F)1) " - -+ & & H),)"&% =)0&&) :)0() >)0()?)!) C) " ( + ") (++"- 0#) :< >O FK=AH 2 0( # 0( ' 2 > &! -,!) /(!(0(#+% "$%+$*&,*"%&'" #;4&% -F( #%*"8*$*,*+#A*&% *7%,**"% %&",&*"#+*+; $*&C?D3G@( 82
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=!!)=;OFK@H' ) " ( 0 =;O FK@H 2 ' C02#=20() #;4&% /0( #%*"8* $*,*+# A*)*)*.#"$*+%"&$$*+ $* A&$ + %'#&% +? #$*N)&$ +N+ $<%#$@?D3G@( 25% POCA FRECUENCIA MUCHA FRECUENCIA 75% >CO FK:=H 2! ) ACO FK=@H0!' #:COFKCH!!) #;4&% /1( #%*"8*$*,*+#A*)*)*,*" +:2+ +$*.%$$?D3G@( 14% POCA FRECUENCIA MUCHA FRECUENCIA 86% B> >O FKC@H 2! ) =?O FK<H0!' #<@OFK?<H!!) "! "CF< >OH') 85
= /(-(%&2&$$4+&% #;4&% /3(*$&7$*+2&%&'"#*+*% += #+$*+*5 A*$*#,*" + %&*"*+$*,*+#?D3G@( HORAS 10 9 8 7 6 5 4 3 2 1 0 6,85 MEDIA 1,67 DESVIACIÓN TÍPICA 0-DA0) #;4&% /6(*$&7$*+2&%&'"&%+ )#* +#*+$ +$*#*."I* *2"$*+%"+$ J?D3G@( 57% 43% SI NO?>OFK:@H!2! #CAO FK>?H-) #;4&% /:(*$&7$*+2&%&'"&%+ )#* +#*+$ +$*#*."I;" &*, +$$*"*$*" #$*"$ #NN2&$* % "+ Q J?D3G@( 12% 27% 61% DE 1 A 3 HORAS DE 4 A 6 HORAS MÁS DE 6 HORAS 86
= @=OFK>AH&=>0! 0! :AOFK=@H-?#@ 0 #=:OFKAH&@0E0!) #;4&% /F( #%*"8*$*#*+$ ++ )#**$* #*.&,"+&A* +%&*"*+ $*,*+##*&<"+*,"?D3G@( 8% 8% 5% 2% NINGÚN DEPORTE MENOS DE 1 HORA DE 1 A 3 HORAS DE 4 A 6 HORAS 77% DE 10 A 12 HORAS AAOFK?@H0D <OFKCH D = 0 <O FKCH 0 = # > 0 COFK>H'?@0 #= 4'=;0) #;4&% 0G( #%*"8*$*#*+$ ++ )#*,*$&A*%,&""$ + %&*"*+$*,*+#"*+$*+*#&"*#2*"&$ +?D3G@( 18% 2% 5% 30% NO CAM INAN NADA ENTRE 30 M IN. Y 1 HORA ENTRE 1 Y 2 HORAS 45% ENTRE 2 Y 3 HORAS M ÁS DE 3 HORAS 87
= >;OFK=<H?COFK:AH >;#=0 =<OFK==H=#:0 :O FK=H : # > 0 # CO FK>H & > 0 ) -# - 0# >;O - 2 ( 2' - (3) #;4&% 0!( #%*"8*$*#*+$ ++ )#*,*$&$*&+ +A*+)*"$ + %&*"*+?D3G@( 10% 17% 15% NINGÚN PISO 35% 1 PISO 2 PISOS 3 PISOS 23% MÁS DE 4 PISOS >CO FK:=H ( D # - ' :>O FK=?H ( = =AO FK=;H ( : =;O FK@H ( > # =CO FKBH(&?)2-(# #-0-")$#-!(01 D ) #;4&% 0-( #%*"8*$*#*+$ ++ )#*,*$&$*= #+A**#,"*%*" +*"$ +$ +%&*"*+$*,*+#?D3G@( 18% 12% 7% 3% 25% ENTRE 2 Y 3 HORAS ENTRE 3 Y 5 HORAS ENTRE 5 Y 7 HORAS ENTRE 7 Y 10 HORAS ENTRE 10 Y 15 HORAS 35% MÁS DE 15 HORAS 88
= :CO FK=CH :# > 0 >COFK:=H>#C0 =:OFKAHC#A0 =<OFK==HA# =; 0 AO FK?H =; # =C 0 # >O FK:H & =C 0) - &=C0 -(1 - -D2(+&0-2'+F^ H) /(/( "%+& "*+$*% 2(!! -D ( - @;O ( - '2 &(1'<A8 0:4) 2 - - 0 < 4 2 =;;O # +3 ) & 0! 7&2 0!#-00) 2 0( # 0( ' -0(,! F2H( -2) & @;O 2 & + # & & - #)?;O - 0( 0!4- (')5 C;O((( =;;O2(( :) 0&( 1 2 <;O 4'D #@=O=>0 D!1)>;O#?CO>;) @;O> 0 #!2>O -&=C0(() 89
> 0( P! ( F2(H!(!") 2 &! ( - + 0(!-D) 0(!(&)&&$$$*+2#&)*+&&<$+*"&"2*+&.%&'" 7#$#F=BBCH 2(00 - " '!' - # ) 2( -+#-0 ( ) (1 ( ( 2( )) --!22'!(-1) " 0 2! FgH (0) 2 ' "!(&-0)!;#= - (+!! F- - 0# - H)&-2 #&! -3 '(-& 2()D7#$#F=BBCH!(0(1; C;!2((L!; C;#; @;!(L; @;#; A;!+(L ; A;#; <; 0 2! (L!; <;G; B; 2!( #!; B;3) 2" -!(+&(1 -!(&! 2! ) (=22(FH- 0 (!!") - 2( 2&! '(-() 90
> )!("$&%$ #*+$*% "+&+*"%&&"*#"?R$*# ")%=@% ##*+ "$&*"*+ %"%&,&*" #*2& $* *#%&'",*$&$ +% ""#*2&+ + ""*+$* &"*#2*"%&'"?D3G@( ENTREVISTA BOSTON ANTES SEIS MESES UN AÑO COMPRENSIÓN DEL PROCEDIMIENTO.96 - / - - / - CUIDADOS NECESARIOS.97 - / - - / - RESTRICCIONES POSTOPERATORIAS.97 - / - - / - PUNTUACIÓN TOTAL EN CONOCIMIENTO.96 - / - - / - MOTIVACIÓN.80 - / - - / - EXPECTATIVAS DE RESULTADOS.81 - / - - / - (!-(= -(-!D - ( " - & # 2( 3) 2(!"!" # 3! ( 3 ) (: (2((.#$. --!, 2 D") 2( 2(22 ('!()-(- 2 0 (0 # (1 FgK ;?AH!!(&-&) 2 ( # ( 3"! -'!3FgK; B?H) )-( "$&%$ #*+ $*% "+&+*"%&&"*#"?R $* # ")%=@ # +*+%+ %##*+ "$&*"*+ 7"*+$* *#%&'"(?D3G@( C.O.P.E. NºÍTEMS ANTES SEIS MESES UN AÑO AFRONTAMIENTO CONDUCTUAL CENTRADO EN EL PROBLEMA 11.69 - / - - / - AFRONTAMIENTO COGNITIVO DEL PROBLEMA 15.78 - / - - / - ESCAPE COGNITIVO 11.79 - / - - / - AFRONTAMIENTO CENTRADO EN LAS EMOCIONES 12.88 - / - - / - ESCAPE CONDUCTUAL 7.47 - / - - / - CONSUMO DE DROGAS 4.94 - / - - / - 91
> M.O.S. NºÍTEMS ANTES SEIS MESES UN AÑO APOYO EMOCIONAL- INFORMACIONAL 10.94 - / - - / - APOYO AFECTIVO 5.84 - / - - / - APOYO INSTRUMENTAL 4.87 - / - - / - PUNTUACIÓN TOTAL EN APOYO EMOCIONAL 19.95 - / - - / - 2 # " # 2'(#3) (>!(-2!!") )/( "$&%$ #*+ $*% "+&+*"%&&"*#"?R $* # ")%=@ # +*+%+ %##*+ "$&*"*+ +%*+& "#& +N7>/3"*+$* *#%&'"N +3,*+*+75 (?D3G@( T.F.E.Q. NºÍTEMS ANTES SEIS MESES UN AÑO RESTRICCIÓN 20.70.72.66 DESINHIBICIÓN 25.89.84.87 B.S.Q. NºÍTEMS ANTES SEIS MESES UN AÑO INSATISFACCIÓN CORPORAL 20.95.95.95 PREOCUPACIÓN POR EL PESO 14.92.94.94 PUNTUACIÓN TOTAL 34.97.97.97 S.F.-36 NºÍTEMS ANTES SEIS MESES UN AÑO FUNCIONAMIENTO FÍSICO 10.89.94.94 ROL FÍSICO 4.87.89.95 DOLOR 2.90.87.81 SALUD GENERAL 5.81.80.80 VITALIDAD 4.79.79.84 FUNCIONAMIENTO SOCIAL 2.87.82.75 ROL EMOCIONAL 3.87.88.90 SALUD MENTAL 5.81.86.85 SALUD FÍSICA (funcionamiento físico+rol físico+dolor+salud 25.93.94.91 general+vitalidad) SALUD MENTAL (salud general+vitalidad+funcionamiento social+rol emocional+salud mental) 19.91.91.91 92
> ( > /) 2 2( 2 -!D ( 2 1 2 0(" - ") - 2,/) - ( 4 2(3 2#" () G>@ (#(22 3 ( - $ # )!(! (22 2(3) (?22(!- 2!) ( ((#3) (!-J7!7(F77H-02B; ( 2(3) ) 0( "$&%$ #*+ $*% "+&+*"%&&"*#"?R $* # ")%=@ # +*+%+ %##*+ "$&*"*+>FG"*+$* *#%&'"N +3,*+*+75 (? D 3G@( S.C.L.-90 NºÍTEMS ANTES SEIS MESES UN AÑO SOMATIZACIÓN 12.91.91.88 OBSESIÓN-COMPULSIÓN 10.91.90.90 SENSIBILIDAD INTERPERSONAL 9.90.87.87 DEPRESIÓN 13.93.94.93 ANSIEDAD 10.93.91.92 HOSTILIDAD 6.84.76.82 ANSIEDAD FÓBICA 7.83.80.79 IDEACIÓN PARANOIDE 6.85.78.79 PSICOTICISMO 10.88.86.83 DEPRESIÓN MELANCÓLICA 7.73.75.73 ÍNDICE DE GRAVEDAD GLOBAL 90.99.98.98 AUTOESTIMA DE ROSENBERG NºÍTEMS ANTES SEIS MESES UN AÑO AUTOESTIMA 10.86.82.84 93
> (2(2 (? ( 2" 7#$#F=BBCH) 0(-(";&+&+*+#%# 3! - 2!(() &2"FH ) # 2 2 )!(-2! -2!"-D) 0(-(!(";&+&+)&2#&$ " (G # 2 2"()3&!2(") 0(-(!(!("#*2&+ + " (C @ A <#B!(!,F!:H!) )1)#&<$*% ##*%& "*+$*"#*2&+ + "% "+&.,&+,?D3G@( Comprensión procedimiento Cuidados necesarios.68*** Restricciones.64***.71*** Comprensión puntuación total.84***.89***.92*** Motivación -.06 -.02 -.05 -,05 Expectativas.46***.44***.44***.52***.18 94
)3)#&<$*% ##*%& "*+$*"#*2&+ + "% " #+2#&)*+?NN7 *+&,@?D3G@(! Comprensión procedimiento -.20 -.18.02.12.11 -.07 Cuidados necesarios -.16 -.14 -.01.17.17 -.06 Restricciones -.09 -.07.01.17.13 -.03 Comprensión puntuación total -.16 -.14.01.18.16 -.06 Motivación.02.36**.30*.51***.49*** -.35** Expectativas -.16.04.04.37**.37** -.14 )6)#&<$*% ##*%& "*+$*"#*2&+ + "% "**+& "#& >FG?D3G@( "#$% & "#$%'# "#$% # "#$% ( "#$%! "#$% ) "#$%! "#$% "#$% "#$%( Comprensión procedimiento Cuidados necesarios -.09 -.02.11.12.04.07.08.08 -.01.06.01.07.19.14 -.00.01.01.14.02 -.00 Restricciones -.06.04.09.03 -.04 -.04.05.15 -.03 -.06 Comprensión puntuación total -.05.03.14.10 -.01.01.05.14 -.01 -.01 Motivación.39**.45***.37**.42**.43**.22.34**.35**.37**.49*** Expectativas.15.23.25.25.24.19.19.22.23.18 BC
> ):)#&<$*% ##*%& "*+$*"#*2&+ + "% "+2#&)*+$* + *+& "#& + 7?D3G@(!! * *! *!+!+!+ Comprensión procedimiento Cuidados necesarios.07 -.08 -.17 -.11.04 -.01 -.13 -.04.01 -.10 -.22 -.13.06.07 -.01.06 Restricciones.14 -.07 -.23 -.10 -.13.03 -.11 -.02 Comprensión puntuación total.09 -.09 -.24 -.13 -.03.04 -.09 -.09 Motivación -.14 -.13.27*.04.23 -.21 -.11 -.12 Expectativas.21 -.17 -.11.11 -.09.06 -.11.10 )F)#&<$*% ##*%& "*+$*"#*2&+ + "% "**+& "#& >/3?D3G@(,, ( * - Comprensión procedimiento Cuidados necesarios.20.06.10.11.08 -.00.00 -.12.14 -.04 -.08 -.09 -.03 -.07 -.09 -.04 Restricciones.07.10 -.02.02.07 -.05.08 -.06 Comprensión puntuación total.14.05 -.00.02.05 -.05.01 -.08 Motivación -.36** -.30* -.19 -.22 -.42** -.30* -.21 -.40** Expectativas.13 -.03 -.09 -.01 -.14 -.25 -.12 -.24 &!% FH!(! F" -D #+G H!! 2" i);;= -&" 96
> ' (! )!' "!(!)!! 2 #! 3!! ( " F2! i);;=h F(H!!F1 )H "!2#!F!i);;=H " (!!# "")(+2! -& F2!i);=H "#!GB;)!& "3(&12!!") 2! #! -!(!!! 1 ) #!" "! 2#2!# 2! G>@)(+!"&2 FKG; >CH)! "#(# 2 +) D D 2!-+(2!FK; :A i);ch) FH 3"2!! " & ( 3! (!(!) 0(-(!(-*+& "#& $*&,*"%&'"$*"S#$7*++&%S?@ (=; == =:#=>22- ""#!(!) )!G)#&<$*% ##*%& "*+$*%*+& "#& % " #+2#&)*+?N + "NN *+&,7% "+&.,&+, @?D3G@( TFQ Restricción TFEQ Desinhibición ( -.00.04.50***.47*** -.10 -.27.04.30*.33** -.46***! 97
> )!!)#&<$*% ##*%& "*+$*%*+& "#& % "**+& "#& >FG?D3G@( "#$% & "#$%'# "#$%# "#$%( "#$%! "#$%) "#$%! "#$% "#$% "#$%( TFEQ Restricción.37**.40**.28*.29*.40**.18.36**.45***.26*.45*** TFEQ Desinhibición.49***.48***.50***.50***.44**.41**.42**.44**.47***.42** )!-)#&<$*% ##*%& "*+$*%*+& "#& % " #+2#&)*+? 7@?D3G@(!! * *! *!+!+!+ TFEQ Restricción.01 -.07.28.03.08 -.16 -.04 -.18 TFEQ Desinhibición -.24 -.09.26* -.15.21.39** -.30* -.12 98
> )!/)#&<$*% ##*%& "*+$*%*+& "#& % " #+2#&)*+?>/3 7@?D3G@(,, ( * - TFEQ Restricción TFEQ Desinhibición FH F(H -.26* -.40** -.19 -.31* -.18 -.30* -.23 -.24 -.50*** -.37** -.38** -.42** -.32* -.43** -.17-37** -2( % 2 "! / "! # 2! 2,/ 2" # "!2" i);;=)20("(+! - 2F!i);=H2,/)" 2!( "! # 2!)4-#0(" ) "(2"#(1#!) ( == 2 "! # 2! Fi);;=H!(GB;-02" #"" (+0 -" Fi);=H '" # ("G") - 0 4-2 # " # # # (" ) 2 0(" " # #! 2 '" ("G " ( " # - (+!( GB; 2 & ) 4! F"H#("0( ) ( =: (! -!( 2 # # ( 2! - "! # 2!i);=!(#2 0(") FH "! # 2! Fi);;=H 3 2 0(" # 2 2 2 G>@ - # 0(" " 2 2 &!!" -D) (+! 2 99
> 2 22 2 ##)42! - 0(" (! 1!-D) 2!! #!(2!(0(2") 0(-(!(/(*+& "#& $*,.*" # #?@ (=? =C =@#=A(!,/!( -!0'( ") )!0)#&<$*% ##*%& "*+$*%*+& "#&,*$&$ % " #+2#&)*+?N *+&,7% "+&.,&+, @?D3G@( BSQ Insatisfacción corporal -.10 -.38***.95*** BSQ Preocupación por el peso -.18 -.38***.95*** )!1)#&<$*% ##*%& "*+$*%*+& "#& % "**+& "#& >FG?D3G@( BSQ Insatis facción BSQ Preocupa ción por el peso "#$% & "#$%'# "#$%# "#$%( "#$%! "#$%)! "#$%! "#$% "#$% "#$%(.61***.64***.65***.65***.66***.52***.57***.70***.61***.61***.60***.64***.64***.61***.66***.54***.57***.68***.60***.56*** 100
> )!3)#&<$*% ##*%& "*+$*%*+& "#& % " #+2#&)*+? 7 @?D3G@(!! * *! *!+!+!+ BSQ Insatisfacción -.09 -.10.21.01.11 -.33* -.31* -.29* BSQ Preocupación -.09 -.07.26*.06.15 -.27* -.22 -.27* por el peso )!6) #&< $*% ##*%& "*+ $*%*+& "#& % "* *+& "#& $* &$$$*&$>/3?D3G@(,, ( * - BSQ Insatisfacción BSQ Preocupación por el peso -.23 -.43** -.36** -.43** -.39** -.55*** -.39** -.49*** -.17 -.41** -.33* -.40** -.40** -.49*** -.35** -.50*** (=? =C =@#=A&!% FH F(H!(,/ "2" 2!#2!FK)BCH ( 2! ( " -!" -D)" 21-#" #2")!( " 2! #!"(2 FKG; ><H-# "2" ) ( " 2! #! - 3,/ #GB;) (2,/ 2" i);;c '" ("G" ( " 0 2"( " # " ") -!( 2! " " - 3 101
> FH 2" # " # ( "() 2"! +( #! Fi);CH!( # ( ") "(+2!( ###) 2 2. D +(!(! ") "-3,/#!(! "! # 2! Fi);;=H 2" # " 2 #)(-# # 2" # " 2 #! ( )!(2"#"(+! 2! -Fi);=H!(2! #) 0(-(!(0(*+& "#& $* *+&,$* +*")*#. ( =< =B # :; 2 "#!(!) )!:)#&<$*% ##*%& "*+$*%*+& "#& $* *+&,$* +*")*#.,*$&$ % "*7**+& "#& >FG?D3G@( "#$% & "#$%'# "#$%# "#$%( "#$%! "#$%) "#$%! "#$% "#$% "#$%( Autoestima.15 -.45*** -.52*** -.64*** -.63*** -.52*** -.46*** -.48*** -.57*** -.58*** -.54*** )!F)#&<$*% ##*%& "*+$*%*+& "#& $* *+&,$* +*")*#.% " **+& "#& 7?D3G@(!! * *! *!+!+!+ Autoestima.17.08 -.27*.07 -.18.45***.24.13 102
> )-G)#&<$*% ##*%& "*+$*%*+& "#& $* *+&,$* +*")*#.% " **+& "#& >/3?D3G@(,, ( * - Autoestima.35**.27*.14.38**.44***.41**.19.47*** -3(% FH GB; ( =< 4 "! # 2!Fi);;=H-3!( # 2 - " ) "!&42(-" 4 #-!(1 &(! 1) 0#"2!$#) F(H FH "-3##2 2! #!) $0 4 - ( # 2! # 1 ) 2! " 3 " +( #!Fi);CH#!!(.0#"2!) (:; -!(! # G>@"#!!() 2 2#!! 2'Fi);=H#!(20+() 103
> 0(-(!(1(*+& "#& $*&",. +&% '.&%*"*#?>FG@$**#.&+ )-!)#&<$*% ##*%& "*+$*%*+& "#& >FG,*$&$ % "+&.,&+, 7% "*?D3G@( "#$% & "#$%'# "#$%# "#$%( "#$%! "#$%) "#$%! "#$% "#$% "#$%( SCL-90 Somatización SCL-90 Obsesióncompulsión SCL-90 Suscep. Interpersonal SCL-90 Depresión SCL-90 Ansiedad SCL-90 Hostilidad SCL-90 Ansiedad fóbica SCL-90 Ideación paranoide SCL-90 Psicoticismo SCL-90 Depresión melancólica -.19 -.23.85*** -.16.82***.84*** -.16.87***.86***.93*** -.25.81***.88***.84***.85*** -.23.70***.78***.79***.79***.80*** -.17.68***.74***.78***.76***.84***.74*** -.18.76***.85***.87***.81***.80***.73***.81*** -.23.72***.83***.85***.81***.85***.85***.79***.83*** -.12.80***.80***.80***.84***.83***.75***.68***.73***.70*** 104
> )--)#&<$*% ##*%& "*+$*%*+& "#& >FG% "+2#&)*+$**+& "#& 7?D3G@(!! * *! *!+!+!+ SCL-90 Somatización SCL-90 Obsesióncompulsión SCL-90 Suscep. Interpersonal SCL-90 Depresión SCL-90 Ansiedad SCL-90 Hostilidad SCL-90 Ansiedad fóbica SCL-90 Ideación paranoide SCL-90 Psicoticismo SCL-90 Depresión melancólica -.19 -.17.32*.06.12 -.39** -.34** -.35** -.14 -.11.38**.01.27* -.42** -.36** -.34** -.15 -.12.28*.07.16 -.47*** -.42** -.32* -.24 -.18.32*.02.24 -.49*** -.43** -.35** -.24 -.21.46*** -.02.29* -.44** -.36** -.39** -.25 -.21.28* -.03.22 -.41** -.49*** -.41** -.19 -.13.40** -.04.30* -.43** -.41** -.36** -.06 -.04.28*.03.14 -.42** -.42** -.33** -.26* -.20.31* -.06.28* -.51*** -.55*** -.33* -.23 -.26*.36** -.02.12 -.39** -.32* -.30* 105
> )-/)#&<$*% ##*%& "*+$*%*+& "#& >FG% "**+& "#& >/3?D3G@(,, ( * - SCL-90 Somatización -.48*** -.65*** -.68*** -.74*** -.73*** -.71*** -.63*** -.71*** SCL-90 Obsesión-compulsión -.39*** -.56*** -.49*** -.57*** -.66*** -.65*** -.55*** -.72*** SCL-90 Suscep. Interpersonal -.34** -.54*** -.46*** -.61*** -.65*** -.65*** -.54*** -.75*** SCL-90 Depresión -.44*** -.63*** -.52*** -.63*** -.73*** -.77*** -.66*** -.77*** SCL-90 Ansiedad -.32* -.51*** -.38** -.54*** -.59*** -.59*** -.58*** -.86*** SCL-90 Hostilidad -.15 -.41** -.35** -.43** -.50*** -.47*** -.53*** -.71*** SCL-90 Ansiedad fóbica -.27* -.31* -.25 -.56*** -.46*** -.56*** -.46*** -.74*** SCL-90 Ideación paranoide -.36** -.51*** -.44*** -.56*** -.52*** -.61*** -.51*** -.66*** SCL-90 Psicoticismo -.27* -.39** -.36** -.48*** -.50*** -.52*** -.50*** -.71*** SCL-90 Depresión melancólica -.37** -.63*** -.44*** -.53*** -.60*** -.60*** -.53*** -.71*** 106