Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica

Obesity is a global health problem associated with the development of chronic degenerative diseases. Bariatric surgery has proven to be the most effective treatment for severe obesity. Despite surgery, patients must change their lifestyle in order to maintain weight loss in the long term. It has bee...

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Autores:
Sierra-Murguía, Mariana
Vite-Sierra, Ariel
Torres-Tamayo, Margarita
Tipo de recurso:
Article of journal
Fecha de publicación:
2014
Institución:
Universidad Católica de Colombia
Repositorio:
RIUCaC - Repositorio U. Católica
Idioma:
spa
OAI Identifier:
oai:repository.ucatolica.edu.co:10983/1222
Acceso en línea:
http://hdl.handle.net/10983/1222
Palabra clave:
PSICOLOGÍA BARIÁTRICA
CIRUGÍA BARIÁTRICA
OBESIDAD
CALIDAD DE VIDA, COGNITIVO- CONDUCTUAL BARIATRIC PSYCHOLOGY, BARIATRIC SURGERY, OBESITY, QUALITY OF LIFE, COGNITIVE-BEHAVIORAL PSICOLOGIA, BARIÁTRICA, CIRURGIA BARIÁTRICA, OBESIDADE, QUALIDADE DE VIDA, COGNITIVO-CONDUTUAL
CALIDAD DE VIDA
COGNITIVO- CONDUCTUAL
BARIATRIC PSYCHOLOGY
BARIATRIC SURGERY
OBESITY
QUALITY OF LIFE
COGNITIVE-BEHAVIORAL
PSICOLOGIA
BARIÁTRICA
CIRURGIA BARIÁTRICA
OBESIDADE
QUALIDADE DE VIDA
COGNITIVO-CONDUTUAL
OBESIDAD-ASPECTOS PSICOLOGICOS
CIRUGÍA
CALIDAD DE VIDA
TERAPIA CONDUCTUAL
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openAccess
License
Derechos Reservados - Universidad Católica de Colombia, 2014
id UCATOLICA2_1efe8278951da17d097c372aa15b4ff8
oai_identifier_str oai:repository.ucatolica.edu.co:10983/1222
network_acronym_str UCATOLICA2
network_name_str RIUCaC - Repositorio U. Católica
repository_id_str
dc.title.spa.fl_str_mv Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica
Cognitive behavioral group intervention for weight loss and quality of life in patients candidates for bariatric surgery
Intervenção cognitivo-condutual grupal para perda de peso e qualidade de vida em pacientes candidatos a cirurgia bariátrica
title Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica
spellingShingle Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica
PSICOLOGÍA BARIÁTRICA
CIRUGÍA BARIÁTRICA
OBESIDAD
CALIDAD DE VIDA, COGNITIVO- CONDUCTUAL BARIATRIC PSYCHOLOGY, BARIATRIC SURGERY, OBESITY, QUALITY OF LIFE, COGNITIVE-BEHAVIORAL PSICOLOGIA, BARIÁTRICA, CIRURGIA BARIÁTRICA, OBESIDADE, QUALIDADE DE VIDA, COGNITIVO-CONDUTUAL
CALIDAD DE VIDA
COGNITIVO- CONDUCTUAL
BARIATRIC PSYCHOLOGY
BARIATRIC SURGERY
OBESITY
QUALITY OF LIFE
COGNITIVE-BEHAVIORAL
PSICOLOGIA
BARIÁTRICA
CIRURGIA BARIÁTRICA
OBESIDADE
QUALIDADE DE VIDA
COGNITIVO-CONDUTUAL
OBESIDAD-ASPECTOS PSICOLOGICOS
CIRUGÍA
CALIDAD DE VIDA
TERAPIA CONDUCTUAL
title_short Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica
title_full Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica
title_fullStr Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica
title_full_unstemmed Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica
title_sort Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica
dc.creator.fl_str_mv Sierra-Murguía, Mariana
Vite-Sierra, Ariel
Torres-Tamayo, Margarita
dc.contributor.author.spa.fl_str_mv Sierra-Murguía, Mariana
Vite-Sierra, Ariel
Torres-Tamayo, Margarita
dc.subject.spa.fl_str_mv PSICOLOGÍA BARIÁTRICA
CIRUGÍA BARIÁTRICA
OBESIDAD
CALIDAD DE VIDA, COGNITIVO- CONDUCTUAL BARIATRIC PSYCHOLOGY, BARIATRIC SURGERY, OBESITY, QUALITY OF LIFE, COGNITIVE-BEHAVIORAL PSICOLOGIA, BARIÁTRICA, CIRURGIA BARIÁTRICA, OBESIDADE, QUALIDADE DE VIDA, COGNITIVO-CONDUTUAL
CALIDAD DE VIDA
COGNITIVO- CONDUCTUAL
BARIATRIC PSYCHOLOGY
BARIATRIC SURGERY
OBESITY
QUALITY OF LIFE
COGNITIVE-BEHAVIORAL
PSICOLOGIA
BARIÁTRICA
CIRURGIA BARIÁTRICA
OBESIDADE
QUALIDADE DE VIDA
COGNITIVO-CONDUTUAL
topic PSICOLOGÍA BARIÁTRICA
CIRUGÍA BARIÁTRICA
OBESIDAD
CALIDAD DE VIDA, COGNITIVO- CONDUCTUAL BARIATRIC PSYCHOLOGY, BARIATRIC SURGERY, OBESITY, QUALITY OF LIFE, COGNITIVE-BEHAVIORAL PSICOLOGIA, BARIÁTRICA, CIRURGIA BARIÁTRICA, OBESIDADE, QUALIDADE DE VIDA, COGNITIVO-CONDUTUAL
CALIDAD DE VIDA
COGNITIVO- CONDUCTUAL
BARIATRIC PSYCHOLOGY
BARIATRIC SURGERY
OBESITY
QUALITY OF LIFE
COGNITIVE-BEHAVIORAL
PSICOLOGIA
BARIÁTRICA
CIRURGIA BARIÁTRICA
OBESIDADE
QUALIDADE DE VIDA
COGNITIVO-CONDUTUAL
OBESIDAD-ASPECTOS PSICOLOGICOS
CIRUGÍA
CALIDAD DE VIDA
TERAPIA CONDUCTUAL
dc.subject.lemb.spa.fl_str_mv OBESIDAD-ASPECTOS PSICOLOGICOS
CIRUGÍA
CALIDAD DE VIDA
TERAPIA CONDUCTUAL
description Obesity is a global health problem associated with the development of chronic degenerative diseases. Bariatric surgery has proven to be the most effective treatment for severe obesity. Despite surgery, patients must change their lifestyle in order to maintain weight loss in the long term. It has been reported that cognitive behavioral interventions have been effective to promote a lifestyle change and weight loss in obese patients. The aim of this study was to assess the effectiveness of a cognitive behavioral group intervention on weight loss and quality of life before surgery. Participants were nine morbidly obese patients, without psychiatric comorbidities, candidates for bariatric surgery. An initial assessment of quality of life that measured weight and BMI (Body Mass Index, for its English acronym) was performed. Patients underwent a group intervention in order to promote weight loss through cognitive behavioral techniques. The average weight loss was 5.7 kg during the five weeks of treatment, showing statistical significance of .001. In turn, along with weight loss, there was a decrease in BMI, with a statistical significance of .002. Regarding quality of life, there was significant improvement in body perception and attitude toward treatment.
publishDate 2014
dc.date.accessioned.spa.fl_str_mv 2014-10-15T14:04:54Z
dc.date.available.spa.fl_str_mv 2014-10-15T14:04:54Z
dc.date.issued.spa.fl_str_mv 2014-06
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.citation.spa.fl_str_mv Sierra-Murguía, M., Vite-Sierra, A., & Torres-Tamayo, M. (2014). Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica. Acta Colombiana de Psicología, 17(1), 25-34. Recuperado de http://editorial.ucatolica.edu.co/ojsucatolica/revistas_ucatolica/index.php/acta-colombiana-psicologia/article/view/11
dc.identifier.issn.spa.fl_str_mv 0123-9155
dc.identifier.uri.spa.fl_str_mv http://hdl.handle.net/10983/1222
identifier_str_mv Sierra-Murguía, M., Vite-Sierra, A., & Torres-Tamayo, M. (2014). Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica. Acta Colombiana de Psicología, 17(1), 25-34. Recuperado de http://editorial.ucatolica.edu.co/ojsucatolica/revistas_ucatolica/index.php/acta-colombiana-psicologia/article/view/11
0123-9155
url http://hdl.handle.net/10983/1222
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.ispartof.spa.fl_str_mv Acta Colombiana de Psicología, Vol. 17, no 1. (ene.-jun. 2014); p. 25-34
dc.relation.references.spa.fl_str_mv AACE/TOS/ASMBS, (2008). American Association of Clinical Endocrinologists, The Obesity Society and American Society for Metabolic and Bariatric Surgery Medical Guidelines for Clinical Practice for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient. Surgery for the Obesity and Related Diseases;4, 109-184.
Algazi, L. (2000). Transactions in a support group meeting: a case study. Obesity Surgery; 10, 186- 191.
Benotti, P. y Forse, R. (1995). The role of gastric surgery in the multidisciplinary management of severe obesity. American Journal of Surgery; 169, 361-367.
Buchwald, H. (2005). Bariatric Surgery for morbid obesity: health implications for patients, health professionals, and third party payers. Journal of American College of Surgery;200, 593-604.
Buddeberg-Fischer, B., Klaghofer, R., Sigrist, S. y Buddeberg,C. (2004) Impact of psychosocial stress and symptoms on indication for bariatric surgery and outcome in morbidly obese patients. Obesity Surgery; 14, 361-369.
Colquitt, J., Picot, J., Loveman, E. y Clegg, A.J. (2009) Surgery for morbid obesity. Cochrane Database Systematic Review;(2).
D' Zurrilla, T. y Goldfried, M. (1971) Problem Solving and Behavior Modification. Journal of Abnormal Psychology; 78,107- 126.
Hildebrant, S. (1998) Effects of participation in bariatric support group after Roux-en-Y gastric bypass. Obesity Surgery; 8,535-542.
Kaiser, K., Franks, S., Smith, A. (2011) Positive Relationship between support group attendance and one- year postoperative weight loss in gastric banding patients. Surgery for Obesity and Related Diseases; 7(1): 89-93.
Leija- Alva, G., Aguilera- Sosa, V., Lara- Padilla, E., Rodríguez-Choreño, J., Trejo- Martínez, J., López de la Rosa, M. (2011) Diferencias en la modificación de hábitos, pensamientos y actitudes relacionados con la obesidad entre dos distintos tratamientos en mujeres adultas. Revista Latinoamericana de Medicina Conductual; 1(2), 19- 28.
Marcus, J. y Elkins, G. (2004) Development of a model for a structured support group for patients following bariatric surgery. Obesity Surgery; 14, 103-106.
Miller, W. y Rollnick, S. (2002) Motivational Interviewing: Preparing People for Change. Nueva York: Guilford Press.
Nicolai, A., Ippoliti, C. y Petrelli, M. (2002). Laparoscopic Adjustable gastric banding: essential role of psychological support. Obesity surgery; 12(6), 857-63.
OMS. (2000). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation: Geneva. Recuperado el 19 de noviembre del 2009 de http://www.atividadefisica.pro.br/artigos/WHO%20obesity.pdf
OMS. (2006). Obesidad y Sobrepeso ¿Qué son la obesidad y el sobrepeso?, Nota Descriptiva Nº 311, recuperado el 19de noviembre del 2009 de http://www.who.int/mediacentre/factsheets/fs311/es/index.html
Orth, W., Madan, A., Taddeucci, R., Coday, M. y Tichansky, D. (2008). Support Group meeting attendance is associated with better weight loss. Obesity surgery; 18, 391-394.
Riveros- Rosas, A., Sánchez- Sosa, J., Del Águila, M. (2009) Inventario de Calidad de Vida y Salud. México: Manual Moderno.
Sjostrom, L., Lindroos, A.K., Peltonen, M., Tolgerson, J., Bouchard, C., Carlson, B. et. al. (2004). Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. New England Journal of Medicine; 351(26), 2683-93.
Yilmaz, J., Povey, L., Dalgliesh, J. (2011). Adopting a psychological approach to obesity. Nursing Standard; 25(21): 42-46.
Wild, B., Herzog, W., Wesche, D., Niehoff, D., Müller, B. y Hain, B. (2009). Development of a group therapy to enhance treatment motivation and decision making in severely obese patients with a comorbid mental disorder. ObesitySurgery; published online.
dc.rights.spa.fl_str_mv Derechos Reservados - Universidad Católica de Colombia, 2014
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spelling Sierra-Murguía, Mariana18ef2441-9836-48a5-a055-e07929eb667a-1Vite-Sierra, Ariela8160280-8aa1-434e-98c8-b06d4b5a8427-1Torres-Tamayo, Margarita6c7f5dc0-83ad-4ea3-8401-f14767fd1e41-12014-10-15T14:04:54Z2014-10-15T14:04:54Z2014-06Obesity is a global health problem associated with the development of chronic degenerative diseases. Bariatric surgery has proven to be the most effective treatment for severe obesity. Despite surgery, patients must change their lifestyle in order to maintain weight loss in the long term. It has been reported that cognitive behavioral interventions have been effective to promote a lifestyle change and weight loss in obese patients. The aim of this study was to assess the effectiveness of a cognitive behavioral group intervention on weight loss and quality of life before surgery. Participants were nine morbidly obese patients, without psychiatric comorbidities, candidates for bariatric surgery. An initial assessment of quality of life that measured weight and BMI (Body Mass Index, for its English acronym) was performed. Patients underwent a group intervention in order to promote weight loss through cognitive behavioral techniques. The average weight loss was 5.7 kg during the five weeks of treatment, showing statistical significance of .001. In turn, along with weight loss, there was a decrease in BMI, with a statistical significance of .002. Regarding quality of life, there was significant improvement in body perception and attitude toward treatment.A obesidade é um problema de saúde mundial associado com o desenvolvimento de enfermidades crônico degenerativas. A cirurgia bariátrica é o tratamento que mostrou maior efetividade para a obesidade severa; o paciente deve modificar seu estilo de vida para manter a perda de peso a longo prazo. Observa-se que intervenções cognitivo conductuais têm sido efetivas para conseguir esta mudança no paciente. O presente estudo busca avaliar a efetividade de uma intervenção cognitivo conductual grupal na perda de peso e qualidade de vida antes da cirurgia. Incluíram-se nove pacientes com obesidade mórbida candidatos a cirurgia bariátrica sem co-morbilidades psiquiátricas. Realizou-se uma avaliação inicial de qualidade de vida que media peso e IMC (Índice de Massa Corporal). Os pacientes foram submetidos a uma intervenção grupal com o objetivo de promover a perda de peso mediante técnicas cognitivo conductuais. A média de peso perdido foi de 5.7 kg nas cinco semanas que o tratamento durou, mostrando significância estatística de .001; ao mesmo tempo a perda de peso fez com que o IMC diminuísse com uma significância estatística de .002. Com respeito à qualidade de vida, houve melhoria significativa na percepção corporal e na atitude com respeito ao tratamento.La obesidad es un problema de salud mundial asociado con el desarrollo de enfermedades crónico degenerativas. La cirugía bariátrica es el tratamiento que ha mostrado mayor efectividad para la obesidad severa; el paciente debe modificar su estilo de vida para mantener la pérdida de peso a largo plazo. Se ha visto que las intervenciones cognitivo conductuales han sido efectivas para lograr este cambio en el paciente. El presente estudio busca evaluar la efectividad de una intervención cognitivo conductual grupal en la pérdida de peso y calidad de vida antes de la cirugía. Se incluyeron nueve pacientes con obesidad mórbida candidatos a cirugía bariátrica sin comorbilidades psiquiátricas. Se realizó una evaluación inicial de calidad de vida que medía peso e IMC (Índice de Masa Corporal, por sus siglas en español). Los pacientes fueron sometidos a una intervención grupal con el objetivo de promover la pérdida de peso mediante técnicas cognitivo conductuales. El promedio de pérdida de peso fue de 5.7 kg en las cinco semanas que duró el tratamiento, mostrando significancia estadística de .001; a su vez, con la pérdida de peso disminuyó el IMC con una significancia estadística de .002. En cuanto a calidad de vida, hubo mejoría significativa en la percepción corporal y en la actitud al tratamiento.application/pdfSierra-Murguía, M., Vite-Sierra, A., & Torres-Tamayo, M. (2014). Intervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátrica. Acta Colombiana de Psicología, 17(1), 25-34. Recuperado de http://editorial.ucatolica.edu.co/ojsucatolica/revistas_ucatolica/index.php/acta-colombiana-psicologia/article/view/110123-9155http://hdl.handle.net/10983/1222spaUniversidad Católica de Colombia. Facultad de PsicologíaActa Colombiana de Psicología, Vol. 17, no 1. (ene.-jun. 2014); p. 25-34AACE/TOS/ASMBS, (2008). American Association of Clinical Endocrinologists, The Obesity Society and American Society for Metabolic and Bariatric Surgery Medical Guidelines for Clinical Practice for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient. Surgery for the Obesity and Related Diseases;4, 109-184.Algazi, L. (2000). Transactions in a support group meeting: a case study. Obesity Surgery; 10, 186- 191.Benotti, P. y Forse, R. (1995). The role of gastric surgery in the multidisciplinary management of severe obesity. American Journal of Surgery; 169, 361-367.Buchwald, H. (2005). Bariatric Surgery for morbid obesity: health implications for patients, health professionals, and third party payers. Journal of American College of Surgery;200, 593-604.Buddeberg-Fischer, B., Klaghofer, R., Sigrist, S. y Buddeberg,C. (2004) Impact of psychosocial stress and symptoms on indication for bariatric surgery and outcome in morbidly obese patients. Obesity Surgery; 14, 361-369.Colquitt, J., Picot, J., Loveman, E. y Clegg, A.J. (2009) Surgery for morbid obesity. Cochrane Database Systematic Review;(2).D' Zurrilla, T. y Goldfried, M. (1971) Problem Solving and Behavior Modification. Journal of Abnormal Psychology; 78,107- 126.Hildebrant, S. (1998) Effects of participation in bariatric support group after Roux-en-Y gastric bypass. Obesity Surgery; 8,535-542.Kaiser, K., Franks, S., Smith, A. (2011) Positive Relationship between support group attendance and one- year postoperative weight loss in gastric banding patients. Surgery for Obesity and Related Diseases; 7(1): 89-93.Leija- Alva, G., Aguilera- Sosa, V., Lara- Padilla, E., Rodríguez-Choreño, J., Trejo- Martínez, J., López de la Rosa, M. (2011) Diferencias en la modificación de hábitos, pensamientos y actitudes relacionados con la obesidad entre dos distintos tratamientos en mujeres adultas. Revista Latinoamericana de Medicina Conductual; 1(2), 19- 28.Marcus, J. y Elkins, G. (2004) Development of a model for a structured support group for patients following bariatric surgery. Obesity Surgery; 14, 103-106.Miller, W. y Rollnick, S. (2002) Motivational Interviewing: Preparing People for Change. Nueva York: Guilford Press.Nicolai, A., Ippoliti, C. y Petrelli, M. (2002). Laparoscopic Adjustable gastric banding: essential role of psychological support. Obesity surgery; 12(6), 857-63.OMS. (2000). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation: Geneva. Recuperado el 19 de noviembre del 2009 de http://www.atividadefisica.pro.br/artigos/WHO%20obesity.pdfOMS. (2006). Obesidad y Sobrepeso ¿Qué son la obesidad y el sobrepeso?, Nota Descriptiva Nº 311, recuperado el 19de noviembre del 2009 de http://www.who.int/mediacentre/factsheets/fs311/es/index.htmlOrth, W., Madan, A., Taddeucci, R., Coday, M. y Tichansky, D. (2008). Support Group meeting attendance is associated with better weight loss. Obesity surgery; 18, 391-394.Riveros- Rosas, A., Sánchez- Sosa, J., Del Águila, M. (2009) Inventario de Calidad de Vida y Salud. México: Manual Moderno.Sjostrom, L., Lindroos, A.K., Peltonen, M., Tolgerson, J., Bouchard, C., Carlson, B. et. al. (2004). Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. New England Journal of Medicine; 351(26), 2683-93.Yilmaz, J., Povey, L., Dalgliesh, J. (2011). Adopting a psychological approach to obesity. Nursing Standard; 25(21): 42-46.Wild, B., Herzog, W., Wesche, D., Niehoff, D., Müller, B. y Hain, B. (2009). Development of a group therapy to enhance treatment motivation and decision making in severely obese patients with a comorbid mental disorder. ObesitySurgery; published online.Derechos Reservados - Universidad Católica de Colombia, 2014info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2PSICOLOGÍA BARIÁTRICACIRUGÍA BARIÁTRICAOBESIDADCALIDAD DE VIDA, COGNITIVO- CONDUCTUAL BARIATRIC PSYCHOLOGY, BARIATRIC SURGERY, OBESITY, QUALITY OF LIFE, COGNITIVE-BEHAVIORAL PSICOLOGIA, BARIÁTRICA, CIRURGIA BARIÁTRICA, OBESIDADE, QUALIDADE DE VIDA, COGNITIVO-CONDUTUALCALIDAD DE VIDACOGNITIVO- CONDUCTUALBARIATRIC PSYCHOLOGYBARIATRIC SURGERYOBESITYQUALITY OF LIFECOGNITIVE-BEHAVIORALPSICOLOGIABARIÁTRICACIRURGIA BARIÁTRICAOBESIDADEQUALIDADE DE VIDACOGNITIVO-CONDUTUALOBESIDAD-ASPECTOS PSICOLOGICOSCIRUGÍACALIDAD DE VIDATERAPIA CONDUCTUALIntervención cognitivo-conductual grupal para pérdida de peso y calidad de vida en pacientes candidatos a cirugía bariátricaCognitive behavioral group intervention for weight loss and quality of life in patients candidates for bariatric surgeryIntervenção cognitivo-condutual grupal para perda de peso e qualidade de vida em pacientes candidatos a cirurgia bariátricaArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85PublicationORIGINALv17n1a03.pdfv17n1a03.pdfapplication/pdf396013https://repository.ucatolica.edu.co/bitstreams/0b13fa09-63e8-4f0d-9e0b-2991e6dc2ecd/download671c6373756c886b94f5fc42c8020261MD51TEXTv17n1a03.pdf.txtv17n1a03.pdf.txtExtracted texttext/plain42058https://repository.ucatolica.edu.co/bitstreams/179aacff-9c16-49cd-b36b-6eb627b971e8/download7372673afb52f9a0bf116ee777aecac3MD54THUMBNAILv17n1a03.pdf.jpgv17n1a03.pdf.jpgRIUCACimage/jpeg5566https://repository.ucatolica.edu.co/bitstreams/0b737c44-ad42-4503-b904-fa80d38e7fdc/download0cb1de0b21b442b424e2e431a5a8c7ccMD5510983/1222oai:repository.ucatolica.edu.co:10983/12222023-03-24 14:40:32.682https://creativecommons.org/licenses/by-nc/4.0/Derechos Reservados - Universidad Católica de Colombia, 2014https://repository.ucatolica.edu.coRepositorio Institucional Universidad Católica de Colombia - RIUCaCbdigital@metabiblioteca.com

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