Evaluación multi-informante del Síndrome de Desconexión Cognitiva (anteriormente Tempo Cognitivo Lento). Medidas autoinformadas de los niños con relación a padres

Autores/as

  • Almudena Cano-Crespo Departamento de Personalidad, Evaluación y Tratamiento Psicológicos, Facultad de Psicología, Universidad de Sevilla, Calle Camilo José Cela, 41018, Sevilla, (España) https://orcid.org/0000-0003-2002-3261
  • Inmaculada Moreno-García Departamento de Personalidad, Evaluación y Tratamiento Psicológicos, Facultad de Psicología, Universidad de Sevilla, Calle Camilo José Cela, 41018, Sevilla, (España) https://orcid.org/0000-0002-6335-9200
  • Mateu Servera IUNICS, IdISBa, Universitat de les Illes Balears, Cra. de Valldemossa, km 7.5. 07122, Palma, Illes Balears (España) https://orcid.org/0000-0001-9846-3318
  • Manuel Morales-Ortiz Departamento de Psicología Experimental, Facultad de Psicología, Universidad de Sevilla, Calle Camilo José Cela, 41018, Sevilla (España) https://orcid.org/0000-0002-2690-2542
DOI: https://doi.org/10.6018/analesps.587461
Palabras clave: SDC, Evaluación multi-informante, TDAH, Niños

Resumen

El objetivo fue examinar, desde una aproximación multi-informante, las medidas del Síndrome de Desconexión Cognitiva (SDC) de padres/madres e hijos/as y su relación con síntomas internalizantes y externalizantes. 279 niños/as (9-13 años), y sus padres/madres completaron las evaluaciones sobre SDC, la inatención del trastorno por déficit de atención e hiperactividad (TDAH) y otras medidas internalizadas y externalizadas. Los ítems de las tres medidas de SDC convergieron razonablemente bien en el factor SDC. Se aportaron pruebas discriminantes de la validez de las relaciones entre las puntuaciones de las pruebas y las medidas de los tres constructos diferentes (SDC, soledad y preferencia por la soledad). La asociación más estrecha estuvo entre la evaluación parental de las medidas de SDC con ansiedad y depresión, y entre inatención con hiperactividad/impulsividad y trastorno negativista desafiante. Se observó capacidad predictiva de la medida de SDC sobre la soledad y preferencia por estar solo autoinformadas. Se encontró una posible asociación entre la medida del SDC evaluado por padres/madres y sexo y edad de los niños. En conclusión, los datos apoyan la inclusión de medidas autoinformadas en la evaluación del SDC. Las medidas del SDC en niños se vinculan con medidas internalizantes y, la inatención con las externalizantes.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

American Educational Research Association, American Psychological Association, & National Council on Measurement in Education. (2014). Standards for educational and psychological testing. American Educational Research Association.

Amin Yazdi, S. A., Moshirian Farahi, S. M., Moshirian Farahi, S. M. M., & Hosseini, J. (2018). [Emotional Intelligence and its role in Cognitive Flexibility of Children with and without Attention Déficit Hyperactivity Disorder] Inteligencia emocional y su papel en la flexibilidad cognitiva de ni-ños con y sin trastorno por déficit de atención con hiperactividad. Anales de Psicologia, 34(2), 299–304. https://doi.org/10.6018/analesps.34.2.283771

Asher, S. R., Hymel, S., & Renshaw, P. D. (1984). Loneliness in Children. Child Development, 55(4), 1456–1464.

Barkley, R. A. (2012). Distinguishing sluggish cognitive tempo from attention-deficit/hyperactivity disorder in adults. Journal of Abnormal Psychology, 121(4), 978–990. https://doi.org/10.1037/a0023961

Barkley, R. A. (2013). Distinguishing Sluggish Cognitive Tempo From ADHD in Children and Adolescents: Executive Functioning, Impairment, and Comorbidity. Journal of Clinical Child and Adolescent Psychology, 42(2), 161–173. https://doi.org/10.1080/15374416.2012.734259

Başay, Ö., Çiftçi, E., Becker, S. P., & Burns, G. L. (2021). Validity of Sluggish Cognitive Tempo in Turkish Children and Adolescents. Child Psychiatry and Human Development, 52(2), 191–199. https://doi.org/10.1007/s10578-020-01110-5

Becker, S. P. (2015). Child concentration inventory, second edition (CCI-2). Cincinnati: Author.

Becker, S. P. (2014). Sluggish cognitive tempo and peer functioning in school-aged children: A six-month longitudinal study. Psychiatry Research, 217(1–2), 72–78. https://doi.org/10.1016/j.psychres.2014.02.007

Becker, S. P. (2021). Systematic Review: Assessment of Sluggish Cognitive Tempo Over the Past Decade. Journal of the American Academy of Child and Adolescent Psychiatry, 60(6), 690–709. https://doi.org/10.1016/j.jaac.2020.10.016

Becker, S. P., Burns, G. L., Schmitt, A. P., Epstein, J. N., & Tamm, L. (2019). Toward Establishing a Standard Symptom Set for Assessing Sluggish Cognitive Tempo in Children: Evidence From Teacher Ratings in a Community Sample. Assessment, 26(6), 1128–1141. https://doi.org/10.1177/1073191117715732

Becker, S. P., Epstein, J. N., Tamm, L., Tilford, A. A., Tischner, C. M., Isaacson, P. A., Simon, J. O., & Beebe, D. W. (2019). Shortened Sleep Duration Causes Sleepiness, Inattention, and Oppositionality in Adolescents With Attention-Deficit/Hyperactivity Disorder: Findings From a Crossover Sleep Restriction/Extension Study. Journal of the American Academy of Child and Adolescent Psychiatry, 58(4), 433–442. https://doi.org/10.1016/j.jaac.2018.09.439

Becker, S. P., Fite, P. J., Garner, A. A., Greening, L., Stoppelbein, L., & Luebbe, A. M. (2013). Reward and punishment sensitivity are differentially associated with ADHD and sluggish cognitive tempo symptoms in children. Journal of Research in Personality, 47(6), 719–727. https://doi.org/10.1016/j.jrp.2013.07.001

Becker, S. P., Garner, A. A., Tamm, L., Antonini, T. N., & Epstein, J. N. (2019). Honing in on the Social Difficulties Associated With Sluggish Cognitive Tempo in Children: Withdrawal, Peer Ignoring, and Low Engagement. Journal of Clinical Child and Adolescent Psychology, 48(2), 228–237. https://doi.org/10.1080/15374416.2017.1286595

Becker, S. P., Holdaway, A. S., & Luebbe, A. M. (2018). Suicidal Behaviors in College Students: Frequency, Sex Differences, and Mental Health Correlates Including Sluggish Cognitive Tempo. Journal of Adolescent Health, 63(2), 181–188. https://doi.org/10.1016/j.jadohealth.2018.02.013

Becker, S. P., Leopold, D. R., Burns, G. L., Jarrett, M. A., Langberg, J. M., Marshall, S. A., McBurnett, K., Waschbusch, D. A., & Willcutt, E. G. (2016). The Internal, External, and Diagnostic Validity of Sluggish Cognitive Tempo: A Meta-Analysis and Critical Review. In Journal of the American Academy of Child and Adolescent Psychiatry (Vol. 55, Issue 3, pp. 163–178). Elsevier Inc. https://doi.org/10.1016/j.jaac.2015.12.006

Becker, S. P., Luebbe, A. M., & Joyce, A. M. (2015). The Child Concentration Inventory (CCI): Initial validation of a child self-report measure of sluggish cognitive tempo. Psychological Assessment, 27(3), 1037–1052. https://doi.org/https://doi.org/10.1037/pas0000083

Becker, S. P., Luebbe, A. M., & Langberg, J. M. (2014). Attention-Deficit/Hyperactivity Disorder Dimensions and Sluggish Cognitive Tempo Symptoms in Relation to College Students’ Sleep Functioning. Child Psychiatry and Human Development, 45(6), 675–685. https://doi.org/10.1007/s10578-014-0436-8

Becker, S. P., Marshall, S. A., & McBurnett, K. (2014). Sluggish cognitive tempo in abnormal child psychology: An historical overview and introduction to the special section. Journal of Abnormal Child Psychology, 42(1), 1–6. https://doi.org/10.1007/s10802-013-9825-x

Becker, S. P., & Willcutt, E. G. (2019). Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology. European Child and Adolescent Psychiatry, 28(5), 603–613. https://doi.org/10.1007/s00787-018-1136-x

Becker, S. P., Willcutt, E. G., Leopold, D. R., Fredrick, J. W., Smith, Z. R., Jacobson, L. A., Burns, G. L., Mayes, S. D., Waschbusch, D. A., Froehlich, T. E., McBurnett, K., Servera, M., & Barkley, R. A. (2022). Report of a Work Group on Sluggish Cognitive Tempo: Key Research Directions and a Consensus Change in Terminology to Cognitive Disengagement Syndrome. Journal of the American Academy of Child & Adolescent Psychiatry. https://doi.org/10.1016/j.jaac.2022.07.821

Becker, S. P., Withrow, A. R., Stoppelbein, L., Luebbe, A. M., Fite, P. J., & Greening, L. (2016). Sluggish cognitive tempo is associated with suicide risk in psychiatrically hospitalized children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 57(12), 1390–1399. https://doi.org/10.1111/jcpp.12580

Becker, S. P., & Barkley, Russell. A. (2018). Sluggish cognitive tempo. In T. Banaschewski, D. Coghill, & A. Zuddas (Eds.), Oxford Textbook of Attention Deficit Hyperactivity Disorder (Vol. 13, pp. 147–153). Oxford University Press.

Belmar, M., Servera, M., Becker, S. P., & Burns, G. L. (2017). Validity of Sluggish Cognitive Tempo in South America: An Initial Examination Using Mother and Teacher Ratings of Chilean Children. Journal of Attention Disorders, 21(8), 667–672. https://doi.org/10.1177/1087054715597470

Bernad, M., Servera, M., Becker, S. P., & Burns, L. (2016). Sluggish cognitive tempo and ADHD inattention as predictors of externalizing, internalizing, and impairment domains: A 2-year longitudinal study. Journal of Abnormal Child Psychology, 44(4), 771–785. https://doi.org/10.1007/s10802-015-0066-z

Burns, G. L., & Becker, S. P. (2021). Sluggish Cognitive Tempo and ADHD Symptoms in a Nationally Representative Sample of U.S. Children: Differentiation Using Categorical and Dimensional Approaches. Journal of Clinical Child and Adolescent Psychology, 50(2), 267–280. https://doi.org/10.1080/15374416.2019.1678165

Burns, G. L., Becker, S. P., Servera, M., del Mar Bernad, M., & García-Banda, G. (2017). Sluggish cognitive tempo and attention-deficit/hyperactivity disorder (ADHD) inattention in the home and school contexts: Parent and teacher invariance and cross-setting validity. Psychological Assessment, 29(2), 209–220. https://doi.org/10.1037/pas0000325

Burns, G. L., Lee, S., Servera, M., McBurnett, K., & Becker, S. P. (2015). Child and Adolescent Behavior Inventory - Parent Version 1.0. Pullman, WA: Author.

Burns, G. L., Servera, M., & Becker, S. P. (2021). Psychometric properties and normative information on the child and adolescent behavior inventory with ratings for Spanish children from parents and teachers. Psicothema, 33(1), 139–145. https://doi.org/10.7334/psicothema2020.267

Carlson, C. L., & Mann, M. (2002). Sluggish Cognitive Tempo Predicts a Different Pattern of Impairment in the Attention Deficit Hyperactivity Disorder, Predominantly Inattentive Type. Journal of Clinical Child and Adolescent Psychology, 31(1), 123–129. https://doi.org/10.1207/S15374424JCCP3101_14

Coplan, R. J., Prakash, K., O’Neil, K., & Armer, M. (2004). Do You “Want” to Play? Distinguishing Between Conflicted Shyness and Social Disinterest in Early Childhood. Developmental Psychology, 40(2), 244–258. https://doi.org/10.1037/0012-1649.40.2.244

Coplan, R. J., Rose-Krasnor, L., Weeks, M., Kingsbury, A., Kingsbury, M., & Bullock, A. (2013). Alone is a crowd: Social motivations, social withdrawal, and socioemotional functioning in later childhood. Developmental Psychology, 49(5), 861–875. https://doi.org/10.1037/a0028861

de Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D. A. G., Burgers, D. E., & Rabinowitz, J. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. Psychological Bulletin, 141(4), 858–900. https://doi.org/10.1037/a0038498

Durbeej, N., Sörman, K., Norén Selinus, E., Lundström, S., Lichtenstein, P., Hellner, C., & Halldner, L. (2019). Trends in childhood and adolescent internalizing symptoms: Results from Swedish population based twin cohorts. BMC Psychology, 7(1). https://doi.org/10.1186/s40359-019-0326-8

Ebesutani, C., Drescher, C. F., Reise, S. P., Heiden, L., Hight, T. L., Damon, J. D., & Young, J. (2012). The loneliness questionnaire-short version: An evaluation of reverse-worded and non-reverse-worded items via item response theory. Journal of Personality Assessment, 94(4), 427–437. https://doi.org/10.1080/00223891.2012.662188

Fenollar Cortés, J., Servera, M., Becker, S. P., & Burns, G. L. (2017). External Validity of ADHD Inattention and Sluggish Cognitive Tempo Dimensions in Spanish Children With ADHD. Journal of Attention Disorders, 21(8), 655–666. https://doi.org/10.1177/1087054714548033

Fenollar-Cortés, J., Calvo-Fernández, A., García-Sevilla, J., & Cantó-Díez, T. J. (2016). [The Strength and Difficulties Questionnaire (SDQ) as a predictor of ADHD: behaviour of the SDQ subscales with respect to the dimensions "Hyperactivity/Impulsivity" and "Inattention" in a clinical sample] La escala Strength and Difficulties Questionnaire (SDQ) como predictora del TDAH: Comportamiento de las subescalas SDQ respecto a las dimensiones “Hiperactividad/Impulsividad” e “Inatención” en una muestra clínica. Anales de Psicologia, 32(2), 313–319. https://doi.org/10.6018/analesps.32.2.203331

Fırat, S., Gül, H., & Aysev, A. (2019). Distinguishing SCT Symptoms from ADHD in Children: Internal and External Validity in Turkish Culture. Journal of Psychopathology and Behavioral Assessment, 41(4), 716–729. https://doi.org/10.1007/s10862-019-09750-1

Fredrick, J. W., & Becker, S. P. (2022a). Cognitive Disengagement Syndrome (Sluggish Cognitive Tempo) and Social Withdrawal: Advancing a Conceptual Model to Guide Future Research. Journal of Attention Disorders. https://doi.org/10.1177/10870547221114602

Fredrick, J. W., & Becker, S. P. (2022b). Sluggish Cognitive Tempo (Cognitive Disengagement Syndrome) and Academic Functioning: A Systematic Review and Agenda for Future Research. Clinical Child and Family Psychology Review. https://doi.org/10.1007/s10567-022-00411-6

Fredrick, J. W., Langberg, J. M., & Becker, S. P. (2022). Longitudinal Association of Sluggish Cognitive Tempo with Depression in Adolescents and the Possible Role of Peer Victimization. Research on Child and Adolescent Psychopathology, 50(6), 809–822. https://doi.org/10.1007/s10802-022-00923-3

Garner, A. A., Hansen, A., Baxley, C., Becker, S. P., Sidol, C. A., & Beebe, D. W. (2017). Effect of sleep extension on sluggish cognitive tempo symptoms and driving behavior in adolescents with chronic short sleep. Sleep Medicine, 30, 93–96. https://doi.org/10.1016/j.sleep.2016.09.003

Holdaway, A. S., & Becker, S. P. (2018). Sluggish cognitive tempo and student-teacher relationship quality: Short-term longitudinal and concurrent associations. School Psychology Quarterly, 33(4), 537–546. https://doi.org/10.1037/spq0000245

Jacobson, L. A., Murphy-Bowman, S. C., Pritchard, A. E., Tart-Zelvin, A., Zabel, T. A., & Mahone, E. M. (2012). Factor structure of a sluggish cognitive tempo scale in clinically-referred children. Journal of Abnormal Child Psychology, 40(8), 1327–1337. https://doi.org/10.1007/s10802-012-9643-6

Jarrett, M. A., Rapport, H. F., Rondon, A. T., & Becker, S. P. (2017). ADHD Dimensions and Sluggish Cognitive Tempo Symptoms in Relation to Self-Report and Laboratory Measures of Neuropsychological Functioning in College Students. Journal of Attention Disorders, 21(8), 673–683. https://doi.org/10.1177/1087054714560821

Jorgensen, T. D., Pornprasertmanit, S., Schoemann, A. M., & Rosseel, Y. (2021). semTools: Useful tools for structural equation modeling. https://CRAN.R-project.org/package=semTools

Jung, S. H., Lee, S. Y., Burns, G. L., & Becker, S. P. (2021). Internal and External Validity of Self-Report and Parent-Report Measures of Sluggish Cognitive Tempo in South Korean Adolescents. Journal of Psychopathology and Behavioral Assessment, 43(2), 355–366. https://doi.org/10.1007/s10862-020-09821-8

Khadka, G., Burns, G. L., & Becker, S. P. (2016). Internal and External Validity of Sluggish Cognitive Tempo and ADHD Inattention Dimensions with Teacher Ratings of Nepali Children. Journal of Psychopathology and Behavioral Assessment, 38(3), 433–442. https://doi.org/10.1007/s10862-015-9534-6

Langberg, J. M., Becker, S. P., Dvorsky, M. R., & Luebbe, A. M. (2014). Are sluggish cognitive tempo and daytime sleepiness distinct constructs? Psychological Assessment, 26(2), 586–597. https://doi.org/10.1037/a0036276

Lee, Burns, G. L., Snell, J., & McBurnett, K. (2014). Validity of the sluggish cognitive tempo symptom dimension in children: Sluggish cognitive tempo and ADHD-inattention as distinct symptom dimensions. Journal of Abnormal Child Psychology, 42(1), 7–19. https://doi.org/10.1007/s10802-013-9714-3

Lee, S. Y., Burns, G. L., & Becker, S. P. (2018). Toward Establishing the Transcultural Validity of Sluggish Cognitive Tempo: Evidence From a Sample of South Korean Children. Journal of Clinical Child and Adolescent Psychology, 47(1), 61–68. https://doi.org/10.1080/15374416.2016.1144192

Leopold, D. R., Christopher, M. E., Burns, G. L., Becker, S. P., Olson, R. K., & Willcutt, E. G. (2016). Attention-deficit/hyperactivity disorder and sluggish cognitive tempo throughout childhood: temporal invariance and stability from preschool through ninth grade. Journal of Child Psychology and Psychiatry and Allied Disciplines, 57(9), 1066–1074. https://doi.org/10.1111/jcpp.12505

Marshall, S. A., Evans, S. W., Eiraldi, R. B., Becker, S. P., & Power, T. J. (2014). Social and academic impairment in youth with ADHD, predominately inattentive type and sluggish cognitive tempo. Journal of Abnormal Child Psychology, 42(1), 77–90. https://doi.org/10.1007/s10802-013-9758-4

McBurnett, K., Villodas, M., Burns, G. L., Hinshaw, S. P., Beaulieu, A., & Pfiffner, L. J. (2014). Structure and validity of sluggish cognitive tempo using an expanded item pool in children with Attention-Deficit/Hyperactivity disorder. Journal of Abnormal Child Psychology, 42(1), 37–48. https://doi.org/10.1007/s10802-013-9801-5

Moreno-García, I., Servera, M., Morales-Ortiz, M., Cano-Crespo, A., & Sáez, B. (2022). The External Validity of Sluggish Cognitive Tempo Versus Inattention in Behavioral, Social Interaction, and Academic Performance Measures. Psicothema, 34(3), 471–478. https://doi.org/10.7334/psicothema2021.583

Penny, A. M., Waschbusch, D. A., Klein, R. M., Corkum, P., & Eskes, G. (2009). Developing a Measure of Sluggish Cognitive Tempo for Children: Content Validity, Factor Structure, and Reliability. Psychological Assessment, 21(3), 380–389. https://doi.org/10.1037/a0016600

R Core Team. (2013). R: A language and environment for statistical computing. R Foundation for Statistical Computing. https://www.r-project.org/

Rondon, A. T., Hilton, D. C., Jarrett, M. A., & Ollendick, T. H. (2020). Sleep, Internalizing Problems, and Social Withdrawal: Unique Associations in Clinic-Referred Youth With Elevated Sluggish Cognitive Tempo Symptoms. Journal of Attention Disorders, 24(4), 524–534. https://doi.org/10.1177/1087054718756197

Rönkkö, M., & Cho, E. (2022). An updated guideline for assessing discriminant validity. Organizational Research Methods, 25, 6–14.

Rosseel, Y. (2012). lavaan: An R Package for Structural Equation Modeling. Journal of Statistical Software , 48(2), 1–36. http://www.jstatsoft.org/

Sáez, B., Servera, M., Becker, S. P., & Burns, G. L. (2019). Optimal Items for Assessing Sluggish Cognitive Tempo in Children Across Mother, Father, and Teacher Ratings. Journal of Clinical Child and Adolescent Psychology, 48(6), 825–839. https://doi.org/10.1080/15374416.2017.1416619

Sáez, B., Servera, M., Burns, G. L., & Becker, S. P. (2019). Advancing the Multi-Informant Assessment of Sluggish Cognitive Tempo: Child Self-Report in Relation to Parent and Teacher Ratings of SCT and Impairment. Journal of Abnormal Child Psychology, 47(1), 35–46. https://doi.org/10.1007/s10802-018-0436-4

Servera, M., Bernad, M. del M., Carrillo, J. M., Collado, S., & Burns, G. L. (2016). Longitudinal Correlates of Sluggish Cognitive Tempo and ADHD-Inattention Symptom Dimensions with Spanish Children. Journal of Clinical Child and Adolescent Psychology, 45(5), 632–641. https://doi.org/10.1080/15374416.2015.1004680

Servera, M., Sáez, B., Burns, G. L., & Becker, S. P. (2018). Clinical differentiation of sluggish cognitive tempo and attention-deficit/hyperactivity disorder in children. Journal of Abnormal Psychology, 127(8), 818–829. https://doi.org/10.1037/abn0000375

Smith, Z. R., Becker, S. P., Garner, A. A., Rudolph, C. W., Molitor, S. J., Oddo, L. E., & Langberg, J. M. (2018). Evaluating the Structure of Sluggish Cognitive Tempo Using Confirmatory Factor Analytic and Bifactor Modeling With Parent and Youth Ratings. Assessment, 25(1), 99–111. https://doi.org/10.1177/1073191116653471

Smith, Z. R., Eadeh, H. M., Breaux, R. P., & Langberg, J. M. (2019). Sleepy, sluggish, worried, or down? the distinction between selfreported sluggish cognitive tempo, daytime sleepiness, and internalizing symptoms in youth with attention-deficit/hyperactivity disorder. Psychological Assessment, 31(3), 365–375. https://doi.org/10.1037/pas0000671

Smith, Z. R., & Langberg, J. M. (2017). Predicting academic impairment and internalizing psychopathology using a multidimensional framework of Sluggish Cognitive Tempo with parent- and adolescent reports. European Child and Adolescent Psychiatry, 26(9), 1141–1150. https://doi.org/10.1007/s00787-017-1003-1

Tamm, L., Garner, A. A., Loren, R. E. A., Epstein, J. N., Vaughn, A. J., Ciesielski, H. A., & Becker, S. P. (2016). Slow sluggish cognitive tempo symptoms are associated with poorer academic performance in children with ADHD. Psychiatry Research, 242, 251–259. https://doi.org/10.1016/j.psychres.2016.05.054

Willcutt, E. G., Chhabildas, N., Kinnear, M., Defries, J. C., Olson, R. K., Leopold, D. R., Keenan, J. M., & Pennington, B. F. (2014). The internal and external validity of sluggish cognitive tempo and its relation with DSM-IV ADHD. Journal of Abnormal Child Psychology, 42(1), 21–35. https://doi.org/10.1007/s10802-013-9800-6

Publicado
03-04-2024
Cómo citar
Cano-Crespo, A., Moreno-García, I., Servera, M., & Morales-Ortiz, M. (2024). Evaluación multi-informante del Síndrome de Desconexión Cognitiva (anteriormente Tempo Cognitivo Lento). Medidas autoinformadas de los niños con relación a padres. Anales de Psicología / Annals of Psychology, 40(2), 227–235. https://doi.org/10.6018/analesps.587461
Número
Sección
Psicología clínica y de la salud