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Azanza Álvarez, Paula

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https://academica-e.unavarra.es/handle/2454/48633

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Azanza Álvarez

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Paula

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Derecho Público

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810996

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2014 - 20173
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    PublicationOpen Access
    Therapeutic progression in abused women following a drug-addiction treatment program
    (SAGE Publications, 2017) Fernández-Montalvo, Javier; López-Goñi, José Javier; Arteaga Olleta, Alfonso; Cacho Fernández, Raúl; Azanza Álvarez, Paula; Psicología y Pedagogía; Psikologia eta Pedagogia
    This study explored the prevalence of victims of abuse and the therapeutic progression among women who sought treatment for drug addiction. A sample of 180 addicted Spanish women was assessed. Information was collected on the patients’ lifetime history of abuse (psychological, physical and/or sexual), socio-demographic factors, consumption variables and psychological symptoms. Of the total sample, 74.4% (n = 134) of the addicted women had been victims of abuse. Psychological abuse affected 66.1% (n = 119) of the patients, followed by physical abuse (51.7%; n = 93) and sexual abuse (31.7%; n = 57). Compared with patients who had not been abused, the addicted women with histories of victimisation scored significantly higher on several EuropASI and psychological variables. Specifically, physical abuse and sexual abuse were related to higher levels of severity of addiction. Regarding therapeutic progression, the highest rate of dropout was observed among victims of sexual abuse (63.5%; n = 33), followed by victims of physical abuse (48.9%; n = 23). Multivariate analysis showed that medical and family areas of the EuropASI, as well as violence problems and suicide ideation, were the main variables related to physical and/or sexual abuse. Moreover, women without abuse and with fewer family problems presented the higher probability of treatment completion. The implications of these results for further research and clinical practice are discussed.
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    PublicationOpen Access
    Gender differences in treatment progress of drug-addicted patients
    (Taylor & Francis, 2017) Fernández-Montalvo, Javier; López-Goñi, José Javier; Azanza Álvarez, Paula; Arteaga Olleta, Alfonso; Cacho Fernández, Raúl; Psicología y Pedagogía; Psikologia eta Pedagogia; Gobierno de Navarra / Nafarroako Gobernua
    This study explored the differences in treatment progress between men and women who were addicted to drugs. The differential rate of completion of/dropout from treatment in men and women with substance dependence was established. Moreover, comparisons between completers and dropouts, accounting for gender, were carried out for several variables related to treatment progress and clinical profile. A sample of 183 addicted patients (96 male and 87 female) who sought outpatient treatment between 2002 and 2006 was assessed. Information on socio-demographic, consumption and associated characteristics was collected. A detailed tracking of each patient's progress was maintained for a minimum period of eight years to assess treatment progression. The treatment dropout rate in the whole sample was 38.8%, with statistically significant differences between women (47.1%) and men (31.3%). Women who dropped out of treatment presented a more severe profile in most of the psychopathologic variables than women who completed it. Moreover, women who dropped out from treatment presented a more severe profile than men who dropped out. According to these results, drug-addicted women showed worse therapeutic progress than men with similar histories. Thus, women must be provided with additional targeted intervention to promote better treatment outcomes.
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    PublicationOpen Access
    Gender differences in drug-addicted patients in a clinical treatment center of Spain
    (Wiley, 2014) Fernández-Montalvo, Javier; López-Goñi, José Javier; Azanza Álvarez, Paula; Cacho Fernández, Raúl; Psicología y Pedagogía; Psikologia eta Pedagogia; Gobierno de Navarra / Nafarroako Gobernua, 359/2012
    Background and objectives: This study explored the characteristics of a representative sample of patients who were addicted to drugs and analyzed the differential profile of addicted women and men. Methods: A sample of 195 addicted patients (95 female and 100 male) who sought outpatient treatment in a Spanish clinical center was assessed. Information on sociodemographic, consumption and associated characteristics was collected using the European Addiction Severity Index (EuropASI). Results: The results showed statistically significant differences between groups. Demographically, the differences were centered on employment, with more labor problems in the female group. Regarding addiction severity, the EuropASI results showed statistically significant differences in both the Interviewer Severity Ratings (ISR) and Composite Scores (CS). Women experienced more severe impacts in the medical, family social and psychiatric areas. By contrast addicted men had more severe legal problems than addicted females did. Conclusions: According to these results, women who seek outpatient treatment in a clinical center presented with a more severe addiction problem than men did. Moreover, they reported more significant maladjustment in the various aspects of life explored.