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Fernández-Montalvo, Javier

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https://academica-e.unavarra.es/handle/2454/49018

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Fernández-Montalvo

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Javier

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Ciencias de la Salud

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0000-0001-5946-1934

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2050

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2020 - 202421
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Now showing 1 - 10 of 21
  • Thumbnail Image
    PublicationOpen Access
    Lifetime suicidal-related behaviour among patients in treatment for substance use disorder: a cross-sectional study
    (Elsevier, 2022) Siria Mendaza, Sandra; Leza González, Leire; López-Goñi, José Javier; Fernández-Montalvo, Javier; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
    Suicidal-related behaviours are an important concern in individuals who present with substance use disorders (SUDs). The distinction among the specific characteristics of the different patients might help to improve prevention strategies. We describe and compare the sociodemographic characteristics, severity of addiction, and psychopathology of the participants depending on the severity of their lifetime suicidal behaviour. In addition, we examine whether the number of suicide attempts can be estimated based on the variables that differentiate the groups. A sample of 318 men and 86 women who sought treatment for addiction were assessed. The sample was divided into: no ideation or attempts, suicidal ideation, one suicide attempt, and two or more suicide attempts. The group with two or more suicide attempts exhibited a greater severity in the addiction profile. The group with one suicide attempt presented a higher psychopathological symptomatology at the time of the assessment. The severity of the Psychiatric area was related to the group with two or more attempts and to the number of suicide attempts. The presence of any number of attempts is associated with greater severity of addiction. Providing specific intervention strategies for SUD patients depending on their suicidal behaviours is promising for clinical application.
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    PublicationOpen Access
    Differential psychopathological profile of male intimate partner violence perpetrators depending on problematic alcohol use
    (Elsevier, 2021) Siria Mendaza, Sandra; Leza González, Leire; Fernández-Montalvo, Javier; Echauri, José Antonio; Azcárate, Juana M.; Ciencias de la Salud; Osasun Zientziak
    Objective: This study explored the differential psychopathological profile between male perpetrators of intimate partner violence (IPV) with and without problematic alcohol use (PAU). Method: A sample of 981 men was recruited from a specialized IPV perpetrators treatment programme. All of them were assessed with the Symptom Checklist-90-Revised (SCL-90-R), the State-Trait Anger Expression Inventory-2 (STAXI-2), and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Comparisons between perpetrators with (n = 125) and without (n = 856) PAU on all the variables studied were carried out. Results: Perpetrators with PAU were less frequently employed and had higher rates of previous psychiatric history and childhood family violence. Moreover, they presented with higher levels of cognitive biases about women and violence. On a psychopathological level, participants with PAU reported significantly higher scores on the SCL90-R, on the STAXI-2, and on almost all the MCMI-III scales than did those without PAU. The multivariate logistic regression analyses showed that the main variables related to PAU were as follows: higher levels of previous psychiatric history, distorted thoughts about women, depression, drug dependence, and various personality disorders (bipolar, dysthymia, antisocial, avoidant, borderline, and schizotypal); and lower scores on internal control, anger reaction, paranoid ideation, and schizoid personality disorders. Discussion: IPV perpetrators with PAU have a more severe psychopathological profile than those without PAU. Additionally, several variables along with PAU may have contributed to the development of IPV. Therefore, tailored interventions should be developed for those perpetrators with PAU.
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    PublicationOpen Access
    A cross-cultural exploratory study of health behaviors and wellbeing during COVID-19
    (Frontiers Media, 2021) Ruiz, Montse C.; Devonport, Tracey; Chen Wilson, Chao-Hwa (Josephine); Nichols, Wendy; Cagas, Jonathan Y.; Fernández-Montalvo, Javier; Choi, Youngjun; Robazza, Claudio; Ciencias de la Salud; Osasun Zientziak
    This study explored the influence of the COVID-19 pandemic on perceived health behaviors; physical activity, sleep, and diet behaviors, alongside associations with wellbeing. Participants were 1,140 individuals residing in the United Kingdom (n = 230), South Korea (n = 204), Finland (n = 171), Philippines (n = 132), Latin America (n = 124), Spain (n = 112), North America (n = 87), and Italy (n = 80). They completed an online survey reporting possible changes in the targeted behaviors as well as perceived changes in their physical and mental health. Multivariate analyses of covariance (MANCOVA) on the final sample (n = 1,131) revealed significant mean differences regarding perceived physical and mental health “over the last week,” as well as changes in health behaviors during the pandemic by levels of physical activity and country of residence. Follow up analyses indicated that individuals with highest decrease in physical activity reported significantly lower physical and mental health, while those with highest increase in physical activity reported significantly higher increase in sleep and lower weight gain. United Kingdom participants reported lowest levels of physical health and highest increase in weight while Latin American participants reported being most affected by emotional problems. Finnish participants reported significantly higher ratings for physical health. The physical activity by country interaction was significant for wellbeing. MANCOVA also revealed significant differences across physical activity levels and four established age categories. Participants in the oldest category reported being significantly least affected by personal and emotional problems; youngest participants reported significantly more sleep. The age by physical activity interaction was significant for eating. Discussed in light of Hobfoll (1998) conservation of resources theory, findings endorse the policy of advocating physical activity as a means of generating and maintaining resources combative of stress and protective of health.
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    PublicationOpen Access
    Prevalence and differential profile of patients with substance use disorder who have suffered physical and/or sexual abuse
    (SAGE, 2021) Haro Escribano, Begoña; López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Ciencias de la Salud; Osasun Zientziak
    Patients with substance use disorder (SUD) who undergo treatment present a high prevalence of lifetime physical and/or sexual abuse. Studies about this phenomenon and the specific needs of patients with a history of abuse must be carried out to tailor treatment programmes. The first goal of this paper was to determine the prevalence of physical and/or sexual abuse among patients with SUD, and the second goal was to analyse the specific characteristics of these patients. A sample of 418 subjects was assessed to achieve the first goal, and 104 subjects (52 with and 52 without a history of physical and/or sexual abuse) were examined to reach the second goal. All patients sought treatment for SUD in two Spanish clinical centres. The results showed that 15.5% of the sample had a history of physical and/or sexual abuse (42.3% of women and 9.9% of men). Patients with a history of abuse presented a higher need for SUD treatment in family and psychiatric areas and more psychopathological symptoms than patients without a history of abuse. According to this more serious profile, a patient-centred intervention considering the history of abuse is recommended. This will allow the specific needs of these patients to be met, thus improving SUD treatment success.
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    PublicationOpen Access
    Brief emotional eating scale: a multinational study of factor structure, validity, and invariance
    (Elsevier, 2023) Ruiz, Montse C.; Devonport, Tracey; Chen Wilson, Chao-Hwa (Josephine); Nichols, Wendy; Cagas, Jonathan Y.; Fernández-Montalvo, Javier; Choi, Youngjun; Gan, Yiqun; Robazza, Claudio; Ciencias de la Salud; Osasun Zientziak
    Emotional eating or the tendency to eat in response to emotional states can be assessed using self-report mea- sures. The Emotional Eating Scale-II is a commonly used and reliable instrument that measures the desire to eat in response to a range of unpleasant and pleasant emotions. The current study aimed to corroborate the validity of the EES-II and expand its utility by investigating its dimensionality and testing its measurement invariance in samples from English-speaking and non-English-speaking countries. Convergent and predictive validity in respect of food craving, eating, and health indicators were also examined. This cross-national study included a total of 2485 adult participants recruited from Finland, North America, Philippines, United Kingdom, China, Italy, Spain, and South Korea, who completed the EES-II in six different languages. Factor analyses supported a four-factor structure including valence (pleasant, unpleasant) and activation (high, low) for a 12-item English version and slightly modified non-English adaptations. The model exhibited good fit in all samples, and convergent validity was demonstrated. Full invariance of factor loadings and partial invariance of factor loading, intercepts, and error variances was established across samples. Structural equation models revealed that high activation (pleasant and unpleasant) states predicted food cravings and reported eating. Overall findings across multiple samples and countries supported the factorial structure, reliability, invariance, and validity of the resulting Brief Emotional Eating Scale (BEES).
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    PublicationOpen Access
    Relationship between family mental health problems and substance use disorders: a gender perspective analysis
    (Taylor and Francis Group, 2023) López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Leza González, Leire; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
    Background: Little is known about family mental illness and substance use disorder (SUD). This casecontrol study explored the relationship between family (parents and/or siblings) mental health problems (FMHP) and lifetime substance use disorder (SUD), considering a gender perspective. Methods: A sample of 387 patients (n = 306 men, 79.1%; n = 81 women, 20.9%) was recruited from the Proyecto Hombre Navarra (Spain) addiction treatment program. Patients with (80 men; 24 women) and without (226 men; 57 women) FMHP were compared, taking sex into account. Results: The prevalence of FMHP was 26.9%, without significant differences between men (n = 80; 26.1%) and women (n = 24; 29.6%). Men with FMHP reported higher severity in family/social and psychiatric areas than those without FMHP. Women with FMHP reported a higher severity in the psychiatric area and a higher prevalence of anxiety problems, suicidal attempts, previous psychopharmacological treatments, and physical abuse than women without FMHP. Conclusions: FMHP is highly prevalent in patients with SUD. They are associated with lifetime psychopathological problems, mainly in men. Further specific research is needed to evaluate this issue to develop specific treatments tailored to the needs of patients with FMHP.
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    PublicationOpen Access
    A cross-national study of predrinking motives in Spain and the UK: cross-sectional associations with risk-taking and alcohol consumption
    (Elsevier, 2023) Lowe, Robert D.; Monk, Rebecca L.; Qureshi, Adam W.; Fernández-Montalvo, Javier; Heim, Derek; Ciencias de la Salud; Osasun Zientziak
    This study contrasts young people's predrinking in two European cultural contexts: Spain and the UK. Whilst UK predrinking typically occurs amongst small groups of individuals who already know one another, the distinctive Spanish context of the Botellón details a far larger gathering in which participants may be less likely to know each other. As such, predrinking motives which drive consumption and risk-taking may be expected to vary between these cultures. An online questionnaire (N = 397; UK = 167, Spain= 230) was used to examine a variety of drinking behaviours and associated beliefs/motivations including predrinking motivations, drinking behaviour, and risk taking. Path analysis was used to analyse both direct and indirect relationships between the measures with the aim of predicting problem alcohol consumption with the most parsimonious model. Varying (in)direct paths were observed between predrinking motives and alcohol consumption between the cultures. Most notably and pointing towards inconsistency in the drivers of young adults' drinking, fun predrinking motives featured prominently among Spanish respondents and predicted their reported consumption (not so in the UK), while conviviality was a more prevalent predrinking motive in the UK sample and associated with alcohol consumption (not the case in Spain). Further, (personal) risky behaviour and risk-taking predicted consumption in both samples, suggesting the importance of group norms and behaviours in predrinking activity, irrespective of alcohol consumption. These findings highlight the potential importance of the environment in which young people predrink. Given their importance in shaping alcohol consumption and risk taking in young people, cultural differences in predrinking contexts and motives warrant further investigation.
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    PublicationOpen Access
    Substance use disorder and lifetime suicidal behaviour: a scoping review
    (Elsevier, 2024) Leza González, Leire; Haro Escribano, Begoña; López-Goñi, José Javier; Fernández-Montalvo, Javier; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
    Background: Suicidal behaviours are prevalent in substance use disorder (SUD) patients. These behaviours have a negative impact on the psychopathological profile of these patients. However, few studies have evaluated suicide as a continuum (i.e. starting with ideation, followed by attempts and ending with death) and its evolution during treatment. The aim of this scoping review was to explore what is known about suicidal behaviour in individuals undergoing clinical treatment for SUD. Methods: The PsycINFO, Web of Science (Core Collection and MEDLINE), Scopus, and Cochrane Library databases were searched. After screening the records based on eligibility and exclusion criteria, 30 studies were ultimately selected for inclusion. Results: Most of the studies were conducted in the USA and Europe. Only three studies evaluated suicidal behaviour with a specific instrument. The prevalence of suicidal ideation (SI) in people being treated for SUD ranged from 20 % to 62.2 %, and the prevalence of suicide attempts (SA) ranged from 15.8 % to 52.1 %. Only one study reported death by suicide. Conclusions: Despite the high prevalence of suicidal behaviours and their harmful consequences, the assessment of this phenomenon is scarce and heterogeneous. There is a need to assess suicidal behaviour with standardized criteria in order to develop tailored SUD treatment.
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    PublicationOpen Access
    Gender differences in patients with substance use disorder and physical/sexual abuse: a preliminary study
    (Colegio Oficial de la Psicología de Madrid (COPM), 2023) Haro Escribano, Begoña; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; López-Goñi, José Javier; Ciencias de la Salud; Osasun Zientziak
    Objetivo: Explorar las diferencias de género en distintas variables (sociodemográficas, gravedad del consumo, sintomatología psicopatológica, inadaptación a la vida cotidiana, características del trauma y sintomatología de estrés postraumático) en pacientes que acuden a tratamiento por trastorno por consumo de sustancias (TCS) y han sufrido abuso físico y/o sexual. Método: La muestra estuvo compuesta por 26 mujeres y 31 hombres que habían sufrido abuso físico y/o sexual y buscaban tratamiento para TCS. Resultados: Las mujeres habían sido víctimas de abuso sexual en un porcentaje significativamente mayor que los hombres. Además presentaban una frecuencia significativamente mayor de revictimización a otro evento traumático y una presencia significativamente mayor de síntomas de evitación que los hombres. Conclusiones: El estudio confirma la existencia de un perfil más grave en las mujeres que en los hombres con TCS que han sufrido abuso físico y/o sexual a lo largo de la vida. En consecuencia, se debe promover la atención informada sobre el trauma con perspectiva de género en los programas de tratamiento del TCS. Dada la naturaleza preliminar de este estudio, se necesita más investigación en este campo.
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    PublicationOpen Access
    Gender-based psychosocial differences in a sample of young offenders
    (SAGE, 2020) Arteaga Olleta, Alfonso; Fernández-Montalvo, Javier; Cacho Fernández, Raúl; López-Goñi, José Javier; Ciencias de la Salud; Osasun Zientziak
    This study analyses the differential psychosocial characteristics of male and female young offenders with a judicial measure from a juvenile court in Spain. Data on origin, recidivism, criminal and psychosocial characteristics of a sample of 838 juvenile offenders were collected using the Youth Level of Service/Case Management Inventory (YLS/CMI). Most of the minors were males (n = 650; 77.6%). Regarding the type of offences committed most males committed some type of crime, while females mainly committed misdemeanours. The rates of infractions committed by large groups and belonging to a gang were higher in males than in females. Concerning psychosocial variables, females presented with higher scores than males in three areas (parenting/educational guidelines, leisure and recreation, attitudes and orientation), in the total score and in several specific variables of the YLS/CMI. Moreover, having a poor relationship with one’s mother and limited participation in organized activities were related to being a female minor offender, whereas having a short attention span was related to being a male offender. These three variables correctly classified 77.6% of cases. Female minor offenders present with a more severe psychosocial profile than males. Therefore, gender-based variables should be considered and addressed in prevention and intervention programmes for minors.