Open 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.
Open Access
Profile of addicted patients who re-enter treatment programmes
(Taylor & Francis, 2014) López-Goñi, José Javier; Fernández-Montalvo, Javier; Cacho Fernández, Raúl; Arteaga Olleta, Alfonso; Psicología y Pedagogía; Psikologia eta Pedagogia; Gobierno de Navarra / Nafarroako Gobernua, 359/2012
Objective. This study explored the differential profile of addicted patients who re-enter treatment programmes. Method. A sample of 252 addicted patients (203 male and 49 female) who sought outpatient treatment was assessed. Data regarding socio-demographic factors, drug consumption factors (assessed using the EuropAsi), psychopathological factors (assessed using the Symptom Checklist 90 Revised [SCL-90-R]), and personality variables (assessed using the Millon Clinical Multiaxial Inventory II [MCMI-II]) were collected. Results. 65.9% (n=166) of drug-addicted patients were re-admitted into treatment programmes. All of the variables for which we collected data were compared between these treatment repeaters and patients who were admitted for the first time. Significant differences between the two groups of patients were found for some of the variables that we examined. Treatment repeaters were generally older and had a poorer employment situation than first-time admits. Treatment repeaters were also more likely to report poly-consumption and to have sought treatment for alcohol abuse. Moreover, some of the scores for several EuropAsi, SCL-90-R, and MCMI-II variables were statistically significantly different from those of the first-time admits. Conclusions. According to these results, patients who re-enter treatment programmes often present with more severe addiction problems. The implications of these results for further research and clinical practice are discussed.
Open Access
Addiction treatment dropout: exploring patients’ characteristics
(Wiley, 2012) López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Psicología y Pedagogía; Psikologia eta Pedagogia; Gobierno de Navarra / Nafarroako Gobernua
This study explored the characteristics associated with treatment dropout in substance dependence patients. A sample of 122 addicted patients (84 treatment completers and 38 treatment dropouts) who sought outpatient treatment was assessed to collect information on socio-demographic, consumption (assessed by EuropAsi), psychopathological (assessed by SCL-90-R) and personality variables (assessed by MCMI-II). Completers and dropouts were compared on all studied variables. According to the results, dropouts scored significantly higher on the EuropAsi variables measuring employment/support, alcohol consumption and family/social problems, as well as on the schizotypal scale of MCMI-II. Because most of significant differences were found in EuropAsi variables, three clusters analyses (2, 3 and 4 groups) based on EuropAsi mean scores were carried out to determine clinically relevant information predicting dropout. The most relevant results were obtained when four groups were used. Comparisons between the four groups derived from cluster analysis showed statistically significant differences in the rate of dropout, with one group exhibiting the highest dropout rate. The distinctive characteristics of the group with highest dropout rate included the presence of an increased labour problem combined with high alcohol consumption. Furthermore, this group had the highest scores on three scales of the MCMI-II: phobic, dependent and schizotypal. The implications of these results for further research and clinical practice are discussed.
Open Access
Completers and dropouts in a prevention programme for parents of adolescents with high-risk behaviours
(Colegio Oficial de Psicólogos del Principado de Asturias, 2021) López-Goñi, José Javier; Arteaga Olleta, Alfonso; Ituráin Jiménez de Bentrosa, Sonia; Fernández-Montalvo, Javier; Ciencias de la Salud; Osasun Zientziak
Altas y Abandonos en un Programa de Prevención para Padres de Adolescentes con Conductas de Riesgo. Antecedentes: los principales objetivos fueron determinar la tasa de retención/abandono en un programa de prevención indicada para padres de adolescentes con conductas de riesgo, comparar a los que fi nalizaron y abandonaron en diferentes características y establecer las principales variables relacionadas con la fi nalización/abandono de la intervención. Método: la muestra estuvo compuesta por 367 padres (165 hombres y 202 mujeres). Se recogió información sociodemográfi ca, síntomas psicopatológicos, estados emocionales, estilos educativos y desajustes en la vida cotidiana. Resultados: la tasa de retención fue del 79,29% (n = 291), sin diferencias de sexo entre los que completaron y abandonaron. Los que completaron la intervención eran mayores, mantenían el núcleo familiar de origen y sus hijos recibían simultáneamente tratamiento en el programa de prevención para adolescentes del mismo centro. Se obtuvieron cuatro grupos en el análisis de conglomerados. Las mayores tasas de abandono se observaron entre los padres cuyos hijos no participaron del programa (29,5%; n = 18) y entre las familias que habían experimentado cambios en la composición del núcleo familiar de origen (28,9%; n = 26). Conclusiones: se destaca la relevancia de la composición familiar y el involucramiento de padres y adolescentes en la efectividad de los programas de prevención indicada.
Open Access
Are there gender‐based effects for an educational program for parents of adolescents with risk behaviors?
(Wiley, 2019) Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; López-Goñi, José Javier; Ituráin Jiménez de Bentrosa, Sonia; Ciencias de la Salud; Osasun Zientziak
The goals of this study were to evaluate the gender-based effectiveness of the parental intervention of the Suspertu (“recovery” in English) prevention program for adolescents with risk behaviors in Spain. The sample included 229 parents (105 fathers and 124 mothers). One open-label trial with repeated measures was used. Parents received a family therapy and a group education. The intervention improved parents’ authoritative parenting style, decreasing the degree of parental stress and reducing parent’s psychopathological symptoms and maladjustment. Improvement in both groups (fathers and mothers) was mainly observed from pre- to post-intervention assessment. According to the results, prevention programs for adolescents with risk behaviors may be a suitable context both to teach parents to deal appropriately with their children’s risk behaviors, and to improve parent’s psychological state.
Open 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.
Open Access
Prevalence and differential profiles of people with adverse childhood experiences in treatment for substance use disorder
(Cambridge University Press, 2025-04-07) Leza González, Leire; López-Goñi, José Javier; Arteaga Olleta, Alfonso; Fernández-Montalvo, Javier; Ciencias de la Salud; Osasun Zientziak; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
Adverse childhood experiences (ACEs) are prevalent in people with substance use disorder (SUD). The aims of this study were to determine the prevalence of ACEs in a specific sample of people with SUD and to analyze the specific characteristics of these patients according to gender. The studied sample consisted of 215 people seeking treatment for SUD in two clinical centers in Spain. Descriptive and comparison analyses were carried out, and a logistic regression analysis was conducted to identify the main variables related to ACEs. The prevalence of at least one ACE was 82.3%. Women reported a higher prevalence of family mental health problems (p = .045; d = 0.14) and sexual abuse (p < .001; d = 0.43) than men. The group with ≥3 ACEs showed a higher severity profile for the addiction severity and psychopathological variables than the groups with 0 ACEs and 1–2 ACEs. Logistic regression showed that problems related to the group with ≥3 ACEs in the total sample were psychiatric and legal problems and lifetime suicidal ideation (in men, family/social problems and lifetime suicidal ideation; in women, employment/support problems). This study supports the high prevalence of ACEs in people with SUD and the cumulative effect of ACEs. In addition, gender is a relevant factor. The implementation of assessments and treatment for ACEs is necessary in SUD treatment programs.
Open Access
Treatment effectiveness of intimate partner violence perpetration among patients in a drug-addiction programme
(American Psychological Association, 2019) Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; López-Goñi, José Javier; Ciencias de la Salud; Osasun Zientziak
Objective: This article evaluates the treatment effectiveness of an integrated intervention compared to addiction treatment as usual (TAU) in reducing intimate partner violence perpetration (IPV-P) among patients in a drug-addiction intervention programme. Method: A parallel, randomized, controlled trial was carried out with repeated measures of assessment (pre-treatment, post-treatment and 6-month follow-up). A sample of 227 consecutive patients was assessed, and 70 patients with IPV-P were selected to participate in the study and then divided into two groups: treatment (n = 34) and control (n = 36). The treatment group participated in an integrated intervention programme for addiction and IPV-P, and the control group received the TAU without intervention for IPV-P. Treatment success was defined as the complete absence of IPV-P episodes, both physical and psychological. Results: At the follow-up, the patients in the treatment group showed an IPV-P success rate (60.7%) that was significantly higher (X2 = 3.85; p < .05) than that of the patients in the control group (31.6%). Moreover, both groups achieved statistically significant improvements in associated variables. Conclusions: The presence of IPV-P should be assessed in drug addiction treatment programmes. The combined treatment for addiction and IPV-P seems to be effective.
Open 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.
Open Access
Suicidal attempts among patients with substance use disorders who present with suicidal ideation
(Elsevier, 2019) López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Haro Escribano, Begoña; Ciencias de la Salud; Osasun Zientziak
Background and aims: Patients with addictions have a great risk of suicidal ideation and attempts. Suicidal behaviour is a continuum that begins with ideation and may continue with planning, attempts and suicide completion. Investigating the speciﬁc risk characteristics for suicidal attempts in patients with addiction pro- blems who present with suicidal ideation is crucial for developing prevention strategies. The main aims of this study were to determine the prevalence rate of suicide attempts among patients with lifetime suicidal ideation receiving treatment for addiction, and o explore the diﬀerential characteristics for suicide ideators with and without suicide attempts. Methods: A sample of 149 patients with suicidal ideation (110 male and 39 female) who sought treatment for addiction in a Spanish clinical centre was assessed. Measurements: Information concerning socio-demographic characteristics, addiction severity, and psycho- pathological symptoms was obtained. Results: In total, 39.6% of the patients had attempted suicide (95% Conﬁdence Interval: 32.1%–47.6%). Although all patients with suicidal behaviours presented a high severity in their addiction, patients with both suicidal ideation and suicide attempts showed a more severe addiction proﬁle and more maladjustment to ev- eryday life than patients with only suicidal ideation. Speciﬁcally, three psychopathological variables were re- lated to suicide attempts: worse psychiatric state, previous hospitalization for psychological problems, and history of delirium. Conclusions: According to the results, a systematic screening of suicidal risk in patients seeking treatment for addiction problems is recommended. Addiction treatment centres should develop treatment strategies to prevent suicidal ideators from attempting suicide, mainly in those cases with a worse lifetime psychiatric condition.

Arteaga Olleta, Alfonso

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