Person: Arteaga Olleta, Alfonso
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Arteaga Olleta
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Alfonso
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Ciencias de la Salud
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0000-0002-6119-2822
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Publication Open Access Suicidal ideation and attempts among patients with lifetime physical and/or sexual abuse in treatment for substance use disorders(Taylor & Francis, 2019) Fernández-Montalvo, Javier; López-Goñi, José Javier; Arteaga Olleta, Alfonso; Haro Escribano, Begoña; Ciencias de la Salud; Osasun ZientziakBackground: Several studies indicate that lifetime abuse is a relevant risk factor for suicidal ideation and/or attempts. However, little is known about this phenomenon in patients seeking treatment for substance use disorder. The prevalence rate of suicidal ideation and/or suicide attempts was explored among lifetime physically and/or sexually abused patients receiving treatment for drug addiction. The differential characteristics between these patients and those without suicidal behaviours were studied. Method: Three hundred and seventy-five patients were assessed. Socio-demographic characteristics, addiction severity, lifetime abuse, suicidal ideation and attempts, and psychopathological symptoms were explored. Results: Eighty-two patients (21.9%) presented with a history of lifetime abuse and were included in the study (37 men and 45 women). Sixty-two per cent of them presented with lifetime suicidal ideation (12.2% in the last month), and 30.5% with suicide attempts (1.2% in the last month). Patients with suicidal ideation or attempts showed a more severe addiction profile (assessed by the EuropASI) and more psychopathological symptoms (assessed by the SCL-90-R). Conclusion: This study highlights the relationship between previous traumatic experiences and suicidal behaviours. According to these results, systematic screening of suicidal risk in patients seeking treatment in addiction centres with histories of abuse is recommended.Publication Open Access Differential profiles of drug-addicted patients according to gender and the perpetration of intimate partner violence(Elsevier, 2015) Arteaga Olleta, Alfonso; López-Goñi, José Javier; Fernández-Montalvo, Javier; Psicología y Pedagogía; Psikologia eta PedagogiaThis study explored the differential profiles of drug-addicted patients according to gender and the perpetration of intimate partner violence (IPV). Methods: The study assessed a sample of 127 drug-addicted patients (84 male and 43 female) who sought treatment. Information about socio-demographic and consumption characteristics, IPV, psychopathological symptoms, personality characteristics and maladjustment variables was obtained. Four groups were created according to gender and the presence or absence of the perpetration of IPV: a) men with IPV (n = 41), b) women with IPV (n = 29), c) men without IPV (n = 43), and d) women without IPV (n = 14). The four groups were compared in terms of all of studied variables. Results: There were significant differences between the groups in the severity of the addiction and personality characteristics. In general, the drug-addicted patients with associated IPV perpetration exhibited greater scores for nearly all of the studied variables, independent of gender. Moreover, the differences among groups were more strongly related to perpetration of IPV than to the gender of the patients. Conclusions: According to the results obtained, treatment programs for drug addiction are a suitable context for identifying the presence of IPV, but IPV is typically unnoticed in addiction treatment programs. The implications of these results for future research and clinical practice are discussed.Publication 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 ZientziakObjective: 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.Publication Open Access Gender differences in unidirectional and bidirectional intimate partner violence in addictions(Taylor & Francis, 2019) Fernández-Montalvo, Javier; López-Goñi, José Javier; Arteaga Olleta, Alfonso; Haro Escribano, Begoña; Ciencias de la Salud; Osasun ZientziakBackground: Few studies have analyzed the specific characteristics related to uni/bidirectional intimate partner violence (IPV) in patients with addiction problems. Knowing the specific profiles of these patients would allow the development of effective tailored interventions. Objective: This study assessed gender differences in unidirectional and bidirectional IPV among patients undergoing drug addiction treatment. Method: We sampled 122 patients (91 male and 31 female) who sought treatment in an addiction treatment center, and collected cross-sectional self-reported data on violent behaviors (physical, sexual and psychological violence), sociodemographic factors, distorted thoughts about women and violence, impulsiveness, and anger. Results: Ninety-one percent of participants reported experience of IPV (any type and any direction). Sixty-three percent of participants reported bidirectional violence, which was more common among women (83.9%) than men (56.1%). Unidirectional (perpetration only) IPV was reported in 28.7% of participants, and it was more common among men (34.1%) than women (12.9%). No one reported unidirectional (victimization-only) IPV. When only physical and/or sexual violence was considered, bidirectional violence affected 32.0% of the sample; 23.8% were only victims, and 3.3% were only perpetrators (all of them men). Participants who reported bidirectional violence had higher scores for impulsiveness, anger, and distorted thoughts. Conclusions: Bidirectional IPV is commonly reported among patients seeking treatment for addiction, particularly among women, and should be considered in future research and clinical practice.Publication Open Access Violent behaviours in drug addiction: differential profiles of drug-addicted patients with and without violence problems(SAGE Publications, 2012) Fernández-Montalvo, Javier; López-Goñi, José Javier; Arteaga Olleta, Alfonso; Psicología y Pedagogía; Psikologia eta PedagogiaThis study explored the prevalence of violent behaviours in patients who are addicted to drugs. A sample of 252 addicted patients (203 male and 49 female) who sought outpatient treatment was assessed. Information on violent behaviours, socio-demographic factors, consumption factors (assessed by the EuropAsi), psychopathological factors (assessed by SCL-90-R) and personality variables (assessed by MCMI-II) was collected. Drug-addicted patients who were associated with violent behaviours were compared on all variables to patients who were not associated with violent behaviours. The rate of drug-addicted patients with violent behaviours in this sample was 39.68% (n=100). There were significant differences between the numbers of patients who did and did not demonstrate violence on some variables. Patients with violence problems were younger than those without violence problems and were more likely to report having been a victim of abuse. Moreover, they were significantly more likely to have experienced an overdose and showed a significantly higher score on several EuropAsi, SCL-90-R and MCMI-II variables. According to these results, patients with violence control problems present with both a more severe addiction and several comorbid problems. The implications of these results for further research and clinical practice are discussed.Publication Open Access Differential profile of addicted patients depending on violent behaviours and/or criminal acts(Taylor & Francis, 2015) López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Cacho Fernández, Raúl; Psicología y Pedagogía; Psikologia eta PedagogiaThis study explored the prevalence of violent and/or criminal behaviours in drug-addicted patients. A sample of 252 drug-addicted patients who sought treatment was assessed. Information on violent behaviours, criminal acts, socio-demographic factors, consumption factors, psychopathological factors and personality variables was collected. The sample was divided into four groups according to the presence of violence and/or criminal behaviours. There were significant differences between the groups on some variables. In general, patients associated with both violence and criminal behaviours showed a greater severity in drug consumption and maladjustment variables, as well as a higher rate of treatment dropout and re-entry.Publication 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 ZientziakPatients 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.Publication Open Access Efectividad del tratamiento de la violencia contra la pareja en pacientes drogodependientes(Colegio Profesional de Psicólogos de Costa Rica, 2014) Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; López-Goñi, José Javier; Psicología y Pedagogía; Psikologia eta PedagogiaEn este artículo se analiza la efectividad de los programas de tratamiento psicológico para drogodependientes, que presentan conductas violentas contra la pareja. Para ello, se revisan, en primer lugar, los estudios que valoran la influencia del tratamiento habitual sobre las adicciones y la reducción de las conductas violentas contra la pareja. En segundo lugar, se analizan los resultados de los programas de intervención conjunta que se han desarrollado hasta la fecha, en el ámbito internacional, en los centros de tratamiento para la adicción con drogodependientes que ejercen, además, violencia contra la pareja. Los resultados muestran, por una parte, que la intervención con pacientes adictos produce una disminución importante en la tasa de violencia contra la pareja asociada a la adicción. Por otra parte, los programas de intervención con adicciones constituyen un marco de gran utilidad para aplicar, de forma conjunta, tratamientos específicos para aquellos adictos con un problema asociado de violencia contra la pareja. Los resultados de estos programas de intervención muestran los mejores datos en la reducción de la tasa de violencia contra la pareja de los pacientes adictos. Se comentan las implicaciones de todo ello para la práctica clínica y para las investigaciones futuras.Publication Open Access Characteristics and predictors of suicidal ideation severity among callers to a telephone helpline in Spain(Colegio Oficial de la Psicología de Madrid, 2021) Fernández-Montalvo, Javier; Villanueva, Pedro; Arteaga Olleta, Alfonso; Ciencias de la Salud; Osasun ZientziakEl Teléfono de la Esperanza (TE) es la principal línea telefónica de ayuda en España que brinda apoyo a las personas en situaciones de crisis. Las líneas telefónicas de ayuda pueden facilitar la identificación de personas en riesgo de suicidio. Los objetivos principales de este estudio transversal fueron identificar la ideación suicida grave y explorar las características diferenciales con respecto a la ideación suicida moderada. Se revisaron las llamadas al TE de 26,032 personas y se evaluó una muestra de 544 personas que presentaban ideación suicida a través de ATENSIS, una herramienta diseñada para recopilar información sobre la ideación suicida. Se comparó a las personas con ideación suicida grave y moderada en características sociodemográficas, momento de la llamada, factores de riesgo y variables de suicidio. Sesenta y cuatro (11.8%) de las personas presentaban ideación suicida grave y 480 (88.2%) ideación baja-moderada. Se encontraron diferencias significativas en las distintas variables estudiadas. En el análisis de regresión, las principales variables relacionadas con la presencia de alta gravedad de la ideación suicida fueron la existencia de actos preparatorios, los intentos previos de suicidio, las autolesiones no suicidas, la falta de sentido de la vida, la edad y la desesperanza. Las líneas de ayuda pueden identificar la ideación suicida en las personas que llaman y proporcionar una intervención rápida en situaciones de crisis de acuerdo con el riesgo de suicidio presentado.Publication Open Access Predictive validity of the EuropAsi: clinical diagnosis or composite scoring?(Elsevier, 2012) López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Psicología y Pedagogía; Psikologia eta PedagogiaThis study assessed the correlation between the areas of the Interviewer Severity Rating (ISR) and the areas of the Composite Scores (CS) of the EuropAsi. It evaluated the predictive validity of both types of scoring with regard to completion of treatment. For this purpose, 252 patients were interviewed using the EuropAsi. 38.9% of patients discontinued treatment. Results indicated a high correlation between various areas of the ISR and the CS, except the legal and family-others scales. Regarding predictive results, patients with a score greater than 3 in the ISR family area were more likely to quit the programme compared to patients with a score lower than 3. Patients with a CS score that was greater than 0.34 in the alcohol-use area were more likely to drop-out of treatment. When both ISR and CS scores were included in the prediction model, the ISR family area was a better predictor.