Person: López-Goñi, José Javier
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López-Goñi
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José Javier
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Ciencias de la Salud
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0000-0002-5102-6556
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6183
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Publication 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, 359/2012Objective. 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.Publication 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 ZientziakAltas 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.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 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 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 PedagogiaThis 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.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.Publication Open 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 ZientziakThis 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.Publication Open Access Evaluación de los resultados de un programa de servicio responsable de bebidas alcohólicas aplicado en ciclos de formación profesional de hostelería y restauración(Ministerio de Sanidad y Consumo, 2022) Terradillos, Jesús Mª; López-Goñi, José Javier; Arteaga Olleta, Alfonso; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako GobernuaFundamentos: el consumo abusivo de alcohol es uno de los principales problemas de salud. La formación en un Servicio Responsable de Alcohol (SRA) al personal de hostelería es una forma de minimizar el consumo abusivo en contextos de ocio. Hasta la fecha no se han publicado estudios sobre la efectividad de esta formación en futuros profesionales de la hostelería. En este artículo se presenta la valoración de la efectividad de una intervención de formación en SRA realizada en los Ciclos de Servicios de Restauración de un Centro Integrado de Navarra con estudiantes de Formación Profesional. Métodos: se formó en SRA a 81 estudiantes, mediante una acción formativa de 4 horas. Para evaluar la efectividad de la intervención se valoraron los conocimientos sobre el alcohol antes y después de la actividad. También se evaluó la actitud, la perspectiva de autoeficacia y las expectativas hacia el SRA. Finalmente, se valoró la satisfacción con la actividad. Para ello se realizó una comparación de medias a partir de un diseño de medidas repetidas test-retest mediante la prueba no paramétrica de Wilcoxon de los rangos con signo. Además, se realizó un análisis individual de la evolución de cada participante. Resultados: desde una perspectiva grupal, el conocimiento sobre los efectos del alcohol (W = 2,91; p = ,04), las actitudes (W = 3,52; p < ,001) y las expectativas (W = 2,97; p = ,003) hacia el SRA mejoraron. La satisfacción con los diferentes aspectos de la formación osciló entre 3,52 y 4,08 puntos sobre 5. Conclusiones: la formación en SRA con alumnado de Formación Profesional favorece la responsabilización en el servicio de bebidas alcohólicas e incrementa las expectativas hacia el SRA. Asimismo, se recomienda realizar adaptaciones específicas de esta formación para el alumnado de Formación Profesional.Publication Open Access Differences between alcoholics and cocaine addicts seeking treatment(Cambridge University Press, 2015) López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Psicología y Pedagogía; Psikologia eta PedagogiaThis study explored the characteristics of a representative sample of patients who were addicted to either alcohol or cocaine, comparing the profiles of both types of drug users. Methods: A sample of 234 addicted patients (109 alcoholics and 125 cocaine addicts) who sought outpatient treatment in a Spanish clinical centre was assessed. Data on socio-demographic, consumption, psychopathological and maladjustment characteristics were collected using the European Addiction Severity Index (EuropASI), the Symptom Checklist-90-Revised (SCL-90-R) and the Millon Clinical Multiaxial Inventory (MCMI-II). Results: Demographically, differences were observed with regard to age (alcoholics were older than cocaine addicts), employment (the alcoholic group had more labour problems) and family consequences (worse in alcoholics). The EuropASI results showed statistically significant differences in addiction severity, with alcoholics showing a greater severity than cocaine addicts. In terms of psychopathology, alcoholics presented more associated symptomatology than cocaine addicts. Conclusions: According to these results, patients with alcohol dependence have a different profile from patients with cocaine dependence, resulting in different repercussions for important areas of their lives. These differences should be taken into account when standard treatments for addiction are implemented.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.