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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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Author: Fernández-Montalvo, Javier ×

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Now showing 1 - 10 of 61
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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.
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    PublicationOpen 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.
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    PublicationOpen Access
    Trastornos de personalidad en adictos a la cocaína: un estudio-piloto
    (Universidad de Huelva, 2003) Fernández-Montalvo, Javier; Lorea Conde, Iñaki; López-Goñi, José Javier; Landa González, Natalia; Psicología y Pedagogía; Psikologia eta Pedagogia; Gobierno de Navarra / Nafarroako Gobernua
    En este artículo se lleva a cabo una descripción de los trastornos de personalidad que aparecen con mayor frecuencia en los adictos a la cocaína. Para ello, se cuenta con una muestra de 35 sujetos, que cumplimentan el MCMI-II en el transcurso de la evaluación pretratamiento. Los resultados muestran que el 45,7% de los pacientes presenta, al menos, un trastorno de personalidad. Más en concreto, el trastorno de mayor prevalencia es el trastorno antisocial de la personalidad (25,7%), seguido del trastorno pasivo-agresivo (14,28%) y del trastorno de la personalidad por evitación (14,28%). Asimismo, se compara la prevalencia de los trastornos de personalidad en función del sexo y de la comorbilidad. Por último, se comentan las implicaciones de este estudio para la práctica clínica y para las investigaciones futuras.
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    PublicationOpen 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.
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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
    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 Pedagogia
    This 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.
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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
    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
    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 Pedagogia
    This 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.
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    PublicationOpen Access
    Trastornos de personalidad en alcohólicos: un estudio con el IPDE
    (Fundación VECA para el Avance de la Psicología Clínica Conductual, 2005) Landa González, Natalia; Fernández-Montalvo, Javier; López-Goñi, José Javier; Lorea Conde, Iñaki; Psicología y Pedagogía; Psikologia eta Pedagogia
    En este artículo se lleva a cabo una descripción de los trastornos de personalidad que aparecen con mayor frecuencia en el alcoholismo. Para ello se cuenta con una muestra de 50 alcohólicos, evaluados con el IPDE en el transcurso de la evaluación pretratamiento, y de 55 sujetos de la población normal, apareados en edad, sexo y clase social. Los resultados muestran que el 22% de la muestra clínica (frente al 7,27% del grupo de control) presenta, al menos, un trastorno de personalidad. Más en concreto, el trastorno de mayor prevalencia es el trastorno de la personalidad por evitación (10%), seguido del trastorno de personalidad no especificado (8%), del trastorno límite de la personalidad (6%) y, por último, del trastorno antisocial y del trastorno narcisista (2% cada uno de ellos). Finalmente, se comentan las implicaciones de este estudio para la práctica clínica y para las investigaciones futuras, así como la necesidad de utilizar entrevistas diagnósticas, y no autoinformes, en la evaluación de los trastornos de la personalidad.