Person:
López-Goñi, José Javier

person.page.identifierURI

https://academica-e.unavarra.es/handle/2454/49439

Last Name

López-Goñi

First Name

José Javier

person.page.departamento

Ciencias de la Salud

ORCID

0000-0002-5102-6556

person.page.upna

6183

Full item page

Search Results

Now showing 1 - 10 of 28

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
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 Zientziak
Background: 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.
Open Access
Prevalencia del juego patológico en el alcoholismo: un estudio exploratorio
(Asociación Española de Psicología Clínica y Psicopatología, 2005) Fernández-Montalvo, Javier; López-Goñi, José Javier; Landa González, Natalia; Psicología y Pedagogía; Psikologia eta Pedagogia
En este estudio se lleva a cabo un análisis de la prevalencia del juego patológico en 50 alcohólicos que acuden en busca de tratamiento. Para ello, se utilizaron los criterios diagnósticos del DSM-IV-TR para el juego patológico y el Cuestionario de Juego Patológico de South Oaks (SOGS). Los resultados obtenidos mostraron que el 20% de los alcohólicos de la muestra presentaba un diagnóstico comórbido de ludopatía. Además, un 12% adicional obtenía una puntuación en el SOGS indicadora de juego problemático. En suma, el 32% de la muestra presentaba síntomas de juego clínicamente significativos. La comparación entre los alcohólicos con y sin ludopatía asociada mostró diferencias significativas en las variables relacionadas con el consumo de alcohol, que eran más altas en la submuestra de alcohólicos ludópatas, pero no en la sintomatología psicopatológica evaluada con el SCL-90-R. Se comentan las implicaciones de este estudio para la práctica clínica y la investigación futura.
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 Pedagogia
This 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.
Open Access
Personality disorders in alcoholics: a comparative pilot study between the IPDE and the MCMI-II
(Elsevier, 2006) Fernández-Montalvo, Javier; Landa González, Natalia; López-Goñi, José Javier; Lorea Conde, Iñaki; Psicología y Pedagogía; Psikologia eta Pedagogia
In this paper, the most frequent personality disorders (PDs) related to alcoholism are described. 105 participants took part in the study (50 consecutively recruited treatment-seeking alcoholics and 55 subjects from the general population). All subjects were assessed with the IPDE and the MCMI-II. According to the results in the IPDE, 22% of alcoholics, versus 7.27% of the normal sample, showed at least one PD. The most prevalent PDs were the Avoidance personality disorder (10%), followed by the Non specified (8%) and Borderline (6%). When the MCMI-II was used a significantly higher prevalence of PDs was observed (52% in alcoholics and 18.1% in the normal sample), without coincidence in the kind of PDs diagnosed. This lack of consistency is probably related to the assessment tools, mainly the IPDE, which is more accurate and conservative than self-report inventories, which present a tendency for over-diagnosis.
Open Access
Alteraciones neuropsicológicas en alcohólicos: un estudio exploratorio
(Sociedad Científica Española de Estudios sobre el Alcohol, el Alcoholismo y las otras Toxicomanías, 2006) Landa González, Natalia; Fernández-Montalvo, Javier; Tirapu Francés, Francisco Javier; López-Goñi, José Javier; Castillo, Ainhoa; Lorea Conde, Iñaki; Psicología y Pedagogía; Psikologia eta Pedagogia
En este estudio se evaluó la presencia de alteraciones neuropsicológicas en 50 pacientes alcohólicos, en comparación con un grupo de control de 50 sujetos de la población normal, apareados en edad, sexo y nivel socioeconómico. Para ello, se aplicó una batería neuropsicológica compuesta por la Escala de Memoria de Wechsler (subtest: control mental, dígitos, localización espacial y memoria lógica), el Trail Making Test de la batería Halstead-Reitan, el test de dibujo de una Figura Compleja de Rey, el test de palabras y colores de Stroop y el subtest de evocación categorial del Test Barcelona. Los resultados obtenidos reflejaron que la ejecución en la mayoría de las pruebas era equiparable en ambos grupos. Las únicas diferencias significativas entre los grupos se observaron en el subtest de memoria lógica, tanto en el recuerdo inmediato como diferido, y en el tiempo empleado en la ejecución de la copia de la Figura de Rey. En ambos casos la muestra de alcohólicos presentaba una peor ejecución, con una afectación de la memoria en cuanto a la capacidad de realizar nuevos aprendizajes. Los resultados descartaron la existencia de un déficit cognoscitivo generalizado en los pacientes alcohólicos. La ausencia de otras alteraciones cognoscitivas, sobre todo en las funciones ejecutivas, contrasta con los hallazgos de otras investigaciones.
Open Access
Gender differences in treatment progress of drug-addicted patients
(Taylor & Francis, 2017) Fernández-Montalvo, Javier; López-Goñi, José Javier; Azanza Álvarez, Paula; Arteaga Olleta, Alfonso; Cacho Fernández, Raúl; Psicología y Pedagogía; Psikologia eta Pedagogia; Gobierno de Navarra / Nafarroako Gobernua
This study explored the differences in treatment progress between men and women who were addicted to drugs. The differential rate of completion of/dropout from treatment in men and women with substance dependence was established. Moreover, comparisons between completers and dropouts, accounting for gender, were carried out for several variables related to treatment progress and clinical profile. A sample of 183 addicted patients (96 male and 87 female) who sought outpatient treatment between 2002 and 2006 was assessed. Information on socio-demographic, consumption and associated characteristics was collected. A detailed tracking of each patient's progress was maintained for a minimum period of eight years to assess treatment progression. The treatment dropout rate in the whole sample was 38.8%, with statistically significant differences between women (47.1%) and men (31.3%). Women who dropped out of treatment presented a more severe profile in most of the psychopathologic variables than women who completed it. Moreover, women who dropped out from treatment presented a more severe profile than men who dropped out. According to these results, drug-addicted women showed worse therapeutic progress than men with similar histories. Thus, women must be provided with additional targeted intervention to promote better treatment outcomes.
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
Adicción a la cocaína y trastornos de personalidad: un estudio con el MCMI-II
(Sociedad Científica Española de Estudios sobre el Alcohol, el Alcoholismo y las otras Toxicomanías, 2009) Lorea Conde, Iñaki; Fernández-Montalvo, Javier; López-Goñi, José Javier; Landa González, Natalia; Psicología y Pedagogía; Psikologia eta Pedagogia; Gobierno de Navarra / Nafarroako Gobernua, 2/2006
En este artículo se lleva a cabo un estudio de los trastornos de personalidad asociados a la adicción a la cocaína. Para ello se contó con una muestra de 60 pacientes cocainómanos, que cumplimentaron el MCMI-II antes del tratamiento, y de 50 sujetos de la población normal con las mismas características demográficas (edad, sexo y nivel socioeconómico). El 36,7% de la muestra clínica (frente al 16% de la muestra normativa) presentaba, al menos, un trastorno de personalidad. Los trastornos de mayor prevalencia entre los cocainómanos fueron el trastorno pasivo-agresivo de la personalidad y el trastorno dependiente de la personalidad (10% cada uno de ellos), seguidos del trastorno obsesivo-compulsivo y el histriónico (6,7% cada uno). Asimismo, el 15% de la muestra clínica presentaba simultáneamente dos o más trastornos. Por último, se comentan las implicaciones de este estudio para la práctica clínica y para las investigaciones futuras.
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.