The main challenge of interventions in penitentiary institutions is the re-education and reintegration of inmates, i.e., that inmates have the intention and ability to live law-abiding lives. Therefore, an increase in self-control or, on the contrary, the decrease or elimination of impulsive versus compulsive behaviors becomes necessary. This study aimed to evaluate the role of impulsivity versus compulsivity in treatment adherence in the prison population. The study included 134 men from the Penitentiary Center of Granada who were divided into two groups. Group 1 was considered treatment adherent, and Group 2 was considered non-adherent to treatment. The following instruments were used: Symptom Inventory (SCL-90-R), Addiction Severity Index (EuropASI), Impulsivity Scale (UPPS-P), and Compulsive Belief Questionnaire (OBQ-44). Statistically significant differences were found in impulsivity in the dimensions of negative urgency, sensation seeking, and positive urgency, with higher scores in all cases for the non-adherent group than for the adherent group. We also found statistically significant differences in responsibility/inhibition, perfectionism/uncertainty, and importance/control, with higher scores for the non-adherent group compared to the adherent group. Treatment adherence is inversely related to impulsive and compulsive behaviors.
Impulsive Behavior , Prisons , Compulsive Behavior/epidemiology , Humans , Inhibition, Psychological , Male
El objetivo de este estudio fue evaluar el efecto de la asertividad y de la gravedad del consumo de drogas en el riesgo de recaída (a los seis meses) en dos grupos (abstinencia vs. recaída) que han recibido tratamiento. Participaron 90 drogodependientes que rellenaron la "Entrevista de investigación acerca del comportamiento adictivo" y el "Inventario de asertividad de Rathus" (RAS). Encontramos que la asertividad global y la dimensión de Confrontación (del RAS) estaban directamente relacionadas con el riesgo de recaída, indicando que a mayores puntuaciones en asertividad y confrontación mayor es el riesgo de recaída. Otras dimensiones del RAS (Defensa de los derechos e intereses personales, Evitación de enfrentamientos personales y Espontaneidad), así como la cronicidad del consumo de drogas mostraron una relación inversa con el riesgo de recaída, indicando que a mayores puntuaciones en estas dimensiones de asertividad y mayor cronicidad de consumo menor riesgo de recaída. Estos resultados señalan la importancia de analizar qué entrenamiento asertivo realizamos para prevenir las recaídas en las drogodependencias y la elección de instrumentos de evaluación para la asertividad
The aim of this study was to examine the effect of assertiveness and severity of drug addiction on the risk of relapse among drug addicts during a six months treatment. 90 Drug addicts completed the Research Interview on Addictive Behavior and the Rathus Assertiveness Schedule (RAS). The results showed that global assertiveness and Confrontation (a dimension of the RAS) are directly related to the risk of relapse, indicating that the higher the scores on these two variables the greater the risk of relapse. Other dimensions of the RAS (Defense of Rights and Personal Interests, Avoidance of Personal Confrontation, and Spontaneity) and the chronicity of drug use showed an inversed relationship to the risk of relapse, indicating that the higher the scores on those dimensions and on the chronicity of drug use the lower the risk of relapse. These results suggest caution when including assertion training for relapse prevention in drug addiction, and advise also caution when choosing the assessment instruments for assertiveness
Humans , Male , Female , Recurrence , Substance-Related Disorders/psychology , Risk Factors , Prospective Studies , Multivariate Analysis , Data Analysis/methods , Data Analysis/statistics & numerical data
