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1.
Violence Vict ; 39(1): 21-37, 2024 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-38453372

RESUMO

This study examined 1,134 cases of violence against women in intimate partner relationships with violations of protective orders in a monitoring period of up to 15 months. The dynamics of time and violence were analyzed in the cases of multiple violation versus one-time violation, with the objective of identifying and thus neutralizing the risk factors for this type of recidivism. The results showed that early violation, serious physical violence, death threats, as well as jealousy, harassment, and control are related to multiple violation. This article discusses the results in comparison with other research and proposes measures to avoid revictimizations.


Assuntos
Violência por Parceiro Íntimo , Maus-Tratos Conjugais , Humanos , Feminino , Maus-Tratos Conjugais/prevenção & controle , Comportamento Sexual , Parceiros Sexuais , Fatores de Risco , Violência , Violência por Parceiro Íntimo/prevenção & controle
2.
Violence Against Women ; 30(3-4): 911-933, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36946123

RESUMO

The goal of this study was to determine the profile of the aggressors of intimate partner violence (IPV), who tend to violate protective orders (POs). A cohort of 200 men convicted of IPV (120 violators and 80 non-violators of the POs) was studied. Male perpetrators were more likely to belong to the PO violator group when they had a prior criminal history, they inflicted more severe physical violence, they were drug users, and they had a low education level. Using the risk factors identified here when dealing with males who perpetrate IPV and taking appropriate measures may help to prevent revictimization.


Assuntos
Criminosos , Violência por Parceiro Íntimo , Humanos , Masculino , Violência por Parceiro Íntimo/prevenção & controle , Fatores de Risco , Motivação , Escolaridade
3.
Sci Rep ; 13(1): 8144, 2023 05 19.
Artigo em Inglês | MEDLINE | ID: mdl-37208364

RESUMO

Cognitive emotion regulation (CER) strategies are useful in evaluating the risk of developing emotional disorders and that they may define subjects' styles. This study aims to explore the extent to which specific styles of CER strategies relate to the anxious and avoidant attachment dimensions in adults and whether such relationships operate similarly for women and men. Two hundred and fifteen adults (between 22 and 67 years old) completed the Spanish versions of the Cognitive Emotion Regulation Questionnaire and the Experiences in Close Relationships instrument. Cluster analysis, ANOVA and Student's t-test were used. Our results show that women and men can be successfully classified into two CER clusters (Protective and Vulnerable), distinguished by the higher use in the protective cluster of the CER strategies considered most adaptive and complex (Acceptance, Positive Refocusing, Refocus on Planning, Positive Reappraisal, and Putting into Perspective). However, only in women were the anxious and avoidant attachment dimensions significantly associated with CER style. In conclusion, from a clinical and interpersonal perspective, it is interesting to be able to predict the belonging to a Protective or Vulnerable coping style by analysing the CER strategies and to know their relationship with the adult affective system.


Assuntos
Regulação Emocional , Masculino , Humanos , Adulto , Feminino , Adulto Jovem , Pessoa de Meia-Idade , Idoso , Personalidade , Ansiedade , Adaptação Psicológica , Cognição , Apego ao Objeto
4.
Psicol. conduct ; 30(1): 291-307, abr. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-204163

RESUMO

Los objetivos principales de este trabajo han sido estudiar la dependencia emocional (DE) existente en mujeres maltratadas y no maltratadas en relaciones de pareja duraderas con la “Escala de dependencia emocional de la pareja” (SED; Camarillo et al., 2020). Se examinó la relación existente entre la DE con variables clínicas y de personalidad y se establecieron unos puntos de corte para detectar el riesgo de violencia de pareja (VP) en mujeres en función de la DE. La muestra estuvo formada por 257 personas, 144 mujeres maltratadas en tratamiento y 113 mujeres no maltratadas. Las mujeres maltratadas puntuaron significativamente más y con una magnitud mucho mayor que las mujeres no maltratadas en todas las dimensiones de la DE. A su vez, la DE en las mujeres maltratadas estaba positivamente relacionada con la depresión, la ansiedad y la impulsividad y negativamente con la autoestima. Se han establecido unos puntos de corte para detectar el riesgo de VP en función de la DE. Por último, se señalan algunas limitaciones de este estudio y se plantean líneas de investigación futuras.


The main objectives of this paper have been to analyze the emotional dependency in battered and non-battered women when they are involved in lasting relationships with the Partner’s Emotional Dependency Scale (SED; Camarillo et al., 2020). The relationship was examined between emotional dependency and clinical and personality variables (anxiety, depression, self- esteem, and impulsivity), and cut-off points were established to detect the risk of intimate partner violence according to emotional dependency. The sample consisted of 257 people, 144 battered women in treatment and 113 non- battered women with the same demographics. Battered women scored much higher than non-battered women on all dimensions of emotional dependency. In turn, emotional dependency in battered women was significant and positively associated to depression, anxiety, and impulsivity and negatively to self-esteem. Some cut-off points have been suggested to detect the risk of intimate partner violence according to emotional dependency. Lastly, implications of this study for future research in this field are commented upon.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Dependência Psicológica , Violência por Parceiro Íntimo/psicologia , Análise Multivariada , Emoções , Maus-Tratos Conjugais/psicologia , Violência contra a Mulher , Violência de Gênero/psicologia
5.
J Interpers Violence ; 37(17-18): NP15384-NP15404, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-33970052

RESUMO

Although a very small group of adolescents adjudicated for sexual offending (ASO) will persist into adulthood, the use of official records of sexual recidivism after long-term follow-up periods underrates the repetition of sexually coercive behaviors during adolescence. Additionally, limited research has considered sexual reoffending as a criterion to classify this heterogeneous population. The aims of this study were to determine the prevalence of ASO who engaged in repetitive sexual offending before their adjudication, and to use it as a classification criterion to examine the differential characteristics associated with each group. A sample of 73 adjudicated ASO in Spain was examined. They were divided into sexual reoffenders (SR) (n = 34) and sexual nonreoffenders (SNR) (n = 39). An ex post facto research design was carried out. Assessments included reviews of official files, interviews with professionals in charge, and interviews with the ASO in which the Interpersonal Reactivity Index (IRI) was administered. Descriptive analyses were conducted for all variables and Odds Ratio (OR) was used to compare intergroup differences. Results showed that SR had 12.95 times the odds of sexual victimization, 6.91 times the odds of having lived in a sexualized family environment, and 3 times the odds of bullying victimization. Deviant sexual fantasies were exclusively present among SR (44%). Significant differences between groups were also found in some sexual crime variables but not on the empathy scale. These results have implications for the distinction between ASO who have repeatedly engaged in sexually coercive behavior and those who engaged in a single event of sexual offending. The identification of specific risk factors and criminogenic needs for each group would benefit court decisions and more tailored interventions.


Assuntos
Comportamento do Adolescente , Vítimas de Crime , Reincidência , Delitos Sexuais , Adolescente , Adulto , Humanos , Comportamento Sexual
6.
Artigo em Inglês | MEDLINE | ID: mdl-33652989

RESUMO

(1) Background: While there is a growing awareness of the rights of individuals with intellectual disabilities, very limited progress has been made in supporting these people to create and maintain intimate and personal relationships. (2) Methods: This paper reports the results from a program aimed at promoting responsible and consensual sexual relations of adults with intellectual disabilities. Of the 44 participants, 31.8% were women and 68.2% were men aged 22 to 67 years. Pre and post measurements regarding the attitudes toward sexual relations were taken, and difficulty and discrimination indexes were calculated. (3) Results: Statistically significant improvements were identified in the overall measurements, as were they for the domains of privacy, safety, and respect. The difficulty index changed from 0.67 to 0.79 in a pre-post assessment, denoting more positive attitudes. This and other results support the relevance and usefulness of the intervention program and encourage further intervention efforts.


Assuntos
Deficiência Intelectual , Adulto , Idoso , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Comportamento Sexual , Parceiros Sexuais , Adulto Jovem
7.
Actas Esp Psiquiatr ; 48(4): 145-53, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32920779

RESUMO

INTRODUCTION: Emotional dependency in a partner implies an excessive permanent affectional bonding to the other individual that is dysfunctional, associated with low self-esteem and conceals a lack of affection. Emotional dependency generates a series of negative emotional consequences: symptoms of anxiety and depression, obsessive thoughts, sleep disorders and abandonment of social relations and leisure. In recent decades several tools have been developed to measure emotional dependency, but they are more focused on measuring dependent personality disorder, centered on an exclusively young population or are not validated in the Spanish population. The aim of this research is to design and validate a new scale to overcome these limitations. METHOD: The sample population included 166 adults (53 men and 113 women) from the general population, to whom a new scale was applied (partner’s emotional dependency scale, SED), as well as the CDE (Emotional Dependency Questionnaire). RESULTS: The scale has a unidimensional structure, showing good internal consistency (Cronbach’s alpha = .90) and a high convergent validity with the CDE (r = .86). There is no difference between men and women with regarding emotional dependency. Some cut-off points have been established based on the degree of emotional dependency (low, moderate, high and extreme). CONCLUSIONS: The SED is a brief assessment tool, simple to conduct and allows the degree of emotional dependency to be assessed unidimensionally with regard to a stable intimate relationship (current or past) in a normative population.


Assuntos
Dependência Psicológica , Emoções/fisiologia , Psicometria/métodos , Parceiros Sexuais/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Adulto Jovem
8.
Actas esp. psiquiatr ; 48(4): 143-153, jul.-ago. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193802

RESUMO

INTRODUCCIÓN: La dependencia emocional de la pareja implica una vinculación afectiva permanente excesiva de la otra persona, que resulta disfuncional, que se asocia con una baja autoestima y que encubre carencias afectivas. La dependencia emocional genera una serie de consecuencias emocionales negativas: síntomas ansioso-depresivos, pensamientos obsesivos, alteraciones del sueño y abandono de relaciones sociales y de ocio. En las últimas décadas se han desarrollado diferentes instrumentos para medir la dependencia emocional, pero están más centrados en medir el trastorno de personalidad por dependencia, se focalizan en una población exclusivamente joven o no están validados en población española. El objetivo del estudio es diseñar y validar una nueva escala que haga frente a estas limitaciones. MÉTODO: La muestra ha contado con 166 personas adul-tas (53 hombres y 113 mujeres) de la población general, a las que se ha aplicado la nueva escala (Partner's Emotional Dependency Scale, SED) y el CDE (Cuestionario de Dependencia Emocional). RESULTADOS: La escala presenta una estructura unidimensional, muestra una buena consistencia interna (alfa de Cronbach = 0,90) y una alta validez convergente con el CDE (r = 0,86). No hay diferencias entre hombres y mujeres res-pecto a la dependencia emocional. Se establecen unos pun-tos de corte en función del grado de dependencia emocional (bajo, moderado, alto y extremo). CONCLUSIONES: La SED es un instrumento de evaluación breve, sencillo de cumplimentar y que permite evaluar unidimensionalmente el grado de dependencia emocional con respecto a la relación de pareja estable (actual o pasada) en una población normativa


INTRODUCTION. Emotional dependency in a partner implies an excessive permanent affectional bonding to the other in-dividual that is dysfunctional, associated with low self-esteem and conceals a lack of affection. Emotional dependency generates a series of negative emotional consequences: symptoms of anxiety and depression, obsessive thoughts, sleep disorders and abandonment of social relations and leisure. In recent decades several tools have been developed to measure emotional dependency, but they are more focused on measuring dependent personality disorder, centered on an exclusively young population or are not validated in the Spanish population. The aim of this research is to design and validate a new scale to overcome these limitations. METHOD. The sample population included 166 adults (53 men and 113 women) from the general population, to whom a new scale was applied (partner's emotional dependency scale, SED), as well as the CDE (Emotional Dependency Quesionnaire). RESULTS. The scale has a unidimensional structure, showing good internal consistency (Cronbach's alpha = .90) and a high convergent validity with the CDE (r = .86). There is no difference between men and women with regarding emotional dependency. Some cut-off points have been established based on the degree of emotional dependency (low, moderate, high and extreme). CONCLUSIONS. The SED is a brief assessment tool, simple to conduct and allows the degree of emotional dependency to be assessed unidimensionally with regard to a stable intimate relationship (current or past) in a normative population


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Relações Interpessoais , Emoções , Inquéritos e Questionários , Dependência Psicológica
10.
Psicothema ; 32(3): 314-321, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32711665

RESUMO

BACKGROUND: It is estimated that juvenile sexual offences constitute about 7% of the total annual rate of sexual offences in Spain. Nevertheless, research on Spanish juvenile sex offenders (JSO) is virtually non-existent. This paper analyzes the risk factors related to sexual violence committed by adolescents. METHOD: The participants were 73 adolescents (M = 15.68 years, SD = 1.12) aged between 14 and 18, who were serving a sentence for committing a sexual offence in various Spanish Autonomous Regions. In this descriptive study multiple methods were used to collect the data: court records, self-reports, along with an interview with the JSO and with the professionals involved. RESULTS: Risk factors related to family history, certain personality characteristics, and the development of "inadequate sexualisation" (96% of cases) were analyzed. This latter variable was mainly related to an early onset of pornography consumption (70%), to a sexualized family environment (26%), and to sexual victimization during childhood (22%). CONCLUSION: These results are consistent with international research on juvenile sex offending, so we can conclude that the process of development of sexualization from infancy onwards should be deeply examined with regard to sexual violence.


Assuntos
Delinquência Juvenil/estatística & dados numéricos , Delitos Sexuais/estatística & dados numéricos , Adolescente , Humanos , Masculino , Fatores de Risco , Espanha
11.
Span J Psychol ; 22: E59, 2019 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-31868159

RESUMO

The main aims of this study were, first to analyze the partial effects of specific mechanisms of moral disengagement (MMD) on different manifestations of general aggression and dating violence (DV) in adolescents and youths; second, to explore the moderating effects of gender and age on these relations. Moral disengagement, and different forms of aggression and DV, were evaluated in a sample of 424 participants (61.1% women) aged 15 to 25 years (M = 18.80; SD = 2.69). Pearson correlations and different hierarchical multiple linear regression analyses were conducted. All regressions were controlled by social desirability. MMD contributed to physical aggression with a medium effect size (R2 = .22) and verbal aggression with a small effect size (R2 = .10). Conversely, MMD did not appear to clearly contribute to DV. In conclusion, depersonalization and rationalization were the most important MMD for physical aggression, rationalization for verbal aggression, and irresponsibility for verbal-emotional violence in dating relationships. Moreover, the relationships between physical aggression and rationalization mechanism were significantly moderated by gender: there appears to be a stronger relationship between rationalization and physical aggression in boys than in girls. Moderating effects of age on these relations were not found.


Assuntos
Agressão/psicologia , Despersonalização/psicologia , Relações Interpessoais , Violência por Parceiro Íntimo/psicologia , Princípios Morais , Pensamento , Adolescente , Adulto , Fatores Etários , Feminino , Humanos , Masculino , Fatores Sexuais , Desejabilidade Social , Adulto Jovem
12.
Ter. psicol ; 37(1): 71-80, abr. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-1004794

RESUMO

Resumen En este artículo se analiza la relación existente entre los recuerdos traumáticos y las posibles estrategias para hacerles frente. Los recuerdos traumáticos son difíciles de integrar en la biografía de las personas afectadas y pueden interferir de forma significativa en su funcionamiento social, académico y profesional. Se distingue psicopatológicamente entre los recuerdos normales y los recuerdos traumáticos. Asimismo se analizan las estrategias de afrontamiento adaptativas, tales como la evitación cognitiva, la exposición terapéutica a los recuerdos traumáticos o la capacidad de perdón. Pero también hay un afrontamiento inadaptativo (nostalgia, sentimientos de odio y de venganza o conductas autodestructivas) que puede dar cuenta de las dificultades de recuperación en algunos pacientes. Por último, se examinan las estrategias de regulación emocional cognitiva y el papel de la resiliencia y del crecimiento postraumático para afrontar los recuerdos traumáticos. Se comentan las implicaciones de este estudio para investigaciones futuras en esta área.


Abstract In this paper the relationship between traumatic memories and coping skills to deal with them is analyzed. Traumatic memories are difficult to be integrated into the survivor's life story and can significantly interfere with social, educational and occupational functioning. From a psychopathological point of view, a distinction between normal and traumatic memories is made. Adaptive coping skills to deal with traumatic memories, such as cognitive avoidance, therapeutic exposure to traumatic memories or forgiveness, are analyzed. But there is also maladaptive coping, such as nostalgia, hate and revenge feelings or self-destructive behaviors, which should be taken into account to explain the difficulties of recovery in some patients. Finally, the cognitive emotion regulation strategies and the role of resiliency and post-traumatic growth in some patients to cope with traumatic memories are examined. Implications of this study for future research in this field are commented upon.


Assuntos
Humanos , Adaptação Psicológica , Transtornos de Estresse Traumático/terapia , Memória , Rememoração Mental
13.
Clín. salud ; 30(1): 33-39, mar. 2019. graf, tab
Artigo em Inglês | IBECS | ID: ibc-180396

RESUMO

Existe un creciente interés en la investigación de las relaciones entre diferentes estrategias de regulación de la emoción y sus síntomas u otros rasgos emocionales. Este estudio considera estos tipos de estrategias como disposiciones personales en relación con otros factores, en un esfuerzo por identificar diferentes perfiles de regulación de la emoción cognitiva y analizar su capacidad para predecir el impacto positivo y negativo, rasgos emocionales (ansiedad e ira) y sintomatología depresiva. Los participantes fueron 350 individuos (50% hombres) con una edad media de 35.69 (SD = 7.5). Los métodos de análisis de datos empleados fueron cluster, análisis discriminante y comparación de medias. Encontramos aspectos idiosincrásicos que sugieren la existencia de diversos estilos cognitivos de regulación emocional. Estos estilos se diferencian por su mayor o menor frecuencia en el uso de estrategias consideradas en la literatura como "más adaptativa" o "menos adaptativa" (los perfiles "protector" y "vulnerable"), siendo la reevaluación positiva la estrategia que mejor distingue el perfil de regulación emocional de cada persona


There is increasing research interest in the relationships between different emotion regulation strategies and symptoms or other emotional traits. This study considers these types of strategies as personal dispositions in relation to other factors, in an effort to identify different cognitive emotion regulation profiles and analyze their predictive capacity for positive and negative affect, emotional traits (anxiety and anger), and depressive symptomatology. Participants were 350 individuals (50% men) with a mean age of 35.69 (SD = 7.5). The data analysis methods employed were cluster, discriminant analyses, and comparison of means. We found idiosyncratic aspects suggesting the existence of diverse cognitive styles of emotional regulation. These styles would be differentiated by greater or lesser frequency in the use of strategies considered in the literature as "more adaptive" or "less adaptive" (the "protector" and "vulnerable" profiles), positive reappraisal being the strategy that best distinguishes between individuals as regards their emotional regulation profile


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Emoções Manifestas , Sintomas Afetivos/psicologia , Ajustamento Emocional , Depressão/psicologia , Estresse Psicológico/psicologia , Reserva Cognitiva , Adaptação Psicológica , Análise por Conglomerados
14.
Span. j. psychol ; 22: e59.1-e59.10, 2019. tab
Artigo em Inglês | IBECS | ID: ibc-190210

RESUMO

The main aims of this study were, first to analyze the partial effects of specific mechanisms of moral disengagement (MMD) on different manifestations of general aggression and dating violence (DV) in adolescents and youths; second, to explore the moderating effects of gender and age on these relations. Moral disengagement, and different forms of aggression and DV, were evaluated in a sample of 424 participants (61.1% women) aged 15 to 25 years (M = 18.80; SD = 2.69). Pearson correlations and different hierarchical multiple linear regression analyses were conducted. All regressions were controlled by social desirability. MMD contributed to physical aggression with a medium effect size (R2 = .22) and verbal aggression with a small effect size (R2 = .10). Conversely, MMD did not appear to clearly contribute to DV. In conclusion, depersonalization and rationalization were the most important MMD for physical aggression, rationalization for verbal aggression, and irresponsibility for verbal-emotional violence in dating relationships. Moreover, the relationships between physical aggression and rationalization mechanism were significantly moderated by gender: there appears to be a stronger relationship between rationalization and physical aggression in boys than in girls. Moderating effects of age on these relations were not found


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Agressão/psicologia , Despersonalização/psicologia , Relações Interpessoais , Violência por Parceiro Íntimo/psicologia , Princípios Morais , Pensamento , Fatores Etários , Fatores Sexuais , Desejabilidade Social
15.
An. psicol ; 34(3): 458-464, oct. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-177945

RESUMO

The Cognitive Emotion Regulation Questionnaire (CERQ) (Garnefski, et al., 2001) is a 36-item instrument for measuring cognitive strategies of emotional regulation. There is a brief, 18-item version that measures the same nine strategies as the full version (Garnefski and Kraaij, 2006a). The aim of this study was to develop a brief form of the CERQ, taking into account two different proposals: a 27-item and an 18-item instrument, the latter focusing solely on the assessment of the two general factors obtained in the second-order structure of the original CERQ model and identified in previous studies as adaptive strategies and less adaptive strategies. Participants in the study were 872 individuals aged 18-58 (mean 33.86, SD=8.43). The confirmatory factor analyses yield adequate overall indices in both versions, together with satisfactory validity. In the discussion, it is argued that the 27-item version is more appropriate for the specific rating of the nine regulation strategies people employ, and we propose the 18-item version as a suitable instrument in clinical context for an overall rating of an individual’s cognitive emotion regulation profile, furthermore, the criterion validity with depression and anxiety keeps similar to the larger versions


El Cognitive Emotion Regulation Questionnaire (CERQ) (Garnefski, et al., 2001) es un instrumento de 36 ítems que mide las estrategias cognitivas de la regulación emocional. Hay una versión breve de 18 elementos que mide las mismas nueve estrategias que la versión completa (Garnefski y Kraaij, 2006a). El objetivo de este estudio fue desarrollar una versión breve, teniendo en cuenta dos propuestas: un instrumento de 27 ítems y otro de 18, el cual se centra exclusivamente en la evaluación de los dos factores generales obtenidos en la estructura de segundo orden del CERQ original e identificado en estudios previos como estrategias adaptativas y estrategias menos adaptativas. Los participantes en el estudio fueron 872 personas de 18 a 58 años (M = 33.86; DT = 8.43). El análisis factorial confirmatorio, proporciona índices globales adecuados en ambas versiones, junto con una validez satisfactoria. En la discusión, se argumenta que la versión de 27 ítems es más apropiada para la evaluación específica de las nueve estrategias de regulación que emplean las personas, y proponemos la versión de 18 ítems como un instrumento adecuado en el contexto clínico para una calificación global del perfil de regulación emocional cognitiva, además, la validez de criterio con depresión y ansiedad se mantiene similar a las versiones completas


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtornos Cognitivos/psicologia , Depressão/psicologia , Transtornos de Ansiedade/psicologia , Escalas de Graduação Psiquiátrica Breve , Psicoterapia Breve/métodos , Inquéritos e Questionários , Análise Fatorial , Psicotrópicos/uso terapêutico
16.
Salud ment ; 40(6): 299-305, Nov.-Dec. 2017. tab
Artigo em Inglês | LILACS | ID: biblio-903747

RESUMO

Abstract: Background: Although the presence of a gambling disorder (GD) together with another mental disorder poses special treatment challenges, such as relapses, severe outcomes for patients and families, and increased number of hospitalizations, there are only a few critical reviews in the literature. Objective: To review empirical evidence of psychological approaches to cope specifically with these dual disorders. Method: A narrative review of the relevant bibliography on this topic was carried out. A systematic search of original articles (2010-October 2017) was conducted in MEDLINE and PsycInfo. Key terms were: 1. gambling/gamblers, 2. treatment/intervention/therapy/therapeutics, and 3. dual diagnosis/comorbidity. Results: Current treatment for GD involves a number of different options, including inpatient treatments, intensive outpatient therapy, individual and group cognitive-behavioral options (CBT), self-help groups, and pharmacotherapy. Inpatient care is generally limited to patients with severe acute crises, treatment failures, and severe comorbid disorders, particularly depression and attempted suicide. Treatment for GD with other mental disorder needs more research. CBT, motivational enhancement therapy and self-help groups have some empirical support when GD is comorbid with other addiction, mood disorder, or schizophrenia. Programs that combine pharmacotherapy and psychosocial treatments for GD into a single comprehensive package are most likely to have good treatment outcomes, at least with regard to treatment retention. Discussion and conclusion: Interventions should be tailored to the needs of the patients. Future research should be concerned about the statistical power of the studies, implement motivational strategies for patients with poor medication adherence, and design measures to study treatment fidelity in the CBT groups.


Resumen: Antecedentes: La presencia comórbida del juego patológico (JP) con otro trastorno mental plantea diversos desafíos al tratamiento, como las recaídas, las repercusiones negativas para los pacientes y sus familias y un mayor número de hospitalizaciones. Objetivo: Revisar la evidencia empírica existente sobre el papel que cumplen las terapias psicológicas en el tratamiento de estos trastornos duales. Método: Se realizó una revisión narrativa de la bibliografía relevante sobre este tema. Se llevó a cabo una búsqueda sistemática de artículos originales (2010-octubre 2017) en MEDLINE y PsycInfo con las palabras clave: 1. gambling or gamblers, 2. Treatment, intervention, therapy or therapeutics, y 3. dual diagnosis or comorbidity. Resultados: Hay diversas terapias para el JP: tratamiento hospitalario, terapia intensiva ambulatoria, terapia cognitivo-conductual (TCC) individual y en grupo, Jugadores Anónimos y farmacoterapia. La hospitalización se limita a los pacientes con una crisis aguda, fracasos terapéuticos previos y trastornos comórbidos graves, como la depresión y los intentos de suicidio. El tratamiento para el JP comórbido con otro trastorno (depresión, abuso de sustancias o esquizofrenia) requiere más investigación. Las terapias más efectivas en estos casos son al parecer la TCC, la entrevista motivacional y los grupos de autoayuda. Los programas que combinan farmacoterapia con tratamientos psicológicos parecen aumentar la retención del tratamiento. Discusión y conclusión: La intervención debe adaptarse a las necesidades específicas de cada paciente y la investigación debe mejorar las estrategias motivacionales cuando los pacientes muestran una deficiente adherencia a la medicación, así como diseñar medidas para mejorar la fidelidad al tratamiento psicológico.

17.
Psicothema (Oviedo) ; 29(3): 384-389, ago. 2017. graf, tab
Artigo em Inglês | IBECS | ID: ibc-165463

RESUMO

Background: The development of an effective instrument to assess the risk of partner violence is a topic of great social relevance. This study evaluates the scale of ‘Predicción del Riesgo de Violencia Grave Contra la Pareja’ -Revisada- (EPV-R - Severe Intimate Partner Violence Risk Prediction Scale-Revised), a tool developed in Spain, which is facing the problem of how to treat the high rate of missing values, as is usual in this type of scale. Method: First, responses to the EPV-R in a sample of 1215 male abusers who were reported to the police were used to analyze the patterns of occurrence of missing values, as well as the factor structure. Second, we analyzed the performance of various imputation methods using simulated data that emulates the missing data mechanism found in the empirical database. Results: The imputation procedure originally proposed by the authors of the scale provides acceptable results, although the application of a method based on the Item Response Theory could provide greater accuracy and offers some additional advantages. Conclusions: Item Response Theory appears to be a useful tool for imputing missing data in this type of questionnaire (AU)


Antecedentes: el desarrollo de un instrumento eficaz para evaluar el riesgo de violencia contra la pareja representa un tema de gran relevancia social. En el presente estudio se evalúa la escala de Predicción del Riesgo de Violencia Grave Contra la Pareja -Revisada- (EPV-R), una herramienta desarrollada en nuestro contexto, que se enfrenta al problema de cómo tratar la elevada tasa de valores perdidos, que es usual en este tipo de escalas. Método: en primer lugar, se estudia en una muestra empírica (N = 1215) el patrón de aparición de los valores perdidos, así como la estructura factorial del EPV-R. En segundo lugar, se analiza el funcionamiento de distintos métodos de imputación en datos simulados en los que se emula el mecanismo de pérdida de datos encontrado para la base de datos empírica. Resultados: el procedimiento de imputación originalmente propuesto por los autores de la escala ofrece resultados aceptables, si bien la aplicación de un método basado en la Teoría de la Respuesta al Ítem podría proporcionar una mayor precisión y ofrece algunas ventajas adicionales. Conclusiones: la Teoría de la Respuesta al Ítem demuestra ser una herramienta útil para la imputación de respuestas en este tipo de cuestionarios (AU)


Assuntos
Humanos , Violência por Parceiro Íntimo/estatística & dados numéricos , Exposição à Violência/estatística & dados numéricos , Psicometria/instrumentação , Fatores de Risco , Parceiros Sexuais/psicologia , Princípios Morais , Maus-Tratos Conjugais/psicologia , Abuso Físico/psicologia
18.
Psicothema ; 29(3): 384-389, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28693711

RESUMO

BACKGROUND: The development of an effective instrument to assess the risk of partner violence is a topic of great social relevance. This study evaluates the scale of “Predicción del Riesgo de Violencia Grave Contra la Pareja” –Revisada– (EPV-R - Severe Intimate Partner Violence Risk Prediction Scale-Revised), a tool developed in Spain, which is facing the problem of how to treat the high rate of missing values, as is usual in this type of scale. METHOD: First, responses to the EPV-R in a sample of 1215 male abusers who were reported to the police were used to analyze the patterns of occurrence of missing values, as well as the factor structure. Second, we analyzed the performance of various imputation methods using simulated data that emulates the missing data mechanism found in the empirical database. RESULTS: The imputation procedure originally proposed by the authors of the scale provides acceptable results, although the application of a method based on the Item Response Theory could provide greater accuracy and offers some additional advantages. CONCLUSIONS: Item Response Theory appears to be a useful tool for imputing missing data in this type of questionnaire.


Assuntos
Violência por Parceiro Íntimo/estatística & dados numéricos , Humanos , Masculino , Modelos Estatísticos , Medição de Risco , Autorrelato
19.
An. psicol ; 32(3): 837-846, oct. 2016. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-155335

RESUMO

Los hombres violentos contra la pareja muestran numerosos sesgos cognitivos relacionados con los roles de género y la legitimación de la violencia. Los objetivos de esta investigación fueron analizar las propiedades psicométricas del Inventario de Pensamientos Distorsionados sobre la Mujer y el Uso de la Violencia-Revisado (IPDMUV-R), depurar sus ítems y comparar la capacidad de predicción de esta versión revisada con otras medidas de su red nomológica. La muestra constó de 463 hombres -241 maltratadores y 222 hombres de la población normativa-, con una edad media de 41.22 años (DT=11.34). Los resultados mostraron índices de ajuste aceptables para una estructura unidimensional del IPDMUV-R (nueva versión de 21 ítems), con un alfa de .74 (superior a la versión inicial de 29 ítems). La puntuación total del IPDMUV-R mostró correlaciones estadísticamente significativas con autoinformes que miden deseabilidad social y sexismo ambivalente. Al analizar los puntos de corte para diferenciar entre agresores y grupo normativo, se observó una mayor capacidad discriminativa del IPDMUV-R en comparación con el IPDMUV y las dimensiones de sexismo hostil y benévolo. En conclusión, se presenta un instrumento con adecuadas propiedades psicométricas que permite detectar sesgos cognitivos en hombres maltratadores y que es de utilidad para el ámbito clínico


Men who batter are often affected by cognitive distortions related to gender roles and the legitimization of violence as a valid way to solve conflicts. The objectives of this research were: to analyze the psychometric properties of the Inventory of Distorted Thoughts about Women and the Use of Violence-Revised (IPDMUV-R), to delete non-updated items and to compare the predictive ability of the revised version (IPDMUV-R) with other measures of the nomological network. The sample consisted of 463 men (241 batterer men and 222 men of the normative population), with a mean age of 41.22 years (SD=11.34). The results showed acceptable fit indices for a unidimensional structure of IPDMUV-R (new version of 21 items) with an alpha of .74 (higher than the original version of 29 items). The score of IPDMUV-R showed statistically significant correlations with self-reports which measure social desirability and ambivalent sexism. When analyzing the cutoff points to differentiate between batterer men and the normative group, the IPDMUV-R had a higher discriminative ability compared to IPDMUV and hostile and benevolent sexism dimensions. To conclude, an instrument with adequate psychometric properties to detect cognitive biases in violent men against the partner is presented. This instrument is useful for clinical purposes


Assuntos
Humanos , Maus-Tratos Conjugais/psicologia , Mulheres Maltratadas/psicologia , Violência contra a Mulher , Emoções Manifestas , Pensamento , Psicometria/instrumentação , Reprodutibilidade dos Testes , Reprodutibilidade dos Testes
20.
Ter. psicol ; 34(2): 111-128, jul. 2016. tab
Artigo em Espanhol | LILACS | ID: biblio-830899

RESUMO

La escala de gravedad de síntomas Revisada del trastorno de estrés postraumático (TEPT) es una entrevista estructurada que consta de 21 ítems, basada en los criterios diagnósticos del DSM-5, y sirve para evaluar la gravedad de los síntomas de este cuadro clínico. En este trabajo se describen las propiedades psicométricas de este instrumento. la muestra contó con 526 víctimas de agresiones sexuales o de violencia familiar y con una muestra normativa de 193 participantes. El instrumento global mostró una alta consistencia interna (α = .91), así como una buena validez discriminante (g = 1.27) y convergente (rbp = .78 con el diagnóstico). Los resultados del análisis factorial confirmatorio apoyan los cuatro núcleos de síntomas del DSM-5. Un punto de corte de 20, con una eficacia diagnóstica del 82.48%, es apropiada para discriminar a las víctimas con un TEPT. Esta escala resulta útil para planificar el tratamiento y las investigaciones clínicas.


the posttraumatic stress Disorder (ptsD) symptom severity scale-revised is a 21-item structured interview based in DSM-5 criteria and intended to assess the severity of the symptoms of this mental disorder. This paper describes the psychometric properties of this instrument for assessing PTSD. The sample consisted of 526 patients who had been victims of sexual aggression or family violence and 193 people from the general population. The global instrument showed high internal consistency (α = .91), as well as good discriminant (g = 1.27) and concurrent validity (rpb = .78 with diagnosis of PTSD). The results of confirmatory factor analysis are presented and give support to the DSM-5 four symptom clusters. a cut-off point of 20, with a diagnostic efficacy of 82.48%, is appropriate to discriminate the victims with PTSD. The interview appears to be a sound instrument and should prove useful for treatment planning and research.


Assuntos
Humanos , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Inquéritos e Questionários , Psicometria , Índice de Gravidade de Doença , Manual Diagnóstico e Estatístico de Transtornos Mentais
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