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1.
Psychiatry Res ; 334: 115830, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38432115

RESUMO

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.


Assuntos
Transtornos Relacionados ao Uso de Substâncias , Ideação Suicida , Humanos , Tentativa de Suicídio , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Prevalência , Europa (Continente)
2.
Rev. esp. salud pública ; 98: e202402015, Feb. 2024.
Artigo em Espanhol | IBECS | ID: ibc-231358

RESUMO

Fundamentos: Las amputaciones en accidente laboral son un fenómeno con gran incidencia y características peculiares. Los escasos estudios que abordan los efectos de la amputación se refieren a grandes extremidades y muestran que, más allá de las secuelas físicas, existen consecuencias importantes a nivel psicológico. El objetivo de este artículo fue mostrar el conocimiento actualizado sobre las principales consecuencias psicopatológicas de las amputaciones por accidente laboral y de las variables que pueden modularlas. Métodos: Se llevó a cabo una revisión bibliográfica de carácter no sistemático, con búsquedas variadas ad hoc para las distintas variables estudiadas. Resultados: Los estudios se han centrado principalmente en la sintomatología ansiosa y depresiva, el trastorno de estrés postraumático y el dolor del miembro fantasma. También se han identificado variables moduladoras que mejoran el pronóstico: adaptación a la vida cotidiana, ejercicio físico, estrategias de afrontamiento, resiliencia y calidad de vida. Conclusiones: Las distintas áreas psicológicas afectadas revisadas deben considerarse al acompañar a las personas con amputación por accidente laboral. Asimismo, potenciar las variables moduladoras cuya presencia mejora el pronóstico es un campo interesante para la intervención profesional.(AU)


Background: Amputations in work accidents are a phenomenon with a high incidence and peculiar characteristics. The few studies about the effects of amputation are referred to large limbs, and show that, beyond the physical consequences, there are important psychological consequences. The goal of this paper was to show the updated knowledge on the main psychopathological consequences of amputations in work accidents, as well as the variables that can modulate them. Methods: A non-systematic bibliographic review was carried out, with varied ad hoc searches for the different variables studied. Results: Studies have focused mainly on anxiety and depressive symptoms, post-traumatic stress disorder, and phantom limb pain. Modulating variables whose presence improves the prognosis of these persons have been identified, such as adaptation to daily life, physical exercise, coping strategies, resilience and quality of life. Conclusions: The different psychological areas reviewed should be considered when attending people who have suffered an amputation in a work accident. Likewise, enhancing the modulating variables whose presence improves the prognosis is an interes-ting field for professional intervention.(AU)


Assuntos
Humanos , Masculino , Feminino , Acidentes de Trabalho/psicologia , Ansiedade , Depressão , Trauma Psicológico , Amputação Traumática/psicologia , Ferimentos e Lesões/psicologia , Saúde Pública , Acidentes de Trabalho/estatística & dados numéricos , /psicologia
3.
Rev Esp Salud Publica ; 982024 Feb 28.
Artigo em Espanhol | MEDLINE | ID: mdl-38421014

RESUMO

OBJECTIVE: Amputations in work accidents are a phenomenon with a high incidence and peculiar characteristics. The few studies about the effects of amputation are referred to large limbs, and show that, beyond the physical consequences, there are important psychological consequences. The goal of this paper was to show the updated knowledge on the main psychopathological consequences of amputations in work accidents, as well as the variables that can modulate them. METHODS: A non-systematic bibliographic review was carried out, with varied ad hoc searches for the different variables studied. RESULTS: Studies have focused mainly on anxiety and depressive symptoms, post-traumatic stress disorder, and phantom limb pain. Modulating variables whose presence improves the prognosis of these persons have been identified, such as adaptation to daily life, physical exercise, coping strategies, resilience and quality of life. CONCLUSIONS: The different psychological areas reviewed should be considered when attending people who have suffered an amputation in a work accident. Likewise, enhancing the modulating variables whose presence improves the prognosis is an interesting field for professional intervention.


OBJETIVO: Las amputaciones en accidente laboral son un fenómeno con gran incidencia y características peculiares. Los escasos estudios que abordan los efectos de la amputación se refieren a grandes extremidades y muestran que, más allá de las secuelas físicas, existen consecuencias importantes a nivel psicológico. El objetivo de este artículo fue mostrar el conocimiento actualizado sobre las principales consecuencias psicopatológicas de las amputaciones por accidente laboral y de las variables que pueden modularlas. METODOS: Se llevó a cabo una revisión bibliográfica de carácter no sistemático, con búsquedas variadas ad hoc para las distintas variables estudiadas. RESULTADOS: Los estudios se han centrado principalmente en la sintomatología ansiosa y depresiva, el trastorno de estrés postraumático y el dolor del miembro fantasma. También se han identificado variables moduladoras que mejoran el pronóstico: adaptación a la vida cotidiana, ejercicio físico, estrategias de afrontamiento, resiliencia y calidad de vida. CONCLUSIONES: Las distintas áreas psicológicas afectadas revisadas deben considerarse al acompañar a las personas con amputación por accidente laboral. Asimismo, potenciar las variables moduladoras cuya presencia mejora el pronóstico es un campo interesante para la intervención profesional.


Assuntos
Amputação Cirúrgica , Qualidade de Vida , Humanos , Espanha , Ansiedade/epidemiologia , Acidentes
4.
Clín. salud ; 34(3): 123-130, nov. 2023. tab
Artigo em Inglês | IBECS | ID: ibc-226940

RESUMO

Aim: To explore the differential characteristics in sociodemographic variables, severity of consumption, psychopathological symptomatology, life maladjustment, trauma characteristics, and post-traumatic stress symptomatology between women and men who seek treatment for substance use disorder (SUD) and have experienced lifetime physical and/or sexual abuse. Method: The sample consisted of 26 women and 31 men who had experienced physical/sexual abuse and sought treatment for SUD. Results: Women had been victims of sexual abuse in a significantly higher percentage than men. Women presented a significantly higher frequency of revictimization to another traumatic event and a significantly higher presence of avoidance symptoms than men. Conclusions: This study supports the existence of a more severe profile in women than in men with SUD who have experienced lifetime physical and/or sexual abuse. Consequently, gender-related trauma-informed practice in SUD treatment programmes should be promoted. More research in this field is needed, as this is a preliminary study. (AU)


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. (AU)


Assuntos
Humanos , Transtornos Relacionados ao Uso de Substâncias , Delitos Sexuais , Caracteres Sexuais , Psicopatologia , Espanha , Entrevistas como Assunto
5.
Appetite ; 185: 106538, 2023 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-36921628

RESUMO

Emotional eating or the tendency to eat in response to emotional states can be assessed using self-report measures. The Emotional Eating Scale-II is a commonly used and reliable instrument that measures the desire to eat in response to a range of unpleasant and pleasant emotions. The current study aimed to corroborate the validity of the EES-II and expand its utility by investigating its dimensionality and testing its measurement invariance in samples from English-speaking and non-English-speaking countries. Convergent and predictive validity in respect of food craving, eating, and health indicators were also examined. This cross-national study included a total of 2485 adult participants recruited from Finland, North America, Philippines, United Kingdom, China, Italy, Spain, and South Korea, who completed the EES-II in six different languages. Factor analyses supported a four-factor structure including valence (pleasant, unpleasant) and activation (high, low) for a 12-item English version and slightly modified non-English adaptations. The model exhibited good fit in all samples, and convergent validity was demonstrated. Full invariance of factor loadings and partial invariance of factor loading, intercepts, and error variances was established across samples. Structural equation models revealed that high activation (pleasant and unpleasant) states predicted food cravings and reported eating. Overall findings across multiple samples and countries supported the factorial structure, reliability, invariance, and validity of the resulting Brief Emotional Eating Scale (BEES).


Assuntos
Fissura , Emoções , Psicometria , Reprodutibilidade dos Testes , Autorrelato , Análise Fatorial , Inquéritos e Questionários
6.
Addict Behav ; 141: 107641, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36746105

RESUMO

This study contrasts young people's predrinking in two European cultural contexts: Spain and the UK. Whilst UK predrinking typically occurs amongst small groups of individuals who already know one another, the distinctive Spanish context of the Botellón details a far larger gathering in which participants may be less likely to know each other. As such, predrinking motives which drive consumption and risk-taking may be expected to vary between these cultures. An online questionnaire (N = 397; UK = 167, Spain = 230) was used to examine a variety of drinking behaviours and associated beliefs/motivations including predrinking motivations, drinking behaviour, and risk taking. Path analysis was used to analyse both direct and indirect relationships between the measures with the aim of predicting problem alcohol consumption with the most parsimonious model. Varying (in)direct paths were observed between predrinking motives and alcohol consumption between the cultures. Most notably and pointing towards inconsistency in the drivers of young adults' drinking, fun predrinking motives featured prominently among Spanish respondents and predicted their reported consumption (not so in the UK), while conviviality was a more prevalent predrinking motive in the UK sample and associated with alcohol consumption (not the case in Spain). Further, (personal) risky behaviour and risk-taking predicted consumption in both samples, suggesting the importance of group norms and behaviours in predrinking activity, irrespective of alcohol consumption. These findings highlight the potential importance of the environment in which young people predrink. Given their importance in shaping alcohol consumption and risk taking in young people, cultural differences in predrinking contexts and motives warrant further investigation.


Assuntos
Consumo de Bebidas Alcoólicas , Motivação , Adulto Jovem , Humanos , Adolescente , Espanha , Estudos Transversais , Assunção de Riscos , Reino Unido
7.
Front Psychol ; 13: 903096, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35846655

RESUMO

As a result of the COVID-19 pandemic people have endured potentially stressful challenges which have influenced behaviors such as eating. This pilot study examined the effectiveness of two brief interventions aimed to help individuals deal with food cravings and associated emotional experiences. Participants were 165 individuals residing in United Kingdom, Finland, Philippines, Spain, Italy, Brazil, North America, South Korea, and China. The study was implemented remotely, thus without any contact with researchers, and involved two groups. Group one participants were requested to use daily diaries for seven consecutive days to assess the frequency of experience of their food cravings, frequency of giving in to cravings, and difficulty resisting cravings, as well as emotional states associated with their cravings. In addition to completing daily food diaries, participants in group two were asked to engage in mindful eating practice and forming implementation intentions. Participants assessed their perceived changes in eating, wellbeing, and health at the beginning and end of the intervention. Repeated measures MANOVAs indicated that participants experienced significantly less food cravings (i.e., craving experience, acting on cravings, difficulty resisting), as well as lower intensities of unpleasant states associated with cravings across time (T1 vs. T7). In contrast to our hypothesis, the main effects of the group (food craving diary vs. food craving diary and mindful eating practice) were not significant. Participants reported less eating and enhanced wellbeing at the end of the study (T7 vs. T1). Our findings can be used to inform future remote interventions to manage food cravings and associated emotions and highlight the need for alternative solutions to increase participant engagement.

8.
Drug Alcohol Depend ; 232: 109301, 2022 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-35032856

RESUMO

BACKGROUND: Problematic alcohol use (PAU) is highly correlated with intimate partner violence perpetration (IPV). However, when treatments for male IPV perpetrators that address alcohol consumption are evaluated, the results are varied. Therefore, the main goal of this study was to assess the differential long-term effectiveness of a standard individual treatment programme for male IPV perpetrators depending on the presence of PAU. METHODS: The sample was composed of 641 male IPV perpetrators who completed a specialized individual treatment programme for gender violence perpetrators. All of the participants were followed for one year after treatment completion. RESULTS: The effects of PAU on treatment success were evaluated by means of multiple logistic regression analyses. The full model was reliable (χ2 = 10.243; df = 3; p = .016), and overall, 88.8% of the predictions were accurate. The findings indicated that the probability of successful treatment does not depend on the presence of PAU. CONCLUSIONS: The relationship between IPV perpetration and PAU is highly complex, and several underlying mechanisms should be further evaluated. Accordingly, interventions should not only screen for alcohol consumption but also for all individual characteristics that might necessitate tailored treatment.


Assuntos
Violência por Parceiro Íntimo , Consumo de Bebidas Alcoólicas/terapia , Identidade de Gênero , Humanos , Masculino , Resultado do Tratamento , Violência
9.
Psychiatry Res ; 317: 114921, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-37732864

RESUMO

Suicidal-related behaviours are an important concern in individuals who present with substance use disorders (SUDs). The distinction among the specific characteristics of the different patients might help to improve prevention strategies. We describe and compare the sociodemographic characteristics, severity of addiction, and psychopathology of the participants depending on the severity of their lifetime suicidal behaviour. In addition, we examine whether the number of suicide attempts can be estimated based on the variables that differentiate the groups. A sample of 318 men and 86 women who sought treatment for addiction were assessed. The sample was divided into: no ideation or attempts, suicidal ideation, one suicide attempt, and two or more suicide attempts. The group with two or more suicide attempts exhibited a greater severity in the addiction profile. The group with one suicide attempt presented a higher psychopathological symptomatology at the time of the assessment. The severity of the Psychiatric area was related to the group with two or more attempts and to the number of suicide attempts. The presence of any number of attempts is associated with greater severity of addiction. Providing specific intervention strategies for SUD patients depending on their suicidal behaviours is promising for clinical application.


Assuntos
Comportamento Aditivo , Transtornos Relacionados ao Uso de Substâncias , Masculino , Humanos , Feminino , Ideação Suicida , Estudos Transversais , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Tentativa de Suicídio
10.
J Interpers Violence ; 37(7-8): NP4558-NP4577, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-32954956

RESUMO

The goals of this study were to explore the prevalence of childhood family violence (CFV) (both suffered and witnessed) among male batterers in treatment, and to analyze the specific psychological profile of those perpetrators with CFV. A sample of 1,421 men recruited from a specialized batterer treatment program was assessed. A description of the sociodemographic, violence, and psychopathological characteristics of the sample was carried out. Moreover, a comparison of all the variables studied between batterer men with and those without CFV was conducted. The results showed that 35.2% (n = 500) of the sample reported having been victims of CFV (67.2% of them directly suffered abuse, and 32.8% witnessed violence between their parents, mainly from father to mother). Batterers with CFV presented with more irrational beliefs both about women and about violence as a strategy to cope with everyday difficulties. Moreover, they had significantly higher scores than batterers without CFV on all psychopathological symptoms as assessed by the SCL-90-R, as well as on most of the STAXI-2 subscales. In the logistic regression analysis, the main variables related to having a history of CFV were low education level, voluntary access to the program, having a previous psychiatric history, being an immigrant, having children, and presenting a greater number of psychopathological symptoms. According to these results, batterers with CFV showed a higher severity in most of the variables studied than those without CFV. Consequently, these findings highlight the importance of tailoring batterer treatment programs to their specific characteristics, particularly those regarding childhood victimization.


Assuntos
Maus-Tratos Infantis , Vítimas de Crime , Violência Doméstica , Criança , Feminino , Humanos , Masculino , Prevalência , Psicopatologia
11.
J Interpers Violence ; 37(15-16): NP12820-NP12837, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-33729037

RESUMO

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 programs. The first goal of this article was to determine the prevalence of physical and/or sexual abuse among patients with SUD, and the second goal was to analyze 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 centers. 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-centered 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.


Assuntos
Delitos Sexuais , Transtornos Relacionados ao Uso de Substâncias , Feminino , Humanos , Masculino , Comorbidade , Modelos Logísticos , Prevalência , Delitos Sexuais/psicologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/psicologia
12.
Psychol Trauma ; 13(8): 847-855, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34618482

RESUMO

OBJECTIVE: To evaluate the effectiveness (in terms of retention) of an intervention aimed at treating the consequences of lifetime physical and/or sexual abuse among patients who are also seeking substance use disorder treatment (SUD-T) in a clinical center. METHOD: A parallel, randomized, controlled clinical trial using an experimental design (with 1 treatment group and 1 control group) with repeated measures (pretreatment, posttreatment and six-month follow-up) was carried out. The sample consisted of 57 patients in SUD-T who had experienced lifetime physical and/or sexual abuse. All patients received a cognitive-behavioral SUD-T. In addition, the treatment group (n = 29) received physical and/or sexual abuse treatment (PSA-T). RESULTS: The treatment group presented a lower SUD-T dropout rate (37.9%; n = 11) than the control group (50.0%; n = 14), but this difference was not statistically significant (χ² = .8; p = .359; φ = .122). The main variable related to SUD-T success (therapeutic discharge after completing the 40 outpatient sessions or 12 inpatients months and maintained abstinence) was the completion of PSA-T. CONCLUSIONS: The completion of this trauma-centred treatment improved the retention rate of SUD-T in patients with histories of physical and/or sexual abuse. This is a promising result because of the high SUD-T dropout rate shown by patients with victimization. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Vítimas de Crime , Delitos Sexuais , Transtornos Relacionados ao Uso de Substâncias , Humanos , Pacientes Ambulatoriais , Transtornos Relacionados ao Uso de Substâncias/terapia
13.
Interv. psicosoc. (Internet) ; 30(3): 175-182, septiembre 2021. tab
Artigo em Inglês | IBECS | ID: ibc-221670

RESUMO

Teléfono de la Esperanza (TE) is the main Spanish helpline providing telephone listening and support for callers in crisis. Crisis helplines can facilitate the identification of persons at risk for suicide. The main goals of this cross-sectional study were to identify severe suicidal ideation and to explore the differential characteristics between callers with severe and low-moderate suicidal ideation. A sample of 26,032 callers to TE was assessed; 544 callers with suicidal ideation were evaluated through ATENSIS, an assessment tool designed to collect information related to suicidal ideation. Comparisons between severe and low-moderate suicidal ideators in sociodemographics, telephone call timing, risk factors, and suicidality variables were conducted. Sixty-four (11.8%) of the suicidal ideators presented with severe suicidal ideation and 480 (88.2%) with low-moderate severity. Significant differences in several sociodemographic characteristics, risk factors, and suicidality variables between both levels of suicidal ideation severity were found. In the regression analysis, the main variables related to the presence of high suicidal ideation severity were preparatory acts, previous suicide attempts, non-suicidal self-injuries, lack of life sense, age, and hopelessness. It is concluded that helplines can be used to identify suicidal ideation among callers and to provide rapid crisis interventions according to the risk of suicide. (AU)


El Teléfono de la Esperanza (TE) es la principal línea telefónica de ayuda en España que brinda apoyo a las personas en situaciones de crisis. Las líneas telefónicas de ayuda pueden facilitar la identificación de personas en riesgo de suicidio. Los objetivos principales de este estudio transversal fueron identificar la ideación suicida grave y explorar las características diferenciales con respecto a la ideación suicida moderada. Se revisaron las llamadas al TE de 26,032 personas y se evaluó una muestra de 544 personas que presentaban ideación suicida a través de ATENSIS, una herramienta diseñada para recopilar información sobre la ideación suicida. Se comparó a las personas con ideación suicida grave y moderada en características sociodemográficas, momento de la llamada, factores de riesgo y variables de suicidio. Sesenta y cuatro (11.8%) de las personas presentaban ideación suicida grave y 480 (88.2%) ideación baja-moderada. Se encontraron diferencias significativas en las distintas variables estudiadas. En el análisis de regresión, las principales variables relacionadas con la presencia de alta gravedad de la ideación suicida fueron la existencia de actos preparatorios, los intentos previos de suicidio, las autolesiones no suicidas, la falta de sentido de la vida, la edad y la desesperanza. Las líneas de ayuda pueden identificar la ideación suicida en las personas que llaman y proporcionar una intervención rápida en situaciones de crisis de acuerdo con el riesgo de suicidio presentado. (AU)


Assuntos
Humanos , Fatores de Risco , Gravitação , Ideação Suicida , Linhas Diretas , Telepsicologia , Telessaúde Mental , Espanha
14.
Psicothema ; 33(2): 228-235, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33879295

RESUMO

BACKGROUND: The main goals of this study were to determine the rate of retention/dropout in a prevention programme for parents of adolescents with risk behaviours, to compare completers and dropouts in several characteristics, and to establish the main variables related to treatment completion and dropout. METHOD: The sample was composed of 367 parents (165 men and 202 women). Information was collected on sociodemographic characteristics, adolescents' attendance at the programme, psychopathological symptoms, emotional states, educational styles, and maladjustment to everyday life. RESULTS: The retention rate was 79.29% (n = 291), with no sex differences between completers and dropouts. Completers were older, maintained the composition of the nuclear family of origin and had their children simultaneously receiving treatment in the prevention programme for adolescents at the same centre. Four groups were found in the cluster analysis. The highest dropout rates were observed among parents whose children did not participate in the programme (29.5% n = 18) and among families that had undergone changes in the composition of the nuclear family of origin (28.9% n = 26). CONCLUSIONS: This study highlights the importance of family composition and the involvement of both parents and adolescents in the effectiveness of the indicated prevention programmes.


Assuntos
Transtornos Mentais , Pais , Adolescente , Criança , Feminino , Humanos , Masculino , Assunção de Riscos
15.
Addict Behav ; 118: 106887, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33714033

RESUMO

OBJECTIVE: This study explored the differential psychopathological profile between male perpetrators of intimate partner violence (IPV) with and without problematic alcohol use (PAU). METHOD: A sample of 981 men was recruited from a specialized IPV perpetrators treatment programme. All of them were assessed with the Symptom Checklist-90-Revised (SCL-90-R), the State-Trait Anger Expression Inventory-2 (STAXI-2), and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Comparisons between perpetrators with (n = 125) and without (n = 856) PAU on all the variables studied were carried out. RESULTS: Perpetrators with PAU were less frequently employed and had higher rates of previous psychiatric history and childhood family violence. Moreover, they presented with higher levels of cognitive biases about women and violence. On a psychopathological level, participants with PAU reported significantly higher scores on the SCL-90-R, on the STAXI-2, and on almost all the MCMI-III scales than did those without PAU. The multivariate logistic regression analyses showed that the main variables related to PAU were as follows: higher levels of previous psychiatric history, distorted thoughts about women, depression, drug dependence, and various personality disorders (bipolar, dysthymia, antisocial, avoidant, borderline, and schizotypal); and lower scores on internal control, anger reaction, paranoid ideation, and schizoid personality disorders. DISCUSSION: IPV perpetrators with PAU have a more severe psychopathological profile than those without PAU. Additionally, several variables along with PAU may have contributed to the development of IPV. Therefore, tailored interventions should be developed for those perpetrators with PAU.


Assuntos
Violência por Parceiro Íntimo , Ira , Transtorno da Personalidade Antissocial , Feminino , Humanos , Masculino , Transtornos da Personalidade/epidemiologia , Inventário de Personalidade
16.
Drug Alcohol Depend ; 221: 108563, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33561668

RESUMO

BACKGROUND: The long-term negative effects of adverse childhood experiences (ACEs) and their impact on physical and mental health has been widely studied. However, research about the relationship between ACEs and substance use disorder (SUD) diagnosis in adolescence and adulthood is still scarce. Therefore, this scoping review was conducted to collect the existing research findings to explore the relationship between the experience of ACEs and the diagnosis of SUD later in life. METHODS: The PsycINFO, Medline, Scopus, Web of Science, and Cochrane Library databases were searched. After identifying the records based on eligibility and exclusion criteria, 12 studies were finally selected for inclusion. RESULTS: Most of the studies were conducted in the USA with adult male and female participants. All studies were cross-sectional in nature and assessed ACEs retrospectively. The main conclusions of the studies were that there is a higher prevalence of ACEs in the population with SUD than in the general population, and a positive association between ACEs and the development and severity of SUD in adolescence and adulthood. CONCLUSIONS: It is difficult to make comparisons between studies and to draw solid conclusions because of the lack of standardized criteria for evaluating ACEs and due to the heterogeneity in the substance types examined. More research is needed to fully elucidate the underlying mechanism of the relationship between ACEs and SUD.


Assuntos
Experiências Adversas da Infância/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adolescente , Adulto , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Saúde Mental , Prevalência , Estudos Retrospectivos
17.
Clin Psychol Psychother ; 28(5): 1020-1029, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33496355

RESUMO

This study explored the differential prevalence of personality disorders (PD) and clinical syndromes between male perpetrators of intimate partner violence (IPV) with and without a history of childhood family violence (CFV). A sample of 981 perpetrators of IPV was assessed with the Millon Clinical Multiaxial Inventory-III (MCMI-III). Comparisons of sociodemographic characteristics and MCMI-III scales' scores between perpetrators with (n = 293) and without (n = 688) CFV were carried out. Results showed that IPV perpetrators with CFV had a lower level of education, were less frequently employed, and had higher rates of previous psychiatric history than perpetrators without CFV. Statistically significant differences between groups in almost all the MCMI-III scales were found. Perpetrators with CFV presented with higher scores on most of the evaluated scales and showed a more severe psychopathological profile than perpetrators without CFV. The multivariate analysis showed that the main MCMI-III domains related to CFV were higher scores on the disclosure and alcohol dependence scales and lower scores on the passive-aggressive scale. These findings reveal that CFV is associated with a more severe psychopathological profile in perpetrators of IPV. In order to develop tailored interventions, the presence of CFV and psychopathological symptoms should be assessed in IPV perpetrators.


Assuntos
Violência Doméstica , Violência por Parceiro Íntimo , Humanos , Masculino , Transtornos da Personalidade/epidemiologia , Inventário de Personalidade , Prevalência
18.
Int J Offender Ther Comp Criminol ; 65(12): 1390-1405, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32909475

RESUMO

This study analyzes 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.


Assuntos
Criminosos , Delinquência Juvenil , Reincidência , Adolescente , Administração de Caso , Crime , Feminino , Humanos , Masculino
19.
Psicothema (Oviedo) ; 33(2): 228-235, 2021. tab
Artigo em Inglês | IBECS | ID: ibc-225499

RESUMO

Background: The main goals of this study were to determine the rate of retention/dropout in a prevention programme for parents of adolescents with risk behaviours, to compare completers and dropouts in several characteristics, and to establish the main variables related to treatment completion and dropout. Method: The sample was composed of 367 parents (165 men and 202 women). Information was collected on sociodemographic characteristics, adolescents’ attendance at the programme, psychopathological symptoms, emotional states, educational styles, and maladjustment to everyday life. Results: The retention rate was 79.29% (n = 291), with no sex differences between completers and dropouts. Completers were older, maintained the composition of the nuclear family of origin and had their children simultaneously receiving treatment in the prevention programme for adolescents at the same centre. Four groups were found in the cluster analysis. The highest dropout rates were observed among parents whose children did not participate in theprogramme (29.5%; n = 18) and among families that had undergone changes in the composition of the nuclear family of origin (28.9%; n = 26). Conclusions: This study highlights the importance of family composition and the involvement of both parents and adolescents in the effectiveness of the indicated prevention programmes. (AU)


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 dolescentes en la efectividad de los programas de prevención indicada.


Assuntos
Adolescente , Comportamentos de Risco à Saúde , Pais
20.
Eur. j. psychol. appl. legal context (Internet) ; 12(2): 69-75, jul.-dic. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-190651

RESUMO

This study analyses the psychosocial characteristics based on recidivism risk of juvenile offenders in conditions of internment. A sample of 102 juvenile offenders (92 male, 10 female) who were serving sentences in the only detention centre in Navarra (Spain) was used. Data on sociodemographic and psychosocial characteristics as well as features related to recidivism risk were collected through the Youth Level of Service/Case Management Inventory (YLS/CMI) and data on personality characteristics were obtained through the Millon Adolescent Clinical Inventory (MACI). The results showed that risk of reoffending was high for 21.6% of the sample, moderate for 31.4%, and low for 47.1%. Statistically significant differences were found between groups for various psychosocial and personality characteristics. In addition, the main variables related to the different risk levels of criminal recidivism were the presence/absence of history of violent behaviour, school performance, problem-solving skills, and submission as a personality trait. These four variables correctly classified 80.4% of the sample. According to the results, these variables must be considered in the development of effective intervention programmes in detention centres with juvenile offenders in order to decrease criminal reoffending rates


En este estudio se analizan las características psicosociales de una muestra de menores infractores en un centro de internamiento en función del riesgo de reincidencia. Se evaluó una muestra de 102 menores infractores (92 varones y 10 mujeres) que cumplían una medida judicial en el único centro de internamiento de Navarra (España). Se recogió información sobre las características sociodemográficas, psicosociales y el riesgo de reincidencia a través del Inventario para la Gestión y la Intervención con Jóvenes (IGI-J), así como sobre las características de personalidad a través del Inventario Clínico de Adolescentes de Millon (MACI). Los resultados mostraron que el riesgo de reincidencia era alto para el 21.6% de la muestra, moderado para el 31.4% y bajo para el 47.1%. Se encontraron diferencias estadísticamente significativas entre los grupos en numerosas características psicosociales y de personalidad. Además, las principales variables relacionadas con los diferentes niveles de riesgo de reincidencia fueron la presencia/ausencia de una historia de conductas violentas, el rendimiento escolar, las habilidades para la solución de problemas y la sumisión como características de personalidad. Estas cuatro variables clasificaban correctamente al 80.4% de la muestra. Con arreglo a los resultados encontrados, estas variables se deben tener en cuenta en el desarrollo de programas de intervención eficaces en los centros de internamiento con menores infractores con el objetivo de disminuir la tasa de reincidencia


Assuntos
Humanos , Masculino , Feminino , Adolescente , Transtornos da Personalidade , Delinquência Juvenil/psicologia , Reincidência/psicologia , Fatores Socioeconômicos , Estudos Retrospectivos , Fatores de Risco
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