Person:
Estupiñá Puig, Francisco José

First Name

Francisco José

Last Name

Estupiñá Puig

URI

https://hdl.handle.net/20.500.14352/80139

Affiliation

Universidad Complutense de Madrid

Faculty / Institute

Psicología

Department

Personalidad, Evaluación y Psicología Clínica

Area

Personalidad, Evaluación y Tratamiento Psicológico

Identifiers

Full item page

Search Results

Now showing 1 - 10 of 13

Factors associated with prolonging psychological treatment for anxiety disorders
(2015) Labrador Mendez, Marta; Bernaldo De Quirós Aragón, Mónica; Labrador Encinas, Francisco Javier; García Fernández, Gloria; Fernández Arias, Ignacio Gabino; Estupiñá Puig, Francisco José; Labrador Méndez, Marta Isabel
Background: Anxiety disorders are one of the disorders most frequently requested for psychological attention. The purpose of this study is to identify the factors that can explain a longer duration of psychological treatment for anxiety disorders. Method: 202 patients from the University Psychology Clinic of the Complutense University of Madrid were analyzed. Results: Multivariate regression analysis showed that the presence of obsessive-compulsive disorder and the application of arousal control techniques followed by modeling and other specifi c techniques were the best predictors of treatment duration. Conclusion: Reducing as much as possible the number of techniques applied without reducing intervention effi cacy is suggested. In some disorders that produce a greater life disorganization, it may be useful to try to organize the patient´s life either as a fi rst goal or at the same time as the intervention program, so as to increase its effectiveness and reduce the number of sessions.
Characteristics of demand and psychological treatments in a university clinic
(Clínica y Salud, 2016) Labrador Méndez, Marta Isabel; Labrador Encinas, Francisco Javier; Bernaldo De Quirós Aragón, Mónica; García Fernández, Gloria; Estupiñá Puig, Francisco José; Fernández Arias, Ignacio Gabino
The objectives of this study are to describe the most common characteristics of patients receiving psychological treatment and the treatments administered. We analyzed a sample of 856 patients at the University Psychology Clinic of the Complutense University of Madrid. Five diagnostic categories accounted for 78.4% of demand: anxiety disorders (31.9%), no diagnosis (15.4%), other problems requiring clinical attention (14.2%), mood disorders (9.5%) and adaptive disorders (7.4%). A total of 17.7% presented a comorbid diagnosis and 49.3% had received treatment previously. The mean of assessment and treatment sessions was 3.5 and 12.7, respectively. The most commonly applied techniques included psychoeducation (95.1%), cognitive restructuring (74.8%), relaxation (74.4%), and control of internal dialogue (68.1%).Of the patients that had finished contact with the clinic, 68.3% were a therapeutic success. We discuss the generalization of the results and the implications for the profession and clinical practice.
Cognitive Patterns and Problematic Use of Video Games in Adolescents: A Cluster Analysis
(2023) Fernández Arias, Ignacio Gabino; Labrador Méndez, Marta Isabel; Bernaldo De Quirós Aragón, Mónica; Estupiñá Puig, Francisco José; Vallejo Achón, Marina; Sánchez Iglesias, Iván; González Álvarez, María; Labrador Encinas, Francisco Javier
Background: Video game playing (VGP) is an increasingly common leisure activity among children and adolescents, although in some cases, it is accompanied by problems due to misuse. Method: A sample of 2884 children and adolescents aged between 12 and 20, representative of the Community of Madrid (Spain), were studied using a cluster analysis to explore the existence of cognitive patterns associated with engagement, attitudes, and concurrent cognitions. We also explored the relationship between these patterns and problematic VGP, using the 2173 gamers as a reference. Results: The concurrent cognitions were not qualitatively different between the problematic users and the others. High engagement and high activation of concurrent cognitions (intensity and frequency) showed the greatest relationship with problematic VGP. Conclusions: The results suggest the existence of different groups of gamers and the relevance to include psycho-educational aspects in intervention programs, as well as the training of specific skills, especially those related with the control of activation. Limitations related to the sample size and potential supplementary analyses are acknowledged.
Video Game Playing and Internet Gaming Disorder: A Profile of Young Adolescents
(International Journal of Environmental Research and Public Health, 2023) Labrador Méndez, Marta Isabel; Sánchez Iglesias, Iván; Bernaldo De Quirós Aragón, Mónica; Estupiñá Puig, Francisco José; Fernández Arias, Ignacio Gabino; Vallejo Achón, Marina; Labrador Encinas, Francisco Javier
In recent times, growing concern has arisen regarding the utilization of technology, video games, and the emergence of internet gaming disorder (IGD), particularly among young adolescents. This worry arises from the ambiguity in distinguishing between “normal” and “problematic” video game behavior, despite efforts to establish clear criteria for defining both. The goal of this study is to outline distinct profiles of adolescent video game players and identify variables associated with their gaming practices that correlate with problematic gaming. The study utilizes a substantial sample of adolescents drawn from a representative cross-section of educational institutions in the city of Madrid, ranging in age from 12 to 16 years. In total, 1516 participants (75%) acknowledged engaging in video game activities. The research delves into characterizing prevailing profiles of video game participants within this cohort and scrutinizes the profile that aligns with issues of IGD. In summary, approximately three-quarters of young adolescents participate in video gaming, with males constituting the majority. Typically, participants immerse themselves in action genre games for over three days per week, with males exhibiting a higher frequency than their female counterparts. Elevated gaming frequency correlates with heightened IGD scores, particularly among females. Young adolescents show a preference for game consoles (males) and mobile phones (females) and often play alone at home. Specific factors such as the device used, online mode, company, and gaming location impact the IGD scores. These profiles aim to assist families and educators in recognizing potential risk behaviors and IGD concerns; however, it is crucial to emphasize the necessity for case-specific screening and evaluation before deliberating on such behaviors.
Project number: 214
Programas de entrenamiento para la práctica de la psicoterapia: desarrollo de protocolos y estándares de medida basados en pruebas
(2021) Estupiñá Puig, Francisco José; Larroy García, Cristina; Fernández-Arias, Ignacio Gabino; Valiente Ots, Carmen; Quiroga Estévez, María Ángeles; Abarca Madero, Beatriz; Antón Riquelme, Ana Asunción; Florido Farfan, Rocio; Gómez Zubeldia, Ainara; González Del Valle, Silvia; Jiménez Prensa, Adela; Luque Suárez, Sofía; Martos Torrecilla, Laura; Miguel Alvaro, Alejandro de; Miramón Alonso, Andrea; Morán Jusdado, Marta; Rodrigo Apio, Juan José; Sanz Alcazar, Sandra; Vallejo Achón, Marina
PsiCall UCM, el servicio de atención psicológica por vía telemática a estudiantes de la UCM, recibe y forma a un porcentaje importante de cada promoción del MPGS, en un sistema de práctica clínica supervisada que recibe excelentes valoraciones. Sin embargo, hay espacio para la mejora de este sistema de supervisión, incorporando valoraciones objetivas de competencias clínicas mediante la observación directa. Para este fin El objetivo de este proyecto ha sido traducir al castellano y adaptar las escalas al contexto práctico de PsiCall UCM, para proceder a la hetero y auto observación sistemática de las competencias del estudiantado que se forma en PsiCall, antes, durante, y al final del sus prácticas. En el inicio del proyecto se partió de la traducción de las escalas CTS-R y CTACS. Una vez traducidas las escalas, se desarrollo un proceso de reflexión en varias rondas para señalar la adecuación de las diferentes competencias incluidas en las mismas al contexto de la Clínica Universitaria de Psicología UCM y el PsiCall UCM. Posteriormente, se desarrolló una ronda de revisión con los equipos de dirección, los becarios de ambos servicios, y con los profesionales externos. Todos ellos estudiaron el borrador de la escala y aportaron sugerencias que dieron lugar a modificaciones menores (cambios en la redacción del manual) o mayores (cambios en la estructura de la escala). Una vez alcanzada una versión final de la Escala de Competencias Clínicas, se derivaron versiones auto y hetero aplicadas mediante formularios en la suite de formularios de Google Drive. Se seleccionaron al azar una serie de interacciones de atención que fueron valoradas por el Coordinador del servicio, cuya valoración de las mismas mediante la escala se estableció como criterio experto. Posteriormente, los supervisores del PsiCall accedieron a las grabaciones ya valoradas, en primer lugar a modo de demostración, teniendo disponibles las valoraciones del Coordinador, en segundo lugar a modo de ensayo, pudiendo comparar sus valoraciones con las del Coordinador tras emitirlas mediante un formulario adaptado como cuestionario, y finalmente a modo de prueba de competencia con la escala. A partir de las valoraciones de esta última ronda se calculó el Índice de Correlacion Intraclase mediante un modelo mixto de acuerdo absoluto, con un intervalo de confianza del 95%. Se observo un buen índice de correlación intraclase de acuerdo con los valores convencionales de Fleiss (1986) (ICCA = 0,704; IC95% [,391 - ,897]; Fvv0(11,66) = 4,052, p < ,001). Este proceso ha culminado con el desarrollo de una escala de 12 elementos, en versiones auto y hetero aplicadas. Además de su validación mediante la consulta y las aportaciones del conjunto de profesionales implicados, la escala, en su versión hetero aplicada ha sido estudiada psicométricamente en cuanto a su fiabilidad interjueces, encontrado valores muy adecuados de acuerdo al índice de correlación intraclase en un modelo mixto de acuerdo absoluto. Las escalas, por tanto, están desarrolladas y listas para su uso en el contexto asistencial y docente del PsiCall UCM. Se dispone de un manual, de una guía de respuestas, y de formularios de recogida de información implementados en la plataforma Google Drive que permiten la recogida de datos de manera automatizada y totalmente pseudononimizada.
Psychometric properties of a brief on-line screening instrument to detect at-risk gamblers
(Psicothema, 2017) Bernaldo De Quirós Aragón, Mónica; Labrador Encinas, Francisco Javier; Estupiñá Puig, Francisco José; García Fernández, Gloria; Labrador Méndez, Marta Isabel
Background: Gambling facilitates the development of psychopathological problems in some gamblers. Rapid and easy detection of the presence of these problems, or the risk of their development, will allow early action at the beginning of the problem, including preventive action. For this purpose, we developed the “Sistema de Cribado de Riesgo de Problemas de Juegos” (SCRI-PJ [Risk of Gambling Problems Screening System]), an on-line instrument for the detection of people who have, or may develop, gambling problems. The goal of this work is to present and validate the SCRI-PJ. Method: 85 people with gambling problems undergoing treatment and 119 people from the general population were assessed with the SCRI-PJ and the DSM-RT Diagnostic Criteria for Pathological Gambling questionnaire. Results: The SCRI-PJ showed high internal consistency (α = .96), sensitivity (94.2%) specifi city (91.4%), with a negative predictive value of 98.6%. Conclusion: The SCRI-PJ is a brief and effective screening instrument to detect people with gambling problems or who are at risk of developing them.
Premature termination of psychological treatment for anxiety disorders in a clinical setting
(Psicothema, 2016) Fernández Arias, Ignacio Gabino; García Fernández, Gloria; Bernaldo De Quirós Aragón, Mónica; Estupiñá Puig, Francisco José; Labrador Encinas, Francisco Javier; Labrador Méndez, Marta Isabel
Background: Empirically supported psychological treatments (ESTs) have demonstrated their effectiveness and clinical utility for the treatment of anxiety disorders (AD) but few studies have assessed the factors associated with premature termination in ESTs for AD. Method: The goals of this study, which involved 291 patients with a diagnosis of anxiety who had received outpatient psychological care, consisted of examining premature termination of treatment (PTT), comparing the individual characteristics of the patients who successfully completed treatment with those who terminate it prematurely, and analyzing the predictors of PTT. Results: Of the sample, 8.2% refused to start treatment, 28.5% dropped out before completing it, and 63.2% successfully completed treatment. In 50% of the cases, PTT occurred during the fi rst 7 sessions, and in 80%, before the 15th session. Alternatively, 76.4% of the patients who complete treatment successfully do so before session 20. We found that patients with PTT attended a significantly lower number of treatment sessions and attended the sessions more irregularly and unpunctually. Presenting a generalized anxiety disorder (GAD), problems with punctuality and with task performance were predictors of failure to complete treatment. Conclusions: These findings suggest the need to reinforce early adherence to treatments to help patients remain in treatment.
Project number: 352
Adaptación y aplicación de escalas de adquisición de competencias en el aprendizaje práctico de la psicoterapia
(2022) Fernández Arias, Ignacio Gabino; Bermejo Casado, Irene; Castelló Pinel, Elena; Cerezo Sarmiento de Sotomayor, Elena; Eguren Fernández, Beatriz; Estupiñá Puig, Francisco José; García Castañeda, Yanixa; Hervás Torres, Gonzalo; Larroy García, Cristina; Luque Suarez, Sofía; Martin Vallejo, María Cristina; Miramón Alonso, Andrea; Morán Jusdado, Marta; Pousada Fonseca, Teresa; Prieto Vila, Maider; Quiroga Estévez, María Ángeles; Sanz Alcazar, Sandra; Segura Millán, Raquel; Solera Casilda, María Teresa; Valiente Ots, Carmen
El aprendizaje de la Psicoterapia requiere la adquisición de conocimientos teórico-prácticos que se ven recogidos en los planes de postgrado (fundamentalmente en el Master en Psicología General Sanitaria). Sin embargo, la adquisición de competencias y habilidades ha pasado a un segundo plano, delegando su adquisición a aprendizajes informales. En este proyecto se pretende aplicar una escala de competencias en psicoterapia (CTTS) a una muestra de psicólogos en formación, analizar sus resultados en función de la dificultad del caso y adoptar las medidas pedagógicas (fundamentalmente de supervisión) que sean necesarias para la potenciación de estas competencias.
Spanish Validation and Scoring of the Internet Gaming Disorder Scale - Short-Form (IGDS9-SF)
(2020) Fernández Arias, Ignacio Gabino; Sánchez Iglesias, Iván; Bernaldo De Quirós Aragón, Mónica; Labrador Encinas, Francisco Javier; Estupiñá Puig, Francisco José; Labrador Méndez, Marta Isabel; Fernández Arias, Ignacio Gabino
Since the inclusion of the Internet Gaming Disorder (IGD) in the Diagnostic and statistical manual of mental disorders (5th ed.) (DSM-5), the Internet Gaming Disorder Scale-Short Form (IGDS9-SF), a short nine items test, has become one of the most used standardized instruments for its psychometric evaluation. This study presents a validation and psychometric evaluation of the Spanish version of the IGDS9-SF. A sample of 2173 videogame players between 12 and 22 years old, comprising both genders, was employed, achieved with a randomized selection process from educational institutions in the city of Madrid. Participants completed the adapted version of the IGDS9-SF, the General Health Questionnaire (GHQ-12) and a negative cognitions scale associated with videogame use, as well as sociodemographic data and frequency of videogame play. A unifactorial structure with sufficient reliability and internal consistency was found through exploratory and confirmatory analyses. In addition, the instrument was found to have good construct validity; the scoring of the IGDS9-SF were found to show a positive association with gaming frequency, with general health problems, and to a greater extent, with problematic cognitions with regard to videogames. Factorial invariance was found concerning the age of participants. However, even though the factorial structure was consistent across genders, neither metric nor scalar invariance were found; for this reason, we present a scale for the whole sample and a different one for gender. These results suggest that this Spanish version of the IGDS9-SF is a reliable and valid instrument, useful to evaluate the severity of IGD in Spanish students, and we provide a scoring scale for measurement purposes.
Factors Interfering with the Course of Treatment for Anxiety Disorders: Prolongation and Premature Termination of Treatment
(2019) Bernaldo De Quirós Aragón, Mónica; Estupiñá Puig, Francisco José; Labrador Encinas, Francisco Javier; Labrador Méndez, Marta Isabel; Fernández Arias, Ignacio Gabino
The efficacy and the effectiveness of anxiety disorder treatments have been proven. However, the desired results are not always achieved. Studying the factors that interfere with the natural course of the treatments could help to correct and to adapt them. Two of these factors are the unnecessary prolongation of treatments and their premature termination. As expected, the duration of the treatment depends on the nature of the problem and the existence of comorbid problems, however treatments that are too ambitious (an excess of techniques) or combined with pharmacological treatments (increasing sessions by up to 21%) also have a longer duration. Premature termination is around 30-35% and patients “announce” the dropout by displaying poorer task performance and more irregular attendance from the beginning. More than 50% of the therapeutic dropout occurs before the eighth session and 80% of successful treatments are completed before the 20th session.