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Suicidal ideation and history of suicide attempts in treatment-seeking patients with gambling disorder : The role of emotion dysregulation and high trait impulsivity
Mallorquí Bagué, Núria (Hospital de Bellvitge)
Mena Moreno, Teresa (Hospital Universitari de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Vintró Alcaraz, Cristina (Hospital Universitari de Bellvitge)
Sánchez González, Jéssica (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Pino Gutiérrez, Amparo del (Hospital Universitari de Bellvitge)
Mestre Bach, Gemma (Hospital Universitari de Bellvitge)
Aymamí i Sanromà, Maria Neus (Hospital Universitari de Bellvitge)
Gómez Peña, Mónica (Hospital Universitari de Bellvitge)
Menchón Magriñá, José Manuel (Hospital Universitari de Bellvitge)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)

Data: 2018
Resum: Gambling disorder (GD) presents high rates of suicidality. The combined influences of emotion dysregulation and trait impulsivity are crucially important (albeit understudied) for developing strategies to treat GD and prevent suicide attempts. The aim of this study is to investigate the association between trait impulsivity, emotion dysregulation, and the dispositional use of emotion regulation (ER) strategies with suicidal ideation and psychopathological symptom severity in GD. The sample composed of 249 patients with GD (166 with suicidal ideation) who underwent face-to-face clinical interviews and completed questionnaires to assess psychopathological symptoms, impulsive traits, and ER. Patients with GD who presented suicidal ideation were older and had a later age of GD onset and higher GD severity. Analyses of variance showed higher comorbid symptoms, emotion dysregulation, and trait impulsivity in patients with suicidal ideation. Still, no significant differences were found in the use of ER strategies. SEM analysis revealed that a worse psychopathological state directly predicted suicidal ideation and that both emotion dysregulation and GD severity indirectly increased the risk of suicidal ideation through this state. High trait impulsivity predicted GD severity. Finally, a history of suicide attempts was directly predicted by suicidal ideation. Patients with GD are at risk of presenting suicidal behaviors. The results of this study revealed the importance of comorbid psychopathology in the occurrence of suicidal ideation and the indirect effect of trait impulsivity and emotion dysregulation on suicidality. Thus, suicidal rates in GD could possibly be reduced by specifically targeting these domains during treatment.
Nota: Número d'acord de subvenció MINECO/PSI2011-28349
Nota: Número d'acord de subvenció MINECO/PSI2015-68701-R
Nota: Número d'acord de subvenció ISCIII/FIS/PI14/00290
Nota: Número d'acord de subvenció ISCIII/FIS/PI17/01167
Nota: Número d'acord de subvenció ISCIII/18MSP001-2017I067
Nota: Número d'acord de subvenció AGAUR/2018/SGR-00174
Nota: Número d'acord de subvenció MECD/FPU16/02087
Nota: Número d'acord de subvenció MECD/FPU16/01453
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès.
Document: article ; recerca ; publishedVersion
Matèria: Gambling disorder ; Impulsivity ; Emotion regulation ; Suicidal ideation ; Suicide attempts ; Psychopathology
Publicat a: Journal of Behavioral Addictions, Vol. 7, Issue 4 (December 2018) , p. 1112-1121, ISSN 2063-5303

PMID: 30580545
DOI: 10.1556/2006.7.2018.132


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