A comparison of DSM-IV-TR and DSM-5 diagnostic criteria for gambling disorder in a large clinical sample
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Fernández Aranda, Fernando (Universitat de Barcelona. Departament de Ciències Clíniques)
Sauvaget, Anne (Centre Hospitalier Universitaire de Nantes)
Fransson, Andreas (Lunds universitet)
Håkansson, Anders (Lunds universitet)
Mestre-Bach, Gemma (Hospital Universitari de Bellvitge)
Steward, Trevor (Hospital Universitari de Bellvitge)
Stinchfield, Randy (University of Minnesota Medical School. Department of Psychiatry)
Moragas, Laura (Hospital Universitari de Bellvitge)
Aymamí, Neus (Hospital Universitari de Bellvitge)
Gomez-Peña, Monica (Hospital Universitari de Bellvitge)
Del Pino Gutiérrez, Amparo (Hospital Universitari de Bellvitge)
Agüera, Zaida (Hospital Universitari de Bellvitge)
Baño, Marta (Hospital Universitari de Bellvitge)
Talón-Navarro, María Teresa (Institut de Medicina Legal i Ciències Forenses de Catalunya)
Cuquerella Fuentes, Àngel (Institut de Medicina Legal i Ciències Forenses de Catalunya)
Codina, Ester (Hospital Universitari de Bellvitge)
Menchón Magriñá, José Manuel (Hospital Universitari de Bellvitge)

Fecha:	2019
Resumen:	Background and aims: Gambling-related crimes are known to be associated with gambling disorder (GD). Due to a lack of consensus in the scientific community regarding the relevance of this diagnostic criterion, it was removed from the DSM-5. The primary aim of this study was to investigate through structural equation modeling (SEM) whether higher GD severity in treatment-seeking GD patients with a criminal record is mediated through the illegal acts criterion itself, or whether it can be better explained by other related clinical factors. Methods: An initial sample of 2,081 patients seeking treatment for gambling problems was included in the sample. SEM was used to evaluate the mediational role of the illegal acts criterion between the sex, age and personality traits, gambling severity, and comorbid depression levels. Comparisons between patients with coinciding and divergent DSM criterion for GD diagnosis were carried out. Results: Illegal acts mediated the relationship between personality traits and GD severity: younger age, high levels of novelty seeking, and low levels of self-transcendence increased the risk of endorsing the illegal acts criterion. No differences between coincident-divergent groups in terms of DSM-IV and DSM-5 diagnosis were found with regards to sex (p=. 878), education level (p=. 387) or civil status (p=. 792). Discussion and conclusions: The results obtained in the present study offer new insights into the utility of using a history of illegal acts, their different personality characteristics and psychopathology to categorize GD patients. Our findings suggest that patients who engage in criminal behavior may require a more comprehensive intervention.
Ayudas:	Ministerio de Economía y Competitividad PSI2015-68701-R Instituto de Salud Carlos III PI17/01167 Instituto de Salud Carlos III 18MSP001-2017I067 Agència de Gestió d'Ajuts Universitaris i de Recerca 2018FI_B200174
Derechos:	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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	Frontiers in psychology, Vol. 10 (2019) , p. e931, ISSN 1664-1078

DOI: 10.3389/fpsyg.2019.00931
PMID: 31133919

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