Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
Baenas Soto, Isabel Maria (Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición)
Etxandi, Mikel (Institut d'Investigació Biomèdica de Bellvitge)
Codina, Ester (Institut d'Investigació Biomèdica de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Fernández-Aranda, Fernando (Institut d'Investigació Biomèdica de Bellvitge)
Gomez-Peña, Mónica (Institut d'Investigació Biomèdica de Bellvitge)
Moragas, Laura (Institut d'Investigació Biomèdica de Bellvitge)
Rivas, Sandra (Institut d'Investigació Biomèdica de Bellvitge)
Potenza, Marc N. (Yale University. Department of Neuroscience)
Håkansson, Anders (Region Skåne, Gambling Disorder Unit)
Del Pino-Gutiérrez, Amparo (Universitat de Barcelona. Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil)
Mora-Maltas, Bernat (Institut d'Investigació Biomèdica de Bellvitge)
Valenciano-Mendoza, Eduardo (Institut d'Investigació Biomèdica de Bellvitge)
Menchón, José M. (Centro de Investigación Biomédica en Red de Salud Mental)
Jiménez-Murcia, Susana (Institut d'Investigació Biomèdica de Bellvitge)

Fecha:	2021
Resumen:	Background and Aims: COVID-19 pandemic and confinement have represented a challenge for patients with gambling disorder (GD). Regarding treatment outcome, dropout may have been influenced by these adverse circumstances. The aims of this study were: (a) to analyze treatment dropout rates in patients with GD throughout two periods: during and after the lockdown and (b) to assess clinical features that could represent vulnerability factors for treatment dropout. Methods: The sample consisted of n =86 adults, mostly men (n =79, 91. 9%) and with a mean age of 45years old (SD =16. 85). Patients were diagnosed with GD according to DSM-5 criteria and were undergoing therapy at a Behavioral Addiction Unit when confinement started. Clinical data were collected through a semi-structured interview and protocolized psychometric assessment. A brief telephone survey related to COVID-19 concerns was also administered at the beginning of the lockdown. Dropout data were evaluated at two moments throughout a nine-month observational period (T1: during the lockdown, and T2: after the lockdown). Results: The risk of dropout during the complete observational period was R =32/86=0. 372 (37. 2%), the Incidence Density Rate (IDR) ratio T2/T1 being equal to 0. 052/0. 033=1. 60 (p =0. 252). Shorter treatment duration (p =0. 007), lower anxiety (p =0. 025), depressive symptoms (p =0. 045) and lower use of adaptive coping strategies (p =0. 046) characterized patients who abandoned treatment during the lockdown. Briefer duration of treatment (p =0. 001) and higher employment concerns (p =0. 044) were highlighted in the individuals who dropped out after the lockdown. Treatment duration was a predictor of dropout in both periods (p =0. 005 and p <0. 001, respectively). Conclusion: The present results suggest an impact of the COVID-19 pandemic on treatment dropout among patients with GD during and after the lockdown, being treatment duration a predictor of dropout. Assessing vulnerability features in GD may help clinicians identify high-risk individuals and enhance prevention and treatment approaches in future similar situations.
Ayudas:	Ministerio de Ciencia, Innovación y Universidades RTI2018-101837-B-100 Instituto de Salud Carlos III PI17/01167
Nota:	Altres ajuts: The research was funded by the Delegación del Gobierno para el Plan Nacional sobre Drogas (2017I067 and 2019I47).Co-funded by FEDER funds/European Regional Development Fund (ERDF), a way to build Europe. CIBEROBN and CIBERSAM are both initiatives of ISCIII. IB was partially supported by a Post-Residency Grant from Research Committee of the University Hospital of Bellvitge (HUB; Barcelona, Spain) 2020-2021.
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
Materia:	COVID-19 ; Confinement ; Gambling disorder ; Dropout ; Coping
Publicado en:	Frontiers in psychology, Vol. 12 (december 2021) , ISSN 1664-1078

DOI: 10.3389/fpsyg.2021.761802
PMID: 34970193

15 p, 1.3 MB

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