Latent Classes for the Treatment Outcomes in Women with Gambling Disorder and Buying/Shopping Disorder
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Fernández Aranda, Fernando (Universitat de Barcelona)
Lara-Huallipe, Milagros Lizbeth (Hospital Universitari de Bellvitge)
Gomez-Peña, Monica (Hospital Universitari de Bellvitge)
Moragas, Laura (Hospital Universitari de Bellvitge)
Baenas Soto, Isabel Maria (Hospital Universitari de Bellvitge)
Müller, Astrid (Hannover Medical School. Department of Psychosomatic Medicine and Psychotherapy)
Brand, Matthias (Erwin L. Hahn Institute for Magnetic Resonance Imaging)
Sisquellas, Claudia (Hospital Universitari de Bellvitge)
Jiménez Murcia, Susana (Universitat de Barcelona)

Data:	2022
Resum:	Background: The risk for behavioral addictions is rising among women within the general population and in clinical settings. However, few studies have assessed treatment effectiveness in females. The aim of this work was to explore latent empirical classes of women with gambling disorder (GD) and buying/shopping disorder (BSD) based on the treatment outcome, as well as to identify predictors of the different empirical groups considering the sociodemographic and clinical profiles at baseline. Method: A clinical sample of n = 318 women seeking treatment for GD (n = 221) or BSD (n = 97) participated. Age was between 21 to 77 years. Results: The four latent-classes solution was the optimal classification in the study. Latent class 1 (LT1, good progression to recovery) grouped patients with the best CBT outcomes (lowest risk of dropout and relapses), and it was characterized by the healthiest psychological state at baseline, the lowest scores in harm avoidance and self-transcendence, and the highest scores in reward dependence, persistence, self-directedness and cooperativeness. Latent classes 3 (LT3, bad progression to drop-out) and 4 (LT4, bad progression to relapse) grouped women with the youngest mean age, earliest onset of the addictive behaviors, and worst psychological functioning. Conclusions: GD and BSD are complex conditions with multiple interactive causes and impacts, which need wide and flexible treatment plans. Specific interventions should be designed according to the specific profiles of women for achieving early inclusion, retention and well-maintained long-term effects.
Ajuts:	Ministerio de Ciencia, Innovación y Universidades RTI2018-101837-B-100 Instituto de Salud Carlos III FISPI20/13 Instituto de Salud Carlos III FISPI17/0116
Nota:	Acknowledgments: This research was funded from Ministerio de Ciencia, Innovación y Universi-dades (grant RTI2018-101837-B-100). FIS PI20/132, FIS PI17/01167 received aid from the Instituto Salud Carlos III (Ministerio de Sanidad, Servicios Sociales e Igualdad). The research was also funded by the Delegación del Gobierno para el Plan Nacional sobre Drogas (2021I031 and 2019I47), CIBER Fisiología Obesidad y Nutrición (CIBERobn) is an initiative of ISCIII. We thank CERCA Programme/Generalitat de Catalunya for institutional support. Fondo Europeo de Desarrollo Regional (FEDER) "Una manera de hacer Europa"/"A way to build Europe". RG is supported by the Catalan Institution for Research and Advanced Studies (ICREA-Academia, 2021-Programme). The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.
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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	Journal of clinical medicine, Vol. 11 Núm. 13 (7-1 2022) , p. 3917, ISSN 2077-0383

DOI: 10.3390/jcm11133917
PMID: 35807202

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