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Network Analysis of the Structure of the Core Symptoms and Clinical Correlates in Comorbid Schizophrenia and Gambling Disorder
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de Ciències de la Salut)
Fernández-Aranda, Fernando (Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición)
Demetrovics, Zsolt (University of Gibraltar. Centre of Excellence in Responsible Gaming)
Lara-Huallipe, Milagros Lizbeth (Institut d'Investigació Biomèdica de Bellvitge)
Morón-Fernández, Alex (Universitat Autònoma de Barcelona. Facultat de Psicologia)
Jiménez-Murcia, Susana (Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición)

Date: 2022
Abstract: The online version contains supplementary material available.
Abstract: Few studies have analyzed the clinical profle of treatment-seeking patients with the comorbid presence of schizophrenia (SCZ) and gambling disorder (GD), which warrants new research to assess the network structure of this complex mental condition. The aim of this study was to explore the organization of the symptoms and other clinical correlates of SCZ with GD. Network analysis was applied to a sample of N = 179 SCZ patients (age range: 19-70 years, mean=39. 5, SD=9. 9) who met clinical criteria for gambling disorder-related problems. Variables included in the network were the core GD symptoms according to the DSM-5, psychotic and paranoid ideation levels, global psychological distress, GD severity measures (debts and illegal behavior related with gambling), substances (tobacco, alcohol, and illegal drugs), and personality profle. The nodes with the highest authority in the network (variables of highest relevance) were personality traits and psychological distress. Four empirical modules/clusters were identifed, and linkage analysis identifed the nodes with the highest closeness (bridge nodes) to be novelty seeking and reward dependence (these traits facilitate the transition between the modules). Identifcation of the variables with the highest centrality/linkage can be particularly useful for developing precise management plans to prevent and treat SCZ with GD.
Grants: Instituto de Salud Carlos III FIS PI20/132
Note: Altres ajuts: Delegación del Gobierno para el Plan Nacional sobre Drogas (2019I47 and 2021I031). CIBER Fisiología Obesidad y Nutrición (CIBERobn) is an initiative of Intituto de Salud Carlos III. ZD's contribution was supported by the Hungarian National Research, Development and Innovation Ofce (KKP126835, K131635).
Rights: 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. Creative Commons
Language: Anglès
Document: Article ; recerca ; Versió publicada
Subject: Network ; Schizophrenia ; Gambling disorder ; Personality ; Self-transcendence ; Novelty seeking
Published in: International Journal of Mental Health and Addiction, december 2022, p. 1-27, ISSN 1557-1882

DOI: 10.1007/s11469-022-00983-y
PMID: 36589470


27 p, 1.2 MB

The record appears in these collections:
Articles > Research articles
Articles > Published articles

 Record created 2023-01-19, last modified 2023-05-07



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