Are there clinical, psychopathological and therapy outcomes correlates associated with self-exclusion from gambling?
Uríszar, Juan Carlos (Hospital Universitari de Bellvitge)
Gaspar Pérez, Anahí (Hospital Universitari de Bellvitge)
Granero, Roser (Hospital Universitari de Bellvitge)
Munguía Godínez, Jazmín Lucero (Hospital Universitari de Bellvitge)
Lara-Huallipe, Milagros Lizbeth (Hospital Universitari de Bellvitge)
Mora-Maltas, Bernat (Hospital Universitari de Bellvitge)
Baenas Soto, Isabel Maria (Hospital Universitari de Bellvitge)
Etxandi Santolaya, Mikel (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Gomez-Peña, Monica (Hospital Universitari de Bellvitge)
Moragas, Laura (Hospital Universitari de Bellvitge)
Sisquellas, Claudia (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Jiménez Murcia, Susana (Hospital Universitari de Bellvitge)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Self-exclusion in gambling disorder (GD) is considered a measure to decrease the negative consequences of gambling behavior. Under a formal self-exclusion program, gamblers request to be banned from accessing to the gambling venues or online gambling. 1) to determine sociodemographic characteristics of a clinical sample of seeking-treatment patients with GD who are self-excluded before arriving at the care unit; 2) to identify personality traits and general psychopathology of this clinical population; 3) to analyze the response to treatment, in terms of relapses and dropouts. 1,416 adults seeking treatment for GD, who are self-excluded completed screening tools to identify GD symptomatology, general psychopathology, and personality traits. The treatment outcome was measured by dropout and relapses. Self-exclusion was significantly related to female sex and a high sociodemographic status. Also, it was associated with a preference for strategic and mixed gambling, longest duration and severity of the disorder, high rates of general psychopathology, more presence of illegal acts and high sensation seeking rates. In relation to treatment, self-exclusion was associated with low relapse rates. The patients who self-exclude before seeking treatment have a specific clinical profile, including high sociodemographic status, highest severity of GD, more years of evolution of the disorder and high emotional distress rates; however, these patients' presents better response to treatment. Clinically, it could be expected that this strategy could be used as a facilitating variable in the therapeutic process.
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.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Clinical profile ; Gambling disorder ; Self-exclusion ; Sociodemographic characteristics ; Treatment outcome
Publicat a:	Journal of behavioral addictions, Vol. 12 (may 2023) , p. 522-534, ISSN 2063-5303

DOI: 10.1556/2006.2023.00018
PMID: 37243745

13 p, 1.5 MB

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