Network analysis of DSM-5 criteria for gambling disorder : considering sex differences in a large clinical sample
Lucas, Ignacio (Hospital Universitari de Bellvitge)
Mora-Maltas, Bernat (Hospital Universitari de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Demetrovics, Zsolt (Eötvös Loránd Tudományegyetem)
Ciudad, Víctor (Universitat de València. Departament de Personalitat, Avaluació i Tractaments Psicològics)
Nigro, Giovanna (Università degli Studi della Campania "Luigi Vanvitelli". Dipartimento di Psicologia)
Cosenza, Marina (Università degli Studi della Campania "Luigi Vanvitelli". Dipartimento di Psicologia)
Rosinska, Magda (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Tapia, Javier (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)

Títol variant:	Network analysis DSM-5 gambling disorder
Publicació:	Cambridge University Press, 2024
Descripció:	31 pàg.
Resum:	Background: The fifth version of the Diagnostic and Statistical Manual for Mental Disorders (DMS-5) and its revised version (DSM-5-TR) propose severity levels for gambling disorder (GD) based on the number of criteria met. However, this taxonomy presents some limitations. We aimed to assess the centrality of each criterion and their relationship by conducting a network analysis while considering sex differences. Methods: We performed a network analysis with the DSM-5 criteria for GD with data from 4,203 treatment-seeking patients (3,836 men and 367 women) diagnosed with GD who sought for treatment in a general tertiary hospital which has a unit specialized in behavioural addictions. Results: The withdrawal criterion ("Restless or irritable when attempting to cut down or stop gambling") showed the highest centrality values in both sexes. In men, the second most central criterion was the tolerance criterion ("Needs to gamble with increasing amounts of money in order to achieve the desired excitement"); while among women, the second was the chasing losses criterion ("After losing money gambling, often returns another day to get even"). Conclusions: The most central criteria identified are associated with compulsivity-driven behaviours of the addictive process. Taking into account the high relevance and transitive capacity of withdrawal in both men and women, as well as tolerance in men and chasing losses in women, the recognition and understanding of these symptoms are fundamental for the accurate diagnosis and severity assessment of GD.
Ajuts:	Agencia Estatal de Investigación PID2021-124887OB-I00 Instituto de Salud Carlos III PI20/00132 Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00824 European Commission 847879
Nota:	Altres ajuts: Co-funded by FEDER funds/European Regional Development Fund (ERDF), a way to build Europe. CIBEROBN is an initiative of ISCIII. I.L. is supported by the Ministerio de Ciencia e 9 Innovación (MCIN), Agencia Estatal de Investigación (AEI), and by the European Union 10 "NextGenerationEU/Plan de Recuperación, Transformación y Resiliencia (PRTR)" (Juan de la Cierva Formación program, FJC2021-046494-I). R.G. is supported by the Catalan Institution for Research and Advanced Studies (ICREA-Academia, 2021-Programme). Z.D.'s contribution was supported by the Hungarian National Research, Development and Innovation Office (KKP126835). M.R. is supported by a FI grant from the Catalan Agency for the Management of Grants for University - AGAUR (2020 FISDU 00579).
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Matèria:	Gambling disorder ; Network analysis ; Withdrawal ; Tolerance ; Chasing losses
Publicat a:	European psychiatry, 6 May 2024, ISSN 1778-3585

DOI: 10.1192/j.eurpsy.2024.22
PMID: 38708742

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