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| Pàgina inicial > Articles > Articles publicats > The predictive capacity of DSM-5 symptom severity and impulsivity on response to cognitive-behavioral therapy for gambling disorder : |
(Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge) (Hospital Universitari de Bellvitge)
| Data: | 2019 |
| Resum: | Background: DSM-5 proposed a new operational system by using the number of fulfilled criteria as an indicator of gambling disorder severity. This method has proven to be controversial among researchers and clinicians alike, due to the lack of studies indicating whether severity, as measured by these criteria, is clinically relevant in terms of treatment outcome. Additionally, numerous studies have highlighted the associations between gambling disorder and impulsivity, though few have examined the impact of impulsivity on long-term treatment outcomes. Methods: In this study, we aimed to assess the predictive value of DSM-5 severity levels on response to cognitive-behavioral therapy (CBT) in a sample of male adults seeking treatment for gambling disorder (n = 398). Furthermore, we explored longitudinal predictors of CBT treatment response at a follow-up, considering UPPS-P impulsivity traits. Results: Our study failed to identify differences in treatment outcomes between patients categorized by DSM-5 severity levels. Higher baseline scores in negative urgency predicted relapse during CBT treatment, and higher levels of sensation seeking were predictive of drop-out from short-term treatment, as well as of drop-out at 24-months. Conclusions: These noteworthy findings raise questions regarding the clinical utility of DSM-5 severity categories and lend support to the implementation of dimensional approaches for gambling disorder. |
| Ajuts: | Ministerio de Ciencia e Innovación PSI2011-28349 Ministerio de Economía y Competitividad PSI2015-68701-R Ministerio de Economía y Competitividad PI14/00290 Instituto de Salud Carlos III PI17/01167 Ministerio de Educación, Cultura y Deporte FPU15/0291 Ministerio de Educación, Cultura y Deporte FPU16/02087 Ministerio de Educación, Cultura y Deporte FPU16/01453 |
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| Llengua: | Anglès |
| Document: | Article ; recerca ; Versió acceptada per publicar |
| Matèria: | Cognitive-behavioral therapy ; Dropout ; DSM-5 ; Gambling disorder ; Impulsivity ; Relapse |
| Publicat a: | European psychiatry, Vol. 55 (January 2019) , p. 67-73, ISSN 1778-3585 |
15 p, 489.9 KB |
