Gambling disorder duration and cognitive behavioural therapy outcome considering gambling preference and sex
Lucas Adell, Ignacio (Hospital Universitari de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Fernández Aranda, Fernando (Universitat de Barcelona. Departament de Ciències Clíniques)
Solé-Morata, Neus (Hospital Universitari de Bellvitge)
Demetrovics, Zsolt (University of Gibraltar. Centre of Excellence in Responsible Gaming)
Baenas Soto, Isabel Maria (Hospital Universitari de Bellvitge)
Gomez-Peña, Monica (Hospital Universitari de Bellvitge)
Moragas, Laura (Hospital Universitari de Bellvitge)
Mora-Maltas, Bernat (Hospital Universitari de Bellvitge)
Lara-Huallipe, Milagros Lizbeth (Hospital Universitari de Bellvitge)
Jiménez Murcia, Susana (Universitat de Barcelona. Departament de Ciències Clíniques)

Data:	2023
Descripció:	9 pàg.
Resum:	Gambling Disorder (GD) is a behavioural addiction that leads to high level of clinical distress and, in general, it is characterized by enduring symptomatology that presents high rates of chronicity. However, there is high variability of illness duration among patients who seek treatment for GD. Previous studies reported mixed results about the relevance of illness duration in GD treatment outcome. However, there are different profiles of patients who are diagnosed with GD. For this reason, this study aimed to evaluate the effect of illness duration in the treatment outcome of different profiles of GD patients according to their gambling preference and sex. The sample were 1699 patients diagnosed with GD. All patients received cognitive-behavioural therapy in a group format. Treatment outcome was evaluated in terms of relapsing to gambling behaviours and dropout from treatment. Results showed higher probability of poor outcome in the first years of the disorder for strategic gambling compared to non-strategic or mixed forms of gambling. Moreover, women also showed higher probability of poor outcomes than men since the first stages of the disorder. This study draws attention to the relevance of illness duration in the treatment outcome of specific profiles of GD patients. In particular, patients who presented a preference for strategic forms of gambling and women who are diagnosed with GD would have a higher risk of poor treatment outcomes since the first stages of the disorder. These results highlight the importance of an early intervention in these patients in order to prevent the chronicity of the disorder.
Ajuts:	Agencia Estatal de Investigación RTI2018-101837-B-I00 Instituto de Salud Carlos III PI20/00132 Instituto de Salud Carlos III PI17/01167
Nota:	Altres ajuts: The research was also funded by the Delegación del Gobierno para el Plan Nacional sobre Drogas (2021I031 and 2019I47), CIBER Fisiología Obesidad y Nutricion (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". ZD's contribution was supported by the Hungarian National Research, Development and Innovation Office (KKP126835). Dr. Roser Granero was supported by The Catalan Institution for Research and Advanced Studies (ICREA Academia Program)
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 publicada
Matèria:	Gambling disorder ; Duration ; Treatment ; Sex differences ; Dropout ; Relapse ; Behavior, Addictive ; Cognitive Behavioral Therapy/methods ; Female ; Gambling/therapy ; Humans ; Male ; Recurrence ; Treatment Outcome ; SDG 3 - Good Health and Well-being
Publicat a:	Journal of Psychiatric Research, Vol. 158 (2023) , p. 341-349, ISSN 1879-1379

DOI: 10.1016/j.jpsychires.2022.12.031
PMID: 36638624

9 p, 1.8 MB

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