Suicidal behavior in patients with gambling disorder and their response to psychological treatment : the roles of gender and gambling preference
Valenciano-Mendoza, Eduardo (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Gomez-Peña, Monica (Hospital Universitari de Bellvitge)
Moragas, Laura (Hospital Universitari de Bellvitge)
Del Pino Gutiérrez, Amparo (Hospital Universitari de Bellvitge)
Mora-Maltas, Bernat (Hospital Universitari de Bellvitge)
Baenas Soto, Isabel Maria (Hospital Universitari de Bellvitge)
Guillén Guzman, Elias (Hospital Clínic i Provincial de Barcelona)
Valero-Solís, Susana (Hospital Universitari de Bellvitge)
Lara-Huallipe, Milagros Lizbeth (Hospital Universitari de Bellvitge)
Codina, Ester (Hospital Universitari de Bellvitge)
Mestre-Bach, Gemma (Universidad Internacional de La Rioja)
Etxandi, Mikel (Hospital Universitari de Bellvitge)
Menchón Magriñá, José Manuel (Hospital Universitari de Bellvitge)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)

Fecha:	2021
Descripción:	10 pàg.
Resumen:	Suicidal ideation and attempts are prevalent among patients with gambling disorder (GD). However, patients with GD and a history of lifetime suicidal events are not a homogeneous group. The main objective of this study was to compare sociodemographic, clinical, personality, and psychopathological features among different profiles of adults with GD with and without a history of suicidal behavior, taking into account two relevant variables: gender and gambling preference. The second aim was to examine how the different profiles of patients with a history of suicidal events responded to cognitive-behavioral therapy (CBT). A total of 1112 treatment-seeking adults who met the criteria for GD were assessed at a hospital specialized unit for the treatment of behavioral addictions. The participants completed self-reported questionnaires to explore GD, personality traits, and psychopathological symptomatology. The lifetime histories of suicidal ideation and attempts, and gambling preferences, were assessed during semi-structured face-to-face clinical interviews. Of the total sample, 229 patients (26. 6%) reported suicidal ideation and 74 patients (6. 7%), suicide attempts. The likelihood of presenting suicidal ideation was higher for women than men, but no differences were observed based on gambling preference. Regarding suicide attempts, the odds were higher among women with non-strategic forms of gambling. Suicidal ideation and attempts were associated with higher GD severity, a worse psychopathological state and higher self-transcendence levels. In terms of treatment outcomes, neither gambling preference nor past suicidal behavior had an influence on dropouts and relapses. Nevertheless, female gender and a lack of family support constitute two good predictors of a worse treatment outcome.
Ayudas:	Agencia Estatal de Investigación RTI2018-101837-B-I00 Ministerio de Economía y Competitividad PI14/00290 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 (2017I067 and 2019I47), CIBER Fisiología Obesidad y Nutrición (CIBERobn) and CIBER Salud Mental (CIBERSAM), both of which are initiatives of ISCIII. We thank CERCA Programme / Generalitat de Catalunya for institutional support. Financial support was also received through the grant to conclude the doctoral thesis from the Research Commission of Bellvitge Campus, School of Medicine and Health Sciences, University of Barcelona
Derechos:	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.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Gambling disorder ; Gambling preference ; Gender ; Suicide ; Treatment outcome ; Humans ; Male ; Suicidal Ideation ; Personality ; Suicide, Attempted ; Gambling/epidemiology ; Adult ; Behavior, Addictive ; Female ; SDG 3 - Good Health and Well-being
Publicado en:	Journal of Psychiatric Research, Vol. 143 (2021) , p. 317-326, ISSN 1879-1379

DOI: 10.1016/j.jpsychires.2021.09.027
PMID: 34536663

10 p, 3.1 MB

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