Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder?
Vintró Alcaraz, Cristina (Hospital Universitari de Bellvitge)
Mestre-Bach, Gemma (Universidad Internacional de La Rioja)
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)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Potenza, Marc N. (Yale University. Department of Psychiatry)
Jiménez Murcia, Susana (Hospital Universitari de Bellvitge)

Date:	2024
Description:	8 pàg.
Abstract:	Background and aims: Numerous studies point to the comorbidity between gambling disorder (GD) and attention deficit hyperactivity disorder (ADHD). However, there is a lack of research exploring how ADHD symptoms might influence psychological treatment outcomes for GD. Therefore, we aimed to explore differences between patients with GD with and without self-reported ADHD symptoms regarding psychopathology, personality, sociodemographic and treatment outcome measures. Method: This longitudinal study included 170 patients with GD receiving cognitive behavioral therapy. Multiple self-reported instruments were used to assess clinical variables and sociodemographic measures prior to treatment. Results: A clinical profile characterized by greater GD severity, higher psychopathology and impulsivity, and less adaptive personality features was observed in patients with self-reported ADHD symptoms compared to those without. No significant differences in treatment response (measured by dropout and relapse rates) were observed between the two groups. However, patients with self-reported ADHD symptoms experienced more severe relapses (i. e. , gambled more money) and GD patients who relapsed scored higher on measures of ADHD, particularly inattention. Conclusion: Individuals with GD and self-reported symptoms of ADHD may experience more severe relapses following treatment, suggesting a need for more vigilant follow-up and interventions for patients with this comorbidity.
Grants:	Agencia Estatal de Investigación RTI2018-101837-B-I00 Instituto de Salud Carlos III PI17/01167 Instituto de Salud Carlos III PI20/00132
Note:	Altres ajuts: We thank CERCA Programme/Generalitat de Catalunya for institutional support. The research was funded by the Delegación del Gobierno para el Plan Nacional sobre Drogas (2017I067 and 2019I47), and cofunded by FEDER funds/European Regional Development Fund (ERDF), a way to build Europe. CIBEROBN is an initiative of ISCIII. This study was also supported by the ITEI B23-010 project (Universidad Internacional de La Rioja). Dr. Potenza's involvement was supported by the Connecticut Council on Problem Gambling
Rights:	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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Addictive behaviors ; Gambling disorder ; ADHD ; Impulsivity ; Cognitive-behavioral therapy ; Relapse
Published in:	Comprehensive Psychiatry, Vol. 128 (2024) , p. 152433, ISSN 1532-8384

DOI: 10.1016/j.comppsych.2023.152433
PMID: 37924691

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