The Prevalence and features of schizophrenia among individuals with gambling disorder
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Fernández Aranda, Fernando (Instituto de Salud Carlos III)
Del Pino Gutiérrez, Amparo (Hospital Universitari de Bellvitge)
Etxandi, Mikel (Hospital Universitari de Bellvitge)
Baenas Soto, Isabel Maria (Instituto de Salud Carlos III)
Gomez-Peña, Monica (Hospital Universitari de Bellvitge)
Moragas, Laura (Hospital Universitari de Bellvitge)
Valenciano-Mendoza, Eduardo (Hospital Universitari de Bellvitge)
Mora-Maltas, Bernat (Hospital Universitari de Bellvitge)
Valero-Solís, Susana (Hospital Universitari de Bellvitge)
Codina, Ester (Hospital Universitari de Bellvitge)
Guillén Guzman, Elias (Hospital Clínic i Provincial de Barcelona)
Lara-Huallipe, Milagros Lizbeth (Hospital Universitari de Bellvitge)
Caravaca, Elena (Hospital Universitari de Bellvitge)
Mestre-Bach, Gemma (Instituto de Salud Carlos III)
Menchón Magriñá, José Manuel (Hospital Universitari de Bellvitge)
Jiménez-Murcia, Susana (Instituto de Salud Carlos III)

Date:	2021
Description:	10 pàg.
Abstract:	Background-objectives: Few studies have analyzed the comorbid presence of gambling disorder (GD) with schizophrenia, its sociodemographic correlates and clinical implications. This study estimated the prevalence of the dual diagnosis (GD with schizophrenia) and the differences in the profiles of patients with and without the dual condition. Method: The sample included n = 3,754 patients consecutively accepted for treatment for GD. Sociodemographics, gambling-related variables, psychopathological state and personality traits were assessed and compared between the groups. Results: The prevalence of schizophrenia within patients who met clinical criteria for GD was 4. 4% (95% confidence interval: 3. 8%-5. 1%). Variables related to the dual presence of GD with schizophrenia were single marital status, lower education level, inactive working status, socioeconomic disadvantage, younger age, earlier onset of gambling problems, worse global psychopathological state and more dysfunctional personality profile (higher level in harm avoidance and lower level in cooperativeness, reward dependence, persistence and self-directedness). Conclusion: The presence of schizophrenia among patients with GD was around 4 times higher than the prevalence rate estimated in the reference general population. The differences in the profiles of GD patients with and without schizophrenia suggest that individuals with the dual diagnosis condition require unique assessment considerations and tailored treatment interventions specifically designed for the clinical and functioning higher risk.
Grants:	Agencia Estatal de Investigación RTI2018-101837-B-I00 Ministerio de Economía y Competitividad PI14/00290 Instituto de Salud Carlos III PI17/01167
Note:	Altres ajuts: The research was also funded by the Delegacion ' del Gobierno para el Plan Nacional sobre Drogas (projects 2017I067 and 2019I47). CIBERobn and CIBERSAM are both initiatives of ISCIII. Support was received from the Secretariat for Universities and Research of the Ministry of Business and Knowledge of the Government of Catalonia. We thank CERCA Programme/Generalitat de Catalunya for institutional support.
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:	Gambling disorder ; Personality ; Psychopathology ; Schizophrenia ; Prevalence ; Humans ; Gambling/epidemiology ; Schizophrenia/epidemiology ; Personality Disorders ; SDG 3 - Good Health and Well-being
Published in:	Journal of Psychiatric Research, Vol. 136 (2021) , p. 374-383, ISSN 1879-1379

DOI: 10.1016/j.jpsychires.2021.02.025
PMID: 33639330

10 p, 1.6 MB

The record appears in these collections:
Articles > Research articles
Articles > Published articles