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Gambling disorder and problematic pornography use : does co-occurrence influence treatment outcome?
Mestre-Bach, Gemma (Universidad Internacional de La Rioja)
Potenza, Marc N. (Yale University School of Medicine)
Granero, Roser (Hospital Universitari de Bellvitge)
Håkansson, Anders (Malmö Addiction Center)
Gomez-Peña, Monica (Hospital Universitari de Bellvitge)
Perales, Iván (Hospital Universitari de Bellvitge)
Vicó, Àngela (Hospital Universitari de Bellvitge)
Uríszar, Juan Carlos (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Instituto de Salud Carlos III)
Sánchez, Isabel (Hospital Universitari de Bellvitge)
Jiménez-Murcia, Susana (Instituto de Salud Carlos III)
Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut

Imprint: Akademiai Kiado, 2025
Description: 15 pàg.
Abstract: BACKGROUND AND AIMS: Gambling disorder (GD) is a behavioral addiction often co-occurring with various mental health concerns, such as problematic pornography use (PPU). The specific impact of the co-occurrence of GD and PPU on treatment outcome remains underexplored. This study aimed to compare the treatment outcomes of individuals actively receiving treatment for GD (n = 172; 3. 49% females), distinguishing between those without PPU (n = 146) and those with co-occurring GD and PPU (n = 26). METHODS: Cognitive-behavioral therapy (CBT) was administered in 16 weekly sessions, with assessments of GD severity, impulsivity, emotion regulation, psychopathology, and personality. Dropout, relapses, number of sessions attended, number of relapses, and amount of money spent during relapses were assessed as the main treatment outcomes. RESULTS: Patients with co-occurring GD and PPU showed greater GD severity, psychopathology, impulsivity, and difficulties in emotional regulation compared to those with GD and without PPU. Moreover, the presence of PPU appeared to be mainly associated with higher likelihood of treatment dropout, and, consequently, fewer CBT sessions attended. DISCUSSION AND CONCLUSIONS: It is important to evaluate GD/PPU co-occurrence and strengthen the CBT approach for GD patients with PPU by using supplementary strategies to improve treatment adherence.
Grants: Agencia Estatal de Investigación PID2021-124887OB-I00
Instituto de Salud Carlos III DTS22/00072
European Commission 101080219
Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00824
Instituto de Salud Carlos III FORT23/00032
Note: Altres ajuts: This work was supported by the ITEI B23010 project (Universidad Internacional de La Rioja). We thank CERCA Programme/Generalitat de Catalunya for guarante institutional support. This manuscript and research was supported by grants from Plan Nacional sobre Drogas Convocatoria de subvenciones para proyectos de investigación financiados con fondos europeos 2022 (EXP2022/ 008847) and cofounded by FEDER (funds/European Regional Development Fund (ERDF), a way to build Europe). CIBERObn is an initiative of ISCIII. RG is supported by the Catalan Institution for Research and Advanced Studies (ICREA-Academia, 2021Programme). FFA is supported by the Catalan Institution for Research and Advanced Studies (ICREA-Academia, 2024- Programme).
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, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. Creative Commons
Language: Anglès
Document: Article ; recerca ; Versió publicada
Subject: Gambling disorder ; Problematic pornography use ; Addictive behaviors ; Impulsive behaviors ; Compulsive behaviors ; Treatment outcome ; Dropout ; Relapse ; Recovery
Published in: Journal of behavioral addictions, Vol. 14 Num. 1 (2025) , p. 465-479, ISSN 2063-5303

DOI: 10.1556/2006.2025.00023
PMID: 40116860


15 p, 749.1 KB

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Articles > Research articles
Articles > Published articles

 Record created 2025-03-25, last modified 2025-10-29



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