A Cross-Sectional Study of Problem and Pathological Gambling in Patients With Schizophrenia/Schizoaffective Disorder

Desai, Rani A.; Potenza, Marc N.

doi:10.4088/jcp.m04359

Cited by 51 publications

(46 citation statements)

References 28 publications

(39 reference statements)

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“…Approximately 10-18% of individuals with schizophrenia exhibit maladaptive gambling behavior (Cunningham-Williams, Cottler, Compton, & Spitznagel, 1998;Desai & Potenza, 2009). This compares with a prevalence estimate of less than 1% (UK) to 2.5% (US and Canada) for problem gambling in the general population (Chou & Afifi, 2011;Wardle et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…In turn, obscured risk perception (i.e., (judgement bias) increases the risk of gambling-related losses/debts and associated anxietyinduced acute psychotic episodes (Borras & Haguelet, 2007). Furthermore, dysphoric mood states associated with schizophrenia tend to fuel addictive behaviors due to the individual engaging maladaptive avoidance strategies (Desai & Potenza, 2009). In fact, individuals with a dual diagnosis of schizophrenia and pathological gambling are more likely to utilize outpatient services, derive reduced gains from dedicated schizophrenia treatments, and are at increased risk for relapse or premature therapy termination (Echeburúaa et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Cognitive Behavioral Therapy (CBT) and Meditation Awareness Training (MAT) for the Treatment of Co-occurring Schizophrenia and Pathological Gambling: A Case Study

Shonin

Gordon²,

Griffiths

2013

Int J Ment Health Addiction

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There is a paucity of interventional approaches that are sensitive to the complex needs of individuals with co-occurring schizophrenia and pathological gambling. Utilizing a singleparticipant design, this study conducted the first clinical evaluation of a novel and integrated non-pharmacological treatment for a participant with dual-diagnosis schizophrenia and pathological gambling. The participant underwent a 20-week treatment course comprising: (i) an initial phase of second-wave cognitive behavioral therapy (CBT), and (ii) a subsequent phase employing a meditation-based recovery model (involving the administering of an intervention known as Meditation Awareness Training). The primary outcome was diagnostic change (based on DSM-IV-TR criteria) for schizophrenia and pathological gambling. Secondary outcomes were: (i) psychiatric symptom severity, (ii) pathological gambling symptom severity, (iii) psychosocial functioning, and (iv) dispositional mindfulness. Findings demonstrated that the participant was successfully treated for both schizophrenia and pathological gambling. Significant improvements were also observed across all other outcome variables and positive outcomes were maintained at three-month follow-up. An initial phase of CBT to improve social coping skills and environmental mastery, followed by a phase of meditation-based therapy to increase perceptual distance from mental urges and intrusive thoughts, may be a diagnostically-syntonic treatment for co-occurring schizophrenia and pathological gambling.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cognitive Behavioral Therapy (CBT) and Meditation Awareness Training (MAT) for the Treatment of Co-occurring Schizophrenia and Pathological Gambling: A Case Study

Shonin

Gordon²,

Griffiths

2013

Int J Ment Health Addiction

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“…There are few published studies on the comorbidity of psychosis and problem gambling. [4][5][6] This study adds to the existing literature and involves psychotic patients living in rural and remote areas. The 1-year prevalence of gambling problems in this sample of rural community-dwelling patients with schizophrenia and related disorders (5%) corresponds to that reported in Italy (4.7%).…”

Section: Discussionmentioning

confidence: 99%

“…There is a need for further research on gambling problems in patients with psychotic disorders in rural Greece and elsewhere. Gambling problems have been associated with alcohol and/or substance abuse, [4][5][6] and such abuse has been associated with treatment disengagement. 1 Taken together, these findings may suggest that some psychotic patients with gambling problems may not be in contact with our service, and this could have biased the results of our study toward lower rates.…”

Section: Discussionmentioning

confidence: 99%

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Gambling Problems in Patients with Psychotic Disorders in Rural Greece

Peritogiannis¹,

Gioti²,

Gogou³

2020

JNRP

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There is a dearth of studies on gambling problems in patients with psychotic disorders. A retrospective chart review of treatment-engaged rural patients was performed. From a total of 79 patients that were included in the study, 6 had a history of gambling problems, whereas the 1-year prevalence was 5%. Most were male and they underreported their problems. The results of the study correspond to other studies that used more rigorous methodology. Gambling problems in psychotic patients in rural Greece are not uncommon. Such problems can be traced by gathering information from all those who are involved in patients’ care.

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Problem and Pathological Gambling in Schizophrenia: Exploring Links with Substance Use and Impulsivity

2018

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High rates of both problem and pathological gambling (PPG) and substance-use disorders (SUDs) have been reported in schizophrenia, and yet PPG frequently goes undetected in clinical practice and unexamined in research. Here, we aimed to examine the relationship between PPG and SUDs in a large sample of patients across several factors related to both gambling and substance use, including poly-substance use. Additionally, delay discounting is a form of impulsivity known to positively associate with both PPG and SUDs and thought to underlie mechanisms of addiction in both contexts. We aimed to investigate the relationship between PPG and delay discounting in schizophrenia. 337 individuals with schizophrenia completed structured face-to-face interviews regarding gambling behaviors, substance use, and delay discounting. PPG in schizophrenia was associated with substance use, in particular with poly-substance use, and with delay discounting among males. Factors related to substance use were strongly linked with gambling in this sample, but not always with PPG more than recreational gambling. Our findings overall support the notions that multiple forms of gambling in schizophrenia are clinically relevant, that gambling may share common substrates with substance use, and that delay discounting represents a potential mechanism of this association in males.

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A Cross-Sectional Study of Problem and Pathological Gambling in Patients With Schizophrenia/Schizoaffective Disorder

Abstract: Background-Community data suggest frequent co-occurrence between schizophrenia/ schizoaffective disorder and problem gambling. However, gambling behaviors in large samples of patients with schizophrenia/schizoaffective disorder have not been systematically examined to date.

Cited by 51 publications

References 28 publications

Cognitive Behavioral Therapy (CBT) and Meditation Awareness Training (MAT) for the Treatment of Co-occurring Schizophrenia and Pathological Gambling: A Case Study

Cognitive Behavioral Therapy (CBT) and Meditation Awareness Training (MAT) for the Treatment of Co-occurring Schizophrenia and Pathological Gambling: A Case Study

Gambling Problems in Patients with Psychotic Disorders in Rural Greece

Problem and Pathological Gambling in Schizophrenia: Exploring Links with Substance Use and Impulsivity

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