Identifying Associated Factors for Illegal Acts among Patients with Gambling Disorder and ADHD

Vintró-Alcáraz, Cristina; Mestre‐Bach, Gemma; Granero, Roser; Cuquerella, Àngel; Talón-Navarro, María-Teresa; Valenciano‐Mendoza, Eduardo; Mora-Maltas, Bernat; Pino-Gutiérrez, Amparo del; Gómez-Peña, Mònica; Moragas, Laura; Fernández‐Aranda, Fernando; Codina, Ester; Valero-Solís, Susana; Guillén-Guzmán, Elías; Lara-Huallipe, Milagros Lizbeth; Solé-Morata, Neus; Jiménez‐Murcia, Susana

doi:10.1007/s10899-021-10082-7

Cited by 1 publication

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“…Regarding clinical features, patients who had not committed gambling-related illegal acts showed lower GD severity than those who had (with or without legal consequences). Previous studies also reported higher levels of GD severity in those patients who had committed gambling-related crimes [ 19 , 25 , 50 , 51 ]. These findings would lend support to the fact that illegal acts are a clear indicator of GD severity, rather than a diagnostic criterion per se [ 11 , 12 ], and that it is unlikely that an individual would commit illegal acts in the absence of other diagnostic criteria for GD [ 52 ].…”

Section: Discussionmentioning

confidence: 71%

“…Participants were classified into three different groups according to their criminal behavior: patients with no history of gambling-related illegal acts ( n = 85; Illegal−), patients with a history of gambling-related illegal acts without legal repercussions ( n = 55; Illegal + Cons−), and patients who had committed gambling-related illegal acts that had legal consequences ( n = 31; Illegal + Cons+). This classification has already been used in previous studies [ 25 ]. Only those patients who reported illegal acts on both DSM-IV-TR criterion 8 [ 26 ] and the clinical interview were included in the illegal acts groups.…”

Section: Methodsmentioning

confidence: 99%

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Exploring the Association between Gambling-Related Offenses, Substance Use, Psychiatric Comorbidities, and Treatment Outcome

Vintró-Alcáraz

Mestre‐Bach

Granero

et al. 2022

JCM

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Several studies have explored the association between gambling disorder (GD) and gambling-related crimes. However, it is still unclear how the commission of these offenses influences treatment outcomes. In this longitudinal study we sought: (1) to explore sociodemographic and clinical differences (e.g., psychiatric comorbidities) between individuals with GD who had committed gambling-related illegal acts (differentiating into those who had had legal consequences (n = 31) and those who had not (n = 55)), and patients with GD who had not committed crimes (n = 85); and (2) to compare the treatment outcome of these three groups, considering dropouts and relapses. Several sociodemographic and clinical variables were assessed, including the presence of substance use, and comorbid mental disorders. Patients received 16 sessions of cognitive-behavioral therapy. Patients who reported an absence of gambling-related illegal behavior were older, and showed the lowest GD severity, the most functional psychopathological state, the lowest impulsivity levels, and a more adaptive personality profile. Patients who had committed offenses with legal consequences presented the highest risk of dropout and relapses, higher number of psychological symptoms, higher likelihood of any other mental disorders, and greater prevalence of tobacco and illegal drugs use. Our findings uphold that patients who have committed gambling-related offenses show a more complex clinical profile that may interfere with their adherence to treatment.

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