Pathological gambling in a psychiatric sample

Aragay, Núria; Roca, A.; García, B.; Marqueta, Cristina; Guijarro, Silvina; Delgado, Luisa E.; Garolera, Maite; Alberni, Joan; Vallès, Vicenç

doi:10.1016/j.comppsych.2011.02.004

Cited by 30 publications

(32 citation statements)

References 26 publications

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“…As described above, most patients with this diagnosis were male and in employment, and their main gambling problem was the use of slot machines [4,32,33,34]. Individuals attending treatment were found to present significant psychological problems and psychopathological symptoms (obtained from the SCL-90-R), corroborating previous studies which have found a strong relationship between GD and emotional impairment [35,36,37,38,39,40]. This study found that CBT group therapy significantly reduced the levels of psychopathology and the severity of the gambling behavior.…”

Section: Discussionsupporting

confidence: 76%

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

et al. 2015

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Aims: The aim of this study was to evaluate posttreatment changes of individuals with a diagnosis of gambling disorder (GD) treated with group cognitive behavioral therapy (CBT), to assess the potential moderator effect of sex on CBT outcome, and to explore the best predictors of posttreatment changes, relapse, and dropout rates. Methods: A cohort design was applied with a prospective follow-up. The sample comprised 440 patients and the CBT intervention consisted of 16 weekly outpatient group sessions and a 3-month follow-up period. Results: Patients showed significant improvements in both the level of psychopathology and the severity of the gambling behavior. High self-transcendence and the involvement of the spouse or partner in the therapy predicted a higher risk of relapse. Younger age and low education predicted a higher risk of dropout. Conclusion: Many patients with GD can be treated with strategies to improve self-control and emotional regulation, but other techniques should be incorporated to address the individual characteristics of each patient. This is particularly important in group therapy, in which the same treatment is applied to several patients simultaneously. The involvement of a family member needs to be carefully considered since it may have a negative effect on the response to treatment if not adequately managed.

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Section: Discussionsupporting

confidence: 76%

Predictors of Outcome among Pathological Gamblers Receiving Cognitive Behavioral Group Therapy

et al. 2015

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“…Another study, in this case, carried out with psychiatric inpatients, GD prevalence was found to be 9% and only one patient had an eating disorder associated with GD (Aragay et al, 2012). Despite the low comorbidity between the two conditions, results radically differ when the gender is considered.…”

Section: Introductionmentioning

confidence: 65%

Food Addiction in Gambling Disorder: Frequency and Clinical Outcomes

et al. 2017

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Background: The food addiction (FA) model is receiving increasing interest from the scientific community. Available empirical evidence suggests that this condition may play an important role in the development and course of physical and mental health conditions such as obesity, eating disorders, and other addictive behaviors. However, no epidemiological data exist on the comorbidity of FA and gambling disorder (GD), or on the phenotype for the co-occurrence of GD+FA.Objectives: To determine the frequency of the comorbid condition GD+FA, to assess whether this comorbidity features a unique clinical profile compared to GD without FA, and to generate predictive models for the presence of FA in a GD sample.Method: Data correspond to N = 458 treatment-seeking patients who met criteria for GD in a hospital unit specialized in behavioral addictions.Results: Point prevalence for FA diagnosis was 9.2%. A higher ratio of FA was found in women (30.5%) compared to men (6.0%). Lower FA prevalence was associated with older age. Patients with high FA scores were characterized by worse psychological state, and the risk of a FA diagnosis was increased in patients with high scores in the personality traits harm avoidance and self-transcendence, and low scores in cooperativeness (R2 = 0.18).Conclusion: The co-occurrence of FA in treatment-seeking GD patients is related to poorer emotional and psychological states. GD treatment interventions and related behavioral addictions should consider potential associations with problematic eating behavior and aim to include techniques that aid patients in better managing this behavior.

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“…As hypothesized, individuals with GD and SA obtained higher scores on all the SCL-90-R scales than healthy controls, with the exception of the somatization, phobic anxiety and paranoid ideation scales, where no significant differences were found. Several studies show that GD is generally associated with significant psychiatric comorbidity [58][59][60][61][62] and a positive relationship has been found between the presence of comorbidities (especially mood and anxiety problems) and disorder onset [63] and severity [64]. Similarly, previous studies observed that gambling is used to regulate negative emotions associated with life-events, distress and frustrations [65,66].…”

Section: Discussionmentioning

confidence: 96%