Prevalencia del juego patológico en el alcoholismo : un estudio exploratorio

Abstract

En este estudio se lleva a cabo un análisis de la prevalencia del juego patológico en 50 alcohólicos que acuden en busca de tratamiento. Para ello, se utilizaron los criterios diagnósticos del DSM-IV-TR para el juego patológico y el Cuestionario de Juego Patológico de South Oaks (SOGS). Los resultados obtenidos mostraron que el 20% de los alcohólicos de la muestra presentaba un diagnóstico comórbido de ludopatía. Además, un 12% adicional obtenía una puntuación en el SOGS indicadora de juego problemá-tico. En suma, el 32% de la muestra presentaba síntomas de juego clínicamente significativos. La comparación entre los alcohólicos con y sin ludopatía asociada mostró diferencias significativas en las variables relacionadas con el consumo de alcohol, que eran más altas en la submuestra de alcohólicos ludópatas, pero no en la sintomatología psicopatológica evaluada con el SCL-90-R, Se comentan las implicaciones de este estudio para la práctica clínica y la investigación futura.Palabras-clave: Juego patológico, alcoholismo, comorbilidad, evaluación. Prevalence of pathological gambling in tbe alcoholism: An explomtory studyIn this paper, the prevalence of pathological gambling in 50 treatment-seeking alcoholics was estimated. The DSM-IV-TR diagnosis criteria for pathological gambling and the Spanish versión of the South Oaks Gambling Screen (SOGS) were used. Results showed a rate of 20% of alcoholics with a comorbid diagnosis of pathological gambling. Furthermore, an additional 12% of the alcoholic sample had relevant symptoms for problem gambling. In sum, the 32% of the sample reported clinically significant gambling-related symptoms. Comparison between alcoholics with and without pathological gambling showed significant differences in alcohol variables, which were higher in gambling sample. However there were no significant differences between groups in the psychopathological symptoms assessed with the SCL-90-R. Implications of these results for further research and clinical practice are commented upon.

Prevalence of pathological gambling in treatment-seeking addicted patients: an exploratory study with the South Oaks Gambling Screen

“…As in previous studies (Cunningham-Williams et al, 2000;Daghestani et al, 1996;Fernández-Montalvo et al, 2005;Langenbucher et al, 2001;Lesieur et al, 1986;Orford et al, 2003;Rodríguez-Martos, 1989;Sellman et al, 2002;Welte et al, 2004), pathological gambling has a higher presence among addicted patients than in the general population (about 2% in epidemiologic studies). In summary, results of this study show that 22.3% of the sample presented an associated problem of pathological gambling (23.4% of alcoholics and 19.3% of cocaine addicts).…”

“…In these cases, the treatment of drug addiction may exacerbate the problems of pathological gambling presented by the patient or precipitate a relapse in drug consumption once abstinence is achieved. Therefore, some authors have suggested the possibility of a combined treatment for drug dependence and pathological gambling for this type of patient, with the aim of preventing the development of an eventual substitute dependence (Daghestani et al 1996;Fernández-Montalvo et al, 2005;Rodríguez-Martos, 1989).…”

“…However, to date, only a few studies have been carried out on the prevalence of pathological gambling among drug abusers, most of them in the field of alcoholism. The results of these studies with alcoholics show a high rate of comorbidity between the two disorders, with rates of pathological gambling ranging from 8% to 33% (Daghestani, Elenz & Crayton, 1996;Fernández-Montalvo, Landa & López-Goñi, 2005;Lesieur, Blume & Zoppa, 1986;Rodriguez-Martos, 1989;Sanchez & Rodriguez, 2006;Sellman Adamson, Robertson, Sullivan & Coverdale, 2002;Welte, Barnes, Wieczorek & Tidwell, 2004). The prevalence rate of pathological gambling in the general population is approximately 2% (Becoña, 1996;Becoña, Míguez & Vázquez, 2001;Bland, anales de psicología, 2012, vol.…”

“…This highlights the need to assess pathological gambling comorbidity among alcoholics seeking treatment in a clinical setting. In this regard, although not accepted by all researchers, it is important to note that the treatment of one addictive behaviour can generate or increase the involvement of the patient in another addiction to replace the treated one (substitute dependence) (Daghestani et al 1996;Fernández-Montalvo et al, 2005).…”

Editorial: Technological addictions: The rise of social networks / Adicciones tecnológicas: El auge de las redes sociales

“…Desde la legalización del juego en nuestro país en el año 1977, ha aumentado significativamente la demanda de tratamientos por ludopatía y el ascenso sigue en claro crecimiento (Fernández-Montalvo, López-Goñi y Arteaga, 2013;Mazón y Chóliz, 2012;Valdés, 2004). A nivel internacional son muchas las publicaciones que abordan la adicción al juego (Goudriaan, 2013;Griffiths, 2007;Holtgraves, 2009;Oxford, 2010).…”