Sertraline Treatment of Pathological Gambling

Sáiz-Ruiz, Jerónimo; Blanco, Carlos; Ibáñez, Ángela; Masramon, Xavier; Gómez, Margarita Gómez; Madrigal, María; Díez, Teresa

doi:10.4088/jcp.v66n0104

Cited by 240 publications

(76 citation statements)

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“…Possibly the specific sequence in sequential treatment is crucial. As in cognitive behavior therapy for anxiety disorders [36], CT utilizes cognitive interventions with specific attention to rehearsal of skills in multiple contexts to try to achieve long-lasting effects. One of these contexts in CT could be essential, e.g.…”

Section: Discussionmentioning

confidence: 99%

Continuation and Maintenance Use of Antidepressants in Recurrent Depression

Bockting

Doesschate

Spijker

et al. 2007

Psychother Psychosom

108

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Background: Maintenance antidepressant (AD) medication is the most commonly used preventive strategy in a highly recurrent disease, i.e. depression. Little is known about the discontinuation of maintenance AD use and the association with recurrence in daily clinical practice. The purpose was to examine the discontinuation rate of maintenance AD in daily clinical practice in recurrently depressed patients and the associated risk of recurrence. Methods: Prospectively AD maintenance medication and recurrence were examined in 172 euthymic patients with recurrent depression. AD user profiles before recurrence (nonusers, intermittent users, continuous users) were examined and related to recurrence over a 2-year follow-up period. Results: Less than half of the patients (42%) used AD continuously. Taking into account the minimal required adequate used dosage (≧20 mg fluoxetine equivalent), only 26% of the patients used AD as recommended by international guidelines. Despite continuous use of AD, 60.4% relapsed in 2 years. This relapse rate was comparable to the rate of the intermittent users (63.6%). In patients who stopped taking AD after remission and who received additional preventive CT, the recurrence rates were significantly lower than in non-AD-using patients treated with usual care (8 vs. 46%). Conclusions: The majority of recurrently depressed patients treated with AD discontinue maintenance AD therapy in daily primary and secondary clinical practice. AD seems to offer poor protection against relapse in this patient group. Patients who stopped using AD experienced less relapse, especially if they were treated with preventive CT. Alternative maintenance treatments (including preventive cognitive therapy after discontinuation of AD) should be studied in recurrently depressed patients with intermittent good remission, not only in secondary but also in primary care.

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Section: Discussionmentioning

confidence: 99%

Continuation and Maintenance Use of Antidepressants in Recurrent Depression

Bockting

Doesschate

Spijker

et al. 2007

Psychother Psychosom

108

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“…Unlike in a previous study [5], we examined QoL outcomes in patients refractory to medication-based treatment. Hence, cognitive behavior therapy emerges as a cost-effective way of improving patient outcomes for patients who have not adequately responded to medication [see also [18, 19]. …”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Treatment Outcome in Panic Disorder: Cognitive Behavior Group Therapy Effects in Patients Refractory to Medication Treatment

Heldt

Blaya

Isolan

et al. 2006

Psychother Psychosom

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Background: Improvements in quality of life (QoL) as well as symptomatic relief are important outcomes for the treatment of panic disorder (PD). The aim of this study is to assess the impact of brief cognitive behavior group therapy (CBGT) for panic disorder on QoL and to identify the clinical features associated with these changes. Methods: Thirty-six patients with PD refractory to pharmacological treatment took part in a treatment protocol consisting of 12 sessions of CBGT. To evaluate the changes in QoL, the WHOQOL-bref was administered before and after treatment. Results: Thirty-two patients completed the treatment. Significant improvement in all domains of QoL was observed (p< 0.001), which was associated with reductions in general and anticipatory anxiety (p = 0.018) and agoraphobic avoidance (p = 0.046). Consistent with previous findings, associations between QoL and panic-free status did not reach significance in this small study (p = 0.094). Conclusions: CBGT was efficacious in the treatment of PD; the symptoms of anticipatory anxiety and avoidance appear to be more important than episodic panic episodes in affecting QoL.

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“…Others have investigated the effectiveness of various prevention (Ferland et al, 2005) and treatment (Dannon et al, 2005;Saiz-Ruiz et al, 2005) programs. One potential risk factor for problematic gambling is alcohol use, but past studies of this relationship have not addressed the potential endogeneity of alcohol use in the gambling equations and/or had minimal generalizability.…”

Section: Introductionmentioning

confidence: 99%

Drinkers and bettors: Investigating the complementarity of alcohol consumption and problem gambling

French

Maclean

Ettner³

2008

Drug and Alcohol Dependence

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Regulated gambling is a multi-billion dollar industry in the United States with greater than 100 percent increases in revenue over the past decade. Along with this rise in gambling popularity and gaming options comes an increased risk of addiction and the associated social costs. This paper focuses on the effect of alcohol use on gambling-related problems. Variables correlated with both alcohol use and gambling may be difficult to observe, and the inability to include these items in empirical models may bias coefficient estimates. After addressing the endogeneity of alcohol use when appropriate, we find strong evidence that problematic gambling and alcohol consumption are complementary activities.

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Sertraline Treatment of Pathological Gambling

Cited by 240 publications

References 0 publications

Continuation and Maintenance Use of Antidepressants in Recurrent Depression

Continuation and Maintenance Use of Antidepressants in Recurrent Depression

Quality of Life and Treatment Outcome in Panic Disorder: Cognitive Behavior Group Therapy Effects in Patients Refractory to Medication Treatment

Drinkers and bettors: Investigating the complementarity of alcohol consumption and problem gambling

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