Suicidal behavior in patients with gambling disorder and their response to psychological treatment: The roles of gender and gambling preference

Valenciano‐Mendoza, Eduardo; Fernández‐Aranda, Fernando; Granero, Roser; Gómez-Peña, Mònica; Moragas, Laura; Pino-Gutiérrez, Amparo del; Mora-Maltas, Bernat; Baenas, Isabel; Guillén-Guzmán, Elías; Valero-Solís, Susana; Lara-Huallipe, Milagros Lizbeth; Codina, Ester; Mestre‐Bach, Gemma; Etxandi, Mikel; Menchón, José M.; Jiménez‐Murcia, Susana

doi:10.1016/j.jpsychires.2021.09.027

Cited by 6 publications

(13 citation statements)

References 53 publications

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“…Regarding the reliability of the CBT program employed in this research, previous studies have shown the short-and medium-term effectiveness, including samples of women meeting clinical criteria for GD [73,74] and BSD [75].…”

Section: Cbt Programmentioning

confidence: 99%

Latent Classes for the Treatment Outcomes in Women with Gambling Disorder and Buying/Shopping Disorder

Granero

Fernández‐Aranda²,

Lara-Huallipe³

et al. 2022

JCM

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Background: The risk for behavioral addictions is rising among women within the general population and in clinical settings. However, few studies have assessed treatment effectiveness in females. The aim of this work was to explore latent empirical classes of women with gambling disorder (GD) and buying/shopping disorder (BSD) based on the treatment outcome, as well as to identify predictors of the different empirical groups considering the sociodemographic and clinical profiles at baseline. Method: A clinical sample of n = 318 women seeking treatment for GD (n = 221) or BSD (n = 97) participated. Age was between 21 to 77 years. Results: The four latent-classes solution was the optimal classification in the study. Latent class 1 (LT1, good progression to recovery) grouped patients with the best CBT outcomes (lowest risk of dropout and relapses), and it was characterized by the healthiest psychological state at baseline, the lowest scores in harm avoidance and self-transcendence, and the highest scores in reward dependence, persistence, self-directedness and cooperativeness. Latent classes 3 (LT3, bad progression to drop-out) and 4 (LT4, bad progression to relapse) grouped women with the youngest mean age, earliest onset of the addictive behaviors, and worst psychological functioning. Conclusions: GD and BSD are complex conditions with multiple interactive causes and impacts, which need wide and flexible treatment plans. Specific interventions should be designed according to the specific profiles of women for achieving early inclusion, retention and well-maintained long-term effects.

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Section: Cbt Programmentioning

confidence: 99%

Latent Classes for the Treatment Outcomes in Women with Gambling Disorder and Buying/Shopping Disorder

Granero

Fernández‐Aranda²,

Lara-Huallipe³

et al. 2022

JCM

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“…Accordingly, the research team a priori planned to conduct two sets of meta-analyses for these studies, of which the first set was based on unadjusted estimates only and the second set was based on adjusted effect sizes in which the effect sizes adjusted for the largest number of variables by the individual study was included. Moreover, seven studies that compared individuals with and without gambling problems (Cunningham-Williams et al, 2007;Feigelman et al, 2006;Haydock et al, 2015;Jolly et al, 2021;Jones et al, 2015;Manning et al, 2015;Valenciano-Mendoza, Fernández-Aranda, Granero, Go ´mez-Peña, Moragas, Mora-Maltas, et al, 2021) included individuals with other mental health disorders (e.g., substance use disorders) as a contrast. To reduce heterogeneity, the research team chose to not include these effect sizes in the quantitative analyses on comparisons but to include these in separate meta-analyses because most studies providing comparisons employed nonclinical samples from the general population as contrasts.…”

Section: Meta-analytic Strategymentioning

confidence: 99%

Suicidality among individuals with gambling problems: A meta-analytic literature review.

Kristensen,

Pallesen,

Bauer

et al. 2024

Psychological Bulletin

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Gambling problems have consistently been linked to suicidality, including suicidal ideation, attempts, and suicide. However, the magnitude of the relationship has varied significantly across studies and the potential causal link between gambling problems and suicidality is currently unclear. A meta-analytic literature review was conducted to (a) synthesize pooled prevalence rates of suicidality among individuals with gambling problems; (b) determine if individuals with gambling problems had an increased likelihood of reporting suicidality compared to individuals without gambling problems; and (c) review evidence on causality and directionality. A search in Web of Science, APA PsycInfo, APA PsycNet, Medline, CINAHL, ProQuest, Embase, and Google Scholar electronic databases identified 107 unique studies (N = 4,691,899) that were included for review. Studies were included if they were available in any European language and provided sufficient data for the calculation of prevalence rates or effect sizes. Two researchers extracted the data independently using a predefined coding schema that included the Newcastle-Ottawa Quality Assessment Scale. Random-effects meta-analyses yielded pooled prevalence rates of 31.6% (95% CI [29.1%, 34.3%]) for lifetime suicidal ideation and 13.2% (95% CI [11.3%, 15.5%]) for lifetime suicide attempts. Individuals with gambling problems had significantly increased odds of reporting lifetime suicidal ideation (OR = 2.17, 95% CI [1.90, 2.48]) and lifetime suicide attempts (OR = 2.81, 95% CI [2.23, 3.54]) compared to individuals without gambling problems. Two studies reported that individuals with pathological gambling had an increased risk of dying by suicide. Metaregression analyses suggested that the risk of study bias was positively related to the prevalence rates of suicidal ideation. Sex proportions were found to moderate the odds of suicidal ideation, but the direction of the effect was inconsistent. For suicide attempts, psychiatric comorbidity and sample size were positively and inversely, respectively, associated with prevalence rates. The synthesis indicates that suicidality is common among individuals with gambling problems and hence should be addressed by help agencies. Inferences on causality and directionality are hampered by a lack of longitudinal studies. Public Significance StatementThis meta-analytic literature review of 107 studies shows that lifetime suicidal ideation and suicide attempt(s) are commonly reported among individuals with gambling problems and that individuals with gambling problems have an increased likelihood of reporting lifetime suicidal ideation, suicide attempt(s), and dying by suicide compared to the general population. The observed increased likelihood of suicidality should be noted and addressed by help agencies and policymakers. Little is known about the directionality and mechanisms underlying this relationship, which needs to be investigated in future high-quality longitudinal research.

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“…On the other hand, some studies noted that all non-completers in a residential treatment for GD were male [26]. Finally, other studies observed that female gender was associated with higher treatment dropout rates for GD [36,37]. Therefore, some authors highlighted that being female may be a vulnerability factor for poor treatment outcome [36].…”

Section: Sociodemographic Features and Dropoutmentioning

confidence: 99%

“…Single marital status appears to be one of the most significant predictors of dropout in GD treatment [22], although other studies have not found a significant relationship between civil status and dropout in GD [38]. In GD, it has been reported that poor family support has been closely associated with dropout [36]. Considering the participation of spouses of individuals with GD in treatment sessions, Brown [40] noted that of the dropout group, fewer spouses had attended Gam-Anon sessions.…”

Section: Sociodemographic Features and Dropoutmentioning

confidence: 99%

Features Linked to Treatment Outcomes in Behavioral Addictions and Related Disorders

Mestre‐Bach

Potenza

2023

IJERPH

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Behavioral addictions are incompletely understood with respect to their underlying etiologies. This incomplete understanding may contribute to the frequent relapse and dropout rate often observed with behavioral addictions. The present state-of-the-art review aimed to review the literature that explored sociodemographic and clinical factors that link to poor treatment responses. Despite multiple studies, the definitions and evaluations of relapse and dropout are heterogeneous, complicating comparisons across studies. A scientific consensus on the conceptualization of both terms would help to better understand psychological features linked to treatment outcomes in behavioral addictions.

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Suicidal behavior in patients with gambling disorder and their response to psychological treatment: The roles of gender and gambling preference

Cited by 6 publications

References 53 publications

Latent Classes for the Treatment Outcomes in Women with Gambling Disorder and Buying/Shopping Disorder

Latent Classes for the Treatment Outcomes in Women with Gambling Disorder and Buying/Shopping Disorder

Suicidality among individuals with gambling problems: A meta-analytic literature review.

Features Linked to Treatment Outcomes in Behavioral Addictions and Related Disorders

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