Developmental trajectories of gambling severity after cognitive-behavioral therapy

Aims: To estimate trajectories of the gambling disorder (GD) severity for 12 months following a manualized cognitive-behavior-therapy (CBT) program, and to identify the main variables associated with each trajectory. Methods: Latent Class Growth Analysis examined the longitudinal changes of n = 603...

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Detalles Bibliográficos
Autores: Jiménez-Murcia, Susana, Granero, Roser, Fernández Aranda, Fernando, Aymamí, Maria Neus, Gómez-Peña, Mónica, Mestre-Bach, Gemma, Steward, Trevor, Del Pino Gutiérrez, Amparo, Mena Moreno, Teresa, Vintró Alcaraz, Cristina, Agüera, Zaida, Sánchez González, Jéssica, Moragas, Laura, Codina Lletjós, Ester, Menchón Magriñá, José Manuel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/171542
Acceso en línea:https://hdl.handle.net/2445/171542
Access Level:acceso abierto
Palabra clave:Joc compulsiu
Psicopatologia
Compulsive gambling
Pathological psychology
Descripción
Sumario:Aims: To estimate trajectories of the gambling disorder (GD) severity for 12 months following a manualized cognitive-behavior-therapy (CBT) program, and to identify the main variables associated with each trajectory. Methods: Latent Class Growth Analysis examined the longitudinal changes of n = 603 treatment-seeking patients with GD. Results: Five separate empirical trajectories were identified: T1 (n = 383, 63.5%) was characterized by the most highest baseline gambling severity levels and positive progress to recovery during the follow-up period; T2 (n = 154, 25.5%) featured participants with high baseline gambling severity and good progress to recovery; T3 (n = 30, 5.0%) was made up of patients with high gambling baseline severity and slow progress to recovery; T4 (n = 13, 2.2%) and T5 (n = 23, 3.8%) contained participants with high baseline gambling severity and moderate (T4) and poor (T5) progress in GD severity during the follow-up. Psychopathological state and personality traits discriminated between trajectories. Poor compliance with the therapy guidelines and the presence of relapses also differed between the trajectories. Conclusions: Our findings show that patients seeking treatment for GD are heterogeneous and that trends in progress following treatment can be identified considering sociodemographic features, psychopatho- logical state and personality traits. These results could be useful in developing more efficient interventions for GD patients.

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