Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study

Background and Aims: COVID-19 pandemic and confinement have represented a challenge for patients with gambling disorder (GD). Regarding treatment outcome, dropout may have been influenced by these adverse circumstances. The aims of this study were: (a) to analyze treatment dropout rates in patients...

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Autores: Baenas, Isabel, Etxandi, Mikel, Codina Lletjós, Ester, Granero, Roser, Fernández Aranda, Fernando, Gómez Peña, Mónica, Moragas, Laura, Rivas Pérez, Sandra, Potenza, Marc N., Håkansson, Anders, Del Pino Gutiérrez, Amparo, Mora Maltas, Bernat, Valenciano Mendoza, Eduardo, Menchón Magriñá, José Manuel, Jiménez-Murcia, Susana
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/182996
Acesso em linha:https://hdl.handle.net/2445/182996
Access Level:acceso abierto
Palavra-chave:Confinament (Emergència sanitària)
Joc compulsiu
Confinement (Sanitary emergency)
Compulsive gambling
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spelling Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational StudyBaenas, IsabelEtxandi, MikelCodina Lletjós, EsterGranero, RoserFernández Aranda, FernandoGómez Peña, MónicaMoragas, LauraRivas Pérez, SandraPotenza, Marc N.Håkansson, AndersDel Pino Gutiérrez, AmparoMora Maltas, BernatValenciano Mendoza, EduardoMenchón Magriñá, José ManuelJiménez-Murcia, SusanaConfinament (Emergència sanitària)Joc compulsiuConfinement (Sanitary emergency)Compulsive gamblingBackground and Aims: COVID-19 pandemic and confinement have represented a challenge for patients with gambling disorder (GD). Regarding treatment outcome, dropout may have been influenced by these adverse circumstances. The aims of this study were: (a) to analyze treatment dropout rates in patients with GD throughout two periods: during and after the lockdown and (b) to assess clinical features that could represent vulnerability factors for treatment dropout. Methods: The sample consisted of n=86 adults, mostly men (n=79, 91.9%) and with a mean age of 45years old (SD=16.85). Patients were diagnosed with GD according to DSM-5 criteria and were undergoing therapy at a Behavioral Addiction Unit when confinement started. Clinical data were collected through a semi-structured interview and protocolized psychometric assessment. A brief telephone survey related to COVID-19 concerns was also administered at the beginning of the lockdown. Dropout data were evaluated at two moments throughout a nine-month observational period (T1: during the lockdown, and T2: after the lockdown). Results: The risk of dropout during the complete observational period was R=32/86=0.372 (37.2%), the Incidence Density Rate (IDR) ratio T2/T1 being equal to 0.052/0.033=1.60 (p=0.252). Shorter treatment duration (p=0.007), lower anxiety (p=0.025), depressive symptoms (p=0.045) and lower use of adaptive coping strategies (p=0.046) characterized patients who abandoned treatment during the lockdown. Briefer duration of treatment Baenas et al. Lockdown and GD: Treatment Dropout Frontiers in Psychology | www.frontiersin.org 2 December 2021 | Volume 12 | Article 761802 (p=0.001) and higher employment concerns (p=0.044) were highlighted in the individuals who dropped out after the lockdown. Treatment duration was a predictor of dropout in both periods (p=0.005 and p<0.001, respectively). Conclusion: The present results suggest an impact of the COVID-19 pandemic on treatment dropout among patients with GD during and after the lockdown, being treatment duration a predictor of dropout. Assessing vulnerability features in GD may help clinicians identify high-risk individuals and enhance prevention and treatment approaches in future similar situations.Frontiers Media2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/182996Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3389/fpsyg.2021.761802Frontiers in Psychology, 2021, vol. 12https://doi.org/10.3389/fpsyg.2021.761802cc-by (c) Baenas, Isabel et al., 2021https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1829962026-05-27T06:46:51Z
dc.title.none.fl_str_mv Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
title Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
spellingShingle Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
Baenas, Isabel
Confinament (Emergència sanitària)
Joc compulsiu
Confinement (Sanitary emergency)
Compulsive gambling
title_short Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
title_full Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
title_fullStr Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
title_full_unstemmed Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
title_sort Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
dc.creator.none.fl_str_mv Baenas, Isabel
Etxandi, Mikel
Codina Lletjós, Ester
Granero, Roser
Fernández Aranda, Fernando
Gómez Peña, Mónica
Moragas, Laura
Rivas Pérez, Sandra
Potenza, Marc N.
Håkansson, Anders
Del Pino Gutiérrez, Amparo
Mora Maltas, Bernat
Valenciano Mendoza, Eduardo
Menchón Magriñá, José Manuel
Jiménez-Murcia, Susana
author Baenas, Isabel
author_facet Baenas, Isabel
Etxandi, Mikel
Codina Lletjós, Ester
Granero, Roser
Fernández Aranda, Fernando
Gómez Peña, Mónica
Moragas, Laura
Rivas Pérez, Sandra
Potenza, Marc N.
Håkansson, Anders
Del Pino Gutiérrez, Amparo
Mora Maltas, Bernat
Valenciano Mendoza, Eduardo
Menchón Magriñá, José Manuel
Jiménez-Murcia, Susana
author_role author
author2 Etxandi, Mikel
Codina Lletjós, Ester
Granero, Roser
Fernández Aranda, Fernando
Gómez Peña, Mónica
Moragas, Laura
Rivas Pérez, Sandra
Potenza, Marc N.
Håkansson, Anders
Del Pino Gutiérrez, Amparo
Mora Maltas, Bernat
Valenciano Mendoza, Eduardo
Menchón Magriñá, José Manuel
Jiménez-Murcia, Susana
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Confinament (Emergència sanitària)
Joc compulsiu
Confinement (Sanitary emergency)
Compulsive gambling
topic Confinament (Emergència sanitària)
Joc compulsiu
Confinement (Sanitary emergency)
Compulsive gambling
description Background and Aims: COVID-19 pandemic and confinement have represented a challenge for patients with gambling disorder (GD). Regarding treatment outcome, dropout may have been influenced by these adverse circumstances. The aims of this study were: (a) to analyze treatment dropout rates in patients with GD throughout two periods: during and after the lockdown and (b) to assess clinical features that could represent vulnerability factors for treatment dropout. Methods: The sample consisted of n=86 adults, mostly men (n=79, 91.9%) and with a mean age of 45years old (SD=16.85). Patients were diagnosed with GD according to DSM-5 criteria and were undergoing therapy at a Behavioral Addiction Unit when confinement started. Clinical data were collected through a semi-structured interview and protocolized psychometric assessment. A brief telephone survey related to COVID-19 concerns was also administered at the beginning of the lockdown. Dropout data were evaluated at two moments throughout a nine-month observational period (T1: during the lockdown, and T2: after the lockdown). Results: The risk of dropout during the complete observational period was R=32/86=0.372 (37.2%), the Incidence Density Rate (IDR) ratio T2/T1 being equal to 0.052/0.033=1.60 (p=0.252). Shorter treatment duration (p=0.007), lower anxiety (p=0.025), depressive symptoms (p=0.045) and lower use of adaptive coping strategies (p=0.046) characterized patients who abandoned treatment during the lockdown. Briefer duration of treatment Baenas et al. Lockdown and GD: Treatment Dropout Frontiers in Psychology | www.frontiersin.org 2 December 2021 | Volume 12 | Article 761802 (p=0.001) and higher employment concerns (p=0.044) were highlighted in the individuals who dropped out after the lockdown. Treatment duration was a predictor of dropout in both periods (p=0.005 and p<0.001, respectively). Conclusion: The present results suggest an impact of the COVID-19 pandemic on treatment dropout among patients with GD during and after the lockdown, being treatment duration a predictor of dropout. Assessing vulnerability features in GD may help clinicians identify high-risk individuals and enhance prevention and treatment approaches in future similar situations.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/182996
url https://hdl.handle.net/2445/182996
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/fpsyg.2021.761802
Frontiers in Psychology, 2021, vol. 12
https://doi.org/10.3389/fpsyg.2021.761802
dc.rights.none.fl_str_mv cc-by (c) Baenas, Isabel et al., 2021
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Baenas, Isabel et al., 2021
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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