Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles

Patients with gambling disorder (GD) frequently present other mental disorders, such as sub-stance use disorder (SUDs), attention deficit/hyperactivity disorder (ADHD), mood disorders, and impulse-control disorders. We propose that GD should not be conceptualized as a single nosological entity, but...

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Autores: Szerman N, Basurte-Villamor I, Vega P, Mesías B, Martínez-Raga J, Ferre F, Arango C
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p14320
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/14320
Access Level:acceso abierto
Palabra clave:Gambling disorder
Dual disorders
Mental disorders
Behavioral addiction
Attention deficit hyperactivity disorder
Impulsivity
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spelling Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profilesSzerman NBasurte-Villamor IVega PMesías BMartínez-Raga JFerre FArango CGambling disorderDual disordersMental disordersBehavioral addictionAttention deficit hyperactivity disorderImpulsivityPatients with gambling disorder (GD) frequently present other mental disorders, such as sub-stance use disorder (SUDs), attention deficit/hyperactivity disorder (ADHD), mood disorders, and impulse-control disorders. We propose that GD should not be conceptualized as a single nosological entity, but rather as a gambling dual disorder (GDD). This study aims to provide fur-ther evidence of the co-occurrence of GD and other mental disorders in routine clinical prac-tice and to identify different clinical profiles of severity. This descriptive, cross-sectional, and observational study included 116 patients with GD who were undergoing treatment in a special-ized center. The MULTICAGE-CAD 4 and South Oaks gambling screen questionnaires confirmed the presence of GD in 97.4% and 100% of the patients, respectively. Other addictive behaviors such as compulsive spending, Internet, video games, or SUD (59.5%, 27.6%, 11.2%, and 13.8%, respectively) were also identified. The most used substances were tobacco (42.2%) and alcohol (5.2%). Half of the patients suffered from ADHD, 30.2% showed moderate or severe depression, and 17.2% suffered from a social anxiety problem. The majority (76.7%) also presented a phe-notype with high impulsiveness. The cluster analysis identified two different clinical profiles of severity in patients with GDD. One profile showed higher severity of other mental disorders (ADHD, depression, anxiety, SUD, or insomnia), impulsivity, general psychopathological burden, and disability. In conclusion, our study provides further evidence on the co-occurrence of GD and other mental disorders supporting the GDD existence, shows impulsiveness as a vulnerabil-ity factor for GD, and identifies two clinical severity profiles.(c) 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)ELSEVIER2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/14320EUROPEAN NEUROPSYCHOPHARMACOLOGYISSN: 0924977XISSNe: 18737862reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p143202026-06-11T12:45:17Z
dc.title.none.fl_str_mv Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles
title Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles
spellingShingle Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles
Szerman N
Gambling disorder
Dual disorders
Mental disorders
Behavioral addiction
Attention deficit hyperactivity disorder
Impulsivity
title_short Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles
title_full Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles
title_fullStr Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles
title_full_unstemmed Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles
title_sort Is there such a thing as gambling dual disorder? Preliminary evidence and clinical profiles
dc.creator.none.fl_str_mv Szerman N
Basurte-Villamor I
Vega P
Mesías B
Martínez-Raga J
Ferre F
Arango C
author Szerman N
author_facet Szerman N
Basurte-Villamor I
Vega P
Mesías B
Martínez-Raga J
Ferre F
Arango C
author_role author
author2 Basurte-Villamor I
Vega P
Mesías B
Martínez-Raga J
Ferre F
Arango C
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Gambling disorder
Dual disorders
Mental disorders
Behavioral addiction
Attention deficit hyperactivity disorder
Impulsivity
topic Gambling disorder
Dual disorders
Mental disorders
Behavioral addiction
Attention deficit hyperactivity disorder
Impulsivity
description Patients with gambling disorder (GD) frequently present other mental disorders, such as sub-stance use disorder (SUDs), attention deficit/hyperactivity disorder (ADHD), mood disorders, and impulse-control disorders. We propose that GD should not be conceptualized as a single nosological entity, but rather as a gambling dual disorder (GDD). This study aims to provide fur-ther evidence of the co-occurrence of GD and other mental disorders in routine clinical prac-tice and to identify different clinical profiles of severity. This descriptive, cross-sectional, and observational study included 116 patients with GD who were undergoing treatment in a special-ized center. The MULTICAGE-CAD 4 and South Oaks gambling screen questionnaires confirmed the presence of GD in 97.4% and 100% of the patients, respectively. Other addictive behaviors such as compulsive spending, Internet, video games, or SUD (59.5%, 27.6%, 11.2%, and 13.8%, respectively) were also identified. The most used substances were tobacco (42.2%) and alcohol (5.2%). Half of the patients suffered from ADHD, 30.2% showed moderate or severe depression, and 17.2% suffered from a social anxiety problem. The majority (76.7%) also presented a phe-notype with high impulsiveness. The cluster analysis identified two different clinical profiles of severity in patients with GDD. One profile showed higher severity of other mental disorders (ADHD, depression, anxiety, SUD, or insomnia), impulsivity, general psychopathological burden, and disability. In conclusion, our study provides further evidence on the co-occurrence of GD and other mental disorders supporting the GDD existence, shows impulsiveness as a vulnerabil-ity factor for GD, and identifies two clinical severity profiles.(c) 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
publishDate 2023
dc.date.none.fl_str_mv 2023
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://fisabio.portalinvestigacion.com/publicaciones/14320
url https://fisabio.portalinvestigacion.com/publicaciones/14320
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv EUROPEAN NEUROPSYCHOPHARMACOLOGY
ISSN: 0924977X
ISSNe: 18737862
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
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