Gambling disorder and problematic pornography use

BACKGROUND AND AIMS: Gambling disorder (GD) is a behavioral addiction often co-occurring with various mental health concerns, such as problematic pornography use (PPU). The specific impact of the co-occurrence of GD and PPU on treatment outcome remains underexplored. This study aimed to compare the...

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Detalles Bibliográficos
Autores: Mestre-Bach, Gemma|||0000-0001-5345-0484, Potenza, Marc N.|||0000-0002-6323-1354, Granero, Roser|||0000-0001-6308-3198, Håkansson, Anders|||0000-0002-5800-8975, Gomez-Peña, Monica|||0000-0001-6194-8266, Perales, Iván|||0000-0001-6799-6373, Vicó, Àngela, Uríszar, Juan Carlos|||0000-0002-1265-8809, Fernández Aranda, Fernando|||0000-0002-2968-9898, Sánchez Díaz, Isabel María|||0000-0001-5874-8204, Jiménez Murcia, Susana|||0000-0002-3596-8033
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:310048
Acceso en línea:https://ddd.uab.cat/record/310048
https://dx.doi.org/urn:doi:10.1556/2006.2025.00023
Access Level:acceso abierto
Palabra clave:Gambling disorder
Problematic pornography use
Addictive behaviors
Impulsive behaviors
Compulsive behaviors
Treatment outcome
Dropout
Relapse
Recovery
Descripción
Sumario:BACKGROUND AND AIMS: Gambling disorder (GD) is a behavioral addiction often co-occurring with various mental health concerns, such as problematic pornography use (PPU). The specific impact of the co-occurrence of GD and PPU on treatment outcome remains underexplored. This study aimed to compare the treatment outcomes of individuals actively receiving treatment for GD (n = 172; 3.49% females), distinguishing between those without PPU (n = 146) and those with co-occurring GD and PPU (n = 26). METHODS: Cognitive-behavioral therapy (CBT) was administered in 16 weekly sessions, with assessments of GD severity, impulsivity, emotion regulation, psychopathology, and personality. Dropout, relapses, number of sessions attended, number of relapses, and amount of money spent during relapses were assessed as the main treatment outcomes. RESULTS: Patients with co-occurring GD and PPU showed greater GD severity, psychopathology, impulsivity, and difficulties in emotional regulation compared to those with GD and without PPU. Moreover, the presence of PPU appeared to be mainly associated with higher likelihood of treatment dropout, and, consequently, fewer CBT sessions attended. DISCUSSION AND CONCLUSIONS: It is important to evaluate GD/PPU co-occurrence and strengthen the CBT approach for GD patients with PPU by using supplementary strategies to improve treatment adherence.

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