Pathological gambling

There is little available information on the factors that influence relapses and dropouts during therapy for pathological gambling (PG). The aim of this study was to determine socio-demographic, clinical, personality, and psychopathological predictors of relapse and dropout in a sample of pathologic...

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Detalles Bibliográficos
Autores: Aragay Vicente, Núria|||0000-0002-0082-0303, Jiménez Murcia, Susana|||0000-0002-3596-8033, Granero, Roser|||0000-0001-6308-3198, Fernández Aranda, Fernando|||0000-0002-2968-9898, Ramos Grille, Irene|||0000-0003-3150-9697, Cardona, Sara, Garrido García, Gemma|||0000-0003-0411-5756, Islam, Mohammed Anisul|||0000-0001-7240-2971, Menchón Magriñá, José Manuel|||0000-0002-6231-6524, Vallès, Vicenç|||0000-0003-3170-4353
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:319869
Acceso en línea:https://ddd.uab.cat/record/319869
https://dx.doi.org/urn:doi:10.1016/j.comppsych.2014.10.009
Access Level:acceso abierto
Palabra clave:Pathological gambling
Cognitive-behavioral treatment
Descripción
Sumario:There is little available information on the factors that influence relapses and dropouts during therapy for pathological gambling (PG). The aim of this study was to determine socio-demographic, clinical, personality, and psychopathological predictors of relapse and dropout in a sample of pathological gamblers seeking treatment. A total of 566 consecutive outpatients diagnosed with PG according to DSM-IV-TR criteria were included. All patients underwent an individualized cognitive-behavioral treatment program. We analyzed predictors of relapse during 6 months of treatment and during the subsequent 6 months of follow-up, and predictors of dropout over the entire therapeutic program. Eighty patients (14.1%) experienced at least one relapse during the entire follow-up of the study: 50 (8.8%) within the treatment period and 12 (2.1%) during the subsequent 6-month follow-up period. The main predictors of relapse were single marital status, spending less than 100 euros/week on gambling, active gambling behavior at treatment inclusion, and high scores on the TCI-R Harm Avoidance personality dimension. One hundred fifty-seven patients (27.8%) missed 3 or more therapeutic sessions over the entire therapeutic program. The main predictors of dropout were single marital status, younger age, and high scores on the TCI-R Novelty Seeking personality dimension. The presence of these factors at inclusion should be taken into account by physicians dealing with PG patients.

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