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 tr...

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Detalles Bibliográficos
Autores: Jiménez Murcia, Susana|||0000-0002-3596-8033, Granero, Roser|||0000-0001-6308-3198, Fernández Aranda, Fernando|||0000-0002-2968-9898, Aymamí, Neus|||0000-0002-4607-9565, Gomez-Peña, Monica|||0000-0001-6194-8266, Mestre-Bach, Gemma|||0000-0001-5345-0484, Steward, Trevor|||0000-0003-3116-8175, Del Pino Gutiérrez, Amparo|||0000-0002-2854-9850, Mena Moreno, Teresa|||0000-0003-4172-9714, Vintró Alcaraz, Cristina|||0000-0001-9453-8810, Agüera, Zaida|||0000-0003-4453-4939, Sánchez González, Jéssica|||0000-0002-9327-0100, Moragas, Laura|||0000-0001-5235-7026, Codina, Ester|||0000-0002-0848-0614, Menchón Magriñá, José Manuel|||0000-0002-6231-6524
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:301769
Acceso en línea:https://ddd.uab.cat/record/301769
https://dx.doi.org/urn:doi:10.1016/j.eurpsy.2019.04.001
Access Level:acceso abierto
Palabra clave:Developmental trajectories
Gambling disorder
Personality
Psychopathology
Severity
Treatment
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, psychopathological state and personality traits. These results could be useful in developing more efficient interventions for GD patients.