Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder?
Background and aims: Numerous studies point to the comorbidity between gambling disorder (GD) and attention deficit hyperactivity disorder (ADHD). However, there is a lack of research exploring how ADHD symptoms might influence psychological treatment outcomes for GD. Therefore, we aimed to explore...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Comprehensive Psychiatry |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X23000706 |
| _version_ | 1797398710838099968 |
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| author | Cristina Vintró-Alcaraz Gemma Mestre-Bach Roser Granero Mónica Gómez-Peña Laura Moragas Fernando Fernández-Aranda Marc N. Potenza Susana Jiménez-Murcia |
| author_facet | Cristina Vintró-Alcaraz Gemma Mestre-Bach Roser Granero Mónica Gómez-Peña Laura Moragas Fernando Fernández-Aranda Marc N. Potenza Susana Jiménez-Murcia |
| author_sort | Cristina Vintró-Alcaraz |
| collection | DOAJ |
| description | Background and aims: Numerous studies point to the comorbidity between gambling disorder (GD) and attention deficit hyperactivity disorder (ADHD). However, there is a lack of research exploring how ADHD symptoms might influence psychological treatment outcomes for GD. Therefore, we aimed to explore differences between patients with GD with and without self-reported ADHD symptoms regarding psychopathology, personality, sociodemographic and treatment outcome measures. Method: This longitudinal study included 170 patients with GD receiving cognitive behavioral therapy. Multiple self-reported instruments were used to assess clinical variables and sociodemographic measures prior to treatment. Results: A clinical profile characterized by greater GD severity, higher psychopathology and impulsivity, and less adaptive personality features was observed in patients with self-reported ADHD symptoms compared to those without. No significant differences in treatment response (measured by dropout and relapse rates) were observed between the two groups. However, patients with self-reported ADHD symptoms experienced more severe relapses (i.e., gambled more money) and GD patients who relapsed scored higher on measures of ADHD, particularly inattention. Conclusion: Individuals with GD and self-reported symptoms of ADHD may experience more severe relapses following treatment, suggesting a need for more vigilant follow-up and interventions for patients with this comorbidity. |
| first_indexed | 2024-03-09T01:29:25Z |
| format | Article |
| id | doaj.art-760a370521094c2c91a2c0b69eeb6525 |
| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-03-09T01:29:25Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Comprehensive Psychiatry |
| spelling | doaj.art-760a370521094c2c91a2c0b69eeb65252023-12-10T06:13:35ZengElsevierComprehensive Psychiatry0010-440X2024-01-01128152433Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder?Cristina Vintró-Alcaraz0Gemma Mestre-Bach1Roser Granero2Mónica Gómez-Peña3Laura Moragas4Fernando Fernández-Aranda5Marc N. Potenza6Susana Jiménez-Murcia7Department of Clinical Psychology, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Psychiatry and Mental Health Group, Neuroscience Program, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, L'Hospitalet de Llobregat, Spain; Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, SpainInstituto de Transferencia e Investigación, Universidad Internacional de La Rioja, La Rioja, SpainPsychiatry and Mental Health Group, Neuroscience Program, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, L'Hospitalet de Llobregat, Spain; Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain; Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Barcelona, SpainDepartment of Clinical Psychology, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Psychiatry and Mental Health Group, Neuroscience Program, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, L'Hospitalet de Llobregat, SpainDepartment of Clinical Psychology, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Psychiatry and Mental Health Group, Neuroscience Program, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, L'Hospitalet de Llobregat, SpainDepartment of Clinical Psychology, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Psychiatry and Mental Health Group, Neuroscience Program, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, L'Hospitalet de Llobregat, Spain; Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain; Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, SpainYale University School of Medicine, Department of Psychiatry, New Haven, CT, USA; Yale University School of Medicine, Department of Neuroscience, New Haven, CT, USA; Yale University School of Medicine, Yale Child Study Center, New Haven, CT, USA; Yale University School of Medicine, The National Center on Addiction and Substance Abuse, New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USADepartment of Clinical Psychology, Bellvitge University Hospital-IDIBELL, Barcelona, Spain; Psychiatry and Mental Health Group, Neuroscience Program, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, L'Hospitalet de Llobregat, Spain; Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain; Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain; Corresponding author at: Department of Psychiatry, Bellvitge University Hospital-IDIBELL and CIBERObn, c/Feixa Llarga s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain.Background and aims: Numerous studies point to the comorbidity between gambling disorder (GD) and attention deficit hyperactivity disorder (ADHD). However, there is a lack of research exploring how ADHD symptoms might influence psychological treatment outcomes for GD. Therefore, we aimed to explore differences between patients with GD with and without self-reported ADHD symptoms regarding psychopathology, personality, sociodemographic and treatment outcome measures. Method: This longitudinal study included 170 patients with GD receiving cognitive behavioral therapy. Multiple self-reported instruments were used to assess clinical variables and sociodemographic measures prior to treatment. Results: A clinical profile characterized by greater GD severity, higher psychopathology and impulsivity, and less adaptive personality features was observed in patients with self-reported ADHD symptoms compared to those without. No significant differences in treatment response (measured by dropout and relapse rates) were observed between the two groups. However, patients with self-reported ADHD symptoms experienced more severe relapses (i.e., gambled more money) and GD patients who relapsed scored higher on measures of ADHD, particularly inattention. Conclusion: Individuals with GD and self-reported symptoms of ADHD may experience more severe relapses following treatment, suggesting a need for more vigilant follow-up and interventions for patients with this comorbidity.http://www.sciencedirect.com/science/article/pii/S0010440X23000706Addictive behaviorsGambling disorderADHDImpulsivityCognitive-behavioral therapyRelapse |
| spellingShingle | Cristina Vintró-Alcaraz Gemma Mestre-Bach Roser Granero Mónica Gómez-Peña Laura Moragas Fernando Fernández-Aranda Marc N. Potenza Susana Jiménez-Murcia Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder? Comprehensive Psychiatry Addictive behaviors Gambling disorder ADHD Impulsivity Cognitive-behavioral therapy Relapse |
| title | Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder? |
| title_full | Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder? |
| title_fullStr | Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder? |
| title_full_unstemmed | Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder? |
| title_short | Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder? |
| title_sort | do attention deficit hyperactivity symptoms influence treatment outcome in gambling disorder |
| topic | Addictive behaviors Gambling disorder ADHD Impulsivity Cognitive-behavioral therapy Relapse |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X23000706 |
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