Developmental trajectories of gambling severity after cognitive-behavioral therapy
Introduction Gambling disorder (GD) is characterized by repeated problematic gambling behavior associated with unsuccessful and uncontrollable urges to keep gambling, which leads to considerable distress and impairment. Several types of interventions exist to treat GD, with cognitive behavior thera...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S092493382200935X/type/journal_article |
| _version_ | 1797616750706032640 |
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| author | S. Jimenez-Murcia R. Granero F. Fernandez-Aranda |
| author_facet | S. Jimenez-Murcia R. Granero F. Fernandez-Aranda |
| author_sort | S. Jimenez-Murcia |
| collection | DOAJ |
| description |
Introduction
Gambling disorder (GD) is characterized by repeated problematic gambling behavior associated with unsuccessful and uncontrollable urges to keep gambling, which leads to considerable distress and impairment. Several types of interventions exist to treat GD, with cognitive behavior therapy (CBT) being one of the most widely used approaches.
Objectives
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. Psychopathology, personality traits, poor compliance and relapses discriminated between trajectories.
Conclusions
These results show that treatment seeking patients with GD are heterogeneous. In addition, the obtained findings could be useful in the design of more efficient interventions for this behavioral addiction. Funding oftained from RTI2018-101837B-I00
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:44:41Z |
| format | Article |
| id | doaj.art-e4c07e8d15444dffbda21e569b9b885c |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:44:41Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-e4c07e8d15444dffbda21e569b9b885c2023-11-17T05:07:50ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S368S36810.1192/j.eurpsy.2022.935Developmental trajectories of gambling severity after cognitive-behavioral therapyS. Jimenez-Murcia0R. Granero1F. Fernandez-Aranda2Bellvitge University Hospital-IDIBELL and CIBERobn, Psychiatry Department, Hospitalet del Llobregat, SpainAutonomous University of Barcelona, Department Of Psychobiology And Methodology, Bellaterra, SpainUniversity Hospital of Bellvitge-IDIBELL and CIBERobn, Department Of Psychiatry, Barcelona, Spain Introduction Gambling disorder (GD) is characterized by repeated problematic gambling behavior associated with unsuccessful and uncontrollable urges to keep gambling, which leads to considerable distress and impairment. Several types of interventions exist to treat GD, with cognitive behavior therapy (CBT) being one of the most widely used approaches. Objectives 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. Psychopathology, personality traits, poor compliance and relapses discriminated between trajectories. Conclusions These results show that treatment seeking patients with GD are heterogeneous. In addition, the obtained findings could be useful in the design of more efficient interventions for this behavioral addiction. Funding oftained from RTI2018-101837B-I00 Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382200935X/type/journal_articlepersonalitygamblingpredictorsPsychotherapy |
| spellingShingle | S. Jimenez-Murcia R. Granero F. Fernandez-Aranda Developmental trajectories of gambling severity after cognitive-behavioral therapy European Psychiatry personality gambling predictors Psychotherapy |
| title | Developmental trajectories of gambling severity after cognitive-behavioral therapy |
| title_full | Developmental trajectories of gambling severity after cognitive-behavioral therapy |
| title_fullStr | Developmental trajectories of gambling severity after cognitive-behavioral therapy |
| title_full_unstemmed | Developmental trajectories of gambling severity after cognitive-behavioral therapy |
| title_short | Developmental trajectories of gambling severity after cognitive-behavioral therapy |
| title_sort | developmental trajectories of gambling severity after cognitive behavioral therapy |
| topic | personality gambling predictors Psychotherapy |
| url | https://www.cambridge.org/core/product/identifier/S092493382200935X/type/journal_article |
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