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Title: Phenotypes in gambling disorder using sociodemographic and clinical clustering analysis: an unidentified new subtype?
Author: Jiménez-Murcia, Susana
Granero, Roser
Fernández Aranda, Fernando
Stinchfield, Randy
Tremblay, Joël
Steward, Trevor
Mestre-Bach, Gemma
Lozano-Madrid, María
Mena Moreno, Teresa
Mallorquí-Bagué, Núria
Perales Losa, Carlos
Navas, Juan F.
Soriano Mas, Carles
Aymamí, Maria Neus
Gómez-Peña, Mónica
Agüera, Zaida
Pino Gutiérrez, Amparo Del
Martín-Romera, Virginia
Menchón Magriñá, José Manuel
Keywords: Joc compulsiu
Compulsive gambling
Issue Date: 29-Mar-2019
Publisher: Frontiers Media
Abstract: Background: gambling disorder (GD) is a heterogeneous disorder which has clinical manifestations that vary according to variables in each individual. Considering the importance of the application of specific therapeutic interventions, it is essential to obtain clinical classifications based on differentiated phenotypes for patients diagnosed with GD. Objectives: to identify gambling profiles in a large clinical sample of n = 2,570 patients seeking treatment for GD. Methods: an agglomerative hierarchical clustering method defining a combination of the Schwarz Bayesian Information Criterion and log-likelihood was used, considering a large set of variables including sociodemographic, gambling, psychopathological, and personality measures as indicators. Results: three-mutually-exclusive groups were obtained. Cluster 1 (n = 908 participants, 35.5%), labeled as "high emotional distress," included the oldest patients with the longest illness duration, the highest GD severity, and the most severe levels of psychopathology. Cluster 2 (n = 1,555, 60.5%), labeled as "mild emotional distress," included patients with the lowest levels of GD severity and the lowest levels of psychopathology. Cluster 3 (n = 107, 4.2%), labeled as "moderate emotional distress," included the youngest patients with the shortest illness duration, the highest level of education and moderate levels of psychopathology. Conclusion: in this study, the general psychopathological state obtained the highest importance for clustering.
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It is part of: Frontiers In Psychiatry, 2019, vol. 10, p. 173
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ISSN: 1664-0640
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

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