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Title: Developmental trajectories of gambling severity after cognitive-behavioral therapy
Author: Jiménez-Murcia, Susana
Granero, Roser
Fernández Aranda, Fernando
Aymamí, Maria Neus
Gómez-Peña, Mónica
Mestre-Bach, Gemma
Steward, Trevor
Pino Gutiérrez, Amparo Del
Mena Moreno, Teresa
Vintró Alcaraz, Cristina
Agüera, Zaida
Sánchez González, Jéssica
Moragas, Laura
Codina Lletjós, Ester
Menchón Magriñá, José Manuel
Keywords: Joc compulsiu
Compulsive gambling
Pathological psychology
Issue Date: 1-Aug-2019
Publisher: Cambridge University Press
Abstract: 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, psychopatho- logical state and personality traits. These results could be useful in developing more efficient interventions for GD patients.
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It is part of: European Psychiatry, 2019, vol. 60, p. 28-40
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ISSN: 0924-9338
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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