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Title: | The prevalence and features of schizophrenia among individuals with gambling disorder |
Author: | Granero, Roser Fernández Aranda, Fernando Del Pino Gutiérrez, Amparo Etxandi, Mikel Baenas, Isabel Gómez-Peña, Mónica Moragas, Laura Valenciano-Mendoza, Eduardo Mora-Maltas, Bernat Valero-Solís, Susana Codina Lletjós, Ester Guillén Guzmán, Elías Lara Huallipe, Milagros Lizbeth Caravaca, Elena Mestre-Bach, Gemma Menchón Magriñá, José Manuel Jiménez-Murcia, Susana |
Keywords: | Esquizofrènia Joc compulsiu Psicopatologia Trastorns de la personalitat Schizophrenia Compulsive gambling Pathological psychology Personality disorders |
Issue Date: | 1-Apr-2021 |
Publisher: | Elsevier Ltd |
Abstract: | Background-objectives: Few studies have analyzed the comorbid presence of gambling disorder (GD) with schizophrenia, its sociodemographic correlates and clinical implications. This study estimated the prevalence of the dual diagnosis (GD with schizophrenia) and the differences in the profiles of patients with and without the dual condition. Method: The sample included n = 3,754 patients consecutively accepted for treatment for GD. Sociodemographics, gambling-related variables, psychopathological state and personality traits were assessed and compared between the groups. Results: The prevalence of schizophrenia within patients who met clinical criteria for GD was 4.4% (95% confidence interval: 3.8%-5.1%). Variables related to the dual presence of GD with schizophrenia were single marital status, lower education level, inactive working status, socioeconomic disadvantage, younger age, earlier onset of gambling problems, worse global psychopathological state and more dysfunctional personality profile (higher level in harm avoidance and lower level in cooperativeness, reward dependence, persistence and selfdirectedness). Conclusion: The presence of schizophrenia among patients with GD was around 4 times higher than the prevalence rate estimated in the reference general population. The differences in the profiles of GD patients with and without schizophrenia suggest that individuals with the dual diagnosis condition require unique assessment considerations and tailored treatment interventions specifically designed for the clinical and functioning higher risk. |
Note: | Reproducció del document publicat a: https://doi.org/10.1016/j.jpsychires.2021.02.025 |
It is part of: | Journal of Psychiatric Research, 2021, vol. 136, p. 374-383 |
URI: | http://hdl.handle.net/2445/184114 |
Related resource: | https://doi.org/10.1016/j.jpsychires.2021.02.025 |
ISSN: | 0022-3956 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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