Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/185035
Title: | Delay Discounting in Gambling Disorder: Implications in Treatment Outcome |
Author: | Mena Moreno, Teresa Testa, Giulia Mestre Bach, Gemma Miranda Olivos, Romina Granero, Roser Fernández Aranda, Fernando Menchón Magriñá, José Manuel Jiménez-Murcia, Susana |
Keywords: | Joc compulsiu Terapèutica Compulsive gambling Therapeutics |
Issue Date: | 14-Mar-2022 |
Publisher: | MDPI |
Abstract: | Impulsive choice, measured by delay discounting (DD) tasks, has been shown in patients with gambling disorders (GD). However, the impact of DD and treatment outcome has been scarcely explored in GD patients. The aims of this study were: (1) to examine the baseline association between DD and clinical variables in GD patients depending on their age and gambling preferences (strategic vs. non-strategic); and (2) to estimate the predictive role of DD on poorer outcomes of cognitive-behavioral therapy (CBT) when considering also the effect of other clinical variables. 133 treatment-seeking male GD patients were evaluated at baseline with a DD task and measures of GD severity, personality traits and psychopathology. Treatment outcome was measured in terms of dropout from CBT and relapses. Results showed baseline associations between DD and GD severity (correlation coefficient R = 0.408 among strategic gamblers and R = 0.279 among mixed gamblers) and between DD and positive/negative urgency (R = 0.330 for the youngest patients, R = 0.244 for middle age, and around R = 0.35 for gamblers who reported preferences for strategic games). Other personality traits such as high harm avoidance and low cooperativeness were also related to DD at baseline (R = 0.606 among strategic gamblers). Regarding treatment outcome, a steeper discount rate predicted a higher risk of relapses in strategic gamblers (odds ratio OR = 3.01) and middle-age ones (OR = 1.59), and a higher risk of dropout in younger gamblers (OR = 1.89), non-strategic gamblers (OR = 1.70) and mixed gamblers (R = 4.74). GD severity mediated the associations between age, DD, personality traits and poor CBT outcome. In conclusion, impulsive choice affects treatment response in individuals with GD and may interfere with it to a significant extent. Considering DD in GD, patients seeking treatment could help control its impact on treatment adherence and relapses. |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/jcm11061611 |
It is part of: | Journal of Clinical Medicine, 2022, vol. 11, num. 6 |
URI: | http://hdl.handle.net/2445/185035 |
Related resource: | https://doi.org/10.3390/jcm11061611 |
ISSN: | 2077-0383 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
jcm-11-01611-v2.pdf | 1.26 MB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License