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Title: Exploring the Association between Gambling-Related Offenses, Substance Use, Psychiatric Comorbidities, and Treatment Outcome
Author: Vintró Alcaraz, Cristina
Mestre Bach, Gemma
Granero, Roser
Caravaca, Elena
Gómez Peña, Mónica
Moragas, Laura
Baenas, Isabel
Del Pino Gutiérrez, Amparo
Valero Solís, Susana
Lara Huallipe, Milagros Lizbeth
Mora Maltas, Bernat
Valenciano Mendoza, Eduardo
Guillen Guzmán, Elías
Codina, Ester
Menchón Magriñá, José Manuel
Fernández Aranda, Fernando
Jiménez-Murcia, Susana
Keywords: Joc compulsiu
Compulsive gambling
Pathological psychology
Issue Date: 10-Aug-2022
Publisher: MDPI AG
Abstract: Several studies have explored the association between gambling disorder (GD) and gambling-related crimes. However, it is still unclear how the commission of these offenses influences treatment outcomes. In this longitudinal study we sought: (1) to explore sociodemographic and clinical differences (e.g., psychiatric comorbidities) between individuals with GD who had committed gambling-related illegal acts (differentiating into those who had had legal consequences (n = 31) and those who had not (n = 55)), and patients with GD who had not committed crimes (n = 85); and (2) to compare the treatment outcome of these three groups, considering dropouts and relapses. Several sociodemographic and clinical variables were assessed, including the presence of substance use, and comorbid mental disorders. Patients received 16 sessions of cognitive-behavioral therapy. Patients who reported an absence of gambling-related illegal behavior were older, and showed the lowest GD severity, the most functional psychopathological state, the lowest impulsivity levels, and a more adaptive personality profile. Patients who had committed offenses with legal consequences presented the highest risk of dropout and relapses, higher number of psychological symptoms, higher likelihood of any other mental disorders, and greater prevalence of tobacco and illegal drugs use. Our findings uphold that patients who have committed gambling-related offenses show a more complex clinical profile that may interfere with their adherence to treatment.
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It is part of: Journal of Clinical Medicine, 2022, vol. 11, num. 11, p. 4669
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ISSN: 2077-0383
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

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