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Contribution of sex on the underlying mechanism of the gambling disorder severity

Significant increasing prevalences have been observed in gambling disorder (GD) in the last decades. This study analyzed the underlying mechanisms of the gambling severity with path analysis (implemented through Structural Equation Modeling, SEM), and assessed the potential moderator effect of the p...

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Autores principales: Jiménez-Murcia, Susana, Granero, Roser, Giménez, Mónica, del Pino-Gutiérrez, Amparo, Mestre-Bach, Gemma, Mena-Moreno, Teresa, Moragas, Laura, Baño, Marta, Sánchez-González, Jéssica, de Gracia, Marta, Baenas-Soto, Isabel, Contaldo, S. Fabrizio, Valenciano-Mendoza, Eduardo, Mora-Maltas, Bernat, López-González, Hibai, Menchón, José M., Fernández-Aranda, Fernando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7599246/
https://www.ncbi.nlm.nih.gov/pubmed/33127941
http://dx.doi.org/10.1038/s41598-020-73806-6
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author Jiménez-Murcia, Susana
Granero, Roser
Giménez, Mónica
del Pino-Gutiérrez, Amparo
Mestre-Bach, Gemma
Mena-Moreno, Teresa
Moragas, Laura
Baño, Marta
Sánchez-González, Jéssica
de Gracia, Marta
Baenas-Soto, Isabel
Contaldo, S. Fabrizio
Valenciano-Mendoza, Eduardo
Mora-Maltas, Bernat
López-González, Hibai
Menchón, José M.
Fernández-Aranda, Fernando
author_facet Jiménez-Murcia, Susana
Granero, Roser
Giménez, Mónica
del Pino-Gutiérrez, Amparo
Mestre-Bach, Gemma
Mena-Moreno, Teresa
Moragas, Laura
Baño, Marta
Sánchez-González, Jéssica
de Gracia, Marta
Baenas-Soto, Isabel
Contaldo, S. Fabrizio
Valenciano-Mendoza, Eduardo
Mora-Maltas, Bernat
López-González, Hibai
Menchón, José M.
Fernández-Aranda, Fernando
author_sort Jiménez-Murcia, Susana
collection PubMed
description Significant increasing prevalences have been observed in gambling disorder (GD) in the last decades. This study analyzed the underlying mechanisms of the gambling severity with path analysis (implemented through Structural Equation Modeling, SEM), and assessed the potential moderator effect of the patients’ sex. A sample of n = 512 treatment-seeking patients was assessed for sociodemographics and clinical state previously to the treatment. Results obtained in two separate SEM (for men and women) revealed differences in the direct effects and the mediational links. Among the male subsample, higher GD severity was directly related to the higher cognitive bias and the younger age of onset of the problematic gambling, while impulsivity levels and age of onset achieved an indirect effect on the disordered gambling mediated by the cognitive bias. Among females, GD severity was directly increased by younger age of onset, higher cognitive bias and lower self-directedness, while lower socioeconomic positions, and higher levels in harm avoidance achieved an indirect effect on the gambling severity mediated also by the distortions related to the gambling activity. These results provide new empirical evidence for a better understanding of the GD etiology, suggesting that the underlying complex links mediating the GD severity are strongly related to the patients’ sex. The results can also contribute to design more effectiveness and precise therapy programs of patient-centered care.
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spelling pubmed-75992462020-11-03 Contribution of sex on the underlying mechanism of the gambling disorder severity Jiménez-Murcia, Susana Granero, Roser Giménez, Mónica del Pino-Gutiérrez, Amparo Mestre-Bach, Gemma Mena-Moreno, Teresa Moragas, Laura Baño, Marta Sánchez-González, Jéssica de Gracia, Marta Baenas-Soto, Isabel Contaldo, S. Fabrizio Valenciano-Mendoza, Eduardo Mora-Maltas, Bernat López-González, Hibai Menchón, José M. Fernández-Aranda, Fernando Sci Rep Article Significant increasing prevalences have been observed in gambling disorder (GD) in the last decades. This study analyzed the underlying mechanisms of the gambling severity with path analysis (implemented through Structural Equation Modeling, SEM), and assessed the potential moderator effect of the patients’ sex. A sample of n = 512 treatment-seeking patients was assessed for sociodemographics and clinical state previously to the treatment. Results obtained in two separate SEM (for men and women) revealed differences in the direct effects and the mediational links. Among the male subsample, higher GD severity was directly related to the higher cognitive bias and the younger age of onset of the problematic gambling, while impulsivity levels and age of onset achieved an indirect effect on the disordered gambling mediated by the cognitive bias. Among females, GD severity was directly increased by younger age of onset, higher cognitive bias and lower self-directedness, while lower socioeconomic positions, and higher levels in harm avoidance achieved an indirect effect on the gambling severity mediated also by the distortions related to the gambling activity. These results provide new empirical evidence for a better understanding of the GD etiology, suggesting that the underlying complex links mediating the GD severity are strongly related to the patients’ sex. The results can also contribute to design more effectiveness and precise therapy programs of patient-centered care. Nature Publishing Group UK 2020-10-30 /pmc/articles/PMC7599246/ /pubmed/33127941 http://dx.doi.org/10.1038/s41598-020-73806-6 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Jiménez-Murcia, Susana
Granero, Roser
Giménez, Mónica
del Pino-Gutiérrez, Amparo
Mestre-Bach, Gemma
Mena-Moreno, Teresa
Moragas, Laura
Baño, Marta
Sánchez-González, Jéssica
de Gracia, Marta
Baenas-Soto, Isabel
Contaldo, S. Fabrizio
Valenciano-Mendoza, Eduardo
Mora-Maltas, Bernat
López-González, Hibai
Menchón, José M.
Fernández-Aranda, Fernando
Contribution of sex on the underlying mechanism of the gambling disorder severity
title Contribution of sex on the underlying mechanism of the gambling disorder severity
title_full Contribution of sex on the underlying mechanism of the gambling disorder severity
title_fullStr Contribution of sex on the underlying mechanism of the gambling disorder severity
title_full_unstemmed Contribution of sex on the underlying mechanism of the gambling disorder severity
title_short Contribution of sex on the underlying mechanism of the gambling disorder severity
title_sort contribution of sex on the underlying mechanism of the gambling disorder severity
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7599246/
https://www.ncbi.nlm.nih.gov/pubmed/33127941
http://dx.doi.org/10.1038/s41598-020-73806-6
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