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Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers

BACKGROUND AND AIMS: The significant increase in the prevalence of gambling disorder (GD) among young adults in recent years has attracted interest in determining therapeutic efficiency in this sector of the population. The aim of this work was to estimate the response trajectories of gambling sever...

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Autores principales: Granero, Roser, Valero-Solis, Susana, Fernández-Aranda, Fernando, Gómez-Peña, Mónica, Moragas, Laura, Mena-Moreno, Teresa, del Pino-Gutierrez, Amparo, Codina, Ester, Martín-Romera, Virginia, Casalé, Gemma, Agüera, Zaida, Baenas-Soto, Isabel, Valenciano-Mendoza, Eduardo, Mora-Maltas, Bernat, Sánchez, Isabel, Lozano-Madrid, María, Menchón, José M., Murcia, Susana Jiménez
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Akadémiai Kiadó 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935189/
https://www.ncbi.nlm.nih.gov/pubmed/32359237
http://dx.doi.org/10.1556/2006.2020.00008
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author Granero, Roser
Valero-Solis, Susana
Fernández-Aranda, Fernando
Gómez-Peña, Mónica
Moragas, Laura
Mena-Moreno, Teresa
del Pino-Gutierrez, Amparo
Codina, Ester
Martín-Romera, Virginia
Casalé, Gemma
Agüera, Zaida
Baenas-Soto, Isabel
Valenciano-Mendoza, Eduardo
Mora-Maltas, Bernat
Sánchez, Isabel
Lozano-Madrid, María
Menchón, José M.
Murcia, Susana Jiménez
author_facet Granero, Roser
Valero-Solis, Susana
Fernández-Aranda, Fernando
Gómez-Peña, Mónica
Moragas, Laura
Mena-Moreno, Teresa
del Pino-Gutierrez, Amparo
Codina, Ester
Martín-Romera, Virginia
Casalé, Gemma
Agüera, Zaida
Baenas-Soto, Isabel
Valenciano-Mendoza, Eduardo
Mora-Maltas, Bernat
Sánchez, Isabel
Lozano-Madrid, María
Menchón, José M.
Murcia, Susana Jiménez
author_sort Granero, Roser
collection PubMed
description BACKGROUND AND AIMS: The significant increase in the prevalence of gambling disorder (GD) among young adults in recent years has attracted interest in determining therapeutic efficiency in this sector of the population. The aim of this work was to estimate the response trajectories of gambling severity during the six-month follow-up after a cognitive behavioral therapy (CBT) program in young adult patients and to identify the main variables associated with each trajectory. METHODS: The sample included n = 192 patients, aged 19–35 years old, seeking treatment for GD. Response trajectories were identified through latent class growth analysis. RESULTS: Three trajectories emerged: T1 (n = 118, 61.5%), composed of patients with severe GD at pre-treatment and good evolution to recovery; T2 (n = 62, 32.3%), with patients with moderate-high GD affectation at baseline and good evolution to recovery; and T3 (n = 12, 6.3%), with participants with severe baseline GD severity and poor evolution after CBT (Abbott, 2019). The highest risk of poor therapeutic outcomes was related to lower social index positions, high emotional distress, high scores in harm avoidance and low scores in self-directedness. DISCUSSION AND CONCLUSIONS: Differences in the response trajectories at short-term follow-up after CBT reveal heterogeneity in the samples including young and young-adult GD patients. Patients' phenotype at baseline should be considered when developing efficient, person-centered intervention programs, which should comprise strategies aimed at increasing emotional regulation capacities, self-esteem and self-efficacy, with the aim of avoiding relapses in the medium-long term after therapy.
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spelling pubmed-89351892022-03-31 Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers Granero, Roser Valero-Solis, Susana Fernández-Aranda, Fernando Gómez-Peña, Mónica Moragas, Laura Mena-Moreno, Teresa del Pino-Gutierrez, Amparo Codina, Ester Martín-Romera, Virginia Casalé, Gemma Agüera, Zaida Baenas-Soto, Isabel Valenciano-Mendoza, Eduardo Mora-Maltas, Bernat Sánchez, Isabel Lozano-Madrid, María Menchón, José M. Murcia, Susana Jiménez J Behav Addict Full-Length Report BACKGROUND AND AIMS: The significant increase in the prevalence of gambling disorder (GD) among young adults in recent years has attracted interest in determining therapeutic efficiency in this sector of the population. The aim of this work was to estimate the response trajectories of gambling severity during the six-month follow-up after a cognitive behavioral therapy (CBT) program in young adult patients and to identify the main variables associated with each trajectory. METHODS: The sample included n = 192 patients, aged 19–35 years old, seeking treatment for GD. Response trajectories were identified through latent class growth analysis. RESULTS: Three trajectories emerged: T1 (n = 118, 61.5%), composed of patients with severe GD at pre-treatment and good evolution to recovery; T2 (n = 62, 32.3%), with patients with moderate-high GD affectation at baseline and good evolution to recovery; and T3 (n = 12, 6.3%), with participants with severe baseline GD severity and poor evolution after CBT (Abbott, 2019). The highest risk of poor therapeutic outcomes was related to lower social index positions, high emotional distress, high scores in harm avoidance and low scores in self-directedness. DISCUSSION AND CONCLUSIONS: Differences in the response trajectories at short-term follow-up after CBT reveal heterogeneity in the samples including young and young-adult GD patients. Patients' phenotype at baseline should be considered when developing efficient, person-centered intervention programs, which should comprise strategies aimed at increasing emotional regulation capacities, self-esteem and self-efficacy, with the aim of avoiding relapses in the medium-long term after therapy. Akadémiai Kiadó 2020-04-07 2020-04 /pmc/articles/PMC8935189/ /pubmed/32359237 http://dx.doi.org/10.1556/2006.2020.00008 Text en © 2020 The Author(s) https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution‐NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.
spellingShingle Full-Length Report
Granero, Roser
Valero-Solis, Susana
Fernández-Aranda, Fernando
Gómez-Peña, Mónica
Moragas, Laura
Mena-Moreno, Teresa
del Pino-Gutierrez, Amparo
Codina, Ester
Martín-Romera, Virginia
Casalé, Gemma
Agüera, Zaida
Baenas-Soto, Isabel
Valenciano-Mendoza, Eduardo
Mora-Maltas, Bernat
Sánchez, Isabel
Lozano-Madrid, María
Menchón, José M.
Murcia, Susana Jiménez
Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers
title Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers
title_full Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers
title_fullStr Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers
title_full_unstemmed Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers
title_short Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers
title_sort response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers
topic Full-Length Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8935189/
https://www.ncbi.nlm.nih.gov/pubmed/32359237
http://dx.doi.org/10.1556/2006.2020.00008
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