Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder?

Background and aims: Numerous studies point to the comorbidity between gambling disorder (GD) and attention deficit hyperactivity disorder (ADHD). However, there is a lack of research exploring how ADHD symptoms might influence psychological treatment outcomes for GD. Therefore, we aimed to explore...

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Detalles Bibliográficos
Autores: Vintró Alcaraz, Cristina|||0000-0001-9453-8810, Mestre-Bach, Gemma|||0000-0001-5345-0484, Granero, Roser|||0000-0001-6308-3198, Gomez-Peña, Monica|||0000-0001-6194-8266, Moragas, Laura|||0000-0001-5235-7026, Fernández Aranda, Fernando|||0000-0002-2968-9898, Potenza, Marc N.|||0000-0002-6323-1354, Jiménez Murcia, Susana|||0000-0002-3596-8033
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:301925
Acceso en línea:https://ddd.uab.cat/record/301925
https://dx.doi.org/urn:doi:10.1016/j.comppsych.2023.152433
Access Level:acceso abierto
Palabra clave:Addictive behaviors
Gambling disorder
ADHD
Impulsivity
Cognitive-behavioral therapy
Relapse
Descripción
Sumario:Background and aims: Numerous studies point to the comorbidity between gambling disorder (GD) and attention deficit hyperactivity disorder (ADHD). However, there is a lack of research exploring how ADHD symptoms might influence psychological treatment outcomes for GD. Therefore, we aimed to explore differences between patients with GD with and without self-reported ADHD symptoms regarding psychopathology, personality, sociodemographic and treatment outcome measures. Method: This longitudinal study included 170 patients with GD receiving cognitive behavioral therapy. Multiple self-reported instruments were used to assess clinical variables and sociodemographic measures prior to treatment. Results: A clinical profile characterized by greater GD severity, higher psychopathology and impulsivity, and less adaptive personality features was observed in patients with self-reported ADHD symptoms compared to those without. No significant differences in treatment response (measured by dropout and relapse rates) were observed between the two groups. However, patients with self-reported ADHD symptoms experienced more severe relapses (i.e., gambled more money) and GD patients who relapsed scored higher on measures of ADHD, particularly inattention. Conclusion: Individuals with GD and self-reported symptoms of ADHD may experience more severe relapses following treatment, suggesting a need for more vigilant follow-up and interventions for patients with this comorbidity.