Predictors of early dropout in treatment for gambling disorder: The role of personality disorders andclinical syndromes

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3 Citazioni (Scopus)

Abstract

Several treatment options for gambling disorder (GD) have been tested in recent years; however dropout levelsstill remain high. This study aims to evaluate whether the presence of psychiatric comorbidities predictstreatment outcome according to Millon's evolutionary theory, following a six-month therapy for GD. The role ofseverity, duration of the disorder, typology of gambling (mainly online or offline) and pharmacological treatmentwere also analysed. The recruitment included 194 pathological gamblers (PGs) to be compared with 78healthy controls (HCs). Psychological assessment included the South Oaks Gambling Screen and the MillonClinical Multiaxial Inventory-III. The “treatment failure” group (n = 70) comprised PGs who prematurelydropped out of the treatment whereas the “abstinent group” (n = 124) included PGs who completed thetreatment regardless of whether the outcome was successful or not. As expected, the presence of psychiatriccomorbidities was highlighted as a significant predictor in dropping out of the therapy. Specifically negativisticpersonality disorder, antisocial personality disorder, drug dependence and PTSD were associated with earlydropout. These variables were predictive of treatment outcome independently from the typology of gambling,severity, duration of the disorder and pharmacological treatment. Implications for psychological and psychiatriccare are discussed.
Lingua originaleEnglish
pagine (da-a)540-545
Numero di pagine6
RivistaPsychiatry Research
Volume257
Stato di pubblicazionePublished - 2017

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Gambling
Personality Disorders
Pharmacology
Psychology
Therapeutics
Antisocial Personality Disorder
Post-Traumatic Stress Disorders
Treatment Failure
Substance-Related Disorders
Psychiatry
Comorbidity
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health
  • Biological Psychiatry

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@article{3df3531924e34eaf85e5963dec0d7577,
title = "Predictors of early dropout in treatment for gambling disorder: The role of personality disorders andclinical syndromes",
abstract = "Several treatment options for gambling disorder (GD) have been tested in recent years; however dropout levelsstill remain high. This study aims to evaluate whether the presence of psychiatric comorbidities predictstreatment outcome according to Millon's evolutionary theory, following a six-month therapy for GD. The role ofseverity, duration of the disorder, typology of gambling (mainly online or offline) and pharmacological treatmentwere also analysed. The recruitment included 194 pathological gamblers (PGs) to be compared with 78healthy controls (HCs). Psychological assessment included the South Oaks Gambling Screen and the MillonClinical Multiaxial Inventory-III. The “treatment failure” group (n = 70) comprised PGs who prematurelydropped out of the treatment whereas the “abstinent group” (n = 124) included PGs who completed thetreatment regardless of whether the outcome was successful or not. As expected, the presence of psychiatriccomorbidities was highlighted as a significant predictor in dropping out of the therapy. Specifically negativisticpersonality disorder, antisocial personality disorder, drug dependence and PTSD were associated with earlydropout. These variables were predictive of treatment outcome independently from the typology of gambling,severity, duration of the disorder and pharmacological treatment. Implications for psychological and psychiatriccare are discussed.",
author = "Giuseppe Maniaci and {La Barbera}, Daniele and {La Cascia}, Caterina and Carla Cannizzaro and Lipari and Picone",
year = "2017",
language = "English",
volume = "257",
pages = "540--545",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Predictors of early dropout in treatment for gambling disorder: The role of personality disorders andclinical syndromes

AU - Maniaci, Giuseppe

AU - La Barbera, Daniele

AU - La Cascia, Caterina

AU - Cannizzaro, Carla

AU - Lipari, null

AU - Picone, null

PY - 2017

Y1 - 2017

N2 - Several treatment options for gambling disorder (GD) have been tested in recent years; however dropout levelsstill remain high. This study aims to evaluate whether the presence of psychiatric comorbidities predictstreatment outcome according to Millon's evolutionary theory, following a six-month therapy for GD. The role ofseverity, duration of the disorder, typology of gambling (mainly online or offline) and pharmacological treatmentwere also analysed. The recruitment included 194 pathological gamblers (PGs) to be compared with 78healthy controls (HCs). Psychological assessment included the South Oaks Gambling Screen and the MillonClinical Multiaxial Inventory-III. The “treatment failure” group (n = 70) comprised PGs who prematurelydropped out of the treatment whereas the “abstinent group” (n = 124) included PGs who completed thetreatment regardless of whether the outcome was successful or not. As expected, the presence of psychiatriccomorbidities was highlighted as a significant predictor in dropping out of the therapy. Specifically negativisticpersonality disorder, antisocial personality disorder, drug dependence and PTSD were associated with earlydropout. These variables were predictive of treatment outcome independently from the typology of gambling,severity, duration of the disorder and pharmacological treatment. Implications for psychological and psychiatriccare are discussed.

AB - Several treatment options for gambling disorder (GD) have been tested in recent years; however dropout levelsstill remain high. This study aims to evaluate whether the presence of psychiatric comorbidities predictstreatment outcome according to Millon's evolutionary theory, following a six-month therapy for GD. The role ofseverity, duration of the disorder, typology of gambling (mainly online or offline) and pharmacological treatmentwere also analysed. The recruitment included 194 pathological gamblers (PGs) to be compared with 78healthy controls (HCs). Psychological assessment included the South Oaks Gambling Screen and the MillonClinical Multiaxial Inventory-III. The “treatment failure” group (n = 70) comprised PGs who prematurelydropped out of the treatment whereas the “abstinent group” (n = 124) included PGs who completed thetreatment regardless of whether the outcome was successful or not. As expected, the presence of psychiatriccomorbidities was highlighted as a significant predictor in dropping out of the therapy. Specifically negativisticpersonality disorder, antisocial personality disorder, drug dependence and PTSD were associated with earlydropout. These variables were predictive of treatment outcome independently from the typology of gambling,severity, duration of the disorder and pharmacological treatment. Implications for psychological and psychiatriccare are discussed.

UR - http://hdl.handle.net/10447/243316

UR - http://www.sciencedirect.com/science/article/pii/S0165178117303918?via%3Dihub

M3 - Article

VL - 257

SP - 540

EP - 545

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

ER -