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    Suicidal behavior in patients with gambling disorder and their response to psychological treatment: The roles of gender and gambling preference

    Autor: 
    Valenciano-Mendoza, Eduardo
    ;
    Fernández-Aranda, Fernando
    ;
    Granero, Roser
    ;
    Gómez-Peña, Mónica
    ;
    Moragas, Laura
    ;
    del Pino-Gutierrez, Amparo
    ;
    Mora-Maltas, Bernat
    ;
    Baenas, Isabel
    ;
    Guillén-Guzmán, Elías
    ;
    Valero-Solis, Susana
    ;
    Lara-Huallipe, Milagros
    ;
    Codina, Ester
    ;
    Mestre-Bach, Gemma (1)
    ;
    Etxandi, Mikel
    ;
    Menchón, José M.
    ;
    Jiménez-Murcia, Susana
    Fecha: 
    2021
    Palabra clave: 
    gambling disorder; gambling preference; gender; suicide; treatment outcome; Scopus; JCR
    Tipo de Ítem: 
    article
    URI: 
    https://reunir.unir.net/handle/123456789/13201
    DOI: 
    https://doi.org/10.1016/j.jpsychires.2021.09.027
    Dirección web: 
    https://www.sciencedirect.com/science/article/pii/S0022395621005689?via%3Dihub
    Open Access
    Resumen:
    Suicidal ideation and attempts are prevalent among patients with gambling disorder (GD). However, patients with GD and a history of lifetime suicidal events are not a homogeneous group. The main objective of this study was to compare sociodemographic, clinical, personality, and psychopathological features among different profiles of adults with GD with and without a history of suicidal behavior, taking into account two relevant variables: gender and gambling preference. The second aim was to examine how the different profiles of patients with a history of suicidal events responded to cognitive-behavioral therapy (CBT). A total of 1112 treatment-seeking adults who met the criteria for GD were assessed at a hospital specialized unit for the treatment of behavioral addictions. The participants completed self-reported questionnaires to explore GD, personality traits, and psychopathological symptomatology. The lifetime histories of suicidal ideation and attempts, and gambling preferences, were assessed during semi-structured face-to-face clinical interviews. Of the total sample, 229 patients (26.6%) reported suicidal ideation and 74 patients (6.7%), suicide attempts. The likelihood of presenting suicidal ideation was higher for women than men, but no differences were observed based on gambling preference. Regarding suicide attempts, the odds were higher among women with non-strategic forms of gambling. Suicidal ideation and attempts were associated with higher GD severity, a worse psychopathological state and higher self-transcendence levels. In terms of treatment outcomes, neither gambling preference nor past suicidal behavior had an influence on dropouts and relapses. Nevertheless, female gender and a lack of family support constitute two good predictors of a worse treatment outcome.
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