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    Women and gambling disorder: Assessing dropouts and relapses in cognitive behavioral group therapy

    Autor: 
    Baño, Marta
    ;
    Mestre-Bach, Gemma
    ;
    Granero, Roser
    ;
    Fernández-Aranda, Fernando
    ;
    Gómez-Peña, Mónica
    ;
    Moragas, Laura
    ;
    del Pino-Gutierrez, Amparo
    ;
    Codina, Ester
    ;
    Guillén-Guzmán, Elías
    ;
    Valero-Solis, Susana
    ;
    Lizbeth Lara-Huallipe, Milagros
    ;
    Baenas, Isabel
    ;
    Mora-Maltas, Bernat
    ;
    Valenciano-Mendoza, Eduardo
    ;
    Solé-Morata, Neus
    ;
    Gálvez-Solé, Laura
    ;
    González-Bueso, Vega
    ;
    José Santamaría, Juan
    ;
    Menchón, José M.
    ;
    Jiménez-Murcia, Susana
    Fecha: 
    2021
    Palabra clave: 
    cognitive-behavioral therapy; dropout; gambling disorder; relapse; women; Scopus; JCR
    Revista / editorial: 
    Elsevier Ltd
    Tipo de Ítem: 
    article
    URI: 
    https://reunir.unir.net/handle/123456789/13217
    DOI: 
    https://doi.org/10.1016/j.addbeh.2021.107085
    Dirección web: 
    https://www.sciencedirect.com/science/article/pii/S0306460321002707?via%3Dihub
    Open Access
    Resumen:
    Background: Gender-specific literature focused on gambling disorder (GD) is scarce, and women with GD have been understudied. Therefore, the aim of this study was to estimate the short-term effectiveness in women with GD (n = 214) of a group standardized cognitive-behavioral therapy (CBT) and to identify the most relevant predictors of the primary therapy outcomes (dropout and relapse). Methods: The manualized CBT consisted of 16 weekly outpatient group sessions. Women were provided with resources to obtain a better understanding of the GD, to improve self-control and to manage risk situations. Results: The dropout risk was higher for women with lower GD severity and higher psychopathological distress. Among other factors, lower education levels were a significant predictor of the relapse risk and and the frequency of relapses was higher for divorced women with a preference for non-strategic gambling and with substances consumption. Conclusions: Our findings evidence women-specific predictors of the primary therapy outcomes. The results highlight the need to design psychological interventions that address dropout and relapse risk factors in women.
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