Skip to main content Accessibility help
×
Home

Developmental trajectories of gambling severity after cognitive-behavioral therapy

  • Susana Jiménez-Murcia (a1) (a2) (a3), Roser Granero (a2) (a4), Fernando Fernández-Aranda (a1) (a2) (a3), Neus Aymamí (a1), Mónica Gómez-Peña (a1), Gemma Mestre-Bach (a1) (a2) (a3), Trevor Steward (a1) (a2) (a3), Amparo del Pino-Gutiérrez (a1) (a5), Teresa Mena-Moreno (a1) (a2), Cristina Vintró-Alcaraz (a1) (a2), Zaida Agüera (a1) (a2), Jéssica Sánchez-González (a1), Laura Moragas (a1), Ester Codina (a1) (a5) and José M. Menchón (a1) (a3) (a6)...

Abstract

Aims:

To estimate trajectories of the gambling disorder (GD) severity for 12 months following a manualized cognitive-behavior-therapy (CBT) program, and to identify the main variables associated with each trajectory.

Methods:

Latent Class Growth Analysis examined the longitudinal changes of n = 603 treatment-seeking patients with GD.

Results:

Five separate empirical trajectories were identified: T1 (n = 383, 63.5%) was characterized by the most highest baseline gambling severity levels and positive progress to recovery during the follow-up period; T2 (n = 154, 25.5%) featured participants with high baseline gambling severity and good progress to recovery; T3 (n = 30, 5.0%) was made up of patients with high gambling baseline severity and slow progress to recovery; T4 (n = 13, 2.2%) and T5 (n = 23, 3.8%) contained participants with high baseline gambling severity and moderate (T4) and poor (T5) progress in GD severity during the follow-up. Psychopathological state and personality traits discriminated between trajectories. Poor compliance with the therapy guidelines and the presence of relapses also differed between the trajectories.

Conclusions:

Our findings show that patients seeking treatment for GD are heterogeneous and that trends in progress following treatment can be identified considering sociodemographic features, psychopathological state and personality traits. These results could be useful in developing more efficient interventions for GD patients.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Developmental trajectories of gambling severity after cognitive-behavioral therapy
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Developmental trajectories of gambling severity after cognitive-behavioral therapy
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Developmental trajectories of gambling severity after cognitive-behavioral therapy
      Available formats
      ×

Copyright

Corresponding author

*Corresponding author at: Department of Psychiatry, Bellvitge University Hospital-IDIBELL and CIBERObn, c/ Feixa Llarga s/n, 08907, Hospitalet de Llobregat, Barcelona, Spain. E-mail address: sjimenez@bellvitgehospital.cat (S. Jiménez-Murcia).

Footnotes

Hide All
1.

Shared first authorship.

Footnotes

References

Hide All
[1]American Psychiatric Association, . Diagnostic and statistical manual of mental disorders DSM-5. Washington DC: American Psychiatric Association; 2013.
[2]Yakovenko, I, Hodgins, DC, el-Guebaly, N, Casey, DM, Currie, SR, Smith, GJ. Cognitive distortions predict future gambling involvement. Int Gambl Stud 16(2) 2016 175192.
[3]Dowling, NA, Merkouris, SS, Greenwood, CJ, Oldenhof, E, Toumbourou, JW, Youssef, GJ. Early risk and protective factors for problem gambling: a systematic review and meta-analysis of longitudinal studies. Clin Psychol Rev 2017; 51: 109124.
[4]Petry, NM, Ginley, MK, Rash, CJ. A systematic review of treatments for problem gambling. Psychol Addict Behav 31(8) 2017 951961.
[5]Petry, NM, Zajac, K, Ginley, MK. Behavioral addictions as mental disorders: to be or not to be?. Annu Rev Clin Psychol 14(1) 2018 399423.
[6]Yau, YHC, Potenza, MN. Gambling disorder and other behavioral addictions. Harv Rev Psychiatry 23(2) 2015 134146.
[7]Maynard, BR, Wilson, AN, Labuzienski, E, Whiting, SW. Mindfulness-based approaches in the treatment of disordered gambling: a systematic review and meta-analysis. Res Soc Work Pract 28(3) 2018 348362.
[8]Muench, HM, Goslar, M, Hofmann, SG, Leibetseder, M, Laireiter, A-R. Efficacy of face-to-face versus self-guided treatments for disordered gambling: a meta-analysis. J Behav Addict 6(2) 2017 142162.
[9]Tolchard, B. Cognitive-behavior therapy for problem gambling: a critique of current treatments and proposed new unified approach. J Ment Health 26(3) 2017 283290.
[10]Gooding, P, Tarrier, N. A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: hedging our bets?. Behav Res Ther 47(7) 2009 592607.
[11]Merkouris, SS, Thomas, SA, Browning, CJ, Dowling, NA. Predictors of outcomes of psychological treatments for disordered gambling: a systematic review. Clin Psychol Rev 2016; 48: 731.
[12]Jiménez-Murcia, S, Álvarez-Moya, EM, Granero, R, Jaurrieta, N. Cognitive–behavioral group treatment for pathological gambling: analysis of effectiveness and predictors of therapy outcome. Psychother Res 17(5) 2007 544552.
[13]Jiménez-Murcia, S, Granero, R, Fernández-Aranda, F, Arcelus, J, Aymamí, MN, Gómez-Peña, M. Predictors of outcome among pathological gamblers receiving cognitive behavioral group therapy. Eur Addict Res 21(4) 2015 169178.
[14]Müller, KW, Wölfling, K, Dickenhorst, U, Beutel, ME, Medenwaldt, J, Koch, A. Recovery, relapse, or else? Treatment outcomes in gambling disorder from a multicenter follow-up study. Eur Psychiatry 2017; 43: 2834.
[15]Mestre-Bach, G, Steward, T, Granero, R, Fernández-Aranda, F, Mallorquí-Bagué, N. The predictive capacity of DSM-5 symptom severity and impulsivity on response to cognitive-behavioral therapy for gambling disorder: a 2-year longitudinal study. Eur Psychiatry 2018 In press.
[16]Cowlishaw, S, Merkouris, S, Dowling, N, Anderson, C, Jackson, A, Thomas, S. Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev 2012; 11: CD008937.
[17]Pickering, D, Keen, B, Entwistle, G, Blaszczynski, A. Measuring treatment outcomes in gambling disorders: a systematic review. Addiction 2018; 113: 411426.
[18]Aragay, N, Jiménez-Murcia, S, Granero, R, Fernández-Aranda, F, Ramos-Grille, I, Cardona, S. Pathological gambling: understanding relapses and dropouts. Compr Psychiatry 2015; 57: 5864.
[19]Ledgerwood, DM, Petry, NM. What do we know about relapse in pathological gambling?. Clin Psychol Rev 26(2) 2006 216228.
[20]Challet-Bouju, G, Bruneau, M, Victorri-Vigneau, C, Grall-Bronnec, M. Cognitive remediation interventions for gambling disorder: a systematic review. Front Psychol 8 2017.
[21]Laursen, BP, Hoff, E. Person-centered and variable-centered approaches to longitudinal data. Merrill Palmer Q 52(3) 2007 377389.
[22]von, Eye A., Bogat, GA. Person-oriented and variable-oriented research: concepts, results, and development. Merrill Palmer Q 52(3) 2007 390420.
[23]Carbonneau, R, Vitaro, F, Brendgen, M, Tremblay, RE. Trajectories of gambling problems from mid-adolescence to age 30 in a general population cohort. Psychol Addict Behav 29(4) 2015 10121021.
[24]Liu, W, Lee, GP, Goldweber, A, Petras, H, Storr, CL, Ialongo, NS. Impulsivity trajectories and gambling in adolescence among urban male youth. Addiction 108(4) 2013 780788.
[25]Slutske, WS, Jackson, KM, Sher, KJ. The natural history of problem gambling from age 18 to 29. J Abnorm Psychol 112(2) 2003 263274.
[26]Nelson, SE, LaPlante, DA, LaBrie, RA, Shaffer, HJ. The proxy effect: gender and gambling problem trajectories of iowa gambling treatment program participants. J Gambl Stud 22(2) 2006 221240.
[27]Edgerton, JD, Melnyk, TS, Roberts, LW. Problem gambling and the youth-to-adulthood transition: assessing problem gambling severity trajectories in a sample of young adults. J Gambl Stud 31(4) 2014 14631485.
[28]Godinho, A, Kushnir, V, Hodgins, DC, Hendershot, CS, Cunningham, JA. Betting on life: associations between significant life events and gambling trajectories among gamblers with the intent to quit. J Gambl Stud 34(4) 2018 13911406.
[29]Grune, B, Sleczka, P, Kraus, L, Braun, B. OP-34: trajectories of gambling behaviour and gambling problems in outpatient care—results from an ongoing study. J Behav Addict 6 S1 2017 17.
[30]Mann, K, Roos, CR, Witkiewitz, K. Response to Letter to Editor (Precision medicine in alcohol dependen evidence of efficacy and initial support for comparative effectiveness). Neuropsychopharmacology 43(9) 2018 18011802.
[31]Kranzler, HR, McKay, JR. Personalized treatment of alcohol dependence. Curr Psychiatry Rep 2012; 14: 486493.
[32]Evers, K. Personalized medicine in psychiatry: ethical challenges and opportunities. Dialogues Clin Neurosci 2009; 11: 427434.
[33]Jara-Rizzo, MF, Navas, JF, Steward, T, Lopez-Gomez, M, Jimenez-Murcia, S, Fernandez-Aranda, F. Impulsivity and problem awareness predict therapy compliance and dropout from treatment for gambling disorder. Adicciones 0(0) 2018 1041.
[34]Hodgins, DC, el-Guebaly, N. The influence of substance dependence and mood disorders on outcome from pathological gambling: five-year follow-up. J Gambl Stud 26(1) 2010 117127.
[35]Jiménez-Murcia, S, Tremblay, J, Stinchfield, R, Granero, R, Fernández-Aranda, F, Mestre-Bach, G. The involvement of a concerned significant other in gambling disorder treatment outcome. J Gambl Stud 33(3) 2017 937953.
[36]Ingle, PJ, Marotta, J, McMillan, G, Wisdom, JP. Significant others and gambling treatment outcomes. J Gambl Stud 24(3) 2008 381392.
[37]Oei, TPS, Gordon, LM. Psychosocial factors related to gambling abstinence and relapse in members of gamblers anonymous. J Gambl Stud 24(1) 2008 91105.
[38]Jiménez-Murcia, S, Del Pino-Gutiérrez, A, Fernández-Aranda, F, Granero, R, Hakänsson, A, Tárrega, S. Treatment outcome in male Gambling Disorder patients associated with alcohol use. Front Psychol 7 2016.
[39]Del Prete, F, Steward, T, Navas, JF, Fernández-Aranda, F, Jiménez-Murcia, S, Oei, TPS. The role of affect-driven impulsivity in gambling cognitions: a convenience-sample study with a Spanish version of the Gambling-Related Cognitions Scale. J Behav Addict 6(1) 2017 5163.
[40]American Psychiatric Association, . Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington DC: American Psychiatric Association; 2000.
[41]Stinchfield, R. Reliability, validity, and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. Am J Psychiatry 160(1) 2003 180182.
[42]Jiménez-Murcia, S, Stinchfield, R, Alvarez-Moya, E, Jaurrieta, N, Bueno, B, Granero, R. Reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for pathological gambling. J Gambl Stud 25(1) 2009 93104.
[43]Echeburúa, E, Báez, C, Fernández, J, Páez, D. Cuestionario de juego patológico de South Oaks (SOGS): Validación española. [South Oaks Gambling Screen (SOGS): Spanish validation]. Anális Modif Cond 1994; 20: 769791.
[44]Derogatis, LR. SCL-90-R. Cuestionario de 90 síntomas-Manual. Madrid: TEA Editorial; 2002.
[45]Gutiérrez-Zotes, JA, Bayón, C, Montserrat, C, Valero, J, Labad, A. Temperament and Character Inventory-Revised (TCI-R). Standardization and normative data in a general population sample. Actas Esp Psiquiatr 32(1) 2004 815.
[46]Jiménez-Murcia, S, Aymamí-Sanromà, M, Gómez-Peña, M, Álvarez-Moya, E, Vallejo, J Protocols de tractament cognitivoconductual pel joc patològic i d’altres addiccions no tòxiques. [Cognitive-behavioral treatment protocols for pathological gambling and other nonsubstance addictions] Barcelona 2006.
[47]Jiménez-Murcia, S, Aymamí-Sanromà, M, Gómez-Peña, M, Álvarez-Moya, E, Vallejo, J. Protocols de tractament cognitivoconductual pel joc patològic i d’altres addiccions no tòxiques. Barcelona, Spain: Hospital U; 2006.
[48]Jiménez-Murcia, S, Álvarez-Moya, EM, Granero, R, Neus Aymami, M, Gómez-Peña, M, Jaurrieta, N. Cognitive–behavioral group treatment for pathological gambling: analysis of effectiveness and predictors of therapy outcome. Psychother Res 17(784375804) 2007 544552.
[49]Jiménez-Murcia, S, Granero, R, Fernández-Aranda, F, Arcelus, J, Aymamí, MN, Gómez-Peña, M. Predictors of outcome among pathological gamblers receiving cognitive behavioral group therapy. Eur Addict Res 21(4) 2015 169178.
[50]Enders, C, Bandalos, D. The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Struct Equ Model A Multidiscip J 8 July (3) 2001 430457.
[51]Graham, JW. Missing data analysis: making it work in the real world. Annu Rev Psychol 60 January (1) 2009 549576.
[52]Lo, Y, Mendell, N, Rubin, D. Testing the number of components in a normal mixture. Biometrika 2001; 88: 767778.
[53]Kreuter, F, Muthén, B. Analyzing criminal trajectory profiles: bridging multilevel and group-based approaches using growth mixture modeling. J Quant Criminol 24(1) 2008 131.
[54]Jung, T, Wickrama, KAS. An introduction to latent class growth analysis and growth mixture modeling. Soc Personal Psychol Compass 2(1) 2008 302317.
[55]Nylund, KL, Asparouhov, T, Muthén, M, Muthén, BO. Deciding on the number of classes in latent class analysis and growth mixture modeling: a monte carlo simulation study. Struct Equ Model 14(4) 2007 535569.
[56]Kelley, K, Preacher, KJ. On effect size. Psychol Methods 17(2) 2012 137152.
[57]Simes, RJ. An improved Bonferroni procedure for multiple tests of significance. Biometrika 73 1986.
[58]Jimenez-Murcia, S, Aymamí, N, Gómez-Peña, M, Santamaría, JJ, Álvarez-Moya, E, Fernández-Aranda, F. Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?. Br J Clin Psychol 51(1) 2012 5471.
[59]Gómez-Peña, M, Penelo, E, Granero, R, Fernández-Aranda, F, Alvarez-Moya, E, Santamaría, JJ. Correlates of motivation to change in pathological gamblers completing cognitive-behavioral group therapy. J Clin Psychol 68(7) 2012 732744.
[60]Ladouceur, R, Lachance, S, Fournier, P-M. Is control a viable goal in the treatment of pathological gambling?. Behav Res Ther 47(3) 2009 189197.
[61]Stea, JN, Hodgins, DC, Fung, T. Abstinence versus moderation goals in brief motivational treatment for pathological gambling. J Gambl Stud 31(3) 2015 10291045.
[62]Hodgins, DC, El-Guebaly, N. Retrospective and prospective reports of precipitants to relapse in pathological gambling. J Consult Clin Psychol 72(1) 2004 7280.
[63]Blaszczynski, A, McConaghy, N, Frankova, A. Control versus abstinence in the treatment of pathological gambling: a two to nine year follow-up. Br J Addict 86(3) 1991 299306.
[64]Dowling, N, Smith, D. Treatment goal selection for female pathological gambling: a comparison of abstinence and controlled gambling. J Gambl Stud 23(3) 2007 335345.
[65]Dowling, N, Smith, D, Thomas, T. A preliminary investigation of abstinence and controlled gambling as self-selected goals of treatment for female pathological gambling. J Gambl Stud 25(2) 2009 201214.
[66]Ladouceur, R. Controlled gambling for pathological gamblers. J Gambl Stud 21(1) 2005 4957.
[67]Slutske, WS, Piasecki, TM, Blaszczynski, A, Martin, NG. Pathological gambling recovery in the absence of abstinence. Addiction 105(12) 2010 21692175.
[68]Menchon, JM, Mestre-Bach, G, Steward, T, Fernandez-Aranda, F, Jimenez-Murcia, S. An overview of gambling disorder: from treatment approaches to risk factors. F1000Research 2018; 7: 434 10.12688/f1000research.12784.1 eCollection 2018.
[69]Yakovenko, I, Quigley, L, Hemmelgarn, BR, Hodgins, DC, Ronksley, P. The efficacy of motivational interviewing for disordered gambling: systematic review and meta-analysis. Addict Behav 2015; 43: 7282.
[70]Hopwood, CJ, Schade, N, Matusiewicz, A, Daughters, SB, Lejuez, CW. Emotion regulation promotes persistence in a residential substance abuse treatment. Subst Use Misuse 50(2) 2015 251256.
[71]Heilman, RM, Crişan, LG, Houser, D, Miclea, M, Miu, AC. Emotion regulation and decision making under risk and uncertainty. Emotion 10(2) 2010 257265.
[72]Goudriaan, AE, Oosterlaan, J, De Beurs, E, Van Den Brink, W. Decision making in pathological gambling: a comparison between pathological gamblers, alcohol dependents, persons with Tourette syndrome, and normal controls. Cogn Brain Res 23(1) 2005 137151.
[73]Claes, L, Jiménez-Murcia, S, Santamaría, JJ, Moussa, MB, Sánchez, I, Forcano, L. The facial and subjective emotional reaction in response to a video game designed to train emotional regulation (Playmancer). Eur Eat Disord Rev 20(6) 2012 484489.
[74]Fagundo, AB, Santamaría, JJ, Forcano, L, Giner-Bartolomé, C, Jiménez-Murcia, S, Sánchez, I. Video game therapy for emotional regulation and impulsivity control in a series of treated cases with bulimia nervosa. Eur Eat Disord Rev 21(6) 2013 493499.
[75]Fernández-Aranda, F, Jiménez-Murcia, S, Santamaría, JJ, Gunnard, K, Soto, A, Kalapanidas, E. Video games as a complementary therapy tool in mental disorders: PlayMancer, a European multicentre study. J Ment Health 21(4) 2012 364374.
[76]Tárrega, S, Castro-Carreras, L, Fernández-Aranda, F, Granero, R, Giner-Bartolomé, C, Aymamí, N. A serious videogame as an additional therapy tool for training emotional regulation and impulsivity control in severe gambling disorder. Front Psychol 2015; 6: 1721.
[77]Jiménez-Murcia, S, Fernández-Aranda, F, Kalapanidas, E, Konstantas, D, Ganchev, T, Kocsis, O. Playmancer project: a serious videogame as an additional therapy tool for eating and impulse control disorders. Annu Rev Cyber Ther Telemed 2009; 7: 163166.
[78]Gay, A, Boutet, C, Sigaud, T, Kamgoue, A, Sevos, J, Brunelin, J. A single session of repetitive transcranial magnetic stimulation of the prefrontal cortex reduces cue-induced craving in patients with gambling disorder. Eur Psychiatry 2017; 41: 6874.
[79]Makani, R, Pradhan, B, Shah, U, Parikh, T. Role of Repetitive Transcranial Magnetic Stimulation (rTMS) in treatment of addiction and related disorders: a systematic review. Curr Drug Abuse Rev 10(1) 2018 3143.

Keywords

Developmental trajectories of gambling severity after cognitive-behavioral therapy

  • Susana Jiménez-Murcia (a1) (a2) (a3), Roser Granero (a2) (a4), Fernando Fernández-Aranda (a1) (a2) (a3), Neus Aymamí (a1), Mónica Gómez-Peña (a1), Gemma Mestre-Bach (a1) (a2) (a3), Trevor Steward (a1) (a2) (a3), Amparo del Pino-Gutiérrez (a1) (a5), Teresa Mena-Moreno (a1) (a2), Cristina Vintró-Alcaraz (a1) (a2), Zaida Agüera (a1) (a2), Jéssica Sánchez-González (a1), Laura Moragas (a1), Ester Codina (a1) (a5) and José M. Menchón (a1) (a3) (a6)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.

Developmental trajectories of gambling severity after cognitive-behavioral therapy

  • Susana Jiménez-Murcia (a1) (a2) (a3), Roser Granero (a2) (a4), Fernando Fernández-Aranda (a1) (a2) (a3), Neus Aymamí (a1), Mónica Gómez-Peña (a1), Gemma Mestre-Bach (a1) (a2) (a3), Trevor Steward (a1) (a2) (a3), Amparo del Pino-Gutiérrez (a1) (a5), Teresa Mena-Moreno (a1) (a2), Cristina Vintró-Alcaraz (a1) (a2), Zaida Agüera (a1) (a2), Jéssica Sánchez-González (a1), Laura Moragas (a1), Ester Codina (a1) (a5) and José M. Menchón (a1) (a3) (a6)...
Submit a response

Comments

No Comments have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *