TY - JOUR
T1 - Do attention-deficit/hyperactivity symptoms influence treatment outcome in gambling disorder?
AU - Mestre-Bach, Gemma
AU - Potenza, Marc N.
AU - Moragas, Laura
AU - Jiménez-Murcia, Susana
AU - Vintró-Alcaraz, Cristina
AU - Fernández‐Aranda, Fernando
AU - Gómez-Peña, Mónica
AU - Granero Pérez, Roser
N1 - Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.
PY - 2024/1
Y1 - 2024/1
N2 - 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.
AB - 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.
KW - ADHD
KW - Gambling disorder
KW - Impulsivity
KW - Relapse
KW - Addictive behaviors
KW - Cognitive-behavioral therapy
UR - http://www.scopus.com/inward/record.url?scp=85175329915&partnerID=8YFLogxK
UR - https://ddd.uab.cat/record/301925
U2 - 10.1016/j.comppsych.2023.152433
DO - 10.1016/j.comppsych.2023.152433
M3 - Article
C2 - 37924691
SN - 0010-440X
VL - 128
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
M1 - 152433
ER -