TY - JOUR
T1 - The prevalence and features of schizophrenia among individuals with gambling disorder
AU - Granero Perez, Rosario
AU - Fernández‐Aranda, Fernando
AU - Pino Gutiérrez, Amparo del
AU - Etxandi, M
AU - Baenas, Isabel
AU - Gómez-Peña, Mónica
AU - Moragas, Laura
AU - Valenciano-Mendoza, Eduardo
AU - Mora-Maltas, Bernat
AU - Valero-Solís, Susana
AU - Codina, E.
AU - Guillén-Guzmán, E
AU - Lara-Huallipe, Milagros
AU - Caravaca, E
AU - Mestre-Bach, Gemma
AU - Menchón, José Manuel
AU - Jiménez Murcia, Susana
N1 - Copyright © 2021 Elsevier Ltd. All rights reserved.
PY - 2021/4
Y1 - 2021/4
N2 - Background-objectives: Few studies have analyzed the comorbid presence of gambling disorder (GD) with schizophrenia, its sociodemographic correlates and clinical implications. This study estimated the prevalence of the dual diagnosis (GD with schizophrenia) and the differences in the profiles of patients with and without the dual condition. Method: The sample included n = 3,754 patients consecutively accepted for treatment for GD. Sociodemographics, gambling-related variables, psychopathological state and personality traits were assessed and compared between the groups. Results: The prevalence of schizophrenia within patients who met clinical criteria for GD was 4.4% (95% confidence interval: 3.8%–5.1%). Variables related to the dual presence of GD with schizophrenia were single marital status, lower education level, inactive working status, socioeconomic disadvantage, younger age, earlier onset of gambling problems, worse global psychopathological state and more dysfunctional personality profile (higher level in harm avoidance and lower level in cooperativeness, reward dependence, persistence and self-directedness). Conclusion: The presence of schizophrenia among patients with GD was around 4 times higher than the prevalence rate estimated in the reference general population. The differences in the profiles of GD patients with and without schizophrenia suggest that individuals with the dual diagnosis condition require unique assessment considerations and tailored treatment interventions specifically designed for the clinical and functioning higher risk.
AB - Background-objectives: Few studies have analyzed the comorbid presence of gambling disorder (GD) with schizophrenia, its sociodemographic correlates and clinical implications. This study estimated the prevalence of the dual diagnosis (GD with schizophrenia) and the differences in the profiles of patients with and without the dual condition. Method: The sample included n = 3,754 patients consecutively accepted for treatment for GD. Sociodemographics, gambling-related variables, psychopathological state and personality traits were assessed and compared between the groups. Results: The prevalence of schizophrenia within patients who met clinical criteria for GD was 4.4% (95% confidence interval: 3.8%–5.1%). Variables related to the dual presence of GD with schizophrenia were single marital status, lower education level, inactive working status, socioeconomic disadvantage, younger age, earlier onset of gambling problems, worse global psychopathological state and more dysfunctional personality profile (higher level in harm avoidance and lower level in cooperativeness, reward dependence, persistence and self-directedness). Conclusion: The presence of schizophrenia among patients with GD was around 4 times higher than the prevalence rate estimated in the reference general population. The differences in the profiles of GD patients with and without schizophrenia suggest that individuals with the dual diagnosis condition require unique assessment considerations and tailored treatment interventions specifically designed for the clinical and functioning higher risk.
KW - Gambling disorder
KW - Personality
KW - Psychopathology
KW - Schizophrenia
KW - Prevalence
KW - Humans
KW - Gambling/epidemiology
KW - Schizophrenia/epidemiology
KW - Personality Disorders
UR - http://www.scopus.com/inward/record.url?scp=85101408716&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/8d6c50d5-19eb-3bc5-8e27-e4f7da03fbf4/
U2 - 10.1016/j.jpsychires.2021.02.025
DO - 10.1016/j.jpsychires.2021.02.025
M3 - Article
C2 - 33639330
SN - 0022-3956
VL - 136
SP - 374
EP - 383
JO - Journal of Psychiatric Research
JF - Journal of Psychiatric Research
ER -