A naturalistic study of recovering gamblers: What gets better and when they get better

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Arquivos
art_ROSSINI-DIB_A_naturalistic_study_of_recovering_gamblers_What_gets_2015.PDF (702.83 KB)
Citações na Scopus
26
Tipo de produção
article
Data de publicação
2015
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER IRELAND LTD
Autores
ROSSINI-DIB, Danielle
Citação
PSYCHIATRY RESEARCH, v.227, n.1, p.17-26, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Gambling recovery has typically been assessed through the lens of gambling behavior and its consequences. Little attention has been given to less obvious features of gambling disorder, such as negative affectivity, gambling cognitive distortions, impulsivity, cognitive flexibility, planning, inhibitory control, and decision-making. The current study investigates how gambling treatment affected these variables and if any are related to gambling recovery. One hundred and thirteen patients were assigned to psycho-education and psychiatric treatment. A subset of 48 patients was additionally assigned to cognitive behavioral therapy (CBT). Seventy-two patients were reassessed 6 months after treatment onset. Recovered and non-recovered gamblers did not differ in pre-treatment demographic, gambling, and psychiatric profiles. Three outcome variables were strongly related with gambling recovery: negative affectivity, cognitive distortions and decision-making. Logistic regression identified reduction of gambling cognitive distortions and better performance on decision-making as the best predictors of gambling recovery, regardless of the type of treatment received. Beyond the standard outcome measures for gambling treatment, increased sensitivity to loss and decreased positive expectancies towards gambling are key targets to promote recovery in gambling treatment.
Palavras-chave
Gambling disorder, Cognitive behavior therapy, Neuropsychology, Cognitive distortion, Executive function
URI
https://observatorio.fm.usp.br/handle/OPI/9863
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - LIM/21