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Treatment of gambling disorder patients with comorbid depression

  • Jakob Linnet (a1) (a2), Monique Jeppsen Mensink (a1), Johanne de Neergaard Bonde (a1) (a3) and Michael Winterdahl (a3)
Abstract
Objective

This study was conducted to investigate and clinically assess comorbid depression and its relevance in individuals suffering from gambling disorders. The DSM-V defines the condition of gambling disorder as a persistent and recurrent problematic gambling behaviour leading to clinically significant impairment or distress.

Method

A total of 61 subjects with gambling disorders were assessed using the Structured Clinical Interview for the DSM-IV (SCID-I), the South Oaks Gambling Screen (SOGS) and the Major Depression inventory (MDI).

Results

Two-way analysis of variance showed highly significant treatment outcomes associated with reductions in SOGS, F(1,60)=84.79, p<0.0001, MDI, F(1,60)=38.13, p<0.0001, craving, F(1,60)=29.59, p<0.0001, and gambling control, 47.65, p<0.0001. There was also a highly significant outcome associated with comorbidity in MDI, F(1,60)=9.17, p<0.0001. Finally, there was a significant interaction effect between treatment outcome and comorbidity, F(1,60)=3.90, p<0.005, suggesting that both treatment and comorbidity contributed to reductions in depressive symptoms.

Conclusion

These results suggest and highlights the importance and benefits of integrated treatment of gambling disorders and its comorbidity, but also stresses the importance of adequate screening and detection of these two variables.

Copyright
Corresponding author
*Jakob Linnet, Research Clinic on Gambling Disorders, Aarhus University Hospital, Nørrebrogade 44, Building 4A, DK-8000 Aarhus C, Denmark. Tel: (+45) 78 46 16 98; E-mail: jlinnet@mac.com
References
Hide All
1. ChamberlainSR, DerbyshireK, LeppinkE, GrantJE. Impact of ADHD symptoms on clinical and cognitive aspects of problem gambling. Compr Psychiatry 2015;57:5157.
2. DannonPN, LowengrubK, AizerA, KotlerM. Pathological gambling: comorbid psychiatric diagnoses in patients and their families. Isr J Psychiatry Relat Sci 2006;43:8892.
3. BeconaE, Del Carmen LorenzoM, FuentesMJ. Pathological gambling and depression. Psychol Rep 1996;78:635640.
4. GrantJE, KimSW. Demographic and clinical features of 131 adult pathological gamblers. J Clin Psychiatry 2001;62:957962.
5. SmartRG, FerrisJ. Alcohol, drugs and gambling in the Ontario adult population, 1994. Can J Psychiatry 1996;41:3645.
6. CrockfordDN, el-GuebalyN. Psychiatric comorbidity in pathological gambling: a critical review. Can J Psychiatry 1998;43:4350.
7. LinardatouC, PariosA, VarvogliL, ChrousosG, DarviriC. An 8-week stress management program in pathological gamblers: a pilot randomized controlled trial. J Psychiatr Res 2014;56:137143.
8. MoghaddamJF, CamposMD, MyoC, ReidRC, FongTW. A longitudinal examination of depression among gambling inpatients. J Gambl Stud 2014.
9. LinnetJ. Effekten Af Behandlingsmetoder Indenfor Ludomani [The effects of treatment methods in gambling disorder]. Copenhagen, Denmark: Danish Ministry of Health, 2016.
10. MarceauxJC, MelvilleCL. Twelve-step facilitated versus mapping-enhanced cognitive-behavioral therapy for pathological gambling: a controlled study. J Gambl Stud 2011;27:171190.
11. WongDF, ChungCL, WuJ, TangJ, LauP, WanJP. A preliminary study of an integrated and culturally attuned cognitive behavioral group treatment for Chinese problem gamblers in Hong Kong. J Gambl Stud 2015;31:10151027.
12. GrantJE, DonahueCB, OdlaugBL, KimSW, MillerMJ, PetryNM. Imaginal desensitisation plus motivational interviewing for pathological gambling: randomised controlled trial. Br J Psychiatry 2009;195:266267.
13. CarlbringP, SmitF. Randomized trial of internet-delivered self-help with telephone support for pathological gamblers. J Consult Clin Psychol 2008;76:10901094.
14. LadouceurR, LachanceS, FournierPM. Is control a viable goal in the treatment of pathological gambling? Behav Res Ther 2009;47:189197.
15. StinchfieldR, WintersKC. Outcome of Minnesota’s gambling treatment programs. J Gambl Stud 2001;17:217245.
16. SylvainC, LadouceurR, BoisvertJM. Cognitive and behavioral treatment of pathological gambling: a controlled study. J Consult Clin Psychol 1997;65:727732.
17. FirstM, SpitzerR, GibbonM, WilliamsJ. Structured clinical interview for DSM-IV-Tr Axis I disorders, research version, non-patient edition. (Scid-I/Np). New York: Biometrics Research, New York State Psychiatric Institute, 2002.
18. GrantJE, SteinbergMA, KimSW, RounsavilleBJ, PotenzaMN. Preliminary Validity and Reliability Testing of a Structured Clinical Interview for Pathological Gambling. Psychiatry Research 2004;128:7988.
19. LesieurH, BlumeSB. Revising the South Oaks gambling screen in different settings. J Gambl Stud 1993;9:213223.
20. LesieurHR, BlumeSB. The South Oaks Gambling Screen (Sogs): a new instrument for the identification of pathological gamblers. Am J Psychiatry 1987;144:11841188.
21. StinchfieldR. Reliability, validity, and classification accuracy of the South Oaks Gambling Screen (Sogs). Addict Behav 2002;27:119.
22. BechP, RasmussenN-A, OlsenL, NoerholmV, AbildgaardW. The sensitivity and specificity of the Major Depression Inventory, using the present state examination as the index of diagnostic validity. J Affect Disord 2001;66:159164.
23. OlsenLR, JensenDV, NoerholmV, MartinyK, BechP. The internal and external validity of the Major Depression Inventory in measuring severity of depressive states. Psychol Med 2003;33:351356.
24. LadouceurR, SylvainC, BoutinC, LachanceS, DoucetC, LeblondJ. Group therapy for pathological gamblers: a cognitive approach. Behav Res Ther 2003;41:587596.
25. LadouceurR, SylvainC, BoutinC, LachanceS, DoucetC, LeblondJ, JacquesC. Cognitive treatment of pathological gambling. J Nerv Ment Dis 2001;189:774780.
26. LadouceurR, LachanceS. Overcoming pathological gambling: therapist guide. Oxford: Oxford University Press, 2007a.
27. LadouceurR, LachanceS. Overcoming your pathological gambling: workbook. Oxford: Oxford University Press, 2007b.
28. StinchfieldR, McCreadyJ, TurnerNE et al. Reliability, validity, and classification accuracy of the DSM-5 diagnostic criteria for gambling disorder and comparison to DSM-IV. J Gambl Stud 2015;32:905922.
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Acta Neuropsychiatrica
  • ISSN: 0924-2708
  • EISSN: 1601-5215
  • URL: /core/journals/acta-neuropsychiatrica
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