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P0367 - Cognitive-behavioral group treatment for pathological gambling: Analysis of effectiveness and predictors of therapy outcome

Published online by Cambridge University Press:  16 April 2020

S. Jimenez-Murcia ,
E.M. Alvarez-Moya ,
R. Granero ,
M.N. Aymami ,
M. Gomez-Pena ,
N. Jaurrieta ,
A. Lopez-Lazcano ,
V. Castejon  and
J. Vallejo
S. Jimenez-Murcia
Affiliation:
Pathological Gambling Unit, Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain CIBER Fisiopatologia Obesidad Y Nutricion (CB06/03) Instituto Salud Carlos III, Madrid, Spain
E.M. Alvarez-Moya
Affiliation:
Pathological Gambling Unit, Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain CIBER Fisiopatologia Obesidad Y Nutricion (CB06/03) Instituto Salud Carlos III, Madrid, Spain
R. Granero
Affiliation:
Department of Psychobiology and Methodology / Autonomous University of Barcelona, Barcelona, Spain
M.N. Aymami
Affiliation:
Pathological Gambling Unit, Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain
M. Gomez-Pena
Affiliation:
Pathological Gambling Unit, Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain
N. Jaurrieta
Affiliation:
Pathological Gambling Unit, Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain
A. Lopez-Lazcano
Affiliation:
Pathological Gambling Unit, Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain
V. Castejon
Affiliation:
Pathological Gambling Unit, Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain
J. Vallejo
Affiliation:
Pathological Gambling Unit, Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain

Abstract

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Objective:

to examine short and middle-term effectiveness of a group cognitive-behavioral intervention (CBT) in pathological gambling (PG) and to analyze predictors of therapy outcome.

Method:

Two hundred and ninety PG patients consecutively admitted to our Unit participated in the current study. All participants were diagnosed according to DSM-IV-criteria. Manualized outpatient group CBT [16 weekly sessions] was given. Specific assessment before and after the therapy and at 1, 3 and 6 months follow-up was conducted. Logistic regression analyses and survival analysis were applied.

Results:

outpatient group CBT was effective with abstinence rates by the end of therapy of 76.1%, and 81.5% at 6 months follow-up. The dropout rate during treatment decreased significantly after the fifth treatment session. Psychopathological distress (p = 0.040) and obsessive-compulsive symptoms were identified as factors predicting relapses and drop-outs respectively.

Conclusions:

our findings suggest that group CBT is effective for treating PG individuals. Several psychopathological and personality traits were identified as outcome predictors.

Type
Poster Session II: Cognitive Psychotherapy
Information
European Psychiatry , Volume 23 , Issue S2: 16th AEP Congress - Abstract book - 16th AEP Congress , April 2008 , pp. S300
Copyright
Copyright © European Psychiatric Association 2008
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