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Does Confinement Af...
Does Confinement Affect Treatment Dropout Rates in Patients With Gambling Disorder? A Nine-Month Observational Study
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- Baenas, Isabel (författare)
- Carlos III Health Institute,Bellvitge University Hospital-IDIBELL
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- Etxandi, Mikel (författare)
- Bellvitge University Hospital-IDIBELL
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- Codina, Ester (författare)
- Bellvitge University Hospital-IDIBELL
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- Granero, Roser (författare)
- Carlos III Health Institute,Autonomous University of Barcelona
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- Fernández-Aranda, Fernando (författare)
- Bellvitge University Hospital-IDIBELL,Bellvitge Biomedical Research Institute,Carlos III Health Institute,University of Barcelona
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- Gómez-Peña, Mónica (författare)
- Bellvitge University Hospital-IDIBELL
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- Moragas, Laura (författare)
- Bellvitge University Hospital-IDIBELL
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- Rivas, Sandra (författare)
- Bellvitge University Hospital-IDIBELL
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- Potenza, Marc N. (författare)
- Connecticut Mental Health Center,Connecticut Council on Problem Gambling,Yale University
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- Håkansson, Anders (författare)
- Lund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Enheten för klinisk beroendeforskning,Forskargrupper vid Lunds universitet,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Clinical addiction research unit,Lund University Research Groups,Region Skåne
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- del Pino-Gutiérrez, Amparo (författare)
- University of Barcelona,Carlos III Health Institute
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- Mora-Maltas, Bernat (författare)
- Bellvitge University Hospital-IDIBELL
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- Valenciano-Mendoza, Eduardo (författare)
- Bellvitge University Hospital-IDIBELL
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- Menchón, José M. (författare)
- Carlos III Health Institute,University of Barcelona,Bellvitge Biomedical Research Institute,Bellvitge University Hospital-IDIBELL
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- Jiménez-Murcia, Susana (författare)
- Bellvitge University Hospital-IDIBELL,University of Barcelona,Carlos III Health Institute,Bellvitge Biomedical Research Institute
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(creator_code:org_t)
- 2021-12-14
- 2021
- Engelska.
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Ingår i: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 12
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http://dx.doi.org/10... (free)
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https://www.frontier...
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https://lup.lub.lu.s...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- Background and Aims: COVID-19 pandemic and confinement have represented a challenge for patients with gambling disorder (GD). Regarding treatment outcome, dropout may have been influenced by these adverse circumstances. The aims of this study were: (a) to analyze treatment dropout rates in patients with GD throughout two periods: during and after the lockdown and (b) to assess clinical features that could represent vulnerability factors for treatment dropout. Methods: The sample consisted of n=86 adults, mostly men (n=79, 91.9%) and with a mean age of 45years old (SD=16.85). Patients were diagnosed with GD according to DSM-5 criteria and were undergoing therapy at a Behavioral Addiction Unit when confinement started. Clinical data were collected through a semi-structured interview and protocolized psychometric assessment. A brief telephone survey related to COVID-19 concerns was also administered at the beginning of the lockdown. Dropout data were evaluated at two moments throughout a nine-month observational period (T1: during the lockdown, and T2: after the lockdown). Results: The risk of dropout during the complete observational period was R=32/86=0.372 (37.2%), the Incidence Density Rate (IDR) ratio T2/T1 being equal to 0.052/0.033=1.60 (p=0.252). Shorter treatment duration (p=0.007), lower anxiety (p=0.025), depressive symptoms (p=0.045) and lower use of adaptive coping strategies (p=0.046) characterized patients who abandoned treatment during the lockdown. Briefer duration of treatment (p=0.001) and higher employment concerns (p=0.044) were highlighted in the individuals who dropped out after the lockdown. Treatment duration was a predictor of dropout in both periods (p=0.005 and p<0.001, respectively). Conclusion: The present results suggest an impact of the COVID-19 pandemic on treatment dropout among patients with GD during and after the lockdown, being treatment duration a predictor of dropout. Assessing vulnerability features in GD may help clinicians identify high-risk individuals and enhance prevention and treatment approaches in future similar situations.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- confinement
- coping
- COVID-19
- dropout
- gambling disorder
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Baenas, Isabel
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Etxandi, Mikel
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Codina, Ester
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Granero, Roser
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Fernández-Aranda ...
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Gómez-Peña, Móni ...
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visa fler...
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Moragas, Laura
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Rivas, Sandra
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Potenza, Marc N.
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Håkansson, Ander ...
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del Pino-Gutiérr ...
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Mora-Maltas, Ber ...
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Valenciano-Mendo ...
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Menchón, José M.
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Jiménez-Murcia, ...
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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och Klinisk medicin
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och Psykiatri
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Frontiers in Psy ...
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Lunds universitet