Subtyping Study of a Pathological Gamblers Sample

Objective: To classify into subgroups a sample of pathological gambling (PG) patients according to personality variables and to describe the subgroups at a clinical level. Method: PG patients (n = 1171) were assessed with the South Oaks Gambling Screen; the Temperament and Character Inventory—Revise...

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Veröffentlicht in:Canadian journal of psychiatry 2010-08, Vol.55 (8), p.498-506
Hauptverfasser: Álvarez-Moya, Eva Ma, Jiménez-Murcia, Susana, Aymamí, Ma Neus, Gómez-Peña, Mónica, Granero, Roser, Santamaría, Juanjo, Menchón, Jose M, Fernández-Aranda, Fernando
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container_issue 8
container_start_page 498
container_title Canadian journal of psychiatry
container_volume 55
creator Álvarez-Moya, Eva Ma
Jiménez-Murcia, Susana
Aymamí, Ma Neus
Gómez-Peña, Mónica
Granero, Roser
Santamaría, Juanjo
Menchón, Jose M
Fernández-Aranda, Fernando
description Objective: To classify into subgroups a sample of pathological gambling (PG) patients according to personality variables and to describe the subgroups at a clinical level. Method: PG patients (n = 1171) were assessed with the South Oaks Gambling Screen; the Temperament and Character Inventory—Revised; the Symptom Checklist-90—Revised; Eysenck's Impulsivity Scales, a diagnostic questionnaire for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) PG criteria; and the Structured Clinical Interview for the DSM-IV, Axis I disorders, substance use module. Clinical measures were collected through a semi-structured interview. We performed a 2-step cluster analysis based on the above-mentioned personality variables. Clinical data were compared across clusters. Results: Four clusters were generated. Type I (disorganized and emotionally unstable) showed schizotypic traits, high impulsiveness, substance and alcohol abuse, and early age of onset, as well as psychopathological disturbances. Type II (schizoid) showed high harm avoidance, social aloofness, and alcohol abuse. Type III (reward sensitive) showed high sensation seeking and impulsiveness but no psychopathological impairments. Type IV (high-functioning) showed a globally adaptive personality profile, low level of substance and alcohol abuse or smoking, and no psychopathological disturbances. Conclusions: At least 4 types of PG patients may be identified. Two types showed a response modulation deficit, but only one of them had severe psychopathological disturbances. Two other types showed no impulsiveness or sensation seeking and one of them even exhibited good general functioning. The different personality and clinical configuration of these clusters might be linked to different therapeutic approaches.
doi_str_mv 10.1177/070674371005500804
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Method: PG patients (n = 1171) were assessed with the South Oaks Gambling Screen; the Temperament and Character Inventory—Revised; the Symptom Checklist-90—Revised; Eysenck's Impulsivity Scales, a diagnostic questionnaire for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) PG criteria; and the Structured Clinical Interview for the DSM-IV, Axis I disorders, substance use module. Clinical measures were collected through a semi-structured interview. We performed a 2-step cluster analysis based on the above-mentioned personality variables. Clinical data were compared across clusters. Results: Four clusters were generated. Type I (disorganized and emotionally unstable) showed schizotypic traits, high impulsiveness, substance and alcohol abuse, and early age of onset, as well as psychopathological disturbances. Type II (schizoid) showed high harm avoidance, social aloofness, and alcohol abuse. Type III (reward sensitive) showed high sensation seeking and impulsiveness but no psychopathological impairments. Type IV (high-functioning) showed a globally adaptive personality profile, low level of substance and alcohol abuse or smoking, and no psychopathological disturbances. Conclusions: At least 4 types of PG patients may be identified. Two types showed a response modulation deficit, but only one of them had severe psychopathological disturbances. Two other types showed no impulsiveness or sensation seeking and one of them even exhibited good general functioning. 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Type III (reward sensitive) showed high sensation seeking and impulsiveness but no psychopathological impairments. Type IV (high-functioning) showed a globally adaptive personality profile, low level of substance and alcohol abuse or smoking, and no psychopathological disturbances. Conclusions: At least 4 types of PG patients may be identified. Two types showed a response modulation deficit, but only one of them had severe psychopathological disturbances. Two other types showed no impulsiveness or sensation seeking and one of them even exhibited good general functioning. 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Method: PG patients (n = 1171) were assessed with the South Oaks Gambling Screen; the Temperament and Character Inventory—Revised; the Symptom Checklist-90—Revised; Eysenck's Impulsivity Scales, a diagnostic questionnaire for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) PG criteria; and the Structured Clinical Interview for the DSM-IV, Axis I disorders, substance use module. Clinical measures were collected through a semi-structured interview. We performed a 2-step cluster analysis based on the above-mentioned personality variables. Clinical data were compared across clusters. Results: Four clusters were generated. Type I (disorganized and emotionally unstable) showed schizotypic traits, high impulsiveness, substance and alcohol abuse, and early age of onset, as well as psychopathological disturbances. Type II (schizoid) showed high harm avoidance, social aloofness, and alcohol abuse. Type III (reward sensitive) showed high sensation seeking and impulsiveness but no psychopathological impairments. Type IV (high-functioning) showed a globally adaptive personality profile, low level of substance and alcohol abuse or smoking, and no psychopathological disturbances. Conclusions: At least 4 types of PG patients may be identified. Two types showed a response modulation deficit, but only one of them had severe psychopathological disturbances. Two other types showed no impulsiveness or sensation seeking and one of them even exhibited good general functioning. The different personality and clinical configuration of these clusters might be linked to different therapeutic approaches.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20723277</pmid><doi>10.1177/070674371005500804</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Addictive behaviors
Adult
Adult and adolescent clinical studies
Alcoholism
Alcoholism and acute alcohol poisoning
Biological and medical sciences
Bulimia
Comorbidity
Diagnostic and Statistical Manual of Mental Disorders
Disruptive, Impulse Control, and Conduct Disorders - classification
Disruptive, Impulse Control, and Conduct Disorders - diagnosis
Disruptive, Impulse Control, and Conduct Disorders - psychology
Elementary education
Exploratory Behavior
Female
Gambling
Gambling - classification
Gambling - diagnosis
Gambling - epidemiology
Gambling - psychology
Gaming machines
Humans
Internal-External Control
Interview, Psychological
Male
Mass Screening
Medical sciences
Middle Aged
Miscellaneous
Personality Assessment - statistics & numerical data
Personality disorders
Personality Inventory - statistics & numerical data
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology
Psychopathology. Psychiatry
Socioeconomic Factors
Studies
Substance-Related Disorders - classification
Substance-Related Disorders - diagnosis
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Toxicology
title Subtyping Study of a Pathological Gamblers Sample
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