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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0706-7437</identifier><identifier>EISSN: 1497-0015</identifier><identifier>DOI: 10.1177/070674371005500804</identifier><identifier>PMID: 20723277</identifier><identifier>CODEN: CJPSDF</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>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</subject><ispartof>Canadian journal of psychiatry, 2010-08, Vol.55 (8), p.498-506</ispartof><rights>2010 Canadian Psychiatric Association</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Canadian Psychiatric Association Aug 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-6b13fb04d4a3e90a418477fc0995ebf938b313377dc17adddebf2c64767e557a3</citedby><cites>FETCH-LOGICAL-c443t-6b13fb04d4a3e90a418477fc0995ebf938b313377dc17adddebf2c64767e557a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/070674371005500804$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/070674371005500804$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21817,27922,27923,43619,43620</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23170036$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20723277$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Álvarez-Moya, Eva Ma</creatorcontrib><creatorcontrib>Jiménez-Murcia, Susana</creatorcontrib><creatorcontrib>Aymamí, Ma Neus</creatorcontrib><creatorcontrib>Gómez-Peña, Mónica</creatorcontrib><creatorcontrib>Granero, Roser</creatorcontrib><creatorcontrib>Santamaría, Juanjo</creatorcontrib><creatorcontrib>Menchón, Jose M</creatorcontrib><creatorcontrib>Fernández-Aranda, Fernando</creatorcontrib><title>Subtyping Study of a Pathological Gamblers Sample</title><title>Canadian journal of psychiatry</title><addtitle>Can J Psychiatry</addtitle><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.</description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcoholism</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Biological and medical sciences</subject><subject>Bulimia</subject><subject>Comorbidity</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Disruptive, Impulse Control, and Conduct Disorders - classification</subject><subject>Disruptive, Impulse Control, and Conduct Disorders - diagnosis</subject><subject>Disruptive, Impulse Control, and Conduct Disorders - psychology</subject><subject>Elementary education</subject><subject>Exploratory Behavior</subject><subject>Female</subject><subject>Gambling</subject><subject>Gambling - classification</subject><subject>Gambling - diagnosis</subject><subject>Gambling - epidemiology</subject><subject>Gambling - psychology</subject><subject>Gaming machines</subject><subject>Humans</subject><subject>Internal-External Control</subject><subject>Interview, Psychological</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Personality Assessment - statistics & numerical data</subject><subject>Personality disorders</subject><subject>Personality Inventory - statistics & numerical data</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology</subject><subject>Psychopathology. Psychiatry</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Substance-Related Disorders - classification</subject><subject>Substance-Related Disorders - diagnosis</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - psychology</subject><subject>Toxicology</subject><issn>0706-7437</issn><issn>1497-0015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp90FtLwzAUB_AgipvTL-CDFEF8qju5tKd5lKFTGChMn0uaprOjl5m0D_v2pmw6UDAvB8LvXPgTcknhjlLEKSDEKDhSgCgCSEAckTEVEkMAGh2T8QDCQYzImXNr8I-x5JSMGCDjDHFM6LLPuu2mbFbBsuvzbdAWgQpeVffRVu2q1KoK5qrOKmNdsFT1pjLn5KRQlTMX-zoh748Pb7OncPEyf57dL0ItBO_COKO8yEDkQnEjQQmaCMRCg5SRyQrJk4xTzhFzTVHlee4_mY4FxmiiCBWfkNvd3I1tP3vjurQunTZVpRrT9i5Fkcg4oVR4ef1LrtveNv44j6QUDETsEdshbVvnrCnSjS1rZbcphXSIM_0bp2-62k_us9rkPy3f-XlwswfK-awKqxpduoPjFAH4sH26c06tzOG8f1Z_AYB8h1o</recordid><startdate>20100801</startdate><enddate>20100801</enddate><creator>Álvarez-Moya, Eva Ma</creator><creator>Jiménez-Murcia, Susana</creator><creator>Aymamí, Ma Neus</creator><creator>Gómez-Peña, Mónica</creator><creator>Granero, Roser</creator><creator>Santamaría, Juanjo</creator><creator>Menchón, Jose M</creator><creator>Fernández-Aranda, Fernando</creator><general>SAGE Publications</general><general>Canadian Psychiatric Association</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M3G</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100801</creationdate><title>Subtyping Study of a Pathological Gamblers Sample</title><author>Álvarez-Moya, Eva Ma ; Jiménez-Murcia, Susana ; Aymamí, Ma Neus ; Gómez-Peña, Mónica ; Granero, Roser ; Santamaría, Juanjo ; Menchón, Jose M ; Fernández-Aranda, Fernando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-6b13fb04d4a3e90a418477fc0995ebf938b313377dc17adddebf2c64767e557a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcoholism</topic><topic>Alcoholism and acute alcohol poisoning</topic><topic>Biological and medical sciences</topic><topic>Bulimia</topic><topic>Comorbidity</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Disruptive, Impulse Control, and Conduct Disorders - classification</topic><topic>Disruptive, Impulse Control, and Conduct Disorders - diagnosis</topic><topic>Disruptive, Impulse Control, and Conduct Disorders - psychology</topic><topic>Elementary education</topic><topic>Exploratory Behavior</topic><topic>Female</topic><topic>Gambling</topic><topic>Gambling - classification</topic><topic>Gambling - diagnosis</topic><topic>Gambling - epidemiology</topic><topic>Gambling - psychology</topic><topic>Gaming machines</topic><topic>Humans</topic><topic>Internal-External Control</topic><topic>Interview, Psychological</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Personality Assessment - statistics & numerical data</topic><topic>Personality disorders</topic><topic>Personality Inventory - statistics & numerical data</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology</topic><topic>Psychopathology. Psychiatry</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Substance-Related Disorders - classification</topic><topic>Substance-Related Disorders - diagnosis</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - psychology</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Álvarez-Moya, Eva Ma</creatorcontrib><creatorcontrib>Jiménez-Murcia, Susana</creatorcontrib><creatorcontrib>Aymamí, Ma Neus</creatorcontrib><creatorcontrib>Gómez-Peña, Mónica</creatorcontrib><creatorcontrib>Granero, Roser</creatorcontrib><creatorcontrib>Santamaría, Juanjo</creatorcontrib><creatorcontrib>Menchón, Jose M</creatorcontrib><creatorcontrib>Fernández-Aranda, Fernando</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>CBCA Reference & Current Events</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Álvarez-Moya, Eva Ma</au><au>Jiménez-Murcia, Susana</au><au>Aymamí, Ma Neus</au><au>Gómez-Peña, Mónica</au><au>Granero, Roser</au><au>Santamaría, Juanjo</au><au>Menchón, Jose M</au><au>Fernández-Aranda, Fernando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subtyping Study of a Pathological Gamblers Sample</atitle><jtitle>Canadian journal of psychiatry</jtitle><addtitle>Can J Psychiatry</addtitle><date>2010-08-01</date><risdate>2010</risdate><volume>55</volume><issue>8</issue><spage>498</spage><epage>506</epage><pages>498-506</pages><issn>0706-7437</issn><eissn>1497-0015</eissn><coden>CJPSDF</coden><abstract>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.</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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