scholarly journals Clustering Treatment Outcomes in Women with Gambling Disorder

2021 ◽  
Author(s):  
Milagros Lizbeth Lara-Huallipe ◽  
Roser Granero ◽  
Fernando Fernández-Aranda ◽  
Mónica Gómez-Peña ◽  
Laura Moragas ◽  
...  
Keyword(s):  
Emotional Regulation ◽  
Gambling Disorder ◽  
Behavioral Therapy ◽  
Hierarchical Classification ◽  
Self Control ◽  
Clinical State ◽  
Therapeutic Outcomes ◽  
New Evidence ◽  
Active Patients ◽  
Status Index

AbstractThe rising prevalence of gambling disorder (GD) among women has awakened considerable interest in the study of therapeutic outcomes in females. This study aimed to explore profiles of women seeking treatment for GD based on a set of indicators including sociodemographic features, personality traits, clinical state at baseline, and cognitive behavioral therapy (CBT) outcomes. Two-step clustering, an agglomerative hierarchical classification system, was applied to a sample of n = 163 women of ages ranging from 20 to 73 years-old, consecutively attended to by a clinical unit specialized in the treatment of G. Three mutually exclusive clusters were identified. Cluster C1 (n = 67, 41.1%) included the highest proportion of married, occupationally active patients within the highest social status index. This cluster was characterized by medium GD severity levels, the best psychopathological functioning, and the highest mean in the self-directedness trait. C1 registered 0% dropouts and only 14.9% relapse. Cluster C2 (n = 63; 38.7%) was characterized by the lowest GD severity, medium scores for psychopathological measures and a high risk of dropout during CBT. Cluster C3 (n = 33; 20.2%) registered the highest GD severity, the worst psychopathological state, the lowest self-directedness level and the highest harm-avoidance level, as well as the highest risk of relapse. These results provide new evidence regarding the heterogeneity of women diagnosed with GD and treated with CBT, based on the profile at pre- and post-treatment. Person-centered treatments should include specific strategies aimed at increasing self-esteem, emotional regulation capacities and self-control of GD women.

scholarly journals Response trajectories of gambling severity after cognitive behavioral therapy in young-adult pathological gamblers

2020 ◽  
Vol 9 (1) ◽  
pp. 140-152
Author(s):  
Roser Granero ◽  
Susana Valero-Solis ◽  
Fernando Fernández-Aranda ◽  
Mónica Gómez-Peña ◽  
Laura Moragas ◽  
...  
Keyword(s):  
Young Adult ◽  
Cognitive Behavioral Therapy ◽  
Emotional Regulation ◽  
Latent Class ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Therapeutic Outcomes ◽  
Gambling Severity ◽  
Pre Treatment

Abstract Background and aims The significant increase in the prevalence of gambling disorder (GD) among young adults in recent years has attracted interest in determining therapeutic efficiency in this sector of the population. The aim of this work was to estimate the response trajectories of gambling severity during the six-month follow-up after a cognitive behavioral therapy (CBT) program in young adult patients and to identify the main variables associated with each trajectory. Methods The sample included n = 192 patients, aged 19–35 years old, seeking treatment for GD. Response trajectories were identified through latent class growth analysis. Results Three trajectories emerged: T1 (n = 118, 61.5%), composed of patients with severe GD at pre-treatment and good evolution to recovery; T2 (n = 62, 32.3%), with patients with moderate-high GD affectation at baseline and good evolution to recovery; and T3 (n = 12, 6.3%), with participants with severe baseline GD severity and poor evolution after CBT (Abbott, 2019). The highest risk of poor therapeutic outcomes was related to lower social index positions, high emotional distress, high scores in harm avoidance and low scores in self-directedness. Discussion and conclusions Differences in the response trajectories at short-term follow-up after CBT reveal heterogeneity in the samples including young and young-adult GD patients. Patients' phenotype at baseline should be considered when developing efficient, person-centered intervention programs, which should comprise strategies aimed at increasing emotional regulation capacities, self-esteem and self-efficacy, with the aim of avoiding relapses in the medium-long term after therapy.

Report1: Impact of Covid-19 on young people aged 13-24 in the UK- preliminary findings

2020 ◽  
Author(s):  
Liat Levita ◽  
Jilly Gibson Miller ◽  
Todd K. Hartman ◽  
Jamie Murphy ◽  
Mark Shevlin ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Emotional Regulation ◽  
Health Anxiety ◽  
Self Control ◽  
Social Risk ◽  
Need For Support ◽  
The Uk ◽  
Social Recovery ◽  
The Impact

COVID-19 has led to an unprecedented disruption of normal social relationships and activities, which are so important during the teen years and young adulthood, and to education and economic activity worldwide. The impact of this on young people’s mental health and future prospects may affect their need for support and services, and the speed of the nation’s social recovery afterwards. This study focused on the unique challenges facing young people at different points during adolescent development, which spans from the onset of puberty until the mid-twenties. Although this is an immensely challenging time and there is a potential risk for long term trauma, adolescence can be a period of opportunity, where the teenagers’ brain enjoys greater capacity for change. Hence, the focus on young people is key for designing age-specific interventions and public policies, which can offer new strategies for instilling resilience, emotional regulation, and self-control. In fact, adolescents might be assisted to not only cope, but excel, in spite of the challenges imposed by this pandemic. Our work will feed into the larger societal response that utilizes the discoveries about adolescence in the way we raise, teach, and treat young people during this time of crisis. Wave 1 data has already been collected from 2,002 young people aged 13-24, measuring their mental health (anxiety, depression, trauma), family functioning, social networks, and resilience, and social risk-taking at the time of the pandemic. Here we present a preliminary report of our findings, (Report 1). Data collected 21/4/20- 29/4/20 - a month after the lockdown started).

Social Skills and Emotional and Behavioral Traits of Preschool Children

2011 ◽  
Vol 39 (9) ◽  
pp. 1281-1287 ◽  
Author(s):  
Emel Arslan ◽  
Neslihan Durmuşoğlu-Saltali ◽  
Hasan Yilmaz
Keyword(s):  
Social Skills ◽  
Preschool Children ◽  
School Readiness ◽  
Family Involvement ◽  
Emotional Regulation ◽  
Positive Relationship ◽  
Rating Scale ◽  
Correlation Coefficients ◽  
Self Control ◽  
Behavioral Traits

We investigated the relationship between the emotional and behavioral traits and social skills of preschool children. The participants were 224 6-year-old children (115 female, 109 male). Data were collected using the Social Skills Evaluation Scale (Avcıoğlu, 2003) and the Preschool Behavioral and Emotional Rating Scale (Epstein, Synhorst, Cress, & Allen, 2009). Pearson product-moment correlation coefficients were determined. It was found that there was a positive relationship between interpersonal skills and emotional regulation, school readiness, social confidence, and family involvement. It was also found that there was a statistically significant positive relationship between verbal explanation, listening skills, and self-control and emotional regulation, school readiness, social confidence, and family involvement.

Neurobiology and Treatment of Compulsive Hoarding

CNS Spectrums ◽  
2008 ◽  
Vol 13 (S14) ◽  
pp. 29-36 ◽  
Author(s):  
Sanjaya Saxena
Keyword(s):  
Emotional Regulation ◽  
Behavioral Therapy ◽  
Clinical Syndrome ◽  
Anterior Cingulate ◽  
Compulsive Hoarding ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Prefrontal Cortical ◽  
Heritable Phenotype ◽  
Obsessive Compulsive Spectrum Disorder

AbstractCompulsive hoarding is a common and often disabling neuropsychiatric disorder. This article reviews the phenomenology, etiology, neurobiology, and treatment of compulsive hoarding. Compulsive hoarding is part of a discrete clinical syndrome that includes difficulty discarding, urges to save, clutter, excessive acquisition, indecisiveness, perfectionism, procrastination, disorganization, and avoidance. Epidemiological and taxometric studies indicate that compulsive hoarding is a separate but related obsessive-compulsive spectrum disorder that is frequently comorbid with obsessive-compulsive disorder (OCD). Compulsive hoarding is a genetically discrete, strongly heritable phenotype. Neuroimaging and neuropsychological studies indicate that compulsive hoarding is neurobiologically distinct from OCD and implicate dysfunction of the anterior cingulate cortex and other ventral and medial prefrontal cortical areas that mediate decision-making, attention, and emotional regulation. Effective treatments for compulsive hoarding include pharmacotherapy and cognitive-behavioral therapy. More research will be required to determine the etiology and pathophysiology of compulsive hoarding, and to develop better treatments for this disorder.

Feeling Good by Doing Good

2018 ◽  
Author(s):  
Christopher J. Mruk
Keyword(s):  
Positive Psychology ◽  
Well Being ◽  
Self Esteem ◽  
Self Control ◽  
Evidence Based ◽  
Authentic Self ◽  
Practical Applications ◽  
Domains Of Life ◽  
Definition Of ◽  
New Evidence

Feeling Good by Doing Good: A Guide to Authentic Self-Esteem presents a new evidence-based approach to defining, understanding, and increasing self-esteem. The book translates decades of the author’s research and writing in the fields of self-esteem, positive psychology, and psychotherapy into everyday language. Its power comes from tracing the definition of self-esteem back to its very first use, which is based on doing that which is both just and right. Seen this way, self-esteem is not merely feeling good about oneself. Rather, it comes from actually doing something to earn that experience. In addition to distinguishing between low, defensive, and authentic self-esteem, the book helps readers consider the connections between self-esteem and positive psychology in regard to such topics as self-control, how self-esteem operates in domains of life such as school or work, how self-esteem acts as a compass to help us make healthier choices, practical suggestions to increase authentic self-esteem, and the connection between authentic self-esteem, relationships, and well-being. The words, diagrams, and activities in the book are written so that it can be used by clinicians, their clients, and intelligent general readers interested substance as well as practical applications.

Pharmacological Management of Impulsivity and Compulsivity

2017 ◽  
Vol 41 (S1) ◽  
pp. S22-S22
Author(s):  
G. Dom
Keyword(s):  
Behavioral Interventions ◽  
Gambling Disorder ◽  
Behavioral Therapy ◽  
Point Of View ◽  
Cognitive Behavioral ◽  
Behavioral Addictions ◽  
Care Providers ◽  
Pharmacological Interventions ◽  
Pharmacological Management ◽  
Treatment As Usual

Increasingly patients present themselves to psychiatrists and other care providers with a specific request for treatment of one or more behavioral addictions. From a pathogenic point of view impulsivity and compulsivity are important drivers of these behavioral disorders, and as such may represent a target of pharmacological and broader neurobiological, e.g. Neuro-stimulation, treatment. Although currently treatment as usual has a focus on psychosocial and cognitive behavioral interventions, interest is growing toward the pharmacological interventions. In the presentation a state of the art will be presented regarding the pharmacological treatment of behavioral addictions, with a focus on Gambling Disorder and Gaming Disorder.Disclosure of interestMember Advisory Board Lundbeck - Belgium.Received funding from Belgian LOTTO for research into Cognitive Behavioral Therapy for Gambling Disorder.

“Mouth Wide Shut”: Strategies of Female Sex Workers for Coping With Intimate Partner Violence

2016 ◽  
Vol 34 (16) ◽  
pp. 3414-3437
Author(s):  
Alicia Puente-Martínez ◽  
Silvia Ubillos-Landa ◽  
Marina García-Zabala ◽  
Darío Páez-Rovira
Keyword(s):  
Intimate Relationships ◽  
Sex Workers ◽  
Partner Violence ◽  
Emotional Regulation ◽  
Female Sex Workers ◽  
Negative Affectivity ◽  
Well Being ◽  
Self Control ◽  
Cross Sectional ◽  
Female Sex

The aim of this study was to explore the relationship between possible violence suffered by female sex workers in their intimate relationships, with their affects, coping strategies, and emotional regulation to overcome such violence and improve their well-being. Structured personal interviews were carried out with female sex workers in three different settings: street, club, and flats. The sample was composed of 137 Spanish female sex workers (85.4% are foreign and 20% Spanish-born sex workers). High levels of tension and problems with their partners were linked to an affective imbalance and poor well-being. Positive affectivity determined the use of adaptive strategies, whereas negative affectivity predicted dysfunctional strategies. Three different path analyses and theoretical support concluded that self-control was the only strategy related to improve well-being in female sex workers who reported lower potential tension and difficulty in their intimate relationships. In contrast, inhibition was associated with an increase on distress levels when negative affectivity predominated and sex workers had reported potential tension and difficulty situations with their partners. It was a cross-sectional study, and thus we cannot infer causality or direction from the observed associations. Given these findings, violence prevention strategies in the intimate relationships should be prioritized in the prostitution context.

scholarly journals Emotional regulation in eating disorders and gambling disorder: A transdiagnostic approach

2021 ◽  
Author(s):  
Lucero Munguía ◽  
Susana Jiménez-Murcia ◽  
Roser Granero ◽  
Isabel Baenas ◽  
Zaida Agüera ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Personality Traits ◽  
Linear Relationship ◽  
Emotional Regulation ◽  
Emotion Dysregulation ◽  
Gambling Disorder ◽  
Treatment Strategies ◽  
Chi Square ◽  
Difficulties In Emotion Regulation

AbstractBackground and aimsDifficulties in Emotion Regulation (ER) are related to the etiology and maintenance of several psychological disorders, including Eating Disorders (ED) and Gambling Disorder (GD). This study explored the existence of latent empirical groups between both disorders, based on ER difficulties and considering a set of indicators of personality traits, the severity of the disorder, and psychopathological distress.MethodsThe sample included 1,288 female and male participants, diagnosed with ED (n = 906) and GD (n = 382). Two-step clustering was used for the empirical classification, while analysis of variance and chi-square tests were used for the comparison between the latent groups.ResultsThree empirical groups were identified, from the most disturbed ER profile (Subgroup 1) to the most functional (Subgroup 3). The ER state showed a linear relationship with the severity of each disorder and the psychopathological state. Different personality traits were found to be related to the level of emotion dysregulation.Discussion and conclusionIn this study, three distinct empirical groups based on ER were identified across ED and GD, suggesting that ER is a transdiagnostic construct. These findings may lead to the development of common treatment strategies and more tailored approaches.

scholarly journals Effects of a Preventive Intervention of Emotional Regulation in the School Context

2020 ◽  
Vol 36 ◽  
Author(s):  
Nathalia Santos da Costa Vieira ◽  
Zilda Aparecida Pereira Del Prette ◽  
Amanda Margarida Oliveira ◽  
Denise Fabiane Ribeiro ◽  
Samantha Fernandes Silva ◽  
...  
Keyword(s):  
Public Schools ◽  
Social Skills ◽  
Emotional Regulation ◽  
Preventive Intervention ◽  
Scientific Evidence ◽  
School Achievement ◽  
School Context ◽  
Intervention Group ◽  
Self Control ◽  
Social Skills Rating System

Abstract In early childhood education, socio-emotional learning is not always considered with appropriate planning nor based on scientific evidence. Aiming to analyze impact of an Emotional Regulation (ER) Intervention in school achievement and social skills (SS), fifty-five children from public schools were evaluated by Raven's Coloured Progressive Matrices (CPM), School Achievement Test (TDE) and Social Skills Rating System (SSRS-BR). After nine 50-minute meetings addressing ER strategies, evaluation of SS by the teacher indicated improvement in all aspects of SS in Intervention Group (IG) and worsening of the self-control in Comparison Group (CG). Self-evaluation of SS showed that IG overcame the initial difference in assertiveness and problem avoidance. Results suggest that ER programs can bring benefits to the development of SS.

scholarly journals Augmenting an online self-directed intervention for gambling disorder with a single motivational interview: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Brad W. Brazeau ◽  
David C. Hodgins ◽  
John A. Cunningham ◽  
Kylie Bennett ◽  
Anthony Bennett
Keyword(s):  
Randomized Controlled Trial ◽  
Problem Gambling ◽  
Motivational Interview ◽  
Gambling Disorder ◽  
Intervention Program ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Intervention Research ◽  
Online Program ◽  
Randomized Controlled

Abstract Background Despite the success of gold standard cognitive-behavioral therapy for problem and disordered gambling, the majority of individuals with gambling problems do not seek or receive professional treatment. Thus, the development of less intrusive self-directed interventions has been encouraged. Bibliotherapy for problem gambling has shown promise, both alone and in combination with motivational interviews, but there is still a lack of online self-directed intervention research. The current randomized controlled trial proposes to assess the additive benefit of a single digital motivational interview delivered in conjunction with an online self-directed treatment program for problem gambling and gambling disorder. Methods A two-arm randomized controlled trial will be conducted, wherein eligible participants (N=270) will be recruited across Canada via internet advertisements posted to several platforms. All participants will receive access to an online self-directed gambling intervention program. Participants will be randomly assigned to either complete the online program alone or receive a digital motivational interview, conducted through an online audioconferencing platform (i.e., Microsoft Teams) to supplement the online program. The primary outcomes of gambling severity, frequency, and expenditures will be tracked along with secondary outcomes (i.e., depression, anxiety, general distress, alcohol use, and online program user data) over a 24-month period. It is expected that participants in both groups will experience a reduction in symptoms across the board, but more substantial improvements will be observed in the group that receives a supplemental motivational interview. Discussion The results of this trial will expand upon prior gambling intervention research by informing best practices for the provision of online self-help for problem gambling. Trial registration ISRCTN ISRCTN13009468. Registered on 7 July 2020.

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