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Published in: BMC Psychiatry 1/2015

Open Access 01-12-2015 | Research article

Comparative analysis of distinct phenotypes in gambling disorder based on gambling preferences

Authors: Laura Moragas, Roser Granero, Randy Stinchfield, Fernando Fernández-Aranda, Frida Fröberg, Neus Aymamí, Mónica Gómez-Peña, Ana B Fagundo, Mohammed A Islam, Amparo del Pino-Gutiérrez, Zaida Agüera, Lamprini G Savvidou, Jon Arcelus, Gemma L Witcomb, Sarah Sauchelli, José M Menchón, Susana Jiménez-Murcia

Published in: BMC Psychiatry | Issue 1/2015

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Abstract

Background

Studies examining gambling preferences have identified the importance of the type of gambling practiced on distinct individual profiles. The objectives were to compare clinical, psychopathological and personality variables between two different groups of individuals with a gambling disorder (strategic and non-strategic gamblers) and to evaluate the statistical prediction capacity of these preferences with respect to the severity of the disorder.

Method

A total sample of 2010 treatment-seeking patients with a gambling disorder participated in this stand-alone study. All were recruited from a single Pathological Gambling Unit in Spain (1709 strategic and 301 non-strategic gamblers). The design of the study was cross-sectional and data were collected at the start of treatment. Data was analysed using logistic regression for binary outcomes and analysis of variance (ANOVA) for quantitative responses.

Results

There were significant differences in several socio-demographic and clinical variables, as well as in personality traits (novelty seeking and cooperativeness). Multiple regression analysis showed harm avoidance and self-directedness were the main predictors of gambling severity and psychopathology, while age at assessment and age of onset of gambling behaviour were predictive of gambling severity. Strategic gambling (as opposed to non-strategic) was significantly associated with clinical outcomes, but the effect size of the relationships was small.

Conclusions

It is possible to identify distinct phenotypes depending on the preference of gambling. While these phenotypes differ in relation to the severity of the gambling disorder, psychopathology and personality traits, they can be useful from a clinical and therapeutic perspective in enabling risk factors to be identified and prevention programs targeting specific individual profiles to be developed.
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Metadata
Title
Comparative analysis of distinct phenotypes in gambling disorder based on gambling preferences
Authors
Laura Moragas
Roser Granero
Randy Stinchfield
Fernando Fernández-Aranda
Frida Fröberg
Neus Aymamí
Mónica Gómez-Peña
Ana B Fagundo
Mohammed A Islam
Amparo del Pino-Gutiérrez
Zaida Agüera
Lamprini G Savvidou
Jon Arcelus
Gemma L Witcomb
Sarah Sauchelli
José M Menchón
Susana Jiménez-Murcia
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2015
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-015-0459-0

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