The prevalence and features of schizophrenia among individuals with gambling disorder. (April 2021)

• Record Type: Journal Article
• Authors: Granero, Roser; Fernández-Aranda, Fernando; Pino-Gutierrez, Amparo del; Etxandi, Mikel; Baenas, Isabel; Gómez-Peña, Mónica; Moragas, Laura; Valenciano-Mendoza, Eduardo; Mora-Maltas, Bernat; Valero-Solís, Susana; Codina, Ester; Guillén-Guzmán, Elías; Lara-Huallipe, Milagros; Caravaca, Elena; Mestre-Bach, Gemma; Menchón, José M.; Jiménez-Murcia, Susana
• Is Part Of: Journal of psychiatric research. Volume 136(2021)
• Page Start: 374
• Page End: 383
• Publication Date: 2021-04
• Subjects: Gambling disorder -- Personality -- Psychopathology -- Schizophrenia; Psychiatry -- Periodicals; Mental Disorders -- Periodicals; Maladies mentales -- Périodiques; Psychiatry; Electronic journals; Periodicals; 616.89005
• DOI: 10.1016/j.jpsychires.2021.02.025
• Languages: English
• ISSNs: 0022-3956

Abstract

Abstract: Background-objectives: Few studies have analyzed the comorbid presence of gambling disorder (GD) with schizophrenia, its sociodemographic correlates and clinical implications. This study estimated the prevalence of the dual diagnosis (GD with schizophrenia) and the differences in the profiles of patients with and without the dual condition. Method: The sample included n = 3, 754 patients consecutively accepted for treatment for GD. Sociodemographics, gambling-related variables, psychopathological state and personality traits were assessed and compared between the groups. Results: The prevalence of schizophrenia within patients who met clinical criteria for GD was 4.4% (95% confidence interval: 3.8%–5.1%). Variables related to the dual presence of GD with schizophrenia were single marital status, lower education level, inactive working status, socioeconomic disadvantage, younger age, earlier onset of gambling problems, worse global psychopathological state and more dysfunctional personality profile (higher level in harm avoidance and lower level in cooperativeness, reward dependence, persistence and self-directedness). Conclusion: The presence of schizophrenia among patients with GD was around 4 times higher than the prevalence rate estimated in the reference general population. The differences in the profiles of GD patients with and without schizophrenia suggest that individuals with the dual diagnosis condition require unique assessment considerations and tailored treatment interventions specifically designed for the clinical and functioning higher risk. Highlights: The presence of schizophrenia among patients who met clinical criteria for gambling disorder is around 4 times higher than the prevalence rate estimated in the reference general populations. The presence of comorbid gambling disorder with schizophrenia is related to single status, lower education levels, inactive working status, lower social indexes and younger age. Gambling disorder with schizophrenia showed earlier onset of addictions, worse psychopathological state and more dysfunctional personality.