title: Treatment Outcome in Male Gambling Disorder Patients Associated with Alcohol Use.
abstract: OBJECTIVE
  The primary objective of this study was to analyze the association between alcohol consumption and short-term response to treatment (post intervention) in male patients with gambling disorder enrolled in a group cognitive behavioral therapy (CBT) program.
  
  
  METHODS
  The sample consisted of 111 male individuals with a diagnosis of Gambling Disorder, with a mean age of 45 years (SD = 12.2). All participants were evaluated by a comprehensive assessment battery and assigned to CBT groups of 10-14 patients attending 16 weekly outpatient sessions lasting 90 min each.
  
  
  RESULTS
  The highest mean pre- and post-therapy differences were recorded for the alcohol risk/dependence group on the obsessive/compulsive and anxiety dimensions of the SCL-90-R. As regards the presence of relapses and dropouts over the course of the CBT sessions, the results show a significant association with moderate effect size: patients with risk consumption or alcohol dependence were more likely to present poor treatment outcomes.
  
  
  CONCLUSIONS
  Alcohol abuse was frequent in GD, especially in patients with low family income and high accumulated debts. High levels of somatization and high overall psychopathology (measured by the SCL-90-R) were associated with increased risk of alcohol abuse. Alcohol abuse was also associated with poor response to treatment.
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELLBarcelona, Spain; Ciber Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIBarcelona, Spain; Departament of Clinical Sciences, School of Medicine, University of BarcelonaBarcelona, Spain.
authors.forename: Susana
authors.initials: S
authors.lastname: Jiménez-Murcia
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELLBarcelona, Spain; Nursing Department of Mental Health, Public Health, Maternal and Child Health, Nursing School, University of BarcelonaBarcelona, Spain.
authors.forename: Amparo
authors.initials: A
authors.lastname: Del Pino-Gutiérrez
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELLBarcelona, Spain; Ciber Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIBarcelona, Spain; Departament of Clinical Sciences, School of Medicine, University of BarcelonaBarcelona, Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Fernández-Aranda
authors.affiliation: Ciber Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIBarcelona, Spain; Departament de Psicobiologia i Metodologia, Universitat Autònoma de BarcelonaBarcelona, Spain.
authors.forename: Roser
authors.initials: R
authors.lastname: Granero
authors.affiliation: Division of Psychiatry, Department of Clinical Sciences, Lund University Lund, Sweden.
authors.forename: Anders
authors.initials: A
authors.lastname: Hakänsson
authors.affiliation: Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona Barcelona, Spain.
authors.forename: Salomé
authors.initials: S
authors.lastname: Tárrega
authors.affiliation: Department of Psychiatry, Hospital de la Santa Creu i Sant Pau Barcelona, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Valdepérez
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELL Barcelona, Spain.
authors.forename: Neus
authors.initials: N
authors.lastname: Aymamí
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELL Barcelona, Spain.
authors.forename: Mónica
authors.initials: M
authors.lastname: Gómez-Peña
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELL Barcelona, Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: Moragas
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELL Barcelona, Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: Baño
authors.affiliation: Addictology and Psychiatry Department, Nantes University Hospital Nantes, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Sauvaget
authors.affiliation: Nursing Department of Mental Health, Public Health, Maternal and Child Health, Nursing School, University of Barcelona Barcelona, Spain.
authors.forename: Maria
authors.initials: M
authors.lastname: Romeu
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELLBarcelona, Spain; Ciber Fisiopatología Obesidad y Nutrición, Instituto de Salud Carlos IIIBarcelona, Spain.
authors.forename: Trevor
authors.initials: T
authors.lastname: Steward
authors.affiliation: Department of Psychiatry, Bellvitge University Hospital-IDIBELLBarcelona, Spain; Departament of Clinical Sciences, School of Medicine, University of BarcelonaBarcelona, Spain; CIBER Salud Mental, Instituto Carlos IIIBarcelona, Spain.
authors.forename: José M
authors.initials: JM
authors.lastname: Menchón
keywords: alcohol abuse; at-risk drinking; gambling disorder; personality; treatment response