Reward and punishment sensitivity in women with gambling disorder or compulsive buying: Implications in treatment outcome.
Background and aims Gray's Reinforcement Sensitivity Theory has been widely applied to different clinical populations, but few studies have reported empirical evidence based on this theory for treatment outcomes in patients with gambling disorder (GD) and compulsive buying (CB). The aims of this study were to explore the association between clinical variables and personality traits with reward and punishment sensitivity (RPS) levels in women (n = 88) who met diagnostic criteria for GD (n = 61) and CB (n = 27), and to determine the predictive capacity of RPS for primary short-term outcomes in a cognitive-behavioral therapy (CBT) intervention. Methods The CBT intervention consisted of 12 weekly sessions. Data on patients' personality traits, RPS levels, psychopathology, sociodemographic factors, GD, and CB behavior were used in our analysis. Results High RPS levels were associated with higher psychopathology in both CB and GD, and were a risk factor for dropout in the CB group. In the GD group, higher reward sensitivity scores increased the risk of dropout. Discussion and conclusions Our findings suggest that both sensitivity to reward and sensitivity to punishment independently condition patients' response to treatment for behavioral addictions. The authors uphold that CBT interventions for such addictions could potentially be enhanced by taking RPS into consideration.
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.|2 Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III , Barcelona, Spain.
Gemma
G
Mestre-Bach
2 Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III , Barcelona, Spain.|3 Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona , Barcelona, Spain.
Roser
R
Granero
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.|2 Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III , Barcelona, Spain.
Trevor
T
Steward
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.|2 Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III , Barcelona, Spain.|4 Department of Clinical Sciences, Faculty of Medicine, University of Barcelona , Barcelona, Spain.
Fernando
F
Fernández-Aranda
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.
Marta
M
Baño
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.
Neus
N
Aymamí
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.
Mónica
M
Gómez-Peña
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.|2 Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III , Barcelona, Spain.
Zaida
Z
Agüera
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.|2 Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III , Barcelona, Spain.
Núria
N
Mallorquí-Bagué
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.
Laura
L
Moragas
5 Nursing Department of Public Health, Maternal and Child Health, University of Barcelona , Barcelona, Spain.
Amparo
A
Del Pino-Gutiérrez
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.|3 Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona , Barcelona, Spain.|7 CIBER Salud Mental (CIBERSAM), Instituto de Salud Carlos III , Barcelona, Spain.
Carles
C
Soriano-Mas
6 Department of Experimental Psychology and Mind, Brain, and Behavior Research Center, University of Granada , Granada, Spain.
Juan Francisco
JF
Navas
6 Department of Experimental Psychology and Mind, Brain, and Behavior Research Center, University of Granada , Granada, Spain.
José C
JC
Perales
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.|4 Department of Clinical Sciences, Faculty of Medicine, University of Barcelona , Barcelona, Spain.|7 CIBER Salud Mental (CIBERSAM), Instituto de Salud Carlos III , Barcelona, Spain.
José M
JM
Menchón
1 Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain.|2 Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III , Barcelona, Spain.|4 Department of Clinical Sciences, Faculty of Medicine, University of Barcelona , Barcelona, Spain.
Susana
S
Jiménez-Murcia
D000328:Adult; D015928:Cognitive Behavioral Therapy; D003192:Compulsive Behavior / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D005260:Female; D005715:Gambling / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D007406:Interview, Psychological; D008875:Middle Aged; D008960:Models, Psychological; D010352:Patient Dropouts / Q000523:psychology; D010551:Personality; D010556:Personality Tests; D011379:Prognosis; D011678:Punishment / Q000523:psychology*; D012201:Reward; D012307:Risk Factors; D012959:Socioeconomic Factors; D016896:Treatment Outcome
cognitive-behavioral therapy; compulsive buying; dropout; gambling disorder; relapse; reward and punishment sensitivity