Gender differences in temporal relationships between gambling urge and cognitions in treatment-seeking adults.

Autor: Dunsmuir P; Flinders Human Behaviour and Health Research Unit, Department of Psychiatry, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia., Smith D; Flinders Human Behaviour and Health Research Unit, Department of Psychiatry, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia., Fairweather-Schmidt AK; Flinders Human Behaviour and Health Research Unit, Department of Psychiatry, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia. Electronic address: Kate.Fairweather-Schmidt@flinders.edu.au., Riley B; Flinders Human Behaviour and Health Research Unit, Department of Psychiatry, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia., Battersby M; Flinders Human Behaviour and Health Research Unit, Department of Psychiatry, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia.
Jazyk: angličtina
Zdroj: Psychiatry research [Psychiatry Res] 2018 Apr; Vol. 262, pp. 282-289. Date of Electronic Publication: 2018 Feb 15.
DOI: 10.1016/j.psychres.2018.02.028
Abstrakt: Many gambling-specific CBT programs seek to target either gambling-related urge or cognitions or both. However, little is known of the influence of one symptom type on another across time and whether these differ for men and women help-seeking problem gamblers. The aim of this study was threefold: to determine presence of measurement invariance for urge and cognition measures over time; to investigate the effect of baseline urge on end-of-treatment gambling-related cognitions - and the reciprocal relationship; and, identify whether these pathways differ across gender. Self-reported gambling urge (GUS), and gambling-related cognitions (GRCS) data from treatment-seeking problem gamblers prior to and post treatment (N = 223; 62% men) were analyzed with cross-lagged panel models, moderated by gender. Conceptualization of urge and cognitions were found to be temporally stable. There was no significant association between baseline GUS scores and post-treatment GRCS scores, nor the reverse relationship. Putatively, this infers that coexisting urge and gambling-related cognition components of problem gambling operate independently over time. Analyses revealed gambling urge had a significantly stronger tracking correlation across time for men than women when adjusting for cognition paths. This investigation provides early evidence for tailoring CBT in response to sub-population gambling-related characteristics, demonstrated across men and women.
(Copyright © 2018 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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