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Treatment of gambling disorder patients with comorbid depression

Published online by Cambridge University Press:  27 March 2017

Jakob Linnet ,
Monique Jeppsen Mensink ,
Johanne de Neergaard Bonde  and
Michael Winterdahl
Jakob Linnet*
Affiliation:
Research Clinic on Gambling Disorders, Aarhus University Hospital, Aarhus, Denmark Center of Functionally Integrative Neuroscience, Aarhus University, Aarhus, Denmark
Monique Jeppsen Mensink
Affiliation:
Research Clinic on Gambling Disorders, Aarhus University Hospital, Aarhus, Denmark
Johanne de Neergaard Bonde
Affiliation:
Research Clinic on Gambling Disorders, Aarhus University Hospital, Aarhus, Denmark Department of Nuclear Medicine and PET Center, Aarhus University Hospital, Aarhus, Denmark
Michael Winterdahl
Affiliation:
Department of Nuclear Medicine and PET Center, Aarhus University Hospital, Aarhus, Denmark
*
*Jakob Linnet, Research Clinic on Gambling Disorders, Aarhus University Hospital, Nørrebrogade 44, Building 4A, DK-8000 Aarhus C, Denmark. Tel: (+45) 78 46 16 98; E-mail: [email protected]
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Abstract

Objective

This study was conducted to investigate and clinically assess comorbid depression and its relevance in individuals suffering from gambling disorders. The DSM-V defines the condition of gambling disorder as a persistent and recurrent problematic gambling behaviour leading to clinically significant impairment or distress.

Method

A total of 61 subjects with gambling disorders were assessed using the Structured Clinical Interview for the DSM-IV (SCID-I), the South Oaks Gambling Screen (SOGS) and the Major Depression inventory (MDI).

Results

Two-way analysis of variance showed highly significant treatment outcomes associated with reductions in SOGS, F(1,60)=84.79, p<0.0001, MDI, F(1,60)=38.13, p<0.0001, craving, F(1,60)=29.59, p<0.0001, and gambling control, 47.65, p<0.0001. There was also a highly significant outcome associated with comorbidity in MDI, F(1,60)=9.17, p<0.0001. Finally, there was a significant interaction effect between treatment outcome and comorbidity, F(1,60)=3.90, p<0.005, suggesting that both treatment and comorbidity contributed to reductions in depressive symptoms.

Conclusion

These results suggest and highlights the importance and benefits of integrated treatment of gambling disorders and its comorbidity, but also stresses the importance of adequate screening and detection of these two variables.

Keywords

cognitive behavioural therapydepressiongambling disorderintegrated treatmentSCID-I
Type
Original Articles
Information
Acta Neuropsychiatrica , Volume 29 , Issue 6 , December 2017 , pp. 356 - 362
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Copyright
© Scandinavian College of Neuropsychopharmacology 2017 

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