2026-04-19T09:27:27Zhttps://recercat.cat/oai/request

oai:recercat.cat:2072/4873342025-10-30T14:33:06Zcom_2072_98col_2072_378192

00925njm 22002777a 4500 dc Mallorquí-Bagué, Núria author Mestre-Bach, Gemma author Lozano Madrid, María author Fernández Aranda, Fernando author Granero, Roser author Vintró Alcaraz, Cristina author Del Pino Gutiérrez, Amparo author Steward, Trevor author Gomez-Peña, Monica author Aymamí, Neus author Mena Moreno, Teresa author Menchón Magriñá, José Manuel author Jiménez-Murcia, Susana author Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut author 2018 Gambling disorder (GD) is a highly heterogeneous condition with high rates of chronicity, relapses and treatment dropout. The aim of this study was to longitudinally explore the associations between trait impulsivity, impulsivity-compulsivity related cognitive domains, and treatment outcome in an outpatient sample of adult patients with GD. Methods: 144 adult male participants diagnosed with GD undergoing cognitive-behavioural treatment (CBT) at a specialized outpatient service completed a series of neuropsychological tests to assess executive functioning (including cognitive flexibility, inhibition control and decision making) and psychometric questionnaires. Results: Trait impulsivity predicted low compliance [UPPS-P negative urgency (B = 0.113; p = 0.019)] and relapse [UPPS-P negative urgency (B = 0.140; p = 0.015)] at 5 weeks of treatment and dropout at the end of treatment [(UPPS-P sensation seeking B = 0.056; p = 0.045)]. Cognitive flexibility performance predicted: dropout rates at the end of treatment [WCST perseverative errors (B = 0.043; p = 0.042)]; dropout [WCST categories completed (B = -1.827; p = 0.020)] and low compliance or relapses at follow-up [WCST perseverative errors (B = 0.128; p = 0.020)]; and time to first relapse [WCST failure to maintain set (B = -0.374; p = 0.048)] and time to dropout [WCST perseverative errors (B = 0.0198; p = 0.019)]. Conclusions: Our findings indicate impulsivity-compulsivity levels may influence response to GD treatment (i.e.: low compliance and dropout or relapse rates) thus representing a potential target for improving treatment outcomes. Cognitive flexibility Compulsivity Gambling disorder Impulsivity Inhibitory control Treatment Trait impulsivity and cognitive domains involving impulsivity and compulsivity as predictors of gambling disorder treatment response