Evidence map›Paper›PMID 40116860›Full record

ArticleJournal of behavioral addictions2025

Gambling disorder and problematic pornography use: Does co-occurrence influence treatment outcome?

Gemma Mestre-Bach, Marc N Potenza, Roser Granero, Anders Håkansson, Mónica Gómez-Peña, Iván Perales, Àngela Vicó, Juan Carlos Uríszar, Fernando Fernández-Aranda, Isabel Sánchez and 1 more

Abstract read
In one paragraph

Article in Journal of behavioral addictions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Gemma Mestre-Bach1Instituto de Investigación, Transferencia e Innovación (ITEI) - Universidad Internacional de La Rioja, La Rioja, Spain.
Marc N Potenza2Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-6323-1354
Roser Granero8Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain.
Anders Håkansson11Region Skåne, Malmö Addiction Center, Malmö, Sweden.
Mónica Gómez-Peña13Clinical Psychology Department, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
Iván Perales13Clinical Psychology Department, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
Àngela Vicó13Clinical Psychology Department, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
Juan Carlos Uríszar13Clinical Psychology Department, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
Fernando Fernández-Aranda8Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain.ORCID 0000-0002-2968-9898
Isabel Sánchez13Clinical Psychology Department, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
Susana Jiménez-Murcia8Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain.ORCID 0000-0002-3596-8033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Gambling disorder (GD) is a behavioral addiction often co-occurring with various mental health concerns, such as problematic pornography use (PPU). The specific impact of the co-occurrence of GD and PPU on treatment outcome remains underexplored. This study aimed to compare the treatment outcomes of individuals actively receiving treatment for GD (n = 172; 3.49% females), distinguishing between those without PPU (n = 146) and those with co-occurring GD and PPU (n = 26). Methods: Cognitive-behavioral therapy (CBT) was administered in 16 weekly sessions, with assessments of GD severity, impulsivity, emotion regulation, psychopathology, and personality. Dropout, relapses, number of sessions attended, number of relapses, and amount of money spent during relapses were assessed as the main treatment outcomes. Results: Patients with co-occurring GD and PPU showed greater GD severity, psychopathology, impulsivity, and difficulties in emotional regulation compared to those with GD and without PPU. Moreover, the presence of PPU appeared to be mainly associated with higher likelihood of treatment dropout, and, consequently, fewer CBT sessions attended. Discussion and Conclusions: It is important to evaluate GD/PPU co-occurrence and strengthen the CBT approach for GD patients with PPU by using supplementary strategies to improve treatment adherence.

Indexed as

Behavior, AddictiveCognitive Behavioral TherapyEroticaGamblingAdultComorbidityEmotional RegulationFemaleHumansImpulsive BehaviorMaleMiddle AgedPatient DropoutsSeverity of Illness IndexTreatment Outcomeaddictive behaviorscompulsive behaviorsdropoutgambling disorderimpulsive behaviorsproblematic pornography userecoveryrelapsetreatment outcome

Identifiers

PMID40116860
PMCPMC11974433

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.