Problematic gambling behavior in a sample with substance use disorder: the role of attachment style and alexithymia

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dc.contributor.authorRueda Ruiz, Begoña
dc.contributor.authorAguirre Larracoechea, Urko
dc.contributor.authorHerrero Lázaro, Marta
dc.contributor.authorEstévez Gutiérrez, Ana
dc.date.accessioned2025-06-19T14:10:44Z
dc.date.available2025-06-19T14:10:44Z
dc.date.issued2023-06
dc.date.updated2025-06-19T14:10:44Z
dc.description.abstractGambling disorder is a high comorbid disorder in substance abusers which conjunct appearance is related to worse symptomatology and evolution. Nevertheless, the research on the risk factors that may explain this comorbidity is scarce. We build of the self-regulation theory of attachment and addiction to examine if insecure attachment is related to gambling comorbidity in substance abuse disorder and the mediating role of alexithymia in this process. A cross-sectional study was carried out with 369 clinical patients with substance use disorder of which 69 presented comorbid gambling disorder diagnosed with the DSM-5 criteria. Results showed that insecure attachment was more prevalent in the group with comorbid gambling. In this group, the alexithymia levels were also higher and mediated the relationship in between attachment and gambling disorder comorbidity even controlling for several sociodemographic variables. This research indicates that insecure attachment enhances the risk of gambling comorbidity on substance abusers due to the detrimental effect on the self-regulation of emotion. Thus, interventions directed to increase the identification, expression and awareness of emotions might help to reduce comorbidity of gambling of substance use disorders.en
dc.description.sponsorshipThe project was supported with a grant of the BIOEF foundation (Nº 2,017,111,032)en
dc.identifier.citationRueda Ruiz, M. B., Larracoechea, U. A., Herrero, M., & Estévez, A. (2023). Problematic gambling behavior in a sample with substance use disorder: the role of attachment style and alexithymia. Journal of Gambling Studies, 39(2), 513-529. https://doi.org/10.1007/S10899-022-10154-2
dc.identifier.doi10.1007/S10899-022-10154-2
dc.identifier.eissn1573-3602
dc.identifier.issn1050-5350
dc.identifier.urihttps://hdl.handle.net/20.500.14454/3105
dc.language.isoeng
dc.publisherSpringer
dc.subject.otherAlexithymia
dc.subject.otherAttachment
dc.subject.otherComorbidity
dc.subject.otherGambling disorder
dc.subject.otherSubstance use disorder
dc.titleProblematic gambling behavior in a sample with substance use disorder: the role of attachment style and alexithymiaen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.endPage529
oaire.citation.issue2
oaire.citation.startPage513
oaire.citation.titleJournal of Gambling Studies
oaire.citation.volume39
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
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