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Personality Disorders and Pathological Gambling: Comorbidity and Treatment Dropout Predictors

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  • Olivier Pelletier
  • Robert Ladouceur
  • Josée Rhéaume

Abstract

This study describes the personality disorders (PDs) among French-speaking Canadian gamblers seeking cognitive and behavioural treatment (CBT) in an external setting. One hundred pathological gamblers were assessed with the Structured Clinical Interview for DSM-IV Axis II (SCID-II) in four different treatment centres for problem gambling. Sixty-four per cent had at least one comorbid PD according to the semi-structured interview based on the DSM-IV. The most common PDs were represented in clusters B and C. The presence of a comorbid cluster B was a significant predictor of treatment dropout. This characteristic seems to reduce the chances of recovery for some pathological gamblers. The implications for clinical practice and research are discussed.

Suggested Citation

  • Olivier Pelletier & Robert Ladouceur & Josée Rhéaume, 2008. "Personality Disorders and Pathological Gambling: Comorbidity and Treatment Dropout Predictors," International Gambling Studies, Taylor & Francis Journals, vol. 8(3), pages 299-313, December.
    • Handle: RePEc:taf:intgms:v:8:y:2008:i:3:p:299-313
    DOI: 10.1080/14459790802405913
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