Eficacia del Programa de reducción de estrés basado en atención plena (REBAP) aplicado a familiares de jugadores patológicos

  1. Alejandra Melero Ventola 1
  2. José Ramón Yela Bernabé 1
  3. Antonio Crego Díaz 1
  4. María Cortés-Rodriguez 2
  5. Mª Ángeles Gómez-Martínez 1
  1. 1 Universidad Pontificia de Salamanca
    info

    Universidad Pontificia de Salamanca

    Salamanca, España

    ROR https://ror.org/02jj93564

  2. 2 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

Revista:
Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud

ISSN: 1132-9483

Any de publicació: 2019

Volum: 27

Número: 3

Pàgines: 355-373

Tipus: Article

Altres publicacions en: Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud

Resum

Gambling addiction may lead to stressful situations for the gambler and their proximal social environment. 33 close relatives of disordered gamblers volunteered to attend a self-help group; afterwards, they participated in the Mindfulness-Based Stress Reduction (MBSR) program for 8 weeks. The participants' perceived stress was assessed before and after each treatment condition, and at 1-month, 3-months, and 6-months follow-ups. Participating in the self-help group did not significantly reduce the stress levels of pathological gamblers' relatives, whereas the MBSR training produced changes of great magnitude (2 = 0.88), decreasing stress levels from initially moderate scores to low values. Changes in stress levels were maintained at low levels throughout follow-ups, with participants reporting overall strong engagement with the practice of mindfulness. However, a decrease in practice (number of individuals practicing, frequency and time of exercises) was observed at 6-months follow-up, which suggest that including sessions to strengthen practice could be advisable. The MBSR program may be a useful protocol to reduce stress in pathological gamblers' families.

Informació de finançament

Este estudio contribuye, además, a visibilizar las dificultades de los familiares de jugadores patológicos que, de forma indirecta, también se ven envueltos en las consecuencias que esta problemática genera en varias áreas de funcionamiento, entre ellas la psicológica. Finalmente, el uso del programa REBAP para familiares y personas significativas de jugadores patológicos puede ser una aproximación novedosa a la intervención en un grupo de afectados por esta problemática que hasta el momento ha recibido una atención limitada y para la que existen escasos tratamientos específicos (Nayoski y Hodgins, 2016).

Finançadors

Referències bibliogràfiques

  • Abbott, M. (2017). The epidemiology and impact of gambling disorder and other gambling related harm. Discussion paper for the WHO Forum on alcohol, drugs and addictive behaviours. Ginebra: World Health Organization. Recuperado de: http://www.who.int/substance_abuse/activities/fadab/abbot_gambling_forum.pdf
  • Anderson, T. L., Rempusheski, V. F. y Leedy, K. N. (2018). Casino gambling and the family: exploring the connections and identifying consequences. Deviant Behavior, 39, 11091119.
  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D. y Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical psychology: Science and practice, 11, 230-241.
  • Calado, F. y Griffiths, M. D. (2016). Problem gambling worldwide: an update and systematic review of empirical research (2000-2015). Journal of Behavioral Addictions, 5, 592613.
  • Chen, P., Jindani, F., Perry, J. y Turner, N. L. (2014). Mindfulness and problem gambling treatment. Asian Journal of Gambling Issues and Public Health, 4, 1-17.
  • Chiesa, A. y Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. Journal of Alternative and Complementary Medicine, 15, 593-600.
  • Choi, S. W., Shin, Y. C., Kim, D. J., Choi, J. S., Kim, S., Kim, S. H. y Youn, H. (2017). Treatment modalities for patients with gambling disorder. Annals of General Psychiatry, 16, 23.
  • Cohen, S., Kamarck, T. y Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386-396.
  • De Lisle, S. M., Dowling, N. A. y Allen, J. S. (2012). Mindfulness and problem gambling: a review of the literature. Journal of Gambling Studies, 28, 719-739.
  • De Lisle, S. M., Dowling, N. A. y Allen, J. S. (2011). Mindfulness-based cognitive therapy for problem gambling. Clinical Case Studies, 10, 210-228.
  • Dowling, N. A., Suomi, A., Jackson, A. C. y Lavis, T. (2016). Problem gambling family impacts: development of the problem gambling family impact scale. Journal of Gambling Studies, 32, 935-955.
  • Ellis, M. V. (1999). Repeated measures designs. The Counseling Psychologist, 27, 552-578. Fjorback, L. O., Arendt, M., Ørnbøl, E., Fink, P. y Walach, H. (2011). Mindfulness based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124, 102-119.
  • George, S. y Bowden-Jones, H. (2015). Family interventions in gambling. En H. BowdenJones y S. George, (dirs.), A clinician’s guide to working with problem gambler (pp. 163-171). Londres: Routledge.
  • Ginley, M. K., Rash, C. J. y Petry, N. M. (2019). Psychological interventions in gambling disorder. En A. Heinz, N. Romanczuk-Seiferth y M. Potenza, (dirs.), Gambling disorder (pp. 181-194). Cham: Springer.
  • Grossman, P., Niemann, L., Schmidt, S. y Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57, 35-43.
  • Gu, J., Strauss, C., Bond, R. y Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1-12.
  • Hofmann, S. G., Sawyer, A. T., Witt, A. A. y Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169-183.
  • Jiménez-Murcia, S., Tremblay, J., Stinchfield, R., Granero, R., Fernández-Aranda, F., MestreBach, G., Steward, T., del Pino-Gutiérrez, A., Baño, M., Moragas, L., Aymamí, N., Gómez-Peña, M., Tárrega, S., Valenciano-Mendoza, E., Giroux, I., Sancho, M., Sánchez, I., Mallorquí-Bagué, N., González, V., Martín-Romera, V. y Menchón, J. M. (2017). The involvement of a concerned significant other in gambling disorder treatment outcome. Journal of Gambling Studies, 33, 937-953.
  • Kabat-Zinn, J. (2012). Vivir con plenitud las crisis: como utilizar la sabiduría del cuerpo y de la mente para afrontar el estrés, el dolor y la enfermedad. Barcelona: Kairós. (Orig. 1990).
  • Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., Lenderking, W. R. y Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149, 936-943.
  • Kalischuk, R. G., Nowatzki, N., Cardwell, K., Klein, K. y Solowoniuk, J. (2006). Problem gambling and its impact on families: a literature review. International Gambling Studies, 6, 31-60.
  • Khoury, B., Sharma, M., Rush, S. E. y Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: a meta-analysis. Journal of Psychosomatic Research, 78, 519-528.
  • Killingsworth, M. A. y Gilbert, D.T. (2010). A wandering mind is an unhappy mind. Science, 330(6006), 932-932.
  • Klatt, M. D., Buckworth, J. y Malarkey, W. B. (2009). Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Education y Behavior, 36, 60114.
  • Kourgiantakis, T., Saint-Jacques, M. C. y Tremblay, J. (2013). Problem Gambling and families: a systematic review. Journal of Social Work Practice in the Addictions, 13, 353-372.
  • Kourgiantakis, T., Saint-Jacques, M. C. y Tremblay, J. (2018). Facilitators and barriers to family involvement in problem gambling treatment. International Journal of Mental Health and Addiction, 16, 291-312.
  • Krasner, M. S., Epstein, R. M., Beckman, H., Suchman, A. L., Chapman, B., Mooney, C. J. y Quill, T. E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. Journal of the American Medical Association, 302, 1284-1293.
  • Lakeym C. E., Campbell, W. K., Brown, K. W. y Goodie, A. S. (2007). Dispositional mindfulness as a predictor of the severity of gambling outcomes. Personality and Individual Differences, 43, 1698-1710.
  • Li, M. J., Black, D. S. y Garland, E. L. (2016). The Applied Mindfulness Process Scale (AMPS): a process measure for evaluating mindfulness-based interventions. Personality and Individual Differences, 93, 6-15.
  • Linardatou, C., Parios, A., Varvogli, L., Chrousos, G. y Darviri, C. (2014). An 8-week stress management program in pathological gamblers: a pilot randomized controlled trial. Journal of Psychiatric Research, 56, 137-143.
  • Martín, A. (2012). Efectividad de un programa educativo en conciencia plena (mindfulness) para reducir el burnout y mejorar la empatía, en profesionales de Atención Primaria. (Tesis doctoral). Universidad Autónoma de Barcelona, España. Disponible en https://www.educacion.gob.es/teseo/imprimirFicheroTesis.do?idFichero=FRl3GP6zxVg %3D).
  • Martínez-Escribano, L., Piqueras, J. A. y Salvador, C. (2017). Eficacia de las intervenciones basadas en la atención plena (mindfulness) para el tratamiento de la ansiedad en niños y adolescentes: una revisión sistemática. Behavioral Psychology/Psicologia Conductual, 25, 445-463.
  • Maynard, B. R., Wilson, A. N., Labuzienski, E. y Whiting, S. W. (2018). Mindfulness-based approaches in the treatment of disordered gambling: a systematic review and metaanalysis. Research on Social Work Practice, 28, 348-362.
  • Menchon, J. M., Mestre-Bach, G., Steward, T., Fernández-Aranda, F. y Jiménez-Murcia, S. (2018). An overview of gambling disorder: from treatment approaches to risk factors. F1000Research, 7, 434.
  • McIntosh, C. C., Crino, R. D. y O’Neill, K. (2016). Treating problem gambling samples with cognitive behavioural therapy and mindfulness-based interventions: a clinical trial. Journal of Gambling Studies, 32, 1305-1325.
  • Nayoski, N. y Hodgins, D. C. (2016). The efficacy of individual community reinforcement and family training (CRAFT) for concerned significant others of problem gamblers. Journal of Gambling Issues, 33, 189-212.
  • Nowak, D. E. (2018). A meta-analytical synthesis and examination of pathological and problem gambling rates and associated moderators among college students, 19872016. Journal of Gambling Studies, 34, 465-498.
  • Nowak, D. E. y Aloe, A. M. (2014). The prevalence of pathological gambling among college students: a meta-analytic synthesis, 2005-2013. Journal of Gambling Studies, 30, 819843.
  • Orford, J., Cousins, J., Smith, N. y Bowden-Jones, H. (2017). Stress, strain, coping and social support for affected family members attending the National Problem Gambling Clinic, London. International Gambling Studies, 17, 259-275.
  • Paolini, D., Leonardi, C., Visani, E. y Rodofili, G. (2018). The gambling disorder: family styles and cognitive dimensions. European Review for Medical and Pharmacological Sciences, 22, 1066-1070.
  • Reid, R. C., Di Tirro, C. y Fong, T. W. (2014). Mindfulness in patients with gambling disorders. Journal of Social Work Practice in the Addictions, 14, 327-337.
  • Remor, E. y Carrobles, J. A. (2001). Versión española de la Escala de estrés percibido (PSS14): estudio psicométrico en una muestra VIH+. Ansiedad y Estrés, 7, 195-201.
  • Schuler, A., Ferentzy, P., Turner, N. E., Skinner, W., McIsaac, K. E., Ziegler, C. P. y Matheson, F. I. (2016). Gamblers Anonymous as a recovery pathway: a scoping review. Journal of Gambling Studies, 32, 1261-1278.
  • Stahl, B. y Goldstein, E. (2010). Mindfulness para reducir el estrés: una guía práctica. Barcelona: Kairós.
  • Subramaniam, M., Chong, S. A., Satghare, P., Browning, C. J. y Thomas, S. (2017). Gambling and family: a two-way relationship. Journal of Behavioral Addictions, 6, 689-698.
  • Toneatto, T., Vettese, L. y Nguyen, L. (2007). The role of mindfulness in the cognitive behavioural treatment of problem gambling. Journal of Gambling Issues, 19, 91-100.
  • Toneatto, T., Pillai, S. y Courtice, E. L. (2014). Mindfulness-enhanced cognitive behavior therapy for problem gambling: a controlled pilot study. International Journal of Mental Health and Addiction, 12, 197-205.
  • Velleman, R., Cousins, J. y Orford, J. (2015). Effects of gambling on the family. En H. Bowden-Jones y S. George (dirs.), A clinician’s guide to working with problem gamblers (pp. 90-103). Londres: Routledge.
  • Vøllestad, J., Sivertsen, B. y Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial. Behaviour research and therapy, 49, 281-288.
  • Yakovenko, I. y Hodgins, D. C. (2016). Latest developments in treatment for disordered gambling: review and critical evaluation of outcome studies. Current Addiction Reports, 3, 299-306.