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Master's Dissertation
DOI
10.11606/D.5.2009.tde-16062009-155639
Document
Author
Full name
Danielle Rossini
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2009
Supervisor
Committee
Tavares, Hermano (President)
Cordas, Taki Athanassios
Oliveira, Maria Paula de Magalhães Tavares de
Title in Portuguese
Modelo de avaliação de eficácia terapêutica em jogadores patológicos: a contribuição da neuropsicologia
Keywords in Portuguese
Impulso/psicologia
Jogo de azar/psicologia
Neuropsicologia/métodos
Questionários
Resultado de tratamento
Abstract in Portuguese
Avaliou-se como o tratamento de jogadores patológicos (JP) impacta processos mentais através de medidas neuropsicológicas associadas à impulsividade (tarefas tradicionais, computadorizadas e comportamentais) e a relação destas com variáveis tradicionais de tratamento (fissura, distorções cognitivas e comportamento de jogo). Compararam-se os resultados pré e pós-tratamento de 72 JP (56% homens) em tratamento ambulatorial. Observaram-se melhoras significativas em medidas neuropsicológicas de amplitude atencional, controle inibitório e adiamento de gratificação, bem como em medidas de auto-relato de comportamento de jogo, fissura, distorções cognitivas, afetividade negativa e impulsividade. Estas variáveis foram introduzidas em um modelo de análise de componentes principais (ACP) e os três fatores obtidos foram comparados entre respondedores e não respondedores a tratamento. Mostraram-se capazes de distinguí-los os fatores Distorções Cognitivas/Afetos Negativos e Fissura/Controle Inibitório, mas não o fator Inquietação Motora; indicando quais medidas clínicas e aspectos neuropsicológicos podem contribuir para avaliação da eficácia terapêutica, auxiliando na distinção entre JP recuperados e não recuperados. Descritores: neuropsicologia/métodos, jogo de azar/psicologia, impulso/psicologia, questionários, resultado de tratamento
Title in English
An assessment model of treatment for pathological gambling: a neuropsychological contribution
Keywords in English
Gambling/psychology
Impulsivity/psychology
Neuropsychology/methods
Scales
Treatment outcome
Abstract in English
It was assessed how pathological gamblers (PG) treatment impact mental processes investigated by neuropsychological measures associated to impulsivity (traditional, computer and behavioral tasks) and their relation with traditional treatment variables (craving, cognitive distortions and gambling behaviour). The data of 72 PG (56% of man) undergoing outpatient treatment were analyzed. Statistically significative differences were observed in neuropsychological measures as attentional span, inhibitory control and reward delay, as well in self report scores as craving, cognitive distortions, negative affect and impulsivity, indicating positive changes. The variance of all data that varied significantly along gambling treatment were introduced to a principal component analysis (PCA). The three factors obtained were compared between recovered and non recovered gamblers. Recovered and non-recovered differed by the Cognitive Distortions/Negative Affect and Craving/Inhibitory Control, but not by Motor Restlessness factor; indicating that clinical measures and neuropsychological aspects could contribute to the assessment of therapeutic efficacy, helping to distinguish between recovered and non recovered PG
 
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DanielleRossini.pdf (1.29 Mbytes)
Publishing Date
2009-06-30
 
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