Una proposta di follow-up come attività integrata nella presa in carico del paziente con disturbo da gioco d’azzardo. Analisi dei primi dati emersi dall’esperienza dell’Ambulatorio per la prevenzione e il trattamento del gioco d’azzardo patologico (DGA) del SerD di Padova - Ulss 6 Euganea

Journal title MISSION
Author/s Silvia Lazzaro, Giulia Chinellato, Pietro Pizzolitto, Federica Gesmundo, Anna Giordano, Annarita Brizzi, Rosa Ranieri, Giancarlo Zecchinato, Guglielmo Cavallari
Publishing Year 2022 Issue 2020/56
Language Italian Pages 13 P. 47-59 File size 0 KB
DOI 10.3280/mis56-2020oa12328
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Il presente studio prevede la valutazione in brevi intervalli di tempo di pazienti con Disturbo da Gioco d’Azzardo (DGA) in trattamento per rilevare indicazioni significative e minimizzare le ricadute post recovery. Da Gennaio 2018 a Dicembre 2019, 102 pazienti sono stati valutati a T0 (intervista e Gambling Follow-Up Scale GFS) e a 3 (T1), 6 (T2), 12 (T3) mesi da T0 (intervista breve, GFS). Alcuni primi dati emersi: 79,4% maschi (n=81), età media (±DS): 47,8±15,9 anni (21-82). A T0, sono mediamente presenti 6 criteri DSM-5; il 36,3% (n=37) presenta livello moderato di DGA. Il 91,2% (n=93) presenta criterio 7 (mentire); 88,2% (n=90) criterio 3 (sforzi per controllare problema). Il 26,6% (n=21) gioca a slot, il 10,8% (n=11) VLT. I giocatori di gratta e vinci hanno età media più alta vs. VLT (p=.009), slot (p=.005) e scommesse (p< .001). Da T0 a T1 si rileva diminuzione di tutti i criteri DSM-5 (p < .000). I primi mesi di trattamento costituiscono una fase temporale di astensione durante la quale attuare interventi supportati da una maggior aderenza e motivazione. I dati da T1 a T2, seppur non significativi, sembrano suggerire l’utilità di isolare “traiettorie” di evoluzione diverse per i singoli criteri DSM, alcuni dei quali potrebbero essere più resistenti e necessitare di un focus trattamentale specifico. Oggetto del trattamento potrebbero essere il contesto sistemico-relazionale e le componenti multifattoriali che spiegano l’attribuzione dei criteri 3 e 7. Il monitoraggio durante il trattamento potrebbe favorire una interpretazione maggiormente esaustiva dei dati raccolti post trattamento, evidenziando l’andamento e l’efficacia del percorso.

Keywords: Pathological Gambling, DSM-5 criteria 3 and 7, Follow up, Timing for follow-up, In treatmentpatients.

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Silvia Lazzaro, Giulia Chinellato, Pietro Pizzolitto, Federica Gesmundo, Anna Giordano, Annarita Brizzi, Rosa Ranieri, Giancarlo Zecchinato, Guglielmo Cavallari, Una proposta di follow-up come attività integrata nella presa in carico del paziente con disturbo da gioco d’azzardo. Analisi dei primi dati emersi dall’esperienza dell’Ambulatorio per la prevenzione e il trattamento del gioco d’azzardo patologico (DGA) del SerD di Padova - Ulss 6 Euganea in "MISSION" 56/2020, pp 47-59, DOI: 10.3280/mis56-2020oa12328