Trait Impulsivity Predicts Treatment Response in Gambling Disorder.

IF 0.8 4区 医学 Q4 CLINICAL NEUROLOGY Clinical Neuropharmacology Pub Date : 2025-01-31 DOI:10.1097/WNF.0000000000000622
Samuel R Chamberlain, Konstantinos Ioannidis, Jon E Grant
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Abstract

Objectives: Impulsivity is thought to be a core feature of gambling disorder, yet little is known as to whether trait impulsivity predicts treatment response.

Methods: Data were pooled from 2 previous randomized controlled pharmacological trials using naltrexone and N-acetyl cysteine.

Results: Trait impulsivity statistically explained variation in medication treatment response (P = 0.0260, R2 = 0.26). Higher baseline motor impulsiveness was associated with greater treatment response (P = 0.009).

Conclusions: Measures of impulsivity may thus be important to include in future large-scale datasets, in trial settings but also routine clinical gambling clinic practice, toward building predictive algorithms that may ultimately help to inform optimal treatment choices and improve outcomes.

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目的:冲动被认为是赌博障碍的核心特征:冲动性被认为是赌博障碍的一个核心特征,但对于特质冲动性是否能预测治疗反应却知之甚少:结果:特质冲动性在统计学上解释了药物治疗效果的差异:特质冲动在统计学上解释了药物治疗反应的变化(P = 0.0260,R2 = 0.26)。基线运动冲动性越高,治疗反应越大(P = 0.009):因此,在未来的大规模数据集中,无论是在试验环境中,还是在常规的临床赌博诊所实践中,冲动性的测量方法都可能非常重要,有助于建立预测算法,最终为最佳治疗选择和改善疗效提供依据。
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来源期刊
Clinical Neuropharmacology
Clinical Neuropharmacology 医学-临床神经学
CiteScore
1.20
自引率
10.00%
发文量
63
审稿时长
6-12 weeks
期刊介绍: Clinical Neuropharmacology is a peer-reviewed journal devoted to the pharmacology of the nervous system in its broadest sense. Coverage ranges from such basic aspects as mechanisms of action, structure-activity relationships, and drug metabolism and pharmacokinetics, to practical clinical problems such as drug interactions, drug toxicity, and therapy for specific syndromes and symptoms. The journal publishes original articles and brief reports, invited and submitted reviews, and letters to the editor. A regular feature is the Patient Management Series: in-depth case presentations with clinical questions and answers.
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