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Gambling disorder (GD) in youth with borderline personality disorder: Understanding comorbidity

Published online by Cambridge University Press:  13 August 2021

V. Kaleda ,
E. Krylova ,
A. Kuleshov  and
A. Beburishvili
V. Kaleda*
Affiliation:
Department Of Youth Psychiatry, FSBSI «Mental Health Research Centre», Moscow, Russian Federation
E. Krylova
Affiliation:
Department Of Youth Psychiatry, Mental Health Research Center, Moscow, Russian Federation
A. Kuleshov
Affiliation:
Department Of Youth Psychiatry, FEDERAL STATE BUDGETARY SCIENTIFIC INSTITUTION MENTAL HEALTH RESEARCH CENTER, Moscow, Russian Federation
A. Beburishvili
Affiliation:
Youth Psychiatry, Mental Health Research Cebter, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Epidemiological data suggest that in youth the prevalence of co-occurring borderline personality disorder (BPD) is particularly high in people with gambling disorder (GD).

Objectives

The objective of this study was to investigate clinical presentations of GD in youth patients with BPD.

Methods

Clinical psychopathological interview, SCID-II, The Gambling Symptom Assessment Scale (G-SAS), Hamilton Depression Rating Scale (HDRS), Zung Anxiety Rating Scale (ZARS). Sample: N=65 male and female, age: 18-25 with GD and BPD.

Results

GD clinical presentation in BPD patients in youth have age and individual specific signs, like polymorphism and high conjugacy with comorbid mental disorders (including, but not limited to MDD, OCD, anxiety disorders, body dysmorphic disorder and etc.) Types of GD in BPD varied due to these comorbid syndrome: 1. Subjects with GD, BPD and MDD in youth demonstrated severity progression in anticipatory tension emotional distress (mental pain, shame, guilt) and lower level in pleasure on winning the bet (G-SAS:SD/Mean 35± 3). 2. Group with OCR and Anxiety Disorders showed different profile: urges to gamble and emotional distress dominated here (G-SAS SD/Mean 32.5± 1). 3. Individuals with no clear co-occurring clinical syndromes revealed combination low level control thoughts of gambling with much excitement and pleasure on winning the bet (G-SAS:SD/Mean 41.2± 2).

Conclusions

Our research provides further insight on GD structure in youth BPD patients with comorbid psychiatric syndromes

Disclosure

No significant relationships.

Keywords

youthBorderline personality disorderGamblingcomorbidity
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S750 - S751
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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