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

• Alejandra Melero Ventola ^[1] ; José Ramón Yela Bernabé ^[1] ; Antonio Crego Díaz ^[1] ; María Cortés-Rodriguez ^[2] ; Mª Ángeles Gómez-Martínez ^[1]
  1. [1] Universidad Pontificia de Salamanca

     Universidad Pontificia de Salamanca

     Salamanca, España

     
  2. [2] Universidad de Salamanca

     Universidad de Salamanca

     Salamanca, España

     
• Localización: Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud, ISSN 1132-9483, Vol. 27, Nº. 3, 2019, págs. 355-373
• Idioma: español
• Enlaces
  • Texto completo  1 (pdf)   2  
• Dialnet Métricas: 1 Cita
• Resumen
  • español

    La adicción al juego conlleva situaciones de estrés para quienes sufren este trastorno y su entorno social próximo. 33 familiares voluntarios de jugadores en rehabilitación participaron en una intervención grupal de autoayuda (GAA), tras la cual iniciaron un Programa de reducción de estrés basado en atención plena (REBAP), de ocho semanas. Sus niveles de estrés fueron evaluados antes y después de cada intervención y en tres seguimientos (1, 3 y 6 meses). Mientras que el GAA no reducía significativamente el estrés de los familiares, el protocolo REBAP producía cambios de gran magnitud (η2 = 0,88) y conseguía disminuir el estrés, desde niveles inicialmente moderados a bajos. Los efectos se mantuvieron en los tres seguimientos, durante los cuales se observaron niveles elevados de práctica de atención plena.

    No obstante, en el seguimiento a los 6 meses se apreció una disminución de la práctica, lo cual sugeriría la necesidad de introducir sesiones de refuerzo. Los resultados muestran la utilidad del programa REBAP en la intervención con familiares de personas con adicción al juego.

  • English

    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.

• Referencias bibliográficas
  • Abbott, M. (2017). The epidemiology and impact of gambling disorder and other gambling related harm. Discussion paper for the WHO Forum on...
  • Anderson, T. L., Rempusheski, V. F. y Leedy, K. N. (2018). Casino gambling and the family: exploring the connections and identifying consequences....
  • 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,...
  • Calado, F. y Griffiths, M. D. (2016). Problem gambling worldwide: an update and systematic review of empirical research (2000-2015). Journal...
  • Chen, P., Jindani, F., Perry, J. y Turner, N. L. (2014). Mindfulness and problem gambling treatment. Asian Journal of Gambling Issues and...
  • Chiesa, A. y Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis....
  • 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...
  • 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,...
  • De Lisle, S. M., Dowling, N. A. y Allen, J. S. (2011). Mindfulness-based cognitive therapy for problem gambling. Clinical Case Studies, 10,...
  • Dowling, N. A., Suomi, A., Jackson, A. C. y Lavis, T. (2016). Problem gambling family impacts: development of the problem gambling family...
  • Ellis, M. V. (1999). Repeated measures designs. The Counseling Psychologist, 27, 552-578. Fjorback, L. O., Arendt, M., Ørnbøl, E., Fink, P....
  • George, S. y Bowden-Jones, H. (2015). Family interventions in gambling. En H. BowdenJones y S. George, (dirs.), A clinician’s guide to working...
  • Ginley, M. K., Rash, C. J. y Petry, N. M. (2019). Psychological interventions in gambling disorder. En A. Heinz, N. Romanczuk-Seiferth y M....
  • Grossman, P., Niemann, L., Schmidt, S. y Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal...
  • Gu, J., Strauss, C., Bond, R. y Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve...
  • 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...
  • Jiménez-Murcia, S., Tremblay, J., Stinchfield, R., Granero, R., Fernández-Aranda, F., MestreBach, G., Steward, T., del Pino-Gutiérrez, A.,...
  • 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...
  • Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., Lenderking, W. R. y Santorelli, S. F. (1992)....
  • Kalischuk, R. G., Nowatzki, N., Cardwell, K., Klein, K. y Solowoniuk, J. (2006). Problem gambling and its impact on families: a literature...
  • Khoury, B., Sharma, M., Rush, S. E. y Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: a meta-analysis. Journal...
  • 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....
  • Kourgiantakis, T., Saint-Jacques, M. C. y Tremblay, J. (2013). Problem Gambling and families: a systematic review. Journal of Social Work...
  • Kourgiantakis, T., Saint-Jacques, M. C. y Tremblay, J. (2018). Facilitators and barriers to family involvement in problem gambling treatment....
  • 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...
  • 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....
  • Li, M. J., Black, D. S. y Garland, E. L. (2016). The Applied Mindfulness Process Scale (AMPS): a process measure for evaluating mindfulness-based...
  • Linardatou, C., Parios, A., Varvogli, L., Chrousos, G. y Darviri, C. (2014). An 8-week stress management program in pathological gamblers:...
  • Martín, A. (2012). Efectividad de un programa educativo en conciencia plena (mindfulness) para reducir el burnout y mejorar la empatía, en...
  • Martínez-Escribano, L., Piqueras, J. A. y Salvador, C. (2017). Eficacia de las intervenciones basadas en la atención plena (mindfulness) para...
  • Maynard, B. R., Wilson, A. N., Labuzienski, E. y Whiting, S. W. (2018). Mindfulness-based approaches in the treatment of disordered gambling:...
  • Menchon, J. M., Mestre-Bach, G., Steward, T., Fernández-Aranda, F. y Jiménez-Murcia, S. (2018). An overview of gambling disorder: from treatment...
  • McIntosh, C. C., Crino, R. D. y O’Neill, K. (2016). Treating problem gambling samples with cognitive behavioural therapy and mindfulness-based...
  • Nayoski, N. y Hodgins, D. C. (2016). The efficacy of individual community reinforcement and family training (CRAFT) for concerned significant...
  • Nowak, D. E. (2018). A meta-analytical synthesis and examination of pathological and problem gambling rates and associated moderators among...
  • Nowak, D. E. y Aloe, A. M. (2014). The prevalence of pathological gambling among college students: a meta-analytic synthesis, 2005-2013. Journal...
  • Orford, J., Cousins, J., Smith, N. y Bowden-Jones, H. (2017). Stress, strain, coping and social support for affected family members attending...
  • Paolini, D., Leonardi, C., Visani, E. y Rodofili, G. (2018). The gambling disorder: family styles and cognitive dimensions. European Review...
  • 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,...
  • Remor, E. y Carrobles, J. A. (2001). Versión española de la Escala de estrés percibido (PSS14): estudio psicométrico en una muestra VIH+....
  • 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...
  • 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...
  • Toneatto, T., Vettese, L. y Nguyen, L. (2007). The role of mindfulness in the cognitive behavioural treatment of problem gambling. Journal...
  • Toneatto, T., Pillai, S. y Courtice, E. L. (2014). Mindfulness-enhanced cognitive behavior therapy for problem gambling: a controlled pilot...
  • 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...
  • Vøllestad, J., Sivertsen, B. y Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in...
  • Yakovenko, I. y Hodgins, D. C. (2016). Latest developments in treatment for disordered gambling: review and critical evaluation of outcome...