Typology of patients with behavioral addictions or eating disorders during a one-year period of care: Exploring similarities of trajectory using growth mixture modeling coupled with latent class analysis
- PMID: 30427931
- PMCID: PMC6235397
- DOI: 10.1371/journal.pone.0207398
Typology of patients with behavioral addictions or eating disorders during a one-year period of care: Exploring similarities of trajectory using growth mixture modeling coupled with latent class analysis
Abstract
Objectives: Addictions are not restricted to substance-use disorders, and it is now widely recognized that they also include behavioral addictions. Certain individuals with eating disorders also experiment their disorder as an addiction. The objective was to identify typologies of patients presenting with various behavioral addictions or eating disorders according to their evolution within the framework of care, and to specify the factors associated with the differential clinical trajectories.
Methods: We included 302 patients presenting with problem gambling, sexual addiction, compulsive buying, excessive videogame use or eating disorders. The patients completed a multiaxial assessment through a face-to-face structured interview and self-administered questionnaires, including sociodemographic and addiction-related characteristics, psychiatric and addictive comorbidities and several psychological characteristics. The assessment was performed at inclusion and then repeated after 6 and 12 months. The statistical analysis included a combination of growth mixture models and latent class analysis.
Results: We identified five classes of patients with different profiles related to their trajectories during a one-year period of specialized care: "complex patients", "patients with impulsive psychological functioning", "patients with cooperative psychological functioning", "patients with immature psychological functioning," and "patients with resilient psychological functioning".
Conclusions: The typology obtained brings interesting findings to propose patient-centered care strategies adapted to these disorders. Because the typology was independent from the type of disorder, it supports the general concept of behavioral addictions, and the similarities between eating disorders and behavioral addictions. The relevance of this model should be further examined in future studies.
Conflict of interest statement
The authors of this manuscript have read the journal's policy and have the following competing interests: JC, JL, MR, MGB and GCB declare that Nantes University Hospital received funding from the gambling industry (FDJ and PMU) in the form of a philanthropic sponsorship. Scientific independence with respect to these gambling industries is guaranteed and there were no constraints on publishing. This funding has never had any influence on the present work. MM and JBH declare to have no conflict of interest. This does not alter the authors' adherence to PLOS ONE policies on sharing data and materials.
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References
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- American Psychiatric Association. Diagnostic and statistical manual of mental health disorders: DSM-5 5th ed Washington DC: American Psychiatric Publishing; 2013.
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