{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T18:20:56Z","timestamp":1775586056232,"version":"3.50.1"},"reference-count":79,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T00:00:00Z","timestamp":1450656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec><jats:label\/><jats:p>The aim of the present study was to explore the role of pathological dissociation in mediating the association between childhood trauma (CT) and gambling severity. One hundred seventy\u2010one (134 men and 37 women) gamblers recruited in gambling environments (i.e., two Italian casinos) have been enrolled in the study. Psychopathological assessments included the Childhood Trauma Questionnaire (CTQ), the Dissociative Experiences Scale\u2010Taxon (DES\u2010T), the South Oaks Gambling Screen (SOGS), the CAGE and the Hospital Anxiety and Depression Scale. A mediational model, analyzing the direct and indirect effects of CTQ on SOGS through the mediating role of DES\u2010T, showed that the relation between CTQ and SOGS was fully mediated by DES\u2010T scores (<jats:italic>b<\/jats:italic>\u2009=\u20090.07; <jats:italic>se<\/jats:italic>\u2009=\u20090.15; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). This finding raises the possibility that CT explains gambling severity through the presence of pathological dissociative symptoms and dissociative pathogenetic processes. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Practitioner Message<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Gambling severity is associated with both childhood trauma and pathological dissociation in casino gamblers.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>A mediational model shows that the effect of childhood trauma on gambling severity is entirely mediated by pathological dissociation.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>From a clinical point of view, our results highlight the importance of assessing, and possibly treating, dissociative symptoms in individuals with gambling disorder.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.1997","type":"journal-article","created":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T07:24:47Z","timestamp":1450682687000},"page":"203-211","source":"Crossref","is-referenced-by-count":35,"title":["The Association among Childhood Trauma, Pathological Dissociation and Gambling Severity in Casino Gamblers"],"prefix":"10.1002","volume":"24","author":[{"given":"Claudio","family":"Imperatori","sequence":"first","affiliation":[{"name":"Universit\u00e0 Europea di Roma  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Innamorati","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Europea di Roma  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco Saverio","family":"Bersani","sequence":"additional","affiliation":[{"name":"Department of Neurology and Psychiatry Sapienza University of Rome  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Imbimbo","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Europea di Roma  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Pompili","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital Sapienza University of Rome  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Contardi","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Europea di Roma  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedetto","family":"Farina","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Europea di Roma  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,12,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agm072"},{"key":"e_1_2_7_3_1","volume-title":"Diagnostic and statistical manual of mental disorders\u2014DSM","author":"American Psychiatric Association","year":"1980"},{"key":"e_1_2_7_4_1","volume-title":"Diagnostic and statistical manual of mental disorders\u2014DSMIV \u2010TR","author":"American Psychiatric Association","year":"2000"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/255848"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.4309\/jgi.2013.28.3"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1016895221871"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(02)00541-0"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-198612000-00004"},{"issue":"21","key":"e_1_2_7_11_1","first-page":"3217","article-title":"Dissociative symptoms in female patients with mood and anxiety disorders: A psychopathological and temperamental investigation","volume":"18","author":"Bersani G.","year":"2014","journal-title":"European Review for Medical and Pharmacological Sciences"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1708\/1461.16137"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00296-3"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2011.04056"},{"key":"e_1_2_7_15_1","volume-title":"Dissociation and dissociative disorders: DSM\u2010V and beyond","author":"Carlson E. A.","year":"2009"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10899-014-9510-1"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20444"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370404900406"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.4306\/pi.2014.11.3.330"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0027447"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511777042.015"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.25011\/cim.v30i1.447"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023062912062"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/sjop.12052"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.160.8.1453"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1984.03350140051025"},{"issue":"1","key":"e_1_2_7_27_1","first-page":"11","article-title":"Does a dissociative psychopathological dimension exist? A review on dissociative processes and symptoms in developmental trauma spectrum disorders","volume":"10","author":"Farina B.","year":"2013","journal-title":"Clinical Neuropsychiatry"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-013-0461-9"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0013323"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0087118"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2009.186"},{"key":"e_1_2_7_32_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression based approach","author":"Hayes A. F.","year":"2013"},{"key":"e_1_2_7_33_1","volume-title":"Trauma and recovery","author":"Herman J. L.","year":"1992"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0019946"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1300\/J229v03n01_06"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-12-84"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01043526"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/10538712.2014.896840"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/10550490500419045"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.12.020"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1295495"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-199701000-00011"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.2287"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1053\/comp.2002.32350"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2005.08.017"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.144.9.1184"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2013.02.005"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-3204.41.4.472"},{"key":"e_1_2_7_49_1","volume-title":"Sviluppi Traumatici: eziopatogenesi, clinica e terapia della dimensone dissociativa","author":"Liotti G.","year":"2011"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2010.03300"},{"issue":"10","key":"e_1_2_7_51_1","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1176\/ajp.131.10.1121","article-title":"The CAGE questionnaire: Validation of a new alcoholism screening instrument","volume":"131","author":"Mayfield D.","year":"1974","journal-title":"American Journal of Psychiatry"},{"key":"e_1_2_7_52_1","first-page":"179","article-title":"La dissociative experiences scale, esperienze dissociative in un campione di studenti italiani","volume":"1","author":"Mazzotti E.","year":"2001","journal-title":"Giornale Italiano di Psicologia"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10899-011-9281"},{"key":"e_1_2_7_54_1","volume-title":"A dissociation model of borderline personality disorder","author":"Meares R.","year":"2012"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001756-200502280-00018"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.3109\/00048674.2010.497476"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11682-015-9352-1"},{"key":"e_1_2_7_58_1","first-page":"337","volume-title":"Dissociation and dissociative disorders: DSM\u2010V and beyond","author":"Nijenhuis E. R.","year":"2009"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-5-46"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.1037\/10894-000"},{"key":"e_1_2_7_61_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.19.2.226"},{"key":"e_1_2_7_62_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144-015-9313-2"},{"key":"e_1_2_7_63_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.40.3.879"},{"key":"e_1_2_7_64_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494815569866"},{"key":"e_1_2_7_65_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0024843"},{"key":"e_1_2_7_66_1","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v2i0.5622"},{"key":"e_1_2_7_67_1","doi-asserted-by":"publisher","DOI":"10.9758\/cpn.2014.12.3.171"},{"key":"e_1_2_7_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2008.07.005"},{"key":"e_1_2_7_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2009.12.012"},{"key":"e_1_2_7_70_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511777042.021"},{"key":"e_1_2_7_71_1","volume-title":"Dissociation and dissociative disorders: DSM\u2010V and beyond","author":"Schore A. N.","year":"2009"},{"key":"e_1_2_7_72_1","first-page":"367","volume-title":"Dissociation and dissociative disorders: DSM\u2010V and beyond","author":"Simeon D.","year":"2009"},{"key":"e_1_2_7_73_1","doi-asserted-by":"publisher","DOI":"10.1080\/1606635031000141102"},{"key":"e_1_2_7_74_1","doi-asserted-by":"publisher","DOI":"10.1080\/00048670701449146"},{"key":"e_1_2_7_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4603(00)00158-1"},{"key":"e_1_2_7_76_1","unstructured":"2010 Cambridge University Press Cambridge UK M. H. Teicher K. Rabi Y. S. Sheu S. B. Serafine S. L. Andersen C. M. Anderson A. Tomoda R. A. Lanius E. Vermetten C. Pain The impact of early relational trauma on helath and disease. The hidden epidemic"},{"key":"e_1_2_7_77_1","volume-title":"The Haunted Self: Structural dissociation and the treatment of chronic traumatization","author":"Van der Hart O.","year":"2006"},{"issue":"7","key":"e_1_2_7_78_1","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1176\/ajp.153.7.83","article-title":"Dissociation, somatization, and affect dysregulation: The complexity of adaptation of trauma","volume":"153","author":"Kolk B. A.","year":"1996","journal-title":"American Journal of Psychiatry"},{"key":"e_1_2_7_79_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20047"},{"key":"e_1_2_7_80_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.1.3.300"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcpp.1997","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcpp.1997","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.1997","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T23:09:35Z","timestamp":1696633775000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.1997"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,21]]},"references-count":79,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1002\/cpp.1997"],"URL":"https:\/\/doi.org\/10.1002\/cpp.1997","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"value":"1063-3995","type":"print"},{"value":"1099-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,21]]}}}