{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T15:52:32Z","timestamp":1781884352227,"version":"3.54.5"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Gambling disorder generates substantial psychological, social, and economic harm not only for affected individuals but also for the relatives who support them. However, evidence regarding the psychological burden and coping strategies of these Affected Others (AOs) remains limited. This study aimed to examine the sociodemographic and clinical characteristics of patients receiving treatment for gambling disorder and their AOs, compare differences according to family relationship type and gender, analyze associations between coping strategies and psychological distress among AOs, and explore predictors of global psychological distress in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 184 patients diagnosed with gambling disorder according to DSM-5 criteria and their respective AOs participated in the study. Participants completed structured interviews and validated psychological assessments evaluating sociodemographic characteristics, coping strategies, impulsivity, and psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>AOs were predominantly women in partner or parental roles and reported high levels of psychological distress. Partners showed poorer mental health profiles, whereas fathers were more frequently older and unemployed. Across the sample, maladaptive coping strategies, particularly self-criticism and social withdrawal, were strongly associated with higher psychological distress, while problem-solving strategies were related to better emotional well-being. Regression analyses identified coping strategies, patient impulsivity, and patient self-related variables as significant predictors of AO psychological distress, explaining approximately 30% of its variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings highlight the substantial emotional impact experienced by AOs of individuals with gambling disorder and emphasize the protective role of adaptive coping strategies in their mental health. Interventions aimed at strengthening problem-solving abilities, promoting healthier emotional expression, and reducing maladaptive coping responses such as self-criticism and isolation may improve relatives\u2019 well-being and contribute to more comprehensive and effective treatment approaches for gambling disorder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1837244","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T15:03:55Z","timestamp":1781881435000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological characteristics and coping strategies of affected others of patients with gambling disorder"],"prefix":"10.3389","volume":"17","author":[{"given":"Elias","family":"Guill\u00e9n-Guzm\u00e1n","sequence":"first","affiliation":[{"name":"Doctoral Programme in Medicine and Translational Research Research Line: 101275 \u2013 Clinical and Experimental Neurosciences, University of Barcelona","place":["Barcelona, Spain"]},{"name":"Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic Barcelona","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amparo","family":"Del Pino-Gutierrez","sequence":"additional","affiliation":[{"name":"Department of Public Health, Mental Health and Maternal and Child Health Nursing, School of Nursing, University of Barcelona","place":["Barcelona, Spain"]},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Bellvitge Biomedical Research Institute (IDIBELL)","place":["Barcelona, Spain"]},{"name":"CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Health Institute Carlos III","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roser","family":"Granero","sequence":"additional","affiliation":[{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Bellvitge Biomedical Research Institute (IDIBELL)","place":["Barcelona, Spain"]},{"name":"CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Health Institute Carlos III","place":["Barcelona, Spain"]},{"name":"Department of Psychobiology and Methodology, Autonomous University of Barcelona","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e1s","family":"Santalucia","sequence":"additional","affiliation":[{"name":"Department of Fundamental and Clinical Nursing, School of Nursing, University of Barcelona","place":["Barcelona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ester","family":"Codina","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic Barcelona","place":["Barcelona, Spain"]},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Bellvitge Biomedical Research 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