Intervención desde la terapia cognitivo conductual para el tratamiento de la ludopatía en joven de 19 años
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Fecha
2025
Autores
Ortiz Diaz, Cesar Hemel
Anteliz Gomez, Gladys Esperanza
Vega Siso, Yessica Noraima
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias Jurídicas y Sociales
Facultad de Ciencias Jurídicas y Sociales
Resumen
Este estudio de caso clínico evalúa la eficacia de la Terapia Cognitivo-Conductual (TCC) en el tratamiento de la ludopatía en un joven de 19 años, mediante un diseño experimental de caso único tipo ABA. La ludopatía, como trastorno del control de los impulsos, compromete múltiples áreas del funcionamiento personal, social y emocional, especialmente en población joven. El caso presentado refleja un patrón adictivo crónico de tres años, acompañado de alta impulsividad, distorsiones cognitivas sobre el azar y sintomatología emocional significativa (ansiedad, depresión y estrés).
El protocolo de intervención se desarrolló a lo largo de ocho sesiones semanales y se estructuró por objetivos clínicos progresivos, incluyendo técnicas como la psicoeducación, registro de pensamientos y conductas, reestructuración cognitiva, exposición gradual, prevención de recaídas, entrenamiento en regulación emocional, control de impulsos y reforzamiento de actividades alternativas. La evaluación clínica pre y post intervención se realizó mediante instrumentos psicométricos validados (DASS-21, SOGS, BIS-11, IPA). Los resultados postratamiento evidencian mejoras significativas: disminución de la sintomatología emocional, reducción del comportamiento de juego compulsivo, mayor control
de impulsos y disminución de pensamientos automáticos disfuncionales. Estos hallazgos sugieren que la TCC, aplicada de manera personalizada y estructurada, es eficaz para intervenir en las múltiples dimensiones del juego patológico en jóvenes.
El presente estudio aporta evidencia empírica sobre la efectividad de la TCC en el abordaje de adicciones comportamentales en población juvenil, subrayando la importancia de una evaluación integral y de la adaptación individual del tratamiento.
This clinical case study evaluates the effectiveness of Cognitive Behavioral Therapy (CBT) in treating gambling disorder in a 19-year-old male using a single-case experimental ABA design. Gambling disorder, as an impulse control disorder, affects various aspects of personal, social, and emotional functioning, particularly in young populations. The presented case illustrates a chronic addictive pattern of three years, accompanied by high impulsivity, cognitive distortions related to chance, and significant emotional symptoms (anxiety, depression, and stress). The intervention protocol was implemented over eight weekly sessions and was structured around progressive clinical objectives, including techniques such as psychoeducation, thought and behavior recording, cognitive restructuring, gradual exposure, relapse prevention, emotional regulation training, impulse control, and reinforcement of alternative activities. Clinical assessment before and after the intervention was conducted using validated psychometric tools (DASS-21, SOGS, BIS-11, IPA). Post-treatment results revealed clinically significant improvements: reduction in emotional symptoms, decreased compulsive gambling behavior, improved impulse control, and a reduction in dysfunctional automatic thoughts. These findings suggest that CBT, when applied in a structured and personalized manner, is effective in addressing the multiple dimensions of pathological gambling in young individuals. This study provides empirical evidence on the effectiveness of CBT for behavioral addictions in youth, highlighting the importance of comprehensive assessment and individualized treatment adaptation.
This clinical case study evaluates the effectiveness of Cognitive Behavioral Therapy (CBT) in treating gambling disorder in a 19-year-old male using a single-case experimental ABA design. Gambling disorder, as an impulse control disorder, affects various aspects of personal, social, and emotional functioning, particularly in young populations. The presented case illustrates a chronic addictive pattern of three years, accompanied by high impulsivity, cognitive distortions related to chance, and significant emotional symptoms (anxiety, depression, and stress). The intervention protocol was implemented over eight weekly sessions and was structured around progressive clinical objectives, including techniques such as psychoeducation, thought and behavior recording, cognitive restructuring, gradual exposure, relapse prevention, emotional regulation training, impulse control, and reinforcement of alternative activities. Clinical assessment before and after the intervention was conducted using validated psychometric tools (DASS-21, SOGS, BIS-11, IPA). Post-treatment results revealed clinically significant improvements: reduction in emotional symptoms, decreased compulsive gambling behavior, improved impulse control, and a reduction in dysfunctional automatic thoughts. These findings suggest that CBT, when applied in a structured and personalized manner, is effective in addressing the multiple dimensions of pathological gambling in young individuals. This study provides empirical evidence on the effectiveness of CBT for behavioral addictions in youth, highlighting the importance of comprehensive assessment and individualized treatment adaptation.
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Palabras clave
Ludopatía, Terapia cognitivo-conductual, Impulsividad, Distorsiones cognitivas, Diseño ABA
