Skip to main content Accessibility help
×
Home

Impulsivity and cognitive distortions in different clinical phenotypes of gambling disorder: Profiles and longitudinal prediction of treatment outcomes

  • Núria Mallorquí-Bagué (a1) (a2) (a3), Cristina Vintró-Alcaraz (a1) (a2), Antonio Verdejo-García (a4), Roser Granero (a2) (a5), Fernando Fernández-Aranda (a1) (a2) (a6), Pablo Magaña (a1), Teresa Mena-Moreno (a1) (a2), Neus Aymamí (a1), Mónica Gómez-Peña (a1), Amparo Del Pino-Gutiérrez (a1) (a7), Gemma Mestre-Bach (a1) (a2), José M. Menchón (a1) (a6) (a8) and Susana Jiménez-Murcia (a1) (a2) (a6)...

Abstract

Background.

Impulsivity and cognitive distortions are hallmarks of gambling disorder (GD) but it remains unclear how they contribute to clinical phenotypes. This study aimed to (1) compare impulsive traits and gambling-related distortions in strategic versus non-strategic gamblers and online versus offline gamblers; (2) examine the longitudinal association between impulsivity/cognitive distortions and treatment retention and relapse.

Methods.

Participants seeking treatment for GD (n = 245) were assessed for gambling modality (clinical interview), impulsive traits (Urgency, Premeditation, Perseverance and Sensation Seeking [UPPS] scale) and cognitive distortions (Gambling Related Cognitions Scale) at treatment onset, and for retention and relapse (as indicated by the clinical team) at the end of treatment. Treatment consisted of 12-week standardized cognitive behavioral therapy, conducted in a public specialized clinic within a general public hospital.

Results.

Strategic gamblers had higher lack of perseverance and gambling-related expectancies and illusion of control than non-strategic gamblers, and online gamblers had generally higher distortions but similar impulsivity to offline gamblers. Lack of perseverance predicted treatment dropout, whereas negative urgency and distortions of inability to stop gambling and interpretative bias predicted number of relapses during treatment.

Conclusions.

Individuals with online and strategic GD phenotypes have heightened gambling related biases associated with premature treatment cessation and relapse. Findings suggest that these GD phenotypes may need tailored treatment approaches to reduce specific distortions and impulsive facets.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Impulsivity and cognitive distortions in different clinical phenotypes of gambling disorder: Profiles and longitudinal prediction of treatment outcomes
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Impulsivity and cognitive distortions in different clinical phenotypes of gambling disorder: Profiles and longitudinal prediction of treatment outcomes
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Impulsivity and cognitive distortions in different clinical phenotypes of gambling disorder: Profiles and longitudinal prediction of treatment outcomes
      Available formats
      ×

Copyright

Corresponding author

*Corresponding authors at: Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, C/Feixa Llarga s/n, L’Hospitalet de Llobregat, 08907 Barcelona, Spain. E-mail addresses: nmallorqui@live.com, nmallorqui@santpau.cat(N. Mallorquí-Bagué)
sjimenez@bellvitgehospital.cat (S. Jiménez-Murcia)

References

Hide All
[1]American Psychiatric Association, , Diagnostic and statistical manual of mental disorders 5th ed., Washington, D.C: American Psychiatric Association; 2013.
[2]Calado, F., Griffiths, M.D., Problem gambling worldwide: an update and systematic review of empirical research (2000–2015). J Behav Addict. 2016; 5(4): 592613
[3]Jiménez-Murcia, S., Granero Pérez, R., Fernández-Aranda, F., Álvarez Moya, E., Aymamí, M.N., Gómez-Peña, M., et al. Comorbidity of Pathological Gambling: clinical variables, personality and response to treatment. Rev Psiquiatr y Salud Ment (English Ed). 2009; 2(4): 178189 [Internet]
[4]Dowling, N.A., Cowlishaw, S., Jackson, A.C., Merkouris, S.S., Francis, K.L., Christensen, D.R., Prevalence of psychiatric co-morbidity in treatment-seeking problem gamblers: a systematic review and meta-analysis. Aust N Z J Psychiatry. 2015; 49(6): 519539
[5]Jimenez-murcia, S., Aymam, N., Alvarez-moya, E., Santamar, J.J., Fern, F., Granero, R. et al. Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?, 2011; 118
[6]Odlaug, B.L., Marsh, P.J., Kim, S.W., Grant, J.E., Strategic vs nonstrategic gambling: characteristics of pathological gamblers based on gambling preference. Ann Clin Psychiatry. 2011; 23(2): 105112
[7]Moragas, L., Granero, R., Stinchfield, R., Fernández-Aranda, F., Fröberg, F., Aymamí, N. et al. Comparative analysis of distinct phenotypes in gambling disorder based on gambling preferences. BMC Psychiatry, 2015: 15(1)86 [Internet]
[8]Mccormack, A., Shorter, G.W., Griffiths, M.D., Mccormack, A., Shorter, G.W., Griffiths, M.D., An empirical study of gender differences in online gambling. J Gambl Stud, 2014; 30: 7188.
[9]Hubert, P., Griffiths, M.D., A comparison of online versus offline gambling harm in portuguese pathological gamblers: an empirical study. Int J Ment Health Addict. 2018; 16(5): 12191237
[10]Yücel, M., Oldenhof, E., Ahmed, S.H., Belin, D., Billieux, J., Bowden-Jones, H. et al. A transdiagnostic dimensional approach towards a neuropsychological assessment for addiction: an international Delphi consensus study. Addiction, 2018 [Internet]
[11]Mitchell, M.R., Potenza, M.N., Addictions and personality traits: impulsivity and related constructs. Curr Behav Neurosci Rep. 2014; 1(1): 112
[12]Michalczuk, R., Bowden-Jones, H., Verdejo-Garcia, A., Clark, L., Impulsivity and cognitive distortions in pathological gamblers attending the UK National Problem Gambling Clinic: a preliminary report. Psychol Med. 2011; 41(12): 26252635
[13]Mallorquí-Bagué, N., Mestre-Bach, G., Lozano-Madrid, M., Fernandez-Aranda, F., Granero, R., Vintró-Alcaraz, C., et al. Trait impulsivity and cognitive domains involving impulsivity and compulsivity as predictors of gambling disorder treatment response. Addict Behav, 2018; 87: 169176. [Internet]
[14]Jara-Rizzo, M.F., Navas, J.F., Steward, T., López-Gómez, M., Jiménez-Murcia, S., Fernández-Aranda, F. et al. Impulsividad y conciencia del problema predicen la adherencia terapéutica y el abandono del tratamiento en el trastorno por juego de azar. Adicciones, 2018 1041 Internet] Jul 20 [cited 2018 Aug 31]; 0 (0) Available from http://www.ncbi.nlm.nih.gov/pubmed/30059585
[15]Grant, J.E., Odlaug, B.L., Chamberlain, S.R., Neural and psychological underpinnings of gambling disorder: a review. Prog Neuropsychopharmacol Biol Psychiatry, 2016; 65: 188193.
[16]van Holst, Ruth J., van den Brink, Wim, Veltman, Dick J., AEG, , Why gamblers fail to win: a review of cognitive and neuroimaging findings in pathological gambling. Neurosci Biobehav Rev, 2010; 34: 87107. [Internet]
[17]Bühringer, G., Wittchen, H.-U., Gottlebe, K., Kufeld, C., Goschke, T., Why people change? The role of cognitive-control processes in the onset and cessation of substance abuse disorders. Int J Methods Psychiatr Res, 2008 [Internet] Jun [cited 2019 Jun 7];17(S1):S4–15. Available from http://www.ncbi.nlm.nih.gov/pubmed/18543358
[18]Billieux, J., Lagrange, G., Van Der Linden, M., Lançon, C., Adida, M., Jeanningros, R., Investigation of impulsivity in a sample of treatment-seeking pathological gamblers: a multidimensional perspective. Psychiatry Res, 2012; 198: 291296. [Internet], [cited 2019 Mar 7]
[19]Yan, W.-S., Zhang, R.-R., Lan, Y., Li, Y.-H., Sui, N., Comparison of impulsivity in non-problem, at-risk and problem gamblers OPEN [cited 2019 Mar 7]; Available from: 2016 www.nature.com/scientificreports
[20]Clark, L., Averbeck, B., Payer, D., Sescousse, G., Winstanley, C.A., Xue, G., Pathological choice: the neuroscience of gambling and gambling addiction. J Neurosci. 2013; 33(45): 1761717623 [Internet]
[21]Lévesque, D., Sévigny, S., Giroux, I., Jacques, C., Psychological vulnerability and problem gambling: the mediational role of cognitive distortions. J Gambl Stud. 2018; 34(3): 807822 [Internet]
[22]Leonard, C.A., Williams, R.J., The relationship between gambling fallacies and problem gambling. Psychol Addict Behav. 2016; 30(6): 694704
[23]Ciccarelli, M., Griffiths, M.D., Nigro, G., Cosenza, M., Decision making, cognitive distortions and emotional distress: a comparison between pathological gamblers and healthy controls. J Behav Ther Exp Psychiatry, 2017; 54: 204210.
[24]Del Prete, F., Steward, T., Navas, J.F., Fernández-Aranda, F., Jiménez-Murcia, S., Oei, T.P.S., et al. The role of affect-driven impulsivity in gambling cognitions: a convenience-sample study with a Spanish version of the Gambling-Related Cognitions Scale. J Behav Addict. 2017; 6(1): 5163
[25]BECK, A.T., Thinking and depression. Arch Gen Psychiatry, 1963; 9(4): 324
[26]Kaczkurkin, A.N., Foa, E.B., Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues Clin Neurosci. 2015; 17(3): 337346
[27]Hezel, D.M., McNally, R.J., A Theoretical review of cognitive biases and deficits in obsessive–compulsive disorder. Biol Psychol, 2016; 121: 221232.
[28]Strauss, J., Ryan, R.M., Cognitive dysfunction in eating disorders. Int J Eat Disord. 1988; 7(1): 1927 [Internet]
[29]van Holst, R.J., Sescousse, G., Janssen, L.K., Janssen, M., Berry, A.S., Jagust, W.J., et al. Increased striatal dopamine synthesis capacity in gambling addiction. Biol Psychiatry. 2018; 83(12): 10361043 [Internet], Jun 15 [cited 2019 Mar 15] Available from http://www.ncbi.nlm.nih.gov/pubmed/28728675
[30]Pettorruso, M., Martinotti, G., Cocciolillo, F., De Risio, L., Cinquino, A., Di Nicola, M. et al. Striatal presynaptic dopaminergic dysfunction in gambling disorder: a 123 I-FP-CIT SPECT study. Addict Biol, 2018 [Internet]
[31]Navas, J.F., Billieux, J., Perandrés-Gómez, A., López-Torrecillas, F., Cándido, A., Perales, J.C., Impulsivity traits and gambling cognitions associated with gambling preferences and clinical status. Int Gambl Stud. 2017; 17(1): 102124
[32]Bonnaire, C., Barrault, S., Aïte, A., Cassotti, M., Moutier, S., Varescon, I., Relationship between pathological gambling, alexithymia, and gambling type. Am J Addict. 2017; 26(2): 152160 [Internet]
[33]Lévesque, D., Sévigny, S., Giroux, I., Jacques, C., Gambling-Related Cognition Scale (GRCS): Are skills-based games at a disadvantage?. Psychol Addict Behav. 2017; 31(6): 647654 [Internet]
[34]Toneatto, T., Blitz-Miller, T., Calderwood, K., Dragonetti, R., Tsanos, A., Cognitive distortions in heavy gambling. J Gambl Stud. 1997; 13(3): 253266
[35]Mouneyrac, A., Lemercier, C., Le Floch, V., Challet-Bouju, G., Moreau, A., Jacques, C. et al. Cognitive characteristics of strategic and non-strategic gamblers. J Gambl Stud, 2017; 199208 [Internet]
[36]Kairouz, S., Paradis, C., Nadeau, L., Are Online Gamblers More At Risk Than Offline Gamblers?. Cyberpsychol Behav Soc Netw. 2012; 15(3): 175180
[37]Chrétien, M., Giroux, I., Goulet, A., Jacques, C., Bouchard, S., Cognitive restructuring of gambling-related thoughts: a systematic review. Addict Behav, 2017; 75: 108121.
[38]Loree, A.M., Lundahl, L.H., Ledgerwood, D.M., Impulsivity as a predictor of treatment outcome in substance use disorders: review and synthesis. Drug Alcohol Rev. 2015; 34(2): 119134
[39]Verdejo-García, A., Lawrence, A.J., Clark, L., Impulsivity as a vulnerability marker for substance-use disorders: review of findings from high-risk research, problem gamblers and genetic association studies. Neurosci Biobehav Rev, Jan (4) 2008; 32 777810
[40]Granero, R., Penelo, E., Martínez-Giménez, R., Álvarez-Moya, E., Gómez-Peña, M., Aymamí, M.N., et al. Sex differences among treatment-seeking adult pathologic gamblers. Compr Psychiatry. 2009; 50(2): 173180
[41]Martins, S.S., Tavares, H., da Silva Lobo, D.S., Galetti, A.M., Gentil, V., Pathological gambling, gender, and risk-taking behaviors. Addict Behav, Aug (6) 2004; 29 12311235
[42]Jimenez-Murcia, S., Aymamí, N., Gómez-Peña, M., Santamaría, J.J., Álvarez-Moya, E., Fernández-Aranda, F., et al. Does exposure and response prevention improve the results of group cognitive-behavioural therapy for male slot machine pathological gamblers?. Br J Clin Psychol. 2012; 51(1): 5471
[43]Jiménez-Murcia, Susana, Álvarez-Moya, Eva M.G., Roser, Aymami, Neus, M., Gómez-Peña, Monica, Jaurrieta, Nuria, et al. Cognitive-behavioral group treatment for pathological gambling: analysis of effectiveness and predictors of therapy outcome. Psychother Res. 2007; 17(5): 544552 (781786981)
[44]Jiménez-Murcia, S., Aymamí-Sanromà, M., Gómez-Peña, M., Álvarez-Moya, E., Vallejo, J., Protocols de tractament cognitivoconductual pel joc patològic i d’altres addiccions no tòxiques. [Cognitive-behavioral treatment protocols for pathological gambling and other nonsubstance addictions], Barcelona, 2006
[45]Lesieur, H.R., Blume, S.B., The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. Am J Psychiatry, Sep (9) 1987; 144 11841188 [Internet]
[46]Echeburúa, E., Báez, C., Fernández, J., Páez, D.. Cuestionario de juego patológico de South Oaks (SOGS): Validación española ([South Oaks Gambling Screen (SOGS): Spanish validation]). [South Oaks Gambling Screen (SOGS): Spanish validation] [Internet]. Anális Modific Cond., 1994 p. 20:769–791
[47]Whiteside, S.P., Lynam, D.R., Miller, J.D., Reynolds, S.K., Validation of the UPPS impulsive behaviour scale: a four-factor model of impulsivity. Eur J Pers, Dec (7) 2005; 19 559574
[48]Verdejo-García, A., Lozano, Ó, Moya, M., Alcázar, M.Á, Pérez-García, M., Psychometric properties of a spanish version of the UPPS–P impulsive behavior scale: reliability, validity and association with trait and cognitive impulsivity. J Pers Assess. 2010; 92(1): 7077
[49]Raylu, N., Oei, T.P.S., The Gambling Related Cognitions Scale (GRCS): development, confirmatory factor validation and psychometric properties. Addiction. 2004; 99(6): 757769 [Internet]
[50]kum, Tang C.S., Oei, T.P., Gambling cognition and subjective well-being as mediators between perceived stress and problem gambling: a cross-cultural study on white and chinese problem gamblers. Psychol Addict Behav. 2011; 25(3): 511520
[51]Rosnow, R.L., Rosenthal, R., Computing contrasts, effect sizes, and counternulls on other people’s published data: general procedures for research consumers. Psychol Methods. 1996; 1(4): 331340
[52]Kelley, K., Preacher, K.J., On effect size. Psychol Methods. 2012; 17(2): 137152
[53]Simes, R.J., An improved Bonferroni procedure for multiple tests of significance [Internet] Biometrika, 1986; 73
[54]Hollingshead, A.B., Four factor index of social status, New Haven. C.T: Yale University; 1975.
[55]Barrault, S., Varescon, I., Cognitive distortions, anxiety, and depression among regular and pathological gambling online poker players. Cyberpsychol Behav Soc Netw. 2013; 16(3): 183188 [Internet]
[56]Goodie, A.S., Fortune, E.E., Measuring cognitive distortions in pathological gambling: review and meta-analyses. Psychol Addict Behav. 2013; 27(3): 730743 [Internet]
[57]Emond, M.S., Marmurek, H.H.C., Gambling related cognitions mediate the association between thinking style and problem gambling severity. J Gambl Stud. 2010; 26(2): 257267 [Internet]
[58]Worhunsky, P.D., Potenza, M.N., Rogers, R.D., Alterations in functional brain networks associated with loss-chasing in gambling disorder and cocaine-use disorder. Drug Alcohol Depend, 2017; 178: 363371. doi: http://dx.doi.org/10.1016/j.drugalcdep.2017.05.025 Available from
[59]Yazdi, K., Katzian, C., Addictive potential of online-gambling. A prevalence study from Austria. Psychiatr Danub. 2017; 29(3): 376378
[60]Cole, T., Barrett, D.J.K., Griffiths, M.D., Social facilitation in online and offline gambling: a pilot study. Int J Ment Health Addict. 2011; 9(3): 240247
[61]Savvidou, L.G., Fagundo, A.B., Fernández-aranda, F., Gómez-peña, M., Agüera, Z., Tolosa-sola, I., et al. Is gambling disorder associated with impulsivity traits measured by the UPPS-P and is this association moderated by sex and age?. Compr Psychiatry, 2017; 72: 106113.
[62]Grant, J.E., Odlaug, B.L., Chamberlain, S.R., Schreiber, L.R.N., Neurocognitive dysfunction in strategic and non-strategic gamblers. Prog Neuro-Psychopharmacol Biol Psychiatry. 2012; 38(2): 336340
[63]Mestre-Bach, Gemma, Steward, Trevor, Granero, Roser, Fernández-Aranda, Fernando, Pino-Gutiérrez, Amparodel, Mallorquí-Bagué, N.úria, et al. The predictive capacity of DSM-5 symptom severity and impulsivity on response to cognitive-behavioral therapy for gambling disorder: a 2-year longitudinal study. Eur Psychiatry, 2018; 55: 6773.
[64]Jiménez-Murcia, S., Granero, R., Fernández-Aranda, F., Aymamí, N., Gómez-Peña, M., Mestre-Bach, G., et al. Developmental trajectories of gambling severity after cognitive-behavioral therapy. Eur Psychiatry, 2019; 60: 2840.
[65]Hershberger, A.R., Um, M., Cyders, M.A., The relationship between the UPPS-P impulsive personality traits and substance use psychotherapy outcomes: a meta-analysis. Drug Alcohol Depend, 2017; 178: 408416.

Keywords

Impulsivity and cognitive distortions in different clinical phenotypes of gambling disorder: Profiles and longitudinal prediction of treatment outcomes

  • Núria Mallorquí-Bagué (a1) (a2) (a3), Cristina Vintró-Alcaraz (a1) (a2), Antonio Verdejo-García (a4), Roser Granero (a2) (a5), Fernando Fernández-Aranda (a1) (a2) (a6), Pablo Magaña (a1), Teresa Mena-Moreno (a1) (a2), Neus Aymamí (a1), Mónica Gómez-Peña (a1), Amparo Del Pino-Gutiérrez (a1) (a7), Gemma Mestre-Bach (a1) (a2), José M. Menchón (a1) (a6) (a8) and Susana Jiménez-Murcia (a1) (a2) (a6)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Impulsivity and cognitive distortions in different clinical phenotypes of gambling disorder: Profiles and longitudinal prediction of treatment outcomes

  • Núria Mallorquí-Bagué (a1) (a2) (a3), Cristina Vintró-Alcaraz (a1) (a2), Antonio Verdejo-García (a4), Roser Granero (a2) (a5), Fernando Fernández-Aranda (a1) (a2) (a6), Pablo Magaña (a1), Teresa Mena-Moreno (a1) (a2), Neus Aymamí (a1), Mónica Gómez-Peña (a1), Amparo Del Pino-Gutiérrez (a1) (a7), Gemma Mestre-Bach (a1) (a2), José M. Menchón (a1) (a6) (a8) and Susana Jiménez-Murcia (a1) (a2) (a6)...
Submit a response

Comments

No Comments have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *