Discrete Roles for Impulsivity and Compulsivity in Gambling Disorder

Gemma Mestre-Bach, Trevor Steward, Iris M. Balodis, Elise E. DeVito, Sarah W. Yip, Tony P. George, Brady A. Reynolds, Roser Granero, Fernando Fernandez-Aranda, Susana Jimenez-Murcia, Marc N. Potenza

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Objective: Complex associations between gambling disorder (GD) and impulsivity have been identified. However, little is known regarding how compulsivity associates with different impulsivity domains in GD. In this study, we examined associations between self-reported and behavioral measures of impulsivity–assessed through the Barratt Impulsiveness Scale (BIS-11) and the Experiential Discounting Task (EDT), respectively- and compulsivity-measured using the Padua Inventory and the Wisconsin Card Sorting Test (WCST), respectively-, in an adult sample with GD (N = 132, 94 men and 38 women, ages ranging from 18 to 69 years). GD severity was assessed using the South Oaks Gambling Screen. Methods: Structural Equation Modeling was used to examine relationships between impulsivity and compulsivity measures, age, and GD severity. Results: BIS-11 non-planning and BIS-11 total scores positively correlated with GD severity. The standardized coefficients for the SEM showed direct positive contributions of BIS-11 non-planning, Padua and EDT scores to GD severity. Only participants' ages directly contributed to WCST perseverative errors, and no direct or indirect effects were found with respect to GD severity. Conclusion: The findings suggest that specific aspects of impulsivity and compulsivity contribute to GD severity. Interventions specifically targeting domains that are most relevant to GD severity may improve treatment outcomes.

Original languageEnglish
Article number789940
JournalFrontiers in Psychiatry
Volume12
DOIs
StatePublished - Dec 7 2021

Bibliographical note

Funding Information:
MP’s involvement was supported by a National Center for Responsible Gaming Center of Excellence grant and by the Connecticut Council on Problem Gambling and the Connecticut Department of Mental Health and Addiction Services. GM-B was supported by a FUNCIVA postdoctoral grant. This research was funded by Ministerio de Ciencia, Innovación y Universidades (grant RTI2018-101837-B-100), FIS PI20/132, and FIS PI17/01167, which received aid from the Instituto Salud Carlos III (Ministerio de Sanidad, Servicios Sociales e Igualdad). The research was also funded by the Delegación del Gobierno para el Plan Nacional sobre Drogas (2017I067 and 2019I47), CIBER Fisiología Obesidad y Nutrición (CIBERobn) is an initiative of ISCIII. We thank CERCA Programme/Generalitat de Catalunya for institutional support. Fondo Europeo de Desarrollo Regional (FEDER) “Una manera de hacer Europa”/“A way to build Europe”.

Funding Information:
MP's involvement was supported by a National Center for Responsible Gaming Center of Excellence grant and by the Connecticut Council on Problem Gambling and the Connecticut Department of Mental Health and Addiction Services. GM-B was supported by a FUNCIVA postdoctoral grant. This research was funded by Ministerio de Ciencia, Innovación y Universidades (grant RTI2018-101837-B-100), FIS PI20/132, and FIS PI17/01167, which received aid from the Instituto Salud Carlos III (Ministerio de Sanidad, Servicios Sociales e Igualdad). The research was also funded by the Delegación del Gobierno para el Plan Nacional sobre Drogas (2017I067 and 2019I47), CIBER Fisiología Obesidad y Nutrición (CIBERobn) is an initiative of ISCIII. We thank CERCA Programme/Generalitat de Catalunya for institutional support. Fondo Europeo de Desarrollo Regional (FEDER) “Una manera de hacer Europa”/“A way to build Europe”.

Publisher Copyright:
Copyright © 2021 Mestre-Bach, Steward, Balodis, DeVito, Yip, George, Reynolds, Granero, Fernandez-Aranda, Jimenez-Murcia and Potenza.

Keywords

  • addictive behaviors
  • compulsive behaviors
  • delay discounting
  • gambling disorder
  • impulsive behaviors
  • set-shifting

ASJC Scopus subject areas

  • Psychiatry and Mental health

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