Association between gambling disorder and emotion (dys)regulation: A systematic review and meta-analysis
Abstract
The aim of this systematic review and meta-analysis was to provide a comprehensive evaluation of the role of emotion (dys)regulation in gambling disorder (GD). PsycINFO, PsycARTICLES, MEDLINE, Scopus, Web of Science, and PubMed were systematically searched for articles published until November 3, 2020. Forty-nine studies were considered for the systematic review; of these, 38 comprising 5242 participants met the inclusion criteria for the meta-analysis. Associations were found between GD and specific emotion regulation (ER) deficits, namely (1) nonacceptance of negative emotional states, (2) difficulties in maintaining goal-directed behaviors when faced with intense emotional contexts, (3) lack of clarity about emotional states (poor emotional awareness), (4) low impulse control in reaction to negative emotional states, and (5) difficulties in accessing adaptive ER strategies. We furthermore found that GD is associated with a tendency for emotional suppression, which is known as a maladaptive ER strategy and linked with reduced mindfulness abilities. Additional moderator analyses were conducted regarding age, gender, type of instrument used to measure GD, clinical status of the samples, and quality of the studies. Overall, the data demonstrated consistent and significant associations between GD and ER. This systematic review and meta-analysis mostly supports the conceptualization of GD as an addictive disorder characterized by ER deficits and stresses the need to develop inte…
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Gaming disorder is significantly associated with deficits in emotion regulation and decision-making ability.
“Rigorous systematic reviews and meta-analyses also have shown that GD is significantly associated with deficits in emotion regulation and decision-making ability (Kim et al., 2021;Velotti et al., 2021).”
From Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study (2023) · cites this paper as Velotti et al., 2021
Gaming disorder is linked to poor sleep, academic underachievement, poor social interaction, and depression.
“correlational studies have found links between GD and poor sleep, academic underachievement, poor social interaction and depression (Brunborg, Mentzoni, & Frøyland, 2014;Velotti, Rogier, Beomonte Zobel, & Billieux, 2021;Zhao et al., 2021).”
From Online Self-Help Acceptance and Commitment Therapy Module for College Students with Higher Gaming Disorder During COVID-19: A Pilot Study (2023) · cites this paper as Velotti, Rogier, Beomonte Zobel, & Billieux, 2021
Cites
Gross, J. J., & John, O. P. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.2.348 · Cited by 11,929 · see citing works
The emerging field of emotion regulation: an integrative review
Gross, J. J. (1998) · Review of General Psychology · doi:10.1037/1089-2680.2.3.271 · Cited by 9,916 · see citing works
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · see citing works
Emotion-regulation strategies across psychopathology: A meta-analytic review
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.11.004 · Cited by 6,686 · see citing works
The Handbook of Research Synthesis and Meta-Analysis
(2019) · doi:10.7758/9781610448864 · Cited by 4,553 · see citing works
A network theory of mental disorders
Borsboom, D. (2017) · World Psychiatry · doi:10.1002/wps.20375 · Cited by 3,482 · see citing works
Effect size guidelines for individual differences researchers
Gignac, G. E., & Szodorai, E. T. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2016.06.069 · Cited by 2,860 · see citing works
John, O. P., & Gross, J. J. (2004) · Journal of Personality · doi:10.1111/j.1467-6494.2004.00298.x · Cited by 2,381 · see citing works
Measuring experiential avoidance: A preliminary test of a working model
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., Polusny, M. A., Dykstra, T. A., Batten, S. V., Bergan, J., et al. (2004) · The Psychological Record · doi:10.1007/bf03395492 · Cited by 2,140 · see citing works
A pathways model of problem and pathological gambling
Blaszczynski, A., & Nower, L. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.00015.x · Cited by 2,013 · see citing works
Regulatory Flexibility: An Individual Differences Perspective on Coping and Emotion Regulation
Bonanno, G. A., & Burton, C. L. (2013) · Perspectives on Psychological Science · doi:10.1177/1745691613504116 · Cited by 1,676 · see citing works
Panethnic Differences in Blood Pressure in Europe: A Systematic Review and Meta-Analysis
Modesti, P. A., Reboldi, G., Cappuccio, F. P., Agyemang, C., Remuzzi, G., Rapi, S., Perruolo, E., Parati, G., & ESH Working Group on CV Risk in Low Resource Settings (2016) · PLOS ONE · doi:10.1371/journal.pone.0147601 · Cited by 1,366 · see citing works
Emotion Regulation and Psychopathology
Sheppes, G., Suri, G., & Gross, J. J. (2015) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032814-112739 · Cited by 1,214 · see citing works
Writing meta-analytic reviews.
Rosenthal, R. (1995) · Psychological Bulletin · doi:10.1037/0033-2909.118.2.183 · Cited by 1,108 · see citing works
Wenzlaff, R. M., & Wegner, D. M. (2000) · Annual Review of Psychology · doi:10.1146/annurev.psych.51.1.59 · Cited by 1,063 · see citing works
Bonanno, G. A., Papa, A., Lalande, K., Westphal, M., & Coifman, K. (2004) · Psychological Science · doi:10.1111/j.0956-7976.2004.00705.x · Cited by 969 · see citing works
Schoofs, H., Hermans, D., & Raes, F. (2010) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-010-9182-9 · Cited by 261 · see citing works
Bonnaire, C., & Phan, O. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.05.030 · Cited by 218 · see citing works
Kircaburun, K., Griffiths, M. D., & Billieux, J. (2019) · Personality and Individual Differences · doi:10.1016/j.paid.2018.11.024 · Cited by 100 · see citing works
Self-citationRiley, B. (2014) · Journal of Gambling Studies · doi:10.1007/s10899-012-9342-9 · Cited by 96 · see citing works
McIntosh, C. C., Crino, R. D., & O’Neill, K. (2016) · Journal of Gambling Studies · doi:10.1007/s10899-016-9602-1 · Cited by 52 · see citing works
Flagged first, then by citations
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Yang, H., Wang, Z., Elhai, J. D., & Montag, C. (2022) · Journal of Behavioral Addictions · doi:10.1556/2006.2022.00038 · Cited by 50 · see citing works
Ding, D., Pan, M., Wang, W., Wang, X., Ma, S., Yang, Y., Huang, Y., Guo, M., & Wu, Y. (2023) · Behaviour Change · doi:10.1017/bec.2023.6 · Cited by 6 · see citing works
- Authors
- Velotti, P., Rogier, G., Beomonte Zobel, S., & Billieux, J.
- Affiliations
- Sapienza University of Rome (IT)
- Centre Hospitalier Universitaire Vaudois (CH)
- Corresponding author
- Velotti, P.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 87
- Pages
- 102037
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W3163948696
- Cited by
- 100
- References
- 21
- Citations by year
- 2026: 19 · 2025: 19 · 2024: 20 · 2023: 23 · 2022: 14 · 2021: 5
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- SERVAL (Université de Lausanne) (publishedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- IRIS (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- gambling addiction, emotion regulation, emotional dysregulation, emotional awareness, emotional suppression, mindfulness, impulse control, maladaptive emotion regulation, addiction
- MeSH terms
- Emotional Regulation, Emotions, Gambling, Humans, Behavior, Addictive, Mindfulness
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