Impulsivity, personality disorders and pathological gambling severity
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Aims. The present study seeks to replicate and expand findings from earlier studies that pathological gamblers manifest elevated traits of impulsivity. Secondly, the study aims to elucidate the relationship between impulsivity, indices reflecting severity of pathological gambling and other measures of psychopathology and personality dysfunction. Design. Case series. Participants. Eighty‐two consecutive gamblers seeking treatment for problem gambling. Setting. Impulse Disorders Research Unit, School of Psychiatry, University of New South Wales, Australia. Measurements. Semi‐structured interview designed to obtain demographic information and gambling history, the South Oaks Gambling Screen, the Eysenck Impulsivity Scale, the Personality Disorder Questionnaire‐Revised, the Beck Depression Inventory and the Beck Anxiety Inventory. Findings. Results show elevated traits of impulsivity among clinic samples of pathological gamblers compared to normative data and show that impulsivity is related to the severity of gambling behaviour as measured by the South Oaks Gambling Questionnaire. A principal component analysis of the Eysenck Impulsivity Scale and the Personality Disorder Questionnaire‐Revised, demonstrated that the concept of the "antisocial‐impulsivist" identified by Blaszczynski, Steel & McConaghy (1997) is not only characterized by impulsivity and antisocial personality disorder but also by high loadings from other cluster B and cluster C personality disorders. Conclusion. This research supports the role of the construct of impulsivity in mediating the severity of gambling behaviour and associated behavioural and psychological disturbance among pathological gamblers presenting for treatment. Impulsivity is best understood as part of a general personality disorder structure characterized primarily by DSM‐III‐R Axis II cluster B and some cluster C personality disorders.
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Pathological gamblers are generally more impulsive than non-pathological gamblers.
“Further, studies reveal that PGs are generally more impulsive than non-PGs (Ledgerwood, Alessi, Phoenix, & Petry, 2009; Petry, 2001; Steel & Blaszczynski, 1998; Vitaro, Arseneault, & Tremblay, 1999).”
From Subtyping Pathological Gamblers Based on Impulsivity, Depression, and Anxiety (2010) · cites this paper as Steel & Blaszczynski, 1998
The Introduction concludes that pathological gamblers show elevated impulsivity compared with the general population, and the Discussion’s Table 2 reports higher impulsivity scores for the study’s clinical sample than for normative controls. The Discussion cautions that the relationship has only been demonstrated in clinical populations and that it remains unknown whether elevated impulsivity also occurs among non-problem gamblers. The claim’s general comparison with all non-pathological gamblers therefore goes beyond what the paper establishes. (LLM, conf=0.86)
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A prospective study of the motivational and health dynamics of Internet Gaming Disorder
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Gambling among European professional athletes. Prevalence and associated factors
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Who Bets on Micro Events (Microbets) in Sports?
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“Future studies should employ a standard measure, such as the NODS, which together with measures of personality (e.g., impulsivity) could provide a more comprehensive evaluation of the validity of the DSM-5 diagnosis of GD (Steel and Blaszczynski, 1998).”
BackgroundMethodMental Health and Online, Land-Based and Mixed Gamblers
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Self-citationFaites vos jeux! Another look at sensation seeking and pathological gambling
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Personality, Gender, and Family History in the Prediction of College Gambling
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Alexithymia and Pathological Gambling: The Mediating Role of Difficulties in Emotion Regulation
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Gambling as social practice: a complementary approach for reducing harm?
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Instrumental tool or drug: Relationship between attitudes to money and problem gambling
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- Authors
- Steel, Z., & Blaszczynski, A.
- Affiliations
- Liverpool Hospital (AU)
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 1998-06
- Volume
- 93
- Issue
- 6
- Pages
- 895-905
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W1967953340
- Cited by
- 304
- References
- 19
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 7 · 2020: 6 · 2019: 9 · 2018: 10 · 2017: 12 · 2016: 15 · 2015: 16 · 2014: 16 · 2013: 14 · 2012: 22
- FWCI
- 6.44
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- impulsivity, gambling addiction, gambling severity, personality disorders, antisocial personality disorder, cluster B personality disorders, cluster C personality disorders, South Oaks Gambling Screen, depression, anxiety, problem gambling treatment
- MeSH terms
- Adult, Aged, Female, Gambling, Humans, Impulsive Behavior, Male, Middle Aged, Personality Disorders, Psychiatric Status Rating Scales
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