Effect of executive functioning, decision-making and self-reported impulsivity on the treatment outcome of pathologic gambling.
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BACKGROUND: Impairments in self-regulatory behaviour reflect a deficit in executive functioning and decision-making, as well as higher levels of self-reported impulsivity, and may be involved in the development and maintenance of addictive disorders. We sought to explore the association between self-reported impulsivity and neurocognitive measures, and their association with treatment outcome in pathologic gambling. METHODS: We assessed patients with pathologic gambling using executive functioning and decision-making tests and self-report measures of impulsivity. Patients underwent cognitive-behavioural therapy (CBT) for pathologic gambling. RESULTS: We included 88 patients (8% women) in our study. High self-reported extravagance was associated with poor performance in the Iowa Gambling Task (IGT)-ABCD version. High impulsiveness, low disorderliness, high exploratory excitability (trend), poor backward block span and poor IGT-EFGH scores (trend) predicted dropout. We observed no self-reported or neurocognitive predictors of relapse or number of treatment sessions attended. LIMITATIONS: Most participants were slot-machine gamblers seeking treatment. No follow-up data and no control group were included in the study. The missing sample (i.e., individuals who were recruited and assessed in the pretreatment stage but who chose not to begin treatment) had higher extravagance scores than the final sample. CONCLUSION: Neurocognitive reward sensitivity was related to self-reported overspending behaviour. Self-regulatory impairments (especially rash impulsiveness and punishment sensitivity) and executive dysfunction predicted only dropout of CBT in participants with pathologic gambling. Different neurocognitive processes and personality traits might mediate treatment response to psychological therapy of pathologic gambling according to the specific target variable assessed.
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Impulsivity is an important characteristic common to behavioral and substance addictions.
“Since impulsivity is an important characteristic common to behavioral and substance addictions (Lawrence et al., 2009; Alvarez-Moya et al., 2011; Kaiser et al., 2012; Jiménez-Murcia et al., 2013; Ochoa et al., 2013; Torres et al., 2013; Di Nicola et al., 2015), heightened levels could also be associated with FA.”
From “Food Addiction” in patients with eating disorders is associated with negative urgency and difficulties to focus on long-term goals (2016) · cites this paper as Alvarez-Moya et al., 2011
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- Authors
- Álvarez-Moya, E. M., Ochoa, C., Jiménez-Murcia, S., Aymamí, M. N., Gómez-Peña, M., Fernández-Aranda, F., Santamaría, J., Moragas, L., Bove, F., & Menchón, J. M.
- Affiliations
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Spain
- Instituto de Salud Carlos III (ES)
- Department of Psychiatry, University Hospital of Bellvitge, Barcelona, Spain
- Venue
- Journal of Psychiatry and Neuroscience
- Publisher
- Canadian Science Publishing
- Published
- 2011-05
- Volume
- 36
- Issue
- 3
- Pages
- 165-175
- ISSN
- 1180-4882 (ISSN-L)
- 1488-2434
- PMC
- PMC3080512
- OpenAlex
- W2058692092
- Cited by
- 94
- References
- 84
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 11 · 2017: 8 · 2016: 8 · 2015: 8 · 2014: 12 · 2013: 11 · 2012: 5
- FWCI
- 9.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Psychiatry and Neuroscience (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, public-domain)
- Funders
- Ministerio de Ciencia e Innovación
- Instituto de Salud Carlos III
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Keywords
- pathologic gambling, executive function, decision-making, impulsivity, cognitive behavioral therapy, treatment discontinuation, Iowa Gambling Task, reward sensitivity, self-regulation, extravagance, punishment sensitivity, relapse, slot machine gambling, treatment outcome predictors
- MeSH terms
- Adult, Analysis of Variance, Decision Making, Female, Gambling, Humans, Impulsive Behavior, Male, Neuropsychological Tests, Surveys and Questionnaires, Cognitive Behavioral Therapy, Logistic Models, Treatment Outcome, Executive Function, Self Report
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