Pathological gambling and associated drug and alcohol abuse, emotion regulation, and anxious-depressive symptomatology
Open accessAbstract
Background and aims Pathological gambling is associated with comorbid disorders, such as anxiety, depression, and drug and alcohol abuse. Difficulties of emotion regulation may be one of the factors related to the presence of addictive disorders, along with comorbid symptomatology in pathological gamblers. Therefore, the aim of this study was to evaluate the difficulties of emotion regulation, drug and alcohol abuse, and anxious and depressive symptomatology in pathological gamblers, and the mediating role of difficulties of emotion regulation between anxiety and pathological gambling. Methods The study sample included 167 male pathological gamblers (mean age = 39.29 years) and 107 non-gamblers (mean age = 33.43 years). Pathological gambling (SOGS), difficulties of emotion regulation (DERS), drug and alcohol abuse (MUTICAGE CAD-4), and anxious and depressive symptomatology (SA-45) were measured. Student's t, Pearson's r, stepwise multiple linear regression and multiple mediation analyses were conducted. The study was approved by an Investigational Review Board. Results Relative to non-gamblers, pathological gamblers exhibited greater difficulties of emotion regulation, as well as more anxiety, depression, and drug abuse. Moreover, pathological gambling correlated with emotion regulation difficulties, anxiety, depression, and drug abuse. Besides, emotion regulation difficulties correlated with and predicted pathological gambling, drug and alcohol abuse, and anxious and depressive symptomatology. Finally, emotion regulation difficulties mediated the relationship between anxiety and pathological gambling controlling the effect of age, both when controlling and not controlling for the effect of other abuses. Discussion and conclusions These results suggest that difficulties of emotion regulation may provide new keys to understanding and treating pathological gambling and comorbid disorders.
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Emotional regulation difficulties play an important role in the relationship between gambling and other psychopathologies.
“Emotional regulation difficulties have been shown to play an important role in the relationship between these pathologies (Jauregui et al., 2016; Rogier and Velotti, 2018; Marchica et al., 2019).”
From Efficacy of an internet-based psychological intervention for problem gambling and gambling disorder: Study protocol for a randomized controlled trial (2021) · cites this paper as Jauregui et al., 2016
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References 90 · Cited by 97
Research works printed but not linked: 1
- Sandín B. Valiente R. M. Chorot P. Santed M. A. Lostao L. (2008). SA-45: Forma abreviada del SCL-90 [SA-45: Short form of SCL-90]. Psicothema, 20(2), 290– 296. 18413093
- Authors
- Jauregui, P., Estévez, A., & Urbiola, I.
- Affiliations
- Universidad de Deusto (ES)
- ORCID
- Estévez, Ana
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2016-06
- Volume
- 5
- Issue
- 2
- Pages
- 251-260
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC5387776
- OpenAlex
- W2555236032
- Cited by
- 97
- References
- 90
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 10 · 2023: 14 · 2022: 13 · 2021: 20 · 2020: 10 · 2019: 12 · 2018: 7 · 2017: 2
- FWCI
- 9.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Behavioral Addictions (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- DeustoTeka (submittedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- gambling addiction, emotional dysregulation, drug abuse, alcohol abuse, anxiety, depression, comorbidities, mediation
- MeSH terms
- Self-Control, Adult, Anxiety, Cross-Sectional Studies, Depression, Gambling, Humans, Male, Psychiatric Status Rating Scales, Comorbidity, Linear Models, Substance-Related Disorders
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