Anger in Pathological Gambling: Clinical, Psychopathological, and Personality Correlates

Aymamí, Neus; Granero, Roser; Penelo, Eva; Fernández‐Aranda, Fernando; Krug, Isabel; Gunnard, Katarina; Santamaría, Juan José Villalaín; Bueno, Blanca; Jaurrieta, Núria; Gómez-Peña, Mònica; Álvarez-Moya, Eva M.; Claes, Laurence; Fagundo, Ana B.; Menchón, José M.; Jiménez‐Murcia, Susana

doi:10.1017/sjp.2014.40

Cited by 9 publications

(10 citation statements)

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“…From a clinical perspective, these findings could be understood taking into account that certain personality traits or domains could be associated with a greater or lesser degree of psychopathology or emotional distress, as shown in previous research (33–37). Specifically, according to the results, the personality trait most closely associated with psychopathology or emotional distress was harm avoidance.…”

Section: Discussionmentioning

confidence: 87%

Phenotypes in Gambling Disorder Using Sociodemographic and Clinical Clustering Analysis: An Unidentified New Subtype?

et al. 2019

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Background: Gambling disorder (GD) is a heterogeneous disorder which has clinical manifestations that vary according to variables in each individual. Considering the importance of the application of specific therapeutic interventions, it is essential to obtain clinical classifications based on differentiated phenotypes for patients diagnosed with GD. Objectives: To identify gambling profiles in a large clinical sample of n = 2,570 patients seeking treatment for GD. Methods: An agglomerative hierarchical clustering method defining a combination of the Schwarz Bayesian Information Criterion and log-likelihood was used, considering a large set of variables including sociodemographic, gambling, psychopathological, and personality measures as indicators. Results: Three-mutually-exclusive groups were obtained. Cluster 1 ( n = 908 participants, 35.5%), labeled as “high emotional distress,” included the oldest patients with the longest illness duration, the highest GD severity, and the most severe levels of psychopathology. Cluster 2 ( n = 1,555, 60.5%), labeled as “mild emotional distress,” included patients with the lowest levels of GD severity and the lowest levels of psychopathology. Cluster 3 ( n = 107, 4.2%), labeled as “moderate emotional distress,” included the youngest patients with the shortest illness duration, the highest level of education and moderate levels of psychopathology. Conclusion: In this study, the general psychopathological state obtained the highest importance for clustering.

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Section: Discussionmentioning

confidence: 87%

Phenotypes in Gambling Disorder Using Sociodemographic and Clinical Clustering Analysis: An Unidentified New Subtype?

et al. 2019

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“…Several studies have linked GD with anger and with aggressive behaviors and violence (Cunningham-Williams et al, 2009 ; Dowling et al, 2014 ). There is also some evidence of a relationship between high novelty seeking, hostility, anger and severity of GD in treatment-seeking individuals (Aymamí et al, 2014 ). Some authors found that people with GD reported a lower level of awareness or insight into their emotions than healthy controls (Williams et al, 2012 ).…”

Section: Discussionmentioning

confidence: 99%

“…A relationship between high impulsivity and emotional dysregulation has also been described in young adults (Schreiber et al, 2012 ). Various studies contend that personality traits related to impulsivity in GD (such as novelty seeking, lack of emotional control, and lack of planning) are positively associated with anger expression (Schwebel et al, 2006 ; Aymamí et al, 2014 ) and a lack of anger control (Truglia et al, 2006 ). Emotional regulation (ER) can be considered as a specific example of general self-regulation patterns.…”

Section: Introductionmentioning

confidence: 99%

“…That being the case, trait- or symptom-oriented interventions may optimize response to CBT in GD patients. Various authors coincide in stressing the relevance of impulsivity, anger expression and ER in treatment programs for GD (First et al, 1997 ; Aymamí et al, 2014 ). Moreover, these underlying factors may be more difficult to modify.…”

Section: Introductionmentioning

confidence: 99%

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A Serious Videogame as an Additional Therapy Tool for Training Emotional Regulation and Impulsivity Control in Severe Gambling Disorder

et al. 2015

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Background: Gambling disorder (GD) is characterized by a significant lack of self-control and is associated with impulsivity-related personality traits. It is also linked to deficits in emotional regulation and frequently co-occurs with anxiety and depression symptoms. There is also evidence that emotional dysregulation may play a mediatory role between GD and psychopathological symptomatology. Few studies have reported the outcomes of psychological interventions that specifically address these underlying processes.Objectives: To assess the utility of the Playmancer platform, a serious video game, as an additional therapy tool in a CBT intervention for GD, and to estimate pre-post changes in measures of impulsivity, anger expression and psychopathological symptomatology.Method: The sample comprised a single group of 16 male treatment-seeking individuals with severe GD diagnosis. Therapy intervention consisted of 16 group weekly CBT sessions and, concurrently, 10 additional weekly sessions of a serious video game. Pre-post treatment scores on South Oaks Gambling Screen (SOGS), Barratt Impulsiveness Scale (BIS-11), I7 Impulsiveness Questionnaire (I7), State-Trait Anger Expression Inventory 2 (STAXI-2), Symptom Checklist-Revised (SCL-90-R), State-Trait Anxiety Inventory (STAI-S-T), and Novelty Seeking from the Temperament and Character Inventory-Revised (TCI-R) were compared.Results: After the intervention, significant changes were observed in several measures of impulsivity, anger expression and other psychopathological symptoms. Dropout and relapse rates during treatment were similar to those described in the literature for CBT.Conclusion: Complementing CBT interventions for GD with a specific therapy approach like a serious video game might be helpful in addressing certain underlying factors which are usually difficult to change, including impulsivity and anger expression.

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“…Psychological risk factors included the previous history of gambling problems and the evidence of personality traits consistent with GD (Claes et al, 2012 ; Aymamí et al, 2014 ; Granero et al, 2014 ), including high impulsivity and low self-directedness. In fact, this latter dimension is maintained at a low level regardless of age (Granero et al, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Unexpected online gambling disorder in late-life: a case report

et al. 2015

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Background: The lifetime prevalence of problem or Gambling disorder (GD) in the elderly (i.e., those over 60 years old) is reported to range from 0.01 to 10.9%. Research has identified several specific risk factors and vulnerabilities in the elderly. Since the late 1990s, an increase in online GD has been observed in the youth population, whereas casinos, slot machines, and bingo seem to be the activities of choice among the elderly. Interestingly, online GD has not been described in the elderly to date.Case Description: We report an 83-year-old man who started online casino gambling from the age of 80 years, leading to debts that exceeded €30,000. He underwent a full clinical and neuropsychological assessment, without any evidence of cognitive impairment or any associated neurodegenerative disease. However, he had risk factors for GD, including adjustment disorder, stressful life events, previous offline casino GD when 50 years old, and dysfunctional personality traits. The change to online GD may have been due to his isolation, movement difficulties, and his high level of education, which facilitated his access to the Internet. Care management focused on individual cognitive-behavioral therapy.Conclusion: The prevalence of online GD may be underestimated among the elderly, and may increase among isolated old people with movement difficulties and ready access to the Internet. However, late-life GD should be considered a diagnosis of elimination, requiring a full medical, psychiatric (including suicide risk), and cognitive assessment. Specific therapeutic approaches need to be proposed and developed.

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Anger in Pathological Gambling: Clinical, Psychopathological, and Personality Correlates

Cited by 9 publications

References 57 publications

Phenotypes in Gambling Disorder Using Sociodemographic and Clinical Clustering Analysis: An Unidentified New Subtype?

Phenotypes in Gambling Disorder Using Sociodemographic and Clinical Clustering Analysis: An Unidentified New Subtype?

A Serious Videogame as an Additional Therapy Tool for Training Emotional Regulation and Impulsivity Control in Severe Gambling Disorder

Unexpected online gambling disorder in late-life: a case report

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