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.
Research Paper
Effect of executive functioning, decision-making
IntroductionImpairments in self-regulatory behaviour seem to be involved in the development and maintenance of pathologic gambling and other addictive disorders.1,2 From a neuropsychological point of view, this impairment reflects a deficit in executive functioning and decision-making. 3,4 Executive functioning includes functions such as cognitive flexibility (set-shifting), which is associated with orbitofrontal functioning, and working memory, planning and abstract thinking, which are associated with dorsolateral prefrontal functioning. [5][6][7] However, decision-making seems to be mainly associated with activation of the ventromedial prefrontal cortex. 5,8 People with pathologic gambling have shown impaired performance in tasks measuring both concepts. Specifically, studies report deficits in cognitive inhibition, complex executive functions and attention. [9][10][11] This population also shows impairments in decision-making.12-14 Decision-making impairments are observed in impulsive individuals in general. Specifically, impulsive individuals show an insensitivity to variations in re...