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Executive Function in Problem Gamblers with and without History of Depression

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Abstract

Executive function deficits are well-documented in gambling disorder as well as major depressive disorder. The literature also demonstrates that these clinical problems are highly comorbid. Despite the high rates of comorbidity and the transdiagnostic nature of executive function deficits, few studies have explored executive function in gamblers with a history of depression. As a preliminary investigation, the current work characterized executive function in a sample of problem gamblers with a history of depression (N = 19), problem gamblers without a history of depression (N = 19), and healthy controls (N = 40). Consistent with predictions, both gambler groups showed deficits in planning relative to controls. However, contrary to predictions, gamblers with a history of depression performed better than gamblers without a history of depression on a measure of cognitive flexibility. Results reveal that examining differences in executive function among different subtypes of problem gamblers may be a promising area for future study.

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References

  • Alvarez, J. A., & Emory, E. (2006). Executive function and the frontal lobes: a meta-analytic review. Neuropsychology Review, 16(1), 17–42.

    Article  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.),text revision. Washington, DC: American Psychiatric Association.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Arlington: American Psychiatric Pub.

    Book  Google Scholar 

  • Ardila, A., Pineda, D., & Rosselli, M. (2000). Correlation between intelligence test scores and executive function measures. Archives of Clinical Neuropsychology, 15(1), 31–36.

    Article  CAS  Google Scholar 

  • Beatty, W. W., Katzung, V. M., Moreland, V. J., & Nixon, S. J. (1995). Neuropsychological performance of recently abstinent alcoholics and cocaine abusers. Drug and Alcohol Dependence, 37(3), 247–253.

    Article  CAS  Google Scholar 

  • Benedict, E. S., Gorman, A., van Corp, W., Foltin, R. W., & Vadhan, N. P. (2014). Self-reported attention and mood symptoms in cocaine abusers: relationship to neurocognitive performance. Psychiatry Research, 219(3), 598–603.

    Article  Google Scholar 

  • Biringer, E., Lundervold, A., Stordal, K., Mykletun, A., Egeland, J., Bottlender, R., & Lund, A. (2005). Executive function improvement upon remission of recurrent unipolar depression. European Archives of Psychiatry and Clinical Neuroscience, 255(6), 373–380.

    Article  Google Scholar 

  • Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.

    Article  Google Scholar 

  • Cowlishaw, S., Hakes, J. K., & Dowling, N. A. (2016). Gambling problems in treatment for affective disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Journal of Affective Disorders, 202, 110–114.

    Article  CAS  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV axis I disorders (SCID-I). Washington: American Psychiatric Publishing.

    Google Scholar 

  • Gerstein, D., Murphy, S., Toce, M., Hoffman, J., Palmer, A., Johnson, R., Larison, C., Chuchro, L., Bard, A., Engelman, L., Hill, M. A., Buie, T., Volberg, R., Harwood, H., Tucker, A., Christiansen, E., Cummings, W., & Sinclair, S. (1999). Gambling impact and behavior study: report to the national gambling impact study commission. Chicago: National Opinion Research Center.

    Google Scholar 

  • Grant, J. E., Schreiber, L., Odlaug, B. L., & Kim, S. W. (2010). Pathologic gambling and bankruptcy. Comprehensive Psychiatry, 51(2), 115–120.

    Article  Google Scholar 

  • Hawley, C. E., Glenn, M. K., & Diaz, S. (2007). Problem gambling in the workplace, characteristics of employees seeking help. Work, 29(4), 331–340.

    PubMed  Google Scholar 

  • Kessler, R. C., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N. A., Winters, K. C., & Shaffer, H. J. (2008). DSM-IV pathological gambling in the national comorbidity survey replication. Psychological Medicine, 38(9), 1351–1360.

    Article  CAS  Google Scholar 

  • Kräplin, A., Bühringer, G., Oosterlaan, J., Van Den Brink, W., Goschke, T., & Goudriaan, A. E. (2014). Dimensions and disorder specificity of impulsivity in pathological gambling. Addictive Behaviors, 39(11), 1646–1651.

    Article  Google Scholar 

  • Ledgerwood, D. M., & Petry, N. M. (2010). Subtyping pathological gamblers based on impulsivity, depression, and anxiety. Psychology of Addictive Behaviors, 24(4), 680.

    Article  Google Scholar 

  • Ledgerwood, D. M., Orr, E. S., Kaploun, K. A., Milosevic, A., Frisch, G. R., Rupcich, N., Lundahl, L. H. (2012). Executive function in pathological gamblers and healthy controls. Journal of Gambling Studies, 28(1), 89–103.

  • Leiserson, V., & Pihl, R. O. (2007). Reward-sensitivity, inhibition of reward-seeking, and dorsolateral prefrontal working memory function in problem gamblers not in treatment. Journal of Gambling Studies, 23, 435–455.

    Article  Google Scholar 

  • Leppink, E. W., Redden, S. A., Chamberlain, S. R., & Grant, J. E. (2016). Cognitive flexibility correlates with gambling severity in young adults. Journal of Psychiatric Research, 81, 9–15.

    Article  Google Scholar 

  • Lister, J. J., Milosevic, A., & Ledgerwood, D. M. (2015). Psychological characteristics of pathological gamblers with and without mood disorder. The Canadian Journal of Psychiatry, 60(8), 369–376.

    Article  Google Scholar 

  • Loeber, S., Nakovics, H., Kniest, A., Kiefer, F., Mann, K., & Croissant, B. (2012). Factors affecting cognitive function of opiate-dependent patients. Drug and al.cohol Dependence, 120(1), 81–87.

    Article  Google Scholar 

  • Lorains, F. K., Cowlishaw, S., & Thomas, S. A. (2011). Prevalence of comorbid disorders in problem and pathological gambling: systematic review and meta-analysis of population surveys. Addiction, 106(3), 490–498.

    Article  Google Scholar 

  • Marazziti, D., Dell'Osso, M. C., Conversano, C., Consoli, G., Vivarelli, L., Mungai, F., et al. (2008). Executive function abnormalities in pathological gamblers. Clinical Practice and Epidemiology in Mental Health, 4(1), 7–13.

    Article  Google Scholar 

  • Marshall, D. F., Walker, S. J., Ryan, K. A., Kamali, M., Saunders, E. F. H., Weldon, A. L., Adams, K. M., McInnis, M. G., & Langenecker, S. A. (2012). Greater executive and visual memory dysfunction in comorbid bipolar disorder and substance use disorder. Psychiatry Research, 200, 252–257.

    Article  Google Scholar 

  • May-Chahal, C., Humphreys, L., Clifton, A., Francis, B., & Reith, G. (2017). Gambling harm and crime careers. Journal of Gambling Studies, 33(1), 65–84.

    Article  Google Scholar 

  • McClernon, F. J., Froeliger, B., Rose, J. E., Kozink, R. V., Addicott, M. A., Sweitzer, M. M., et al. (2016). The effects of nicotine and non-nicotine smoking factors on working memory and associated brain function. Addiction Biology, 21(4), 954–961.

    Article  CAS  Google Scholar 

  • Moon, M., Lister, J.J., Milosevic, A., & Legerwood, D. M. (2016). Subtyping non-treatment-seeking problem gamblers using the pathways model. Journal of Gambling Studies, 33(3), 841-853.

  • Noël, X., Brevers, D., & Bechara, A. (2013). A neurocognitive approach to understanding the neurobiology of addiction. Current Opinion in Neurobiology, 23(4), 632–638.

    Article  Google Scholar 

  • Patton, J. H., & Stanford, M. S. (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51(6), 768–774.

    Article  CAS  Google Scholar 

  • Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: results from the national epidemiologic survey on alcohol and related conditions. The Journal of Clinical Psychiatry, 66(5), 564–574.

    Article  Google Scholar 

  • Puente, A. E. (1985). Wisconsin card sort test. Test Critiques, 4, 677–682.

    Google Scholar 

  • Quigley, L., Yakovenko, I., Hodgins, D. C., Dobson, K. S., el-Guebaly, N., Casey, D. M., Currie, S. R., Smith, G. J., Williams, R. J., & Schopflocher, D. P. (2015). Comorbid pathological gambling and major depression in a community sample. Journal of Gambling Studies, 31(4), 1135–1152.

    Article  Google Scholar 

  • Roberts, A., Coid, J., King, R., Murphy, R., Turner, J., Bowden-Jones, H., et al. (2016). Gambling and violence in a nationally representative sample of UK men. Addiction, 111(12), 2196–2207.

    Article  Google Scholar 

  • Ruff, R. M., Light, R. H., Parker, S. B., & Levin, H. S. (1996). Benton controlled oral word association test: reliability and updated norms. Archives of Clinical Neuropsychology, 11(4), 329–338.

    Article  CAS  Google Scholar 

  • Shallice, T. (1982). Specific impairments of planning. Philosophical Transactions of the Royal Society of London B: Biological Sciences, 298, 199–209.

    Article  CAS  Google Scholar 

  • Shaw, M. C., Forbush, K. T., Schlinder, J., Rosenman, E., & Black, D. W. (2007). The effect of pathological gambling on families, marriages, and children. CNS Spectrums, 12(08), 615–622.

    Article  Google Scholar 

  • Snyder, H. R. (2013). Major depressive disorder is associated with broad impairments on neuropsychological measures of executive function: a meta-analysis and review. Psychological Bulletin, 139(1), 81–132.

    Article  Google Scholar 

  • Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18(6), 643–662.

    Article  Google Scholar 

  • Thomsen, K. R., Callesen, M. B., Linnet, J., Kringelbach, M. L., & Møller, A. (2009). Severity of gambling is associated with severity of depressive symptoms in pathological gamblers. Behavioural Pharmacology, 20(5–6), 527–536.

    Article  Google Scholar 

  • Toplak, M. E., Liu, E., MacPherson, R., Toneatto, T., & Stanovich, K. E. (2007). The reasoning skills and thinking dispositions of problem gamblers: a dual-process taxonomy. Journal of Behavioral Decision Making, 20(2), 103–124.

    Article  Google Scholar 

  • van Holst, R. J., van den Brink, W., Veltman, D. J., & Goudriaan, A. E. (2010). Why gamblers fail to win: areview of cognitive and neuroimaging findings in pathological gambling. Neuroscience & BiobehavioralReviews, 34(1), 87–107.

  • Ward, G., & Allport, A. (1997). Planning and problem solving using the five disc tower of London task. The Quarterly Journal of Experimental Psychology, Section A, 50(1), 49–78. https://doi.org/10.1080/713755681.

    Article  Google Scholar 

  • Wechsler, D. (1997) Weschler Memory Scale – 3rd edition (WMS III). San Antonio, TX: The PsychologicalCorporation.

  • Wechsler, D. (1999). Wechsler abbreviated intelligence scale. San Antonio: The Psychological Corporation.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Neuroscience, Wayne State University, 3901 Chrysler Drive, Detroit, MI, 48201, USA

    Jennifer D. Ellis, Meagan M. Carr & David M. Ledgerwood

  2. Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA

    Meagan M. Carr

Authors
  1. Jennifer D. Ellis
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  2. Meagan M. Carr
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  3. David M. Ledgerwood
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Correspondence to David M. Ledgerwood.

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Conflict of Interest Statement

Authors David Ledgerwood, Jennifer Ellis and Meagan Carr declare that they have no conflict of interest.

Informed Consent Statement

All procedures followed were in accordance with the ethical standards of the responsible committee onhuman experimentation (institutional and national) and with the Helsinki Declaration of 1975. Informedconsent was obtained from all participants included in this study.

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Ellis, J.D., Carr, M.M. & Ledgerwood, D.M. Executive Function in Problem Gamblers with and without History of Depression. Int J Ment Health Addiction 16, 1085–1094 (2018). https://doi.org/10.1007/s11469-017-9804-5

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