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Reward Preferences of Pathological Gamblers Under Conditions of Uncertainty: An Experimental Study

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Abstract

Among many personality traits, impulsivity represents one of the most important traits associated with pathological gambling. Empirical research has highlighted the multidimensional nature of impulsivity, which includes different heterogeneous traits and behavioral tendencies. The present study experimentally examined reward preferences of pathological gamblers under conditions of uncertainty using the Balloon Analogue Risk Task (BART). Furthermore it also examined the relationship between impulsivity, time perspective, inability to tolerate delay in gratification, and risk-taking. The present study is the first to simultaneously examine all these variables simultaneously in a sample of pathological gamblers (n = 54) and healthy controls (n = 54) from Italy. All participants participated in the BART and were also administered Italian versions of the South Oaks Gambling Screen, the Barratt Impulsiveness Scale, the Consideration of Future Consequences, and the Monetary Choice Questionnaire. Analyses revealed that compared to HCs, PGs were more risk prone on the BART, and reported elevated levels of impulsivity, steeper discounting rates and a shorter time perspective. All the measures correlated with the gambling severity and strong correlations between the BIS, CFC-14 and BART were observed. Logistic regression analysis demonstrated that impulsivity and risk-taking were strong predictors of pathological gambling.

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References

  • Ainslie, G. (1975). Specious reward: A behavioral theory of impulsiveness and impulse control. Psychological Bulletin, 82, 463–496.

    Article  CAS  PubMed  Google Scholar 

  • Alessi, S. M., & Petry, N. M. (2003). Pathological gambling severity is associated with impulsivity in a delay discounting procedure. Behavioural Processes, 64, 345–354.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

    Book  Google Scholar 

  • Andrade, L. F., & Petry, N. M. (2012). Delay and probability discounting in pathological gamblers with and without a history of substance use problems. Psychopharmacology, 219, 491–499.

    Article  CAS  PubMed  Google Scholar 

  • Auger, N., Lo, E., Cantinotti, M., & O’Loughlin, J. (2010). Impulsivity and socio-economic status interact to increase the risk of gambling onset among youth. Addiction, 105, 2176–2183.

    Article  PubMed  Google Scholar 

  • Baumann, A. A., & Odum, A. L. (2012). Impulsivity, risk taking, and timing. Behavioural Processes, 90, 408–414.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bechara, A. (2003). Risky business: Emotion, decision-making, and addiction. Journal of Gambling Studies, 19, 23–51.

    Article  PubMed  Google Scholar 

  • Bickel, W. K., & Marsch, L. A. (2001). Toward a behavioral economic understanding of drug dependence: Delay discounting processes. Addiction, 96, 73–86.

    Article  CAS  PubMed  Google Scholar 

  • Bickel, W. K., Odum, A. L., & Madden, G. J. (1999). Impulsivity and cigarette smoking: Delay discounting in current, never, and ex-smokers. Psychopharmacology, 146, 447–454.

    Article  CAS  PubMed  Google Scholar 

  • Bretteville-Jensen, A. L. (1999). Addiction and discounting. Journal of Health Economics, 18, 393–407.

    Article  CAS  PubMed  Google Scholar 

  • Brevers, D., Cleeremans, A., Verbruggen, F., Bechara, A., Kornreich, C., Verbanck, P., & Noël, X. (2012). Impulsive action but not impulsive choice determines problem gambling severity. PLoS One, 7(11), e50647. doi:10.1371/journal.pone.0050647.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Canale, N., Vieno, A., Griffiths, M. D., Rubaltelli, E., & Santinello, M. (2015). How do impulsivity traits influence problem gambling through gambling motives? The role of perceived gambling risk/benefits. Psychology of Addictive Behaviors, 29, 813–823.

    Article  PubMed  Google Scholar 

  • Cosenza, M., Matarazzo, O., Baldassarre, I., & Nigro, G. (2014). Deciding with (or without) the future in mind: Individual differences in decision-making. In Recent advances of neural network models and applications (pp. 435–443). Springer International Publishing.

  • Cosenza, M., & Nigro, G. (2015). Wagering the future: Cognitive distortions, impulsivity, delay discounting, and time perspective in adolescent gambling. Journal of Adolescence, 45, 56–66.

    Article  PubMed  Google Scholar 

  • Cyders, M. A., & Smith, G. T. (2008). Emotion-based dispositions to rash action: Positive and negative urgency. Psychological Bulletin, 134, 807–846.

    Article  PubMed  PubMed Central  Google Scholar 

  • Daugherty, J. R., & Brase, G. L. (2010). Taking time to be healthy: Predicting health behaviors with delay discounting and time perspective. Personality and Individual Differences, 48(2), 202–207.

    Article  Google Scholar 

  • de Wit, H. (2009). Impulsivity as a determinant and consequence of drug use: A review of underlying processes. Addiction Biology, 14, 22–31.

    Article  PubMed  Google Scholar 

  • de Wit, H., Flory, J. D., Acheson, A., McCloskey, M., & Manuck, S. B. (2007). IQ and nonplanning impulsivity are independently associated with delay discounting in middle-aged adults. Personality and Individual Differences, 42, 111–121.

    Article  Google Scholar 

  • Dixon, M. R., Jacobs, E. A., & Sanders, S. (2006). Contextual control of delay discounting by pathological gamblers. Journal of Applied Behavior Analysis, 39, 413–422.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dixon, M. R., Marley, J., & Jacobs, E. A. (2003). Delay discounting by pathological gamblers. Journal of Applied Behavior Analysis, 36(4), 449–458.

    Article  PubMed  PubMed Central  Google Scholar 

  • Flory, J. D., Harvey, P. D., Mitropoulou, V., New, A. S., Silverman, J. M., Siever, L. J., & Manuck, S. B. (2006). Dispositional impulsivity in normal and abnormal samples. Journal of Psychiatric Research, 40, 438–447.

    Article  PubMed  Google Scholar 

  • Fossati, A., Di Ceglie, A., Acquarini, E., & Barratt, E. S. (2001). Psychometric properties of an Italian version of the Barratt Impulsiveness Scale-11 (BIS-11) in nonclinical subjects. Journal of Clinical Psychology, 57, 815–828.

    Article  CAS  PubMed  Google Scholar 

  • Green, L., & Myerson, J. (2004). A discounting framework for choice with delayed and probabilistic rewards. Psychological Bulletin, 130, 769–816.

    Article  PubMed  PubMed Central  Google Scholar 

  • Griffiths, M. (1993). Tolerance in gambling: An objective measure using the psychophysiological analysis of male fruit machine gamblers. Addictive Behaviors, 18, 365–372.

    Article  CAS  PubMed  Google Scholar 

  • Griffiths, M. D. (2004). Betting your life on it: Problem gambling has clear health related consequences. British Medical Journal, 329, 1055–1056.

    Article  PubMed  PubMed Central  Google Scholar 

  • Griffiths, M. D. (2005). A ‘components’ model of addiction within a biopsychosocial framework. Journal of Substance Use, 10, 191–197.

    Article  Google Scholar 

  • Griffiths, M. D., & Smeaton, M. (2002). Withdrawal in pathological gamblers: A small qualitative study. Social Psychology Review, 4, 4–13.

    Google Scholar 

  • Griffiths, M. D., Wardle, J., Orford, J., Sproston, K., & Erens, B. (2010). Gambling, alcohol consumption, cigarette smoking and health: Findings from the 2007 British Gambling Prevalence Survey. Addiction Research & Theory, 18, 208–223.

    Article  Google Scholar 

  • Hodgins, D. C., & Engel, A. (2002). Future time perspective in pathological gamblers. Journal of Nervous and Mental Disease, 190, 775–780.

    Article  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, 1351–1360.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Kirby, K. N. (2009). One-year temporal stability of delay-discount rates. Psychonomic Bulletin & Review, 16(3), 457–462.

    Article  Google Scholar 

  • Kirby, K. N., & Maraković, N. N. (1996). Delay-discounting probabilistic rewards: Rates decrease as amounts increase. Psychonomic Bulletin & Review, 3, 100–104.

    Article  CAS  Google Scholar 

  • Kirby, K. N., Petry, N. M., & Bickel, W. K. (1999). Heroin addicts have higher discount rates for delayed rewards than non-drug-using controls. Journal of Experimental Psychology: General, 128(1), 78–87.

    Article  CAS  Google Scholar 

  • Kräplin, A., Dshemuchadse, M., Behrendt, S., Scherbaum, S., Goschke, T., & Bühringer, G. (2014). Dysfunctional decision-making in pathological gambling: Pattern specificity and the role of impulsivity. Psychiatry Research, 215, 675–682.

    Article  PubMed  Google Scholar 

  • Ladouceur, R., Mayrand, M., & Tourigny, Y. (1987). Risk-taking behavior in gamblers and non-gamblers during prolonged exposure. Journal of Gambling Behavior, 3, 115–122.

    Article  Google Scholar 

  • Lejuez, C. W., Read, J. P., Kahler, C. W., Richards, J. B., Ramsey, S. E., Stuart, G. L., & Brown, R. A. (2002). Evaluation of a behavioral measure of risk taking: The Balloon Analogue Risk Task (BART). Journal of Experimental Psychology: Applied, 8(2), 75–84.

    CAS  PubMed  Google Scholar 

  • Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.

    Article  CAS  PubMed  Google Scholar 

  • Lesieur, H. R., & Rosenthal, R. J. (1991). Pathological gambling: A review of the literature (prepared for the American Psychiatric Association task force on DSM-IV committee on disorders of impulse control not elsewhere classified). Journal of Gambling Studies, 7, 5–39.

    Article  CAS  PubMed  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, 490–498.

    Article  PubMed  Google Scholar 

  • MacKillop, J., Anderson, E. J., Castelda, B. A., Mattson, R. E., & Donovick, P. J. (2006a). Convergent validity of measures of cognitive distortions, impulsivity, and time perspective with pathological gambling. Psychology of Addictive Behaviors, 20, 75.

    Article  PubMed  Google Scholar 

  • MacKillop, J., Anderson, E. J., Castelda, B. A., Mattson, R. E., & Donovick, P. J. (2006b). Divergent validity of measures of cognitive distortions, impulsivity, and time perspective in pathological gambling. Journal of Gambling Studies, 22, 339–354.

    Article  PubMed  Google Scholar 

  • MacKillop, J., Miller, J. D., Fortune, E., Maples, J., Lance, C. E., Campbell, W. K., & Goodie, A. S. (2014). Multidimensional examination of impulsivity in relation to disordered gambling. Experimental and Clinical Psychopharmacology, 22, 176.

    Article  PubMed  PubMed Central  Google Scholar 

  • MacLaren, V. V., Fugelsang, J. A., Harrigan, K. A., & Dixon, M. J. (2012). Effects of impulsivity, reinforcement sensitivity, and cognitive style on pathological gambling symptoms among frequent slot machine players. Personality and Individual Differences, 52, 390–394.

    Article  Google Scholar 

  • Madden, G. J., Petry, N. M., & Johnson, P. S. (2009). Pathological gamblers discount probabilistic rewards less steeply than matched controls. Experimental and Clinical Psychopharmacology, 17, 283–297.

    Article  PubMed  PubMed Central  Google Scholar 

  • Martins, S. S., Tavares, H., da Silva Lobo, D. S., Galetti, A. M., & Gentil, V. (2004). Pathological gambling, gender, and risk-taking behaviors. Addictive Behaviors, 29, 1231–1235.

    Article  PubMed  Google Scholar 

  • Michalczuk, R., Bowden-Jones, H., Verdejo-Garcia, A., & Clark, L. (2011). Impulsivity and cognitive distortions in pathological gamblers attending the UK National Problem Gambling Clinic: A preliminary report. Psychological Medicine, 41, 2625–2635.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Miedl, S. F., Büchel, C., & Peters, J. (2014). Cue-induced craving increases impulsivity via changes in striatal value signals in problem gamblers. Journal of Neuroscience, 34, 4750–4755.

    Article  CAS  PubMed  Google Scholar 

  • Miedl, S. F., Peters, J., & Büchel, C. (2012). Altered neural reward representations in pathological gamblers revealed by delay and probability discounting. Archives of General Psychiatry, 69, 177–186.

    Article  PubMed  Google Scholar 

  • Pagani, L. S., Derevensky, J. L., & Japel, C. (2009). Predicting gambling behavior in sixth grade from kindergarten impulsivity: A tale of developmental continuity. Archives of Pediatrics and Adolescent Medicine, 163, 238–243.

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  • Petry, N. M. (2001a). Pathological gamblers, with and without substance abuse disorders, discount delayed rewards at high rates. Journal of Abnormal Psychology, 110, 482–487.

    Article  CAS  PubMed  Google Scholar 

  • Petry, N. M. (2001b). Substance abuse, pathological gambling, and impulsiveness. Drug and Alcohol Dependence, 63, 29–38.

    Article  CAS  PubMed  Google Scholar 

  • Petry, N. M. (2012). Discounting of probabilistic rewards is associated with gambling abstinence in treatment-seeking pathological gamblers. Journal of Abnormal Psychology, 121, 151–167.

    Article  PubMed  Google Scholar 

  • Petry, N. M., & Casarella, T. (1999). Excessive discounting of delayed rewards in substance abusers with gambling problems. Drug and Alcohol Dependence, 56, 25–32.

    Article  CAS  PubMed  Google Scholar 

  • Potenza, M. N. (2001). The neurobiology of pathological gambling. Seminars in Clinical Neuropsychiatry, 6, 217–226.

    Article  CAS  PubMed  Google Scholar 

  • Potenza, M. N. (2006). Should addictive disorders include non-substance-related conditions? Addiction, 101, 142–151.

    Article  PubMed  Google Scholar 

  • Rachlin, H., & Green, L. (1972). Commitment, choice and self-control 1. Journal of the Experimental Analysis of Behavior, 17, 15–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ramirez, L. F., McCormick, R. A., Russo, A. M., & Taber, J. I. (1983). Patterns of substance abuse in pathological gamblers undergoing treatment. Addictive Behaviors, 8, 425–428.

    Article  CAS  PubMed  Google Scholar 

  • Reynolds, B., Ortengren, A., Richards, J. B., & de Wit, H. (2006). Dimensions of impulsive behavior: Personality and behavioral measures. Personality and Individual Differences, 40, 305–315.

    Article  Google Scholar 

  • Shenassa, E. D., Paradis, A. D., Dolan, S. L., Wilhelm, C. S., & Buka, S. L. (2012). Childhood impulsive behavior and problem gambling by adulthood: A 30-year prospective community-based study. Addiction, 107, 160–168.

    Article  PubMed  Google Scholar 

  • Slutske, W. S., Caspi, A., Moffitt, T. E., & Poulton, R. (2005). Personality and problem gambling: A prospective study of a birth cohort of young adults. Archives of General Psychiatry, 62, 769–775.

    Article  PubMed  Google Scholar 

  • Slutske, W. S., Eisen, S., True, W. R., Lyons, M. J., Goldberg, J., & Tsuang, M. (2000). Common genetic vulnerability for pathological gambling and alcohol dependence in men. Archives of General Psychiatry, 57, 666–673.

    Article  CAS  PubMed  Google Scholar 

  • Strathman, A., Gleicher, F., Boninger, D. S., & Edwards, C. S. (1994). The Consideration of Future Consequences: Weighing immediate and distant outcomes of behavior. Journal of Personality and Social Psychology, 66, 742–752.

    Article  Google Scholar 

  • Swann, A. C., Bjork, J. M., Moeller, F. G., & Dougherty, D. M. (2002). Two models of impulsivity: Relationship to personality traits and psychopathology. Biological Psychiatry, 51, 988–994.

    Article  PubMed  Google Scholar 

  • Tavares, H., Zilberman, M. L., Hodgins, D. C., & El-Guebaly, N. (2005). Comparison of craving between pathological gamblers and alcoholics. Alcoholism, Clinical and Experimental Research, 29, 1427–1431.

    Article  PubMed  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, 103–124.

    Article  Google Scholar 

  • Vitaro, F., Arseneault, L., & Tremblay, R. E. (1999). Impulsivity predicts problem gambling in low SES adolescent males. Addiction, 94, 565–575.

    Article  CAS  PubMed  Google Scholar 

  • Wardle, H., Moody, A., Spence, S., Orford, J., Volberg, R., Jotangia, D., et al. (2011). British Gambling Prevalence Survey 2010. London: The Stationery Office.

    Google Scholar 

  • Wardle, H., Sproston, K., Orford, J., Erens, B., Griffiths, M. D., Constantine, R., & Pigott, S. (2007). The British Gambling Prevalence Survey 2007. London: The Stationery Office.

    Google Scholar 

  • Whiteside, S. P., & Lynam, D. R. (2003). Understanding the role of impulsivity and externalizing psychopathology in alcohol abuse: Application of the UPPS impulsive behavior scale. Experimental and Clinical Psychopharmacology, 11, 210.

    Article  PubMed  Google Scholar 

  • Whiteside, S. P., Lynam, D. R., Miller, J. D., & Reynolds, S. K. (2005). Validation of the UPPS impulsive behaviour scale: A four-factor model of impulsivity. European Journal of Personality, 19, 559–574.

    Article  Google Scholar 

  • Wiehler, A., & Peters, J. (2015). Reward-based decision making in pathological gambling: The roles of risk and delay. Neuroscience Research, 90, 3–14.

    Article  PubMed  Google Scholar 

  • Wilde, B., Goudriaan, A., Sabbe, B., Hulstijn, W., & Dom, G. (2013). Relapse in pathological gamblers: A pilot study on the predictive value of different impulsivity measures. Journal of Behavioral Addictions, 2, 23–30.

    Article  PubMed  Google Scholar 

  • Wray, I., & Dickerson, M. G. (1981). Cessation of high frequency gambling and ‘withdrawal’ symptoms. British Journal of Addiction, 76, 401–405.

    Article  CAS  PubMed  Google Scholar 

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Ciccarelli, M., Malinconico, R., Griffiths, M.D. et al. Reward Preferences of Pathological Gamblers Under Conditions of Uncertainty: An Experimental Study. J Gambl Stud 32, 1175–1189 (2016). https://doi.org/10.1007/s10899-016-9593-y

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