Abstract
Understanding how emotion regulation and gambling-related cognitive distortions relate to gambling problems has direct relevance for problem gambling prevention and treatment. Although these factors have been identified as robust psychological correlates for problem gambling, the interplay between emotional regulation and cognitive biases in influencing problem gambling behaviours is yet to be fully understood. Accordingly, this study examined the explanatory role of cognitive distortions in the association between emotion regulation difficulties and problem gambling behaviours and also explored the interaction between emotion regulation and cognitive distortions in predicting gambling severity. A total of 301 adults (182 males and 119 females; age range: 18–71 years, M = 32.62, SD = 10.03) completed an online questionnaire comprising measures of emotional regulation difficulties, gambling-related beliefs and problem gambling severity. Analyses revealed that emotion regulation difficulties and erroneous gambling beliefs were positively related to problem gambling severity. Further, cognitive distortions partially accounted for the relationship between emotional regulation difficulties and problem gambling, although emotion regulation retained a direct relationship with problem gambling. There was no interaction between emotional regulation and cognitive distortions. The findings indicate that emotion regulation may serve as a precursor to the development of cognitive distortions, while also directly influencing problem gambling. Implications for assessment and treatment of problem gambling are discussed.
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Aïte, A., Barrault, S., Cassotti, M., Borst, G., Bonnaire, C., Houdé, O., Varescon, I., & Moutier, S. (2014). The impact of alexithymia on pathological gamblers’ decision making: A preliminary study of gamblers recruited in “sportsbook” casinos. Cognitive and Behavioral Neurology., 27(2), 59–67.
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). . Author.
Bardeen, J. R., Fergus, T. A., Hannan, S. M., & Orcutt, H. K. (2016). Addressing psychometric limitations of the difficulties in emotion regulation scale through item modification. Journal of Personality Assessment, 98(3), 298–309. https://doi.org/10.1080/00223891.2015.1091774
Barrault, S., & Varescon, I. (2013). Cognitive distortions, anxiety, and depression among regular and pathological gambling online poker players. Cyberpsychology, Behavior, and Social Networking, 16(3), 183–188.
Bechara, A., Damasio, H., Tranel, D., & Damasio, A. R. (2005). The Iowa Gambling Task and the somatic marker hypothesis: some questions and answers. Trends in Cognitive Sciences, 9(4), 159–162.
Behrend, T. S., Sharek, D. J., Meade, A. W., & Wiebe, E. N. (2011). The viability of crowdsourcing for survey research. Behavior Research Methods, 43(3), 800.
Benfer, N. R., Bardeen, J. A., Rogers, T., & Fergus, T. (2018). Factor structure and incremental validity of the original and modified versions of the difficulties in emotion regulation scale. Journal of Personality Assessment. https://doi.org/10.1080/00223891.2018.1492927
Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, A., & Znoj, H. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy, 46(11), 1230–1237.
Blanco, C., Hanania, J., Petry, N. M., Wall, M. M., Wang, S., & Jin, C. J. (2015). Towards a comprehensive developmental model of pathological gambling. Addiction, 110(8), 1340–1351.
Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499. https://doi.org/10.1046/j.1360-0443.2002.00015.x
Brevers, D., & Noël, X. (2013). Pathological gambling and the loss of willpower: A neurocognitive perspective. Socioaffective Neuroscience & Psychology, 3(1), 21592.
Brockman, R., Ciarrochi, J., Parker, P., & Kashdan, T. (2017). Emotion regulation strategies in daily life: Mindfulness, cognitive reappraisal and emotion suppression. Cognitive Behaviour Therapy, 46(2), 91–113.
Chandler, J., & Shapiro, D. (2016). Conducting clinical research using crowdsourced convenience samples. Annual Review of Clinical Psychology, 12, 53–81. https://doi.org/10.1146/annurev-clinpsy-021815-093623
Christensen, D. R., Dowling, N. A., Jackson, A. C., Brown, M., Russo, J., Francis, K. L., & Umemoto, A. (2013). A proof of concept for using brief dialectical behavior therapy as a treatment for problem gambling. Behaviour Change, 30(2), 117.
Ciccarelli, M., Griffiths, M. D., Nigro, G., & Cosenza, M. (2017). Decision making, cognitive distortions and emotional distress: A comparison between pathological gamblers and healthy controls. Journal of Behavior Therapy and Experimental Psychiatry, 54, 204–210. https://doi.org/10.1016/j.jbtep.2016.08.012
Ciccarelli, M., Nigro, G., D’Olimpio, F., Griffiths, M. D., & Cosenza, M. (2021). Mentalising failures, emotional dysregulation, and cognitive distortions among adolescent problem gamblers. Journal of Gambling Studies, 37, 283–298.
Clark, L. (2010). Decision-making during gambling: an integration of cognitive and psychobiological approaches. Philosophical Transactions of the Royal Society B: Biological Sciences, 365(1538), 319–330.
Crone, D. L., & Williams, L. A. (2017). Crowdsourcing participants for psychological research in Australia: A test of microworkers. Australian Journal of Psychology, 69(1), 39–47.
Damasio, A. R. (1994). Descartes error Emotion reason and the human brain. Grosset/Putnam.
Devos, M. G., Clark, L., Bowden-Jones, H., Grall-Bronnec, M., Challet-Bouju, G., Khazaal, Y., Maurage, P., & Billieux, J. (2020). The joint role of impulsivity and distorted cognitions in recreational and problem gambling: A cluster analytic approach. Journal of Affective Disorders, 260, 473–482.
Dowling, N. A., Merkouris, S. S., Greenwood, C. J., Oldenhof, E., Toumbourou, J. W., & Youssef, G. J. (2017). Early risk and protective factors for problem gambling: A systematic review and meta-analysis of longitudinal studies. Clinical Psychology Review, 51, 109–124. https://doi.org/10.1016/j.cpr.2016.10.008
Edgerton, J. D., Melnyk, T. S., & Roberts, L. W. (2015). Problem gambling and the youth-to adulthood transition: Assessing problem gambling severity trajectories in a sample of young adults. Journal of Gambling Studies, 31(4), 1463–1485. https://doi.org/10.1007/s10899-014-9501-2
Elmas, H. G., Cesur, G. T., & Oral, E. (2017). Alexithymia and pathological gambling: The mediating role of difficulties in emotion regulation. Turkish Journal of Psychiatry, 28(1), 17–24.
Ferris, J. A., & Wynne, H. J. (2001). The Canadian problem gambling index. Canadian Centre on Substance Abuse.
Flack, M., & Buckby, B. (2020). Impulsivity and problem gambling: Can the anticipated emotional rewards explain the relationship? International Journal of Mental Health and Addiction, 18(3), 567–581.
Flack, M., & Morris, M. (2015). Problem gambling: One for the money…? Journal of Gambling Studies, 31(4), 1561–1578. https://doi.org/10.1007/s10899-014-9484-z
Flack, M., & Morris, M. (2016). The temporal stability and predictive ability of the gambling outcome expectancies scale (GOES): A prospective study. Journal of Gambling Studies, 32(2), 923–933. https://doi.org/10.1007/s10899-015-9581-7
Flack, M. (2017). Gambling-related beliefs and gambling behaviour: Explaining gambling problems with the theory of planned behaviour. International Journal of Mental Health and Addiction, 15(1), 130–142.
Fortune, E. E., & Goodie, A. S. (2012). Cognitive distortions as a component and treatment focus of pathological gambling: A review. Psychology of Addictive Behaviors, 26, 298–310. https://doi.org/10.1037/a0026422
Garnefski, N., & Kraaij, V. (2007). The cognitive emotion regulation questionnaire. European Journal of Psychological Assessment, 23(3), 141–149.
George, D., & Mallery, P. (2016). IBM SPSS statistics 23 step by step: A simple study guide and reference (14th ed.). . Routledge.
Goodie, A. S., & Fortune, E. E. (2013). Measuring cognitive distortions in pathological gambling: Review and meta-analyses. Psychology of Addictive Behaviors, 27(3), 730–743.
Gooding, P., & Tarrier, N. (2009). A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets? Behaviour Research and Therapy, 47(7), 592–607.
Gratz, K., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
Gross, J. J. (2011). Handbook of emotion regulation. Guilford Press.
Guyonne, R., & Patrizia, V. (2018). Conceptualising gambling disorder with the process model of emotion regulation. Journal of Behavioral Addictions, 7(2), 239–251. https://doi.org/10.1556/2006.7.2018.52
Hartmann, M., & Blaszczynski, A. (2018). The longitudinal relationships between psychiatric disorders and gambling disorders. International Journal of Mental Health and Addiction, 16(1), 16–44.
Hayes, A. F. (2017). Introduction to mediation moderation and conditional process analysis: A regression-based approach. Guilford Publications.
Hodgins, D. C., Peden, N., & Cassidy, E. (2005). The association between comorbidity and outcome in pathological gambling: A prospective follow-up of recent quitters. Journal of Gambling Studies, 21(3), 255–271.
Jauregui, P., Estevez, A., & Urbiola, I. (2016). Pathological gambling and associated drug and alcohol abuse, emotion regulation, and anxious-depressive symptomatology. Journal of Behavioral Addictions, 5(2), 251–60.
Johnson, S. L., Tharp, J. A., Peckham, A. D., Carver, C. S., & Haase, C. M. (2017). A path model of different forms of impulsivity with externalising and internalising psychopathology: Towards greater specificity. British Journal of Clinical Psychology, 56, 235–252.
Leahy, R. L., Holland, S. J., & Mcginn, L. K. (2011). Treatment plans and interventions for depression and anxiety disorders. Guilford press.
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.
Loo, J. M., Tsai, J. S., Raylu, N., & Oei, T. P. (2014). Gratitude, hope, mindfulness and personal-growth initiative: Buffers or risk factors for problem gambling? PLoS ONE, 9(2), e83889.
Marchica, L., Mills, D., Keough, M., Montreuil, T., & Derevensky, J. (2019). Emotion regulation in emerging adult gamblers and its mediating role with depressive symptomology. Journal of Affective Disorders, 258, 74–82. https://doi.org/10.1016/j.jad.2019.07.078
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(12), 2625–2635. https://doi.org/10.1017/S003329171100095X
Mishra, S., & Carleton, R. N. (2017). Use of online crowdsourcing platforms for gambling research. International Gambling Studies, 17(1), 125–143.
Naragon-Gainey, K., McMahon, T. P., & Chacko, T. P. (2017). The structure of common emotion regulation strategies: A meta-analytic examination. Psychological Bulletin, 143(4), 384.
Navas, J. F., Billieux, J., Verdejo-García, A., & Perales, J. C. (2019). Neurocognitive components of gambling disorder: Implications for policy, prevention, and treatment. In Harm reduction for problem gambling: A public health approach. Routledge.
Oei, T. P. S., & Goh, Z. (2014). Interactions between risks and protective factors on problem gambling in Asia. Journal of Gambling Studies, 30, 1–16.
Olsen, V., Lugo, R., & Sutterlin, S. (2015). The somatic marker theory in the context of addiction: Contributions to understanding development and maintenance. Psychology Research and Behavior Management, 8, 187–200. https://doi.org/10.2147/PRBM.S68695
Orford, J., Wardle, H., Griffiths, M., Sproston, K., & Erens, B. (2010). PGSI and DSM-IV in the 2007 British Gambling Prevalence Survey: Reliability, item response, factor structure and inter-scale agreement. International Gambling Studies, 10(1), 31–44.
Orgaz, C., Estévez, A., & Matute, H. (2013). Pathological gamblers are more vulnerable to the illusion of control in a standard associative learning task. Frontiers in Psychology, 4, 306.
Orlowski, S., Bischof, A., Besser, B., Bischof, G., & Rumpf, H. (2019). Deficits in emotion regulation strategies among problematic and pathological gamblers in a sample of vocational school students. Journal of Behavioral Addictions, 8(1), 94. https://doi.org/10.1556/2006.7.2018.136
Osborne, T., Michonski, J., Sayrs, J., Welch, S., & Anderson, L. (2017). Factor structure of the difficulties in emotion regulation scale (DERS) in adult outpatients receiving dialectical behavior therapy (DBT). Journal of Psychopathology and Behavioral Assessment, 39(2), 355–371. https://doi.org/10.1007/s10862-017-9586-x
Perales, J., Navas, J. F., & Jara-Rizzo, M. F. (2019). Acquisition and reacquisition deficits in a reversal learning task associated with substance use disorder and problem gambling. https://doi.org/10.31234/osf.io/m2nav.
Raylu, N., & Oei, T. (2004). The gambling related cognitions scale (GRCS): Development, confirmatory factor validation and psychometric properties. Addiction, 99(6), 757–769. https://doi.org/10.1111/j.1360-0443.2004.00753.x
Raylu, N., Oei, T. P. S., Loo, J. M., & Tsai, J. S. (2016). Testing the validity of a cognitive behavioral model for gambling behavior. Journal of Gambling Studies, 32(2), 773–788.
Reid, R. C., Di Tirro, C., & Fong, T. W. (2014). Mindfulness in patients with gambling disorders. Journal of Social Work Practice in the Addictions, 14(4), 327–337.
Riley, B. (2014). Experiential avoidance mediates the association between thought suppression and mindfulness with problem gambling. Journal of Gambling Studies, 30(1), 163–171.
Rogier, G., Picci, G., & Velotti, P. (2019). Struggling with happiness: A pathway leading depression to gambling disorder. Journal of Gambling Studies, 35(1), 293–305.
Rogier, G., & Velotti, P. (2018). Conceptualising gambling disorder with the process model of emotion regulation. Journal of Behavioral Addictions, 7(2), 239–251.
Ruiz de Lara, C. M., Navas, J. F., & Perales, J. C. (2019). The paradoxical relationship between emotion regulation and gambling-related cognitive biases. PLoS ONE, 14(8), E0220668. https://doi.org/10.1371/journal.pone.0220668
Sevigny, S., & Ladouceur, R. (2004). Gamblers’ irrational thinking about chance events: The “double switching” concept. International Gambling Studies, 3, 163–170.
Sharp, C., Steinberg, L., Yaroslavsky, I., Hofmeyr, A., Dellis, A., Ross, D., & Kincaid, H. (2011). An item response theory analysis of the problem gambling severity index. Assessment, 19(2), 167–175. https://doi.org/10.1177/1073191111418296
Steenbergh, T. A., Meyers, A. W., May, R. K., & Whelan, J. P. (2002). Development and validation of the Gamblers’ Beliefs Questionnaire. Psychology of Addictive Behaviors, 16, 143–149. https://doi.org/10.1037/0893-164X.16.2.143
Stewart, S. H., Zack, M., Collins, P., Klein, R. M., & Fragopoulos, F. (2008). Subtyping pathological gamblers on the basis of affective motivations for gambling: Relations to gambling problems, drinking problems, and affective motivations for drinking. Psychology of Addictive Behaviors, 22(2), 257.
Stinchfield, R., McCready, J., & Turner, N. (2012). A comprehensive review of problem gambling screens and scales for online self-assessment. Ontario Problem Gambling Research Centre.
Tang, C. S. K., Lim, M. S. M., Koh, J. M., & Cheung, F. Y. L. (2019). Emotion dysregulation mediating associations among work stress, burnout, and problem gambling: A serial multiple mediation model. Journal of Gambling Studies, 35(3), 813–828.
Tice, D. M., Bratslavsky, E., & Baumeister, R. F. (2001). Emotional distress regulation takes precedence over impulse control: If you feel bad, do it! Journal of Personality and Social Psychology, 80(1), 53.
Vaughan, E., & Flack, M. (2021). Depression symptoms, problem gambling and the role of escape and excitement gambling outcome expectancies. Journal of Gambling Studies. https://doi.org/10.1007/s10899-021-10032-3
Weinstock, J., Massura, C. E., & Petry, N. M. (2013). Professional and pathological gamblers: Similarities and differences. Journal of Gambling Studies, 29(2), 205–216.
Williams, A. D., Grisham, J. R., Erskine, A., & Cassedy, E. (2012). Deficits in emotion regulation associated with pathological gambling. British Journal of Clinical Psychology, 51(2), 223–238. https://doi.org/10.1111/j.2044-8260.2011.02022.x
Wong, D. F. K., Zhuang, X. Y., Jackson, A., Dowling, N., & Lo, H. H. M. (2018). Negative mood states or dysfunctional cognitions: their independent and interactional effects in influencing severity of gambling among Chinese problem gamblers in Hong Kong. Journal of Gambling Studies, 34(3), 631–645.
Wood, R. T., & Griffiths, M. D. (2007). A qualitative investigation of problem gambling as an escape-based coping strategy. Psychology and Psychotherapy: Theory, Research and Practice, 80(1), 107–125.
Wood, R. T., & Williams, R. J. (2011). A comparative profile of the Internet gambler: Demographic characteristics, game-play patterns, and problem gambling status. New Media & Society, 13(7), 1123–1141.
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Buen, A., Flack, M. Predicting Problem Gambling Severity: Interplay between Emotion Dysregulation and Gambling-related Cognitions. J Gambl Stud 38, 483–498 (2022). https://doi.org/10.1007/s10899-021-10039-w
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DOI: https://doi.org/10.1007/s10899-021-10039-w