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Van ‘een gokje wagen’ tot gokverslaving: de neurocognitieve achtergrond van pathologisch gokken

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Neuropraxis

Abstract

De meeste mensen in Nederland wagen wel eens een gokje, zoals blijkt uit de speelomzet van ruim anderhalf miljard euro bruto in 2004, die het College van Toezicht op de Kansspelen rapporteerde. Bij een klein gedeelte van deze mensen gaat het echter verder dan een gokje wagen en kan gokken leiden tot gokverslaving, waarbij de gokker de controle verliest over zijn eigen gokgedrag en de negatieve consequenties zich opstapelen: schulden, problemen op het werk of in relaties en het niet meer kunnen stoppen met gokken. De verminderde zelfregulatie die een gokverslaafde laat zien, roept de vraag op of er ook verminderde zelfregulatie is op een basaler, neurocognitief niveau. En hebben neurocognitieve functies ook gevolgen voor het verloop van deze stoornis?

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Literatuur

  • American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Press.

  • Bechara, A., Damasio, A.R., Damasio, H. & Anderson, S.W. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50, 7-15.

    Google Scholar 

  • Blum, K., Braverman, E.R., Holder, J.M., Lubar, J.F., Monastra, V.J., Miller, D., et al. (2000). Reward deficiency syndrome: a biogenetic model for the diagnosis and treatment of impulsive, addictive, and compulsive behaviors. Journal of Psychoactive Drugs, 32 Suppl, 1-112.

  • Chambers, R.A. & Potenza, M.N. (2003). Neurodevelopment, impulsivity, and adolescent gambling. Journal of Gambling Studies, 19, 53-84.

    Google Scholar 

  • College van Toezicht op de Kansspelen. Retrieved May 6, 2006, from http://www.toezichtkansspelen.nl/feitenEurocijfers.html.

  • Damasio, A.R. (1996). The somatic marker hypothesis and the possible functions of the prefrontal cortex. Philosophical Transactions of the Royal Society of London B, 351, 1413-1420.

    Google Scholar 

  • Fowles, D.C., Fisher, A.E. & Tranel, D.T. (1982). The heart beats to reward: the effect of monetary incentive on heart rate. Psychophysiology, 19, 506-513.

    Google Scholar 

  • Goldstein, R.Z. & Volkow, N.D. (2002). Drug addiction and its underlying neurobiological basis: neuroimaging evidence for the involvement of the frontal cortex. American Journal of Psychiatry, 159, 1642-1652.

    Google Scholar 

  • Goudriaan, A.E., Oosterlaan, J., de Beurs, E. & van den Brink, W. (2004). Pathological gambling: a comprehensive review of biobehavioral findings. Neuroscience and Biobehavioral Reviews, 28, 123-141.

    Google Scholar 

  • Goudriaan, A.E., Oosterlaan, J., de Beurs, E. & van den Brink, W. (2005). Decision making in pathological gambling: a comparison between pathological gamblers, alcohol dependents, persons with Tourette syndrome, and normal controls. Cognitive Brain Research, 23, 137-151.

    Google Scholar 

  • Goudriaan, A.E., Oosterlaan, J., De Beurs, E. & van den Brink, W. (2006). Neurocognitive functions in pathological gambling: a comparison with alcohol dependence, Tourette syndrome, and normal controls. Addiction, 101, 534-547.

    Google Scholar 

  • Goudriaan, A.E., Oosterlaan, J., de Beurs, E. & van den Brink, W. (in press). Psychophysiological determinants and concomitants of deficient decision making in pathological gamblers. Drug and Alcohol Dependence, in press.

  • Jentsch, J.D. & Taylor, J.R. (1999). Impulsivity resulting from frontostriatal dysfunction in drug abuse: implications for the control of behavior by reward-related stimuli. Psychopharmacology (Berlin), 146, 373-390.

    Google Scholar 

  • Martin-Soelch, C., Leenders, K.L., Chevalley, A.F., Missimer, J., Kunig, G., Magyar, S., et al. (2001). Reward mechanisms in the brain and their role in dependence: evidence from neurophysiological and neuroimaging studies. Brain Research Reviews, 36, 139-149.

    Google Scholar 

  • Shaffer, H.J. (1997). The most important unresolved issue in the addictions: conceptual chaos. Substance Use and Misuse, 32, 1573-1580.

    Google Scholar 

  • Sharpe, L. (2002). A reformulated cognitive-behavioral model of problem gambling. A biopsychosocial perspective. Clinical Psychology Review, 22, 1-25.

    Google Scholar 

  • Stinchfield, R. (2002). Reliability, validity, and classification accuracy of the South Oaks Gambling Screen (sogs). Addictive Behaviors, 27, 1-19.

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Correspondence to Anneke Goudriaan.

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Goudriaan, A. Van ‘een gokje wagen’ tot gokverslaving: de neurocognitieve achtergrond van pathologisch gokken. NEPR 10, 115–120 (2006). https://doi.org/10.1007/BF03079094

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  • DOI: https://doi.org/10.1007/BF03079094

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