Assessing the Relationship between Disordered Gamblers with Psychosis and Increased Gambling Severity: The Mediating Role of Impulsivity

Kim, Hyoun S.; Cassetta, Briana D.; Hodgins, David C.; Tomfohr‐Madsen, Lianne; McGrath, Daniel S.; Tavares, Hermano

doi:10.1177/0706743717730825

Cited by 13 publications

(28 citation statements)

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“…Indeed, the results have additional clinical implications. Recently, researchers have begun investigating transdiagnostic mechanisms (e.g., impulsivity and emotion dysregulation) that may account for the relationship between disordered gambling and increased severity among gamblers with a psychiatric comorbidity (Kim et al, in press). A benefit of identifying transdiagnostic processes is that they can be targeted in treatment.…”

Section: Discussionmentioning

confidence: 99%

Demographic, psychiatric, and personality correlates of adults seeking treatment for disordered gambling with a comorbid binge/purge type eating disorder

Kim

Ranson

Hodgins

et al. 2018

Euro Eating Disorders Rev

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Preliminary evidence suggests that binge/purge type eating disorders and gambling disorder may commonly co-occur. However, this dual-diagnosis population remains understudied. The present research examined the prevalence rates and correlates of binge/purge type eating disorders (i.e., bulimia nervosa, binge-eating disorder, and anorexia nervosa binge/purge type) among adults seeking treatment for their gambling (N = 349). In total, 11.5% of the sample (n = 40) met criteria for a binge/purge type eating disorder, most commonly bulimia nervosa (n = 33). There was a higher preponderance of binge/purge type eating disorders in women. People with a comorbid binge/purge type eating disorder reported more days gambling, gambling-related cognitive distortions, impulsivity, suicidality, and other current psychiatric comorbidities including addictive behaviours. These findings suggest that binge/purge type eating disorders in people seeking treatment for gambling may be more common than previously believed. Furthermore, the increased psychopathology among people with binge/purge type eating disorder and gambling disorder identify vulnerabilities of this dual-diagnosed population that may require clinical attention.

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Section: Discussionmentioning

confidence: 99%

Demographic, psychiatric, and personality correlates of adults seeking treatment for disordered gambling with a comorbid binge/purge type eating disorder

Kim

Ranson

Hodgins

et al. 2018

Euro Eating Disorders Rev

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“…To this end, we have assessed whether similar component vulnerabilities represent common factors that exacerbate the severity of mental health and addictive disorders. For example, we have found that heightened levels of impulsivity mediate the relationship between dual diagnosis of gambling and psychosis, and increased gambling severity ( 180 ). Relatedly, we have found that maladaptive expectancies mediate the relationship between co-morbid gambling and depression, and increased gambling severity.…”

Section: Current and Future Directionsmentioning

confidence: 99%

Component Model of Addiction Treatment: A Pragmatic Transdiagnostic Treatment Model of Behavioral and Substance Addictions

Kim

Hodgins

2018

Front. Psychiatry

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Behavioral addictions such as gambling, video games, sex, and shopping share many clinical features with substance use addictions including etiology, course, and neurobiology. Yet, the treatment of behavioral and substance use addictions tends to be separated. However, we argue that a more effective and efficient treatment approach is to conceptualize behavioral and substance use addictions as different expressions of a common underlying disorder and, in treatment, to address the underlying mechanisms common to both. To this end, the article presents a developing transdiagnostic treatment model of addictions that targets underlying similarities between behavioral and substance use addictions, called the component model of addiction treatment (CMAT). The CMAT is transdiagnostic in that it can be used in the treatment of both behavioral and substance use addictions. It is pragmatic in that it targets component vulnerabilities, which are enduring, yet malleable, individual psychological, cognitive, and neurobiological characteristics that are common to all addictive disorders and have been demonstrated to be modifiable. A working model of CMAT is presented, including proposed component vulnerabilities: lack of motivation, urgency, maladaptive expectancies, deficits in self-control, deficits in social support, and compulsivity, as well as their potential intervention possibilities. Future directions and potential implications of the CMAT are discussed.

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“…In Sweden, antipsychotic drugs were dispensed to about 2% of the general population, a number appearing to be quite stable during the study period (Swedish National Board of Welfare, 2020b). Prevalence rates of psychotic disorders are reported to be about 4% in the general population, with a corresponding number of 7% in problem gamblers (Kim et al, 2018;Moreno-Kustner et al, 2018); hence, it is likely that many of the patients studied here were prescribed antipsychotic drugs on other indications than actual psychotic disorders. Increases of off-label prescription of atypical antipsychotic drugs for several psychiatric disorders have been reported, despite highly limited evidence (Albert et al, 2016).…”

Section: Discussionmentioning

confidence: 87%

“…Increases of off-label prescription of atypical antipsychotic drugs for several psychiatric disorders have been reported, despite highly limited evidence (Albert et al, 2016). More attention needs to be drawn to the association between psychoses and GD, since this type of comorbidity may contribute to a higher gambling severity due to greater levels of impulsivity, and reward-directed behavioral disturbance requiring targeted treatment (Kim et al, 2018). Some dopamine antagonists themselves have been reported to, paradoxically as it may seem, increase the rewarding and priming effect of gambling in individuals with GD (Zack & Poulos, 2007).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Drug Prescription and Temporal Associations with a First Diagnosis of Gambling Disorder—Results from a National Register Study

Widinghoff

Berge

Håkansson

2021

Int J Ment Health Addiction

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Psychiatric comorbidity is common in gambling disorder (GD), but there are few studies on larger nationwide samples of treatment-seeking patients. Also, temporal associations between GD and other psychiatric disorders are often difficult to study. To address the prevalence and the temporal associations of prescriptions for psychiatric disorders — both in specialized care and primary care — in patients with a GD diagnosis (ICD-10 F63.0). Data was derived from national health registers in Sweden. All patients who were diagnosed with GD in specialized health care in 2005–2016 were included and run against the nationwide database on prescription of pharmaceuticals aimed for psychiatric disorders (n = 2018). Prevalence of psychiatric drug prescription was used as a proxy for psychiatric comorbidity and studied for two 2-year periods (period 1 and 2) prior to GD and one 2-year period (period 3) after the diagnosis. Controlling for gender, age, and time periods, for eight drug categories (anti- epileptics, anti-psychotics, benzodiazepine derivatives, anxiolytics, hypnotics, anti- depressants and drugs used in addictive disorders), significant increases in drug prescription were seen. For central stimulants, a significant increase was seen upon receiving the GD diagnosis (from period 2 to 3), and for benzodiazepines, an increase was seen prior to the GD diagnosis (from period 1 to 2), but not upon diagnosis (from period 2 to 3). Psychiatric comorbidity in GD is common. Drug prescription for psychiatric problems increased markedly in the years temporarily associated with a first diagnosis of GD. The findings may call for early screening for problem gambling in patients with treatment contacts for increasingly poor mental health.

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Assessing the Relationship between Disordered Gamblers with Psychosis and Increased Gambling Severity: The Mediating Role of Impulsivity

Abstract: Impulsivity appears to be a transdiagnostic process that may be targeted in treatment among disordered gamblers with a dual diagnosis of psychosis to reduce problematic gambling behaviours.

Cited by 13 publications

References 63 publications

Demographic, psychiatric, and personality correlates of adults seeking treatment for disordered gambling with a comorbid binge/purge type eating disorder

Demographic, psychiatric, and personality correlates of adults seeking treatment for disordered gambling with a comorbid binge/purge type eating disorder

Component Model of Addiction Treatment: A Pragmatic Transdiagnostic Treatment Model of Behavioral and Substance Addictions

Psychiatric Drug Prescription and Temporal Associations with a First Diagnosis of Gambling Disorder—Results from a National Register Study

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