Cue-Reactive Altered State of Consciousness Mediates the Relationship Between Problem-Gambling Severity and Cue-Reactive Urge in Poker-Machine Gamblers

Tricker, Christopher; Rock, Adam J.; Clark, Gavin I.

doi:10.1007/s10899-015-9549-7

Cited by 13 publications

(14 citation statements)

References 32 publications

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“…The current findings can be interpreted within a cue-reactivity framework. Tricker et al (2016) found that increased cue-reactivity is mediated by an altered state of consciousness, which they suggest not only elicits urges, but also elicits cognitive biases that are normally active under gambling ( Toneatto, 2002 ). Such an interpretation might explain the findings from previous studies suggesting that GD are more influenced by promotional marketing compared to non-problem gamblers, which is explained by those with GD viewing the offers as more attractive due to cue-activated cognitive biases.…”

Section: Discussionmentioning

confidence: 99%

Direct Marketing Experiences Among Individuals With Current and Lifetime Gambling Disorder

et al. 2020

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Gambling providers use varied and complex marketing techniques, including marketing that targets the individual directly. Previous research indicates that individuals with gambling disorder are disproportionately influenced by gambling marketing, however, very few studies have examined gamblers' experiences with direct marketing. The current exploratory interview study examined experiences with direct gambling marketing among 12 individuals with either current (n = 5) or lifetime (n = 7) gambling disorder. A broad research question was employed encompassing experiences with different types of direct marketing and corresponding attitudes, influences, and interactions. The interview data were analyzed with thematic analysis using an inductive approach, and the participants reported extensive and varied experiences with direct marketing. Two overarching themes, with two and four subthemes, respectively, were identified. The overarching themes showed that marketing experiences were intimately connected with participants' gambling behaviors and their relationships to their own problems. Overall, direct marketing was experienced as an interactive form of marketing with individually tailored promotions such as free gambling credits, bonuses, and special gifts. Some promotions were experienced as personal, while others were experienced as mass produced. Direct marketing was in some cases experienced as predatory and was reported to hamper the participants' ability to cope with their gambling disorder. Participants' attitudes toward direct marketing varied as a function of the participants' engagement in gambling. During periods of active gambling, direct marketing was experienced as beneficial and positive as the participants took advantage of the offers or actively manipulated how the offers were made. In contrast, when attempting to reduce/abstain from gambling, the participants experienced direct marketing as aggressive, and they reported making considerable efforts to try to limit it. Direct marketing was experienced as a trigger for gambling urges and was reported to induce a conflict between gambling and abstinence. Directly marketed promotions are discussed in relation to ecological factors of access and availability that form a basis for the development of gambling disorder, and variations in experiences are related to stages of change in gambling disorder. Implications for treatment are discussed where the current findings suggest that coping with marketing should be addressed in treatment.

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Section: Discussionmentioning

confidence: 99%

Direct Marketing Experiences Among Individuals With Current and Lifetime Gambling Disorder

et al. 2020

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“…As noted above, the nature of the cue-reactive methodology dictates that the phenomenological variables of interest (imagery and volitional control) were evaluated based on participant retrospective report regarding their experience during cue-exposure [ 51 ]. As such, it would not be expected that the affect labelling task, which took place immediately following the cue exposure, would impact upon these variables.…”

Section: Resultsmentioning

confidence: 99%

“…To measure subjective anxiety in response to cues, participants rated their level of current anxiety on a scale of 0 (no anxiety) to 100 (extreme anxiety). Visual analogue scales have been widely used in emotional regulation and cue-reactivity studies and are considered a sensitive measure [ 18 , 51 ].…”

Section: Methodsmentioning

confidence: 99%

The impact of affect labelling on responses to aversive flying-cues

2018

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Individuals with flying phobia experience increases in subjective anxiety in response to flying-related cues. However, the cognitive processes that contribute to cue-reactive anxiety in individuals with flying-related anxiety remain poorly understood. Preliminary research suggests that changes in visual imagery and volitional control may contribute to this cue-reactive anxiety. Engaging in affect labelling during exposure therapy has been shown to reduce cue-reactive anxiety in individuals with fears relating to a variety of stimuli but has not been investigated in the fear of flying. The present study recruited 110 participants with a range of flying-related anxiety scores to complete an online cue-reactivity experiment. The study sought to evaluate whether an aversive flying cue triggered changes in imagery, volitional control and anxiety, and whether changes in imagery and volitional control predicted level of cue-reactive anxiety. Participants were randomly allocated to an affect labelling or non-affect labelling condition to additionally assess whether engaging in labelling one’s emotion following exposure to an aversive flying cue would attenuate cue-reactive changes in anxiety relative to a group who did not. Significant cue-reactive changes in anxiety, and volitional control were observed from neutral to aversive flying cue were observed. After accounting for the effects of flying anxiety severity, only volitional control significantly improved the prediction of cue-reactive anxiety. Participants in the affect labelling condition reported significantly smaller increases in anxiety than the non-affect labelling group following exposure to the aversive flight cue. This is the first study to indicate affect labelling may help to regulate aspects of cue-reactive anxiety in response to aversive flying stimuli.

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“…As shown in Table 1, the authors did not define the construct univocally. Although most used the term dissociation, others referred to it as the flow (Dixon et al, 2019;Murch et al, 2017), ASA (McKeith et al, 2017), and altered state of consciousness (Tricker et al, 2016), with few studies contemporary investigating more than one of these variables. Depending on the type of construct considered, there is a difference in the choice of tests used.…”

Section: Systematic Review Of Studiesmentioning

confidence: 99%

“…The PCI assesses 12 dimensions of phenomenological experience (e.g., Time Sense, Imagery, Volitional Control, Arousal, and ASA). The ASA dimension consists of three pairs of questions rated on a seven-point dipole scale (0-6), enquiring about the occurrence of unusual states of consciousness (Tricker et al, 2016).…”

Section: Systematic Review Of Studiesmentioning

confidence: 99%

Gambling disorder and dissociative features: A systematic review and meta-analysis.

Rogier

Zobel

Marini

et al. 2021

Psychology of Addictive Behaviors

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Objective: Multilevel consequences related to gambling disorder (GD) are glaring enough to make gambling a worldwide public health issue. Dissociation has been pointed out in clinical, empirical, and theoretical contributions as a key variable accounting for the development and maintenance of GD. However, we still lack a systematization of available empirical data that may facilitate further accurate conclusions. Method: A systematic review and meta-analysis were performed with the goal to answer to open questions. We followed the PRISMA guidelines conducting a systematic search of 5 scientific databases (PsycINFO, PsycARTICLES, MEDLINE, Scopus, Web of Science, and PubMed) including grey literature. Results: A total of 843 records were screened, and 20 studies were included in the qualitative and quantitative analyses. A systematic review of selected studies outlines the high heterogeneity in the operationalization of the dissociation construct as well as the absence of studies examining the role played by the specific dimensions of the pathological dissociative feature in GD. A significant, positive, and moderate effect size (r = .37) was found linking GD to dissociation. Moreover, this effect appears to not be moderated by the quality of studies, age, and gender of participants nor measures used to evaluate dissociation. Conclusions: Despite empirical evidences supporting the theoretical assertions toward the relationship between GD and dissociation, few studies have reached an articulated understanding of this topic, mostly failing to identify specific dissociative features involved in GD. Furthermore, the existence of the current gap in the literature are discussed to delineate future lines of research.

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Cue-Reactive Altered State of Consciousness Mediates the Relationship Between Problem-Gambling Severity and Cue-Reactive Urge in Poker-Machine Gamblers

Cited by 13 publications

References 32 publications

Direct Marketing Experiences Among Individuals With Current and Lifetime Gambling Disorder

Direct Marketing Experiences Among Individuals With Current and Lifetime Gambling Disorder

The impact of affect labelling on responses to aversive flying-cues

Gambling disorder and dissociative features: A systematic review and meta-analysis.

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