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Cognitive distortions and ADHD in pathological gambling: A national longitudinal case-control cohort study.

Identifieur interne : 000F47 ( Main/Exploration ); précédent : 000F46; suivant : 000F48

Cognitive distortions and ADHD in pathological gambling: A national longitudinal case-control cohort study.

Auteurs : Lucia Romo [France] ; Cindy Legauffre [France] ; Alice Guilleux [France] ; Marc Valleur [France] ; David Magalon [France] ; Mélina Fatséas [France] ; Isabelle Chéreau-Boudet [France] ; Amandine Luquiens [France] ; Jean-Luc Vénisse [France] ; Marie Grall-Bronnec [France] ; Gaëlle Challet-Bouju [France]

Source :

RBID : pubmed:27774813

Descripteurs français

English descriptors

Abstract

Introduction The primary outcome of our study was to assess the links between the level of cognitive distortions and the severity of gambling disorder. We also aimed at assessing the links between patient gambling trajectories and attention deficit and hyperactivity disorder (ADHD). Materials and methods The study population (n = 628) was comprised of problem and non-problem gamblers of both sexes between 18 and 65 years of age, who reported gambling on at least one occasion during the previous year. Data encompassed socio-demographic characteristics, gambling habits, the South Oaks Gambling Screen, the Gambling Attitudes and Beliefs Survey - 23, the Wender Utah Rating Scale - Child, and the Adult ADHD Self-report Scale. Results The cognitive distortions with the greatest correlation to the severity of gambling disorder were the "Chasing" and "Emotions." These two dimensions were able to distinguish between problem gamblers seeking treatment or not. While age of onset of gambling and length of gambling practice were not associated with the level of distorted cognitions, a period of abstinence of at least 1 month was associated with a lower level of distorted cognitions. The presence of ADHD resulted in a higher level of distorted cognitions. Conclusion Cognitive work is essential to the prevention, and the treatment, of pathological gambling, especially with respect to emotional biases and chasing behavior. The instauration of an abstinence period of at least 1 month under medical supervision could be a promising therapeutic lead for reducing gambling-related erroneous thoughts and for improving care strategies of pathological gamblers.

DOI: 10.1556/2006.5.2016.070
PubMed: 27774813
PubMed Central: PMC5370370


Affiliations:


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Le document en format XML

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<term>Attention Deficit Disorder with Hyperactivity (psychology)</term>
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<term>Cognition (MeSH)</term>
<term>Cognition Disorders (complications)</term>
<term>Emotions (MeSH)</term>
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<term>Gambling (complications)</term>
<term>Gambling (psychology)</term>
<term>Gambling (therapy)</term>
<term>Humans (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient Acceptance of Health Care (psychology)</term>
<term>Psychiatric Status Rating Scales (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Socioeconomic Factors (MeSH)</term>
<term>Thinking (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<term>Acceptation des soins par les patients (psychologie)</term>
<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Cognition (MeSH)</term>
<term>Facteurs socioéconomiques (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Jeu de hasard (complications)</term>
<term>Jeu de hasard (psychologie)</term>
<term>Jeu de hasard (thérapie)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pensée (activité mentale) (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Trouble déficitaire de l'attention avec hyperactivité (complications)</term>
<term>Trouble déficitaire de l'attention avec hyperactivité (psychologie)</term>
<term>Troubles de la cognition (complications)</term>
<term>Échelles d'évaluation en psychiatrie (MeSH)</term>
<term>Émotions (MeSH)</term>
<term>Études cas-témoins (MeSH)</term>
<term>Études longitudinales (MeSH)</term>
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<term>Cognition Disorders</term>
<term>Gambling</term>
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<div type="abstract" xml:lang="en">Introduction The primary outcome of our study was to assess the links between the level of cognitive distortions and the severity of gambling disorder. We also aimed at assessing the links between patient gambling trajectories and attention deficit and hyperactivity disorder (ADHD). Materials and methods The study population (n = 628) was comprised of problem and non-problem gamblers of both sexes between 18 and 65 years of age, who reported gambling on at least one occasion during the previous year. Data encompassed socio-demographic characteristics, gambling habits, the South Oaks Gambling Screen, the Gambling Attitudes and Beliefs Survey - 23, the Wender Utah Rating Scale - Child, and the Adult ADHD Self-report Scale. Results The cognitive distortions with the greatest correlation to the severity of gambling disorder were the "Chasing" and "Emotions." These two dimensions were able to distinguish between problem gamblers seeking treatment or not. While age of onset of gambling and length of gambling practice were not associated with the level of distorted cognitions, a period of abstinence of at least 1 month was associated with a lower level of distorted cognitions. The presence of ADHD resulted in a higher level of distorted cognitions. Conclusion Cognitive work is essential to the prevention, and the treatment, of pathological gambling, especially with respect to emotional biases and chasing behavior. The instauration of an abstinence period of at least 1 month under medical supervision could be a promising therapeutic lead for reducing gambling-related erroneous thoughts and for improving care strategies of pathological gamblers.</div>
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<Month>11</Month>
<Day>13</Day>
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<Month>Dec</Month>
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<Title>Journal of behavioral addictions</Title>
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<AbstractText>Introduction The primary outcome of our study was to assess the links between the level of cognitive distortions and the severity of gambling disorder. We also aimed at assessing the links between patient gambling trajectories and attention deficit and hyperactivity disorder (ADHD). Materials and methods The study population (n = 628) was comprised of problem and non-problem gamblers of both sexes between 18 and 65 years of age, who reported gambling on at least one occasion during the previous year. Data encompassed socio-demographic characteristics, gambling habits, the South Oaks Gambling Screen, the Gambling Attitudes and Beliefs Survey - 23, the Wender Utah Rating Scale - Child, and the Adult ADHD Self-report Scale. Results The cognitive distortions with the greatest correlation to the severity of gambling disorder were the "Chasing" and "Emotions." These two dimensions were able to distinguish between problem gamblers seeking treatment or not. While age of onset of gambling and length of gambling practice were not associated with the level of distorted cognitions, a period of abstinence of at least 1 month was associated with a lower level of distorted cognitions. The presence of ADHD resulted in a higher level of distorted cognitions. Conclusion Cognitive work is essential to the prevention, and the treatment, of pathological gambling, especially with respect to emotional biases and chasing behavior. The instauration of an abstinence period of at least 1 month under medical supervision could be a promising therapeutic lead for reducing gambling-related erroneous thoughts and for improving care strategies of pathological gamblers.</AbstractText>
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<Affiliation>1 EA 4430 CLIPSYD "CLInique PSYchanalyse Développement," University of Paris Ouest Nanterre La Défense , Paris, France , and Unité Inserm U894, CPN , Paris, France .</Affiliation>
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<AffiliationInfo>
<Affiliation>2 Louis Mourier Hospital of Colombes, Assistance Publique - Hôpitaux de Paris (APHP ), Paris, France.</Affiliation>
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<LastName>Legauffre</LastName>
<ForeName>Cindy</ForeName>
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<Affiliation>1 EA 4430 CLIPSYD "CLInique PSYchanalyse Développement," University of Paris Ouest Nanterre La Défense , Paris, France , and Unité Inserm U894, CPN , Paris, France .</Affiliation>
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<ForeName>Marc</ForeName>
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<LastName>Chéreau-Boudet</LastName>
<ForeName>Isabelle</ForeName>
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<Affiliation>9 Psychiatry and Addictology Department, Paul Brousse University Hospital of Villejuif, Assistance Publique - Hôpitaux de Paris (APHP) , Villejuif, France.</Affiliation>
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<Affiliation>3 EA 4275 SPHERE "bioStatistics, Pharmacoepidemiology and Human sciEnces Research tEam," Faculties of Medicine and Pharmaceutical Sciences, University of Nantes , Nantes, France.</Affiliation>
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<Affiliation>10 Clinical Investigation Unit BALANCED "BehaviorAL AddictioNs and ComplEx mood Disorders," Department of Addictology and Psychiatry, University Hospital of Nantes , Nantes, France.</Affiliation>
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