Increased impulsivity in pathological gambling: Considering nicotine dependence

Increased impulsivity in pathological gambling: Considering nicotine dependence
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病理性赌博的冲动性增加:考虑尼古丁依赖

DOI:
10.1080/13803395.2015.1018145
复制
发表时间:
2015
影响因子:
2.2
通讯作者:
G. Goschke
G. Goschke
中科院分区:
心理学4区
文献类型:
--
作者:
Kräplin;Behrendt;Scherbaum;Dshemuchadse;Bühringer;G. Goschke

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引言它已被强调,增加冲动是一个重要的病因病理性赌博(PG)。然而,高度流行的共病精神障碍在PG中的作用仍不清楚。这是一个特别值得关注的问题,因为PG和尼古丁依赖(ND)之间的共患病率最高,而这反过来又与冲动性增加有关。本研究的目的是找出是否增加冲动PG是一个具体的特点,共病的精神障碍,一般或特别是ND.MethodA横断面研究设计,包括一个健康对照组和三个障碍组与共病PG不包括ND,共病PG包括ND,ND单独根据诊断和统计手册的精神障碍-第四版。冲动进行了评估,根据尺寸的反应和选择的冲动,应用行为和自我报告measurements.ResultsWe发现(一)增加响应冲动的共病PG组相比,对照组。此外,与单独ND相比,发现(B)排除ND的共病PG和(c)包括ND的共病PG的选择冲动增加。其他组的差异没有达到显着性。ConclusionsOur研究结果强调,共病PG股赤字与ND的抑制控制。与此相反,适应不良的选择是一个特定的障碍特征的共病PG相比,ND。如果在进一步的研究中复制,加强认知控制技能的干预策略可能是有效的共病PG以及ND,而策略提高适应不良的奖励价值可能是特别有效的共病PG。
IntroductionIt has been highlighted that increased impulsivity is an important etiological factor in pathological gambling (PG). However, the role of the highly prevalent comorbid mental disorders in PG remains unclear. This is of special concern as the highest comorbidity was found between PG and nicotine dependence (ND), which, in turn, has also been associated with heightened impulsivity. This study aimed to find out whether increased impulsivity in PG is a specific characteristic related to comorbid mental disorders in general or especially to ND.MethodA cross-sectional study was designed that included a healthy control group and three disorder groups with comorbid PG excluding ND, comorbid PG including ND, and ND alone according to theDiagnostic and Statistical Manual of Mental Disorders–Fourth Edition. Impulsivity was assessed according to the dimensions response and choice impulsivity applying behavioral and self-report measures.ResultsWe found (a) increased response impulsivity in the comorbid PG group when compared to the control group. Furthermore, increased choice impulsivity was found (b) in comorbid PG excluding ND and (c) in comorbid PG including ND when compared to ND alone. Other group differences did not reach significance.ConclusionsOur findings highlight that comorbid PG shares deficits in inhibitory control with ND. In contrast, maladaptive choices are a specific disorder characteristic of comorbid PG when compared to ND. If replicated in further studies, intervention strategies strengthening cognitive control skills might be effective for comorbid PG as well as ND whereas strategies enhancing maladaptive valuation of rewards might be specifically effective in comorbid PG.
DOI: 10.1111/j.1530-0277.2010.01214.x
发表时间: 2010-08
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影响因子: --
作者:
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发表时间: 2004
期刊: Addictive behaviors.
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