Decision making, cognitive distortions and emotional distress: A comparison between pathological gamblers and healthy controls
Decision making, cognitive distortions and emotional distress: A comparison between pathological gamblers and healthy controls
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DOI：
10.1016/j.jbtep.2016.08.012
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发表时间：
2017-03-01
影响因子：
1.8
通讯作者：
Cosenza, Marina
中科院分区：
文献类型：
--
作者：
Ciccarelli, Maria;Griffiths, Mark D.;Cosenza, Marina
背景和目的：问题赌博的病因是多方面和复杂的。除其他因素外，决策不善，认知扭曲（即，关于赌博的非理性信念），以及情绪因素（例如，消极情绪状态）似乎是问题赌博发展和维持的最重要因素之一。虽然经验证据表明，认知扭曲促进赌博和负面情绪与赌博，认知扭曲之间的相互作用，情绪状态，并在赌博决策仍然没有探索。方法：病理性赌徒（N = 54）和健康对照（N = 54）完成了南橡树赌博筛选（SOGS），爱荷华州赌博任务（IGT），结果：与健康对照组相比，病理性赌博者的决策能力较差，在认知扭曲和情绪困扰方面得分较高。所有的措施都与赌博的严重程度呈正相关。一个显着的负相关关系决策和认知扭曲也被观察到。在糟糕的决策和情绪困扰之间没有发现任何联系。Logistic回归分析表明，认知扭曲，情绪困扰，决策能力差的问题赌博的显着预测。局限性：使用自我报告的措施和女性参与者的情况下，限制了报告的调查结果的普遍性。结论：本研究是第一次证明非理性信念和决策不良之间的相互影响，以及认知偏差，情绪困扰，决策不良的赌博障碍的作用。(C)2016爱思唯尔有限公司版权所有
Background and objectives: The etiology of problem gambling is multifaceted and complex. Among others factors, poor decision making, cognitive distortions (i.e., irrational beliefs about gambling), and emotional factors (e.g., negative mood states) appear to be among the most important factors in the development and maintenance of problem gambling. Although empirical evidence has suggested that cognitive distortions facilitate gambling and negative emotions are associated with gambling, the interplay between cognitive distortions, emotional states, and decision making in gambling remains unexplored.Methods: Pathological gamblers (N = 54) and healthy controls (N = 54) completed the South Oaks Gambling Screen (SOGS), the Iowa Gambling Task (IGT), the Gambling Related Cognitions Scale (GRCS), and the Depression Anxiety Stress Scale (DASS-21).Results: Compared to healthy controls, pathological gamblers showed poorer decision making and reported higher scores on measures assessing cognitive distortions and emotional distress. All measures were positively associated with gambling severity. A significant negative correlation between decision making and cognitive distortions was also observed. No associations were found between poor decision making and emotional distress. Logistic regression analysis indicated that cognitive distortions, emotional distress, and poor decision making were significant predictors of problem gambling. Limitations: The use of self-report measures and the absence of female participants limit the generalizability of the reported findings.Conclusions: The present study is the first to demonstrate the mutual influence between irrational beliefs and poor decision making, as well as the role of cognitive bias, emotional distress, and poor decision making in gambling disorder. (C) 2016 Elsevier Ltd. All rights reserved.