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Title: Effect of executive functioning, decision-making and self-reported impulsivity on the treatment outcome of pathologic gambling
Author: Alvarez-Moya, Eva
Ochoa Arnedo, Cristian
Jiménez-Murcia, Susana
Aymamí, Maria Neus
Gómez-Peña, Mónica
Fernández Aranda, Fernando
Santamaría, Juan José
Moragas, Laura
Bove, Francesca
Menchón Magriñá, José Manuel
Keywords: Joc compulsiu
Conducta compulsiva
Funcions executives (Neuropsicologia)
Teràpia cognitiva
Compulsive gambling
Compulsive behavior
Executive functions (Neuropsychology)
Cognitive therapy
Play therapy
Issue Date: 2011
Publisher: Canadian Medical Association
Abstract: Background: Impairments in self-regulatory behaviour reflect a deficit in executive functioning and decision-making, as well as higher levels of self-reported impulsivity, and may be involved in the development and maintenance of addictive disorders. We sought to explore the association between self-reported impulsivity and neurocognitive measures, and their association with treatment outcome in pathologic gambling. Methods: We assessed patients with pathologic gambling using executive functioning and decision-making tests and self-report measures of impulsivity. Patients underwent cognitive-behavioural therapy (CBT) for pathologic gambling. Results: We included 88 patients (8% women) in our study. High self-reported extravagance was associated with poor performance in the Iowa Gambling Task (IGT)-ABCD version. High impulsiveness, low disorderliness, high exploratory excitability (trend), poor backward block span and poor IGT-EFGH scores (trend) predicted dropout. We observed no self-reported or neurocognitive predictors of relapse or number of treatment sessions attended. Limitations: Most participants were slot-machine gamblers seeking treatment. No follow-up data and no control group were included in the study. The missing sample (i.e., individuals who were recruited and assessed in the pretreatment stage but who chose not to begin treatment) had higher extravagance scores than the final sample. Conclusion: Neurocognitive reward sensitivity was related to self-reported overspending behaviour. Self-regulatory impairments (especially rash impulsiveness and punishment sensitivity) and executive dysfunction predicted only dropout of CBT in participants with pathologic gambling. Different neurocognitive processes and personality traits might mediate treatment response to psychological therapy of pathologic gambling according to the specific target variable assessed.
Note: Reproducció del document publicat a:
It is part of: Journal of Psychiatry & Neuroscience, 2011, vol. 36, num. 3, p. 165-175
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ISSN: 1180-4882
Appears in Collections:Articles publicats en revistes (Psicologia Clínica i Psicobiologia)

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