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Impulsivity measures do not predict relapse in pathological gamblers

Published online by Cambridge University Press:  16 April 2020

B. De Wilde
Affiliation:
PC Broeders Alexianen, Boechout, Nijmegen, The Netherlands Collaborative Antwerp Psychiatry Research Institute, Nijmegen, The Netherlands Universiteit Antwerpen, Antwerpen, Belgium, Nijmegen, The Netherlands
B. Sabbe
Affiliation:
Collaborative Antwerp Psychiatry Research Institute, Nijmegen, The Netherlands Universiteit Antwerpen, Antwerpen, Belgium, Nijmegen, The Netherlands
W. Hulstijn
Affiliation:
Collaborative Antwerp Psychiatry Research Institute, Nijmegen, The Netherlands Universiteit Antwerpen, Antwerpen, Belgium, Nijmegen, The Netherlands Radboud Universiteit Nijmegen, Nijmegen, The Netherlands
G. Dom
Affiliation:
PC Broeders Alexianen, Boechout, Nijmegen, The Netherlands Collaborative Antwerp Psychiatry Research Institute, Nijmegen, The Netherlands Universiteit Antwerpen, Antwerpen, Belgium, Nijmegen, The Netherlands

Abstract

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Background and objectives

Pathological gamblers (PG) are often compared to substance dependent patients. Analogous to research into relapse into chemical addictions, a longitudinal outcome design was created to evaluate the impact of impulsivity measures on one-year relapse of pathological gamblers.

Methods

Twenty-two PG without comorbid substance use disorders and 31 healthy controls (HC) were compared on measures of impulsivity (Baratt Impulsiveness Scale, Delay Discounting Task, Iowa Gambling Task, Sensitivity to Punishment and Sensitivity to Reward Questionnaires, Stroop Color Word Task). The associations between these impulsivity measures and one-year relapse of pathological gambling were examined.

Results

PG_Abstainers (N = 9) had a later age of onset and gambled for a shorter period than PG_Non-abstainers (N = 13). The PG groups did not differ in impulsivity measures. Healthy controls and PG differed on the Barratt Impulsiveness Scale and the Stroop Color Word Task, but not on the other impulsivity measures.

Discussion

The present data show that PG are not always impulsive and that gambling histories, rather than impulsivity measures, predict one-year relapse.

Type
P01-23
Copyright
Copyright © European Psychiatric Association 2011
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