Skip to main content
Top
Published in: Journal of Gambling Studies 4/2016

01-12-2016 | Original Paper

Decision-Making, Cognitive Distortions and Alcohol Use in Adolescent Problem and Non-problem Gamblers: An Experimental Study

Authors: Maria Ciccarelli, Mark D. Griffiths, Giovanna Nigro, Marina Cosenza

Published in: Journal of Gambling Studies | Issue 4/2016

Login to get access

Abstract

In the psychological literature, many studies have investigated the neuropsychological and behavioral changes that occur developmentally during adolescence. These studies have consistently observed a deficit in the decision-making ability of children and adolescents. This deficit has been ascribed to incomplete brain development. The same deficit has also been observed in adult problem and pathological gamblers. However, to date, no study has examined decision-making in adolescents with and without gambling problems. Furthermore, no study has ever examined associations between problem gambling, decision-making, cognitive distortions and alcohol use in youth. To address these issues, 104 male adolescents participated in this study. They were equally divided in two groups, problem gamblers and non-problem gamblers, based on South Oaks Gambling Screen Revised for Adolescents scores. All participants performed the Iowa gambling task and completed the Gambling Related Cognitions Scale and the alcohol use disorders identification test. Adolescent problem gamblers displayed impaired decision-making, reported high cognitive distortions, and had more problematic alcohol use compared to non-problem gamblers. Strong correlations between problem gambling, alcohol use, and cognitive distortions were observed. Decision-making correlated with interpretative bias. This study demonstrated that adolescent problem gamblers appear to have the same psychological profile as adult problem gamblers and that gambling involvement can negatively impact on decision-making ability that, in adolescence, is still developing. The correlations between interpretative bias and decision-making suggested that the beliefs in the ability to influence gambling outcomes may facilitate decision-making impairment.
Footnotes
1
In the DSM-IV (American Psychiatric Association 1994), excessive problematic gambling behaviour was termed “pathological gambling”, whereas in the DSM-5 (American Psychiatric Association 2013), the name was changed to “gambling disorder” (Petry et al. 2014)”.
 
Literature
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM). Washington, DC: American Psychiatric Association.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRef
go back to reference Barnes, G. M., Welte, J. W., Hoffman, J. H., & Dintcheff, B. A. (2002). Effects of alcohol misuse on gambling patterns in youth. Journal of Studies on Alcohol, 63(6), 767–775.CrossRefPubMed Barnes, G. M., Welte, J. W., Hoffman, J. H., & Dintcheff, B. A. (2002). Effects of alcohol misuse on gambling patterns in youth. Journal of Studies on Alcohol, 63(6), 767–775.CrossRefPubMed
go back to reference Bechara, A., & Damasio, H. (2002). Decision-making and addiction (part I): Impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences. Neuropsychologia, 40, 1675–1689.CrossRefPubMed Bechara, A., & Damasio, H. (2002). Decision-making and addiction (part I): Impaired activation of somatic states in substance dependent individuals when pondering decisions with negative future consequences. Neuropsychologia, 40, 1675–1689.CrossRefPubMed
go back to reference Bechara, A., Damasio, A. R., Damasio, H., & Anderson, S. W. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50, 7–15.CrossRefPubMed Bechara, A., Damasio, A. R., Damasio, H., & Anderson, S. W. (1994). Insensitivity to future consequences following damage to human prefrontal cortex. Cognition, 50, 7–15.CrossRefPubMed
go back to reference Bechara, A., Damasio, H., Tranel, D., & Anderson, S. W. (1998). Dissociation of working memory from decision making within the human prefrontal cortex. Journal of Neuroscience, 18, 428–437.PubMed Bechara, A., Damasio, H., Tranel, D., & Anderson, S. W. (1998). Dissociation of working memory from decision making within the human prefrontal cortex. Journal of Neuroscience, 18, 428–437.PubMed
go back to reference Bechara, A., Dolan, S., Denburg, N., Hindes, A., Anderson, S., & Nathan, P. (2001). Decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers. Neuropsychologia, 39, 376–389.CrossRefPubMed Bechara, A., Dolan, S., Denburg, N., Hindes, A., Anderson, S., & Nathan, P. (2001). Decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers. Neuropsychologia, 39, 376–389.CrossRefPubMed
go back to reference Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine, 36, 943–953.CrossRefPubMed Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine, 36, 943–953.CrossRefPubMed
go back to reference Blanco, C., Moreyra, P., Nunes, E. V., Saiz-Ruiz, J., & Ibanez, A. (2001). Pathological gambling: Addiction or compulsion? Seminars in Clinical Neuropsychiatry, 6(3), 167–176.CrossRefPubMed Blanco, C., Moreyra, P., Nunes, E. V., Saiz-Ruiz, J., & Ibanez, A. (2001). Pathological gambling: Addiction or compulsion? Seminars in Clinical Neuropsychiatry, 6(3), 167–176.CrossRefPubMed
go back to reference Cassotti, M., Houdé, O., & Moutier, S. (2011). Developmental changes of win-stay and loss-shift strategies in decision making. Child Neuropsychology, 17, 400–411.CrossRefPubMed Cassotti, M., Houdé, O., & Moutier, S. (2011). Developmental changes of win-stay and loss-shift strategies in decision making. Child Neuropsychology, 17, 400–411.CrossRefPubMed
go back to reference Cauffman, E., Shulman, E. P., Steinberg, L., Claus, E., Banich, M. T., Graham, S., & Woolard, J. (2010). Age differences in affective decision making as indexed by performance on the Iowa gambling task. Developmental Psychology, 46, 193–207.CrossRefPubMed Cauffman, E., Shulman, E. P., Steinberg, L., Claus, E., Banich, M. T., Graham, S., & Woolard, J. (2010). Age differences in affective decision making as indexed by performance on the Iowa gambling task. Developmental Psychology, 46, 193–207.CrossRefPubMed
go back to reference Chiesi, F., Donati, M. A., Galli, S., & Primi, C. (2013). The suitability of the South Oaks Gambling Screen-Revised for Adolescents (SOGS-RA) as a screening tool: IRT-based evidence. Psychology of Addictive Behaviors, 27, 287–293.CrossRefPubMed Chiesi, F., Donati, M. A., Galli, S., & Primi, C. (2013). The suitability of the South Oaks Gambling Screen-Revised for Adolescents (SOGS-RA) as a screening tool: IRT-based evidence. Psychology of Addictive Behaviors, 27, 287–293.CrossRefPubMed
go back to reference Cosenza, M., Baldassarre, I., Matarazzo, O., & Nigro, G. (2014). Youth at stake: Alexithymia, cognitive distortions, and problem gambling in late adolescents. Cognitive Computation, 6, 652–660.CrossRef Cosenza, M., Baldassarre, I., Matarazzo, O., & Nigro, G. (2014). Youth at stake: Alexithymia, cognitive distortions, and problem gambling in late adolescents. Cognitive Computation, 6, 652–660.CrossRef
go back to reference Cosenza, M., & Nigro, G. (2015). Wagering the future: Cognitive distortions, impulsivity, delay discounting, and time perspective in adolescent gambling. Journal of Adolescence, 45, 56–66.CrossRefPubMed Cosenza, M., & Nigro, G. (2015). Wagering the future: Cognitive distortions, impulsivity, delay discounting, and time perspective in adolescent gambling. Journal of Adolescence, 45, 56–66.CrossRefPubMed
go back to reference Critchley, H. D., Mathias, C. J., & Dolan, R. J. (2001). Neural activity in the human brain relating to uncertainty and arousal during anticipation. Neuron, 29, 537–545.CrossRefPubMed Critchley, H. D., Mathias, C. J., & Dolan, R. J. (2001). Neural activity in the human brain relating to uncertainty and arousal during anticipation. Neuron, 29, 537–545.CrossRefPubMed
go back to reference Crone, E. A., Bunge, S. A., Latenstein, H., & van der Molen, M. W. (2005). Characterization of children’s decision making: Sensitivity to punishment frequency, not task complexity. Child Neuropsychology, 11, 245–263.CrossRefPubMed Crone, E. A., Bunge, S. A., Latenstein, H., & van der Molen, M. W. (2005). Characterization of children’s decision making: Sensitivity to punishment frequency, not task complexity. Child Neuropsychology, 11, 245–263.CrossRefPubMed
go back to reference Crone, E. A., & van der Molen, M. W. (2004). Developmental changes in real life decision making: Performance on a gambling task previously shown to depend on the ventromedial prefrontal cortex. Developmental Neuropsychology, 25(3), 251–279.CrossRefPubMed Crone, E. A., & van der Molen, M. W. (2004). Developmental changes in real life decision making: Performance on a gambling task previously shown to depend on the ventromedial prefrontal cortex. Developmental Neuropsychology, 25(3), 251–279.CrossRefPubMed
go back to reference Crone, E. A., Vendel, I., & van der Molen, M. W. (2003). Decision-making in disinhibited adolescents and adults: Insensitivity to future consequences or driven by immediate reward? Personality and Individual Differences, 35, 1625–1641.CrossRef Crone, E. A., Vendel, I., & van der Molen, M. W. (2003). Decision-making in disinhibited adolescents and adults: Insensitivity to future consequences or driven by immediate reward? Personality and Individual Differences, 35, 1625–1641.CrossRef
go back to reference Damasio, A. R. (1994). Descartes’ error: Emotion, rationality and the human brain. New York: Avon Books. Damasio, A. R. (1994). Descartes’ error: Emotion, rationality and the human brain. New York: Avon Books.
go back to reference Delfabbro, P., Lahn, J., & Grabosky, P. (2006). It’s not what you know, but how you use it: Statistical knowledge and adolescent problem gambling. Journal of Gambling Studies, 22, 179–193.CrossRefPubMed Delfabbro, P., Lahn, J., & Grabosky, P. (2006). It’s not what you know, but how you use it: Statistical knowledge and adolescent problem gambling. Journal of Gambling Studies, 22, 179–193.CrossRefPubMed
go back to reference Duhig, A. M., Maciejewski, P. K., Desai, R. A., Krishnan-Sarin, S., & Potenza, M. N. (2007). Characteristics of adolescent past-year gamblers and non-gamblers in relation to alcohol drinking. Addictive Behaviors, 32(1), 80–89.CrossRefPubMed Duhig, A. M., Maciejewski, P. K., Desai, R. A., Krishnan-Sarin, S., & Potenza, M. N. (2007). Characteristics of adolescent past-year gamblers and non-gamblers in relation to alcohol drinking. Addictive Behaviors, 32(1), 80–89.CrossRefPubMed
go back to reference Elliott, R., Dolan, R. J., & Frith, C. D. (2000). Dissociable functions in the medial and lateral orbitofrontal cortex: Evidence from human neuroimaging studies. Cerebral Cortex, 10, 308–317.CrossRefPubMed Elliott, R., Dolan, R. J., & Frith, C. D. (2000). Dissociable functions in the medial and lateral orbitofrontal cortex: Evidence from human neuroimaging studies. Cerebral Cortex, 10, 308–317.CrossRefPubMed
go back to reference Ernst, M., Bolla, K., Mouratidis, M., Contoreggi, C., Matochik, J. A., Kurian, V., et al. (2002). Decision-making in a risk-taking task: A PET study. Neuropsychopharmacology, 26, 682–691.CrossRefPubMed Ernst, M., Bolla, K., Mouratidis, M., Contoreggi, C., Matochik, J. A., Kurian, V., et al. (2002). Decision-making in a risk-taking task: A PET study. Neuropsychopharmacology, 26, 682–691.CrossRefPubMed
go back to reference Forbush, K. T., Shaw, M., Graeber, M. A., Hovick, L., Meyer, V. J., Moser, D. J., et al. (2008). Neuropsychological characteristics and personality traits in pathological gambling. CNS Spectrums, 13, 306–315.CrossRefPubMed Forbush, K. T., Shaw, M., Graeber, M. A., Hovick, L., Meyer, V. J., Moser, D. J., et al. (2008). Neuropsychological characteristics and personality traits in pathological gambling. CNS Spectrums, 13, 306–315.CrossRefPubMed
go back to reference Goodie, A. S., & Fortune, E. E. (2013). Measuring cognitive distortions in pathological gambling: Review and meta-analyses. Psychology of Addictive Behaviors, 27(3), 730–743.CrossRefPubMed Goodie, A. S., & Fortune, E. E. (2013). Measuring cognitive distortions in pathological gambling: Review and meta-analyses. Psychology of Addictive Behaviors, 27(3), 730–743.CrossRefPubMed
go back to reference Goudriaan, A. E., Oosterlaan, J., de Beurs, E., & van den Brink, W. (2005). Decision making in pathological gambling: A comparison between pathological gamblers, alcohol dependents, persons with Tourette syndrome, and normal controls. Cognitive Brain Research, 23, 137–151.CrossRefPubMed Goudriaan, A. E., Oosterlaan, J., de Beurs, E., & van den Brink, W. (2005). Decision making in pathological gambling: A comparison between pathological gamblers, alcohol dependents, persons with Tourette syndrome, and normal controls. Cognitive Brain Research, 23, 137–151.CrossRefPubMed
go back to reference Goudriaan, A. E., Oosterlaan, J., de Beurs, E., & van den Brink, W. (2006). Psychophysiological determinants and concomitants of deficient decision making in pathological gamblers. Drug and Alcohol Dependence, 84, 231–239.CrossRefPubMed Goudriaan, A. E., Oosterlaan, J., de Beurs, E., & van den Brink, W. (2006). Psychophysiological determinants and concomitants of deficient decision making in pathological gamblers. Drug and Alcohol Dependence, 84, 231–239.CrossRefPubMed
go back to reference Griffiths, M. D. (1994). The role of cognitive bias and skill in fruit machine gambling. British Journal of Psychology, 85(3), 351–369.CrossRef Griffiths, M. D. (1994). The role of cognitive bias and skill in fruit machine gambling. British Journal of Psychology, 85(3), 351–369.CrossRef
go back to reference Griffiths, M. D. (1995). Adolescent gambling. London: Routledge. Griffiths, M. D. (1995). Adolescent gambling. London: Routledge.
go back to reference Hooper, C. J., Luciana, M., Conklin, H. M., & Yarger, R. S. (2004). Adolescents’ performance on the Iowa gambling task: Implications for the development of decision making and ventromedial prefrontal cortex. Developmental Psychology, 40, 1148–1158.CrossRefPubMed Hooper, C. J., Luciana, M., Conklin, H. M., & Yarger, R. S. (2004). Adolescents’ performance on the Iowa gambling task: Implications for the development of decision making and ventromedial prefrontal cortex. Developmental Psychology, 40, 1148–1158.CrossRefPubMed
go back to reference Iliceto, P., Fino, E., Cammarota, C., Giovani, E., Petrucci, F., Desimoni, M., et al. (2015). Factor structure and psychometric properties of the Italian version of the Gambling Related Cognitions Scale (GRCS-I). Journal of Gambling Studies, 31, 225–242.CrossRefPubMed Iliceto, P., Fino, E., Cammarota, C., Giovani, E., Petrucci, F., Desimoni, M., et al. (2015). Factor structure and psychometric properties of the Italian version of the Gambling Related Cognitions Scale (GRCS-I). Journal of Gambling Studies, 31, 225–242.CrossRefPubMed
go back to reference Joukhador, J., Blaszczynski, A., & Maccallum, F. (2004). Superstitious beliefs in gambling among problem and non-problem gamblers: Preliminary data. Journal of Gambling Studies, 20(2), 171–180.CrossRefPubMed Joukhador, J., Blaszczynski, A., & Maccallum, F. (2004). Superstitious beliefs in gambling among problem and non-problem gamblers: Preliminary data. Journal of Gambling Studies, 20(2), 171–180.CrossRefPubMed
go back to reference Ladouceur, R., Gaboury, A., Bujold, A., Lachance, N., & Tremblay, S. (1991). Ecological validity of laboratory studies of videopoker gaming. Journal of Gambling Studies, 7, 109–116.CrossRefPubMed Ladouceur, R., Gaboury, A., Bujold, A., Lachance, N., & Tremblay, S. (1991). Ecological validity of laboratory studies of videopoker gaming. Journal of Gambling Studies, 7, 109–116.CrossRefPubMed
go back to reference Lakey, C. E., Goodie, A. S., & Campbell, W. K. (2007). Frequent card playing and pathological gambling: The utility of the Georgia Gambling Task and Iowa gambling task for predicting pathology. Journal of Gambling Studies, 23, 285–297.CrossRefPubMed Lakey, C. E., Goodie, A. S., & Campbell, W. K. (2007). Frequent card playing and pathological gambling: The utility of the Georgia Gambling Task and Iowa gambling task for predicting pathology. Journal of Gambling Studies, 23, 285–297.CrossRefPubMed
go back to reference Liu, T., Maciejewski, P. K., & Potenza, M. N. (2009). The relationship between recreational gambling and substance abuse/dependence: Data from a nationally representative sample. Drug and Alcohol Dependence, 100, 164–168.CrossRefPubMed Liu, T., Maciejewski, P. K., & Potenza, M. N. (2009). The relationship between recreational gambling and substance abuse/dependence: Data from a nationally representative sample. Drug and Alcohol Dependence, 100, 164–168.CrossRefPubMed
go back to reference Lorains, F. K., Dowling, N. A., Enticott, P. G., Bradshaw, J. L., Trueblood, J. S., & Stout, J. C. (2014). Strategic and non-strategic problem gamblers differ on decision-making under risk and ambiguity. Addiction, 109, 1128–1137.CrossRefPubMed Lorains, F. K., Dowling, N. A., Enticott, P. G., Bradshaw, J. L., Trueblood, J. S., & Stout, J. C. (2014). Strategic and non-strategic problem gamblers differ on decision-making under risk and ambiguity. Addiction, 109, 1128–1137.CrossRefPubMed
go back to reference Monterosso, J., Ehrman, R., Napier, K. L., O’Brien, C. P., & Chidress, A. R. (2001). Three decision-making tasks in cocaine-dependent patients: Do they measure the same construct? Addiction, 96, 1825–1837.CrossRefPubMed Monterosso, J., Ehrman, R., Napier, K. L., O’Brien, C. P., & Chidress, A. R. (2001). Three decision-making tasks in cocaine-dependent patients: Do they measure the same construct? Addiction, 96, 1825–1837.CrossRefPubMed
go back to reference Petry, N. M., Blanco, C., Auriacombe, M., Borges, G., Bucholz, K., Crowley, T. J., et al. (2014). An overview of and rationale for changes proposed for pathological gambling in DSM-5. Journal of Gambling Studies, 30, 493–502.CrossRefPubMedPubMedCentral Petry, N. M., Blanco, C., Auriacombe, M., Borges, G., Bucholz, K., Crowley, T. J., et al. (2014). An overview of and rationale for changes proposed for pathological gambling in DSM-5. Journal of Gambling Studies, 30, 493–502.CrossRefPubMedPubMedCentral
go back to reference Raylu, N., & Oei, T. P. (2004). The Gambling Related Cognitions Scale (GRCS): Development, confirmatory factor validation and psychometric properties. Addiction, 99, 757–769.CrossRefPubMed Raylu, N., & Oei, T. P. (2004). The Gambling Related Cognitions Scale (GRCS): Development, confirmatory factor validation and psychometric properties. Addiction, 99, 757–769.CrossRefPubMed
go back to reference Saunders, J. B., Aasland, O. G., Babor, T. F., De la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT). WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88, 791–804.CrossRefPubMed Saunders, J. B., Aasland, O. G., Babor, T. F., De la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT). WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88, 791–804.CrossRefPubMed
go back to reference Smith, D. G., Xiao, L., & Bechara, A. (2012). Decision making in children and adolescents: Impaired Iowa gambling task performance in early adolescence. Developmental Psychology, 48, 1180–1187.CrossRefPubMed Smith, D. G., Xiao, L., & Bechara, A. (2012). Decision making in children and adolescents: Impaired Iowa gambling task performance in early adolescence. Developmental Psychology, 48, 1180–1187.CrossRefPubMed
go back to reference Steinberg, L. (2005). Cognitive and affective development in adolescence. Trends in Cognitive Sciences, 9, 69–74.CrossRefPubMed Steinberg, L. (2005). Cognitive and affective development in adolescence. Trends in Cognitive Sciences, 9, 69–74.CrossRefPubMed
go back to reference Stinchfield, R. D., & Winters, K. C. (1998). Adolescent gambling: A review of prevalence, risk factors and health implications. Annals of the American Academy of Political and Social Science, 556, 172–185.CrossRef Stinchfield, R. D., & Winters, K. C. (1998). Adolescent gambling: A review of prevalence, risk factors and health implications. Annals of the American Academy of Political and Social Science, 556, 172–185.CrossRef
go back to reference Toneatto, T., Blitz-Miller, T., Calderwood, K., Dragonetti, R., & Tsanos, A. (1997). Cognitive distortions in heavy gambling. Journal of Gambling Studies, 13, 253–266.CrossRefPubMed Toneatto, T., Blitz-Miller, T., Calderwood, K., Dragonetti, R., & Tsanos, A. (1997). Cognitive distortions in heavy gambling. Journal of Gambling Studies, 13, 253–266.CrossRefPubMed
go back to reference Vitaro, F., Brendgen, M., Ladouceur, R., & Tremblay, R. E. (2001). Gambling, delinquency, and drug use during adolescence: Mutual influences and common risk factors. Journal of Gambling Studies, 17, 171–190.CrossRefPubMed Vitaro, F., Brendgen, M., Ladouceur, R., & Tremblay, R. E. (2001). Gambling, delinquency, and drug use during adolescence: Mutual influences and common risk factors. Journal of Gambling Studies, 17, 171–190.CrossRefPubMed
go back to reference Wiehler, A., & Peters, J. (2015). Reward-based decision making in pathological gambling: The roles of risk and delay. Neuroscience Research, 90, 3–14.CrossRefPubMed Wiehler, A., & Peters, J. (2015). Reward-based decision making in pathological gambling: The roles of risk and delay. Neuroscience Research, 90, 3–14.CrossRefPubMed
go back to reference Winters, K. C., Stinchfield, R. D., & Fulkerson, J. (1993). Toward the development of an adolescent gambling problem severity scale. Journal of Gambling Studies, 9, 63–84.CrossRef Winters, K. C., Stinchfield, R. D., & Fulkerson, J. (1993). Toward the development of an adolescent gambling problem severity scale. Journal of Gambling Studies, 9, 63–84.CrossRef
Metadata
Title
Decision-Making, Cognitive Distortions and Alcohol Use in Adolescent Problem and Non-problem Gamblers: An Experimental Study
Authors
Maria Ciccarelli
Mark D. Griffiths
Giovanna Nigro
Marina Cosenza
Publication date
01-12-2016
Publisher
Springer US
Published in
Journal of Gambling Studies / Issue 4/2016
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-016-9597-7

Other articles of this Issue 4/2016

Journal of Gambling Studies 4/2016 Go to the issue