Skip to main content
Top
Published in: BMC Psychiatry 1/2020

Open Access 01-12-2020 | Research article

Essential fatty acids and Barratt impulsivity in gambling disorder

Authors: Patricia Sanchez-Paez, Josefa Perez-Templado, Jeronimo Saiz-Ruiz, Oscar Pastor, Angela Ibañez

Published in: BMC Psychiatry | Issue 1/2020

Login to get access

Abstract

Background

Polyunsaturated fatty acids (PUFA) have been long implicated in the etiopathogenesis of mental illnesses, including disorders characterized by high impulsivity. The objective of most of the studies in this field is to determine the effect of omega-3 supplementation on the impulsive symptoms. In contrast, studies analyzing basal PUFA composition in patients with impulsive behaviors are very scarce, results are not yet conclusive, and to date, no publication has specifically evaluated this in gambling disorder. Therefore, the main purpose of this research is to examine the relationship between basal PUFA composition of plasma and erythrocyte membrane and impulsivity in subjects with gambling disorder.

Methods

It is an observational and cross-sectional study. The sample consisted of fifty-five men with gambling disorder, who voluntarily accepted to participate. Basal composition of PUFA in plasma and erythrocyte membrane was assessed by gas chromatography and mass spectrometry. Trait impulsivity was measured by the Barratt Impulsiveness Scale version 11 (BIS-11).

Results

Arachidonic acid (AA)/eicosapentaenoic acid (EPA) ratio in the erythrocyte membrane was negatively correlated with total scores in BIS-11. It was also observed that impulsive gamblers had a higher proportion of EPA and a lower value of AA/EPA and AA/docosahexaenoic acid (DHA) ratio in erythrocyte membrane than non-impulsive gamblers.

Conclusions

These results support the hypothesis that alteration of basal PUFA composition exists in disorders characterized by high impulsivity, although the direction of this is still unknown. Unfortunately, the empirical literature on this field is non-existent at the time and we have no direct means to support or refute these outcomes. Further research is needed to determine the relationship between essential fatty acids and disorders characterized by high impulsivity.
Literature
1.
go back to reference Evans SJ, Prossin AR, Harrington GJ, Kamali M, Ellingrod VL, Burant CF, et al. Fats and factors: lipid profiles associated with personality factors and suicidal history in bipolar subjects. PLoS One. 2012;7(1):e29297.CrossRef Evans SJ, Prossin AR, Harrington GJ, Kamali M, Ellingrod VL, Burant CF, et al. Fats and factors: lipid profiles associated with personality factors and suicidal history in bipolar subjects. PLoS One. 2012;7(1):e29297.CrossRef
2.
go back to reference Burdge GC, Calder PC. Conversion of alpha-linolenic acid to longer-chain polyunsaturated fatty acids in human adults. Reprod Nutr Dev. 2005;45(5):581–97.CrossRef Burdge GC, Calder PC. Conversion of alpha-linolenic acid to longer-chain polyunsaturated fatty acids in human adults. Reprod Nutr Dev. 2005;45(5):581–97.CrossRef
3.
go back to reference Leaf A. The electrophysiologic basis for the antiarrhythmic and anticonvulsant effects of n-3 polyunsaturated fatty acids: heart and brain. Lipids. 2001;36(Suppl):S107–10.CrossRef Leaf A. The electrophysiologic basis for the antiarrhythmic and anticonvulsant effects of n-3 polyunsaturated fatty acids: heart and brain. Lipids. 2001;36(Suppl):S107–10.CrossRef
4.
go back to reference Peet M, Stokes C. Omega-3 fatty acids in the treatment of psychiatric disorders. Drugs. 2005;65(8):1051–9.CrossRef Peet M, Stokes C. Omega-3 fatty acids in the treatment of psychiatric disorders. Drugs. 2005;65(8):1051–9.CrossRef
5.
go back to reference Calder PC. Mechanisms of action of (n-3) fatty acids. J Nutr. 2012;142(3):592S–9S.CrossRef Calder PC. Mechanisms of action of (n-3) fatty acids. J Nutr. 2012;142(3):592S–9S.CrossRef
6.
go back to reference Li D, Hu X. Fish and its multiple human health effects in times of threat to sustainability and affordability: are there alternatives? Asia Pac J Clin Nutr. 2009;18(4):553–63. Li D, Hu X. Fish and its multiple human health effects in times of threat to sustainability and affordability: are there alternatives? Asia Pac J Clin Nutr. 2009;18(4):553–63.
7.
go back to reference Gómez Candela C, Bermejo López LM, Loria KV. Importance of a balanced omega 6/omega 3 ratio for the maintenance of health: nutritional recommendations. Nutr Hosp. 2011;26(2):323–9. Gómez Candela C, Bermejo López LM, Loria KV. Importance of a balanced omega 6/omega 3 ratio for the maintenance of health: nutritional recommendations. Nutr Hosp. 2011;26(2):323–9.
8.
go back to reference Gomez-Pinilla F, Tyagi E. Diet and cognition: interplay between cell metabolism and neuronal plasticity. Curr Opin Clin Nutr Metab Care. 2013;16(6):726–33.CrossRef Gomez-Pinilla F, Tyagi E. Diet and cognition: interplay between cell metabolism and neuronal plasticity. Curr Opin Clin Nutr Metab Care. 2013;16(6):726–33.CrossRef
9.
go back to reference Ross BM, Seguin J, Sieswerda LE. Omega-3 fatty acids as treatments for mental illness: which disorder and which fatty acid? Lipids Health Dis. 2007;6:21.CrossRef Ross BM, Seguin J, Sieswerda LE. Omega-3 fatty acids as treatments for mental illness: which disorder and which fatty acid? Lipids Health Dis. 2007;6:21.CrossRef
10.
go back to reference Thesing CS, Bot M, Milaneschi Y, Giltay EJ, Penninx BWJH. The association of omega-3 fatty acid levels with personality and cognitive reactivity. J Psychosom Res. 2018;108:93–101 Elsevier.CrossRef Thesing CS, Bot M, Milaneschi Y, Giltay EJ, Penninx BWJH. The association of omega-3 fatty acid levels with personality and cognitive reactivity. J Psychosom Res. 2018;108:93–101 Elsevier.CrossRef
11.
go back to reference Bègue L, Zaalberg A, Shankland R, Duke A, Jacquet J, Kaliman P, et al. Omega-3 supplements reduce self-reported physical aggression in healthy adults. Psychiatry Res. 2018;261:307–11.CrossRef Bègue L, Zaalberg A, Shankland R, Duke A, Jacquet J, Kaliman P, et al. Omega-3 supplements reduce self-reported physical aggression in healthy adults. Psychiatry Res. 2018;261:307–11.CrossRef
12.
go back to reference Hawkey E, Nigg JT. Omega-3 fatty acid and ADHD: blood level analysis and meta-analytic extension of supplementation trials. Clin Psychol Rev. 2014;34(6):496–505.CrossRef Hawkey E, Nigg JT. Omega-3 fatty acid and ADHD: blood level analysis and meta-analytic extension of supplementation trials. Clin Psychol Rev. 2014;34(6):496–505.CrossRef
13.
go back to reference Bloch MH, Qawasmi A. Omega-3 fatty acid supplementation for the treatment of children with attention-deficit/hyperactivity disorder symptomatology: systematic review and meta-analysis. J Am Acad Child Adolesc Psychiatry. 2011;50(10):991–1000.CrossRef Bloch MH, Qawasmi A. Omega-3 fatty acid supplementation for the treatment of children with attention-deficit/hyperactivity disorder symptomatology: systematic review and meta-analysis. J Am Acad Child Adolesc Psychiatry. 2011;50(10):991–1000.CrossRef
14.
go back to reference Sonuga-Barke EJS, Brandeis D, Cortese S, Daley D, Ferrin M, Holtmann M, et al. Nonpharmacological interventions for ADHD: systematic review and meta-analyses of randomized controlled trials of dietary and psychological treatments. Am J Psychiatry. 2013;170(3):275–89.CrossRef Sonuga-Barke EJS, Brandeis D, Cortese S, Daley D, Ferrin M, Holtmann M, et al. Nonpharmacological interventions for ADHD: systematic review and meta-analyses of randomized controlled trials of dietary and psychological treatments. Am J Psychiatry. 2013;170(3):275–89.CrossRef
15.
go back to reference Stevenson J, Buitelaar J, Cortese S, Ferrin M, Konofal E, Lecendreux M, et al. Research review: the role of diet in the treatment of attention-deficit/hyperactivity disorder--an appraisal of the evidence on efficacy and recommendations on the design of future studies. J Child Psychol Psychiatry. 2014;55(5):416–27.CrossRef Stevenson J, Buitelaar J, Cortese S, Ferrin M, Konofal E, Lecendreux M, et al. Research review: the role of diet in the treatment of attention-deficit/hyperactivity disorder--an appraisal of the evidence on efficacy and recommendations on the design of future studies. J Child Psychol Psychiatry. 2014;55(5):416–27.CrossRef
16.
go back to reference Zaalberg A, Wielders J, Bulten E, van der Staak C, Wouters A, Nijman H. Relationships of diet-related blood parameters and blood lead levels with psychopathology and aggression in forensic psychiatric inpatients. Crim Behav Ment Health. 2016;26(3):196–211.CrossRef Zaalberg A, Wielders J, Bulten E, van der Staak C, Wouters A, Nijman H. Relationships of diet-related blood parameters and blood lead levels with psychopathology and aggression in forensic psychiatric inpatients. Crim Behav Ment Health. 2016;26(3):196–211.CrossRef
17.
go back to reference Buydens-Branchey L, Branchey M, McMakin DL, Hibbeln JR. Polyunsaturated fatty acid status and relapse vulnerability in cocaine addicts. Psychiatry Res. 2003;120(1):29–35.CrossRef Buydens-Branchey L, Branchey M, McMakin DL, Hibbeln JR. Polyunsaturated fatty acid status and relapse vulnerability in cocaine addicts. Psychiatry Res. 2003;120(1):29–35.CrossRef
18.
go back to reference Conklin SM, Harris JI, Manuck SB, Yao JK, Hibbeln JR, Muldoon MF. Serum omega-3 fatty acids are associated with variation in mood, personality and behavior in hypercholesterolemic community volunteers. Psychiatry Res. 2007;152(1):1–10.CrossRef Conklin SM, Harris JI, Manuck SB, Yao JK, Hibbeln JR, Muldoon MF. Serum omega-3 fatty acids are associated with variation in mood, personality and behavior in hypercholesterolemic community volunteers. Psychiatry Res. 2007;152(1):1–10.CrossRef
19.
go back to reference Beier AM, Lauritzen L, Galfalvy HC, Cooper TB, Oquendo MA, Grunebaum MF, et al. Low plasma eicosapentaenoic acid levels are associated with elevated trait aggression and impulsivity in major depressive disorder with a history of comorbid substance use disorder. J Psychiatr Res. 2014;57(1):133–40.CrossRef Beier AM, Lauritzen L, Galfalvy HC, Cooper TB, Oquendo MA, Grunebaum MF, et al. Low plasma eicosapentaenoic acid levels are associated with elevated trait aggression and impulsivity in major depressive disorder with a history of comorbid substance use disorder. J Psychiatr Res. 2014;57(1):133–40.CrossRef
20.
go back to reference Garland MR, Hallahan B, McNAMARA M, Carney P. A., Grimes H, Hibbeln JR, et al. lipids and essential fatty acids in patients presenting with self-harm. Br J Psychiatry. 2007;190(2):112–7.CrossRef Garland MR, Hallahan B, McNAMARA M, Carney P. A., Grimes H, Hibbeln JR, et al. lipids and essential fatty acids in patients presenting with self-harm. Br J Psychiatry. 2007;190(2):112–7.CrossRef
21.
go back to reference Bellino S, Bozzatello P, Rocca G, Bogetto F. Efficacy of omega-3 fatty acids in the treatment of borderline personality disorder: a study of the association with valproic acid. J Psychopharmacol. 2014;28(2):125–32.CrossRef Bellino S, Bozzatello P, Rocca G, Bogetto F. Efficacy of omega-3 fatty acids in the treatment of borderline personality disorder: a study of the association with valproic acid. J Psychopharmacol. 2014;28(2):125–32.CrossRef
22.
go back to reference Hamazaki K, Syafruddin D, Tunru IS, Azwir MF, Asih PB, Sawazaki S, et al. The effects of docosahexaenoic acid-rich fish oil on behavior, school attendance rate and malaria infection in school children--a double-blind, randomized, placebo-controlled trial in Lampung, Indonesia. Asia Pac J Clin Nutr. 2008;17(2):258–63. Hamazaki K, Syafruddin D, Tunru IS, Azwir MF, Asih PB, Sawazaki S, et al. The effects of docosahexaenoic acid-rich fish oil on behavior, school attendance rate and malaria infection in school children--a double-blind, randomized, placebo-controlled trial in Lampung, Indonesia. Asia Pac J Clin Nutr. 2008;17(2):258–63.
23.
go back to reference First MB, Spitzer RL, Gibbon M, Williams J. Structured clinical interview for DSM-IV-TR Axis I disorders, research version patient edition. (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute; 2002. First MB, Spitzer RL, Gibbon M, Williams J. Structured clinical interview for DSM-IV-TR Axis I disorders, research version patient edition. (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute; 2002.
24.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM IV. Washington, DC: American Psychiatric Association; 1994. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM IV. Washington, DC: American Psychiatric Association; 1994.
25.
go back to reference Jiménez-Murcia S, Stinchfield R, Alvarez-Moya E, Jaurrieta N, Bueno B, Granero R, et al. Reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for pathological gambling. J Gambl Stud. 2009;25(1):93–104.CrossRef Jiménez-Murcia S, Stinchfield R, Alvarez-Moya E, Jaurrieta N, Bueno B, Granero R, et al. Reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for pathological gambling. J Gambl Stud. 2009;25(1):93–104.CrossRef
26.
go back to reference Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol. 1995;51(6):768–74.CrossRef Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol. 1995;51(6):768–74.CrossRef
27.
go back to reference Stanford M, Mathias C, Dougherty D, Lake S, Anderson N, Patton J. Fifty years of the Barratt impulsiveness scale: an update and review. Personal Individ Differ. 2009;47(5):385–95.CrossRef Stanford M, Mathias C, Dougherty D, Lake S, Anderson N, Patton J. Fifty years of the Barratt impulsiveness scale: an update and review. Personal Individ Differ. 2009;47(5):385–95.CrossRef
28.
go back to reference Oquendo M, Baca-Garcia E, Graver R, Morales M, Montalvan V, Mann J. Spanish adaptation of the Barratt impulsiveness scale (BIS-11). Eur Psychiatry. 2001;15(3):147–55. Oquendo M, Baca-Garcia E, Graver R, Morales M, Montalvan V, Mann J. Spanish adaptation of the Barratt impulsiveness scale (BIS-11). Eur Psychiatry. 2001;15(3):147–55.
29.
go back to reference Tárrega S, Castro-Carreras L, Fernández-Aranda F, Granero R, Giner-Bartolomé C, Aymamí N, et al. A serious videogame as an additional therapy tool for training emotional regulation and impulsivity control in severe gambling disorder. Front Psychol. 2015;6:1721.CrossRef Tárrega S, Castro-Carreras L, Fernández-Aranda F, Granero R, Giner-Bartolomé C, Aymamí N, et al. A serious videogame as an additional therapy tool for training emotional regulation and impulsivity control in severe gambling disorder. Front Psychol. 2015;6:1721.CrossRef
30.
go back to reference Lepage G, Roy C. Direct transesterification of all classes of lipids in a one-step reaction. J Lipid Res. 1986;27(1):114–20. Lepage G, Roy C. Direct transesterification of all classes of lipids in a one-step reaction. J Lipid Res. 1986;27(1):114–20.
31.
go back to reference Leppink EW, Grant JE. Traumatic event exposure and gambling: associations with clinical, neurocognitive, and personality variables. Ann Clin Psychiatry. 2015;27(1):16–24. Leppink EW, Grant JE. Traumatic event exposure and gambling: associations with clinical, neurocognitive, and personality variables. Ann Clin Psychiatry. 2015;27(1):16–24.
32.
go back to reference Hodgins DC, Holub A. Components of impulsivity in gambling disorder. Int J Ment Heal Addict. 2015;13(6):699–711.CrossRef Hodgins DC, Holub A. Components of impulsivity in gambling disorder. Int J Ment Heal Addict. 2015;13(6):699–711.CrossRef
33.
go back to reference Ledgerwood DM, Alessi SM, Phoenix N, Petry NM. Behavioral assessment of impulsivity in pathological gamblers with and without substance use disorder histories versus healthy controls. Drug Alcohol Depend. 2009;105(1–2):89–96.CrossRef Ledgerwood DM, Alessi SM, Phoenix N, Petry NM. Behavioral assessment of impulsivity in pathological gamblers with and without substance use disorder histories versus healthy controls. Drug Alcohol Depend. 2009;105(1–2):89–96.CrossRef
34.
go back to reference Rapoport S, Ramadan E, Basselin M. Docosahexaenoic acid (DHA) incorporation into the brain from plasma, as an in vivo biomarker of brain DHA metabolism and neurotransmission. Prostaglandins Other Lipid Mediat. 2011;96(1–4):109–13.CrossRef Rapoport S, Ramadan E, Basselin M. Docosahexaenoic acid (DHA) incorporation into the brain from plasma, as an in vivo biomarker of brain DHA metabolism and neurotransmission. Prostaglandins Other Lipid Mediat. 2011;96(1–4):109–13.CrossRef
35.
go back to reference Kuratko C, Salem N. Biomarkers of DHA status. Prostagladin Leukot Essent Fat Acids. 2009;81:111–8.CrossRef Kuratko C, Salem N. Biomarkers of DHA status. Prostagladin Leukot Essent Fat Acids. 2009;81:111–8.CrossRef
36.
go back to reference Vial D, Piomelli D. Dopamine D2 receptors potentiate arachidonate release via activation of cytosolic, arachidonate-specific phospholipase A2. J Neurochem. 1995;64(6):2765–72.CrossRef Vial D, Piomelli D. Dopamine D2 receptors potentiate arachidonate release via activation of cytosolic, arachidonate-specific phospholipase A2. J Neurochem. 1995;64(6):2765–72.CrossRef
37.
go back to reference Berg KA, Maayani S, Goldfarb J, Scaramellini C, Leff P, Clarke WP. Effector pathway-dependent relative efficacy at serotonin type 2A and 2C receptors: evidence for agonist-directed trafficking of receptor stimulus. Mol Pharmacol. 1998;54:94–104.CrossRef Berg KA, Maayani S, Goldfarb J, Scaramellini C, Leff P, Clarke WP. Effector pathway-dependent relative efficacy at serotonin type 2A and 2C receptors: evidence for agonist-directed trafficking of receptor stimulus. Mol Pharmacol. 1998;54:94–104.CrossRef
38.
go back to reference Hjartaker A, Lund E, Bjerve KS. Serum phospholipid fatty acid composition and habitual intake of marine foods registered by a semi-quantitative food frequency questionnaire. Eur J Clin Nutr. 1997;51(11):736–42.CrossRef Hjartaker A, Lund E, Bjerve KS. Serum phospholipid fatty acid composition and habitual intake of marine foods registered by a semi-quantitative food frequency questionnaire. Eur J Clin Nutr. 1997;51(11):736–42.CrossRef
Metadata
Title
Essential fatty acids and Barratt impulsivity in gambling disorder
Authors
Patricia Sanchez-Paez
Josefa Perez-Templado
Jeronimo Saiz-Ruiz
Oscar Pastor
Angela Ibañez
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2020
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-020-02496-1

Other articles of this Issue 1/2020

BMC Psychiatry 1/2020 Go to the issue