Skip to main content
Top
Published in: Journal of Gambling Studies 2/2007

01-06-2007 | Original Paper

Urge to Gamble in Problem Gamblers Exposed to a Casino Environment

Authors: Matt G. Kushner, Kenneth Abrams, Christopher Donahue, Paul Thuras, Randy Frost, Suck Won Kim

Published in: Journal of Gambling Studies | Issue 2/2007

Login to get access

Abstract

Cue-reactivity has received increased attention in addiction research, though not for gambling in particular. We examined cue reactivity in 18 problem gamblers by accompanying them to a gaming casino and measuring their subjective urge to gamble over a 1-h period. Half of the sample was additionally exposed to a gambling-specific negative mood induction (NMI) manipulation via guided imagery. Overall, about two-thirds of the sample reported moderate to high-gambling urges during the casino exposure. Additionally, the NMI reduced cue-reactivity. Finally, gambling urges in both groups decreased over the course of the exposure sessions. These findings suggest that a majority of problem gamblers experience the urge to gamble when exposed to gambling cues and that the intensity of these urges decrease with time, especially in the presence of a gambling-relevant NMI. Cue exposure should be studied further as a potential tool in the treatment of problem gambling.
Literature
go back to reference Avants, S. K., Margolin, A., Kosten, T. R., & Cooney, N. L. (1995). Difference between responders and non-responders to cocaine cues in the laboratory. Addictive Behaviors, 20, 215–224.CrossRef Avants, S. K., Margolin, A., Kosten, T. R., & Cooney, N. L. (1995). Difference between responders and non-responders to cocaine cues in the laboratory. Addictive Behaviors, 20, 215–224.CrossRef
go back to reference Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
go back to reference Blaszczynski, A. P., & McConaghy, N. (1988). SCL-90 assessed psychopathology in pathological gamblers. Psychological Research, 62, 547–552. Blaszczynski, A. P., & McConaghy, N. (1988). SCL-90 assessed psychopathology in pathological gamblers. Psychological Research, 62, 547–552.
go back to reference Borkovec, T. D., & Sides, J. (1979). The contribution of relaxation and expectance to fear reduction via graded imaginal exposure to feared stimuli. Behaviour Research and Therapy, 17, 529–540.CrossRef Borkovec, T. D., & Sides, J. (1979). The contribution of relaxation and expectance to fear reduction via graded imaginal exposure to feared stimuli. Behaviour Research and Therapy, 17, 529–540.CrossRef
go back to reference Bradizza, C. M., Stasiewicz, P. R., & Maisto, S. A. (1994). A conditioning reinterpretation of cognitive events in alcohol and drug cue exposure. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 15–22.CrossRef Bradizza, C. M., Stasiewicz, P. R., & Maisto, S. A. (1994). A conditioning reinterpretation of cognitive events in alcohol and drug cue exposure. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 15–22.CrossRef
go back to reference Carter, B. L., & Tiffany, S. T. (1999). Meta-analysis of cue-reactivity in addiction research. Addiction, 94(3), 327–340.CrossRef Carter, B. L., & Tiffany, S. T. (1999). Meta-analysis of cue-reactivity in addiction research. Addiction, 94(3), 327–340.CrossRef
go back to reference Conklin, C. A., & Tiffany, S. T. (2002). Applying extinction research and theory to cue exposure addiction treatments. Addiction, 97, 155–167.CrossRef Conklin, C. A., & Tiffany, S. T. (2002). Applying extinction research and theory to cue exposure addiction treatments. Addiction, 97, 155–167.CrossRef
go back to reference Cooney, N. L., Litt, M. D., Morse, P. M., Bauer, L. O., & Gaupp, L. (1997). Alcohol cue reactivity, negative mood reactivity, and relapse in treated alcoholics. Journal of Abnormal Psychology, 106(2), 243–250.CrossRef Cooney, N. L., Litt, M. D., Morse, P. M., Bauer, L. O., & Gaupp, L. (1997). Alcohol cue reactivity, negative mood reactivity, and relapse in treated alcoholics. Journal of Abnormal Psychology, 106(2), 243–250.CrossRef
go back to reference Frost, R. O., Meagher, B. M., & Riskind, J. H. (2001). Obsessive-compulsive features in pathological lottery and scratch-ticket gamblers. Journal of Gambling Studies, 17, 5–19.CrossRef Frost, R. O., Meagher, B. M., & Riskind, J. H. (2001). Obsessive-compulsive features in pathological lottery and scratch-ticket gamblers. Journal of Gambling Studies, 17, 5–19.CrossRef
go back to reference Kim, S. W., Grant, J. E., Adson, D. E., & Shin, Y. C. (2001). Double-blind naltrexone and placebo comparison study in the treatment of pathological gambling. Biological Psychiatry, 49, 914–921.CrossRef Kim, S. W., Grant, J. E., Adson, D. E., & Shin, Y. C. (2001). Double-blind naltrexone and placebo comparison study in the treatment of pathological gambling. Biological Psychiatry, 49, 914–921.CrossRef
go back to reference Laberg, J. C. (1990). What is presented, and what prevented, in cue exposure and response prevention with alcohol dependent subjects? Addictive Behaviors, 15(4), 367–386.CrossRef Laberg, J. C. (1990). What is presented, and what prevented, in cue exposure and response prevention with alcohol dependent subjects? Addictive Behaviors, 15(4), 367–386.CrossRef
go back to reference Lesieur, H. R., & Blume, S. B. (1987). The south oaks gambling screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188. Lesieur, H. R., & Blume, S. B. (1987). The south oaks gambling screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.
go back to reference Litt, M. D., Cooney, N. L., Kadden, R. M., & Gaupp, L. (1990). Reactivity to alcohol cues and induced moods in alcoholics. Addictive Behaviors, 15, 137–146.CrossRef Litt, M. D., Cooney, N. L., Kadden, R. M., & Gaupp, L. (1990). Reactivity to alcohol cues and induced moods in alcoholics. Addictive Behaviors, 15, 137–146.CrossRef
go back to reference Litt, M. D., Cooney, N. L., & Morse, P. (2000). Reactivity to alcohol-related stimuli in the laboratory and the field: Predictors of craving in treated alcoholics. Addiction, 95(6), 889–900.CrossRef Litt, M. D., Cooney, N. L., & Morse, P. (2000). Reactivity to alcohol-related stimuli in the laboratory and the field: Predictors of craving in treated alcoholics. Addiction, 95(6), 889–900.CrossRef
go back to reference Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press. Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York: Guilford Press.
go back to reference McConaghy, N., Blaszczynski, A., & Frankova, A. (1991). Comparison of imaginal desensitization with other behavioural treatments of pathological gambling: A two–to nine-year follow-up. British Journal of Psychiatry, 159, 390–393. McConaghy, N., Blaszczynski, A., & Frankova, A. (1991). Comparison of imaginal desensitization with other behavioural treatments of pathological gambling: A two–to nine-year follow-up. British Journal of Psychiatry, 159, 390–393.
go back to reference Monti, P. M., Rohsenow, R. M., Swift, R. M., Gulliver, S. B., Colby, S. M., Mueller, T. I., Brown, R. A., Gordon, A., Abrams, D. B., Niaura, R. S., & Asher, M. K. (2001). Naltrexone and cue exposure with coping communication skills training for alcoholics: Treatment process and 1-year outcomes. Alcoholism Clinical and Experimental Research, 25(11), 1634–1647.CrossRef Monti, P. M., Rohsenow, R. M., Swift, R. M., Gulliver, S. B., Colby, S. M., Mueller, T. I., Brown, R. A., Gordon, A., Abrams, D. B., Niaura, R. S., & Asher, M. K. (2001). Naltrexone and cue exposure with coping communication skills training for alcoholics: Treatment process and 1-year outcomes. Alcoholism Clinical and Experimental Research, 25(11), 1634–1647.CrossRef
go back to reference Poulos, C. X., Hinson, R. E., & Siegel, S. (1981). The role of Pavlovian processes in drug tolerance and dependence: Implications for treatment. Addictive Behaviors, 6(3), 205–211.CrossRef Poulos, C. X., Hinson, R. E., & Siegel, S. (1981). The role of Pavlovian processes in drug tolerance and dependence: Implications for treatment. Addictive Behaviors, 6(3), 205–211.CrossRef
go back to reference Rohsenow, D. J., Monti, P. M., Rubonis, A. V., Gulliver, S. B., Colby, S. M., Binkoff, J. A., Abrams, D. B. (2001). Cue exposure with coping skills training and communication skills training for alcohol dependence: 6–and 12-month outcomes. Addiction, 96, 1161–1174.CrossRef Rohsenow, D. J., Monti, P. M., Rubonis, A. V., Gulliver, S. B., Colby, S. M., Binkoff, J. A., Abrams, D. B. (2001). Cue exposure with coping skills training and communication skills training for alcohol dependence: 6–and 12-month outcomes. Addiction, 96, 1161–1174.CrossRef
go back to reference Sharpe, L., & Tarrier, N. (1993). Towards a cognitive-behavioural theory of problem gambling. British Journal of Psychiatry, 162, 407–412. Sharpe, L., & Tarrier, N. (1993). Towards a cognitive-behavioural theory of problem gambling. British Journal of Psychiatry, 162, 407–412.
go back to reference Sylvain, C., Ladouceur, R., & Boisvert, J.-M. (1997). Cognitive and behavioral treatment of pathological gambling: A controlled study. Journal of Consulting and Clinical Psychology, 65, 727–732.CrossRef Sylvain, C., Ladouceur, R., & Boisvert, J.-M. (1997). Cognitive and behavioral treatment of pathological gambling: A controlled study. Journal of Consulting and Clinical Psychology, 65, 727–732.CrossRef
go back to reference Symes, R. A., & Nicki, R. M. (1997). A preliminary consideration of cue-exposure, response prevention treatment for pathological gambling behaviour: To case studies. Journal of Gambling Studies, 13, 145–157.CrossRef Symes, R. A., & Nicki, R. M. (1997). A preliminary consideration of cue-exposure, response prevention treatment for pathological gambling behaviour: To case studies. Journal of Gambling Studies, 13, 145–157.CrossRef
go back to reference Watson, J. P., Gaind, R., & Marks, I. M. (1971). Prolonged exposure: A rapid treatment for phobias. British Medical Journal, 1(739), 13–15.CrossRef Watson, J. P., Gaind, R., & Marks, I. M. (1971). Prolonged exposure: A rapid treatment for phobias. British Medical Journal, 1(739), 13–15.CrossRef
Metadata
Title
Urge to Gamble in Problem Gamblers Exposed to a Casino Environment
Authors
Matt G. Kushner
Kenneth Abrams
Christopher Donahue
Paul Thuras
Randy Frost
Suck Won Kim
Publication date
01-06-2007
Published in
Journal of Gambling Studies / Issue 2/2007
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-006-9050-4

Other articles of this Issue 2/2007

Journal of Gambling Studies 2/2007 Go to the issue