Skip to main content
Top
Published in: Journal of Gambling Studies 2/2012

01-06-2012 | Original Paper

Clinical Profiles as a Function of Level and Type of Impulsivity in a Sample Group of At-risk and Pathological Gamblers Seeking Treatment

Authors: Marie Grall-Bronnec, Laura Wainstein, Fanny Feuillet, Gaëlle Bouju, Bruno Rocher, Jean-Luc Vénisse, Véronique Sébille-Rivain

Published in: Journal of Gambling Studies | Issue 2/2012

Login to get access

Abstract

Level and type of impulsivity are essential variables to be taken into consideration during the initial evaluation of a pathological gambler. The aim of this study was to measure the score for 4 impulsivity-related traits (Urgency, (lack of) Premeditation, (lack of) Perseverance and Sensation seeking) in a sample group of at-risk and pathological gamblers, and to highlight any links with certain elements of clinical data. The UPPS Impulsive Behaviour Scale was administered to 84 problem gamblers seeking treatment. The severity of gambling disorders was evaluated using the diagnostic criteria of the DSM-IV. Psychiatric and addictive comorbidities were also explored. The results indicated that the score for the Urgency facet had a positive correlation with the severity of gambling disorders. It appeared that participants displayed different clinical profiles according to the level and type of impulsivity. Several of the UPPS scales were identified as risk factors for mood disorders, risk of suicide, alcohol use disorders, and Attention Deficit/Hyperactivity Disorder (ADHD). The results confirm both the complexity of the multi-dimensional concept of impulsivity and the reason why the UPPS is of interest for a more in-depth study of the subject.
Literature
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed text revised.). USA: Washington DC. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed text revised.). USA: Washington DC.
go back to reference Association, American Psychiatric. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). USA: Washington DC. Association, American Psychiatric. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). USA: Washington DC.
go back to reference Barkley, R. A., Fischer, M., Smallish, L., & Fletcher, K. (2004). Young adult follow-up of hyperactive children: Antisocial activities and drug use. Journal of Child Psychology and Psychiatry, 45(2), 195–211.PubMedCrossRef Barkley, R. A., Fischer, M., Smallish, L., & Fletcher, K. (2004). Young adult follow-up of hyperactive children: Antisocial activities and drug use. Journal of Child Psychology and Psychiatry, 45(2), 195–211.PubMedCrossRef
go back to reference Biederman, J., Wilens, T., Mick, E., Faraone, S. V., Weber, W., Curtis, S., et al. (1997). Is ADHD a risk factor for psychoactive substance use disorders? Findings from a four-year prospective follow-up study. Journal of American Academy of Child and Adolesentc Psychiatry, 36(1), 21–29.CrossRef Biederman, J., Wilens, T., Mick, E., Faraone, S. V., Weber, W., Curtis, S., et al. (1997). Is ADHD a risk factor for psychoactive substance use disorders? Findings from a four-year prospective follow-up study. Journal of American Academy of Child and Adolesentc Psychiatry, 36(1), 21–29.CrossRef
go back to reference Billieux, J., Rochat, L., & Rebetez, M. (2008a). Are all facets of impulsivity related to self-reported compulsive buying behavior? Personality and Individual Differences, 44, 1432–1434.CrossRef Billieux, J., Rochat, L., & Rebetez, M. (2008a). Are all facets of impulsivity related to self-reported compulsive buying behavior? Personality and Individual Differences, 44, 1432–1434.CrossRef
go back to reference Billieux, J., Van der Linden, M., & Ceschi, G. (2007). Which dimensions of impulsivity are related to cigarette craving? Addictive Behaviors, 32(6), 1189–1199.PubMedCrossRef Billieux, J., Van der Linden, M., & Ceschi, G. (2007). Which dimensions of impulsivity are related to cigarette craving? Addictive Behaviors, 32(6), 1189–1199.PubMedCrossRef
go back to reference Billieux, J., Van Der Linden, M., & Rochat, L. (2008b). The role of impulsivity in actual and problematic use of the mobile phone. Applied Cognitive Psychology, 22, 1195–1210.CrossRef Billieux, J., Van Der Linden, M., & Rochat, L. (2008b). The role of impulsivity in actual and problematic use of the mobile phone. Applied Cognitive Psychology, 22, 1195–1210.CrossRef
go back to reference Bland, R. C., Newman, S. C., Orn, H., & Stebelsky, G. (1993). Epidemiology of pathological gambling in Edmonton. Canadian Journal of Psychiatry, 38, 108–112. Bland, R. C., Newman, S. C., Orn, H., & Stebelsky, G. (1993). Epidemiology of pathological gambling in Edmonton. Canadian Journal of Psychiatry, 38, 108–112.
go back to reference Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.PubMedCrossRef Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.PubMedCrossRef
go back to reference Boutin, C. (2010). Le jeu : Chance ou stratégie ? Choisir librement la place du jeu dans votre vie. Montréal: Les Editions de l’Homme. Boutin, C. (2010). Le jeu : Chance ou stratégie ? Choisir librement la place du jeu dans votre vie. Montréal: Les Editions de l’Homme.
go back to reference Breyer, J. L., Botzet, A. M., Winters, K. C., Stinchfield, R. D., August, G., & Realmuto, G. (2009). Young adult gambling behaviors and their relationship with the persistence of ADHD. Journal of Gambling Studies, 25(2), 227–238.PubMedCrossRef Breyer, J. L., Botzet, A. M., Winters, K. C., Stinchfield, R. D., August, G., & Realmuto, G. (2009). Young adult gambling behaviors and their relationship with the persistence of ADHD. Journal of Gambling Studies, 25(2), 227–238.PubMedCrossRef
go back to reference Caci, H., Bouchez, J., & Bayle, F. J. (2009). Inattentive symptoms of ADHD are related to evening orientation. Journal of Attention Disorders, 13(1), 36–41.PubMedCrossRef Caci, H., Bouchez, J., & Bayle, F. J. (2009). Inattentive symptoms of ADHD are related to evening orientation. Journal of Attention Disorders, 13(1), 36–41.PubMedCrossRef
go back to reference Caci, H. M., Bouchez, J., & Bayle, F. J. (2010). An aid for diagnosing attention-deficit/hyperactivity disorder at adulthood: psychometric properties of the French versions of two wender utah rating scales (WURS-25 and WURS-K). Comprehensive Psychiatry, 51(3), 325–331.PubMedCrossRef Caci, H. M., Bouchez, J., & Bayle, F. J. (2010). An aid for diagnosing attention-deficit/hyperactivity disorder at adulthood: psychometric properties of the French versions of two wender utah rating scales (WURS-25 and WURS-K). Comprehensive Psychiatry, 51(3), 325–331.PubMedCrossRef
go back to reference Cardinal, R. N., Winstanley, C. A., Robbins, T. W., & Everitt, B. J. (2004). Limbic corticostriatal systems and delayed reinforcement. Annals of New York Academy of Sciences, 1021, 33–50.CrossRef Cardinal, R. N., Winstanley, C. A., Robbins, T. W., & Everitt, B. J. (2004). Limbic corticostriatal systems and delayed reinforcement. Annals of New York Academy of Sciences, 1021, 33–50.CrossRef
go back to reference Carlton, P. L., Manowitz, P., McBride, H., Nora, R., Swartzburg, M., & Goldstein, L. (1987). Attention deficit disorder and pathological gambling. Journal of Clinical Psychiatry, 48(12), 487–488.PubMed Carlton, P. L., Manowitz, P., McBride, H., Nora, R., Swartzburg, M., & Goldstein, L. (1987). Attention deficit disorder and pathological gambling. Journal of Clinical Psychiatry, 48(12), 487–488.PubMed
go back to reference Collective, Expertise. (2008). Jeux de hasard et d’argent. Contextes et addictions. Paris: Les éditions INSERM. Collective, Expertise. (2008). Jeux de hasard et d’argent. Contextes et addictions. Paris: Les éditions INSERM.
go back to reference Cunningham-Williams, R. M., Cottler, L. B., Compton, W. M. r., & Spitznagel, E. L. (1998). Taking chances: problem gamblers and mental health disorders: Results from the Saint Louis epidemiologic catchment area (ECA) Study. American Journal of Public Health, 88, 1093–1096.PubMedCrossRef Cunningham-Williams, R. M., Cottler, L. B., Compton, W. M. r., & Spitznagel, E. L. (1998). Taking chances: problem gamblers and mental health disorders: Results from the Saint Louis epidemiologic catchment area (ECA) Study. American Journal of Public Health, 88, 1093–1096.PubMedCrossRef
go back to reference Cyders, M. A., & Smith, G. T. (2008a). Clarifying the role of personality dispositions in risk for increased gambling behavior. Personality and Individual Differences, 45(6), 503–508.PubMedCrossRef Cyders, M. A., & Smith, G. T. (2008a). Clarifying the role of personality dispositions in risk for increased gambling behavior. Personality and Individual Differences, 45(6), 503–508.PubMedCrossRef
go back to reference Cyders, M. A., & Smith, G. T. (2008b). Emotion-based dispositions to rash action: positive and negative urgency. Psychological Bulletin, 134(6), 807–828.PubMedCrossRef Cyders, M. A., & Smith, G. T. (2008b). Emotion-based dispositions to rash action: positive and negative urgency. Psychological Bulletin, 134(6), 807–828.PubMedCrossRef
go back to reference Daigre, C., Ramos-Quiroga, J. A., Valero, S., Bosch, R., Roncero, C., Gonzalvo, B., et al. (2009). Adult ADHD self-report scale (ASRS-v1.1) symptom checklist in patients with substance use disorders. Actas Espanolas de Psiquiatria, 37(6), 299–305. Daigre, C., Ramos-Quiroga, J. A., Valero, S., Bosch, R., Roncero, C., Gonzalvo, B., et al. (2009). Adult ADHD self-report scale (ASRS-v1.1) symptom checklist in patients with substance use disorders. Actas Espanolas de Psiquiatria, 37(6), 299–305.
go back to reference Derevensky, J. L., Pratt, L. M., Hardoon, K. K., & Gupta, R. (2007). Gambling problems and features of Attention Deficit Hyperactivity Disorder among children and adolescents. Journal of Addiction Medicine, 1(3), 165–172.PubMedCrossRef Derevensky, J. L., Pratt, L. M., Hardoon, K. K., & Gupta, R. (2007). Gambling problems and features of Attention Deficit Hyperactivity Disorder among children and adolescents. Journal of Addiction Medicine, 1(3), 165–172.PubMedCrossRef
go back to reference Goodman, A. (2008). Neurobiology of addiction. An integrative review. Biochemical Pharmacology, 75(1), 266–322.PubMedCrossRef Goodman, A. (2008). Neurobiology of addiction. An integrative review. Biochemical Pharmacology, 75(1), 266–322.PubMedCrossRef
go back to reference Goodman, D. W., & Thase, M. E. (2009). Recognizing ADHD in adults with comorbid mood disorders: Implications for identification and management. Postgraduate Medicine, 121(5), 20–30.PubMedCrossRef Goodman, D. W., & Thase, M. E. (2009). Recognizing ADHD in adults with comorbid mood disorders: Implications for identification and management. Postgraduate Medicine, 121(5), 20–30.PubMedCrossRef
go back to reference Grall-Bronnec, M., Bouju, G., Guillou-Landreat, M., & Vénisse, J. (2010). Evaluation socio-démographique, clinique et du parcours de jeu d’un échantillon de joueurs pathologiques français. L’Encéphale, 36, 452–460.PubMedCrossRef Grall-Bronnec, M., Bouju, G., Guillou-Landreat, M., & Vénisse, J. (2010). Evaluation socio-démographique, clinique et du parcours de jeu d’un échantillon de joueurs pathologiques français. L’Encéphale, 36, 452–460.PubMedCrossRef
go back to reference Grall-Bronnec, M., Wainstein, L., Augy, J., Bouju, G., Feuillet, F., Vénisse, J. L., et al. (2011). Attention deficit hyperactivity disorder among pathological and at-risk gamblers seeking treatment: A hidden disorder. European Addiction Research, 17, 231–240.PubMedCrossRef Grall-Bronnec, M., Wainstein, L., Augy, J., Bouju, G., Feuillet, F., Vénisse, J. L., et al. (2011). Attention deficit hyperactivity disorder among pathological and at-risk gamblers seeking treatment: A hidden disorder. European Addiction Research, 17, 231–240.PubMedCrossRef
go back to reference Hollander, E., Buchalter, A. J., & DeCaria, C. M. (2000). Pathological gambling. Psychiatric Clinic of North America, 23, 629–642.CrossRef Hollander, E., Buchalter, A. J., & DeCaria, C. M. (2000). Pathological gambling. Psychiatric Clinic of North America, 23, 629–642.CrossRef
go back to reference Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., et al. (2005). The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population. Psychological Medicine, 35(2), 245–256.PubMedCrossRef Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., et al. (2005). The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population. Psychological Medicine, 35(2), 245–256.PubMedCrossRef
go back to reference Klonsky, E. D., & May, A. (2010). Rethinking impulsivity in suicide. Suicide and Life Threatening Behavior, 40(6), 612–619.PubMedCrossRef Klonsky, E. D., & May, A. (2010). Rethinking impulsivity in suicide. Suicide and Life Threatening Behavior, 40(6), 612–619.PubMedCrossRef
go back to reference Kruedelbach, N., Walker, H. I., Chapman, H. A., Haro, G., Mateu, C., & Leal, C. (2006). Comorbidity on disorders with loss of impulse-control: Pathological gambling, addictions and personality disorders. Actas Espanolas de Psiquiatria, 34, 76–82.PubMed Kruedelbach, N., Walker, H. I., Chapman, H. A., Haro, G., Mateu, C., & Leal, C. (2006). Comorbidity on disorders with loss of impulse-control: Pathological gambling, addictions and personality disorders. Actas Espanolas de Psiquiatria, 34, 76–82.PubMed
go back to reference Lawrence, A. J., Luty, J., Bogdan, N. A., Sahakian, B. J., & Clark, L. (2009). Impulsivity and response inhibition in alcohol dependence and problem gambling. Psychopharmacology (Berl), 207(1), 163–172.CrossRef Lawrence, A. J., Luty, J., Bogdan, N. A., Sahakian, B. J., & Clark, L. (2009). Impulsivity and response inhibition in alcohol dependence and problem gambling. Psychopharmacology (Berl), 207(1), 163–172.CrossRef
go back to reference Lecrubier, Y., Sheehan, D., Weiller, E., et al. (1997). The Mini International Neuropsychiatric Interview (MINI), a short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry, 12, 224–231.CrossRef Lecrubier, Y., Sheehan, D., Weiller, E., et al. (1997). The Mini International Neuropsychiatric Interview (MINI), a short diagnostic structured interview: reliability and validity according to the CIDI. European Psychiatry, 12, 224–231.CrossRef
go back to reference Lesieur, H. R., & Rosenthal, R. J. (1991). Pathological gambling: A review of the literature. Journal of Gambling Studies, 7, 5–39.CrossRef Lesieur, H. R., & Rosenthal, R. J. (1991). Pathological gambling: A review of the literature. Journal of Gambling Studies, 7, 5–39.CrossRef
go back to reference Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
go back to reference McCrae, R. R., & Costa, P. T. (1990). Personality in adulthood. New York: Guilford. McCrae, R. R., & Costa, P. T. (1990). Personality in adulthood. New York: Guilford.
go back to reference Miller, J., Flory, K., Lynam, D., & Leukefeld, C. (2003). A test of the four-factor model of impulsivity-related traits. Personality and Individual Differences, 34, 1403–1418.CrossRef Miller, J., Flory, K., Lynam, D., & Leukefeld, C. (2003). A test of the four-factor model of impulsivity-related traits. Personality and Individual Differences, 34, 1403–1418.CrossRef
go back to reference Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 564–574.PubMedCrossRef Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 564–574.PubMedCrossRef
go back to reference Rugle, L., & Melamed, L. (1993). Neuropsychological assessment of attention problems in pathological gamblers. Journal of Nervous and Mental Disease, 181(2), 107–112.PubMedCrossRef Rugle, L., & Melamed, L. (1993). Neuropsychological assessment of attention problems in pathological gamblers. Journal of Nervous and Mental Disease, 181(2), 107–112.PubMedCrossRef
go back to reference Specker, S. M., Carlson, G. A., Christenson, G. A., & Marcotte, M. (1995). Impulse control disorders and attention deficit disorder in pathological gamblers. Annals of Clinical Psychiatry, 7(4), 175–179.PubMedCrossRef Specker, S. M., Carlson, G. A., Christenson, G. A., & Marcotte, M. (1995). Impulse control disorders and attention deficit disorder in pathological gamblers. Annals of Clinical Psychiatry, 7(4), 175–179.PubMedCrossRef
go back to reference Toce-Gerstein, M., Gerstein, D. R., & Volberg, R. A. (2003). A hierarchy of gambling disorders in the community. Addiction, 98(12), 1661–1672.PubMedCrossRef Toce-Gerstein, M., Gerstein, D. R., & Volberg, R. A. (2003). A hierarchy of gambling disorders in the community. Addiction, 98(12), 1661–1672.PubMedCrossRef
go back to reference Van der Linden, M., d’Acremont, M., Zermatten, A., Jermann, F., Laroi, F., Willems, S., et al. (2006). A French adaptation of the UPPS impulsive behavior scale: Confirmatory factor analysis in a sample of undergraduate students. European Journal of Psychological Assessment, 22, 38–42.CrossRef Van der Linden, M., d’Acremont, M., Zermatten, A., Jermann, F., Laroi, F., Willems, S., et al. (2006). A French adaptation of the UPPS impulsive behavior scale: Confirmatory factor analysis in a sample of undergraduate students. European Journal of Psychological Assessment, 22, 38–42.CrossRef
go back to reference van Holst, R. J., van den Brink, W., Veltman, D. J., & Goudriaan, A. E. (2010). Why gamblers fail to win: A review of cognitive and neuroimaging findings in pathological gambling. Neuroscience and Biobehavioral Reviews, 34(1), 87–107.PubMedCrossRef van Holst, R. J., van den Brink, W., Veltman, D. J., & Goudriaan, A. E. (2010). Why gamblers fail to win: A review of cognitive and neuroimaging findings in pathological gambling. Neuroscience and Biobehavioral Reviews, 34(1), 87–107.PubMedCrossRef
go back to reference Ward, M. F., Wender, P. H., & Reimherr, F. W. (1993). The wender utah rating scale: An aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. American Journal of Psychiatry, 150(6), 885–890.PubMed Ward, M. F., Wender, P. H., & Reimherr, F. W. (1993). The wender utah rating scale: An aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. American Journal of Psychiatry, 150(6), 885–890.PubMed
go back to reference Whiteside, S. P., & Lynam, D. R. (2001). The five factor model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30, 669–689.CrossRef Whiteside, S. P., & Lynam, D. R. (2001). The five factor model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30, 669–689.CrossRef
go back to reference Whiteside, S. P., Lynam, D. R., Miller, J. D., & Reynolds, S. K. (2005). Validation of the UPPS impulsive behaviour scale: A four model of impulsivity. European Journal of Personality, 19, 559–574.CrossRef Whiteside, S. P., Lynam, D. R., Miller, J. D., & Reynolds, S. K. (2005). Validation of the UPPS impulsive behaviour scale: A four model of impulsivity. European Journal of Personality, 19, 559–574.CrossRef
go back to reference Yen, S., Shea, M. T., Sanislow, C. A., Skodol, A. E., Grilo, C. M., Edelen, M. O., et al. (2009). Personality traits as prospective predictors of suicide attempts. Acta Psychiatrica Scandinavica, 120(3), 222–229.PubMedCrossRef Yen, S., Shea, M. T., Sanislow, C. A., Skodol, A. E., Grilo, C. M., Edelen, M. O., et al. (2009). Personality traits as prospective predictors of suicide attempts. Acta Psychiatrica Scandinavica, 120(3), 222–229.PubMedCrossRef
Metadata
Title
Clinical Profiles as a Function of Level and Type of Impulsivity in a Sample Group of At-risk and Pathological Gamblers Seeking Treatment
Authors
Marie Grall-Bronnec
Laura Wainstein
Fanny Feuillet
Gaëlle Bouju
Bruno Rocher
Jean-Luc Vénisse
Véronique Sébille-Rivain
Publication date
01-06-2012
Publisher
Springer US
Published in
Journal of Gambling Studies / Issue 2/2012
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-011-9258-9

Other articles of this Issue 2/2012

Journal of Gambling Studies 2/2012 Go to the issue