Is gambling disorder associated with impulsivity traits measured by the UPPS-P and is this association moderated by sex and age?

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• 作者：Lamprini G. Savvidou^a ; Ana B. Fagundo^a ; ^b ; Fernando Ferná ; ndez-Aranda^a ; ^b ; ^c ; Roser Granero^b ; ^d ; Laurence Claes^e ; Nú ; ria Mallorqu&iacute ; -Baqué ; ^a ; ^b ; Antonio Verdejo-Garc&iacute ; a^f ; ^g ; Howard Steiger^h ; Mimi Israel^h ; Laura Moragas^a ; Amparo del Pino-Gutié ; rrezⁱ ; Neus Aymam&iacute ; ^a ; Mó ; nica Gó ; mez-Peñ ; a^a ; Zaida Agü ; era^a ; ^b ; Iris Tolosa-Sola^a ; Melania La Verde^j ; Eugenio Aguglia^j ; José ; M. Menchó ; n^a ; ^c ; ^k ; Susana Jimé ; nez-Murcia^a ; ^b ; ^c ; ^{sjimenez@bellvitgehospital.cat}
• 关键词：GD ; Gambling Disorder ; DSM ; Diagnostic and Statistical Manual of Mental Disorders ; SOGS ; South Oaks Gambling Screen ; SCL-90-R ; Symptom Check List- 90-Revised ; GSI ; Global Severity Index ; PST ; Positive Symptom Total ; PSDI ; Index Positive Symptom Distress ; TCI-R ; Temperament and Character Inventory-Revised ; UPPS-P ; UPPS-P Impulsive Behavior Scale ; UR ; Urgency ; ANOVA ; Analysis of Variance
• 刊名：Comprehensive Psychiatry
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：72
• 期：Complete
• 页码：106-113
• 全文大小：307 K
• 卷排序：72

文摘

Impulsivity is a construct that is strongly associated with Gambling Disorder (GD). The main objectives in the present study are: 1) to explore the role of sex and age on impulsivity levels in GD patients; 2) to identify the relationship of the different impulsivity facets with comorbid psychopathology and other personality traits in GD patients; and (3) to assess whether impulsivity is a predictor for the severity of GD.MethodThe final sample consisted of 406 consecutive participants. All of them were seeking treatment for GD (88.4% male and 11.6% female) and completed the South Oaks Gambling Screen (SOGS), the UPPS-P Impulsive Behavior Scale, the Symptom Checklist (SCL-90-R), the Temperament and Character Inventory-R (TCI-R) as well as other clinical and psychopathological measures.ResultsResults show a negative linear trend between age and lower sensation seeking levels as well as lack of premeditation (the higher the age the lower the UPPS-P scores), and a positive linear trend between age and positive urgency (UR) (the higher the age the higher the UPPS-P score). However, no sex differences were found for the assessed impulsivity dimensions. Lack of perseverance was positively associated with obsessive–compulsive symptoms and harm avoidance trait, and negatively related to persistence and self-directedness traits. Positive UR and negative UR were positively correlated with general psychopathology and the total number of DSM-IV criteria, and negatively associated to the following personality traits: self-directedness and cooperativeness. Finally, only the sensation seeking and negative UR of the UPPS-P showed predictive capacity on the severity of the disorder (the higher the impulsivity scores the higher the illness severity).ConclusionsThese findings highlight the association between impulsivity traits (measured by the UPPS-P) and GD in a large and consecutively recruited clinical sample with GD, taking into account the variables sex and age.