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20.10.2017 | Original Paper

Cognitive Deficits in Executive Functions and Decision-Making Impairments Cluster Gambling Disorder Sub-types

verfasst von: Núria Mallorquí-Bagué, Iris Tolosa-Sola, Fernándo Fernández-Aranda, Roser Granero, Ana Beatriz Fagundo, María Lozano-Madrid, Gemma Mestre-Bach, Mónica Gómez-Peña, Neus Aymamí, Indira Borrás-González, Jessica Sánchez-González, Marta Baño, Amparo Del Pino-Gutiérrez, José M. Menchón, Susana Jiménez-Murcia

Erschienen in: Journal of Gambling Studies | Ausgabe 1/2018

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Abstract

To identify Gambling Disorder (GD) subtypes, in a population of men seeking treatment for GD, according to specific executive function domains (i.e., cognitive flexibility, inhibition and working memory as well as decision making) which are usually impaired in addictive behaviors. A total of 145 males ranging from 18 to 65 years diagnosed with GD were included in this study. All participants completed: (a) a set of questionnaires to assess psychopathological symptoms, personality and impulsivity traits, and (b) a battery of neuropsychological measures to test different executive functioning domains. Two clusters were identified based on the individual performance on the neuropsychological assessment. Cluster 1 [n = 106; labeled as Low Impaired Executive Function (LIEF)] was composed by patients with poor results in the neuropsychological assessment; cluster 2 patients [n = 46; labeled as High Impaired Executive Function (HIEF)] presented significantly higher deficits on the assessed domains and performed worse than the ones of LIEF cluster. Regarding the characterization of these two clusters, patients in cluster 2 were significantly older, unemployed and registered higher mean age of GD onset than patients in cluster 1. Additionally, patients in cluster 2 also obtained higher psychopathological symptoms, impulsivity (in both positive and negative urgency as well as sensation seeking) and some specific personality traits (higher harm avoidance as well as lower self-directedness and cooperativeness) than patients in cluster 1. The results of this study describe two different GD subtypes based on different cognitive domains (i.e., executive function performance). These two GD subtypes display different impulsivity and personality traits as well as clinical symptoms. The results provide new insight into the etiology and characterization of GD and have the potential to help improving current treatments.

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Titel: Cognitive Deficits in Executive Functions and Decision-Making Impairments Cluster Gambling Disorder Sub-types
verfasst von: Núria Mallorquí-Bagué
Iris Tolosa-Sola
Fernándo Fernández-Aranda
Roser Granero
Ana Beatriz Fagundo
María Lozano-Madrid
Gemma Mestre-Bach
Mónica Gómez-Peña
Neus Aymamí
Indira Borrás-González
Jessica Sánchez-González
Marta Baño
Amparo Del Pino-Gutiérrez
José M. Menchón
Susana Jiménez-Murcia
Publikationsdatum: 20.10.2017
Verlag: Springer US
Erschienen in: Journal of Gambling Studies / Ausgabe 1/2018
Elektronische ISSN: 1573-3602
DOI: https://doi.org/10.1007/s10899-017-9724-0

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