Titre : | An empirical investigation of the Pathways Model of problem gambling through the conjoint use of self-reports and behavioural tasks (2022) |
Auteurs : | C. BONNAIRE ; G. DEVOS ; S. BARRAULT ; M. GRALL-BRONNEC ; O. LUMINET ; J. BILLIEUX |
Type de document : | Article : Périodique |
Dans : | Journal of Behavioral Addictions (Vol.11, n°3, September 2022) |
Article en page(s) : | 858-873 |
Langues: | Anglais |
Discipline : | PSY (Psychopathologie / Psychopathology) |
Mots-clés : |
Thésaurus mots-clés JEUX D'ARGENT ET DE HASARD ; JEU PATHOLOGIQUE ; IMPULSIVITE ; EMOTIONS ; TEST ; ETIOLOGIE ; PSYCHOPATHOLOGIE ; ALEXITHYMIE ; FACTEUR DE VULNERABILITE ; MODELE ; VALIDITE ; COMORBIDITE ; ECHELLE D'EVALUATION ; COGNITIONThésaurus géographique FRANCE |
Résumé : |
Background and aims: Blaszczynski and Nower (2002) conceptualized their Pathways Model by postulating the existence of three subtypes of problem gamblers who share common characteristics, but also present specific ones.
Methods: This study investigated how the psychological mechanisms postulated in the Pathways Model predict clinical status in a sample that combined treatment-seeking gamblers (n = 59) and non-problematic community gamblers (n = 107). To test the Pathways Model, we computed a hierarchic logistic regression in which variables associated with each postulated pathway were entered sequentially to predict the status of the treatment-seeking gambler. Self-report questionnaires measured gambling-related cognitions, alexithymia, emotional reactivity, emotion regulation strategies and impulsivity. Behavioural tasks measured gambling persistence (slot machine task), decision-making under uncertainty (Iowa Gambling Task) and decision-making under risk (Game of Dice Task). Results: We showed that specific factors theorized as underlying mechanisms for each pathway predicted the status of clinical gambler. For each pathway, significant predictors included gambling-related cognitive distortions and behaviourally measured gambling persistence (behaviourally conditioned pathway), emotional reactivity and emotion regulation strategies (emotionally vulnerable pathway), and lack of premeditation impulsivity facet (impulsivist-antisocial pathway). Discussion and conclusions: Our study adds to the body of literature confirming the validity of the Pathways Model and hold important implications in terms of assessment and treatment of problem gambling. In particular, a standardized assessment based on the Pathways Model should promote individualized treatment strategies to allow clinicians to take into account the high heterogeneity that characterizes gambling disorder. |
Domaine : | Addictions sans produit / Addictions without drug |
Affiliation : | Institute of Psychology, University of Lausanne, Lausanne, Switzerland |
Lien : | https://doi.org/10.1556/2006.2022.00055 |
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