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Pathological Gambling and Motor Impulsivity: A Systematic Review with Meta-Analysis

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Abstract

Motor impulsivity, which is an impairment in withholding and cancelling inappropriate responses, may account for the inability for pathological gamblers (PGs) to inhibit their urges to gamble. The aim of this systematic review was to perform a quantitative and qualitative synthesis of existing studies in order to assess whether PGs without comorbid substance use disorder have elevated motor impulsivity, relative to healthy controls. An exhaustive literature search led to the identification of 20 studies which met inclusion criteria. A meta-analysis was then conducted on the following measures: stop signal reaction time from the stop signal task; commission errors, omission errors, and Go reaction time from the Go/No-Go task; and the motor impulsiveness subscale of the Barratt Impulsiveness Scale (BIS-Motor). The results revealed a moderate to large mean effect size of stop signal reaction time, small to moderate mean effect sizes for commission errors, omission errors and Go reaction time, and a large mean effect size for the BIS-Motor. Significant heterogeneity in effect sizes was observed on most behavioural measures, but not for the BIS-Motor or omission errors on the Go/No-Go task. Overall, these results suggest that motor impulsivity may be one of the features of PG psychopathology, accounting for their poor inhibitory control over gambling behaviours. Moreover, other deficits in sustained attention, or more generally in executive/cognitive control, may be present in PGs. We discuss the implications, limitations of existing research, and suggested avenues for future studies, particularly the need to acknowledge heterogeneity amongst PGs and amongst different behavioural measures.

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References

  • Alessi, S. M., & Petry, N. M. (2003). Pathological gambling severity is associated with impulsivity in a delay discounting procedure. Behavioural Processes, 64, 345–354.

    Article  PubMed  Google Scholar 

  • Auger, N., Lo, E., Cantinotti, M., & O’Loughlin, J. (2010). Impulsivity and socio-economic status interact to increase the risk of gambling onset among youth. Addiction, 105, 2176–2183.

    Article  PubMed  Google Scholar 

  • Billieux, J., Gay, P., Rochat, L., & Van der Linden, M. (2010). The role of urgency and its underlying psychological mechanisms in problematic behaviours. Behaviour Research and Therapy, 48, 1085–1096.

    Article  PubMed  Google Scholar 

  • Billieux, J., Lagrange, G., Van der Linden, M., Lancon, C., Adida, M., & Jeanningros, R. (2012). Investigation of impulsivity in a sample of treatment-seeking pathological gamblers: A multidimensional perspective. Psychiatry Research, 198, 291–296.

    Article  PubMed  Google Scholar 

  • Black, D. W., Smith, M. M., Forbush, K. T., Shaw, M. C., McCormick, B. A., Moser, D. J., et al. (2013). Neuropsychological performance, impulsivity, symptoms of ADHD, and Clonginer’s personality traits in pathological gambling. Addiction Research & Theory, 21, 216–226.

    Article  Google Scholar 

  • Blaszczynski, A., & Nower, L. (1998). A pathways model of problem and pathological gambling. Addiction, 97, 487–499.

    Article  Google Scholar 

  • Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to metaanalysis. Chichester: Wiley.

    Book  Google Scholar 

  • Borenstein, M., Hedges, L. V., & Rothstein, H. R. (2007). Meta-analysis: Fixed effects vs. random effects. www.Meta-Analysis.com.

  • Brunner, D., & Hen, R. (1997). Insights into the neurobiology of impulsive behaviour from serotonin receptor knockout mice. Annals of the New York Academy of Sciences, 836, 81–105.

    Article  CAS  PubMed  Google Scholar 

  • Caswell, A. J., Morgan, M. J., & Duka, T. (2013). Inhibitory control contributes to “Motor”—but not “Cognitive”—impulsivity. Experimental Psychology, 60, 324–334.

    Article  PubMed  Google Scholar 

  • Chamberlain, S. R., & Sahakian, B. J. (2007). The neuropsychiatry of impulsivity. Current Opinion in Psychiatry, 20, 255–261.

    Article  PubMed  Google Scholar 

  • Ciccarelli, M., Malinconico, R., Griffiths, M. D., Nigro, G., & Cosenza, M. (2016). Reward preferences of pathological gamblers under conditions of uncertainty: An experimental study. Journal of Gambling Studies. doi:10.1007/s10899-016-9593.

    Google Scholar 

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.

    Article  CAS  PubMed  Google Scholar 

  • Comprehensive Meta-Analysis (Version 3.3) [Computer software] (2014). Englewood. NJ: Biostat. Retrieved from http://www.meta-analysis.com.

  • de Wilde, B., Goudriaan, A., Sabbe, B., Hulstijn, W., & Dom, G. (2013). Relapse in pathological gamblers: A pilot study on the predictive value of different impulsivity measures. Journal of Behavioral Addictions, 2, 23–30.

    Article  PubMed  Google Scholar 

  • Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168.

    Article  PubMed  Google Scholar 

  • Donders, F. C. (1969). On the speed of mental processes. In W. G. Koster (Ed.) Attention and performance II. Amsterdam: North-Holland. (Original work published in 1868); 18681969. pp. 412-431.

  • Dussault, F., Brendgen, M., Vitaro, F., Wanner, B., & Tremblay, R. E. (2011). Longitudinal links between impulsivity, gambling problems and depressive symptoms: A transactional model from adolescence to early adulthood. Journal of Child Psychology and Psychiatry, 52, 130–138.

    Article  PubMed  Google Scholar 

  • Enticott, P. G., Ogloff, J. R. P., & Bradshaw, J. L. (2006). Association between laboratory measures of executive inhibitory control and self-reported impulsivity. Personality and Individual Differences, 41, 285–294.

    Article  Google Scholar 

  • Evenden, J. L. (1999). Varieties of impulsivity. Psychopharmacology (Berl), 146, 348–361.

    Article  CAS  Google Scholar 

  • Fuentes, D., Tavares, H., Artes, R., & Gorenstein, C. (2006). Self-reported and neuropsychological measures of impulsivity in pathological gambling. Journal of the International Neuropsychological Society, 12, 907–912.

    Article  PubMed  Google Scholar 

  • Giorgetta, C., Giorgetta, C., Rattin, A., Guerreschi, C., Sanfey, A. G., & Bonini, N. (2014). To play or not to play: A personal dilemma in pathological gambling. Psychiatry Research, 219, 562–569.

    Article  PubMed  Google Scholar 

  • Goudriaan, A. E., Oosterlaan, J., de Beurs, E., & van den Brink, W. (2005). Decision making in pathological gambling: A comparison between pathological gamblers, alcohol dependents, persons with Tourette Syndrome, and normal controls. Cognitive Brain Research, 23, 137–151.

    Article  PubMed  Google Scholar 

  • Goudriaan, A. E., Oosterlaan, J., de Beurs, E., & van den Brink, W. (2006). Neurocognitive functions in pathological gambling: A comparison with alcohol dependence, Tourette syndrome and normal controls. Addiction, 101, 534–547.

    Article  PubMed  Google Scholar 

  • Grant, J. E., & Chamberlain, S. R. (2014). Impulsive action and impulsive choice across substance and behavioural addictions: Cause or consequence? Addictive Behaviors, 39, 1632–1639.

    Article  PubMed  Google Scholar 

  • Grant, J. E., Chamberlain, S. R., Odlaug, B. L., Potenza, M. N., & Kim, S. W. (2010). Memantine shows promise in reducing gambling severity and cognitive inflexibility in pathological gambling: A pilot study. Psychopharmacology (Berl), 212, 603–612.

    Article  CAS  Google Scholar 

  • Grant, J. E., Odlaug, B. L., & Chamberlain, S. R. (2016). Neural and psychological underpinnings of gambling disorder: A review. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 65, 188–193.

    Article  PubMed  Google Scholar 

  • Grecucci, A., Giorgetta, C., Rattin, A., Guerreschi, C., Sanfey, A. G., & Bonini, N. (2014). Time devours things: How impulsivity and time affect temporal decisions in pathological gamblers. PLoS ONE, 9, e109197.

    Article  PubMed  PubMed Central  Google Scholar 

  • Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses service. BMJ, 327, 557–660.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hwang, J. Y., Shin, Y., Lim, S., Park, H. Y., Shin, N. Y., Jang, J. H., et al. (2012). Multidimensional comparison of personality characteristics of the big five model, impulsiveness, and affect in pathological gambling and obsessive-compulsive disorder. Journal of Gambling Studies, 28, 351–362.

    Article  PubMed  Google Scholar 

  • Kertzman, S., Lidogoster, H., Aizer, A., Kotler, M., & Dannon, P. N. (2011). Risk-taking decisions in pathological gamblers is not a result of their impaired inhibition ability. Psychiatry Research, 188, 2011.

    Article  Google Scholar 

  • Kertzman, S., Lowengrub, K., Aizer, A., Vainder, M., Kotler, M., & Dannon, P. N. (2008). Go–No–Go performance in pathological gamblers. Psychiatry Research, 161, 1–10.

    Article  PubMed  Google Scholar 

  • Kraplin, A., Behrendt, S., Scherbaum, S., Dshemuchadse, M., Buhringer, G., & Goschke, T. (2015). Increased impulsivity in pathological gambling: Considering nicotine dependence. Journal of Clinical and Experimental Neuropsychology, 37, 367–378.

    Article  PubMed  Google Scholar 

  • Kraplin, A., Buhringer, G., Oosterlaan, J., van den Brink, W., Goschke, T., & Goudriaan, A. E. (2014). Dimensions and disorder specificity of impulsivity in pathological gambling. Addictive Behaviors, 39, 1646–1651.

    Article  PubMed  Google Scholar 

  • Lai, F. D. M., Ip, A. K. Y., & Lee, T. M. C. (2011). Impulsivity and pathological gambling among Chinese: Is it a state or a trait problem? BMC Research Notes, 4, 492–498.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lawrence, A. J., Luty, J., Bogdan, N. A., Sahakian, B. J., & Clark, L. (2009). Problem gamblers share deficits in impulsive decision-making with alcohol-dependent individuals. Addiction, 104, 1006–1015.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ledgerwood, D. M., Alessi, S. M., Phoenix, N., & Petry, N. M. (2009). Behavioral assessment of impulsivity in pathological gamblers with and without substance use disorder histories versus healthy controls. Drug and Alcohol Dependence, 105, 89–96. 

    Article  PubMed  PubMed Central  Google Scholar 

  • Leppink, E. W., Redden, S. A., & Grant, J. E. (2016). Impulsivity in body-focused repetitive behaviour disorders: Disparate clinical associations between three distinct measures. International Journal of Psychiatry in Clinical Practise, 20, 24–31.

    Article  Google Scholar 

  • Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Lipszyc, J., & Schachar, R. (2010). Inhibitory control and psychopathology: A meta-analysis of studies using the stop signal task. Journals of the International Neuropsychological Society, 16, 1064–1076.

    Article  Google Scholar 

  • Logan, G. D., & Cowan, W. B. (1984). On the ability to inhibit thought and action: A theory of an act of control. Psychological Review, 91, 295–327.

    Article  Google Scholar 

  • Logan, G. D., Schachar, R. J., & Tannock, R. (1997). Impulsivity and inhibitory control. Psychological Science, 8, 60–64.

    Article  Google Scholar 

  • Malloy-Diniz, L., Fuentes, D., Leite, W. B., Correa, H., & Bechara, A. (2007). Impulsive behaviour in adults with attention deficit/hyperactivity disorder: Characterisation of attention, motor and cognitive impulsiveness. Journal of the International Neuropsychological Society, 13, 693–698.

    Article  CAS  PubMed  Google Scholar 

  • Meule, A. (2013). Impulsivity and overeating: A closer look at the subscales of the Barratt Impulsiveness Scale. Frontiers in Psychology, 4, 1–4.

    Google Scholar 

  • Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric aspects of impulsivity. The American Journal of Psychiatry, 158, 1783–1793.

    Article  CAS  PubMed  Google Scholar 

  • Olmstead, M., Ougazzal, A., & Kieffer, B. L. (2009). Mu and delta opioid receptors oppositely regulate motor impulsivity in the signalled nose poke task. PLoS ONE, 4, e4410.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pagani, L. S., Derevensky, J. L., & Japel, C. (2009). Predicting gambling behavior in sixth grade from Kindergarten impulsivity a tale of developmental continuity. Archives of Paediatrics and Adolescent Medicine, 163, 238–243.

    Article  Google Scholar 

  • Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51, 768–774.

    Article  CAS  PubMed  Google Scholar 

  • Rentrop, M., Backenstrass, M., Jaentsch, B., Kaiser, S., Roth, A., Unger, J., et al. (2008). Response inhibition in borderline personality disorder: Performance in a go/nogo task. Psychopathology, 41, 50–57.

    Article  PubMed  Google Scholar 

  • Rodriguez-Jimenez, R., Avila, C., Jimenez-Arriero, M. A., Ponce, G., Monasor, R., Jimenez, M., et al. (2006). Impulsivity and sustained attention in pathological gamblers: Influence of Childhood ADHD history. Journal of Gambling Studies, 22, 451–461.

    Article  CAS  PubMed  Google Scholar 

  • Sharpe, L. (2002). A reformulated cognitive-behavioural model of problem gambling: A Biopsychosocial perspective. Clinical Psychology Review, 22, 1–25.

    Article  PubMed  Google Scholar 

  • Smith, J. L., Mattick, R. P., Jamadar, S. D., & Iredale, J. M. (2014). Deficits in behavioural inhibition in substance abuse and addiction: A meta-analysis. Drug and Alcohol Dependence, 145, 1–33.

    Article  PubMed  Google Scholar 

  • Stanford, M. S., Mathias, C. W., Dougherty, D. M., Lake, S. L., Anderson, N. E., & Patton, J. H. (2009). Fifty years of the Barratt Impulsiveness Scale: An update and review. Personality and Individual Differences, 47, 385–395.

    Article  Google Scholar 

  • Trommer, B. L., Hoeppner, J. B., Lorber, R., & Armstrong, K. J. (1988). The Go–No-Go paradigm in attention deficit disorder. Annals of Neurology, 24, 610–614.

    Article  CAS  PubMed  Google Scholar 

  • van Holst, R. J., van der Meer, J. N., McLaren, D. G., van den Brink, W., Veltman, D. J., & Goudriaan, A. E. (2012). Interactions between affective and cognitive processing systems in problematic gamblers: A functional connectivity study. PLoS ONE, 7, e49923.

    Article  PubMed  PubMed Central  Google Scholar 

  • Vassileva, J., Gonzalez, R., Bechara, A., & Martin, E. M. (2007). Are all drug addicts impulsive? Effects of antisociality and extent of multidrug use on cognitive and motor impulsivity. Addictive Behaviours, 32, 3071–3076.

    Article  Google Scholar 

  • Wright, L., Lipszyc, J., Dupuis, A., Thayapararajah, S. W., & Russell, S. (2014). Response inhibition and psychopathology: A meta-analysis of go/no-go task performance. Journal of Abnormal Psychology, 123, 429–439.

    Article  PubMed  Google Scholar 

  • Zhou, Z., Zhou, H., & Zhu, H. (2016). Working memory, executive function and impulsivity in Internet-addictive disorders: A comparison with pathological gambling. Acta Neuropsychiatrica, 28, 92–100.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. School of Psychology, University of Sydney, Camperdown, NSW, 2006, Australia

    Nahian S. Chowdhury, Evan J. Livesey, Alex Blaszczynski & Justin A. Harris

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  1. Nahian S. Chowdhury
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  2. Evan J. Livesey
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Correspondence to Nahian S. Chowdhury.

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Chowdhury, N.S., Livesey, E.J., Blaszczynski, A. et al. Pathological Gambling and Motor Impulsivity: A Systematic Review with Meta-Analysis. J Gambl Stud 33, 1213–1239 (2017). https://doi.org/10.1007/s10899-017-9683-5

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