Abstract
Previous research has demonstrated that gambling cues (e.g., flashing lights on poker-machines) can trigger an urge to gamble in poker-machine gamblers. However, the psychological mechanisms that promote the urge to gamble remain poorly understood. The present study explored whether reward responsiveness predicted urge to gamble and positive affect, and whether cue-reactive rationality, volitional control and imagery mediated these relationships. Ninety-three (45% male and 55% female) Australian regular poker-machine gamblers aged between 18 and 77 participated in an online cue-reactivity experiment. Participants initially completed the Problem Gambling Severity Index and Reward Responsiveness scale. Subsequently, at three time points (i.e., baseline, directly after a neutral cue and directly after a gambling cue) participants completed the rationality, volitional control and imagery subscales of the Phenomenology of Consciousness Inventory and two visual analogue scales that measured urge to gamble and positive affect. Analyses indicated that gambling cues triggered statistically significant increases in both urge to gamble and positive affect and these variables were statistically significantly positively correlated with reward responsiveness. Furthermore, only cue-reactive imagery mediated the relationships between reward responsiveness and the two outcome variables (i.e., cue-reactive urge to gamble and positive affect). These findings highlight the potential importance of targeting reward responsiveness and cue-reactive mental imagery in the context of exposure therapies for poker-machine problem gamblers.
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References
Allen, P., Bennett, K., & Heritage, B. (2019). SPSS statistics: A practical guide (4th ed.). South Melbourne: Cengage Learning Australia.
Ashrafioun, L., & Rosenberg, H. (2012). Methods of assessing craving to gamble: A narrative review. Psychology of Addictive Behaviors, 26, 536–549. https://doi.org/10.1037/a0026367.
Banjanovic, E., & Osborne, J. (2016). Confidence intervals for effect sizes: Applying bootstrap resampling. Practical Assessment, Research & Evaluation, 21(5), 1–20.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.
Baudinet, J., & Blaszczynski, A. (2013). Arousal and gambling mode preference: A review of the literature. Journal of Gambling Studies, 29, 343–358. https://doi.org/10.1007/s10899-012-9304-2.
Blaszczynski, A. (1999). Pathological gambling and obsessive–compulsive spectrum disorders. Psychological Reports, 84(1), 107–113. https://doi.org/10.2466/pr0.84.1.107-113.
Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97, 487–499. https://doi.org/10.1046/j.1360-0443.2002.00015.x.
Blaszczynski, A., & Nower, L. (2003). Imaginal desensitisation: A relaxation-based technique for impulse control disorders. Journal of Clinical Activities, Assignments & Handouts in Psychotherapy Practice, 2(4), 1–14. https://doi.org/10.1300/J182v02n04_01.
Calado, F., & Griffiths, M. D. (2016). Problem gambling worldwide: An update and systematic review of empirical research (2000–2015). Journal of Behavioral Addictions, 5(4), 592–613.
Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67, 319–333. https://doi.org/10.1037/0022-3514.67.2.319.
Clark, G. I., Rock, A. J., McKeith, C. F., & Coventry, W. L. (2017). Cue-reactive rationality, visual imagery and volitional control predict cue-reactive urge to gamble in poker-machine gamblers. Journal of Gambling Studies, 33(3), 807–823. https://doi.org/10.1007/s10899-016-9650-6.
Corr, P. (2008). Reinforcement sensitivity theory (RST): Introduction. In P. Corr (Ed.), The reinforcement sensitivity theory of personality (pp. 1–43). Cambridge: Cambridge University Press.
Czerny, E., Koenig, S., & Turner, N. E. (2008). Exploring the mind of the gambler: Psychological aspects of gambling and problem gambling. In M. Zangeneh, A. Blaszczynski, & N. Turner (Eds.), In the pursuit of winning: Problem gambling theory, research and treatment (pp. 65–82). New York, NY: Springer.
DiCiccio, T., & Efron, B. (1996). Bootstrap confidence intervals. Statistical Science, 11, 189–212.
Eitle, D., & Taylor, J. (2010). General strain theory, BIS/BAS levels, and gambling behavior. Deviant Behavior, 32, 1–37. https://doi.org/10.1080/01639620903415992.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. https://doi.org/10.3758/BRM.41.4.1149.
Ferris, J., & Wynne, H. (2001). The Canadian problem gambling index: Final report. Ottawa: Canadian Centre on Substance Abuse.
Fisher, G., & Roget, N. (2009). Encyclopedia of substance abuse prevention, treatment, & recovery. Thousand Oaks, CA: SAGE Publications.
Gaeney, J. T., Treadway, M. T., & Smillie, L. D. (2015). Trait anticipatory pleasure predicts effort expenditure for reward. PLoS ONE, 10(6), 1–17. https://doi.org/10.1371/journal.pone.0131357.
Gray, J. A. (1987). Perspectives on anxiety and impulsivity: A commentary. Journal of Research in Personality, 21, 493–509. https://doi.org/10.1016/0092-6566(87)90036-5.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.
Hodgins, D. C., & el-Guebaly, N. (2004). Retrospective and prospective reports of precipitants to relapse in pathological gambling. Journal of Consulting and Clinical Psychology, 72, 72–80. https://doi.org/10.1037/0022-006X.72.1.72.
Holmes, E. A., Iyadurai, L., Jacob, G. A., & Hales, S. (2015). Mental imagery in psychological disorders. Emerging trends in the social and behavioral sciences. Chichester: Wiley. https://doi.org/10.1002/9781118900772.etrds0216.
Ivins, A., Di Simplicio, M., Close, H., Goodwin, G. M., & Holmes, E. (2014). Mental imagery in bipolar affective disorder versus unipolar depression: Investigating cognitions at times of ‘positive’ mood. Journal of Affective Disorders, 166, 234–242.
Jabr, F. (2013). Gambling on the brain. Scientific American, 309(5), 28–30. https://doi.org/10.1038/scientificamerican1113-28.
Kambouropoulos, N., & Rock, A. (2010). Extraversion and altered state of awareness predict alcohol cue-reactivity. Journal of Individual Differences, 31, 178–184. https://doi.org/10.1027/1614-0001/a000026.
Kambouropoulos, N., & Staiger, P. K. (2001). The influence of sensitivity to reward on reactivity to alcohol-related cues. Addiction, 96, 1175–1185. https://doi.org/10.1080/09652140120060761.
Kambouropoulos, N., & Staiger, P. K. (2004). Reactivity to alcohol-related cues: Relationship among cue type, motivational processes, and personality. Psychology of Addictive Behaviors, 18, 275–283.
Kambouropoulos, N., & Staiger, P. K. (2009). ‘Cue reward salience’ predicts craving in response to alcohol cues. Personality and Individual Differences, 46(2), 78–82.
Kemps, E., & Tiggemann, M. (2015). A role for mental imagery in the experience and reduction of food cravings. Frontiers in Psychiatry, 5, 193. https://doi.org/10.3389/fpsyt.2014.00193.
Kilts, C. D., Gross, R. E., Ely, T. D., & Drexler, K. P. (2004). The neural correlates of cue-induced craving in cocaine-dependent women. American Journal of Psychiatry, 161, 223–241. https://doi.org/10.1176/appi.ajp.161.2.233.
Lilienfeld, S., Lynn, S. J., Namy, L., Woolf, N., Jamieson, G., Marks, A., et al. (2014). Psychology: From inquiry to understanding (Vol. 2). Pearson Higher Education AU.
MacLaren, V., Fugelsang, J., Harrigan, K., & Dixon, M. (2012). Effects of impulsivity, reinforcement sensitivity, and cognitive style on pathological gambling symptoms among frequent slot machine players. Personality and Individual Differences, 52, 390–394. https://doi.org/10.1016/j.paid.2011.10.044.
Martin, R. J., Usdan, S., Nelson, S., Umstattd, M. R., LaPlante, D., Perko, M., et al. (2010). Using the theory of planned behavior to predict gambling behavior. Psychology of Addictive Behaviors, 24(1), 89. https://doi.org/10.1037/a0018452.
McCormick, J., & Delfabbro, P. (2011). Electronic gaming machines and altered states of awareness: A pilot investigation. Gambling Research, 23(1), 41–62.
McCormick, J., Delfabbro, P., & Denson, L. (2012). Psychological vulnerability and problem gambling: An application of Durand Jacobs’ general theory of addictions to electronic gaming machine playing in Australia. Journal of Gambling Studies, 28, 665–690. https://doi.org/10.1007/s10899-011-9281-x.
McKeith, C. F., Rock, A. J., & Clark, G. I. (2017). Trait mindfulness, problem-gambling severity, altered states of awareness and urge to gamble in poker-machine gamblers. Journal of Gambling Studies, 33, 617–632. https://doi.org/10.1007/s10899-016-9635-5.
Merkouris, S., Thomas, S., Browning, C., & Dowling, N. (2016). Predictors of outcomes of psychological treatments for disordered gambling: A systematic review. Clinical Psychology Review, 48, 7–31. https://doi.org/10.1016/j.cpr.2016.06.004.
Monti, P., Binkoff, J., Abrams, D., Zwick, W., Nirenberg, T., & Liepman, M. (1987). Reactivity of alcoholics and nonalcoholics to drinking cues. Journal of Abnormal Psychology, 96, 122–126. https://doi.org/10.1037/0021-843X.96.2.122.
National Research Council. (1999). Pathological gambling: A critical review. Washington, DC: National Academy Press.
Neal, P., Delfabbro, P., & O’Neil, M. (2005). Problem gambling and harm: Towards a national definition. Gambling Research Australia. Retrieved May 16, 2017 from https://www.gamblingresearch.org.au/sites/default/files/embridge_cache/emshare/original/public/2016/09/b6/338ef07ff/finalreportprinter.pdf
Nelson-Jones, R. (2014). Practical counselling and helping skills (6th ed.). London: SAGE.
Paris, J., Franco, C., Sodano, R., Frye, C., & Wulfert, E. (2009). Gambling pathology is associated with dampened cortisol response among men and women. Physiology & Behavior, 99, 230–233. https://doi.org/10.1016/j.physbeh.2009.04.002.
Pekala, R. J. (1991a). Quantifying consciousness: An empirical approach. New York, NY: Plenum Press.
Pekala, R. J. (1991b). Phenomenology of Consciousness Inventory (PCI). West Chester, PA: Mid-Atlantic Educational Institute.
Pekala, R. J., Steinberg, P., & Kumar, V. K. (1986). Measurement of phenomenological experience: Phenomenology of Consciousness Inventory. Perceptual and Motor Skills, 63, 983–989. https://doi.org/10.2466/pms.1986.63.2.983.
Pekala, R. J., & Wenger, C. F. (1983). Retrospective phenomenological assessment: Mapping consciousness in reference to specific stimulus conditions. Journal of Mind and Behavior, 4(2), 247–274.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731. https://doi.org/10.3758/BF03206553.
Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971. https://doi.org/10.1037/0033-2909.131.6.925.
Productivity Commission. (1999). Australia’s gambling industries: Inquiry report volume 1 (Report No. 10). Retrieved May 16, 2017 from http://www.pc.gov.au/inquiries/completed/gambling/report/gambling1.pdf
Productivity Commission. (2010). Gambling: Productivity Commission inquiry report volume 1 (Report No. 50). Retrieved May 16, 2017 from http://www.pc.gov.au/inquiries/completed/gambling-2009/report/gambling-report-volume1.pdf
Qualtrics. (2017, March–August). [Computer software]. Provo, UT: Qualtrics. Retrieved from http://www.qualtrics.com
Raylu, N., & Oei, T. (2004). The Gambling Urge Scale: Development, confirmatory factor validation, and psychometric properties. Psychology of Addictive Behaviors, 18, 100–105. https://doi.org/10.1037/0893-16X.18.2.100.
Rock, A. J., & Kambouropoulos, N. (2007). Toward a phenomenology of urge to drink: A future prospect for the cue-reactivity paradigm. North American Journal of Psychology, 9, 387–406.
Rock, A. J., & Kambouropoulos, N. (2009). Does altered states of awareness mediate the relationship between the unusual experiences trait and alcohol cue-reactivity? North American Journal of Psychology, 11, 443–454.
Rock, A. J., & Kambouropoulos, N. (2012). The phenomenology of alcohol cue-reactivity: A partial replication and extension. Imagination, Cognition and Personality, 32, 75–93. https://doi.org/10.2190/IC.32.1.f.
Rohsenhow, D., & Niaura, R. (1999). Reflections on the state of cue-reactivity theories and research. Addiction, 94, 343–344.
Rosenthal, R., & Rosnow, R. (1991). Essentials of behavioral research (2nd ed.). New York, NY: McGraw-Hill.
Sharpe, L. (2002). A reformulated cognitive-behavioral model of problem gambling: A biopsychosocial perspective. Clinical Psychology Review, 22, 1–25. https://doi.org/10.1016/S0272-7358(00)00087-8.
Sharpe, L. (2004). Patterns of autonomic arousal in imaginal situations of winning and losing in problem gambling. Journal of Gambling Studies, 20, 95–104. https://doi.org/10.1023/B:JOGS.0000016706.96540.43.
Sodano, R., & Wulfert, E. (2010). Cue reactivity in active pathological, abstinent pathological, and regular gamblers. Journal of Gambling Studies, 26, 53–65. https://doi.org/10.1007/s10899-009-9146-8.
Suhr, J. A., & Tsanadis, J. (2007). Affect and personality correlates of the Iowa Gambling Task. Personality and Individual Differences, 43, 27–36. https://doi.org/10.1016/j.paid.2006.11.004.
The Economist. (2014, 3 February 2014). Daily chart: The house wins. Retrieved 7 April, 2019, from http://www.economist.com/blogs/graphicdetail/2014/02/daily-chart-0
Tiffany, S. T., & Drobes, D. J. (1990). Imagery and smoking urges: The manipulation of affective content. Addictive Behaviors, 15(6), 531–539. https://doi.org/10.1016/0306-4603(90)90053-Z.
Tricker, C., Rock, A. J., & Clark, G. I. (2016). Cue-reactive altered state of consciousness mediates the relationship between problem-gambling severity and cue-reactive urge in poker-machine gamblers. Journal of Gambling Studies, 32, 661–674. https://doi.org/10.1007/s10899-015-9549-7.
Van den Berg, I., Franken, I., & Muris, P. (2010). A new scale for measuring reward responsiveness. Frontiers in Psychology, 1(239), 1–7. https://doi.org/10.3389/fpsyg.2010.00239.
Walker, M., & Blaszczynski, A. (2010). Clinical assessment of problem gamblers identified using the Canadian Problem Gambling Index (Report prepared by the University of Sydney Gambling Treatment Clinic and Gambling Research Unit for the South Australian Independent Gambling Authority). Adelaide: Independent Gambling Authority.
Watson, D., Wiese, D., Vaidya, J., & Tellegen, A. (1999). The two general activation systems of affect: Structural findings, evolutionary considerations, and psychobiological evidence. Journal of Personality and Social Psychology, 76, 820–838. https://doi.org/10.1037/0022-3514.76.5.820.
Wu, A. M., & Tang, C. S. K. (2012). Problem gambling of Chinese college students: Application of the theory of planned behavior. Journal of Gambling Studies, 28(2), 315–324. https://doi.org/10.1007/s10899-011-9250-4.
Wulfert, E., Maxson, J., & Jardin, B. (2009). Cue-specific reactivity in experienced gamblers. Psychology of Addictive Behaviors, 23, 731–735. https://doi.org/10.1037/a0017134.
Wulfert, E., Roland, B., Hartley, J., Wang, N., & Franco, C. (2005). Heart rate arousal and excitement in gambling: Winners versus losers. Psychology of Addictive Behaviors, 19, 311–316. https://doi.org/10.1037/0893-164X.19.3.311.
Zisserson, R. N., & Palfai, T. P. (2007). Behavioral activation system (BAS) sensitivity and reactivity to alcohol cues among hazardous drinkers. Addictive Behaviors, 32, 2178–2186. https://doi.org/10.1016/j.addbeh.2007.02.016.
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Dale, G., Rock, A.J. & Clark, G.I. Cue-Reactive Imagery Mediates the Relationships of Reward Responsiveness with Both Cue-Reactive Urge to Gamble and Positive Affect in Poker-Machine Gamblers. J Gambl Stud 36, 1045–1063 (2020). https://doi.org/10.1007/s10899-019-09864-x
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DOI: https://doi.org/10.1007/s10899-019-09864-x