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Perales JC, Flayelle M, Verdejo-García A, Clark L, Billieux J. Cognitive, computational and learning processes involved in behavioral addiction: Current views and future directions. Addict Behav 2024; 148:107874. [PMID: 37821335 DOI: 10.1016/j.addbeh.2023.107874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Affiliation(s)
- José C Perales
- Department of Experimental Psychology; Mind, Brain and Behavior Research Center (CIMCYC), Universidad de Granada, Spain.
| | - Maèva Flayelle
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland
| | - Antonio Verdejo-García
- School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia
| | - Luke Clark
- Department of Psychology and Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, BC, Canada
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland; Centre for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
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Eben C, Bőthe B, Brevers D, Clark L, Grubbs JB, Heirene R, Kräplin A, Lewczuk K, Palmer L, Perales JC, Peters J, van Holst RJ, Billieux J. The landscape of open science in behavioral addiction research: Current practices and future directions. J Behav Addict 2023; 12:862-870. [PMID: 38141055 PMCID: PMC10786235 DOI: 10.1556/2006.2023.00052] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 07/24/2023] [Accepted: 09/10/2023] [Indexed: 12/24/2023] Open
Abstract
Open science refers to a set of practices that aim to make scientific research more transparent, accessible, and reproducible, including pre-registration of study protocols, sharing of data and materials, the use of transparent research methods, and open access publishing. In this commentary, we describe and evaluate the current state of open science practices in behavioral addiction research. We highlight the specific value of open science practices for the field; discuss recent field-specific meta-scientific reviews that show the adoption of such practices remains in its infancy; address the challenges to engaging with open science; and make recommendations for how researchers, journals, and scientific institutions can work to overcome these challenges and promote high-quality, transparently reported behavioral addiction research. By collaboratively promoting open science practices, the field can create a more sustainable and productive research environment that benefits both the scientific community and society as a whole.
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Affiliation(s)
- Charlotte Eben
- Department of Experimental Psychology, Ghent
University, GhentBelgium
| | - Beáta Bőthe
- Département de Psychologie, Université de
Montréal, Montréal, Canada
| | - Damien Brevers
- Louvain for Experimental Psychopathology
Research Group (LEP), Psychological Sciences Research Institute,
UCLouvain, Louvain-la-Neuve,
Belgium
| | - Luke Clark
- Centre for Gambling Research at UBC,
Department of Psychology, University of British Columbia,
Vancouver, B.C., Canada
- Djavad Mowafaghian Centre for Brain Health,
University of British Columbia, Vancouver, B.C.,
Canada
| | - Joshua B. Grubbs
- Department of Psychology, University of New
Mexico, Albuquerque, NM, USA
- Center for Alcohol, Substance Use, And
Addiction (CASAA), University of New Mexico, Albuquerque,
NM, USA
| | - Robert Heirene
- School of Psychology, University of
Plymouth, Plymouth, UK
| | - Anja Kräplin
- Faculty of Psychology, Technische
Universität Dresden, Dresden,
Germany
| | - Karol Lewczuk
- Institute of Psychology, Cardinal Stefan
Wyszynski University in Warsaw, Warsaw,
Poland
| | - Lucas Palmer
- Centre for Gambling Research at UBC,
Department of Psychology, University of British Columbia,
Vancouver, B.C., Canada
| | - José C. Perales
- Department of Experimental Psychology;
Mind, Brain and Behavior Research Center (CIMCYC), University of
Granada, Granada, Spain
| | - Jan Peters
- Department of Psychology, Biological
Psychology, University of Cologne, Cologne,
Germany
| | - Ruth J. van Holst
- Department of Psychiatry, Amsterdam UMC
-University of Amsterdam, Amsterdam, The
Netherlands
- Center for Urban Mental Health, University
of Amsterdam, Amsterdam, The
Netherlands
| | - Joël Billieux
- Institute of Psychology, University of
Lausanne, Lausanne,
Switzerland
- Center for Excessive Gambling, Addiction
Medicine, Lausanne University Hospital (CHUV),
Lausanne, Switzerland
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Infanti A, Valls-Serrano C, Perales JC, Vögele C, Billieux J. Gaming passion contributes to the definition and identification of problematic gaming. Addict Behav 2023; 147:107805. [PMID: 37523871 DOI: 10.1016/j.addbeh.2023.107805] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 06/30/2023] [Accepted: 07/13/2023] [Indexed: 08/02/2023]
Abstract
Even if for most people playing video games is a healthy leisure activity, a minority of vulnerable users present an excessive use associated to negative consequences (e.g., psychosocial maladjustment, sleep interference) and functional impairment. The current study first aims to identify psychological factors that contribute to discriminate highly involved (but healthy) gamers from problematic gamers. For that purpose, we used a cluster analysis approach to identify different groups of gamers based on their profiles of passion towards gaming (using the Dualistic Model of Passion). Another objective of the present study is to explore, using supervised machine-learning, how gaming disorder symptoms, assessed within the substance use disorder framework (e.g., tolerance, withdrawal), might be linked to harmonious and/or an obsessive passion for gaming. Three distinct clusters of gamers were identified based on their passion profiles, including risky gamers, engaged gamers, and casual gamers. Supervised machine-learning algorithms identified that specific gaming disorder symptoms (salience, mood modification, tolerance, low level of conflict) were predominantly related to harmonious passion, whereas others (withdrawal, high level of conflict, relapse) were more directly related to obsessive passion. Our results support the relevance of person-centered approaches to the treatment of problematic gaming.
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Affiliation(s)
- Alexandre Infanti
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | | | - José C Perales
- Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Claus Vögele
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland; Centre for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
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4
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Muela I, Navas JF, Barrada JR, López-Guerrero J, Rivero FJ, Brevers D, Perales JC. Operationalization and measurement of compulsivity across video gaming and gambling behavioral domains. BMC Psychol 2023; 11:407. [PMID: 37990335 PMCID: PMC10664636 DOI: 10.1186/s40359-023-01439-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 11/10/2023] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND Compulsivity is the hallmark of addiction progression and, as a construct, has played an important role in unveiling the etiological pathways from learning mechanisms underlying addictive behavior to harms resulting from it. However, a sound use of the compulsivity construct in the field of behavioral addictions has been hindered to date by the lack of consensus regarding its definition and measurement. Here we capitalize on a previous systematic review and expert appraisal to develop a compulsivity scale for candidate behavioral addictions (the Granada Assessment for Cross-domain Compulsivity, GRACC). METHODS The initial scale (GRACC90) consisted of 90 items comprising previously proposed operationalizations of compulsivity, and was validated in two panel samples of individuals regularly engaging in gambling and video gaming, using exploratory structural equation modeling (ESEM) and convergence analyses. RESULTS The GRACC90 scale is unidimensional and structurally invariant across samples, and predicted severity of symptoms, lower quality of life, and negative affect, to similar degrees in the two samples. Additionally, poorer quality of life and negative affect were comparably predicted by compulsivity and by severity of symptoms. A shorter version of the scale (GRACC18) is proposed, based on selecting the 18 items with highest factor loadings. CONCLUSIONS Results support the proposal that core symptoms of behavioral addictions strongly overlap with compulsivity, and peripheral symptoms are not essential for their conceptualization. Further research should clarify the etiology of compulsive behavior, and whether pathways to compulsivity in behavioral addictions could be common or different across domains.
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Affiliation(s)
- Ismael Muela
- Department of Experimental Psychology; Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18071, Campus de Cartuja s/n, Granada, Spain.
| | - Juan F Navas
- Department of Clinical Psychology, Complutense University of Madrid, Madrid, Spain
| | - Juan R Barrada
- Department of Psychology and Sociology, Faculty of Education, Universidad de Zaragoza, Zaragoza, Spain
| | - José López-Guerrero
- Department of Experimental Psychology; Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18071, Campus de Cartuja s/n, Granada, Spain
| | - Francisco J Rivero
- Department of Experimental Psychology; Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18071, Campus de Cartuja s/n, Granada, Spain
| | - Damien Brevers
- Louvain Experimental Psychopathology Research Group (LEP), Psychological Sciences Research Institute (IPSY), UCLouvain, Louvain-La-Neuve, Belgium
| | - José C Perales
- Department of Experimental Psychology; Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18071, Campus de Cartuja s/n, Granada, Spain
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5
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Muela I, Ventura-Lucena JM, Navas JF, Perales JC. The associative learning roots of affect-driven impulsivity and its role in problem gambling: A replication attempt and extension of Quintero et al. (2020). J Behav Addict 2023; 12:201-218. [PMID: 36961741 DOI: 10.1556/2006.2023.00009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 01/30/2023] [Accepted: 03/04/2023] [Indexed: 03/25/2023] Open
Abstract
Background and aims Negative/positive urgency (NU/PU) refers to the proneness to act rashly under negative/positive emotions. These traits are proxies to generalized emotion dysregulation, and are well-established predictors of gambling-related problems. We aimed to replicate a previous work (Quintero et al., 2020) showing NU to be related to faulty extinction of conditioned stimuli in an emotional conditioning task, to extend these findings to PU, and to clarify the role of urgency in the development of gambling-related craving and problems. Methods 81 gamblers performed an acquisition-extinction task in which neutral, disgusting, erotic and gambling-related images were used as unconditioned stimuli (US), and color patches as conditioned stimuli (CS). Trial-by-trial predictive responses were analyzed using generalized linear mixed-effects models (GLME). Results PU was more strongly related than NU to craving and severity of gambling problems. PU did not influence acquisition in the associative task, whereas NU slightly slowed it. Extinction was hampered in individuals with high PU, and a follow-up analysis showed this effect to depend on relative preference for skill-based and casino games. Discussion and conclusions Results suggest that resistance to extinction of emotionally conditioned cues is a sign of malfunctioning emotion regulation in problematic gambling. In our work, the key effect was driven by PU (instead of NU), and gambling craving and symptoms were also more closely predicted by it. Future research should compare the involvement of PU and NU in emotion regulation and gambling problems, for gamblers with preference for different gambling modalities (e.g., pure chance vs skill games).
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Affiliation(s)
- Ismael Muela
- 1Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), Universidad de Granada, Spain
| | - José M Ventura-Lucena
- 1Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), Universidad de Granada, Spain
| | - Juan F Navas
- 2Department of Personality, Assessment, and Clinical Psychology, Universidad Complutense de Madrid, Spain
| | - José C Perales
- 1Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), Universidad de Granada, Spain
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6
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Luquiens A, Guillou M, Giustiniani J, Barrault S, Caillon J, Delmas H, Achab S, Bento B, Billieux J, Brevers D, Brody A, Brunault P, Challet-Bouju G, Chóliz M, Clark L, Cornil A, Costes JM, Devos G, Díaz R, Estevez A, Grassi G, Hakansson A, Khazaal Y, King DL, Labrador F, Lopez-Gonzalez H, Newall P, Perales JC, Ribadier A, Sescousse G, Sharman S, Taquet P, Varescon I, Von Hammerstein C, Bonjour T, Romo L, Grall-Bronnec M. Author Correction: Pictograms to aid laypeople in identifying the addictiveness of gambling products (PictoGRRed study). Sci Rep 2023; 13:3460. [PMID: 36859417 PMCID: PMC9977929 DOI: 10.1038/s41598-023-30530-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023] Open
Affiliation(s)
- Amandine Luquiens
- Department of Addictology, CHU Nîmes, Univ Montpellier, Nîmes, France. .,CESP, Univ. Paris-Sud, UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.
| | - Morgane Guillou
- EA 7479 SPURBO, CHRU BREST, Université de Bretagne Occidentale, Brest and Addictologie, Brest, France
| | | | - Servane Barrault
- grid.12366.300000 0001 2182 6141QualiPsy, EE 1901, Université de Tours, Tours, France ,grid.411167.40000 0004 1765 1600Service d’Addictologie Universitaire, CSAPA-37, CHRU de Tours, Tours, France
| | - Julie Caillon
- grid.277151.70000 0004 0472 0371Department of Addictology and Psychiatry Nantes, Inserm U1246, CHU Nantes, Université de Nantes, Université de Tours, Nantes, France
| | - Helena Delmas
- grid.488406.60000 0000 9139 4930Pôle Addiction et Précarité, Centre Hospitalier Guillaume Régnier, Rennes, France
| | - Sophia Achab
- grid.8591.50000 0001 2322 4988WHO Collaborating Centre for Treatment and Research in Mental Health, University of Geneva, Geneva, Switzerland
| | - Bruno Bento
- IAJ - Instituto de Apoio ao Jogador, Lda, Portugal
| | - Joël Billieux
- grid.9851.50000 0001 2165 4204Institute of Psychology, University of Lausanne, Lausanne, Switzerland ,grid.8515.90000 0001 0423 4662Addiction Medicine, Centre for Excessive Gambling, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
| | - Damien Brevers
- Louvain Experimental Psychopathology (LEP), Psychological Science Research Institute, Louvain-La-Neuve, Belgium
| | | | - Paul Brunault
- grid.411167.40000 0004 1765 1600Service d’Addictologie Universitaire, Équipe de Liaison et de Soins en Addictologie, CHRU de Tours, Tours, France ,grid.12366.300000 0001 2182 6141UMR 1253, iBrain, Inserm, Université de Tours, Tours, France ,grid.12366.300000 0001 2182 6141QualiPsy, EE, Université de Tours, 1901 Tours, France
| | - Gaëlle Challet-Bouju
- grid.277151.70000 0004 0472 0371Department of Addictology and Psychiatry Nantes, Inserm U1246, CHU Nantes, Université de Nantes, Université de Tours, Nantes, France
| | - Mariano Chóliz
- grid.5338.d0000 0001 2173 938XGambling and Technological Addictions Research Unit, University of Valencia, Valencia, Spain
| | - Luke Clark
- grid.17091.3e0000 0001 2288 9830Department of Psychology, Centre for Gambling Research at UBC, University of British Columbia, Vancouver, BC Canada
| | - Aurélien Cornil
- Louvain Experimental Psychopathology (LEP), Psychological Science Research Institute, Louvain-La-Neuve, Belgium ,grid.8515.90000 0001 0423 4662Centre for Excessive Gambling, Université Catholique de Louvain, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
| | | | - Gaetan Devos
- grid.490655.bGrand Hôpital de Charleroi (GHdC), Charleroi, Belgium ,grid.7942.80000 0001 2294 713XPsychological Science Research Institute, Université Catholique de Louvain, Louvain-la-Neuve, Belgium ,Scientific Research and Publication Cell (CRPS), Le Beau Vallon, Namur, Belgium ,grid.4989.c0000 0001 2348 0746Centre Hospitalier Le Domaine, ULB, Braine-L’Alleud, Belgium ,grid.420146.50000 0000 9479 661XService Universitaire d’Addictologie de Lyon (SUAL), CH Le Vinatier, 69500 Bron, France
| | - Rosa Díaz
- grid.410458.c0000 0000 9635 9413Child and Adolescent Psychiatry and Psychology Department, Hospital Clínic Universitari de Barcelona, Barcelona, Spain
| | - Ana Estevez
- grid.14724.340000 0001 0941 7046University of Deusto, Bilbao, Spain
| | | | - Anders Hakansson
- grid.4514.40000 0001 0930 2361Clinical Addiction Research Unit, Faculty of Medicine, Malmö Addiction Center, Lund University - Gambling Disorder Unit, Region Skåne, Sweden
| | - Yasser Khazaal
- grid.8515.90000 0001 0423 4662Addiction Medicine, Department of Psychiatry, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland
| | - Daniel L. King
- grid.1014.40000 0004 0367 2697College of Education, Psychology, & Social Work, Flinders University, Adelaide, Australia
| | - Francisco Labrador
- grid.4795.f0000 0001 2157 7667Faculty of Psychology, Complutense University, Madrid, Spain
| | - Hibai Lopez-Gonzalez
- grid.5841.80000 0004 1937 0247Faculty of Information and Communication, Universitat de Barcelona, Barcelona, Spain
| | - Philip Newall
- grid.1023.00000 0001 2193 0854CQUniversity, Bundaberg, Australia
| | - José C. Perales
- grid.4489.10000000121678994Department of Experimental Psychology Mind, Brain and Behavior Research Centre (CIMCYC), University of Granada, Granada, Spain
| | - Aurélien Ribadier
- grid.12366.300000 0001 2182 6141Département de Psychologie, EE 1901 - Equipe Qualipsy « Qualité de vie et Santé Psychologique », Université de Tours, Tours, France
| | - Guillaume Sescousse
- grid.7849.20000 0001 2150 7757Lyon Neuroscience Research Center—INSERM U1028—CNRS UMR5292, PSYR2 Team, University Lyon 1, Lyon, France
| | - Stephen Sharman
- grid.13097.3c0000 0001 2322 6764National Addiction Centre, King’s College, London, UK
| | - Pierre Taquet
- grid.410463.40000 0004 0471 8845Psychiatry and Addiction Medicine Department, CHU Lille, 59000 Lille, France ,grid.503422.20000 0001 2242 6780Univ. Lille, ULR, 4072 Lille, France ,PSITEC—Psychologie: Interactions Temps Émotions Cognition, 59000 Lille, France
| | - Isabelle Varescon
- grid.5842.b0000 0001 2171 2558Laboratoire de Psychopathologie et Processus de Santé, Université de Paris, 92100 Boulogne Billancourt, France
| | - Cora Von Hammerstein
- grid.29172.3f0000 0001 2194 6418APEMAC, Équipe EPSAM, Université de Lorraine, 57000 Metz, France
| | - Thierry Bonjour
- grid.411165.60000 0004 0593 8241Department of Addictology, CHU Nîmes, Univ Montpellier, Nîmes, France
| | - Lucia Romo
- grid.7902.c0000 0001 2156 4014EA 4430 Clipsyd, University Paris Nanterre, Nanterre, France
| | - Marie Grall-Bronnec
- grid.277151.70000 0004 0472 0371Department of Addictology and Psychiatry Nantes, Inserm U1246, CHU Nantes, Université de Nantes, Université de Tours, Nantes, France
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Luquiens A, Guillou M, Giustiniani J, Barrault S, Caillon J, Delmas H, Achab S, Bento B, Billieux J, Brevers D, Brody A, Brunault P, Challet-Bouju G, Chóliz M, Clark L, Cornil A, Costes JM, Devos G, Díaz R, Estevez A, Grassi G, Hakansson A, Khazaal Y, King DL, Labrador F, Lopez-Gonzalez H, Newall P, Perales JC, Ribadier A, Sescousse G, Sharman S, Taquet P, Varescon I, Von Hammerstein C, Bonjour T, Romo L, Grall-Bronnec M. Pictograms to aid laypeople in identifying the addictiveness of gambling products (PictoGRRed study). Sci Rep 2022; 12:22510. [PMID: 36581637 PMCID: PMC9800380 DOI: 10.1038/s41598-022-26963-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 12/22/2022] [Indexed: 12/30/2022] Open
Abstract
The structural addictive characteristics of gambling products are important targets for prevention, but can be unintuitive to laypeople. In the PictoGRRed (Pictograms for Gambling Risk Reduction) study, we aimed to develop pictograms that illustrate the main addictive characteristics of gambling products and to assess their impact on identifying the addictiveness of gambling products by laypeople. We conducted a three-step study: (1) use of a Delphi consensus method among 56 experts from 13 countries to reach a consensus on the 10 structural addictive characteristics of gambling products to be illustrated by pictograms and their associated definitions, (2) development of 10 pictograms and their definitions, and (3) study in the general population to assess the impact of exposure to the pictograms and their definitions (n = 900). French-speaking experts from the panel assessed the addictiveness of gambling products (n = 25), in which the mean of expert's ratings was considered as the true value. Participants were randomly provided with the pictograms and their definitions, or with a standard slogan, or with neither (control group). We considered the control group as representing the baseline ability of laypeople to assess the addictiveness of gambling products. Each group and the French-speaking experts rated the addictiveness of 14 gambling products. The judgment criterion was the intraclass coefficients (ICCs) between the mean ratings of each group and the experts, reflecting the level of agreement between each group and the experts. Exposure to the pictograms and their definition doubled the ability of laypeople to assess the addictiveness of gambling products compared with that of the group that read a slogan or the control group (ICC = 0.28 vs. 0.14 (Slogan) and 0.14 (Control)). Laypeople have limited awareness of the addictive characteristics of gambling products. The pictograms developed herein represent an innovative tool for universally empowering prevention and for selective prevention.
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Affiliation(s)
- Amandine Luquiens
- Department of Addictology, CHU Nîmes, Univ Montpellier, Nîmes, France. .,CESP, Univ. Paris-Sud, UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.
| | - Morgane Guillou
- EA 7479 SPURBO, CHRU BREST, Université de Bretagne Occidentale, Brest and Addictologie, Brest, France
| | | | - Servane Barrault
- QualiPsy, EE 1901, Université de Tours, Tours, France.,Service d'Addictologie Universitaire, CSAPA-37, CHRU de Tours, Tours, France
| | - Julie Caillon
- Department of Addictology and Psychiatry Nantes, Inserm U1246, CHU Nantes, Université de Nantes, Université de Tours, Nantes, France
| | - Helena Delmas
- Pôle Addiction et Précarité, Centre Hospitalier Guillaume Régnier, Rennes, France
| | - Sophia Achab
- WHO Collaborating Centre for Treatment and Research in Mental Health, University of Geneva, Geneva, Switzerland
| | - Bruno Bento
- IAJ - Instituto de Apoio ao Jogador, Lda, Portugal
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland.,Addiction Medicine, Centre for Excessive Gambling, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
| | - Damien Brevers
- Louvain Experimental Psychopathology (LEP), Psychological Science Research Institute, Louvain-La-Neuve, Belgium
| | | | - Paul Brunault
- Service d'Addictologie Universitaire, Équipe de Liaison et de Soins en Addictologie, CHRU de Tours, Tours, France.,UMR 1253, iBrain, Inserm, Université de Tours, Tours, France.,QualiPsy, EE, Université de Tours, 1901, Tours, France
| | - Gaëlle Challet-Bouju
- Department of Addictology and Psychiatry Nantes, Inserm U1246, CHU Nantes, Université de Nantes, Université de Tours, Nantes, France
| | - Mariano Chóliz
- Gambling and Technological Addictions Research Unit, University of Valencia, Valencia, Spain
| | - Luke Clark
- Department of Psychology, Centre for Gambling Research at UBC, University of British Columbia, Vancouver, BC, Canada
| | - Aurélien Cornil
- Louvain Experimental Psychopathology (LEP), Psychological Science Research Institute, Louvain-La-Neuve, Belgium.,Centre for Excessive Gambling, Université Catholique de Louvain, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
| | | | - Gaetan Devos
- Grand Hôpital de Charleroi (GHdC), Charleroi, Belgium.,Psychological Science Research Institute, Université Catholique de Louvain, Louvain-la-Neuve, Belgium.,Scientific Research and Publication Cell (CRPS), Le Beau Vallon, Namur, Belgium.,Centre Hospitalier Le Domaine, ULB, Braine-L'Alleud, Belgium.,Service Universitaire d'Addictologie de Lyon (SUAL), CH Le Vinatier, 69500, Bron, France
| | - Rosa Díaz
- Child and Adolescent Psychiatry and Psychology Department, Hospital Clínic Universitari de Barcelona, Barcelona, Spain
| | | | | | - Anders Hakansson
- Clinical Addiction Research Unit, Faculty of Medicine, Malmö Addiction Center, Lund University - Gambling Disorder Unit, Region Skåne, Sweden
| | - Yasser Khazaal
- Addiction Medicine, Department of Psychiatry, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland
| | - Daniel L King
- College of Education, Psychology, & Social Work, Flinders University, Adelaide, Australia
| | | | - Hibai Lopez-Gonzalez
- Faculty of Information and Communication, Universitat de Barcelona, Barcelona, Spain
| | | | - José C Perales
- Department of Experimental Psychology Mind, Brain and Behavior Research Centre (CIMCYC), University of Granada, Granada, Spain
| | - Aurélien Ribadier
- Département de Psychologie, EE 1901 - Equipe Qualipsy « Qualité de vie et Santé Psychologique », Université de Tours, Tours, France
| | - Guillaume Sescousse
- Lyon Neuroscience Research Center-INSERM U1028-CNRS UMR5292, PSYR2 Team, University Lyon 1, Lyon, France
| | | | - Pierre Taquet
- Psychiatry and Addiction Medicine Department, CHU Lille, 59000, Lille, France.,Univ. Lille, ULR, 4072, Lille, France.,PSITEC-Psychologie: Interactions Temps Émotions Cognition, 59000, Lille, France
| | - Isabelle Varescon
- Laboratoire de Psychopathologie et Processus de Santé, Université de Paris, 92100, Boulogne Billancourt, France
| | | | - Thierry Bonjour
- Department of Addictology, CHU Nîmes, Univ Montpellier, Nîmes, France
| | - Lucia Romo
- EA 4430 Clipsyd, University Paris Nanterre, Nanterre, France
| | - Marie Grall-Bronnec
- Department of Addictology and Psychiatry Nantes, Inserm U1246, CHU Nantes, Université de Nantes, Université de Tours, Nantes, France
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Muela I, Navas JF, Ventura-Lucena JM, Perales JC. How to pin a compulsive behavior down: A systematic review and conceptual synthesis of compulsivity-sensitive items in measures of behavioral addiction. Addict Behav 2022; 134:107410. [PMID: 35780595 DOI: 10.1016/j.addbeh.2022.107410] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 06/08/2022] [Accepted: 06/11/2022] [Indexed: 12/15/2022]
Abstract
Experimental models identify the transition from choice to compulsivity as the main mechanism underlying addiction. In behavioral addictions research, however, the adjective compulsive is used to describe virtually any kind of excessive or dysregulated behavior, which hinders the connection between experimental and clinical models. In this systematic review, we adopted a preliminary definition of compulsive behavior based on previous theoretical work. Subsequently, a systematic review following PRISMA guidelines was conducted (a) to identify the validated instruments, currently used in behavioral addictions research, that include items that are sensitive (intendedly or not) to compulsivity, and (b) to categorize those items into differentiable operationalizations of compulsivity. Six operationalizations of compulsivity emerged from item content analysis: 1. Automatic or habitual behavior occurring in absence of conscious instrumental goals; 2. Behavior insensitive to negative consequences despite conscious awareness of them; 3. Overwhelming urge or desire that impels the individual to initiate the activity and jeopardizes control attempts; 4. Bingeing, or inability to stop or interrupt the activity once initiated, resulting in an episode substantially longer or more intense than intended; 5. Attentional capture and cognitive hijacking; and 6. Inflexible rules, stereotyped behaviors, and rituals related to task completion or execution. Subsequently, a list of 15 representative items per operationalization was elaborated for independent assessment and identification of delimitation problems. A high degree of agreement was reached in assessing them as instantiating compulsivity, as well as in their assignment to the corresponding categories. However, many of them were also considered overinclusive, i.e., uncapable of distinguishing compulsivity from value-based momentary choice. To increase their discriminative value, items in future compulsivity scales should be refined to explicitly mention disconnection between behavior and declarative goals. Further research on factorial structure of a pool of items derived from these operational definitions is warranted. Such a factorial structure could be used as an intermediate link between specific behavioral items and explanatory psychobiological, learning, and cognitive mechanisms.
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Affiliation(s)
- Ismael Muela
- Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), Universidad de Granada, Spain.
| | - Juan F Navas
- Department of Personality, Assessment, and Clinical Psychology, Universidad Complutense de Madrid, Spain
| | - José M Ventura-Lucena
- Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), Universidad de Granada, Spain
| | - José C Perales
- Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), Universidad de Granada, Spain
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Castro-Calvo J, Flayelle M, Perales JC, Brand M, Potenza MN, Billieux J. Compulsive Sexual Behavior Disorder should not be classified by solely relying on component/symptomatic features •. J Behav Addict 2022; 11:210-215. [PMID: 35895452 PMCID: PMC9295252 DOI: 10.1556/2006.2022.00029] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 03/14/2022] [Accepted: 04/15/2022] [Indexed: 01/02/2023] Open
Abstract
The paper by Sassover and Weinstein (2022) contributes to a timely and complex debate related to the classification of Compulsive Sexual Behavior Disorder (CSBD). The recent inclusion of CSBD as an impulse-control disorder in the ICD-11 has generated debate since a competitive view is that CSBD should rather be classified as an addictive disorder. Sassover and Weinstein (2022) reviewed existing evidence and concluded it does not support the conceptualization of CSBD as an addictive disorder. Although we agree regarding the relevance and timely nature of considering the classification of CSBD, we respectfully disagree with the position that relying on the components model of addiction (Griffiths, 2005) is the optimal approach for determining whether or not CSBD is an addictive disorder. In this commentary, we discuss potential pitfalls of relying on the components model to conceptualize CSBD as an addictive disorder and argue that considering a process-based approach is important for advancing this timely debate.
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Affiliation(s)
- Jesús Castro-Calvo
- Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain
- Corresponding authors. E-mail: ,
| | - Maèva Flayelle
- Institute of Psychology, University of Lausanne (UNIL), Lausanne, Switzerland
| | - José C. Perales
- Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), Universidad de Granada, Spain
| | - Matthias Brand
- General Psychology: Cognition and Center for Behavioral Addiction Research (CeBAR), University of Duisburg-Essen, Germany
| | - Marc N. Potenza
- Department of Psychiatry and the Child Study Center, Yale School of Medicine, New Haven, CT, USA
- Department of Neuroscience and the Wu Tsai Institute, Yale University, New Haven, CT, USA
- Connecticut Mental Health Center, New Haven, CT, USA
- The Connecticut Council on Problem Gambling, Wethersfield, CT 06109, USA
| | - Joël Billieux
- Institute of Psychology, University of Lausanne (UNIL), Lausanne, Switzerland
- Centre for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
- Corresponding authors. E-mail: ,
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Okan Y, Blanco F, Petrova D, Capra M, Perales JC. Editorial: Understanding and Overcoming Biases in Judgment and Decision-Making With Real-Life Consequences. Front Psychol 2022; 13:917896. [PMID: 35686086 PMCID: PMC9172835 DOI: 10.3389/fpsyg.2022.917896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 04/19/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Yasmina Okan
- Centre for Decision Research, Leeds University Business School, University of Leeds, Leeds, United Kingdom
- *Correspondence: Yasmina Okan
| | - Fernando Blanco
- Department of Social Psychology, Faculty of Psychology, University of Granada, Granada, Spain
| | - Dafina Petrova
- Cancer Registry of Granada, Andalusian School of Public Health, Granada, Spain
- Instituto de Investigación Biosanitaria ibs.Granada, Spain
- CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Monica Capra
- Department of Economic Sciences, School of Social Science, Policy and Evaluation, Claremont Graduate University, Claremont, CA, United States
| | - José C. Perales
- Department of Experimental Psychology, Faculty of Psychology, University of Granada, Granada, Spain
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
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11
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Emfinger CH, de Klerk E, Schueler KL, Rabaglia ME, Stapleton DS, Simonett SP, Mitok KA, Wang Z, Liu X, Paulo JA, Yu Q, Cardone RL, Foster HR, Lewandowski SL, Perales JC, Kendziorski CM, Gygi SP, Kibbey RG, Keller MP, Hebrok M, Merrins MJ, Attie AD. β Cell-specific deletion of Zfp148 improves nutrient-stimulated β cell Ca2+ responses. JCI Insight 2022; 7:e154198. [PMID: 35603790 PMCID: PMC9220824 DOI: 10.1172/jci.insight.154198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Accepted: 04/20/2022] [Indexed: 12/05/2022] Open
Abstract
Insulin secretion from pancreatic β cells is essential for glucose homeostasis. An insufficient response to the demand for insulin results in diabetes. We previously showed that β cell-specific deletion of Zfp148 (β-Zfp148KO) improves glucose tolerance and insulin secretion in mice. Here, we performed Ca2+ imaging of islets from β‑Zfp148KO and control mice fed both a chow and a Western-style diet. β-Zfp148KO islets demonstrated improved sensitivity and sustained Ca2+ oscillations in response to elevated glucose levels. β-Zfp148KO islets also exhibited elevated sensitivity to amino acid-induced Ca2+ influx under low glucose conditions, suggesting enhanced mitochondrial phosphoenolpyruvate-dependent (PEP-dependent), ATP-sensitive K+ channel closure, independent of glycolysis. RNA-Seq and proteomics of β-Zfp148KO islets revealed altered levels of enzymes involved in amino acid metabolism (specifically, SLC3A2, SLC7A8, GLS, GLS2, PSPH, PHGDH, and PSAT1) and intermediary metabolism (namely, GOT1 and PCK2), consistent with altered PEP cycling. In agreement with this, β-Zfp148KO islets displayed enhanced insulin secretion in response to l-glutamine and activation of glutamate dehydrogenase. Understanding pathways controlled by ZFP148 may provide promising strategies for improving β cell function that are robust to the metabolic challenge imposed by a Western diet.
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Affiliation(s)
| | | | - Kathryn L. Schueler
- Department of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Mary E. Rabaglia
- Department of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Donnie S. Stapleton
- Department of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Shane P. Simonett
- Department of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Kelly A. Mitok
- Department of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Ziyue Wang
- Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, Wisconsin, USA
- Biostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, Durham, North Carolina, USA
| | - Xinyue Liu
- Department of Cell Biology, Harvard Medical School, Boston, Massachusetts, USA
| | - Joao A. Paulo
- Department of Cell Biology, Harvard Medical School, Boston, Massachusetts, USA
| | - Qing Yu
- Department of Cell Biology, Harvard Medical School, Boston, Massachusetts, USA
| | - Rebecca L. Cardone
- Department of Internal Medicine (Endocrinology), Yale University, New Haven, Connecticut, USA
| | - Hannah R. Foster
- Department of Medicine, Division of Endocrinology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Sophie L. Lewandowski
- Department of Medicine, Division of Endocrinology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - José C. Perales
- Department of Physiological Sciences, School of Medicine, University of Barcelona, L’Hospitalet del Llobregat, Barcelona, Spain
| | - Christina M. Kendziorski
- Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Steven P. Gygi
- Department of Cell Biology, Harvard Medical School, Boston, Massachusetts, USA
| | - Richard G. Kibbey
- Department of Internal Medicine (Endocrinology), Yale University, New Haven, Connecticut, USA
- Department of Cellular and Molecular Physiology, Yale University, New Haven, Connecticut, USA
| | - Mark P. Keller
- Department of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | | | - Matthew J. Merrins
- Department of Medicine, Division of Endocrinology, University of Wisconsin-Madison, Madison, Wisconsin, USA
- William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin, USA
| | - Alan D. Attie
- Department of Biochemistry, University of Wisconsin-Madison, Madison, Wisconsin, USA
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12
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Brevers D, Maurage P, Kohut T, Perales JC, Billieux J. On the pitfalls of conceptualizing excessive physical exercise as an addictive disorder: Commentary on Dinardi et al. (2021). J Behav Addict 2022; 11:234-239. [PMID: 35234660 PMCID: PMC9295221 DOI: 10.1556/2006.2022.00001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/27/2022] [Accepted: 01/30/2022] [Indexed: 11/27/2022] Open
Abstract
This commentary challenges some of the proposals made in the opinion paper entitled "The expanded interactional model of exercise addiction" by Dinardi, Egorov, and Szabo (2021). We first question the usefulness of the (expanded) interactional model of exercise addiction to determine the psychological processes underlying distress and functional impairment in excessive physical exercise. We then consider the authors' use of the Self-Determination Theory to model exercise addiction, which risks the misclassification of strenuous, but adaptive, patterns of physical exercise as exercise addiction. We finally address broader concerns regarding the idea that maladaptive exercising could be conceptualized as an addictive disorder.
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Affiliation(s)
- Damien Brevers
- Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
- Institute for Health and Behaviour, Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Pierre Maurage
- Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - Taylor Kohut
- Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium
| | - José C. Perales
- Mind, Brain, and Behavior Research Center (CIMCYC), Department of Experimental Psychology, University of Granada, Granada, Spain
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland
- Centre for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
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Perales JC, Maldonado A, López-Quirantes EM, López-Torrecillas F. Association patterns of cannabis abuse and dependence with risk of problematic non-substance-related dysregulated and addictive behaviors. PLoS One 2021; 16:e0255872. [PMID: 34375360 PMCID: PMC8354435 DOI: 10.1371/journal.pone.0255872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 07/27/2021] [Indexed: 11/19/2022] Open
Abstract
Co-occurrence of drug misuse with other dysregulated behaviors is common. This study was aimed at exploring the associations between the risk of presenting a clinically relevant condition involving non-substance-related addictive or dysregulated behaviors (as measured by the MultiCAGE CAD-4 screening), and cannabis abuse/dependence (CAST/SDS) scores, and the role of gender therein. Participants were recruited using stratified probabilistic sampling at the University of Granada. Mann-Whitney’s U tests were used to compare male and female students in SDS and CAST scores. Associations between gender and MultiCAGE scores were estimated using the γ ordinal correlation index, and tested with χ2. For each MultiCAGE dimension, a Poisson-family mixed-effects model was built with either SDS or CAST as the main input variable, while controlling for nicotine and alcohol dependence, and relevant sociodemographic variables. Incidence rate ratios (IRR) were computed for SDS/CAST effects, and the significance threshold was family-wise Bonferroni-corrected. Gender differences were significant for cannabis dependence/abuse and all MultiCAGE scores for non-substance-related conditions, with males showing higher risk scores for excessive gambling, excessive internet use, excessive video gaming, and hypersexuality, and females presenting higher scores in dysregulated eating and compulsive buying. Cannabis dependence and abuse were significantly associated with a higher risk of problematic video gaming. These associations were mostly driven by males. Importantly, although risk of problematic video gaming was specifically associated with cannabis abuse/dependence, there was only a weak non-significant association between problematic video gaming and alcohol use scores. Risk of alcohol use problems, in turn, was strongly associated with all other non-substance-related problems (problematic gambling, excessive Internet use, dysregulated eating, compulsive buying, and hypersexuality). These differential associations can cast light on the etiological similarities and dissimilarities between problematic substance use and putative addictive behaviors not involving drugs.
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Affiliation(s)
- José C. Perales
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Antonio Maldonado
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Eva M. López-Quirantes
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
- Department of Personality, Assessment and Psychological Treatment, University of Granada, Granada, Spain
| | - Francisca López-Torrecillas
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
- Department of Personality, Assessment and Psychological Treatment, University of Granada, Granada, Spain
- * E-mail:
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14
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Robinson AH, Perales JC, Volpe I, Chong TT, Verdejo‐Garcia A. Are methamphetamine users compulsive? Faulty reinforcement learning, not inflexibility, underlies decision making in people with methamphetamine use disorder. Addict Biol 2021; 26:e12999. [PMID: 33393187 DOI: 10.1111/adb.12999] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 12/02/2020] [Accepted: 12/04/2020] [Indexed: 01/12/2023]
Abstract
Methamphetamine use disorder involves continued use of the drug despite negative consequences. Such 'compulsivity' can be measured by reversal learning tasks, which involve participants learning action-outcome task contingencies (acquisition-contingency) and then updating their behaviour when the contingencies change (reversal). Using these paradigms, animal models suggest that people with methamphetamine use disorder (PwMUD) may struggle to avoid repeating actions that were previously rewarded but are now punished (inflexibility). However, difficulties in learning task contingencies (reinforcement learning) may offer an alternative explanation, with meaningful treatment implications. We aimed to disentangle inflexibility and reinforcement learning deficits in 35 PwMUD and 32 controls with similar sociodemographic characteristics, using novel trial-by-trial analyses on a probabilistic reversal learning task. Inflexibility was defined as (a) weaker reversal phase performance, compared with the acquisition-contingency phases, and (b) persistence with the same choice despite repeated punishments. Conversely, reinforcement learning deficits were defined as (a) poor performance across both acquisition-contingency and reversal phases and (b) inconsistent postfeedback behaviour (i.e., switching after reward). Compared with controls, PwMUD exhibited weaker learning (odds ratio [OR] = 0.69, 95% confidence interval [CI] [0.63-0.77], p < .001), though no greater accuracy reduction during reversal. Furthermore, PwMUD were more likely to switch responses after one reward/punishment (OR = 0.83, 95% CI [0.77-0.89], p < .001; OR = 0.82, 95% CI [0.72-0.93], p = .002) but just as likely to switch after repeated punishments (OR = 1.03, 95% CI [0.73-1.45], p = .853). These results indicate that PwMUD's reversal learning deficits are driven by weaker reinforcement learning, not inflexibility.
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Affiliation(s)
- Alex H. Robinson
- Turner Institute for Brain and Mental Health Monash University Melbourne Victoria Australia
| | - José C. Perales
- Department of Experimental Psychology, Mind, Brain, and Behavior Research Center (CIMCYC) University of Granada Granada Spain
| | - Isabelle Volpe
- Clinical and Social Research Team Turning Point, Eastern Health Melbourne Victoria Australia
- Eastern Health Clinical School Monash University Melbourne Victoria Australia
- Monash Addiction Research Centre Monash University Melbourne Victoria Australia
| | - Trevor T.‐J. Chong
- Turner Institute for Brain and Mental Health Monash University Melbourne Victoria Australia
| | - Antonio Verdejo‐Garcia
- Turner Institute for Brain and Mental Health Monash University Melbourne Victoria Australia
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15
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Muela I, Navas JF, Perales JC. Gambling-Specific Cognitions Are Not Associated With Either Abstract or Probabilistic Reasoning: A Dual Frequentist-Bayesian Analysis of Individuals With and Without Gambling Disorder. Front Psychol 2021; 11:611784. [PMID: 33584446 PMCID: PMC7873942 DOI: 10.3389/fpsyg.2020.611784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 12/17/2020] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Distorted gambling-related cognitions are tightly related to gambling problems, and are one of the main targets of treatment for disordered gambling, but their etiology remains uncertain. Although folk wisdom and some theoretical approaches have linked them to lower domain-general reasoning abilities, evidence regarding that relationship remains unconvincing. METHOD In the present cross-sectional study, the relationship between probabilistic/abstract reasoning, as measured by the Berlin Numeracy Test (BNT), and the Matrices Test, respectively, and the five dimensions of the Gambling-Related Cognitions Scale (GRCS), was tested in a sample of 77 patients with gambling disorder and 58 individuals without gambling problems. RESULTS AND INTERPRETATION Neither BNT nor matrices scores were significantly related to gambling-related cognitions, according to frequentist (MANCOVA/ANCOVA) analyses, performed both considering and disregarding group (patients, non-patients) in the models. Correlation Bayesian analyses (bidirectional BF10) largely supported the null hypothesis, i.e., the absence of relationships between the measures of interest. This pattern or results reinforces the idea that distorted cognitions do not originate in a general lack of understanding of probability or low fluid intelligence, but probably result from motivated reasoning.
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Affiliation(s)
- Ismael Muela
- Department of Experimental Psychology, Mind, Brain, and Behavior Research Center (CIMCYC), Universidad de Granada, Granada, Spain
| | - Juan F. Navas
- Department of Clinical Psychology, Complutense University of Madrid, Madrid, Spain
| | - José C. Perales
- Department of Experimental Psychology, Mind, Brain, and Behavior Research Center (CIMCYC), Universidad de Granada, Granada, Spain
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16
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Perandrés-Gómez A, Navas JF, van Timmeren T, Perales JC. Decision-making (in)flexibility in gambling disorder. Addict Behav 2021; 112:106534. [PMID: 32890912 DOI: 10.1016/j.addbeh.2020.106534] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 06/26/2020] [Accepted: 06/29/2020] [Indexed: 01/26/2023]
Abstract
BACKGROUND Behavioral flexibility -the ability to dynamically readjust our behavior in response to reward contingency changes- is often investigated using probabilistic reversal learning tasks (PRLT). Poor PRLT performance has been proposed as a proxy for compulsivity, and theorized to be related to perseverative gambling. Previous attempts to measure inflexibility with the PRLT in patients with gambling disorder have, however, used a variety of indices that may conflate inflexibility with more general aspects of performance in the task. METHODS Trial-by-trial PRLT acquisition and reacquisition curves in 84 treatment-seeking patients with gambling disorder and 64 controls (non-gamblers and non-problem recreational gamblers) were analyzed to distinguish between (a) variability in acquisition learning, and (b) reacquisition learning in reversed contingency phases. Complementarily, stay/switch responses throughout the task were analyzed to identify (c) premature switching, and (d) sensitivity to accumulated negative feedback. RESULTS AND INTERPRETATION Even after controlling for differences in acquisition learning, patients were slower to readjust their behavior in reversed contingency phases, and were more prone to maintain their decisions despite accumulated negative feedback. Inflexibility in patients with gambling disorder is thus a robust phenomenon that could predate gambling escalation, or result from massive exposure to gambling activities.
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Affiliation(s)
- Ana Perandrés-Gómez
- Department of Experimental Psychology, Mind, Brain and Research Center (CIMCYC), Universidad de Granada, Spain
| | - Juan F Navas
- Department of Clinical Psychology, Universidad Complutense de Madrid, Spain; Universitat Oberta de Catalunya, Spain
| | - Tim van Timmeren
- Department of Clinical Psychology, University of Amsterdam, Amsterdam, the Netherlands; Amsterdam Brain and Cognition, University of Amsterdam, Amsterdam, the Netherlands
| | - José C Perales
- Department of Experimental Psychology, Mind, Brain and Research Center (CIMCYC), Universidad de Granada, Spain.
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17
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Quintero MJ, Navas JF, Perales JC. The associative underpinnings of negative urgency and its role in problematic gambling behavior. Addict Behav 2020; 111:106533. [PMID: 32771795 DOI: 10.1016/j.addbeh.2020.106533] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Revised: 06/01/2020] [Accepted: 06/28/2020] [Indexed: 02/02/2023]
Abstract
BACKGROUND Negative urgency -the tendency to lose control under the influence of strong negative emotions- has been proposed to be a sign of malfunctioning emotion regulation mechanisms, and to contribute to severity and complications of gambling disorder and other externalizing behaviors. AIMS AND METHOD This study is aimed at (1) testing whether negative urgency is linked to resistance to extinction in an emotional associative learning task in a sample of 70 participants, 65 of whom were active gamblers (with emotional pictures as unconditioned stimuli, and color patches as conditioned stimuli [CS]); and (b) exploring the link between these two variables (negative urgency and resistance to emotional extinction) and clinical manifestations of gambling (severity and craving). Mixed-effects generalized models were used to analyze trial-by-trial predictive responses during acquisition and extinction for erotic, disgusting, and gambling-related pictures. RESULTS AND CONCLUSIONS Acquisition of CS-elicited responses remained unaffected by negative urgency, whereas extinction was hampered in individuals with high negative urgency, especially for CSs associated with erotic and gambling-related pictures. Moreover, negative urgency predicted higher craving scores, and these predicted more severe gambling-related symptoms. This finding resonates with the well-known involvement of emotion regulation processes in craving control. However, extinction was not independently related to craving. This lacking effect suggests that negative urgency is a broad construct, and although some of its components are directly related to faulty extinction (and generalized emotion dysregulation), such components are not the same negative urgency shares with difficulties of craving control.
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18
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Jara-Rizzo MF, Navas JF, Rodas JA, Perales JC. Decision-making inflexibility in a reversal learning task is associated with severity of problem gambling symptoms but not with a diagnosis of substance use disorder. BMC Psychol 2020; 8:120. [PMID: 33168098 PMCID: PMC7654010 DOI: 10.1186/s40359-020-00482-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Accepted: 10/28/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Decisions made by individuals with disordered gambling are markedly inflexible. However, whether anomalies in learning from feedback are gambling-specific, or extend beyond gambling contexts, remains an open question. More generally, addictive disorders-including gambling disorder-have been proposed to be facilitated by individual differences in feedback-driven decision-making inflexibility, which has been studied in the lab with the Probabilistic Reversal Learning Task (PRLT). In this task, participants are first asked to learn which of two choice options is more advantageous, on the basis of trial-by-trial feedback, but, once preferences are established, reward contingencies are reversed, so that the advantageous option becomes disadvantageous and vice versa. Inflexibility is revealed by a less effective reacquisition of preferences after reversal, which can be distinguished from more generalized learning deficits. METHODS In the present study, we compared PRLT performance across two groups of 25 treatment-seeking patients diagnosed with an addictive disorder and who reported gambling problems, and 25 matched controls [18 Males/7 Females in both groups, Mage(SDage) = 25.24 (8.42) and 24.96 (7.90), for patients and controls, respectively]. Beyond testing for differences in the shape of PRLT learning curves across groups, the specific effect of problematic gambling symptoms' severity was also assessed independently of group assignment. In order to surpass previous methodological problems, full acquisition and reacquisition curves were fitted using generalized mixed-effect models. RESULTS Results showed that (1) controls did not significantly differ from patients in global PRLT performance nor showed specific signs of decision-making inflexibility; and (2) regardless of whether group affiliation was controlled for or not, gambling severity was specifically associated with more inefficient learning in phases with reversed contingencies. CONCLUSION Decision-making inflexibility, as revealed by difficulty to reacquire decisional preferences based on feedback after contingency reversals, seems to be associated with gambling problems, but not necessarily with a substance-use disorder diagnosis. This result aligns with gambling disorder models in which domain-general compulsivity is linked to vulnerability to develop gambling-specific problems with exposure to gambling opportunities.
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Affiliation(s)
| | - Juan F Navas
- Department of Clinical Psychology, Complutense University of Madrid, Madrid, Spain
| | - Jose A Rodas
- Faculty of Psychology, University of Guayaquil, Guayaquil, Ecuador
- School of Psychology, University College Dublin, Dublin, Ireland
| | - José C Perales
- Department of Experimental Psychology; Mind, Brain and Behavior Research Centre (CIMCYC), University of Granada, Granada, Spain
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Ávila-Gandía V, Alarcón F, Perales JC, López-Román FJ, Luque-Rubia AJ, Cárdenas D. Dissociable Effects of Executive Load on Perceived Exertion and Emotional Valence during Submaximal Cycling. Int J Environ Res Public Health 2020; 17:ijerph17155576. [PMID: 32748826 PMCID: PMC7432348 DOI: 10.3390/ijerph17155576] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 07/29/2020] [Accepted: 07/30/2020] [Indexed: 12/12/2022]
Abstract
Endurance physical exercise is accompanied by subjective perceptions of exertion (reported perceived exertion, RPE), emotional valence, and arousal. These constructs have been hypothesized to serve as the basis for the exerciser to make decisions regarding when to stop, how to regulate pace, and whether or not to exercise again. In dual physical-cognitive tasks, the mental (executive) workload generated by the cognitive task has been shown to influence these perceptions, in ways that could also influence exercise-related decisions. In the present work, we intend to replicate and extend previous findings that manipulating the amount of executive load imposed by a mental task, performed concomitantly with a submaximal cycling session, influenced emotional states but not perceived exertion. Participants (experienced triathletes) were asked to perform a submaximal cycling task in two conditions with different executive demands (a two-back version of the n-back task vs. oddball) but equated in external physical load. Results showed that the higher executive load condition elicited more arousal and less positive valence than the lower load condition. However, both conditions did not differ in RPE. This experimental dissociation suggests that perceived exertion and its emotional correlates are not interchangeable, which opens the possibility that they could play different roles in exercise-related decision-making.
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Affiliation(s)
- Vicente Ávila-Gandía
- Department of Exercise Physiology, Catholic University San Antonio, 30107 Murcia, Spain; (V.Á.-G.); (F.J.L.-R.); (A.J.L.-R.)
| | - Francisco Alarcón
- Department of General and Specific Didactics, Faculty of Education, University of Alicante, 03690 Alicante, Spain
- Correspondence:
| | - José C. Perales
- Mind, Brain, and Behavior Research Center (CIMCYC), Department of Experimental Psychology, University of Granada, 18071 Granada, Spain;
| | - F. Javier López-Román
- Department of Exercise Physiology, Catholic University San Antonio, 30107 Murcia, Spain; (V.Á.-G.); (F.J.L.-R.); (A.J.L.-R.)
- Biomedical Research Institute of Murcia (IMIB-Arrixaca), 30107 Murcia, Spain
| | - Antonio J. Luque-Rubia
- Department of Exercise Physiology, Catholic University San Antonio, 30107 Murcia, Spain; (V.Á.-G.); (F.J.L.-R.); (A.J.L.-R.)
| | - David Cárdenas
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain;
- Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain
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20
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Abstract
The aim of this study is to replicate the hypothesis that mental fatigue impairs physical performance in a pre-registered (https://osf.io/wqkap/) within-subjects experiment. 30 recreationally active adults completed a time-to-exhaustion test (TTE) at 80% VO2max in two separate sessions, after completing a mental fatigue task or watching a documentary for 90 min. We measured power output, heart rate, (session) rating of perceived exertion (RPE) and subjective mental fatigue. Bayes factor analyses revealed extreme evidence supporting the alternative hypothesis that the mental fatigue task was more mentally fatiguing than the control task, BF01 = 0.009. However, we found moderate-to-strong evidence for the null hypothesis (i.e., no evidence of reduced performance) for average time in TTE (BF01 = 9.762) and anecdotal evidence for the null hypothesis in (session) RPE (BF01 = 2.902) and heart rate (BF01 = 2.587). Our data seem to challenge the idea that mental fatigue has a negative influence on exercise performance. Although we did succeed at manipulating subjective mental fatigue, this did not impair physical performance. However, we cannot discard the possibility that mental fatigue may have a negative influence under conditions not explored here, e.g., individualizing mentally fatiguing tasks. In sum, further research is warranted to determine the role of mental fatigue on exercise and sport performance.
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Affiliation(s)
- Darías Holgado
- Centro de Investigación, Mente, Cerebro y Comportamiento, Departamento de Psicología Experimental (CIMCYC), Universidad de Granada, Granada, España
| | - Esther Troya
- Centro de Investigación, Mente, Cerebro y Comportamiento, Departamento de Psicología Experimental (CIMCYC), Universidad de Granada, Granada, España
| | - José C Perales
- Centro de Investigación, Mente, Cerebro y Comportamiento, Departamento de Psicología Experimental (CIMCYC), Universidad de Granada, Granada, España
| | - Miguel A Vadillo
- Departamento de Psicología Básica, Universidad Autónoma de Madrid, Madrid, España
| | - Daniel Sanabria
- Centro de Investigación, Mente, Cerebro y Comportamiento, Departamento de Psicología Experimental (CIMCYC), Universidad de Granada, Granada, España
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21
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Cárdenas D, Madinabeitia I, Alarcón F, Perales JC. Does Emotion Regulation Predict Gains in Exercise-Induced Fitness? A Prospective Mixed-Effects Study with Elite Helicopter Pilots. Int J Environ Res Public Health 2020; 17:ijerph17114174. [PMID: 32545365 PMCID: PMC7312943 DOI: 10.3390/ijerph17114174] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 06/03/2020] [Accepted: 06/09/2020] [Indexed: 12/15/2022]
Abstract
Emotion regulation (ER) is a strong predictor of different aspects of mental health and wellbeing. However, only recently has ER been examined in relation to physical activity and its effects on fitness. In the present study, 26 elite helicopter pilots, serving in the Spanish Air Force, were physically trained for 6 months, and their level of fitness (maximum oxygen consumption and time to exhaustion in a treadmill-running test) was assessed before and after that period. Additionally, two indices of emotion regulation (general adaptiveness of ER strategies, as measured by the Emotion Regulation Questionnaire (ERQ), and negative urgency, as measured by the UPPS-P questionnaire) measured at baseline were used as prospective predictors of fitness improvement. After controlling for individual features, baseline fitness, and type of training, better emotion regulation strategies (more cognitive reappraisal plus less expressive suppression) predicted larger fitness gains (p = 0.028). Incidental emotion regulation, as measured by the negative urgency index, failed to predict pre–post-fitness changes (p = 0.734). These results suggest that fostering emotion regulation skills may improve the effectiveness of fitness training programs.
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Affiliation(s)
- David Cárdenas
- Department of Physical Education and Sport, University of Granada, 18071 Granada, Spain;
- Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain
- Correspondence:
| | - Iker Madinabeitia
- Department of Physical Education and Sport, University of Granada, 18071 Granada, Spain;
- Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain
| | - Francisco Alarcón
- Department of Didactic General and Specific Training, Faculty of Education, University of Alicante, 03690 Alicante, Spain;
| | - José C. Perales
- Department of Experimental Psychology, University of Granada, 18071 Granada, Spain;
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, 18071 Granada, Spain
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22
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Perales JC, King DL, Navas JF, Schimmenti A, Sescousse G, Starcevic V, van Holst RJ, Billieux J. Learning to lose control: A process-based account of behavioral addiction. Neurosci Biobehav Rev 2019; 108:771-780. [PMID: 31846653 DOI: 10.1016/j.neubiorev.2019.12.025] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Revised: 12/13/2019] [Accepted: 12/13/2019] [Indexed: 12/24/2022]
Abstract
Learning psycho(bio)logy has developed a solid corpus of evidence and theory regarding behavior control modes. The present article briefly reviews that literature and its influence on recent models in which the transition from goal-directed to compulsive behavior is identified as the main process underlying substance use disorders. This literature is also relevant to non-substance addictive disorders, and serves as basis to propose a restricted definition of behavioral addiction relying on the presence of behavior-specific compulsivity. Complementarily, we consider whether some activities can become disordered while remaining mostly goal-driven. Based on reinforcement learning models, relative outcome utility computation is proposed as an alternative mechanism through which dysfunctional behaviors (even not qualifying as addictive) can override adaptive ones, causing functional impairment. Beyond issues of conceptual delimitation, recommendations are made regarding the importance of identifying individual etiological pathways to dysregulated behavior, the necessity of accurately profiling at-risk individuals, and the potential hazards of symptom-based diagnosis. In our view, the validity of these recommendations does not depend on the position one takes in the nosological debate.
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Affiliation(s)
- José C Perales
- Department of Experimental Psychology, Mind Brain and Behavior Research Center (CIMCYC), University of Granada, Spain
| | - Daniel L King
- College of Education, Psychology, & Social Work, Flinders University, Australia
| | - Juan F Navas
- Department of Basic Psychology, Autonomous University of Madrid, Spain; Universitat Oberta de Catalunya, Spain.
| | | | - Guillaume Sescousse
- Lyon Neuroscience Research Center - INSERM U1028 - CNRS UMR5292, PSYR2 Team, University of Lyon, France
| | - Vladan Starcevic
- University of Sydney, Faculty of Medicine and Health, Sydney Medical School, Nepean Clinical School, Discipline of Psychiatry, Australia
| | - Ruth J van Holst
- Amsterdam UMC, University of Amsterdam, Department of Psychiatry, Amsterdam Institute for Addiction Research, Netherlands
| | - Joël Billieux
- Addictive and Compulsive Behaviours Lab. Institute for Health and Behaviour, University of Luxembourg, Esch-sur-Alzette, Luxembourg; Institute of Psychology, University of Lausanne, Lausanne, Switzerland; Centre for Excessive Gambling, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
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23
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Martín-Pérez C, Navas JF, Perales JC, López-Martín Á, Cordovilla-Guardia S, Portillo M, Maldonado A, Vilar-López R. Brief group-delivered motivational interviewing is equally effective as brief group-delivered cognitive-behavioral therapy at reducing alcohol use in risky college drinkers. PLoS One 2019; 14:e0226271. [PMID: 31821350 PMCID: PMC6903743 DOI: 10.1371/journal.pone.0226271] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Accepted: 11/22/2019] [Indexed: 12/12/2022] Open
Abstract
College students are particularly vulnerable to risky alcohol use, which increases their likelihood of developing an alcohol use disorder in the future. As such, preventing and reducing alcohol use among college students should be a priority for health and social policies. This work was aimed to show that brief group-delivered MI is as effective as brief-group CBT at reducing alcohol use in college students. Eighty-nine college students (69 females; mean age = 21.01, SD = 2.85) with risky alcohol use, as measured by the AUDIT-C, were assigned to two groups, receiving three sessions of either brief group-delivered MI or CBT (bMI/bCBT). Alcohol use was assessed 3 and 6 months after the interventions, and analyzed according to an Intention-to-treat design. Changes in alcohol use at both points (relative to baseline) as well as post-intervention scores of intention to continue treatment and satisfaction with the psychologist were compared across groups, using one-sided Bayesian t-tests. Alcohol use decreased in both groups at the 3- and 6-months measurement points (relative to baseline). However, using bCBT superiority as an alternative hypothesis and the absence of such superiority as a point-null hypothesis, the Bayes factors supported the null at both the 3- and the 6-months follow-up (BF01 = 7.13, and BF01 = 5.22 respectively). Furthermore, the intention to continue treatment was substantially higher in the bMI group (BF10 = 9.77). These results are considerably robust to changes in analyses’ priors. This study suggests that bCBT is not more effective than bMI at reducing alcohol use in our college student group (in which females are overrepresented). Additionally, bMI showed higher intention to continue treatment scores. The comparable results of brief and group-delivered CBT and MI interventions in alcohol use reduction allows clinicians to select treatments based on their own skills or preferences without any detriment to efficacy.
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Affiliation(s)
| | - Juan F. Navas
- Department of Experimental Psychology, Autonomous University of Madrid, Madrid, Spain
| | - José C. Perales
- Mind, Brain and Behavior Research Centre, University of Granada, Granada, Spain
- Department of Experimental Psychology, University of Granada, Granada, Spain
| | | | - Sergio Cordovilla-Guardia
- Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain
| | | | - Antonio Maldonado
- Mind, Brain and Behavior Research Centre, University of Granada, Granada, Spain
- Department of Experimental Psychology, University of Granada, Granada, Spain
| | - Raquel Vilar-López
- Mind, Brain and Behavior Research Centre, University of Granada, Granada, Spain
- Department of Personality, Evaluation and Psychological Treatment, University of Granada, Granada, Spain
- * E-mail:
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24
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Li Y, Wang Z, Boileau I, Dreher JC, Gelskov S, Genauck A, Joutsa J, Kaasinen V, Perales JC, Romanczuk-Seiferth N, Ruiz de Lara CM, Siebner HR, van Holst RJ, van Timmeren T, Sescousse G. Altered orbitofrontal sulcogyral patterns in gambling disorder: a multicenter study. Transl Psychiatry 2019; 9:186. [PMID: 31383841 PMCID: PMC6683128 DOI: 10.1038/s41398-019-0520-8] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Revised: 05/15/2019] [Accepted: 06/20/2019] [Indexed: 01/02/2023] Open
Abstract
Gambling disorder is a serious psychiatric condition characterized by decision-making and reward processing impairments that are associated with dysfunctional brain activity in the orbitofrontal cortex (OFC). However, it remains unclear whether OFC functional abnormalities in gambling disorder are accompanied by structural abnormalities. We addressed this question by examining the organization of sulci and gyri in the OFC. This organization is in place very early and stable across life, such that OFC sulcogyral patterns (classified into Types I, II, and III) can be regarded as potential pre-morbid markers of pathological conditions. We gathered structural brain data from nine existing studies, reaching a total of 165 individuals with gambling disorder and 159 healthy controls. Our results, supported by both frequentist and Bayesian statistics, show that the distribution of OFC sulcogyral patterns is skewed in individuals with gambling disorder, with an increased prevalence of Type II pattern compared with healthy controls. Examination of gambling severity did not reveal any significant relationship between OFC sulcogyral patterns and disease severity. Altogether, our results provide evidence for a skewed distribution of OFC sulcogyral patterns in gambling disorder and suggest that pattern Type II might represent a pre-morbid structural brain marker of the disease. It will be important to investigate more closely the functional implications of these structural abnormalities in future work.
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Grants
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (Netherlands Organisation for Scientific Research)
- National Natural Science Foundation of China (National Science Foundation of China)
- Yansong Li was also supported by the Fundamental Research Funds for the Central Universities (010914380002)
- Jean-Claude Dreher was supported by “LABEX ANR-11-LABEX-0042” of Université de Lyon within the program Investissements d’Avenir (ANR-11-IDEX-007) operated by the French National Research Agency and by a grant from the Fondation pour la Recherche Médicale (Grant No. DPA20140629796).
- Sofie Gelskov was supported by the Danish Council for Independent Research in Social Sciences through a grant to Thomas Ramsøy (“Decision Neuroscience Project”; Grant No. 0601-01361B) and by the Lundbeck Foundation through a Grant of Exellence to Hartwig R Siebner (“ContAct”; Grant No. R59 A5399).
- Deutsche Forschungsgemeinschaft (German Research Foundation)
- Juho Joutsa was supported by the Academy of Finland (Grant No. 295580), the Finnish Medical Foundation, and the Finnish Foundation for Alcohol Studies.
- Valtteri Kaasinen was supported by the Academy of Finland (Grant No. 256836) and the Finnish Foundation for Alcohol Studies.
- José C. Perales was supported by a grant from the Spanish Government (Ministerio de Economía y Competitividad, Secretaría de Estado de Investigación, Desarrollo e Innovación; Convocatoria 2017 de Proyectos I+D de Excelencia, Spain; co-funded by the Fondo Europeo de Desarrollo Regional, FEDER, European Union; Grant No. PSI2017-85488-P).
- Nina Romanczuk-Seiferth was supported by a research grant by the Senatsverwaltung für Gesundheit und Soziales, Berlin, Germany (Grant No. 002-2008/ I B 35)
- Cristian M. Ruiz de Lara was supported by a grant from the Spanish Government (Ministerio de Economía y Competitividad, Secretaría de Estado de Investigación, Desarrollo e Innovación; Convocatoria 2017 de Proyectos I+D de Excelencia, Spain; co-funded by the Fondo Europeo de Desarrollo Regional, FEDER, European Union; Grant No. PSI2017-85488-P).
- Hartwig R Siebner was supported by the Danish Council for Independent Research in Social Sciences through a grant to Thomas Ramsøy (“Decision Neuroscience Project”; Grant No. 0601-01361B) and by the Lundbeck Foundation through a Grant of Exellence to Hartwig R Siebner (“ContAct”; Grant No. R59 A5399).
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Affiliation(s)
- Yansong Li
- Competition, Status and Social Neuroscience Lab, Department of Psychology, School of Social and Behavioral Sciences, Nanjing University, Nanjing, China.
- Institute for Brain Sciences, Nanjing University, Nanjing, China.
| | - Zixiang Wang
- Competition, Status and Social Neuroscience Lab, Department of Psychology, School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
- Institute for Brain Sciences, Nanjing University, Nanjing, China
| | - Isabelle Boileau
- Campbell Family Mental Health Research Institute and Research Imaging Centre, Centre for Addiction and Mental Health, Toronto, ON, Canada
| | - Jean-Claude Dreher
- 'Neuroeconomics Laboratory, Institut des Sciences Cognitives Marc Jeannerod, CNRS UMR 5229, Bron, France
| | - Sofie Gelskov
- Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark
| | - Alexander Genauck
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - Juho Joutsa
- Division of Clinical Neurosciences, University of Turku and Turku University Hospital, Turku, Finland
| | - Valtteri Kaasinen
- Division of Clinical Neurosciences, University of Turku and Turku University Hospital, Turku, Finland
| | - José C Perales
- Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Nina Romanczuk-Seiferth
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - Cristian M Ruiz de Lara
- Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Hartwig R Siebner
- Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark
- Department of Neurology, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark
| | - Ruth J van Holst
- Amsterdam UMC, Department of Psychiatry, Amsterdam Institute for Addiction Research, University of Amsterdam, Amsterdam, The Netherlands
| | - Tim van Timmeren
- Amsterdam UMC, Department of Psychiatry, Amsterdam Institute for Addiction Research, University of Amsterdam, Amsterdam, The Netherlands
| | - Guillaume Sescousse
- Lyon Neuroscience Research Center - INSERM U1028 - CNRS UMR5292, PSYR2 Team, University of Lyon, Lyon, France.
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Cornil A, Long J, Rothen S, Perales JC, de Timary P, Billieux J. The gambling craving experience questionnaire: Psychometric properties of a new scale based on the elaborated intrusion theory of desire. Addict Behav 2019; 95:110-117. [PMID: 30877902 DOI: 10.1016/j.addbeh.2019.02.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 02/08/2019] [Accepted: 02/25/2019] [Indexed: 11/28/2022]
Abstract
Both research and clinical practice acknowledge the importance of craving as a maintenance and relapse factor in gambling disorder. The elaborated intrusion theory (EIT; Kavanagh et al., 2005) of desire has been extensively investigated in relation to psychoactive substance or food cravings but, to date, has scarcely been studied in relation to gambling. In such a context, developing an assessment tool of gambling craving based on the EIT is warranted. To fill this gap in the literature, we aimed to develop and test the psychometric properties of a gambling-adapted version of the Craving Experience Questionnaire (CEQ; May et al., 2014), which is the best established measure of craving theoretically anchored in the EIT. An online survey that included the gambling CEQ (g-CEQ) and a craving induction procedure was administered to 274 community participants involved in gambling at least a few times a year. Concurrent and convergent validity were explored through correlations with a scale that measured gambling urge and with a series of questionnaires that measured disordered gambling symptoms, gambling cognitions, and gambling motives. The confirmatory factor analyses supported the validity of the expected three-factor model of the "strength" and "frequency" forms of the g-CEQ and showed better model fit than a one-factor solution, corroborating the initial structure of the CEQ. Furthermore, the scale has good internal consistency and its validity is supported by correlations with gambling-related constructs. The g-CEQ is thus a theoretically and psychometrically sound instrument to measure gambling craving based on the EIT.
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Affiliation(s)
- Aurélien Cornil
- Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium.
| | - Jiang Long
- Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium; Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, China
| | - Stéphane Rothen
- Addictology Division, Department of Mental Health and Psychiatry, Geneva University Hospitals, Geneva, Switzerland
| | - José C Perales
- Mind, Brain, and Behavior Research Center (CIMCYC); Department of Experimental Psychology; University of Granada, Spain
| | - Philippe de Timary
- Department of Adult Psychiatry, Academic Hospital Saint Luc, Louvain la Neuve, Belgium; Institute of Neuroscience, Université catholique de Louvain, Louvain la Neuve, Belgium
| | - Joël Billieux
- Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium; Addictive and Compulsive Behaviours Lab, Institute for Health and Behaviour, University of Luxembourg, Luxembourg; Centre for Excessive Gambling, Lausanne University Hospitals (CHUV), Switzerland
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26
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Jara-Rizzo MF, Navas JF, Catena A, Perales JC. Types of Emotion Regulation and Their Associations with Gambling: A Cross-Sectional Study with Disordered and Non-problem Ecuadorian Gamblers. J Gambl Stud 2019; 35:997-1013. [DOI: 10.1007/s10899-019-09868-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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27
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Sanabria D, Luque-Casado A, Perales JC, Ballester R, Ciria LF, Huertas F, Perakakis P. The relationship between vigilance capacity and physical exercise: a mixed-effects multistudy analysis. PeerJ 2019; 7:e7118. [PMID: 31205826 PMCID: PMC6556370 DOI: 10.7717/peerj.7118] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Accepted: 05/10/2019] [Indexed: 12/14/2022] Open
Abstract
A substantial body of work has depicted a positive association between physical exercise and cognition, although the key factors driving that link are still a matter of scientific debate. Here, we aimed to contribute further to that topic by pooling the data from seven studies (N = 361) conducted by our research group to examine whether cardiovascular fitness (VO2), sport type participation (externally-paced (e.g., football or basketball) and self-paced (e.g., triathlon or track and field athletes) vs. sedentary), or both, are crucial factors to explain the association between the regular practice of exercise and vigilance capacity. We controlled for relevant variables such as age and the method of VO2 estimation. The Psychomotor Vigilance Task was used to measure vigilance performance by means of reaction time (RT). The results showed that externally-paced sport practice (e.g., football) resulted in significantly shorter RT compared to self-paced sport (e.g., triathlon) and sedentary condition, depicting larger effects in children and adolescents than in adults. Further analyses revealed no significant effect of cardiovascular fitness and self-paced sport practice, in comparison to the sedentary condition, on RT. Our data point to the relevance of considering the type of sport practice over and above the level of cardiovascular fitness as crucial factor to explain the positive association between the regular practice of exercise and vigilance capacity.
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Affiliation(s)
- Daniel Sanabria
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | | | - José C. Perales
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Rafael Ballester
- Faculty of Physical Education & Sport Sciences, Catholic University of Valencia “San Vicente Martir”, Valencia, Spain
| | - Luis F. Ciria
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Florentino Huertas
- Faculty of Physical Education & Sport Sciences, Catholic University of Valencia “San Vicente Martir”, Valencia, Spain
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28
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Jara-Rizzo MF, Navas JF, Steward T, López-Gómez M, Jiménez-Murcia S, Fernández-Aranda F, Perales JC. Impulsivity and problem awareness predict therapy compliance and dropout from treatment for gambling disorder. Adicciones 2019; 31:147-159. [PMID: 30059585 DOI: 10.20882/adicciones.1041] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
This study investigates the predictive value of impulsivity traits (as measured by the UPPS-P impulsive behaviour scale) and relevant covariates (sociodemographics, gambling severity, dysphoric mood, other potentially addictive behaviours, and non-verbal intelligence) with regard to treatment dropout and level of adherence to therapy guidelines and instructions in patients with gambling disorder. Sixty-six patients seeking treatment for gambling disorder, and recruited to participate in a larger protocol (G-Brain), were initially assessed in impulsivity traits and relevant covariates in the first six months after admission. Of these, 24 patients dropped out (DO) and 42 patients remained in therapy (NDO) during the subsequent 6-month follow-up period. A multivariate analysis of impulsivity subscales suggested prospective differences between DO and NDO, with affect-driven dimensions (positive and negative urgency) seemingly driving these differences. Among these, only positive urgency independently predicted a slight increase in the drop-out probability. In the NDO group, a higher degree of adherence to therapy was independently predicted by lower sensation-seeking scores and stronger awareness of gambling-related problems. Results suggest the presence of affect-driven impulsivity traits as dropout predictors in patients with gambling disorder. Awareness of gambling-related problems and lower sensation-seeking enhanced compliance with therapeutic guidelines and instructions.
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Navas JF, Martín-Pérez C, Petrova D, Verdejo-García A, Cano M, Sagripanti-Mazuquín O, Perandrés-Gómez A, López-Martín Á, Cordovilla-Guardia S, Megías A, Perales JC, Vilar-López R. Sex differences in the association between impulsivity and driving under the influence of alcohol in young adults: The specific role of sensation seeking. Accid Anal Prev 2019; 124:174-179. [PMID: 30660833 DOI: 10.1016/j.aap.2018.12.024] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 12/19/2018] [Accepted: 12/29/2018] [Indexed: 06/09/2023]
Abstract
INTRODUCTION There is an outstanding need to identify predictors of driving under the influence of alcohol (DUI) among young adults, particularly women. Impulsivity, or the tendency to act without thinking, is a predictor of DUI, but the specific facets of impulsivity that predict DUI and their interaction with sex differences remain unclear. We aimed to investigate sex differences in the link between impulsivity facets and DUI. Moreover, we sought to replicate previous findings regarding sex differences on impulsivity, and associations between impulsivity facets and DUI. METHOD A total of 506 university students participated in the study (males, n = 128; females, n = 378). Participants completed measures of impulsivity (UPPS-P short version), alcohol use (AUDIT-C), frequency of DUI episodes and related perception of risk. The UPPS-P assesses five facets of impulsivity: sensation seeking, (lack of) premeditation and perseverance and positive and negative urgency. RESULTS Men showed higher sensation seeking and lack of perseverance, alcohol use and DUI frequency and lower risk perception than women. DUI frequency was negatively associated with perception of risk and positively associated with alcohol use and the five impulsivity facets. After controlling for alcohol use and risk perception, only lack of premeditation was associated with DUI frequency in the whole sample. Sensation seeking was positively associated with DUI frequency only in women. DISCUSSION The link between lack of premeditation and DUI suggest that pre-drinking planning strategies can contribute to prevent risky driving. In women, specific links between sensation seeking and DUI suggest the need for personality-tailored prevention strategies.
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Affiliation(s)
- Juan F Navas
- Mind, Brain and Behavior Research Centre, University of Granada, Spain
| | | | - Dafina Petrova
- Mind, Brain and Behavior Research Centre, University of Granada, Spain
| | - Antonio Verdejo-García
- School of Psychological Sciences & Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Australia
| | - Marta Cano
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Spain; Department of Clinical Sciences, School of Medicine, University of Barcelona, Spain
| | | | | | | | - Sergio Cordovilla-Guardia
- Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain
| | - Alberto Megías
- Mind, Brain and Behavior Research Centre, University of Granada, Spain
| | - José C Perales
- Mind, Brain and Behavior Research Centre, University of Granada, Spain
| | - Raquel Vilar-López
- Mind, Brain and Behavior Research Centre, University of Granada, Spain; Andalusian Observatory on Drugs and Addictions, Spain.
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Barrada JR, Navas JF, Ruiz de Lara CM, Billieux J, Devos G, Perales JC. Reconsidering the roots, structure, and implications of gambling motives: An integrative approach. PLoS One 2019; 14:e0212695. [PMID: 30794642 PMCID: PMC6386301 DOI: 10.1371/journal.pone.0212695] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Accepted: 02/07/2019] [Indexed: 11/19/2022] Open
Abstract
Rationale and method Accurately identifying motives to gamble is crucial in the functional analysis of gambling behavior. In this study, a data-driven approach was followed to clarify the factor structure underlying a pool of motives for gambling, selected from the Gambling Motives Questionnaire–Financial (GMQ-F), and the Reasons for Gambling Questionnaire (RGQ), in a sample of regular problem and non-problem gamblers. Additionally, the role of gambling motives in the relationship between root behavioral activation/inhibition systems (BIS/BAS) and gambling severity, frequency, and preferences was explored using structural equation modelling (SEM). Results and conclusions The present study identified Social, Financial, and Fun/thrill-related gambling motives factors, but also a fourth factor in which some positive and negative reinforcement-based motives were grouped into a single and broader Affect regulation factor. This Affect regulation factor shared variance both with BIS and BAS-related measures, and was the only direct predictor of disordered gambling symptoms. The Fun/thrill factor was directly related to frequency of participation in high-arousal, skill-based games, and all factors were related to participation in lower-arousal, chance games (with Social motives negatively predicting both participation in the latter and total severity). In the SEM model, measures of BIS/BAS sensitivity were connected to gambling behavior only through gambling motives. Based on measures of items’ specificity, a shortened Spanish scale (the brief Gambling Motives Inventory, bGMI) is proposed to assess gambling motives in accordance with the observed 4-factor structure.
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Affiliation(s)
- Juan R. Barrada
- Departamento de Psicología y Sociología, Universidad de Zaragoza, Teruel, Spain
| | - Juan F. Navas
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
- * E-mail:
| | | | - Joël Billieux
- Addictive and Compulsive Behaviours Lab, Institute for Health and Behaviour, University of Luxembourg, Esch-sur-Alzette, Luxembourg
- Centre for Excessive Gambling, Lausanne University Hospital, Lausanne, Switzerland
- Laboratory for Experimental Psychopathology (LEP), Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
| | - Gaëtan Devos
- Laboratory for Experimental Psychopathology (LEP), Psychological Sciences Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
- Service Universitaire d'Addictologie de Lyon (SUAL), CH Le Vinatier, Bron, France
- Scientific Research and Publication Cell (CRPS), Le Beau Vallon, Namur, Belgium
| | - José C. Perales
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
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Cardol CK, Escamilla CI, Gebhardt WA, Perales JC. Exploring the direct or inverse association of physical activity with behavioral addictions and other self-regulation problems. Adicciones 2019; 31:18-32. [PMID: 30059584 DOI: 10.20882/adicciones.926] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
This cross-sectional survey study had the aim of clarifying the relationships between leisure time physical activity (LTPA) and non-drug-re-lated self-regulation problems (non-drug-related SRPs), including behavioral addictions, and the role of impulsive personality traits therein. Spanish university students (N = 329; Mage = 21.20) completed questionnaires for each of these constructs. Fitness and Bodybuilding LTPA was negatively associated with video gaming-related SRPs, r = -.13, p = .019, 95% CI (bootstrapped) [-.23, -.02], and positively associated with sex-related SRPs, r = .16, p = .005, 95% CI (bootstrapped) [.04, .30]. Endurance LTPA was associated with higher scores in eating-related SRPs, r = .17, p = .003, 95% CI (bootstrapped) [.02, .31]. The proportion of participants presenting scores above the clinically significant threshold in eating-related SRPs was 2.64 times higher for respondents in an Excessive Endurance LTPA cluster compared to the other respondents, Fisher's exact test, p = .017, OR = 3.10, 95% CI [1.26, 7.63], and the proportion of participants reporting vomiting to control weight was 2.12 times higher, Fisher's exact test, p = .040, OR = 2.43, 95% CI [1.06, 5.57]. The associations were largely independent of impulsive personality traits. We identified an elevated risk of eating pathology in a subgroup of participants with anomalously high participation in endurance physical activity. This overlap is consistent with the secondary dependence hypothesis of exercise addiction.
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Jiménez-Murcia S, Granero R, Fernández-Aranda F, Stinchfield R, Tremblay J, Steward T, Mestre-Bach G, Lozano-Madrid M, Mena-Moreno T, Mallorquí-Bagué N, Perales JC, Navas JF, Soriano-Mas C, Aymamí N, Gómez-Peña M, Agüera Z, Del Pino-Gutiérrez A, Martín-Romera V, Menchón JM. Corrigendum: Phenotypes in Gambling Disorder Using Sociodemographic and Clinical Clustering Analysis: An Unidentified New Subtype? Front Psychiatry 2019; 10:358. [PMID: 31231251 PMCID: PMC6558406 DOI: 10.3389/fpsyt.2019.00358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Accepted: 05/08/2019] [Indexed: 11/28/2022] Open
Abstract
[This corrects the article DOI: 10.3389/fpsyt.2019.00173.].
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Affiliation(s)
- Susana Jiménez-Murcia
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain.,Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Roser Granero
- Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain.,Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Fernando Fernández-Aranda
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain.,Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Randy Stinchfield
- Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, United States
| | - Joel Tremblay
- Département de Psychoéducation, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
| | - Trevor Steward
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - Gemma Mestre-Bach
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - María Lozano-Madrid
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - Teresa Mena-Moreno
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - Núria Mallorquí-Bagué
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - José C Perales
- Department of Experimental Psychology, University of Granada, Granada, Spain.,Brain, Mind and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Juan F Navas
- Department of Experimental Psychology, University of Granada, Granada, Spain.,Brain, Mind and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Carles Soriano-Mas
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain.,Ciber de Salud Mental, Instituto Salud Carlos III, Madrid, Spain
| | - Neus Aymamí
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
| | - Mónica Gómez-Peña
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
| | - Zaida Agüera
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - Amparo Del Pino-Gutiérrez
- Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil, Escola Universitària d'Infermeria, Universitat de Barcelona, Barcelona, Spain
| | | | - José M Menchón
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain.,Ciber de Salud Mental, Instituto Salud Carlos III, Madrid, Spain
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Jiménez-Murcia S, Granero R, Fernández-Aranda F, Stinchfield R, Tremblay J, Steward T, Mestre-Bach G, Lozano-Madrid M, Mena-Moreno T, Mallorquí-Bagué N, Perales JC, Navas JF, Soriano-Mas C, Aymamí N, Gómez-Peña M, Agüera Z, Del Pino-Gutiérrez A, Martín-Romera V, Menchón JM. Phenotypes in Gambling Disorder Using Sociodemographic and Clinical Clustering Analysis: An Unidentified New Subtype? Front Psychiatry 2019; 10:173. [PMID: 30984045 PMCID: PMC6450083 DOI: 10.3389/fpsyt.2019.00173] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Accepted: 03/08/2019] [Indexed: 12/17/2022] Open
Abstract
Background: Gambling disorder (GD) is a heterogeneous disorder which has clinical manifestations that vary according to variables in each individual. Considering the importance of the application of specific therapeutic interventions, it is essential to obtain clinical classifications based on differentiated phenotypes for patients diagnosed with GD. Objectives: To identify gambling profiles in a large clinical sample of n = 2,570 patients seeking treatment for GD. Methods: An agglomerative hierarchical clustering method defining a combination of the Schwarz Bayesian Information Criterion and log-likelihood was used, considering a large set of variables including sociodemographic, gambling, psychopathological, and personality measures as indicators. Results: Three-mutually-exclusive groups were obtained. Cluster 1 (n = 908 participants, 35.5%), labeled as "high emotional distress," included the oldest patients with the longest illness duration, the highest GD severity, and the most severe levels of psychopathology. Cluster 2 (n = 1,555, 60.5%), labeled as "mild emotional distress," included patients with the lowest levels of GD severity and the lowest levels of psychopathology. Cluster 3 (n = 107, 4.2%), labeled as "moderate emotional distress," included the youngest patients with the shortest illness duration, the highest level of education and moderate levels of psychopathology. Conclusion: In this study, the general psychopathological state obtained the highest importance for clustering.
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Affiliation(s)
- Susana Jiménez-Murcia
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain.,Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Roser Granero
- Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain.,Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Fernando Fernández-Aranda
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain.,Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain
| | - Randy Stinchfield
- Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, United States
| | - Joel Tremblay
- Département de Psychoéducation, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada
| | - Trevor Steward
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - Gemma Mestre-Bach
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - María Lozano-Madrid
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - Teresa Mena-Moreno
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - Núria Mallorquí-Bagué
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - José C Perales
- Department of Experimental Psychology, University of Granada, Granada, Spain.,Brain, Mind and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Juan F Navas
- Department of Experimental Psychology, University of Granada, Granada, Spain.,Brain, Mind and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Carles Soriano-Mas
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain.,Ciber de Salud Mental, Instituto Salud Carlos III, Madrid, Spain
| | - Neus Aymamí
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
| | - Mónica Gómez-Peña
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
| | - Zaida Agüera
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Ciber Fisiopatologia Obesidad y Nutrición, Instituto Salud Carlos III, Barcelona, Spain
| | - Amparo Del Pino-Gutiérrez
- Departament d'Infermeria de Salut Pública, Salut Mental i Maternoinfantil, Escola Universitària d'Infermeria, Universitat de Barcelona, Barcelona, Spain
| | | | - José M Menchón
- Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.,Department of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain.,Ciber de Salud Mental, Instituto Salud Carlos III, Madrid, Spain
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Vera J, Perales JC, Jiménez R, Cárdenas D. A test-retest assessment of the effects of mental load on ratings of affect, arousal and perceived exertion during submaximal cycling. J Sports Sci 2018; 36:2521-2530. [PMID: 29688118 DOI: 10.1080/02640414.2018.1466848] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
This study aimed to test the effects of mental (i.e. executive) load during a dual physical-mental task on ratings of perceived exertion (RPE), affective valence, and arousal. The protocol included two dual tasks with matched physical demands but different executive demands (2-back and oddball), carried out on different days. The procedure was run twice to assess the sensitivity and stability of RPE, valence and arousal across the two trials. Linear mixed-effects analyses showed less positive valence (-0.44 points on average in a 1-9 scale; Rβ2 = 0.074 [CI90%, 0.052-0.098]), and heightened arousal (+0.13 points on average in a 1-9 scale; Rβ2 = 0.006 [CI90%, 0.001-0.015]), for the high executive load condition, but showed no effect of mental load on RPE. Separated analyses for the two task trials yielded best-fitting models that were identical across trials for RPE and valence, but not for arousal. Model fitting was improved by assuming a 1-level autoregressive covariance structure for all analyses. In conclusion, executive load during a dual physical-mental task modulates the emotional response to effort, but not RPE. The autoregressive covariance suggests that people tend to anchor estimates on prior ones, which imposes certain limits on scales' usability.
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Affiliation(s)
- Jesús Vera
- a Department of Optics, Faculty of Science , University of Granada , Granada , Spain.,b Mixed University Sport and Health Institute (iMUDS) , University of Granada , Granada , Spain
| | - José C Perales
- c Department of Experimental Psychology , University of Granada , Granada , Spain.,d Mind, Brain and Behaviour Research Center (CIMCYC) , University of Granada , Granada , Spain
| | - Raimundo Jiménez
- a Department of Optics, Faculty of Science , University of Granada , Granada , Spain
| | - David Cárdenas
- b Mixed University Sport and Health Institute (iMUDS) , University of Granada , Granada , Spain.,e Department of Physical Education and Sport, Faculty of Sport Sciences , University of Granada , Granada , Spain
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Ruiz de Lara CM, Navas JF, Soriano-Mas C, Sescousse G, Perales JC. Regional grey matter volume correlates of gambling disorder, gambling-related cognitive distortions, and emotion-driven impulsivity. International Gambling Studies 2018. [DOI: 10.1080/14459795.2018.1448427] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- Cristian M. Ruiz de Lara
- Department of Experimental Psychology, University of Granada , Granada, Spain
- Mind, Brain, and Behaviour Research Centre (CIMCYC), University of Granada , Granada, Spain
| | - Juan F. Navas
- Department of Experimental Psychology, University of Granada , Granada, Spain
- Mind, Brain, and Behaviour Research Centre (CIMCYC), University of Granada , Granada, Spain
| | - Carles Soriano-Mas
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL , Barcelona, Spain
- CIBERSAM, Carlos III Health Institute , Barcelona, Spain
- Department of Psychobiology and Methodology in Health Sciences, Universitat Autònoma de Barcelona , Barcelona, Spain
| | - Guillaume Sescousse
- Donders Institute for Brain, Cognition and Behaviour, Radboud University , Nijmegen, The Netherlands
- Department of Psychiatry, Radboud University Medical Centre , Nijmegen, The Netherlands
| | - José C. Perales
- Department of Experimental Psychology, University of Granada , Granada, Spain
- Mind, Brain, and Behaviour Research Centre (CIMCYC), University of Granada , Granada, Spain
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Abstract
The present study focuses on the effect of selective attention on causal learning. Three effects of the level of attention to predictive symptoms in positive and negative contingency learning tasks are reported. First, participants accurately detected a positive relationship between an incidental cue and a contingent outcome, although judgements were slightly lower than those for the attended cue. Second, participants were unable to detect negative relationships between incidental cues and outcomes, which suggests a major role of selective attention in this type of learning. Third, participants retrieved the frequency of each trial type more accurately in the attended conditions than in the incidental conditions. These findings show how attention guides and constrains human causal learning and reveal an inattentional blindness effect for negative contingency learning.
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Cárdenas D, Madinabeitia I, Vera J, Perales JC, García-Ramos A, Ortega E, Catena-Verdejo E, Catena A. Strength, Affect Regulation, and Subcortical Morphology in Military Pilots. Med Sci Sports Exerc 2017; 50:722-728. [PMID: 29166323 DOI: 10.1249/mss.0000000000001500] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Previous studies have shown links of body composition and fitness measures with brain structure, as well as with different aspects of emotional adjustment and well-being. However, the possible role of trait emotion-regulation success in the relationship between fitness/body composition and emotion-related subcortical structures has never been directly addressed. METHODS Twenty-three elite helicopter pilots were assessed in fat mass percentage, an endurance test to volitional exhaustion, bench-press power output, and negative urgency (trait affect regulation failure). Their brains were scanned using magnetic resonance imaging to estimate the size of the accumbens/amygdala, considered together, and the thalamus. Resulting correlations were used to test the relationship between body composition/fitness measures and brain structures' size, and the role of negative urgency therein, using structural equation modeling. RESULTS Fat mass percentage was associated with the size of the thalamus and the amygdala/accumbens. In the latter case, negative urgency and bench-press power output predicted structure size (and explained the effect of fat mass percentage away). In other words, bench-press power output and emotion regulation success (but not endurance performance) were associated with a larger amygdala/accumbens size. CONCLUSIONS Bench-press power output and emotion regulation success are independently associated with a larger amygdala/accumbens size, although present evidence does not allow for determination of causal directionality.
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Affiliation(s)
- David Cárdenas
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN
| | - Iker Madinabeitia
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN
| | - Jesús Vera
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN
| | - José C Perales
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN.,Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN
| | - Amador García-Ramos
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN.,Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN
| | - Enrique Ortega
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN
| | - Elvira Catena-Verdejo
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN
| | - Andrés Catena
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN.,Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, SPAIN
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Rodriguez-Ayllon M, Cadenas-Sanchez C, Esteban-Cornejo I, Migueles JH, Mora-Gonzalez J, Henriksson P, Martín-Matillas M, Mena-Molina A, Molina-García P, Estévez-López F, Enriquez GM, Perales JC, Ruiz JR, Catena A, Ortega FB. Physical fitness and psychological health in overweight/obese children: A cross-sectional study from the ActiveBrains project. J Sci Med Sport 2017; 21:179-184. [PMID: 29031643 DOI: 10.1016/j.jsams.2017.09.019] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2016] [Revised: 09/14/2017] [Accepted: 09/20/2017] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To examine the associations of physical fitness (i.e. cardiorespiratory fitness, muscular strength, and speed/agility) with psychological distress and psychological well-being in overweight/obese pre-adolescent children. DESIGN 110 overweight/obese children (10.0±1.1years old, 61 boys) from the ActiveBrains project (http://profith.ugr.es/activebrains) participated in this cross-sectional study. METHODS Physical fitness was evaluated by the ALPHA battery test. Cardiorespiratory fitness was additionally evaluated by a maximal incremental treadmill. Stress was assessed by the Children's Daily Stress Inventory, anxiety by the State-Trait Anxiety Inventory, depression by the Children Depression Inventory, positive affect and negative affect by the Positive and Negative Affect Scale for Children, happiness by the Subjective Happiness Scale, optimism by the Life Orientation Test, and self-esteem by the Rosenberg Self-Esteem questionnaire. Linear regression adjusted for sex and peak height velocity was used to examine associations. RESULTS Absolute upper-body muscular strength was negatively associated with stress and negative affect (β=-0.246, p=0.047; β=-0.329, p=0.010, respectively). Furthermore, absolute lower-body muscular strength was negatively associated with negative affect (β=-0.301, p=0.029). Cardiorespiratory fitness, expressed by the last completed lap, and relative upper-body muscular strength were positively associated with optimism (β=0.220, p=0.042; β=0.240, p=0.017, respectively). Finally, absolute upper-body muscular strength was positively associated with self-esteem (β=0.362, p=0.003) independently of sex and weight status (p for interactions >0.3), and absolute lower-body muscular strength was also positively associated with self-esteem (β=0.352, p=0.008). CONCLUSIONS Muscular strength was associated with psychological distress (i.e. stress and negative affect) and psychological well-being (i.e. optimism and self-esteem) as well as cardiorespiratory fitness was associated with optimism. Therefore, increased levels of physical fitness, specifically muscular strength, could have significant benefits for overweight/obese children psychological health.
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Affiliation(s)
- M Rodriguez-Ayllon
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain.
| | - C Cadenas-Sanchez
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - I Esteban-Cornejo
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - J H Migueles
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - J Mora-Gonzalez
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - P Henriksson
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - M Martín-Matillas
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - A Mena-Molina
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - P Molina-García
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - F Estévez-López
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Spain; Department of Psychology, Faculty of Social and Behavioural Sciences, Utrecht University, The Netherlands
| | - G M Enriquez
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain
| | - J C Perales
- Mind, Brain, and Behaviour Research Centre-CIMCYC, University of Granada, Spain; Department of Experimental Psychology, University of Granada, Spain
| | - J R Ruiz
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Sweden
| | - A Catena
- Mind, Brain, and Behaviour Research Centre-CIMCYC, University of Granada, Spain; Department of Experimental Psychology, University of Granada, Spain
| | - F B Ortega
- PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Sweden
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Steward T, Mestre-Bach G, Fernández-Aranda F, Granero R, Perales JC, Navas JF, Soriano-Mas C, Baño M, Fernández-Formoso JA, Martín-Romera V, Menchón JM, Jiménez-Murcia S. Delay discounting and impulsivity traits in young and older gambling disorder patients. Addict Behav 2017; 71:96-103. [PMID: 28288442 DOI: 10.1016/j.addbeh.2017.03.001] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 02/23/2017] [Accepted: 03/04/2017] [Indexed: 01/12/2023]
Abstract
BACKGROUND Impulsivity is understood to be a multidimensional construct involving aspects such as impulsive choice and impulsive traits. Delay discounting, the tendency to place greater value in immediate rewards over larger, long-term rewards, has been associated with maladaptive choices in gambling disorder (GD). Delay discounting is known to evolve with age; though no study to date has evaluated the interactions between impulsivity, GD severity and age in treatment-seeking patients. OBJECTIVES We aimed to examine whether associations between delay discounting and impulsivity traits differed between younger and older-aged GD patients. Secondly, we sought to untangle the mediating role of impulsivity in determining gambling behavior in these two age groups. METHODS GD patients (N=335) were evaluated using the UPPS-P Impulsive Behavior Scale and a delay discounting task. Structural Equation Modeling (SEM) was used to explore associations between impulsivity measures and gambling severity in young (18-30years) and old (31-70) GD patients. RESULTS No differences in delay discounting were found between young and old GD patients. Significant correlations between delay discounting and urgency levels (the tendency to act rashly under emotional states) were identified only in the young GD group. Path analyses also revealed both positive and negative urgency to be a mediator of GD severity levels in young GD patients. DISCUSSION AND CONCLUSIONS Significant associations between impulsive choice and positive urgency are only present in young gamblers, suggesting that positive urgency influence choice behavior to a greater degree at younger ages. Implications for targeted interventions are discussed.
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Navas JF, Contreras-Rodríguez O, Verdejo-Román J, Perandrés-Gómez A, Albein-Urios N, Verdejo-García A, Perales JC. Trait and neurobiological underpinnings of negative emotion regulation in gambling disorder. Addiction 2017; 112:1086-1094. [PMID: 28060454 DOI: 10.1111/add.13751] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Revised: 10/27/2016] [Accepted: 01/02/2017] [Indexed: 12/13/2022]
Abstract
BACKGROUND AND AIMS Gambling disorder is characterized by poor regulation of negative emotions and impulsive behaviours. This study aimed to (1) compare gambling disorder patients (GDPs) and healthy controls (HCs) in self-report and brain activation measures of emotion regulation; and (2) establish its relationship with negative emotion-driven impulsivity. DESIGN Two cross-sectional case-control studies including GDPs and HCs. SETTING AND PARTICIPANTS GDPs and HCs were recruited from specialized gambling clinics in Andalusia (Spain), where they were following out-patient treatment, and from the community, respectively. Study 1 included 41 GDPs and 45 HCs [All males; Mage = 35.22, 33.22; standard deviation (SD) = 11.16, 8.18; respectively]. Study 2 included 17 GDPs and 21 HCs (16/20 males; Mage = 32.94, 31.00; SD = 7.77, 4.60; respectively). MEASUREMENTS In study 1, we compared both groups on suppression and re-appraisal emotion regulation strategies [Emotion Regulation Questionnaire (ERQ)]. In study 2, we compared GDPs with HCs on brain activation associated with down-regulation of negative emotions in a cognitive re-appraisal task, measured with functional magnetic resonance imaging (fMRI). In both studies, we correlated the measures of emotion regulation with mood-related impulsivity indicated by negative urgency (UPPS-P impulsive behaviour scale). FINDINGS GDPs relative to HCs showed higher levels of emotional suppression [F = 4.525; P = 0.036; means difference MHCs -MGDPs = -2.433, 95% confidence interval (CI) = -4.706, -0.159] and higher activation of the premotor cortex and middle frontal gyrus during negative emotion regulation in the fMRI task [P ≤ 0.005, cluster size (CS) > 50 voxels]. Negative urgency correlated positively with emotional suppression (r = 0.399, 95% CI = 0.104, 0.629, one-tailed P = 0.005) and middle frontal gyrus activation during negative emotion regulation (P ≤ 0.005, CS > 50) in GDPs. CONCLUSIONS Gambling disorder is associated with greater use of emotional suppression and stronger pre-motor cortex and middle frontal gyrus activation for regulating negative emotions, compared with healthy controls. Emotional suppression use and middle frontal gyrus activation during negative emotion regulation are linked with negative emotion-driven impulsivity in this disorder.
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Affiliation(s)
- Juan F Navas
- Department of Experimental Psychology, University of Granada, Granada, Spain.,Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | | | - Juan Verdejo-Román
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain.,Department of Personality, Assessment and Clinical Treatment, University of Granada, Granada, Spain
| | - Ana Perandrés-Gómez
- Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Natalia Albein-Urios
- School of Psychology, Cognitive Neuroscience Unit, Deakin University, Burwood, Australia
| | - Antonio Verdejo-García
- Monash Institute of Cognitive and Clinical Neurosciences and School of Psychological Sciences, Monash University, Melbourne, Australia.,Red de trastornos adictivos, University of Granada, Granada, Spain
| | - José C Perales
- Department of Experimental Psychology, University of Granada, Granada, Spain.,Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain.,Red de trastornos adictivos, University of Granada, Granada, Spain
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Del Prete F, Steward T, Navas JF, Fernández-Aranda F, Jiménez-Murcia S, Oei TPS, Perales JC. The role of affect-driven impulsivity in gambling cognitions: A convenience-sample study with a Spanish version of the Gambling-Related Cognitions Scale. J Behav Addict 2017; 6:51-63. [PMID: 28118729 PMCID: PMC5572993 DOI: 10.1556/2006.6.2017.001] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2016] [Revised: 11/21/2016] [Accepted: 12/24/2016] [Indexed: 11/19/2022] Open
Abstract
Background and aims Abnormal cognitions are among the most salient domain-specific features of gambling disorder. The aims of this study were: (a) to examine and validate a Spanish version of the Gambling-Related Cognitions Scale (GRCS; Raylu & Oei, 2004) and (b) to examine associations between cognitive distortion levels, impulsivity, and gambling behavior. Methods This study first recruited a convenience sample of 500 adults who had gambled during the previous year. Participants were assessed using the Spanish version of GRCS (GRCS-S) questionnaire, the UPPS-P impulsivity questionnaire, measures of gambling behavior, and potentially relevant confounders. Robust confirmatory factor analysis methods on half the sample were used to select the best models from a hypothesis-driven set. The best solutions were validated on the other half, and the resulting factors were later correlated with impulsivity dimensions (in the whole n = 500 factor analysis sample) and clinically relevant gambling indices (in a separate convenience sample of 137 disordered and non-disordered gamblers; validity sample). Results This study supports the original five-factor model, suggests an alternative four-factor solution, and confirms the psychometric soundness of the GRCS-S. Importantly, cognitive distortions consistently correlated with affect- or motivation-driven aspects of impulsivity (urgency and sensation seeking), but not with cognitive impulsivity (lack of premeditation and lack of perseverance). Discussion and conclusions Our findings suggest that the GRCS-S is a valid and reliable instrument to identify gambling cognitions in Spanish samples. Our results expand upon previous research signaling specific associations between gambling-related distortions and affect-driven impulsivity in line with models of motivated reasoning.
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Affiliation(s)
- Francesco Del Prete
- Mind, Brain and Behavior Research Center,
University of Granada, Granada,
Spain
- Centre for Economic and International Studies,
University of Rome “Tor Vergata”,
Rome, Italy
| | - Trevor Steward
- Department of Psychiatry, Bellvitge
University Hospital-IDIBELL, Barcelona,
Spain
- Ciber Fisiopatología, Obesidad y Nutrición
(CIBERObn), Instituto de Salud Carlos III, Madrid,
Spain
| | - Juan F. Navas
- Mind, Brain and Behavior Research Center,
University of Granada, Granada,
Spain
- Department of Experimental Psychology,
University of Granada, Granada,
Spain
| | - Fernando Fernández-Aranda
- Department of Psychiatry, Bellvitge
University Hospital-IDIBELL, Barcelona,
Spain
- Ciber Fisiopatología, Obesidad y Nutrición
(CIBERObn), Instituto de Salud Carlos III, Madrid,
Spain
- Department of Clinical Sciences, Faculty of Medicine,
University of Barcelona, Barcelona,
Spain
| | - Susana Jiménez-Murcia
- Department of Psychiatry, Bellvitge
University Hospital-IDIBELL, Barcelona,
Spain
- Ciber Fisiopatología, Obesidad y Nutrición
(CIBERObn), Instituto de Salud Carlos III, Madrid,
Spain
- Department of Clinical Sciences, Faculty of Medicine,
University of Barcelona, Barcelona,
Spain
| | - Tian P. S. Oei
- School of Psychology, University of
Queensland, Brisbane, Australia
- Department of Psychology, James Cook
University, Singapore, Singapore
| | - José C. Perales
- Mind, Brain and Behavior Research Center,
University of Granada, Granada,
Spain
- Department of Experimental Psychology,
University of Granada, Granada,
Spain
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Lozano LM, Megías A, Catena A, Perales JC, Baltruschat S, Cándido A. Spanish validation of the Domain-Specific Risk-Taking (DOSPERT-30) Scale. Psicothema 2017; 29:111-118. [PMID: 28126068 DOI: 10.7334/psicothema2016.132] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND The aim of the present study was to develop and validate a Spanish version of the short Domain-Specific Risk-Taking (DOSPERT-30) scale, measuring risk-taking behavior, risk perception, and expected beneficial consequences (from taking risks) in five life domains: ethics, finance, health/security, recreational, and social decisions. METHOD The scale was back-translated, and administered online to 826 participants. Validity evidence was tested using correlations with construct-related instruments (UPPS-P and SSS-V), as well as using factor analysis. Internal consistency reliability was calculated with the ordinal Alpha coefficient, and gender differences were considered. RESULTS Internal consistency was good, and factor analysis confirmed the five factors proposed by the authors. With respect to the external validity, high correlations with the positive urgency and the sensation seeking subscales of the UPPS-P, as well as with the thrill and adventure seeking and disinhibition subscales of the SSS-V were found. Finally, gender differences were found in all subscales and domains, with men tending to take more risks, perceive less risk and expect more beneficial consequences, except for the social domain where an inverse pattern was found. CONCLUSIONS As these findings are in line with the original version, they indicate the scale was successfully adapted.
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Navas JF, Billieux J, Perandrés-Gómez A, López-Torrecillas F, Cándido A, Perales JC. Impulsivity traits and gambling cognitions associated with gambling preferences and clinical status. International Gambling Studies 2017. [DOI: 10.1080/14459795.2016.1275739] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Juan F. Navas
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Joël Billieux
- Laboratory for Experimental Psychopathology, Psychology Department, Psychological Sciences Research Institute, Université Catholique de Louvain, Louvain-la-Neuve, Belgium
- Institute for Health and Behavior, Integrative Research Unit on Social and Individual Development (INSIDE), University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Ana Perandrés-Gómez
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Francisca López-Torrecillas
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
- Department of Personality, Assessment, and Psychological Treatment, University of Granada, Granada, Spain
| | - Antonio Cándido
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - José C. Perales
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
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Mestre-Bach G, Granero R, Steward T, Fernández-Aranda F, Baño M, Aymamí N, Gómez-Peña M, Agüera Z, Mallorquí-Bagué N, Moragas L, del Pino-Gutiérrez A, Soriano-Mas C, Navas JF, Perales JC, Menchón JM, Jiménez-Murcia S. Reward and punishment sensitivity in women with gambling disorder or compulsive buying: Implications in treatment outcome. J Behav Addict 2016; 5:658-665. [PMID: 27826998 PMCID: PMC5370371 DOI: 10.1556/2006.5.2016.074] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Background and aims Gray's Reinforcement Sensitivity Theory has been widely applied to different clinical populations, but few studies have reported empirical evidence based on this theory for treatment outcomes in patients with gambling disorder (GD) and compulsive buying (CB). The aims of this study were to explore the association between clinical variables and personality traits with reward and punishment sensitivity (RPS) levels in women (n = 88) who met diagnostic criteria for GD (n = 61) and CB (n = 27), and to determine the predictive capacity of RPS for primary short-term outcomes in a cognitive-behavioral therapy (CBT) intervention. Methods The CBT intervention consisted of 12 weekly sessions. Data on patients' personality traits, RPS levels, psychopathology, sociodemographic factors, GD, and CB behavior were used in our analysis. Results High RPS levels were associated with higher psychopathology in both CB and GD, and were a risk factor for dropout in the CB group. In the GD group, higher reward sensitivity scores increased the risk of dropout. Discussion and conclusions Our findings suggest that both sensitivity to reward and sensitivity to punishment independently condition patients' response to treatment for behavioral addictions. The authors uphold that CBT interventions for such addictions could potentially be enhanced by taking RPS into consideration.
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Affiliation(s)
- Gemma Mestre-Bach
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain,Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain
| | - Roser Granero
- Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain,Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Trevor Steward
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain,Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain
| | - Fernando Fernández-Aranda
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain,Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain,Department of Clinical Sciences, Faculty of Medicine, University of Barcelona, Barcelona, Spain
| | - Marta Baño
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain
| | - Neus Aymamí
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain
| | - Mónica Gómez-Peña
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain
| | - Zaida Agüera
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain,Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain
| | - Núria Mallorquí-Bagué
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain,Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain
| | - Laura Moragas
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain
| | - Amparo del Pino-Gutiérrez
- Nursing Department of Public Health, Maternal and Child Health, University of Barcelona, Barcelona, Spain
| | - Carles Soriano-Mas
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain,Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain,CIBER Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Barcelona, Spain
| | - Juan Francisco Navas
- Department of Experimental Psychology and Mind, Brain, and Behavior Research Center, University of Granada, Granada, Spain
| | - José C. Perales
- Department of Experimental Psychology and Mind, Brain, and Behavior Research Center, University of Granada, Granada, Spain
| | - José M. Menchón
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain,Department of Clinical Sciences, Faculty of Medicine, University of Barcelona, Barcelona, Spain,CIBER Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Barcelona, Spain
| | - Susana Jiménez-Murcia
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain,Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Barcelona, Spain,Department of Clinical Sciences, Faculty of Medicine, University of Barcelona, Barcelona, Spain,Corresponding author: Susana Jiménez-Murcia; Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain, and CIBERObn, c/Feixa Llarga s/n, 08907, Hospitalet de Llobregat, Barcelona, Spain; Phone: +34 93 260 79 88; Fax: +34 93 260 76 58; E-mail:
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Navas JF, Vilar-López R, Perales JC, Steward T, Fernández-Aranda F, Verdejo-García A. Altered Decision-Making under Risk in Obesity. PLoS One 2016; 11:e0155600. [PMID: 27257888 PMCID: PMC4892558 DOI: 10.1371/journal.pone.0155600] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 05/01/2016] [Indexed: 12/11/2022] Open
Abstract
Background The negative consequences of energy dense foods are well known, yet people increasingly make unhealthy food choices leading to obesity (i.e., risky decisions). The aims of this study were: [1] to compare performance in decision-making tasks under risk and under ambiguity between individuals with obesity, overweight and normal weight; [2] to examine the associations between body mass index (BMI) and decision-making, and the degree to which these associations are modulated by reward sensitivity. Methods Seventy-nine adults were recruited and classified in three groups according to their BMI: obesity, overweight and normal-weight. Groups were similar in terms of age, education and socio-economic status, and were screened for comorbid medical and mental health conditions. Decision-making under risk was measured via the Wheel of Fortune Task (WoFT) and decision-making under ambiguity via the Iowa Gambling Task (IGT). Reward sensitivity was indicated by the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ). Results Individuals with obesity made riskier choices in the WoFT, specifically in choices with an expected value close to zero and in the propensity to risk index. No differences were found in IGT performance or SPSRQ scores. BMI was associated with risk-taking (WoFT performance), independently of reward sensitivity. Conclusions Obesity is linked to a propensity to make risky decisions in experimental conditions analogous to everyday food choices.
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Affiliation(s)
- Juan F. Navas
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Red de Trastornos Adictivos, and Brain, Mind and Behaviour Research Center (CIMCYC),University of Granada, Granada, Spain
| | - Raquel Vilar-López
- Red de Trastornos Adictivos, and Brain, Mind and Behaviour Research Center (CIMCYC),University of Granada, Granada, Spain
- Department of Personality, Assessment and Psychological Treatment,University of Granada, Granada, Spain
| | - José C. Perales
- Department of Experimental Psychology, University of Granada, Granada, Spain
- Red de Trastornos Adictivos, and Brain, Mind and Behaviour Research Center (CIMCYC),University of Granada, Granada, Spain
| | - Trevor Steward
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III (ISCIII), Barcelona, Spain
| | - Fernando Fernández-Aranda
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III (ISCIII), Barcelona, Spain
| | - Antonio Verdejo-García
- Red de Trastornos Adictivos, and Brain, Mind and Behaviour Research Center (CIMCYC),University of Granada, Granada, Spain
- School of Psychological Sciences & Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne, Australia
- * E-mail:
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Navas JF, Verdejo-García A, LÓpez-GÓmez M, Maldonado A, Perales JC. Gambling with Rose-Tinted Glasses on: Use of Emotion-Regulation Strategies Correlates with Dysfunctional Cognitions in Gambling Disorder Patients. J Behav Addict 2016; 5:271-81. [PMID: 27363462 PMCID: PMC5387778 DOI: 10.1556/2006.5.2016.040] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
Background and aims Existing research shows that gambling disorder patients (GDPs) process gambling outcomes abnormally when compared against healthy controls (HCs). These anomalies present the form of exaggerated or distorted beliefs regarding the expected utility of outcomes and one's ability to predict or control gains and losses, as well as retrospective reinterpretations of what caused them. This study explores the possibility that the emotional regulation strategies GDPs use to cope with aversive events are linked to these cognitions. Methods 41 GDPs and 45 HCs, matched in sociodemographic variables, were assessed in gambling severity, emotion-regulation strategies (cognitive emotion-regulation questionnaire, CERQ), and gambling-related cognitions (gambling-related cognitions scale, GRCS). Results GDPs showed higher scores in all gambling-related cognition dimensions. Regarding emotion regulation, GDPs were observed to use self-blame and catastrophizing, but also positive refocusing, more often than controls. Additionally, in GDPs, putatively adaptive CERQ strategies shared a significant portion of variance with South Oaks gambling screen severity and GRCS beliefs. Shared variability was mostly attributable to the roles of refocusing on planning and putting into perspective at positively predicting severity and the interpretative bias (GDPs propensity to reframe losses in a more benign way), respectively. Discussion and conclusions Results show links between emotion-regulation strategies and problematic gambling-related behaviors and cognitions. The pattern of those links supports the idea that GDPs use emotion-regulation strategies, customarily regarded as adaptive, to cope with negative emotions, so that the motivational and cognitive processing of gambling outcomes becomes less effective in shaping gambling-related behavior.
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Affiliation(s)
- Juan F. Navas
- Department of Experimental Psychology, University of Granada, Granada, Spain,Brain, Mind and Behaviour Research Center (CIMCYC), University of Granada, Granada, Spain,Corresponding author: Juan F. Navas; Department of Experimental Psychology, University of Granada, Campus de Cartuja, s/n. 18071, Granada, Spain; Phone: +34 958 24 78 82 Fax: +34 958 24 62 39; E-mail:
| | - Antonio Verdejo-García
- School of Psychological Sciences & Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne, Australia,Institute of Neuroscience F. Oloriz, University of Granada, Granada, Spain
| | - Marta LÓpez-GÓmez
- Granada Association of Rehabilitated Pathological Gamblers (AGRAJER), Granada, Spain
| | - Antonio Maldonado
- Department of Experimental Psychology, University of Granada, Granada, Spain,Brain, Mind and Behaviour Research Center (CIMCYC), University of Granada, Granada, Spain
| | - José C. Perales
- Department of Experimental Psychology, University of Granada, Granada, Spain,Brain, Mind and Behaviour Research Center (CIMCYC), University of Granada, Granada, Spain
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Cadenas-Sánchez C, Mora-González J, Migueles JH, Martín-Matillas M, Gómez-Vida J, Escolano-Margarit MV, Maldonado J, Enriquez GM, Pastor-Villaescusa B, de Teresa C, Navarrete S, Lozano RM, de Dios Beas-Jiménez J, Estévez-López F, Mena-Molina A, Heras MJ, Chillón P, Campoy C, Muñoz-Hernández V, Martínez-Ávila WD, Merchan ME, Perales JC, Gil Á, Verdejo-García A, Aguilera CM, Ruiz JR, Labayen I, Catena A, Ortega FB. An exercise-based randomized controlled trial on brain, cognition, physical health and mental health in overweight/obese children (ActiveBrains project): Rationale, design and methods. Contemp Clin Trials 2016; 47:315-24. [DOI: 10.1016/j.cct.2016.02.007] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Revised: 02/14/2016] [Accepted: 02/19/2016] [Indexed: 12/30/2022]
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48
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Contreras-Rodríguez O, Albein-Urios N, Perales JC, Martínez-Gonzalez JM, Vilar-López R, Fernández-Serrano MJ, Lozano-Rojas O, Verdejo-García A. Cocaine-specific neuroplasticity in the ventral striatum network is linked to delay discounting and drug relapse. Addiction 2015. [PMID: 26212416 DOI: 10.1111/add.13076] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
AIMS To contrast functional connectivity on ventral and dorsal striatum networks in cocaine dependence relative to pathological gambling, via a resting-state functional connectivity approach; and to determine the association between cocaine dependence-related neuroadaptations indexed by functional connectivity and impulsivity, compulsivity and drug relapse. DESIGN Cross-sectional study of 20 individuals with cocaine dependence (CD), 19 individuals with pathological gambling (PG) and 21 healthy controls (HC), and a prospective cohort study of 20 CD followed-up for 12 weeks to measure drug relapse. SETTING AND PARTICIPANTS CD and PG were recruited through consecutive admissions to a public clinic specialized in substance addiction treatment (Centro Provincial de Drogodependencias) and a public clinic specialized in gambling treatment (AGRAJER), respectively; HC were recruited through community advertisement in the same area in Granada (Spain). MEASUREMENTS Seed-based functional connectivity in the ventral striatum (ventral caudate and ventral putamen) and dorsal striatum (dorsal caudate and dorsal putamen), the Kirby delay-discounting questionnaire, the reversal-learning task and a dichotomous measure of cocaine relapse indicated with self-report and urine tests. FINDINGS CD relative to PG exhibit enhanced connectivity between the ventral caudate seed and subgenual anterior cingulate cortex, the ventral putamen seed and dorsomedial pre-frontal cortex and the dorsal putamen seed and insula (P≤0.001, kE=108). Connectivity between the ventral caudate seed and subgenual anterior cingulate cortex is associated with steeper delay discounting (P≤0.001, kE=108) and cocaine relapse (P≤0.005, kE=34). CONCLUSIONS Cocaine dependence-related neuroadaptations in the ventral striatum of the brain network are associated with increased impulsivity and higher rate of cocaine relapse.
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Affiliation(s)
- Oren Contreras-Rodríguez
- Red de Trastornos Adictivos, Universidad de Granada, Granada, Spain.,Institute of Neuroscience F. Oloriz, Universidad de Granada, Granada, Spain
| | | | - José C Perales
- Red de Trastornos Adictivos, Universidad de Granada, Granada, Spain
| | - José M Martínez-Gonzalez
- Red de Trastornos Adictivos, Universidad de Granada, Granada, Spain.,Centro Provincial de Drogodependencias, Diputación de Granada, Granada, Spain
| | | | - María J Fernández-Serrano
- Red de Trastornos Adictivos, Universidad de Granada, Granada, Spain.,Department of Psychology, Universidad de Jaén, Jaén, Spain
| | - Oscar Lozano-Rojas
- Red de Trastornos Adictivos, Universidad de Granada, Granada, Spain.,School of Psychology, Universidad de Huelva, Huelva, Spain
| | - Antonio Verdejo-García
- Red de Trastornos Adictivos, Universidad de Granada, Granada, Spain.,Institute of Neuroscience F. Oloriz, Universidad de Granada, Granada, Spain.,School of Psychological Sciences, Monash University, Melbourne, Australia
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49
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Moreno-López L, Perales JC, van Son D, Albein-Urios N, Soriano-Mas C, Martinez-Gonzalez JM, Wiers RW, Verdejo-García A. Cocaine use severity and cerebellar gray matter are associated with reversal learning deficits in cocaine-dependent individuals. Addict Biol 2015; 20:546-56. [PMID: 24738841 DOI: 10.1111/adb.12143] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Cocaine addiction involves persistent deficits to unlearn previously rewarded response options, potentially due to neuroadaptations in learning-sensitive regions. Cocaine-targeted prefrontal systems have been consistently associated with reinforcement learning and reversal deficits, but more recent interspecies research has raised awareness about the contribution of the cerebellum to cocaine addiction and reversal. We aimed at investigating the link between cocaine use, reversal learning and prefrontal, insula and cerebellar gray matter in cocaine-dependent individuals (CDIs) varying on levels of cocaine exposure in comparison with healthy controls (HCs). Twenty CDIs and 21 HCs performed a probabilistic reversal learning task (PRLT) and were subsequently scanned in a 3-Tesla magnetic resonance imaging scanner. In the PRLT, subjects progressively learn to respond to one predominantly reinforced stimulus, and then must learn to respond according to the opposite, previously irrelevant, stimulus-reward pairing. Performance measures were errors after reversal (reversal cost), and probability of maintaining response after errors. Voxel-based morphometry was conducted to investigate the association between gray matter volume in the regions of interest and cocaine use and PRLT performance. Severity of cocaine use correlated with gray matter volume reduction in the left cerebellum (lobule VIII), while greater reversal cost was correlated with gray matter volume reduction in a partially overlapping cluster (lobules VIIb and VIII). Right insula/inferior frontal gyrus correlated with probability of maintaining response after errors. Severity of cocaine use detrimentally impacted reversal learning and cerebellar gray matter.
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Affiliation(s)
- Laura Moreno-López
- Department of Personality, Evaluation and Psychological Treatment; Universidad de Granada; Spain
| | - José C. Perales
- Mind, Brain and Behavior Research Center (Centro de Investigación Mente, Cerebro y Comportamiento-CIMCYC); Universidad de Granada; Spain
| | - Dana van Son
- Addiction, Development and Psychopathology (ADAPT) Lab; Department of Psychology; University of Amsterdam; The Netherlands
| | - Natalia Albein-Urios
- Department of Personality, Evaluation and Psychological Treatment; Universidad de Granada; Spain
| | - Carles Soriano-Mas
- Department of Psychiatry; Bellvitge University Hospital-IDIBELL; Spain
- Carlos III Health Institute; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM); Spain
| | - Jose M. Martinez-Gonzalez
- Institute of Neurosciences Federico Olóriz; Universidad de Granada; Spain
- Red de Trastornos Adictivos; RETICS Program; Instituto de Salud Carlos III; Universidad de Granada; Spain
| | - Reinout W. Wiers
- Addiction, Development and Psychopathology (ADAPT) Lab; Department of Psychology; University of Amsterdam; The Netherlands
| | - Antonio Verdejo-García
- Department of Personality, Evaluation and Psychological Treatment; Universidad de Granada; Spain
- Institute of Neurosciences Federico Olóriz; Universidad de Granada; Spain
- Red de Trastornos Adictivos; RETICS Program; Instituto de Salud Carlos III; Universidad de Granada; Spain
- School of Psychological Sciences; Monash University; Australia
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Suárez Cadenas E, Cárdenas D, Sánchez Delgado G, Perales JC. The hidden cost of coaching: intentional training of shot adequacy discrimination in basketball hampers utilization of informative incidental cues. Percept Mot Skills 2015; 120:139-58. [PMID: 25668077 DOI: 10.2466/25.30.pms.120v14x0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The goal was to identify the advantages and disadvantages of using intentional guidance to teach to discriminate between good and bad circumstances to shoot in basketball. A simulated shot-adequacy learning task was developed, in which participants were asked to decide, in each trial, whether the player in possession of the ball should shoot or not. After each decision, they received feedback on their response (determined by five cues: Opposition, Rebound, Balance, Alternative, and Distance). 65 naïve participants (M age = 18.6 yr., SD = 1.3) were divided into two groups. The Incidental group received no guiding instructions. The Intentional group was instructed to utilize four of the five cues. The Distance cue was kept incidental for both groups. Participants effectively incorporated the cues into their decisions. Guidance had a markedly different effect across cues. The Intentional group utilized Distance less efficiently than the Incidental group, i.e., intentional instructions on the other four cues nearly blocked the utilization of Distance.
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Affiliation(s)
- Ernesto Suárez Cadenas
- 1 Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada
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