Laboratoire de Psychologie Médicale et d'Addictologie, Université Libre de Bruxelles (ULB) - Campus Brugmann, place Van Gehuchten, 4, Brussels, Belgium.
Psychiatric Institut, Centre Hospitalier Universitaire Brugmann, Brussels, Belgium.
J Gambl Stud. 2018 Dec;34(4):1049-1066. doi: 10.1007/s10899-017-9715-1.
A great number of individuals with persistent problematic gambling behavior exhibit alexithymic tendencies, greater impulsivity, impaired working memory and poor mood. However, the relationship between these cognitive, affective and personality factors in problem gambling remains poorly understood. Our aim was to investigate multiple pathways of the alexithymia and problem gambling relationship. One hundred and six male subjects with different levels of gambling problem severity were recruited. Alexithymia, impulsivity and verbal working memory were evaluated, and their relationships to disordered gambling was examined by means of a path analysis. Results indicate that alexithymia is related to an increase in the severity of gambling indirectly, i.e., through distress severity. In addition, a rise of alexithymic tendencies was also associated with problem gambling severity through enhanced impulsivity that directly increased distress. Working memory capacity failed to significantly impact our path model. Overall, our findings contribute a new finding to the literature by highlighting the importance of alexithymia, in addition to impulsivity, in the understanding of gambling problem severity and its clinical course.
大量存在持续性问题赌博行为的个体表现出情绪不能识别的倾向、更高的冲动性、工作记忆受损和较差的情绪状态。然而，在问题赌博中，这些认知、情感和人格因素之间的关系仍未得到很好的理解。我们的目的是调查情绪不能识别与问题赌博关系的多种途径。招募了 106 名不同严重程度赌博问题的男性受试者。评估了情绪不能识别、冲动性和言语工作记忆，并通过路径分析检查了它们与障碍性赌博的关系。结果表明，情绪不能识别与赌博严重程度的增加间接相关，即通过痛苦的严重程度。此外，情绪不能识别倾向的增加也与通过直接增加痛苦的更高冲动性与问题赌博严重程度相关。工作记忆能力未能显著影响我们的路径模型。总的来说，我们的研究结果通过强调除了冲动性之外，情绪不能识别在理解赌博问题严重程度及其临床过程中的重要性，为文献提供了一个新的发现。
