Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-16T11:00:43.374Z Has data issue: false hasContentIssue false

Anger in Pathological Gambling: Clinical, Psychopathological, and Personality Correlates

Published online by Cambridge University Press:  08 July 2014

Neus Aymamí
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Roser Granero
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Eva Penelo
Affiliation:
Universitat Autònoma de Barcelona (Spain)
Fernando Fernández-Aranda
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Isabel Krug
Affiliation:
King´s College London (UK)
Katarina Gunnard
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Juan José Santamaría
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Blanca Bueno
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Nuria Jaurrieta
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Mónica Gómez-Peña
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Eva Álvarez-Moya
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Laurence Claes
Affiliation:
Catholic University of Leuven (Belgium)
Ana Beatriz Fagundo
Affiliation:
Hospital Universitari de Bellvitge (Spain)
José Manuel Menchón
Affiliation:
Hospital Universitari de Bellvitge (Spain)
Susana Jiménez-Murcia*
Affiliation:
Hospital Universitari de Bellvitge (Spain)
*
*Correspondence concerning this article should be addressed to Susana Jiménez-Murcia. Department of Psychiatry. Hospital Universitari de Bellvitge. Feixa Llarga, s/n. 08907. L’Hospitalet de Llobregat. Barcelona (Spain). Phone: +34–932607988. Fax. +34–932607658. E-mail: sjimenez@bellvitgehospital.cat

Abstract

The aim of this study was to explore the association between pathological gambling (PG) and anger by assessing whether psychopathology and personality are related to PG and to evaluate gender differences. The sample comprised 71 PGs and 37 healthy controls. Anger, psychopathology and personality were assessed with the STAXI-2, SCL-90-R and TCI-R respectively. Gender did not affect anger expression after stratifying by diagnostic condition (p > .05). Among PG patients, anger, psychopathology and personality measures were correlated with good effect-size (r > .30). Scores in the Anger Temperament (B = 0.21, p = .038) and Anger External-Expression (B = 0.27, p = .029) scales were positively associated with PG severity scores. Anger expression in PG should be considered in future treatment programs.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Álvarez-Moya, E. M., Jiménez-Murcia, S., Granero, R., Vallejo, J., Krug, I., Bulik, C. M., & Fernández-Aranda, F. (2007). Comparison of personality risk factors in bulimia nervosa and pathological gambling. Comprehensive Psychiatry, 48, 452457. http://dx.doi.org/10.1016/j.comppsych.2007.03.008 CrossRefGoogle ScholarPubMed
Álvarez-Moya, E. M., Jiménez-Murcia, S., Aymamí, M. N., Gómez-Peña, M., Granero, R., Santamaría, J., & Fernández-Aranda, F. (2010). Subtyping study of a pathological gamblers sample. Canadian Journal of Psychiatry 55, 498506.CrossRefGoogle ScholarPubMed
American Psychiatric Association (APA) (1987). Diagnostic and Statistical Manual of Mental Disorders, (3 nd Ed. Rev.), Washington, DC: Author.Google Scholar
American Psychiatric Association (APA) (1994). Diagnostic and Statistical Manual of Mental Disorders, (4 th Ed.), Washington, DC: Author.Google Scholar
Archer, J. (2000). Sex differences in aggression between heterosexual partners: A meta-analytic review. Psychological Bulletin, 126, 651680. http://dx.doi.org/10.1037//0033-2909.126.5.651 CrossRefGoogle ScholarPubMed
Becoña, E. (1999). Epidemiología del juego patológico en España [Epidemiology of pathological gambling in Spain]. Anuario de Psicología, 30, 719.Google Scholar
Becoña, E. (2009). Spain. In Meyer, G., Hayer, T., & Griffiths, M. (Eds.), Problem gambling in Europe. Challenges, prevention, and interventions. (pp. 281298). New York, NY: Springer.Google Scholar
Bland, R. C., Newman, S. C., Orn, H., & Stebelsky, G. (1993). Epidemiology of pathological gambling in Edmonton. Canadian Journal of Psychiatry, 38, 108112.CrossRefGoogle ScholarPubMed
Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97, 487499. http://dx.doi.org/10.1046/j.1360-0443.2002.00015.x CrossRefGoogle ScholarPubMed
Bonnaire, C., Lejoyeux, M., & Dardennes, R. (2004). Sensation seeking in a French population of pathological gamblers: Comparison with regular and nongamblers. Psychological Reports, 94, 13611371. http://dx.doi.org/10.2466/PR0.94.3.1361-1371 CrossRefGoogle Scholar
Brody, L. R. (1985). Gender differences in emotional development: A review of theories and research. Journal of Personality, 53, 102149. http://dx.doi.org/10.1111/j.1467-6494.1985.tb00361.x CrossRefGoogle Scholar
Campbell, A., & Muncer, S. (2008). Intent to harm or injure? Gender and the expression of anger. Aggressive Behavior, 34, 282293. http://dx.doi.org/10.1002/ab.20228 CrossRefGoogle ScholarPubMed
Cloninger, C. R. (1999). The Temperament and Character Inventory-Revised. St Louis, MO: Center for Psychobiology of Personality, Washington University.Google Scholar
Colder, C. R., & Stice, E. (1998). A longitudinal study of the interactive effects of impulsivity and anger on adolescent problem behavior. Journal of Youth and Adolescece, 27, 255275.CrossRefGoogle Scholar
Cunningham-Williams, R. M., Gattis, M. N., Dore, P. M., Shi, P., & Spitznagel, E. L. Jr. (2009). Towards DSM-V: Considering other withdrawal-like symptoms of pathological gambling disorder. International Journal of Methods in Psychiatric Research, 18, 1322. http://dx.doi.org/10.1002/mpr.273 CrossRefGoogle ScholarPubMed
Cunningham-Williams, R. M., Grucza, R. A., Cottler, L. B., Womack, S. B., Books, S. J., Przybeck, T. R., & Cloninger, C. R. (2005). Prevalence and predictors of pathological gambling: Results from the St. Louis Personality, Health and Lifestyle (SLPHL) study. Journal of Psychiatric Research, 39, 377390. http://dx.doi.org/10.1016/j.jpsychires.2004.09.002 CrossRefGoogle Scholar
Derogatis, L. (2002). SCL-90-R. Cuestionario de 90 Síntomas-Manual. Madrid, Spain: TEA.Google Scholar
Echeburúa, E., Báez, C., Fernández, J., & Páez, D. (1994). Cuestionario de Juego Patológico de South Oaks (SOGS): Validación española. [South Oaks Gambling Screen (SOGS): Spanish validation]. Análisis y Modificación de Conducta, 20, 769791.Google Scholar
Evren, C., Cinar, O., Evren, B., & Celik, S. (2012). Relationship of self-mutilative behaviors with severity of borderline personality, childhood trauma and impulsivity in male substance-dependent inpatients. Psychiatry Research, 200, 2025. http://dx.doi.org/10.1016/j.psychres.2012.03.017 CrossRefGoogle ScholarPubMed
Fernández-Abascal, E. G., & Martín, M. D. (1994). El síndrome ¡AHI! y su relación con los trastornos cardiovasculares. [The AHI! syndrome and its relationship with cardiovascular diseases]. Ansiedad y Estrés, 0, 2536.Google Scholar
Fernández-Aranda, F., Jiménez-Murcia, S., Álvarez-Moya, E. M., Granero, R., Vallejo, J., & Bulik, C. M. (2006). Impulse control disorders in eating disorders: Clinical and therapeutic implications. Comprehensive Psychiatry, 47, 482488. http://dx.doi.org/10.1016/j.comppsych.2006.03.002 CrossRefGoogle ScholarPubMed
Fernández, E., & Scott, S. (2009). Anger treatment in chemically-dependent inpatients: Evaluation of phase effects and gender. Journal of Cognitive and Behavioral Psychotherapies, 37, 431447. http://dx.doi.org/10.1017/S1352465809990075 CrossRefGoogle ScholarPubMed
Fox, H. C., Hong, K. I., Siedlarz, K., & Sinha, R. (2008). Enhanced emotional and physiological sensitivity to stress and drug/alcohol craving in abstinent cocaine-dependent individuals compared to socially drinking controls. Neuropsychopharmacology. 33, 796805. http://dx.doi.org/10.1038/sj.npp.1301426 CrossRefGoogle Scholar
Gilbert, P., Irons, C., Olsen, K., Gilbert, J., & McEwan, K. (2006). Interpersonal sensitivities: Their links to mood, anger and gender. Psychology and Psychotherapy, 79, 3751. http://dx.doi.org/10.1348/147608305X43856 CrossRefGoogle ScholarPubMed
Goldberg, D., & Williamns, P. (1996). Cuestionario de Salud General GHQ: Guía para el usuario de las distintas versiones. [General Health Questionnaire GHQ: User guide for different versions]. Barcelona, Spain: Masson.Google Scholar
Goldberg, D. P. (1981). Manual of the general health questionnaire (GHQ-28). Toronto, Canada: NFER Nelson Publishing.Google Scholar
Goodyear-Smith, F., Arroll, B., Kerse, N., Sullivan, S., Coupe, N., Tse, S., & Perese, L. (2006). Primary care patients reporting concerns about their gambling frequently have other co-occurring lifestyle and mental health issues. BMC Family Practice, 7, 25. http://dx.doi.org/10.1186/1471-2296-7-25 CrossRefGoogle ScholarPubMed
Gupta, R., Nower, L., Derevensky, J. L., Blaszczynski, A., Faregh, N., & Temcheff, C. (2013). Problem gambling in adolescents: An examination of the Pathways Model. Journal of Gambling Studies, 29, 575588. http://dx.doi.org/10.1007/s10899-012-9322-0 CrossRefGoogle ScholarPubMed
Gutiérrez-Zotes, J., Bayón, C., Montserrat, C., Valero, J., Labad, A., Cloninger, R., & Fernández-Aranda, F. (2004). Inventario del Temperamento y el Carácter-Revisado (TCI-R). Baremación y datos normativos en una muestra de población general. [Temperament and Character Inventory-Revised (TCI-R). Scalement and normative data in a general population sample]. Actas Españolas de Psiquiatría, 32, 815.Google Scholar
Hilbe, J. M. (2007). Negative Binomial Regression. Cambridge, MA: Cambridge University Press.CrossRefGoogle Scholar
Holm, S. (1979). A simple sequentially rejective multiple test procedure. Scandinavian Journal of Statistics, 6, 6570.Google Scholar
Iancu, I., Lowengrup, K., Dembinsky, Y., Kotler, M., & Dannon, P. N. (2008). Pathological gambling: An update on neuropathophysiology and pharmacotherapy. CNS Drugs, 22, 123138. http://dx.doi.org/10.2165/00023210-200822020-00004 CrossRefGoogle ScholarPubMed
Jiménez-Murcia, S., Álvarez-Moya, E. M., Granero, R., Aymamí, M. N., Gómez-Peña, M., Jaurrieta, N., & Vallejo, J. (2007). Cognitive-behavioral group treatment for pathological gambling: Analysis of effectiveness and predictors of therapy outcome. Psychotherapy Research, 17, 544552. http://dx.doi.org/10.1080/10503300601158822 CrossRefGoogle Scholar
Jiménez-Murcia, S., Aymamí-Sanromà, M. N., Gómez-Peña, M., Álvarez-Moya, E. M., & Vallejo, J. (2006). Protocols de tractament cognitivoconductual pel joc patològic i d'altres addiccions no tòxiques. [Cognitive-behavioral treatment protocols for pathological gambling and other nonsubstance addictions]. Barcelona, Spain: Hospital Universitari de Bellvitge, Departament de Salut, Generalitat de Catalunya.Google Scholar
Jiménez-Murcia, S., Stinchfield, R., Álvarez-Moya, E., Jaurrieta, N., Bueno, B., Granero, R., & Vallejo, J. (2009). Reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for pathological gambling. Journal of Gambling Studies, 25, 93104. http://dx.doi.org/10.1007/s10899-008-9104-x CrossRefGoogle ScholarPubMed
Jiménez-Murcia, S., Álvarez-Moya, E., Stinchfield, R., Fernández-Aranda, F., Granero, R., Aymamí, N., … Menchón, J. M. (2010). Age of onset in pathological gambling: Clinical, therapeutic and personality correlates. Journal of Gambling Studies, 26, 235248. http://dx.doi.org/10.1007/s10899-009-9175-3 CrossRefGoogle ScholarPubMed
Jollant, F., Bellivier, F., Leboyer, M., Astruc, B., Torres, S., Verdier, R., & Courtet, P. (2005). Impaired decision making in suicide attempters. American Journal of Psychiatry, 162, 304310. http://dx.doi.org/10.1176/appi.ajp.162.2.304 CrossRefGoogle ScholarPubMed
Kachadourian, L. K., Taft, C. T., O'Farrell, T. J., Doron-Lamarca, S., & Murphy, C. M. (2012). Correlates of intimate partner psychological aggression perpetration in a clinical sample of alcoholic men. Journal of Family Psychology, 26, 206214. http://dx.doi.org/10.1037/a0027436 CrossRefGoogle Scholar
Kessler, R. C., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N. A., Winters, K. C., & Shaffer, H. J. (2008). DSM-IV pathological gambling in the National Comorbidity Survey Replication. Psychological Medicine, 38, 13511360. http://dx.doi.org/10.1017/S0033291708002900 CrossRefGoogle ScholarPubMed
Korman, L. M., Collins, J., Dutton, D., Dhayananthan, B., Littman-Sharp, N., & Skinner, W. (2008). Problem gambling and intimate partner violence. Journal of Gambling Studies, 24, 1323. http://dx.doi.org/10.1007/s10899-007-9077-1 CrossRefGoogle ScholarPubMed
Korman, L., Collins, J., Littman-Sharp, N., McMain, S., & Skinner, W. (2005). Concurred gambling, substance use and anger: Development of a brief integrated treatment. Final Report. Ontario, Canada: Ontario Problem Gambling Research Centre.Google Scholar
Korman, L., Collins, J., Littman-Sharp, N., Skinner, W., McMain, S., & Mercado, V. (2008). Randomized control trial of an integrated therapy for comorbid anger and gambling. Psychotherapy Research, 18, 454465. http://dx.doi.org/10.1080/10503300701858362 CrossRefGoogle Scholar
Ledgerwood, D. M., & Petry, N. M. (2006). Psychological experience of gambling and subtypes of pathological gamblers. Psychiatry Research, 144, 1727. http://dx.doi.org/10.1016/j.psychres.2005.08.017 CrossRefGoogle ScholarPubMed
Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 11841188.Google ScholarPubMed
Lobo, A., Pérez-Echeverría, M. J., & Artal, J. (1986). Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychological Medicine, 16, 135140. http://dx.doi.org/10.1017/S0033291700002579 CrossRefGoogle Scholar
Maclaren, V. V., Fugelsang, J. A., Harrigan, K. A., & Dixon, M. J. (2011). The personality of pathological gamblers: A meta-analysis. Clinical Psychology Review, 31, 10571067. http://dx.doi.org/10.1016/j.cpr.2011.02.002 CrossRefGoogle ScholarPubMed
Martínez-Azumendi, O., Fernández-Gómez, C., & Beitia-Fernández, M. (2001). Factorial variance of the SCL-90-R in a Spanish out-patient psychiatric sample. Actas Españolas de Psiquiatría, 29, 95102.Google Scholar
Miguel-Tobal, J. J., Casado, M. I., Cano-Vindel, A., & Spielberger, C. D. (1997). El estudio de la ira en los trastornos cardiovasculares mediante el empleo del Inventario de Expresión de Ira-Estado-Rasgo (STAXI). [Anger study in cardiovascular diseases using State-Trate Anger Expression Inventory (STAXI)] Ansiedad y Estres, 3, 520.Google Scholar
Milovchevich, D., Howells, K., Drew, N., & Day, A. (2001). Sex and gender role differences in anger: An Australian community sample study. Personality and Individual Differences, 31, 117127. http://dx.doi.org/10.1016/S0191-8869(00)00122-7 CrossRefGoogle Scholar
Muelleman, R. L., DenOtter, T., Wadman, M. C., Tran, T. P., & Anderson, J. (2002). Problem gambling in the partner of the emergency department patient as a risk factor for intimate partner violence. Emergency Medicine Journal, 23, 307312. http://dx.doi.org/10.1016/S0736-4679(02)00543-7 CrossRefGoogle ScholarPubMed
Nichols, T. R., Graver, J. A., Brooks-Gunn, J., & Botvin, G. J. (2006). Sex differences in overt aggression and delinquency among urban minority school students. Journal of Applied Developmental Psychology, 27, 7891. http://dx.doi.org/10.1016/j.appdev.2005.12.006 CrossRefGoogle Scholar
Nichols, T. R., Mahadeo, M., Bryant, K., & Botvin, G. J. (2008). Examining anger as a predictor of drug use among multiethnic middle school students. The Journal of School Health, 78, 480486. http://dx.doi.org/10.1111/j.1746-1561.2008.00333.x CrossRefGoogle ScholarPubMed
Nower, L., Martins, S. S., Lin, K. H., & Blanco, C. (2013). Subtypes of disordered gamblers: Results from the National Epidemiologic Survey on alcohol and related conditions. Addiction, 108, 789798. http://dx.doi.org/10.1111/add.12012 CrossRefGoogle ScholarPubMed
Parke, A., & Griffiths, M. (2004). Aggressive behavior in slot machine gamblers: A preliminary observational study. Psychological Reports, 95, 109114. http://dx.doi.org/10.2466/PR0.95.5.109-114 CrossRefGoogle ScholarPubMed
Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 564574. http://dx.doi.org/10.4088/JCP.v66n0504 CrossRefGoogle ScholarPubMed
Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O'Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. American Journal of Psychiatry, 158, 15001505. http://dx.doi.org/10.1176/appi.ajp.158.9.1500 CrossRefGoogle ScholarPubMed
Ramírez, J. M., & Andreu, J. M. (2006). Aggression, and some related psychological constructs (anger, hostility, and impulsivity); some comments from a research project. Neuroscience and Biobehavioral Reviews, 30, 276291. http://dx.doi.org/10.1016/j.neubiorev.2005.04.015 CrossRefGoogle ScholarPubMed
Rosnow, R. L., & Rosenthal, R. (1996). Computing contrasts, effect sizes, and counter nulls on other people's published data: General procedures for research consumers. Psychological Methods, 1, 331340. http://dx.doi.org/10.1037//1082-989X.1.4.331 CrossRefGoogle Scholar
Sacco, P., Cunningham-Williams, R. M., Ostmann, E., & Spitznagel, E. L. Jr. (2008). The association between gambling pathology and personality disorders. Journal of Psychiatric Research, 42, 11221130. http://dx.doi.org/10.1016/j.jpsychires.2007.11.007 CrossRefGoogle ScholarPubMed
Seguire, M., & Chalmers, K. I. (2000). Late adolescent female smoking. Journal of Advanced Nursing, 31, 14221429. http://dx.doi.org/10.1046/j.1365-2648.2000.01450.x CrossRefGoogle ScholarPubMed
Schwebel, D. C., Severson, J., Ball, K. K., & Rizzo, M. (2006). Individual difference factors in risky driving: The roles of anger/hostility, conscientiousness, and sensation-seeking. Accident Analysis and Prevention, 38, 801810. http://dx.doi.org/10.1016/j.aap.2006.02.004 CrossRefGoogle ScholarPubMed
Spielberger, C. (1996). State-Trait Anger Expression Inventory: Professional manual. Florida, CA: Odessa.Google Scholar
Stewart, S. H., Zack, M., Collins, P., & Klein, R. M. (2008). Subtyping pathological gamblers on the basis of affective motivations for gambling: Relations to gambling problems, drinking problems, and affective motivations for drinking. Psychology of Addictive Behaviors, 22, 257268. http://dx.doi.org/10.1037/0893-164X.22.2.257 CrossRefGoogle ScholarPubMed
Stinchfield, R. (2003). Reliability, validity, and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. American Journal of Psychiatry, 160, 180182. http://dx.doi.org/10.1176/appi.ajp.160.1.180 CrossRefGoogle ScholarPubMed
Truglia, E., Mannucci, E., Lassi, S., Rotella, C. M., Faravelli, C., & Ricca, V. (2006). Aggressiveness, anger and eating disorders: A review. Psychopathology, 39, 5568. http://dx.doi.org/10.1159/000090594 CrossRefGoogle ScholarPubMed