An empirical investigation of the Pathways Model of problem gambling through the conjoint use of self-reports and behavioural tasks.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_FEEEF46AFE42
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
An empirical investigation of the Pathways Model of problem gambling through the conjoint use of self-reports and behavioural tasks.
Journal
Journal of behavioral addictions
Author(s)
Bonnaire C., Devos G., Barrault S., Grall-Bronnec M., Luminet O., Billieux J.
ISSN
2063-5303 (Electronic)
ISSN-L
2062-5871
Publication state
Published
Issued date
26/09/2022
Peer-reviewed
Oui
Volume
11
Number
3
Pages
858-873
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Blaszczynski and Nower (2002) conceptualized their Pathways Model by postulating the existence of three subtypes of problem gamblers who share common characteristics, but also present specific ones.
This study investigated how the psychological mechanisms postulated in the Pathways Model predict clinical status in a sample that combined treatment-seeking gamblers (n = 59) and non-problematic community gamblers (n = 107). To test the Pathways Model, we computed a hierarchic logistic regression in which variables associated with each postulated pathway were entered sequentially to predict the status of the treatment-seeking gambler. Self-report questionnaires measured gambling-related cognitions, alexithymia, emotional reactivity, emotion regulation strategies and impulsivity. Behavioural tasks measured gambling persistence (slot machine task), decision-making under uncertainty (Iowa Gambling Task) and decision-making under risk (Game of Dice Task).
We showed that specific factors theorized as underlying mechanisms for each pathway predicted the status of clinical gambler. For each pathway, significant predictors included gambling-related cognitive distortions and behaviourally measured gambling persistence (behaviourally conditioned pathway), emotional reactivity and emotion regulation strategies (emotionally vulnerable pathway), and lack of premeditation impulsivity facet (impulsivist-antisocial pathway).
Our study adds to the body of literature confirming the validity of the Pathways Model and hold important implications in terms of assessment and treatment of problem gambling. In particular, a standardized assessment based on the Pathways Model should promote individualized treatment strategies to allow clinicians to take into account the high heterogeneity that characterizes gambling disorder.
Keywords
Humans, Gambling/psychology, Self Report, Impulsive Behavior, Antisocial Personality Disorder, Cognition, Surveys and Questionnaires, alexithymia, decision-making, emotion reactivity, emotion regulation, gambling disorder, impulsivity
Pubmed
Web of science
Open Access
Yes
Create date
16/08/2022 12:32
Last modification date
09/03/2023 6:50
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