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Exploring the Relationship between Reward and Punishment Sensitivity and Gambling Disorder in a Clinical Sample: A Path Modeling Analysis

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Abstract

Most individuals will gamble during their lifetime, yet only a select few will develop gambling disorder. Gray’s Reinforcement Sensitivity Theory holds promise for providing insight into gambling disorder etiology and symptomatology as it ascertains that neurobiological differences in reward and punishment sensitivity play a crucial role in determining an individual’s affect and motives. The aim of the study was to assess a mediational pathway, which included patients’ sex, personality traits, reward and punishment sensitivity, and gambling-severity variables. The Sensitivity to Punishment and Sensitivity to Reward Questionnaire, the South Oaks Gambling Screen, the Symptom Checklist-Revised, and the Temperament and Character Inventory-Revised were administered to a sample of gambling disorder outpatients (N = 831), diagnosed according to DSM-5 criteria, attending a specialized outpatient unit. Sociodemographic variables were also recorded. A structural equation model found that both reward and punishment sensitivity were positively and directly associated with increased gambling severity, sociodemographic variables, and certain personality traits while also revealing a complex mediational role for these dimensions. To this end, our findings suggest that the Sensitivity to Punishment and Sensitivity to Reward Questionnaire could be a useful tool for gaining a better understanding of different gambling disorder phenotypes and developing tailored interventions.

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Funding

C.S.-M. is supported by a ‘Miguel Servet’ contract from the Carlos III Health Institute (CP10/00604). This manuscript and research was also supported by Grants from Instituto de Salud Carlos III (FIS PI11/00210, FIS14/00290, CIBERObn, CIBERsam and Fondos FEDER) and PROMOSAM (PSI2014-56303-REDT). CIBERObn and CIBERSAM are both an initiative of ISCIII.

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Authors and Affiliations

  1. Pathological Gambling Unit, Department of Psychiatry, Bellvitge University Hospital-IDIBELL, C/Feixa Llarga s/n, Hospitalet de Llobregat, 08907, Barcelona, Spain

    Susana Jiménez-Murcia, Fernando Fernández-Aranda, Gemma Mestre-Bach, Neus Aymamí, Mónica Gómez-Peña, Carles Soriano-Mas, Trevor Steward, Laura Moragas, Marta Baño & José M. Menchón

  2. Ciber Fisiopatología Obesidad y Nutrición (CB 06/03), Instituto Salud Carlos III, C/Monforte de Lemos, 3-5. Pabellón 11-Planta 0, 28029, Madrid, Spain

    Susana Jiménez-Murcia, Fernando Fernández-Aranda, Gemma Mestre-Bach, Roser Granero, Trevor Steward & José M. Menchón

  3. Department of Clinical Sciences, School of Medicine, University of Barcelona, Campus de Bellvitge - Pavelló de Govern, Feixa Llarga s/n, Hospitalet de Llobregat, 08907, Barcelona, Spain

    Susana Jiménez-Murcia & Fernando Fernández-Aranda

  4. Departament de Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, C/Fortuna Edifici B, Bellaterra, Cerdanyola del Vallès, 08193, Barcelona, Spain

    Roser Granero, Salomé Tárrega & Carles Soriano-Mas

  5. Department of Psychiatry and Forensic Medicine, Institute of Neurosciences, School of Medicine, Autonomous University of Barcelona, Av. de Can Domènech, 737, 08193, Cerdanyola, Barcelona, Spain

    Rafael Torrubia

  6. Ciber de Salud Mental (CIBERSAM), Instituto Salud Carlos III, C/Monforte de Lemos 3-5. Pabellón 11-Planta 0, 28029, Madrid, Spain

    Carles Soriano-Mas & José M. Menchón

  7. Nursing Department of Mental Health, Public Health, Maternal and Child Health, Nursing School, University of Barcelona, Campus de Bellvitge - Pavelló de Govern, Feixa Llarga s/n, Hospitalet del Llobregat, 08907, Barcelona, Spain

    Amparo del Pino-Gutiérrez

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  1. Susana Jiménez-Murcia
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  2. Fernando Fernández-Aranda
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  3. Gemma Mestre-Bach
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Correspondence to Susana Jiménez-Murcia.

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Jiménez-Murcia, S., Fernández-Aranda, F., Mestre-Bach, G. et al. Exploring the Relationship between Reward and Punishment Sensitivity and Gambling Disorder in a Clinical Sample: A Path Modeling Analysis. J Gambl Stud 33, 579–597 (2017). https://doi.org/10.1007/s10899-016-9631-9

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