Craving; elaborated intrusion theory of desire; gambling; mixed methods research; problem gambling; urge; Applied Psychology
Abstract :
[en] Gambling disorder is a well-established behavioural addiction, which was classified with substance-related disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Although craving was introduced as a new diagnostic criterion for substance-related disorders, it was not included for gambling disorder. This study aimed to explore the experience of gambling craving and to evaluate whether the elaborated intrusion theory of desire (EIT), a cognitive model of craving, fits gambling craving. A mixed methods study was conducted among 31 non-clinical gamblers. The qualitative part consisted of open-ended questions targeting the components of the EIT. The quantitative part consisted of a questionnaire designed to assess triggers and descriptions of gambling craving. Qualitative analysis revealed six distinct conceptual categories related to gambling craving: positive and negative affect, external cues, mental imageries, thoughts and physiological sensations. The quantitative analysis highlighted the most relevant triggers (e.g. spontaneous thoughts) and experiential characteristics (e.g. visual imagery) of gambling craving. The present study allowed the authors to support the relevance of the EIT as it applies to gambling craving by disentangling its core features. Findings from this study suggest that the use of interventions derived from the EIT may be relevant for problem gambling treatment.
Cornil, Aurélien ; Université de Liège - ULiège > Département de Psychologie > Psychologie clinique de l'adulte ; Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium ; Internet and Gambling Disorders Clinic, Department of Adult Psychiatry, Saint-Luc University Hospital, Brussels, Belgium
Lopez-Fernandez, Olatz; Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium ; International Gaming Research Unit (IGRU), Department of Psychology, Nottingham Trent University, Nottingham, United Kingdom
Devos, Gaëtan; Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium
de Timary, Philippe; Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium ; Internet and Gambling Disorders Clinic, Department of Adult Psychiatry, Saint-Luc University Hospital, Brussels, Belgium ; Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium
Goudriaan, Anna E.; Department of Research, Arkin Mental Health Care, Amsterdam, Netherlands ; Academic Medical Center, Department of Psychiatry, Amsterdam Institute for Addiction Research, University of Amsterdam, Amsterdam, Netherlands
Billieux, Joël; Laboratory for Experimental Psychopathology (LEP), Psychological Science Research Institute, Université catholique de Louvain, Louvain-la-Neuve, Belgium ; Internet and Gambling Disorders Clinic, Department of Adult Psychiatry, Saint-Luc University Hospital, Brussels, Belgium ; Addictive and Compulsive Behaviour Lab (ACB-Lab), Institute for Health and Behaviour, Integrative Research Unit on Social and Individual Development (INSIDE), University of Luxembourg, Esch-sur-Alzette, Luxembourg
Language :
English
Title :
Exploring gambling craving through the elaborated intrusion theory of desire: a mixed methods approach
The study was supported by an independent research grant from the Belgium National Lottery obtained by Joël Billieux. This funding agency did not influence the design of the study, the analyses of results, or content of this article.
American Psychiatric Association. (1985). DSM-III: Diagnostic and statistical manual of mental disorders, 3rd Edition (3rd ed.). Washington, D.C.: The American Psychiatric Association.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th edition, text revision (4th ed.). Washington, DC: American Psychiatric Association.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C.: American Psychiatric Association.
Andrade, J., Pears, S., May, J., & Kavanagh, D. J., (2012). Use of a clay modeling task to reduce chocolate craving. Appetite, 58, 955–963. doi:10.1016/j.appet.2012.02.044
Ashrafioun, L., Kostek, J., & Ziegelmeyer, E., (2013). Assessing post-cue exposure craving and its association with amount wagered in an optional betting task. Journal of Behavioral Addictions, 2, 133–137. doi:10.1556/JBA.2.2013.011
Baker, T. B., Morse, E., & Sherman, J. E., (1987). The motivation to use drugs: A psychological analysis of urges. In C., Rivers (Ed.), The Nebraska symposium on motivation: Alcohol use and abuse (Vol. 34, pp. 257–323). Lincoln: University of Nebraska Press.
Billieux, J., Schimmenti, A., Khazaal, Y., Maurage, P., & Heeren, A., (2015). Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research. Journal of Behavioral Addictions, 4, 119–123. doi:10.1556/2006.4.2015.009
Blaszczynski, A., & Nower, L., (2002). A pathways model of problem and pathological gambling. Addiction, 97, 487–499. 10.1046/j.1360-0443.2002.00015.x
Brevers, D., & Noël, X., (2013). Pathological gambling and the loss of willpower: A neurocognitive perspective. Socioaffective Neuroscience & Psychology, 3, 21592. doi:10.3402/snp.v3i0.21592
Caselli, G., & Spada, M. M., (2015). Desire thinking: What is it and what drives it? Addictive Behaviors, 44, 71–79. doi:10.1016/j.addbeh.2014.07.021
de Castro, V., Fong, T., Rosenthal, R. J., & Tavares, H., (2007). A comparison of craving and emotional states between pathological gamblers and alcoholics. Addictive Behaviors, 32, 1555–1564. doi:10.1016/j.addbeh.2006.11.014
Clark, L., (2010). Decision-making during gambling: An integration of cognitive and psychobiological approaches. Philosophical Transactions of the Royal Society B: Biological Sciences, 365, 319–330. doi:10.1098/rstb.2009.0147
Creswell, J. W., & Plano Clark, V. L., (2011). Designing and conducting mixed methods research 2nd (revised ed.). Los Angeles, LA: SAGE Publications.
Elman, I., Tschibelu, E., & Borsook, D., (2010). Psychosocial stress and its relationship to gambling urges in individuals with pathological gambling. American Journal on Addictions, 19, 332–339. doi:10.1111/j.1521-0391.2010.00055.x
Ferris, J., & Wynne, H., (2001). The Canadian problem gambling index. Ottawa, ON: Canadian Centre on Substance Abuse.
Goudriaan, A. E., Oosterlaan, J., De Beurs, E., & Van Den Brink, W., (2006). Neurocognitive functions in pathological gambling: A comparison with alcohol dependence. Tourette syndrome and normal controls. Addiction, 101, 534–547. doi:10.1111/j.1360-0443.2006.01380.x
Gowing, L. R., Ali, R. L., Allsop, S., Marsden, J., Turf, E. E., West, R., & Witton, J., (2015). Global statistics on addictive behaviours: 2014 status report: Addiction global statistics. Addiction, 110, 904–919. doi:10.1111/add.12899
Grant, J. E., Potenza, M. N., Weinstein, A., & Gorelick, D. A., (2010). Introduction to behavioral addictions. The American Journal of Drug and Alcohol Abuse, 36, 233–241. doi:10.3109/00952990.2010.491884
Greene, J. C., Caracelli, V. J., & Graham, W. F., (1989). Toward a conceptual framework for mixed-method evaluation designs. Educational Evaluation and Policy Analysis, 11, 255–274. doi:10.3102/01623737011003255
Hamilton, J., Fawson, S., May, J., Andrade, J., & Kavanagh, D. J., (2013). Brief guided imagery and body scanning interventions reduce food cravings. Appetite, 71, 158–162. doi:10.1016/j.appet.2013.08.005
Hanss, D., Mentzoni, R. A., Griffiths, M. D., & Pallesen, S., (2015). The impact of gambling advertising: Problem gamblers report stronger impacts on involvement, knowledge, and awareness than recreational gamblers. Psychology of Addictive Behaviors, 29, 483–491. doi:10.1037/adb0000062
Harvey, K., Kemps, E., & Tiggemann, M., (2005). The nature of imagery processes underlying food cravings. British Journal of Health Psychology, 10, 49–56. doi:10.1348/135910704X14249
Hasin, D. S., O’Brien, C. P., Auriacombe, M., Borges, G., Bucholz, K., Budney, A., … Grant, B. F., (2013). DSM-5 criteria for substance use disorders: Recommendations and rationale. American Journal of Psychiatry, 170, 834–851. doi:10.1176/appi.ajp.2013.12060782
Hodgins, D. C., & Petry, N. M., (2016). The world of gambling: The national gambling experiences series: Editorial. Addiction, 111, 1516–1518. doi:10.1111/add.13445
van Holst, R. J., van den Brink, W., Veltman, D. J., & Goudriaan, A. E., (2010). Why gamblers fail to win: A review of cognitive and neuroimaging findings in pathological gambling. Neuroscience and Biobehavioral Reviews, 34, 87–107. doi:10.1016/j.neubiorev.2009.07.007
Hormes, J. M., (2017). The clinical significance of craving across the addictive behaviors: A review. Current Addiction Reports, 4, 132–141. doi:10.1007/s40429-017-0138-y
Hsieh, H.-F., & Shannon, S. E., (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277–1288. doi:10.1177/1049732305276687
Jacques, C., Ladouceur, R., & Ferland, F., (2000). Impact of availability on gambling: A longitudinal study. The Canadian Journal of Psychiatry, 45, 810–815. 10.1177/070674370004500904
Kardefelt-Winther, D., Heeren, A., Schimmenti, A., van Rooij, A., Maurage, P., Carras, M., … Billieux, J., (2017). How can we conceptualize behavioural addiction without pathologizing common behaviours? Addiction [Epub ahead of print]. doi:10.1111/add.13763
Kavanagh, D. J., Andrade, J., & May, J., (2005). Imaginary relish and exquisite torture: The elaborated intrusion theory of desire. Psychological Review, 112, 446–467. doi:10.1037/0033-295X.112.2.446
Kavanagh, D. J., Statham, D. J., Feeney, G. F. X., Young, R. M., May, J., Andrade, J., & Connor, J. P., (2013). Measurement of alcohol craving. Addictive Behaviors, 38, 1572–1584. doi:10.1016/j.addbeh.2012.08.004
Ladouceur, R., Sylvain, C., & Gosselin, P., (2007). Self-exclusion program: A longitudinal evaluation study. Journal of Gambling Studies, 23, 85–94. doi:10.1007/s10899-006-9032-6
Marlatt, G. A., (1985). Relapse prevention: Theorical rationale and overview of the model. In G. A., Marlatt & J. R., Gordon (Eds.), Relapse prevention (pp. 3–70). New York, NY: Guilford Press.
May, J., Andrade, J., Panabokke, N., & Kavanagh, D., (2004). Images of desire: Cognitive models of craving. Memory, 12, 447–461. doi:10.1080/09658210444000061
May, J., Andrade, J., Kavanagh, D., & Penfound, L., (2008). Imagery and strength of craving for eating, drinking, and playing sport. Cognition & Emotion, 22, 633–650. doi:10.1080/02699930701446296
May, J., Andrade, J., Panabokke, N., & Kavanagh, D., (2010). Visuospatial tasks suppress craving for cigarettes. Behaviour Research and Therapy, 48, 476–485. doi:10.1016/j.brat.2010.02.001
May, J., Kavanagh, D. J., & Andrade, J., (2015). The Elaborated Intrusion Theory of desire: A 10-year retrospective and implications for addiction treatments. Addictive Behaviors, 44, 29–34. doi:10.1016/j.addbeh.2014.09.016
Morse, J. M., (1991). Approaches to qualitative-quantitative methodological triangulation. Nursing Research, 40, 120–123.
NVivo qualitative data analysis software. (2012). (Version 10). QSR International PtyLtd.
Pallanti, S., DeCaria, C. M., Grant, J. E., Urpe, M., & Hollander, E., (2005). Reliability and validity of the pathological gambling adaptation of the yale-brown obsessive-compulsive scale (PG-YBOCS). Journal of Gambling Studies, 21, 431–443. doi:10.1007/s10899-005-5557-3
Phillips, J. G., Ogeil, R., Chow, Y.-W., & Blaszczynski, A., (2013). Gambling involvement and increased risk of gambling problems. Journal of Gambling Studies, 29, 601–611. doi:10.1007/s10899-012-9325-x
Potenza, M. N., (2006). Should addictive disorders include non-substance-related conditions? Addiction, 101, 142–151. doi:10.1111/j.1360-0443.2006.01591.x
Potenza, M. N., Steinberg, M. A., Skudlarski, P., Fulbright, R. K., Lacadie, C. M., Wilber, M. K., … Rounsaville, B. E., (2003). Gambling urges in pathological gambling: A functional magnetic resonance imaging study. Archives of General Psychiatry, 60, 828–836. doi:10.1001/archpsyc.60.8.828
Rash, C., Weinstock, J., & Van Patten, R., (2016). A review of gambling disorder and substance use disorders. Substance Abuse and Rehabilitation, 7, 3–13. doi:10.2147/SAR.S83460
Raylu, N., & Oei, T. P. S., (2004). The gambling urge scale: Development, confirmatory factor validation, and psychometric properties. Psychology of Addictive Behaviors, 18, 100–105. doi:10.1037/0893-164X.18.2.100
Romanczuk-Seiferth, N., van den Brink, W., & Goudriaan, A. E., (2014). From symptoms to neurobiology: pathological gambling in the light of the new classification in DSM-5. Neuropsychobiology, 70, 95–102. doi:10.1159/000362839
Salkovskis, P. M., & Reynolds, M., (1994). Thought suppression and smoking cessation. Behaviour Research and Therapy, 32, 193–201. doi:10.1016/0005-7967(94)90112-0
Schlauch, R. C., Gwynn-Shapiro, D., Stasiewicz, P. R., Molnar, D. S., & Lang, A. R., (2013). Affect and craving: Positive and negative affect are differentially associated with approach and avoidance inclinations. Addictive Behaviors, 38, 1970–1979. doi:10.1016/j.addbeh.2012.12.003
Sharpe, L., (2002). A reformulated cognitive–behavioral model of problem gambling: A biopsychosocial perspective. Clinical Psychology Review, 22(1), 1–25. 10.1016/S0272-7358(00)00087-8
Skorka-Brown, J., Andrade, J., & May, J., (2014). Playing “Tetris” reduces the strength, frequency and vividness of naturally occurring cravings. Appetite, 76, 161–165. doi:10.1016/j.appet.2014.01.073
Skorka-Brown, J., Andrade, J., Whalley, B., & May, J., (2015). Playing Tetris decreases drug and other cravings in real world settings. Addictive Behaviors, 51, 165–170. doi:10.1016/j.addbeh.2015.07.020
Smith, D. P., Pols, R. G., Battersby, M. W., & Harvey, P. W., (2013). The gambling urge scale: Reliability and validity in a clinical population. Addiction Research & Theory, 21, 113–122. doi:10.3109/16066359.2012.696293
Steel, D., Kemps, E., & Tiggemann, M., (2006). Effects of hunger and visuo-spatial interference on imagery-induced food cravings. Appetite, 46, 36–40. doi:10.1016/j.appet.2005.11.001
Tavares H., Zilberman M. L., Hodgins D. C., & el-Guebaly N., (2005). Comparison of craving between pathological gamblers and alcoholics. Alcoholism: Clinical and Experimental Research, 29, 1427–1431. doi:10.1097/01.alc.0000175071.22872.98
Tiffany, S. T., (1990). A cognitive model of drug urges and drug-use behavior: Role of automatic and nonautomatic processes. Psychological Review, 97, 147–168. 10.1037/0033-295X.97.2.147
Tiffany, S. T., & Drobes, D. J., (1990). Imagery and smoking urges: The manipulation of affective content. Addictive Behaviors, 15, 531–539. doi:10.1016/0306-4603(90)90053-Z
Tiggemann, M., & Kemps, E., (2005). The phenomenology of food cravings: The role of mental imagery. Appetite, 45, 305–313. doi:10.1016/j.appet.2005.06.004
Williams, R. J., Volberg, R. A., & Stevens, R. M., (2012). The population prevalence of problem gambling: Methodological influences, standardized rates, jurisdictional differences, and worldwide trends. Ontario Problem Gambling Research Centre. Retrieved from https://www.uleth.ca/dspace/handle/10133/3068
Willig, C., (2013). Introducing qualitative research in psychology (3rd ed.). Maidenhead: Open Univ. Press.
Young, M. M., & Wohl, M. J. A., (2009). The gambling craving scale: Psychometric validation and behavioral outcomes. Psychology of Addictive Behaviors, 23, 512–522. doi:10.1037/a0015043
