Unemployment and gambling: exploring differences in attachment, affect dysregulation, dissociation, and impulse dyscontrol and gambling-related cognitive distortions

Authors

  • Giuseppe Iraci-Sareri <p>Gruppo Incontro Società Cooperativa Sociale, Pistoia; Integrated Psychodynamic Psychotherapy Institute (IPPI), Florence</p>
  • Nicole Pallaoro Department of Health Sciences, University of Florence, Florence
  • Diego Fabiani Department of Health Sciences, University of Florence, Florence
  • Eleonora Topino Department of Human and Social Sciences, Mercatorum University, Rome https://orcid.org/0000-0003-0849-1249
  • Alessio Gori Integrated Psychodynamic Psychotherapy Institute (IPPI), Florence; Department of Health Sciences, University of Florence, Florence https://orcid.org/0000-0002-6867-2319

DOI:

https://doi.org/10.13129/2282-1619/mjcp-4801

Keywords:

Attachment, Affect dysregulation, Dissociation, Impulse dyscontrol, Gambling-related cognitive distortions.

Abstract

Introduction: Gambling has become a widespread phenomenon in Italy, with significant public health implications. Research highlights its severe consequences, including financial strain, social disruption, health complications, and an increased risk of suicide, with ramifications extending to the wider economy. Drawing on well-established theoretical models commonly applied to gambling in the scientific literature (i.e., the Comprehensive Model of Addiction and the Gambling Space Model), the present research examines the relationships between adult attachment styles, dissociation, affect dysregulation, impulse dyscontrol, and gambling-related cognitive distortions. It also explores how these factors differ based on gamblers’ employment status, providing a nuanced insight into the psychological mechanisms underlying gambling disorder. It is expected to find higher levels of the aforementioned psychological risk factors in unemployed gamblers.

Method: 230 participants (Mage= 35.06 years, SD = 14.777), divided into two subgroups: employed gamblers (n = 118) and unemployed gamblers (n = 112), were involved in the research and completed an online survey including validated self-report measures. Correlational and between-group analyses were conducted to highlight differences between factors and subgroups taken into consideration.

Results: Results indicate that affect dysregulation, dissociation, and impulse dyscontrol are strongly associated with gambling-related cognitive distortions, with attachment style also influencing this relationship. Unemployed gamblers exhibit higher rates of insecure attachment and are more susceptible to cognitive distortions and the key risk factors analysed in this study.

Conclusions: Findings support the hypothesis that affect dysregulation and attachment insecurity, particularly among unemployed individuals, increase vulnerability to gambling-related cognitive distortions. These results highlight the interplay between psychological vulnerabilities and social conditions in the onset and progression of pathological gambling. Although the cross-sectional design of the studies invites cautious interpretation and encourages further confirmatory research, these findings may have useful practical implications. Clinical interventions should address both emotional and cognitive vulnerabilities and consider occupational instability as a significant risk factor in pathological gambling.

References

Abbott, M. W. (2020). The changing epidemiology of gambling disorder and gambling-related harm: public health implications. Public health, 184, 41-45. https://doi.org/10.1016/j.puhe.2020.04.003

Agenzia Dogane e Monopoli (2023). Libro Blu 2022. https://www.adm.gov.it/portale/libro-blu-organizzazione-statistiche-e-attivita-anno-2022

Albers, N., & Hübl, L. (1997). Gambling market and individual patterns of gambling in Germany. Journal of Gambling Studies, 13(2), 125-144. https://doi.org/10.1023/A:1024999217889

Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical psychology review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association.

American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). https://doi/book/10.1176/appi.books.9780890425787

Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: a test of a four-category model. Journal of personality and social psychology, 61(2), 226–244. https://doi.org/10.1037/0022-3514.61.2.226

Beebe, B., & Lachmann, F. (2002). Organizing principles of interaction from infant research and the lifespan prediction of attachment: Application to adult treatment. Journal of Infant, Child, and Adolescent Psychotherapy, 2(4), 61-89. https://doi.org/10.1080/15289168.2002.10486420

Bickl, A. M., Loy, J. K., Kraus, L., Grüne, B., Hoch, E., & Schwarzkopf, L. (2024). Gambling-related attitudes and dimensional structure of the GABS-15 in outpatient addiction care patients: associations with gambling disorder. Frontiers in psychiatry, 15, 1481733. https://doi.org/10.3389/fpsyt.2024.1481733

Billieux, J., Lagrange, G., Van der Linden, M., Lançon, C., Adida, M., & Jeanningros, R. (2012). Investigation of impulsivity in a sample of treatment-seeking pathological gamblers: a multidimensional perspective. Psychiatry research, 198(2), 291–296. https://doi.org/10.1016/j.psychres.2012.01.001

Bouju, G., Hardouin, J. B., Boutin, C., Gorwood, P., Le Bourvellec, J. D., Feuillet, F., Venisse, J. L., & Grall-Bronnec, M. (2014). A shorter and multidimensional version of the Gambling Attitudes and Beliefs Survey (GABS-23). Journal of gambling studies, 30(2), 349–367. https://doi.org/10.1007/s10899-012-9356-3

Braunstein, L. M., Gross, J. J., & Ochsner, K. N. (2017). Explicit and implicit emotion regulation: a multi-level framework. Social cognitive and affective neuroscience, 12(10), 1545–1557. https://doi.org/10.1093/scan/nsx096

Brunborg, G. S., Hanss, D., Mentzoni, R. A., Molde, H., & Pallesen, S. (2016). Problem gambling and the five-factor model of personality: a large population-based study. Addiction (Abingdon, England), 111(8), 1428–1435. https://doi.org/10.1111/add.13388

Buth, S., Wurst, F. M., Thon, N., Lahusen, H., & Kalke, J. (2017). Comparative Analysis of Potential Risk Factors for at-Risk Gambling, Problem Gambling and Gambling Disorder among Current Gamblers-Results of the Austrian Representative Survey 2015. Frontiers in psychology, 8, 2188. https://doi.org/10.3389/fpsyg.2017.02188

Calado, F., & Griffiths, M. D. (2016). Problem gambling worldwide: An update and systematic review of empirical research (2000-2015). Journal of behavioral addictions, 5(4), 592–613. https://doi.org/10.1556/2006.5.2016.073

Calado, F., Alexandre, J., & Griffiths, M. D. (2017). How coping styles, cognitive distortions, and attachment predict problem gambling among adolescents and young adults. Journal of behavioral addictions, 6(4), 648–657. https://doi.org/10.1556/2006.6.2017.068

Caretti, V., Gori, A., Craparo, G., Giannini, M., Iraci-Sareri, G., & Schimmenti, A. (2018). A new measure for assessing substance-related and addictive disorders: The addictive behavior questionnaire (ABQ). Journal of Clinical Medicine, 7(8), 194. https://doi.org/10.3390/jcm7080194

Carli, L. (Ed.). (1995). Attaccamento e rapporto di coppia. Raffaello Cortina.

Ciccarelli, M., Griffiths, M. D., Nigro, G., & Cosenza, M. (2017). Decision making, cognitive distortions and emotional distress: A comparison between pathological gamblers and healthy controls. Journal of behavior therapy and experimental psychiatry, 54, 204–210. https://doi.org/10.1016/j.jbtep.2016.08.012

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

Craparo, G., Gori, A., Sareri, G. I., & Pace, U. (2015). Personality and clinical dimensions of pathological gamblers. A pilot study. Mediterranean Journal of Social Sciences, 6(4), 612-612. https://doi.org/10.5901/mjss.2015.v6n4s3p612

Cyders, M. A., Smith, G. T., Spillane, N. S., Fischer, S., Annus, A. M., & Peterson, C. (2007). Integration of impulsivity and positive mood to predict risky behavior: development and validation of a measure of positive urgency. Psychological assessment, 19(1), 107–118. https://doi.org/10.1037/1040-3590.19.1.107

Delfabbro, P. (2004). The stubborn logic of regular gamblers: obstacles and dilemmas in cognitive gambling research. Journal of gambling studies, 20(1), 1–21. https://doi.org/10.1023/B:JOGS.0000016701.17146.d0

Di Trani, M., Renzi, A., Vari, C., Zavattini, G. C., & Solano, L. (2017). Gambling disorder and affect regulation: The role of alexithymia and attachment style. Journal of gambling studies, 33(2), 649-659. https://doi.org/10.1007/s10899-016-9637-3

Donati, M. A., Boncompagni, J., Iraci Sareri, G., Ridolfi, S., Iozzi, A., Cocci, V., Arena, A., & Primi, C. (2022). Optimizing large-scale gambling prevention with adolescents through the development and evaluation of a training course for health professionals: The case of PRIZE. PLoS One, 17(5), e0266825. https://doi.org/10.1371/journal.pone.0266825

Donati, M. A., Chiesi, F., Iozzi, A., Manfredi, A., Fagni, F., & Primi, C. (2018). Gambling-related distortions and problem gambling in adolescents: A model to explain mechanisms and develop interventions. Frontiers in Psychology, 8, 2243. https://doi.org/10.3389/fpsyg.2017.02243

Donati, M. A., Chiesi, F., & Primi, C. (2013). A model to explain at-risk/problem gambling among male and female adolescents: gender similarities and differences. Journal of adolescence, 36(1), 129–137. https://doi.org/10.1016/j.adolescence.2012.10.001

Eilert, D. W., & Buchheim, A. (2023). Attachment-related differences in emotion regulation in adults: A systematic review on attachment representations. Brain Sciences, 13(6), 884. https://doi.org/10.3390/brainsci13060884

Esparza-Reig, J., Martí-Vilar, M., González-Sala, F., Merino-Soto, C., Hernández-Salinas, G., & Toledano-Toledano, F. (2023). Health-Related, Social and Cognitive Factors Explaining Gambling Addiction. Healthcare (Basel, Switzerland), 11(19), 2657. https://doi.org/10.3390/healthcare11192657

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/BF03193146

Fortune, E. E., & Goodie, A. S. (2012). Cognitive distortions as a component and treatment focus of pathological gambling: a review. Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 26(2), 298–310. https://doi.org/10.1037/a0026422

Gabellini, E., Lucchini, F., & Gattoni, M. E. (2023). Prevalence of Problem Gambling: A Meta-analysis of Recent Empirical Research (2016-2022). Journal of gambling studies, 39(3), 1027–1057. https://doi.org/10.1007/s10899-022-10180-0

González-Roz, A., Castaño, Y., Krotter, A., Salazar-Cedillo, A., & Gervilla, E. (2024). Emotional dysregulation in relation to substance use and behavioral addictions: Findings from five separate meta-analyses. International journal of clinical and health psychology: IJCHP, 24(3), 100502. https://doi.org/10.1016/j.ijchp.2024.100502

Gori, A., & Topino, E. (2024). Problematic Gambling Behavior in a Sample of Gamblers: The Role of Alexithymia, Dissociation Features, and External Locus of Control. Journal of gambling studies, 40(4), 2077–2091. https://doi.org/10.1007/s10899-024-10322-6

Gori, A., Topino, E., Cacioppo, M., Craparo, G., Schimmenti, A., & Caretti, V. (2023a). An integrated approach to addictive behaviors: A study on vulnerability and maintenance factors. European Journal of Investigation in Health, Psychology and Education, 13(3), 512-524. https://doi.org/10.3390/ejihpe13030039

Gori, A., Topino, E., Cacioppo, M., Craparo, G., Schimmenti, A., & Caretti, V. (2023b). An addictive disorders severity model: A chained mediation analysis using structural equation modeling. Journal of addictive diseases, 41(1), 98-109. https://doi.org/10.1080/10550887.2022.2074762

Gori, A., Topino, E., Craparo, G., Bagnoli, I., Caretti, V., & Schimmenti, A. (2022). A comprehensive model for gambling behaviors: Assessment of the factors that can contribute to the vulnerability and maintenance of gambling disorder. Journal of Gambling Studies, 38(1), 235-251. https://doi.org/10.1007/s10899-021-10024-3

Griffiths, M. D., & Calado, F. (2022). Gambling disorder. In Pontes, H. (Ed.), Behavioral addictions: Conceptual, clinical, assessment, and treatment approaches (pp.1–29). Springer.

Helion, C., Krueger, S. M., & Ochsner, K. N. (2019). Emotion regulation across the life span. Handbook of clinical neurology, 163, 257–280. https://doi.org/10.1016/B978-0-12-804281-6.00014-8

Hodgins, D. C., Peden, N., & Cassidy, E. (2005). The association between comorbidity and outcome in pathological gambling: a prospective follow-up of recent quitters. Journal of gambling studies, 21(3), 255–271. https://doi.org/10.1007/s10899-005-3099-3

Hodgins, D. C., Stea, J. N., & Grant, J. E. (2011). Gambling disorders. The Lancet, 378(9806), 1874-1884. https://doi.org/10.1016/S0140-6736(10)62185-X

Hofmarcher, T., Romild, U., Spångberg, J., Persson, U., & Håkansson, A. (2020). The societal costs of problem gambling in Sweden. BMC public health, 20, 1-14. https://doi.org/10.1186/s12889-020-10008-9

Iliceto, P., Fino, E., Cammarota, C., Giovani, E., Petrucci, F., Desimoni, M., Sabatello, U., Candilera, G., & Oei, T. P. (2015). Factor structure and psychometric properties of the Italian version of the Gambling Related Cognitions Scale (GRCS-I). Journal of Gambling Studies, 31, 225-242. https://doi.org/10.1007/s10899-013-9405-6

Iliceto, P., Fino, E., Schiavella, M., & Candilera, G. (2020). Individual differences in interpersonal security predict suicidal ideation and problem gambling. Personality and Individual Differences, 162, 110031. https://doi.org/10.1016/j.paid.2020.110031

Imperatori, C., Innamorati, M., Bersani, F. S., Imbimbo, F., Pompili, M., Contardi, A., & Farina, B. (2017). The association among childhood trauma, pathological dissociation and gambling severity in casino gamblers. Clinical Psychology & Psychotherapy, 24(1), 203-211. https://doi.org/10.1002/cpp.1997

Ioannidis, K., Hook, R., Wickham, K., Grant, J. E., & Chamberlain, S. R. (2019). Impulsivity in gambling disorder and problem gambling: A meta-analysis. Neuropsychopharmacology, 44(8), 1354-1361. https://doi.org/10.1038/s41386-019-0393-9

Jara-Rizzo, M. F., Navas, J. F., Catena, A., & Perales, J. C. (2019). Types of Emotion Regulation and Their Associations with Gambling: A Cross-Sectional Study with Disordered and Non-problem Ecuadorian Gamblers. Journal of gambling studies, 35(3), 997–1013. https://doi.org/10.1007/s10899-019-09868-7

Jauregui, P., Estévez, A., & Urbiola, I. (2016). Pathological Gambling and Associated Drug and Alcohol Abuse, Emotion Regulation, and Anxious-Depressive Symptomatology. Journal of behavioral addictions, 5(2), 251–260. https://doi.org/10.1556/2006.5.2016.038

Joukhador, J., Blaszczynski, A., & Maccallum, F. (2004). Superstitious beliefs in gambling among problem and non-problem gamblers: preliminary data. Journal of gambling studies, 20(2), 171–180. https://doi.org/10.1023/B:JOGS.0000022308.27774.2b

Karlsson, A., & Håkansson, A. (2018). Gambling disorder, increased mortality, suicidality, and associated comorbidity: A longitudinal nationwide register study. Journal of behavioral addictions, 7(4), 1091-1099. https://doi.org/10.1556/2006.7.2018.112

Kazdin, A. E. (2021). Research design in clinical psychology. Cambridge University Press.

Khanthavit, A. (2021). A causality analysis of lottery gambling and unemployment in Thailand. The Journal of Asian Finance, Economics and Business, 8(8), 149-156. https://doi.org/10.13106/jafeb.2021.vol8.no8.0149

Kim, H. S., Poole, J. C., Hodgins, D. C., McGrath, D. S., & Dobson, K. S. (2019). Betting to deal: Coping motives mediate the relationship between urgency and problem gambling severity. Addiction Research & Theory, 27(2), 95-103. https://doi.org/10.1080/16066359.2018.1455188

Kocsel, N., Paksi, B., Eisinger, A., Felvinczi, K., Czakó, A., Demetrovics, Z., & Kökönyei, G. (2024). Gender and trait rumination moderates the link between trait impulsivity and gambling problems severity in young adults. Comprehensive psychiatry, 135, 152533. https://doi.org/10.1016/j.comppsych.2024.152533

Korvuo, T., Palomäki, J., & Castrén, S. (2023). Dissociative experiences reduce online problem gambling treatment effectiveness. Comprehensive psychiatry, 127, 152414. https://doi.org/10.1016/j.comppsych.2023.152414

Langham, E., Thorne, H., Browne, M., Donaldson, P., Rose, J., & Rockloff, M. (2016). Understanding gambling related harm: a proposed definition, conceptual framework, and taxonomy of harms. BMC public health, 16, 80. https://doi.org/10.1186/s12889-016-2747-0

Latvala, T. A., Lintonen, T. P., Browne, M., Rockloff, M., & Salonen, A. H. (2021). Social disadvantage and gambling severity: a population-based study with register-linkage. European journal of public health, 31(6), 1217–1223. https://doi.org/10.1093/eurpub/ckab162

Lee, A., Flack, M., & Caudwell, K. M. (2024). Excite, or Take Flight? Exploring the Relationship between Difficulties with Emotion Regulation, Outcome Expectancies, and Problem Gambling. Journal of gambling studies, 10.1007/s10899-024-10340-4. Advance online publication. https://doi.org/10.1007/s10899-024-10340-4

Ligiéro, D. P., & Gelso, C. J. (2002). Countertransference, attachment, and the working alliance: The therapist's contribution. Psychotherapy: Theory, Research, Practice, Training, 39(1), 3–11. https://doi.org/10.1037/0033-3204.39.1.3

Mallorquí-Bagué, N., Vintró-Alcaraz, C., Verdejo-García, A., Granero, R., Fernández-Aranda, F., Magaña, P., Mena-Moreno, T., Aymamí, N., Gómez-Peña, M., Del Pino-Gutiérrez, A., Mestre-Bach, G., Menchón, J. M., & Jiménez-Murcia, S. (2019). Impulsivity and cognitive distortions in different clinical phenotypes of gambling disorder: Profiles and longitudinal prediction of treatment outcomes. European psychiatry: the journal of the Association of European Psychiatrists, 61, 9–16. https://doi.org/10.1016/j.eurpsy.2019.06.006

Marchetti, D., Verrocchio, M. C., & Porcelli, P. (2019). Gambling problems and alexithymia: A systematic review. Brain sciences, 9(8), 191. https://doi.org/10.3390/brainsci9080191

Marchica, L. A., Keough, M. T., Montreuil, T. C., & Derevensky, J. L. (2020). Emotion regulation interacts with gambling motives to predict problem gambling among emerging adults. Addictive behaviors, 106, 106378. https://doi.org/10.1016/j.addbeh.2020.106378

Mari, E., Cricenti, C., Boccia, M., Zucchelli, M. M., Nori, R., Piccardi, L., Giannini, A. M., & Quaglieri, A. (2024). Betting on Your Feelings: The Interplay between Emotion and Cognition in Gambling Affective Task. Journal of clinical medicine, 13(10), 2990. https://doi.org/10.3390/jcm13102990

Marionneau, V., & Nikkinen, J. (2022). Gambling-related suicides and suicidality: a systematic review of qualitative evidence. Frontiers in psychiatry, 13, 980303. https://doi.org/10.3389/fpsyt.2022.980303

Mathieu, S., Barrault, S., Brunault, P., & Varescon, I. (2018). Gambling Motives: Do They Explain Cognitive Distortions in Male Poker Gamblers?. Journal of gambling studies, 34(1), 133–145. https://doi.org/10.1007/s10899-017-9700-8

McCormick, J., Delfabbro, P., & Denson, L. A. (2012). Psychological vulnerability and problem gambling: An application of Durand Jacobs’ general theory of addictions to electronic gaming machine playing in Australia. Journal of Gambling Studies, 28, 665-690. https://doi.org/10.1007/s10899-011-9281-x

Muela, I., Ventura-Lucena, J. M., Navas, J. F., & Perales, J. C. (2023). The associative learning roots of affect-driven impulsivity and its role in problem gambling: A replication attempt and extension of Quintero et al. (2020). Journal of behavioral addictions, 12(1), 201–218. https://doi.org/10.1556/2006.2023.00009

Muggleton, N., Parpart, P., Newall, P., Leake, D., Gathergood, J., & Stewart, N. (2021). The association between gambling and financial, social and health outcomes in big financial data. Nature Human Behaviour, 5(3), 319-326. https://doi.org/10.1038/s41562-020-01045-w

Navas, J. F., Billieux, J., Verdejo-García, A., & Perales, J. C. (2020). Neurocognitive components of gambling disorder: implications for assessment, treatment and policy. In H. Bowden-Jones, C. Dickson, C. Dunand, & O. Simon (Eds.), Harm Reduction for Gambling: A Public Health Approach (1st ed., pp. 54-67). Routledge. https://doi.org/10.4324/9780429490750-7

Neophytou, K., Theodorou, M., Artemi, T.-F., Theodorou, C., & Panayiotou, G. (2023). Gambling to escape: A systematic review of the relationship between avoidant emotion regulation/coping strategies and gambling severity. Journal of Contextual Behavioral Science, 27, 126–142. https://doi.org/10.1016/j.jcbs.2023.01.004

Oakes, J., Pols, R., Battersby, M., Lawn, S., Pulvirenti, M., & Smith, D. (2012). A focus group study of predictors of relapse in electronic gaming machine problem gambling, part 1: factors that 'push' towards relapse. Journal of gambling studies, 28(3), 451–464. https://doi.org/10.1007/s10899-011-9264-y

Orlowski, S., Bischof, A., Besser, B., Bischof, G., & Rumpf, H. J. (2019). Deficits in emotion regulation strategies among problematic and pathological gamblers in a sample of vocational school students. Journal of behavioral addictions, 8(1), 94–102. https://doi.org/10.1556/2006.7.2018.136

Padykula, N. L., & Conklin, P. (2010). The self regulation model of attachment trauma and addiction. Clinical Social Work Journal, 38, 351-360. https://doi.org/10.1007/s10615-009-0204-6

Pascuzzo, K., Moss, E., & Cyr, C. (2015). Attachment and emotion regulation strategies in predicting adult psychopathology. Sage Open, 5(3), 2158244015604695. https://doi.org/10.1177/215824401560469

Potenza, M. N., Balodis, I. M., Derevensky, J., Grant, J. E., Petry, N. M., Verdejo-Garcia, A., & Yip, S. W. (2019). Gambling disorder. Nature reviews Disease primers, 5(1), 51. https://doi.org/10.1038/s41572-019-0099-7

Raylu, N., & Oei, T. P. (2004). The Gambling Related Cognitions Scale (GRCS): Development, confirmatory factor validation and psychometric properties. Addiction, 99(6), 757-769. https://doi.org/10.1111/j.1360-0443.2004.00753.x

Riley, B. J., Oster, C., Rahamathulla, M., & Lawn, S. (2021). Attitudes, Risk Factors, and Behaviours of Gambling among Adolescents and Young People: A Literature Review and Gap Analysis. International journal of environmental research and public health, 18(3), 984. https://doi.org/10.3390/ijerph18030984

Rizeanu, S. (2015). Pathological gambling treatment-review. Procedia-Social and Behavioral Sciences, 187, 613-618. https://doi.org/10.1016/j.sbspro.2015.03.114

Rogier, G., Beomonte Zobel, S., Marini, A., Camponeschi, J., & Velotti, P. (2021). Gambling disorder and dissociative features: A systematic review and meta-analysis. Psychology of addictive behaviors: journal of the Society of Psychologists in Addictive Behaviors, 35(3), 247–262. https://doi.org/10.1037/adb0000693

Rogier, G., & Velotti, P. (2018). Conceptualizing gambling disorder with the process model of emotion regulation. Journal of behavioral addictions, 7(2), 239-251. https://doi.org/10.1556/2006.7.2018.52

Sancho, M., de Gracia, M., Granero, R., González-Simarro, S., Sánchez, I., Fernández-Aranda, F., Trujols, J., Mallorquí-Bagué, N., Mestre-Bach, G., Del Pino-Gutiérrez, A., Mena-Moreno, T., Vintró-Alcaraz, C., Steward, T., Aymamí, N., Gómez-Peña, M., Menchón, J. M., & Jiménez-Murcia, S. (2019). Differences in Emotion Regulation Considering Gender, Age, and Gambling Preferences in a Sample of Gambling Disorder Patients. Frontiers in psychiatry, 10, 625. https://doi.org/10.3389/fpsyt.2019.00625

Scherrer, J. F., Xian, H., Kapp, J. M. K., Waterman, B., Shah, K. R., Volberg, R., & Eisen, S. A. (2007). Association between exposure to childhood and lifetime traumatic events and lifetime pathological gambling in a twin cohort. The Journal of nervous and mental disease, 195(1), 72-78. https://doi.org/10.1097/01.nmd.0000252384.20382.e9

Schluter, M. G., & Hodgins, D. C. (2019). Dissociative Experiences in Gambling Disorder. Current Addiction Reports, 6, 34–40. https://doi.org/10.1007/s40429-019-0238-y

Schmitt, D. P., Alcalay, L., Allensworth, M., Allik, J., Ault, L., Austers, I., Bennett, K. L., Bianchi, G., Boholst, F., Cunen, M. A. B., Braeckman, J., Brainerd, E. G., Caral, L. G. A., Caron, G., Casullo, M. M., Cunningham, M., Daibo, I., De Backer, C., De Souza, E., ... ZupanÈiÈ, A. (2004). Patterns and Universals of Adult Romantic Attachment Across 62 Cultural Regions: Are Models of Self and of Other Pancultural Constructs? Journal of Cross-Cultural Psychology, 35(4), 367-402. https://doi.org/10.1177/0022022104266105

Schore, J. R., & Schore, A. N. (2008). Modern attachment theory: The central role of affect regulation in development and treatment. Clinical social work journal, 36(1), 9-20. https://doi.org/10.1007/s10615-007-0111-7

Schwartz, S. M., Trask, P. C., Shanmugham, K., & Townsend, C. O. (2004). Conducting Psychological Research in Medical Settings: Challenges, Limitations, and Recommendations for Effectiveness Research. Professional Psychology: Research and Practice, 35(5), 500-508. https://doi.org/10.1037/0735-7028.35.5.500

Shaffer, H. J., & Martin, R. (2011). Disordered gambling: etiology, trajectory, and clinical considerations. Annual review of clinical psychology, 7, 483–510. https://doi.org/10.1146/annurev-clinpsy-040510-143928

Shaw, M. C., Forbush, K. T., Schlinder, J., Rosenman, E., & Black, D. W. (2007). The effect of pathological gambling on families, marriages, and children. CNS spectrums, 12(8), 615-622. https://doi.org/10.1017/S1092852900021416

Sloan, E., Hall, K., Moulding, R., Bryce, S., Mildred, H., & Staiger, P. K. (2017). Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: A systematic review. Clinical psychology review, 57, 141–163. https://doi.org/10.1016/j.cpr.2017.09.002

Spada, M. M., Caselli, G., Nikčević, A. V., & Wells, A. (2015). Metacognition in addictive behaviors. Addictive behaviors, 44, 9–15. https://doi.org/10.1016/j.addbeh.2014.08.002

Spångberg, J., & Svensson, J. (2020). Associations between youth unemployment and underage gambling in Europe. Journal of Gambling Issues, 45. http://dx.doi.org/10.4309/jgi.2020.45.5

Suomi, A., Kim, J., Hahn, M. H., & Biddle, N. (2024). Gambling participation and risk after COVID-19: Analysis of a population representative longitudinal panel of Australians. Addiction (Abingdon, England), 119(8), 1430–1439. https://doi.org/10.1111/add.16523

Syvertsen, A., Leino, T., Smith, O. R., Mentzoni, R. A., Sivertsen, B., Griffiths, M. D., & Pallesen, S. (2024). Unemployment as a risk factor for gambling disorder: A longitudinal study based on national registry data. Journal of Behavioral Addictions, 13(3), 751-760. https://doi.org/10.1556/2006.2024.00049

Tessier, S., Romo, L., & Zerhouni, O. (2024). Emotional Dysregulation, Shame and Guilt Predict Severity of Gambling Among a Population of Gamblers. Journal of gambling studies, 40(2), 793–807. https://doi.org/10.1007/s10899-023-10248-5

Topino, E., Gori, A., & Cacioppo, M. (2021). Alexithymia, dissociation, and family functioning in a sample of online gamblers: A moderated mediation study. International Journal of Environmental Research and Public Health, 18(24), 13291. https://doi.org/10.3390/ijerph182413291

Topino, E., Griffiths, M. D., & Gori, A. (2023). Attachment and gambling severity behaviors among regular gamblers: A path modeling analysis exploring the role of alexithymia, dissociation, and impulsivity. International Journal of Mental Health and Addiction, 1-15. https://doi.org/10.1007/s11469-023-01080-4

Tran, L. T., Wardle, H., Colledge-Frisby, S., Taylor, S., Lynch, M., Rehm, J., Volberg, R., Marionneau, V., Saxena, S., Bunn, C., Farrell, M., & Degenhardt, L. (2024). The prevalence of gambling and problematic gambling: a systematic review and meta-analysis. The Lancet. Public health, 9(8), e594–e613. https://doi.org/10.1016/S2468-2667(24)00126-9

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(1), 87–107. https://doi.org/10.1016/j.neubiorev.2009.07.007

Walker, D. M., & Sobel, R. S. (2016). Social and economic impacts of gambling. Current Addiction Reports, 3, 293–298. https://doi.org/10.1007/s40429-016-0109-8

Welte, J. W., Barnes, G. M., Wieczorek, W. F., Tidwell, M. C. O., & Parker, J. C. (2004). Risk factors for pathological gambling. Addictive behaviors, 29(2), 323-335. https://doi.org/10.1016/j.addbeh.2003.08.007

Yakovenko, I., Hodgins, D. C., el-Guebaly, N., Casey, D. M., Currie, S. R., Smith, G. J., Williams, R. J., & Schopflocher, D. P. (2016). Cognitive distortions predict future gambling involvement. International Gambling Studies, 16(2), 175–192. https://doi.org/10.1080/14459795.2016.1147592

Downloads

Published

31-08-2025

Issue

Section

Articles