Impulsivity in pathological gambling

2011 ◽  
Vol 26 (S2) ◽  
pp. 1734-1734
Author(s):  
D. Marazziti ◽  
S. Baroni ◽  
M. Picchetti ◽  
M. Catena dell’Osso
Keyword(s):  
Pathological Gambling ◽  
Impulse Control ◽  
Serotoninergic System ◽  
Healthy Controls ◽  
Loss Of Control ◽  
South Oaks Gambling Screen ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Two Factors ◽  
Dsm Iv

IntroductionThe pathological gambling (PG) is an impulse control disorder with clinical features common to other psychiatric disorders such as addictions and obsessive-compulsive disorder (OCD). The pathophysiology of PG is still unclear, but it is hypothesized that it might include environmental factors coupled with a genetic vulnerability and dysfunctions of different neurotransmitters such as norepinephrine, dopamine, glutamate and serotonin. The serotoninergic system seems to be primarily involved, as has been shown to regulate the impulsivity and aggression.AimsWith this study we aim to assess the impulsivity in 26 PG as compared with a matched group of healthy controls (HC).MethodsTwenty-six outpatients, with a diagnosis of PG according to DSM-IV criteria, and 26 HC were included in the study. The severity of symptoms was evaluated by the South Oaks Gambling Screen (SOGS) and the impulsivity was assessed by Barratt Impulsivity Scale, version 11 (BIS-11).ResultsThe results showed that the PG patients had a higher BIS-11 total score, as compared with HC, and higher scores of two factors of the same scale: the motor and attentional impulsivity. Even the motor and non-planning impulsivity subscales scores were higher in patients than in HC.ConclusionsThese results suggest that PG patients are more impulsive than control subjects. This feature could lead to a loss of control typical of PG.

scholarly journals Pathological gambling and compulsive buying: do they fall within an obsessive-compulsive spectrum?

2010 ◽  
Vol 12 (2) ◽  
pp. 175-185 ◽  
Keyword(s):  
Pathological Gambling ◽  
Impulse Control ◽  
Compulsive Buying ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Dsm 5 ◽  
Spectrum Hypothesis ◽  
Dsm V ◽  
New Diagnosis ◽  
Considerable Support

Both compulsive buying (CB) and pathological gambling (PG) have been proposed as members of a spectrum of disorders related to obsessive-compulsive disorder (OCD). The spectrum hypothesis originated in the early 1990s and has gained considerable support, despite the lack of empirical evidence. Interest in this hypothesis has become critical because some investigators have recommended the creation of a new category that includes these disorders in DSM-5, now under development. In this article, the authors describe the origin of the obsessive-compulsive (OC) spectrum and its theoretical underpinnings, review both CB and PG, and discuss the data both in support of and against an OC spectrum. Both disorders are described in terms of their history, definition, classification, phenomenology family history, pathophysiology, and clinical management. The authors conclude that: (i) CB and PG are probably not related to OCD, and there is insufficient evidence to place them within an OC spectrum in DSM-V; (ii) PG should stay with the impulse-control disorders (ICDs); and (iii) a new diagnosis of CB should be created and be classified as an ICD.

Bipolar disorder and comorbid obsessive-compulsive disorder is associated with higher rates of anxiety and impulse control disorders

2010 ◽  
Vol 22 (2) ◽  
pp. 81-86 ◽  
Author(s):  
Cilly Klüger Issler ◽  
Emel Serap Monkul ◽  
José Antonio de Mello Siqueira Amaral ◽  
Renata Sayuri Tamada ◽  
Roseli Gedanke Shavitt ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Obsessive Compulsive Disorder ◽  
Impulse Control ◽  
Severe Form ◽  
Impulse Control Disorders ◽  
Tic Disorders ◽  
Obsessive Compulsive ◽  
Residual Symptoms ◽  
Compulsive Disorder ◽  
Depressive Episodes

Issler CK, Monkul ES, Amaral JAMS, Tamada RS, Shavitt RG, Miguel EC, Lafer B. Bipolar disorder and comorbid obsessive-compulsive disorder is associated with higher rates of anxiety and impulse control disorders.Objective:Although bipolar disorder (BD) with comorbid obsessive-compulsive disorder (OCD) is highly prevalent, few controlled studies have assessed this comorbidity. The objective of this study was to investigate the clinical characteristics and expression of comorbid disorders in female BD patients with OCD.Method:We assessed clinically stable female outpatients with BD: 15 with comorbid OCD (BD+OCD group) and 15 without (BD/no-OCD group). All were submitted to the Structured Clinical Interview for DSM-IV, with additional modules for the diagnosis of kleptomania, trichotillomania, pathological gambling, onychophagia and skin picking.Results:The BD+OCD patients presented more chronic episodes, residual symptoms and previous depressive episodes than the BD/no-OCD patients. Of the BD+OCD patients, 86% had a history of treatment-emergent mania, compared with only 40% of the BD/no-OCD patients. The following were more prevalent in the BD+OCD patients than the BD/no-OCD patients: any anxiety disorder other than OCD; impulse control disorders; eating disorders; and tic disorders.Conclusion:Female BD patients with OCD may represent a more severe form of disorder than those without OCD, having more depressive episodes and residual symptoms, and being at a higher risk for treatment-emergent mania, as well as presenting a greater anxiety and impulse control disorder burden.

scholarly journals Coping Strategies, Anxiety and Depression in OCD and Schizophrenia: Changes during COVID-19

2021 ◽  
Vol 11 (7) ◽  
pp. 926
Author(s):  
Ángel Rosa-Alcázar ◽  
José Luis Parada-Navas ◽  
María Dolores García-Hernández ◽  
Sergio Martínez-Murillo ◽  
Pablo J. Olivares-Olivares ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Experiential Avoidance ◽  
Online Survey ◽  
Anxiety And Depression ◽  
Control Group ◽  
Healthy Controls ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Survey Results ◽  
And Coping

Background: The main aim was to examine changes in coping strategies, anxiety and depression in obsessive–compulsive and schizophrenia patients during COVID-19, in addition to controlling the influence of intolerance to uncertainty and experiential avoidance. Method: The first time, the study comprised (15–30 April 2020) 293 patients, 113 of whom were diagnosed with obsessive–compulsive disorder, 61 with schizophrenia and 119 healthy controls, aged 13–77 years (M = 37.89, SD = 12.65). The second time (15–30 November), the study comprised 195 participants (85 obsessive–compulsive patients, 42 schizophrenic patiens and 77 healthy controls participants). The evaluation was carried out through an online survey. Results: The clinical groups worsened over time in cognitive coping, anxiety and depression, while the control group only worsened in depression. Intergroup differences in anxiety, depression and coping strategies were maintained, highlighting the use of some maladaptive strategies (avoidance, spiritual) in clinical groups. Experiential avoidance and tolerance for uncertainty mainly affected coping. Conclusions: The duration of COVID-19 not only produced changes in anxiety and depression in clinical groups but also in coping strategies to face this pandemic and its consequences.

P.0665 Reward processing differences between Obsessive-compulsive disorder and pathological gambling

2021 ◽  
Vol 53 ◽  
pp. S487-S488
Author(s):  
A. Juaneda-Segui ◽  
S. Bertolín ◽  
A. Del Pino-Gutiérrez ◽  
I. Martínez-Zalacaín ◽  
I. Baenas ◽  
...  
Keyword(s):  
Pathological Gambling ◽  
Obsessive Compulsive Disorder ◽  
Reward Processing ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Processing Differences

The inner world of overactive monitoring: neural markers of interoception in obsessive–compulsive disorder

2017 ◽  
Vol 47 (11) ◽  
pp. 1957-1970 ◽  
Author(s):  
A. Yoris ◽  
A. M. García ◽  
L. Traiber ◽  
H. Santamaría-García ◽  
M. Martorell ◽  
...  
Keyword(s):  
Panic Disorder ◽  
Obsessive Compulsive Disorder ◽  
Evoked Potential ◽  
Cognitive Profile ◽  
Healthy Controls ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Inner World ◽  
External Stimuli ◽  
Internal Body

BackgroundObsessive–compulsive disorder (OCD) patients typically overmonitor their own behavior, as shown by symptoms of excessive doubt and checking. Although this is well established for the patients’ relationship with external stimuli in the environment, no study has explored their monitoring of internal body signals, a process known to be affected in anxiety-related syndromes. Here, we explored this issue through a cardiac interoception task that measures sensing of heartbeats. Our aim was to explore key behavioral and electrophysiological aspects of internal-cue monitoring in OCD, while examining their potential distinctiveness in this condition.MethodWe administered a heartbeat detection (HBD) task (with related interoceptive confidence and awareness measures) to three matched groups (OCD patients, panic disorder patients, healthy controls) and recorded ongoing modulations of two task-relevant electrophysiological markers: the heart evoked potential (HEP) and the motor potential (MP).ResultsBehaviorally, OCD patients outperformed controls and panic patients in the HBD task. Moreover, they exhibited greater amplitude modulation of both the HEP and the MP during cardiac interoception. However, they evinced poorer confidence and awareness of their interoceptive skills.ConclusionsConvergent behavioral and electrophysiological data showed that overactive monitoring in OCD extends to the sensing of internal bodily signals. Moreover, this pattern discriminated OCD from panic patients, suggesting a condition-distinctive alteration. Our results highlight the potential of exploring interoceptive processes in the OCD spectrum to better characterize the population's cognitive profile. Finally, these findings may lay new bridges between somatic theories of emotion and cognitive models of OCD.

EEG-source estimates and vigilance regulation in obsessive compulsive disorder in comparison to healthy controls

2011 ◽  
Vol 26 (S2) ◽  
pp. 977-977 ◽  
Author(s):  
H. Olbrich ◽  
S. Olbrich ◽  
I. Jahn ◽  
U. Hegerl ◽  
K. Stengler
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Sleep Disturbances ◽  
Imaging Techniques ◽  
Sleep Onset ◽  
Biological Marker ◽  
Multiple Comparison ◽  
Healthy Controls ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Eeg Power

Neurophysiological hyperactivation of cortical and subcortical brain areas has been reported in obsessive-compulsive disorder (OCD) using functional imaging techniques and electroencephalography (EEG). Also sleep disturbances and delayed sleep phases have been associated with OCD symptomatology. However, vigilance regulation in OCD during the transition phase from wakefulness to sleep onset remains unclear. Therefore the aim of this study was to analyze EEG-source estimates and EEG vigilance regulation in OCD patients in comparison to healthy controls.A 15 minute resting EEG was recorded in 30 unmedicated OCD patients and 30 healthy, age and gender matched controls. EEG power source estimates of the whole time series were computed by exact Low Resolution Brain Electromagnetic Tomography (eLORETA). Each consecutive one second EEG-segment was classified into one out of seven EEG-vigilance stages (0, A1, A2, A3, B1, B2/3, C) using Vigilance Algorithm Leipzig (VIGALL). The eLORETA analysis (log of F-ratios, p < 0.05, corrected for multiple comparison) revealed significantly increased delta power in the right superior frontal gyrus for OCD patients in comparison to healthy controls. Vigilance analysis yielded significantly increased amounts of high vigilance stage A2 (Mann-Whitney test, p < 0.001, corrected for multiple comparison) for OCD patients.This study repeated findings of altered EEG-power in frontal areas in OCD patients. Alterations of EEG-vigilance regulation were found with increased amounts of high vigilance stage A2. This is in line with a hypothesis of cortical hyperactivation in OCD. The value of EEG-vigilance as a possible biological marker for e.g. treatment response should be focus of further studies.

Genetic variability in the serotoninergic system and age of onset in anorexia nervosa and obsessive-compulsive disorder

2019 ◽  
Vol 271 ◽  
pp. 554-558 ◽  
Author(s):  
Maria Teresa Plana ◽  
Teresa Torres ◽  
Natalia Rodríguez ◽  
Daniel Boloc ◽  
Patricia Gassó ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Genetic Variability ◽  
Obsessive Compulsive Disorder ◽  
Age Of Onset ◽  
Serotoninergic System ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

scholarly journals Executive functioning in Body Dysmorphic Disorder and Obsessive-Compulsive Disorder

2021 ◽  
Author(s):  
Long Long Chen ◽  
Oskar Flygare ◽  
John Wallert ◽  
Jesper Enander ◽  
Volen Ivanov ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Test Performance ◽  
Symptom Severity ◽  
Body Dysmorphic Disorder ◽  
Spatial Working Memory ◽  
Clinical Severity ◽  
Stop Signal Task ◽  
Healthy Controls ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Objective: To assess executive functions in patients with Body Dysmorphic Disorder (BDD) and Obsessive-Compulsive Disorder (OCD) compared with healthy controls. Methods: Adults diagnosed with BDD (n=26) or OCD (n=29) according to DSM-5, and healthy controls (n=28) underwent validated and computerized neuropsychological tests; spatial working memory (SWM), Intra- extra dimensional set shifting (IED) and Stop signal task (SST), from the Cambridge Neuropsychological Test Automated Battery (CANTAB). Test performance was compared between groups, and correlated to standardized symptom severity of BDD and OCD. Significance level was set to p<0.05. Results: There were no statistically significant between-group differences on key outcome measures in SWM, IED, or SST. There was a weak positive correlation between symptom severity and test errors on SWM and IED in both OCD and BDD groups; increased clinical severity were associated with more errors in these tests. Further, there was a negative correlation between symptom severity and SST in the BDD group. Conclusions: Patients with BDD or OCD did not differ from healthy control subjects in terms of test performance, however there were several statistically significant correlations between symptom severity and performance in those with BDD or OCD. More studies on EF in BDD and OCD are required to elucidate if there are differences in EF between these two disorders.

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