Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-02T22:15:05.919Z Has data issue: false hasContentIssue false
  • English
  • Français

Profiling Metacognition in Gambling Disorder

Published online by Cambridge University Press:  15 April 2014

Marcantonio M. Spada ,
Lucia Giustina ,
Silvia Rolandi ,
Bruce A. Fernie  and
Gabriele Caselli
Marcantonio M. Spada*
Affiliation:
London South Bank University, UK
Lucia Giustina
Affiliation:
Servizio Tossicodipendendenze, AUSL, Parma, Italy
Silvia Rolandi
Affiliation:
Universita di Pavia, Italy
Bruce A. Fernie
Affiliation:
Institute of Psychiatry, King's College London, and CASCAID, South London and Maudsley NHS Foundation Trust, UK
Gabriele Caselli
Affiliation:
Studi Cognitivi, Cognitive Psychotherapy School, Modena, Italy
*
Reprint requests to Marcantonio M. Spada, Department of Psychology, Faculty of Arts and Human Sciences, London South Bank University, 103 Borough Road, London SE1 OAA, UK. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Preliminary research has indicated that general facets of metacognition are associated with problem gambling. In the present study we aimed to investigate whether specific facets of metacognition play a role in explaining gambling initiation and perseveration in individuals presenting with gambling disorder. Aim: To investigate: (1) the presence of metacognitive beliefs about gambling; (2) the goal of gambling, and its start and stop signals; and (3) the perceived impact of gambling on self-consciousness. Method: Ten individuals with a diagnosis of gambling disorder were assessed using metacognitive profiling, a semi-structured interview. Results: Findings indicated that all participants endorsed both positive and negative metacognitive beliefs about gambling. The primary goal of gambling was to relieve economic hardship and improve cognitive-emotional state. All participants reported that they did not know when this goal was achieved. Start signals for gambling included the ideas and feelings that gambling could solve problems and sensations that it might be the right time to win. The stop signal for gambling, for all participants, was running out of money. All participants also reported a perceived reduction in self-consciousness during a gambling episode. Conclusions: These findings provide preliminary evidence that specific facets of metacognition play a role in gambling disorder.

Keywords

Addictive behavioursgamblinggambling disordermetacognitionmetacognitive beliefsproblem gambling
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 5 , September 2015 , pp. 614 - 622
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th edn). Washington, DC: American Psychiatric Association.Google Scholar
Barnes, G. M., Welte, J. W., Hoffman, J. H. and Tidwell, M. C. (2010). Comparisons of gambling and alcohol use among college students and noncollege young people in the United States. Journal of American College Health, 58, 443–452.Google Scholar
Caselli, G. and Spada, M. M. (2010). Metacognitions in desire thinking: a preliminary investigation. Behavioural and Cognitive Psychotherapy, 38, 629–637.Google Scholar
Cowlishaw, S., Merkouris, S., Dowling, N., Anderson, C., Jackson, A. and Thomas, S. (2012). Psychological therapies for pathological and problem gambling (Review). Cochrane Database of Systematic Reviews, Issue, 11.Google Scholar
Fernie, B. A. and Spada, M. M. (2008). Metacognitions about procrastination: a preliminary investigation. Behavioural and Cognitive Psychotherapy, 36, 359–364.Google Scholar
Gooding, P. and Tarrier, N. (2009). A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: hedging our bets? Behaviour Research and Therapy, 47, 592–607.Google Scholar
Hoyer, J., Hacker, J. and Lindenmeyer, J. (2007). Metacognition in alcohol abusers: how are alcohol-related intrusions appraised? Cognitive Therapy and Research, 31, 817–831.Google Scholar
Ladouceur, R. (1996). The prevalence of pathological gambling in Canada. Journal of Gambling Studies, 12, 129–142.CrossRefGoogle ScholarPubMed
Lesieur, H. and Blume, S. (1987). The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.Google Scholar
Lindberg, A., Fernie, B. A. and Spada, M. M. (2011). Metacognitions in problem gambling. Journal of Gambling Studies, 27, 73–81.Google Scholar
Lysaker, P., Olesek, K., Buck, K., Leonhardt, B. L., Vohs, J., Ringer, J., et al. (2014). Metacognitive mastery moderates the relationship of alexithymia with cluster C personality disorder traits in adults with substance use disorders. Addictive Behaviors, 39, 558–562.Google Scholar
Nikčević, A. V. and Spada, M. M. (2008). Metacognitions across the continuum of smoking dependence. Behavioural and Cognitive Psychotherapy, 36, 333–339.Google Scholar
Nikčević, A. V. and Spada, M. M. (2010). Metacognitions about smoking: a preliminary investigation. Clinical Psychology and Psychotherapy, 17, 536–542.Google Scholar
Potenza, M. (2006). Should addictive disorders include non-substance-related conditions? Addiction, 101, 142–151.Google Scholar
Shaffer, H. J. and Hall, M. N. (2001). Updating and refining prevalence estimates of disordered gambling behaviour in the United States and Canada. Canadian Journal of Public Health, 92, 168–172.Google Scholar
Spada, M. M., Caselli, G. and Wells, A. (2013). A triphasic metacognitive formulation of problem drinking. Clinical Psychology and Psychotherapy, 20, 494–500.Google Scholar
Spada, M. M., Moneta, G. B. and Wells, A. (2007). The relative contribution of metacognitive beliefs and expectancies to drinking behaviour. Alcohol and Alcoholism, 42, 567–574.Google Scholar
Spada, M. M., Nikčević, A. V., Moneta, G. B. and Wells, A. (2007). Metacognition as a mediator of the relationship between emotion and smoking dependence. Addictive Behaviors, 32, 2120–2129.Google Scholar
Spada, M. M. and Wells, A. (2006). Metacognitions about alcohol use in problem drinkers. Clinical Psychology and Psychotherapy, 13, 138–143.Google Scholar
Spada, M. M. and Wells, A. (2008). Metacognitive beliefs about alcohol use: development and validation of two self-report scales. Addictive Behaviors, 33, 515–527.Google Scholar
Spada, M. M. and Wells, A. (2009). A metacognitive model of problem drinking. Clinical Psychology and Psychotherapy, 16, 383–393.Google Scholar
Spada, M. M. and Wells, A. (2010). Metacognitions across the continuum of drinking behaviour. Personality and Individual Differences, 49, 425–429.Google Scholar
Spada, M. M., Zandvoort, M. and Wells, A. (2007). Metacognitions in problem drinkers. Cognitive Therapy and Research, 31, 709–716.Google Scholar
Toneatto, T. (2005). A perspective on gambling treatment: issues and challenges. Journal of Gambling Studies, 21, 92–100.Google Scholar
Toneatto, T. and Millar, G. (2004). The assessment and treatment of problem gambling: empirical status and promising trends. Canadian Journal of Psychiatry, 49, 173–181.Google Scholar
Toneatto, T., Vettese, L. and Nguyen, L. (2007). The role of mindfulness in the cognitive-behavioural treatment of problem gambling. Journal of Gambling Issues, 19, 92–100.Google Scholar
Wells, A. (2000). Emotional Disorders and Metacognition: innovative cognitive therapy. Chichester: Wiley.Google Scholar
Wells, A. (2008). Metacognitive Therapy for Anxiety and Depression. New York: Guilford Press.Google Scholar
Wells, A., Fisher, P., Myers, S., Wheatley, J., Patel, T. and Brewin, C. R. (2009). Metacognitive therapy in recurrent and persistent depression: a multiple-baseline study of a new treatment. Cognitive Therapy and Research, 33, 291–300.Google Scholar
Wells, A., Fisher, P., Myers, S., Wheatley, J., Patel, T. and Brewin, C. R. (2012). Metacognitive therapy in treatment-resistant depression: a platform trial. Behaviour Research and Therapy, 50, 367–373.Google Scholar
Wells, A. and King, P. (2006). Metacognitive therapy for generalized anxiety disorder: an open trial. Journal of Behaviour Therapy Experimental Psychiatry, 37, 206–212.Google Scholar
Wells, A. and Matthews, G. (1996). Modelling cognition in emotional disorder: the S-REF model. Behaviour Research and Therapy, 34, 881–888.Google Scholar
Wells, A., Welford, M., King, P., Papageorgiou, C., Wisely, J. and Mendel, E. (2010). A pilot randomized trial of metacognitive therapy vs applied relaxation in the treatment of adults with generalized anxiety disorder. Behaviour Research and Therapy, 48, 429–434.Google Scholar
Submit a response

Comments

No Comments have been published for this article.