Assessing the mediating role of impulsivity between methamphetamine-induced psychotic disorders and increased gambling severity in methamphetamine-dependent individuals.


Journal

European archives of psychiatry and clinical neuroscience
ISSN: 1433-8491
Titre abrégé: Eur Arch Psychiatry Clin Neurosci
Pays: Germany
ID NLM: 9103030

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 12 04 2021
accepted: 11 08 2021
pubmed: 17 8 2021
medline: 23 8 2022
entrez: 16 8 2021
Statut: ppublish

Résumé

Pathological gambling (PG) and methamphetamine-induced psychotic disorders (MIPD) both frequently occurs in methamphetamine-dependent individuals. The current study examined whether impulsivity mediated the relationship between MIPD and gambling severity. The sample consisted of 320 pathological gamblers with methamphetamine dependence (mean age 32.6 years, ranging from 15 to 64 years) voluntarily recruited from three rehabilitation centers in Hunan, China. The semistructured clinical interview of DSM-IV-TR Axis I Disorders Patient Edition was used to diagnosis the presence of MIPD and PG by registered psychiatrists. The severity of gambling symptoms was assessed using the global assessment of functioning scale, and the Barratt Impulsiveness Scale-11 provided a measure of impulsivity. Of the sample, 53.4% of participants (n = 171) met diagnostic criteria for MIPD. Individuals with a dual diagnosis of MIPD were associated with higher levels of impulsivity and greater gambling severity. Notably, support for our hypothesized mediation model was found such that impulsivity mediated the association between MIPD and gambling severity. Our findings imply that impulsivity appears to be a transdiagnostic process, which may be targeted in treatment among pathological gamblers with a dual diagnosis of MIPD to reduce gambling behaviors. Limits and future directions for research are discussed.

Identifiants

pubmed: 34398267
doi: 10.1007/s00406-021-01320-5
pii: 10.1007/s00406-021-01320-5
doi:

Substances chimiques

Methamphetamine 44RAL3456C

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1109-1117

Subventions

Organisme : the National Natural Science Foundation of China
ID : 82001405
Organisme : the key program of the national natural science of china
ID : 81130020
Organisme : National Basic Research Program of China (973 Program)
ID : 2015CB553500

Informations de copyright

© 2021. Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Huixi Dong (H)

Mental Health Institute of the Xiangya Hospital, Central South University, Changsha, Hunan, China.
National Clinical Research Center for Geriatric Disorders of Xiangya Hospital, Central South University, Changsha, Hunan, China.

Yidong Shen (Y)

Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China. shenyidong87@csu.edu.cn.
National Clinical Research Center for Mental Disorders, Changsha, 410011, Hunan, China. shenyidong87@csu.edu.cn.
National Technology Institute on Mental Disorders, Changsha, 410011, Hunan, China. shenyidong87@csu.edu.cn.

Wei Hao (W)

Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China. weihao57@csu.edu.cn.
National Clinical Research Center for Mental Disorders, Changsha, 410011, Hunan, China. weihao57@csu.edu.cn.
National Technology Institute on Mental Disorders, Changsha, 410011, Hunan, China. weihao57@csu.edu.cn.

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