title: Clinical profiles as a function of level and type of impulsivity in a sample group of at-risk and pathological gamblers seeking treatment.
abstract: Level and type of impulsivity are essential variables to be taken into consideration during the initial evaluation of a pathological gambler. The aim of this study was to measure the score for 4 impulsivity-related traits (Urgency, (lack of) Premeditation, (lack of) Perseverance and Sensation seeking) in a sample group of at-risk and pathological gamblers, and to highlight any links with certain elements of clinical data. The UPPS Impulsive Behaviour Scale was administered to 84 problem gamblers seeking treatment. The severity of gambling disorders was evaluated using the diagnostic criteria of the DSM-IV. Psychiatric and addictive comorbidities were also explored. The results indicated that the score for the Urgency facet had a positive correlation with the severity of gambling disorders. It appeared that participants displayed different clinical profiles according to the level and type of impulsivity. Several of the UPPS scales were identified as risk factors for mood disorders, risk of suicide, alcohol use disorders, and Attention Deficit/Hyperactivity Disorder (ADHD). The results confirm both the complexity of the multi-dimensional concept of impulsivity and the reason why the UPPS is of interest for a more in-depth study of the subject.
authors.affiliation: Centre de référence sur le jeu excessif. Pôle Universitaire d'Addictologie et de Psychiatrie, Hôpital Saint Jacques, 85 Rue Saint Jacques, 44093 Nantes Cedex 1, France. marie.bronnec@chu-nantes.fr
authors.forename: Marie
authors.initials: M
authors.lastname: Grall-Bronnec
authors.forename: Laura
authors.initials: L
authors.lastname: Wainstein
authors.forename: Fanny
authors.initials: F
authors.lastname: Feuillet
authors.forename: Gaëlle
authors.initials: G
authors.lastname: Bouju
authors.forename: Bruno
authors.initials: B
authors.lastname: Rocher
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Vénisse
authors.forename: Véronique
authors.initials: V
authors.lastname: Sébille-Rivain
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D005715:Gambling / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D007175:Impulsive Behavior / Q000175:diagnosis / Q000523:psychology*; D007389:Internal-External Control; D008137:Longitudinal Studies; D008297:Male; D009042:Motivation; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D016487:Parenting / Q000523:psychology; D010379:Peer Group; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology