Youth at Stake: Alexithymia, Cognitive Distortions, and Problem Gambling in Late Adolescents

The purpose of this study was to examine the role of alexithymia and cognitive distortions in adolescent gambling. Five hundred and forty-six Italian high school students, between the ages of 17 and 19 years, were administered the South Oaks Gambling Screen Revised for Adolescents (SOGS-RA), the Toronto Alexithymia Scale (TAS-20), and the Gambling Related Cognitions Scale (GRCS). Results showed that problem gamblers scored highest on the GRCS and the TAS-20 scales. First-order correlations indicated strong positive associations among SOGS-RA and all GRCS subscales, as well among SOGS-RA and the TAS-20 factors, Difficulty Identifying Feelings and Difficulty Describing Feelings. The results of hierarchical regression analysis showed also that, along with gender, the most powerful predictors of gambling involvement were the GRCS subscales, Inability to Stop gambling and Interpretative Bias, and that SOGS-RA scores were moderately associated with the TAS-20 factor, Difficulty Identifying Feelings only. Mediation analyses revealed a significant indirect effect on the relation between alexithymia and gambling severity through specific gambling-related biases.

[1]  P. Delfabbro,et al.  Numerical Reasoning Ability and Irrational Beliefs in Problem Gambling , 2007 .

[2]  P. Bria,et al.  Behavioural Addictions in Adolescents and Young Adults: Results from a Prevalence Study , 2011, Journal of Gambling Studies.

[3]  J. Parker,et al.  Alexithymia in Young Adulthood: A Risk Factor for Pathological Gambling , 2004, Psychotherapy and Psychosomatics.

[4]  K. Ohtsuka Gambling problems in youth: Theoretical and applied perspectives , 2005 .

[5]  Daniel L. King,et al.  Knowledge and Beliefs About Gambling in Australian Secondary School Students and their Implications for Education Strategies , 2009, Journal of Gambling Studies.

[6]  Jeffrey L Derevensky,et al.  Psychosocial variables associated with adolescent gambling. , 2004, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[7]  M. Scalese,et al.  Italian Adolescent Gambling Behaviour: Psychometric Evaluation of the South Oaks Gambling Screen: Revised for Adolescents (SOGS-RA) Among a Sample of Italian Students , 2014, Journal of Gambling Studies.

[8]  T. Oei,et al.  The Gambling Related Cognitions Scale (GRCS): development, confirmatory factor validation and psychometric properties. , 2004, Addiction.

[9]  Jac Brown,et al.  Poker Mania and Problem Gambling: A Study of Distorted Cognitions, Motivation and Alexithymia , 2009, Journal of Gambling Studies.

[10]  N. Raylu,et al.  The Relationship Between Gambling Cognitions, Psychological States, and Gambling , 2008 .

[11]  D. O'neill Modern trends in psychosomatic medicine , 1955 .

[12]  P. Salkovskis Trends in Cognitive and Behavioural Therapies. , 1996 .

[13]  J. Derevensky,et al.  Risk and protective factors associated with youth problem gambling. , 2010, International journal of adolescent medicine and health.

[14]  Ken C. Winters,et al.  Toward the development of an adolescent gambling problem severity scale , 1993, Journal of Gambling Studies.

[15]  M. Sobel Asymptotic Confidence Intervals for Indirect Effects in Structural Equation Models , 1982 .

[16]  R. Bagby,et al.  The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure. , 1994, Journal of psychosomatic research.

[17]  Kristopher J Preacher,et al.  SPSS and SAS procedures for estimating indirect effects in simple mediation models , 2004, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[18]  A. Goodie,et al.  Measuring cognitive distortions in pathological gambling: review and meta-analyses. , 2013, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[19]  J. Derevensky,et al.  Youth Gambling Problems: Examining Risk and Protective Factors , 2008 .

[20]  B. Tabachnick,et al.  Using Multivariate Statistics , 1983 .

[21]  James D. A. Parker,et al.  Problem gambling in adolescence: Relationships with internet misuse, gaming abuse and emotional intelligence , 2008 .

[22]  Kateryna V. Keefer,et al.  Are Gambling Related Cognitions in Adolescence Multidimensional?: Factor Structure of the Gambling Related Cognitions Scale , 2014, Journal of Gambling Studies.

[23]  M A Lumley,et al.  Alexithymia and pathological gambling. , 1995, Psychotherapy and psychosomatics.

[24]  J. Derevensky,et al.  Gambling Problems in Youth , 2005 .

[25]  S. Bressi,et al.  Cross validation of the factor structure of the 20-item Toronto Alexithymia Scale: an Italian multicenter study. , 1996, Journal of psychosomatic research.

[26]  J. Derevensky,et al.  Internet Gambling Amongst Adolescents: A Growing Concern , 2007, International Journal of Mental Health and Addiction.

[27]  J. Derevensky,et al.  Child and Adolescent Gambling Behavior: Current Knowledge , 2002 .

[28]  J. Whelan,et al.  Outcome expectancies and gambling behavior among urban adolescents. , 2010, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[29]  Alishia D. Williams,et al.  Deficits in emotion regulation associated with pathological gambling. , 2012, The British journal of clinical psychology.

[30]  C. Bungener,et al.  Joueurs de machines à sous dans une population française : étude de la dépression, de l’alexithymie et de la recherche de sensations , 2010 .

[31]  J. Derevensky,et al.  An Empirical Study Examining the Impact of Gambling Advertisements on Adolescent Gambling Attitudes and Behaviors , 2009, International Journal of Mental Health and Addiction.

[32]  B. Einspruch Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness , 1998 .

[33]  L. Rohde,et al.  Prevalence and Correlates of Gambling Problems Among a Nationally Representative Sample of Brazilian Adolescents , 2011, Journal of Gambling Studies.

[34]  G. Taylor The alexithymia construct: Conceptualization, validation, and relationship with basic dimensions of personality. , 1994 .

[35]  J. Nemiah,et al.  Psychosomatic illness: a problem in communication. , 1970, Psychotherapy and psychosomatics.

[36]  Catherine Bungener,et al.  Alexithymia and Gambling: A Risk Factor for All Gamblers? , 2013, Journal of Gambling Studies.

[37]  Kateryna V. Keefer,et al.  Can alexithymia be assessed in adolescents? Psychometric properties of the 20-item Toronto Alexithymia Scale in younger, middle, and older adolescents. , 2010, Psychological assessment.

[38]  S. Molinaro,et al.  Complex Factors and Behaviors in the Gambling Population of Italy , 2013, Journal of Gambling Studies.

[39]  T. Oei,et al.  Alcohol expectancy and drinking refusal self-efficacy: a test of specificity theory. , 2000, Addictive behaviors.

[40]  M. Bagby,et al.  Alexithymia and Pathological Gambling , 2009, Journal of addictive diseases.

[41]  A. Blaszczynski,et al.  The Pathways Model as Harm Minimization for Youth Gamblers in Educational Settings , 2004 .

[42]  Jon E. Grant,et al.  Risk Factors for Problematic Gambling: A Critical Literature Review , 2009, Journal of Gambling Studies.

[43]  L. Clark Decision-making during gambling: an integration of cognitive and psychobiological approaches , 2010, Philosophical Transactions of the Royal Society B: Biological Sciences.

[44]  E. Becoña,et al.  Pathological Gambling and Depression , 1996, Psychological reports.

[45]  H. Lesieur,et al.  The South Oaks Gambling Screen (SaGS): A New Instrument for the Identification of Pathological Gamblers , 2010 .

[46]  Keis Ohtsuka,et al.  The prediction of gambling behavior and problem gambling from attitudes and perceived norms , 1999 .

[47]  R. Bagby,et al.  The alexithymia construct. A potential paradigm for psychosomatic medicine. , 1991, Psychosomatics.

[48]  J. Derevensky,et al.  Internet Gambling and Problem Gambling Among 13 to 18 Year Old Adolescents in Iceland , 2011, International Journal of Mental Health and Addiction.

[49]  M. Kringelbach,et al.  Severity of gambling is associated with severity of depressive symptoms in pathological gamblers , 2009, Behavioural pharmacology.

[50]  V. Ariyabuddhiphongs,et al.  Lottery Gambling: A Review , 2011, Journal of Gambling Studies.

[51]  P. Shrout,et al.  Mediation in experimental and nonexperimental studies: new procedures and recommendations. , 2002, Psychological methods.

[52]  C. Lance,et al.  Examining DSM-IV Criteria for Pathological Gambling: Psychometric Properties and Evidence from Cognitive Biases , 2007, Journal of Gambling Studies.

[53]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[54]  G J Taylor,et al.  The Twenty-item Toronto Alexithymia Scale--II. Convergent, discriminant, and concurrent validity. , 1994, Journal of psychosomatic research.

[55]  R. Volberg,et al.  An international perspective on youth gambling prevalence studies. , 2010, International journal of adolescent medicine and health.

[56]  P. Sifneos Is Dynamic Psychotherapy Contraindicated for a Large Number of Patients with Psychosomatic Diseases , 1972 .

[57]  T. Oei,et al.  Validation of the Chinese Version of the Gambling Related Cognitions Scale (GRCS-C) , 2006, Journal of Gambling Studies.

[58]  D. Murray,et al.  Environmental Correlates of Gambling Behavior in Urban Adolescents , 2007, Journal of abnormal child psychology.

[59]  Eve H. Limbrick-Oldfield,et al.  Disordered gambling: a behavioral addiction , 2013, Current Opinion in Neurobiology.

[60]  J. Derevensky,et al.  A comparative latent class analysis of endorsement profiles of DSM-IV diagnostic criteria for problem gambling among adolescents from a community and a treatment sample , 2011 .

[61]  Jeffrey N. Jonkman,et al.  Adolescent gambling: a review of an emerging field of research. , 2010, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[62]  A. Goodie,et al.  Cognitive distortions as a component and treatment focus of pathological gambling: a review. , 2012, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[63]  J. Parker,et al.  Cross-cultural alexithymia: validity of the 20-item Toronto Alexithymia Scale in North American aboriginal populations. , 2005, Journal of psychosomatic research.