Impulsivity and compulsivity in gambling disorder and bulimic spectrum eating disorders

Background: Gambling disorder (GD) and bulimic spectrum eating disorders (BSDs) not only share numerous psychopathological, neurobiological and comorbidity features, but also are distinguished by the presence of inappropriate behaviours related to impulsivity and compulsivity. This study aimed to em...

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Detalles Bibliográficos
Autores: Lozano Madrid, María|||0000-0003-3833-317X, Granero, Roser|||0000-0001-6308-3198, Lucas Adell, Ignacio|||0000-0001-9426-5082, Sánchez Díaz, Isabel María|||0000-0001-5874-8204, Sánchez González, Jéssica|||0000-0002-9327-0100, Gomez-Peña, Monica|||0000-0001-6194-8266, Moragas, Laura|||0000-0001-5235-7026, Mallorquí-Bagué, Núria|||0000-0003-1434-3162, Tapia, Javier|||0000-0001-7938-1480, Jiménez Murcia, Susana|||0000-0002-3596-8033, Fernández Aranda, Fernando|||0000-0002-2968-9898
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:301928
Acceso en línea:https://ddd.uab.cat/record/301928
https://dx.doi.org/urn:doi:10.1192/j.eurpsy.2023.2458
Access Level:acceso abierto
Palabra clave:Bulimic spectrum eating disorders
Compulsivity
Gambling disorder
Impulsivity
Sex differences
SDG 3 - Good Health and Well-being
Descripción
Sumario:Background: Gambling disorder (GD) and bulimic spectrum eating disorders (BSDs) not only share numerous psychopathological, neurobiological and comorbidity features, but also are distinguished by the presence of inappropriate behaviours related to impulsivity and compulsivity. This study aimed to emphasise the differences and similarities in the main impulsivity and compulsivity features between GD and BSD patients, and to analyse the potential influence of sex in these domains. Methods: Using self-reported and neurocognitive measures, we assessed different impulsivecompulsive components in a sample of 218 female and male patients (59 with BSD and 159 with GD) and 150 healthy controls. Results: We observed that GD and BSDs exhibited elevated levels of impulsivity and compulsivity in all the dimensions compared to healthy controls. Moreover, these disorders showed differences in several personality traits, such as high novelty seeking in GD, and low persistence and high harm avoidance in BSDs. In addition, patients with BSDs also displayed a trend towards greater impulsive choice than GD patients. Regarding sex effects, GD women presented higher overall impulsivity and compulsivity than GD men. Nevertheless, no sex differences were found in BSDs. Conclusions: Clinical interventions should consider these deficits to enhance their effectiveness, including adjunctive treatment to target these difficulties. Our findings also provide support to the relevance of sex in GD, which should also be considered in clinical interventions.