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Impact of ADHD symptoms on clinical and cognitive aspects of problem gambling.


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Authors

Chamberlain, Samuel R 
Derbyshire, Katherine 
Leppink, Eric 
Grant, Jon E 

Abstract

BACKGROUND: Problem gambling is common across cultures, and has been conceptualized in terms of impulsivity. While elevated rates of attention deficit hyperactivity disorder (ADHD) have been observed in problem gamblers, the relationship between these two conditions, and other dissociable forms of impulsivity, has received little research attention. METHODS: N=126 non-treatment seeking young adults with problem gambling were recruited from the community, and were grouped according to the presence or absence of probable current ADHD. Clinical and cognitive measures pertaining to impulsivity were collected via detailed psychiatric assessment, questionnaires, and computerized neuropsychological tests. These variables were compared between groups. RESULTS: Probable current ADHD was identified in 21.4% of the sample, and was associated with earlier age at onset of gambling behaviors, higher Barratt impulsivity scores (all three subscales), greater caffeine intake, worse response inhibition (Stop-Signal Test), and impaired decision-making (greater proportion of points gambled, Cambridge Gamble Test). Problem gamblers with and without ADHD did not differ on demographic characteristics or the rate of other psychiatric disorders, depression scores, nicotine and alcohol consumption, and body mass index. No significant group differences were found for general response speed, working memory, or executive planning. CONCLUSIONS: ADHD is common in young adults with dysfunctional gambling behaviors and is associated with elevated questionnaire and cognitive based measures of impulsivity, along with heightened caffeine use. Future work should study the causal nature between these factors and the treatment implications of these findings.

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Keywords

Adult, Attention Deficit Disorder with Hyperactivity, Cognition, Female, Gambling, Humans, Impulsive Behavior, Incidence, Male, Mental Disorders, Neuropsychological Tests, Surveys and Questionnaires, Young Adult

Journal Title

Compr Psychiatry

Conference Name

Journal ISSN

0010-440X
1532-8384

Volume Title

57

Publisher

Elsevier BV
Sponsorship
This work was supported by a Center of Excellence in Gambling Research grant from the National Center for Responsible Gaming (USA) to Dr. Grant. Dr. Chamberlain's involvement in this research was supported by a grant from the Academy of Medical Sciences (AMS, UK).