Exploring the Relationship between Reward and Punishment Sensitivity and Gambling Disorder in a Clinical Sample: A Path Modeling Analysis

Susana Jiménez-Murcia, Fernando Fernández-Aranda, Gemma Mestre-Bach, Roser Granero, Salomé Tárrega, Rafael Torrubia, Neus Aymamí, Mónica Gómez-Peña, Carles Soriano-Mas, Trevor Steward, Laura Moragas, Marta Baño, Amparo del Pino-Gutiérrez, José M. Menchón

Research output: Contribution to journalArticleResearchpeer-review

12 Citations (Scopus)

Abstract

© 2016, Springer Science+Business Media New York. Most individuals will gamble during their lifetime, yet only a select few will develop gambling disorder. Gray’s Reinforcement Sensitivity Theory holds promise for providing insight into gambling disorder etiology and symptomatology as it ascertains that neurobiological differences in reward and punishment sensitivity play a crucial role in determining an individual’s affect and motives. The aim of the study was to assess a mediational pathway, which included patients’ sex, personality traits, reward and punishment sensitivity, and gambling-severity variables. The Sensitivity to Punishment and Sensitivity to Reward Questionnaire, the South Oaks Gambling Screen, the Symptom Checklist-Revised, and the Temperament and Character Inventory-Revised were administered to a sample of gambling disorder outpatients (N = 831), diagnosed according to DSM-5 criteria, attending a specialized outpatient unit. Sociodemographic variables were also recorded. A structural equation model found that both reward and punishment sensitivity were positively and directly associated with increased gambling severity, sociodemographic variables, and certain personality traits while also revealing a complex mediational role for these dimensions. To this end, our findings suggest that the Sensitivity to Punishment and Sensitivity to Reward Questionnaire could be a useful tool for gaining a better understanding of different gambling disorder phenotypes and developing tailored interventions.
Original languageEnglish
Pages (from-to)579-597
JournalJournal of Gambling Studies
Volume33
Issue number2
DOIs
Publication statusPublished - 1 Jun 2017

Keywords

  • Gambling disorder
  • Gray’s Reinforcement Sensitivity Theory
  • Path analysis
  • Personality
  • Sensitivity to punishment
  • Sensitivity to reward

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