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Executive function in pathological gamblers and healthy controls.

David M Ledgerwood1, Emily S Orr, Kristen A Kaploun

  • 1Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI 48207, USA. dledgerw@med.wayne.edu

Journal of Gambling Studies
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Summary

Pathological gamblers show specific executive function deficits, particularly in planning and decision-making. These findings suggest targeted interventions may help address impulse control issues in pathological gambling.

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Area of Science:

  • Neuroscience
  • Psychology
  • Behavioral Science

Background:

  • Executive function (EF) deficits are implicated in impulse control disorders.
  • Pathological gambling is characterized by significant impulse control problems.

Purpose of the Study:

  • To investigate whether pathological gamblers (PGs) exhibit executive function dysfunction.
  • To compare PGs and controls on various EF measures.

Main Methods:

  • 45 pathological gamblers and 45 controls were assessed.
  • Measures included response inhibition, working memory, cognitive flexibility, perseveration, planning, decision-making, memory, and intelligence.

Main Results:

  • PGs showed specific deficits in planning and decision-making compared to controls.
  • A trend towards perseveration deficits in PGs was observed, but it was not significant after controlling for intelligence.

Conclusions:

  • Pathological gamblers may have specific deficits in certain executive function components, particularly planning and decision-making.
  • These EF deficits could contribute to the impulse control issues seen in pathological gambling.