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Discounting of probabilistic rewards is associated with gambling abstinence in treatment-seeking pathological gamblers.

Abstract
Individuals with addictive disorders, including substance abusers and pathological gamblers, discount or devalue rewards delayed in time more than controls. Theoretically, preference for probabilistic rewards is directly related to gambling, but limited empirical research has examined probabilistic discounting in individuals with pathological gambling. This study evaluated probability and delay discounting in treatment-seeking pathological gamblers and their association with gambling treatment outcomes during and after treatment. At time of treatment entry, 226 pathological gamblers completed probability and delay discounting tasks. They were then randomized to one of three treatment conditions, and gambling behavior was measured throughout treatment and at a 1-year follow-up assessment. After controlling for possibly confounding variables and treatment condition, more shallow probability discounting was associated with greater reductions in amounts wagered during treatment and likelihood of gambling abstinence at the end of treatment and throughout the follow-up period. No associations were noted between delay discounting and gambling treatment outcomes. These data suggest that probability discounting may be an important construct in understanding pathological gambling and its treatment.
AuthorsNancy M Petry
JournalJournal of abnormal psychology (J Abnorm Psychol) Vol. 121 Issue 1 Pg. 151-9 (Feb 2012) ISSN: 1939-1846 [Electronic] United States
PMID21842965 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, N.I.H., Extramural)
CopyrightPsycINFO Database Record (c) 2012 APA, all rights reserved.
Topics
  • Adult
  • Cognitive Behavioral Therapy
  • Female
  • Follow-Up Studies
  • Gambling (psychology, therapy)
  • Humans
  • Impulsive Behavior (psychology)
  • Male
  • Middle Aged
  • Odds Ratio
  • Probability
  • Psychotherapy, Group
  • Reward
  • Surveys and Questionnaires

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