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Association between gambling disorder and emotion (dys)regulation: A systematic review and meta-analysis
Clinical Psychology Review ( IF 12.8 ) Pub Date : 2021-05-08 , DOI: 10.1016/j.cpr.2021.102037
P Velotti 1 , G Rogier 1 , S Beomonte Zobel 1 , J Billieux 2
Affiliation  

The aim of this systematic review and meta-analysis was to provide a comprehensive evaluation of the role of emotion (dys)regulation in gambling disorder (GD). PsycINFO, PsycARTICLES, MEDLINE, Scopus, Web of Science, and PubMed were systematically searched for articles published until November 3, 2020. Forty-nine studies were considered for the systematic review; of these, 38 comprising 5242 participants met the inclusion criteria for the meta-analysis. Associations were found between GD and specific emotion regulation (ER) deficits, namely (1) nonacceptance of negative emotional states, (2) difficulties in maintaining goal-directed behaviors when faced with intense emotional contexts, (3) lack of clarity about emotional states (poor emotional awareness), (4) low impulse control in reaction to negative emotional states, and (5) difficulties in accessing adaptive ER strategies. We furthermore found that GD is associated with a tendency for emotional suppression, which is known as a maladaptive ER strategy and linked with reduced mindfulness abilities. Additional moderator analyses were conducted regarding age, gender, type of instrument used to measure GD, clinical status of the samples, and quality of the studies. Overall, the data demonstrated consistent and significant associations between GD and ER. This systematic review and meta-analysis mostly supports the conceptualization of GD as an addictive disorder characterized by ER deficits and stresses the need to develop interventions in ER deficits that are tailored to the specificities of GD.



中文翻译:

赌博障碍与情绪(失调)调节之间的关联:系统评价和荟萃分析

本系统评价和荟萃分析的目的是全面评估情绪(失调)调节在赌博障碍(GD)中的作用。系统检索了 PsycINFO、PsycARTICLES、MEDLINE、Scopus、Web of Science 和 PubMed,以查找截至 2020 年 11 月 3 日发表的文章。系统评价考虑了 49 项研究;其中,38 名(包括 5242 名参与者)符合荟萃分析的纳入标准。发现 GD 与特定情绪调节 (ER) 缺陷之间存在关联,即 (1) 不接受负面情绪状态,(2) 在面对强烈情绪环境时难以维持目标导向的行为,(3) 对情绪状态缺乏清晰度(情绪意识差),(4)对负面情绪状态反应的冲动控制低,(5) 难以获得适应性 ER 策略。我们进一步发现 GD 与情绪抑制倾向有关,这被称为适应不良的 ER 策略,并与正念能力降低有关。对年龄、性别、用于测量 GD 的仪器类型、样本的临床状态和研究质量进行了额外的调节分析。总体而言,数据表明 GD 和 ER 之间存在一致且显着的关联。这项系统评价和荟萃分析主要支持将 GD 概念化为一种以 ER 缺陷为特征的成瘾性疾病,并强调需要针对 GD 的特点制定针对 ER 缺陷的干预措施。这被称为适应不良的 ER 策略,并与正念能力下降有关。对年龄、性别、用于测量 GD 的仪器类型、样本的临床状态和研究质量进行了额外的调节分析。总体而言,数据表明 GD 和 ER 之间存在一致且显着的关联。这项系统评价和荟萃分析主要支持将 GD 概念化为一种以 ER 缺陷为特征的成瘾性疾病,并强调需要针对 GD 的特点制定针对 ER 缺陷的干预措施。这被称为适应不良的 ER 策略,并与正念能力下降有关。对年龄、性别、用于测量 GD 的仪器类型、样本的临床状态和研究质量进行了额外的调节分析。总体而言,数据表明 GD 和 ER 之间存在一致且显着的关联。这项系统评价和荟萃分析主要支持将 GD 概念化为一种以 ER 缺陷为特征的成瘾性疾病,并强调需要针对 GD 的特点制定针对 ER 缺陷的干预措施。数据表明 GD 和 ER 之间存在一致且显着的关联。这项系统评价和荟萃分析主要支持将 GD 概念化为一种以 ER 缺陷为特征的成瘾性疾病,并强调需要针对 GD 的特点制定针对 ER 缺陷的干预措施。数据表明 GD 和 ER 之间存在一致且显着的关联。这项系统评价和荟萃分析主要支持将 GD 概念化为一种以 ER 缺陷为特征的成瘾性疾病,并强调需要针对 GD 的特点制定针对 ER 缺陷的干预措施。

更新日期:2021-05-19
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