Il ruolo dei bias cognitivi nel gioco d’azzardo problematico: Un’analisi integrata tra ricerca e intervento clinico
Parole chiave:
Gioco d’azzardo, Bias cognitivi, Disturbo da gioco d’azzardo, Dipendenza, Giocatori strategici e non strategiciAbstract
L’articolo esplora il ruolo dei bias cognitivi nel gioco d’azzardo problematico, offrendo una revisione della letteratura scientifica e una riflessione basata sull’esperienza clinica del Polo DGA Area Est (Centro Diurno Lilliput – ASL Na 1 Centro). A partire dal modello teorico di Zinberg (1984), il disturbo da gioco d’azzardo viene analizzato come esito dell’interazione tra variabili personali (set), contestuali (setting) e caratteristiche del gioco (gambling). I bias cognitivi si configurano come fattori centrali, sia nell’esordio che nel mantenimento del comportamento disfunzionale, e assumono significati differenti in relazione alle caratteristiche del giocatore e alla tipologia di gioco preferita.
doi: 10.53240/2025topic4n2.2.003
Riferimenti bibliografici
Beck AT, et al. Cognitive Therapy of Substance Abuse. New York - London: Guilford Press; 1993.
Bellio, G. e Croce, M., Manuale sul gioco d’azzardo. Diagnosi, valutazione e trattamenti, FrancoAngeli, Milano.
Bonnaire C, Barrault S, Aïte A, Cassotti M, Moutier S, Varescon I. Relationship between pathological gambling, alexithymia, and gambling type. Am J Addict 2017;26(2)152–60 [Internet].
Blaszczynski, A., e Nower, I. (2002) “A Pathways Model of Problem and Pathological Gambling”. Addiction, 97:487-499.
Cosenza M, Nigro G. Wagering the future: Cognitive distortions, impulsivity, delay discounting, and time perspective in adolescent gambling. J Adolesc. 2015;45:56–66. pmid:26363842.
Cyders, M. A., & Smith, G. T. (2007). Mood-based rash action and its components: Positive and negative urgency. Personality and Individual Differences, 43(4), 839-850.
Del Prete F, Steward T, Navas JF, Fernández-Aranda F, Jiménez-Murcia S, Oei TPS, et al. The role of affect-driven impulsivity in gambling cognitions: a convenience-sample study with a Spanish version of the Gambling-Related Cognitions Scale. J Behav Addict 2017;6(1):51–63.
Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences, 30(8), 1311-1327.
Griffth M, (2005). A component model of addiction within a biopsychosocial freamework, Journal of Substance Use 10, 191-197 DOI 10.1080/14659890500114359.
Leonard, C.A., & Williams, R.J. (2016). The relationship between gambling fallacies and problem gambling. Psychology of Addictive Behaviors, 30, 694–704.
Lévesque D, Sévigny S, Giroux I, Jacques C. Gambling-Related Cognition Scale (GRCS): Are skills-based games at a disadvantage? Psychol Addict Behav 2017;31(6)647–54 [Internet].
Navas JF, Billieux J, Verdejo-García A, Perales JC. Neurocognitive components of gambling disorder: Implications for assessment, treatment and policy. In: Bowden-Jones H, Dickson C, Dunand C, Simon O, editors. Harm Reduction for Problem Gambling: A Public Health Approach. Routledge; 2019.
Shaffer HJ, LaPlante DA, LaBrie RA, Kidman R, Donato A, Stanton M. 2004c. Toward a syndrome model of addiction: Multiple expressions, common etiology. Harvard Review of Psychiatry 12:367 -74 89.
Sharpe L. (2002). A reformulated cognitive-behavioral model of problem gam- bling A biopsychosoical perspective. Clinical Psychology Review, 22, 1-25.
Sylvain C., Ladouceur R., Boisvert J.M. (1997). Cognitive and Behavioral Treatment of Pathological Gambling: A Controlled Study. Journal of Consulting and Clinical Psychology. 65. 727-732. DOI: 10.1037//0022-006X.65.5.727.
Savron, G. (2012), Fattori di rischio specifici e aspecifici nel gioco d’azzardo patologico, in Bellio, G. e Croce, M. (a cura di), Manuale sul gioco d’azzardo. Diagnosi, valutazione e trattamenti, FrancoAngeli, Milano.
Casciani, O. (2018), Fattori di sviluppo e mantenimento del DGA, in Casciani, O, e De Luca, O. (a cura di), Il trattamento psicologico e psicoterapeutico del disturbo da gioco d’azzardo in una prospettiva multidisciplinare, Publiedit, Cuneo, Roma.
Casciani, O. e De Luca O. (2018), La terapia cognitivo comportamentale, in Casciani, O, e De Luca, O. (a cura di), Il trattamento psicologico e psicoterapeutico del disturbo da gioco d’azzardo in una prospettiva multidisciplinare, Publiedit, Cuneo, Roma.
Delfabbro PH, Winfield AH. Predictors of irrational thinking in regular slot machine gamblers. J Psychol 2000; 134: 117-28.
Guerreschi C. (2000), Giocati dal Gioco. Quando il divertimento diventa una malattia: il gioco ď'azzardo patologico, San Paolo, Milano.
Guerreschi C. (2003), II gioco d'azzardo patologico. "Liberati dal gioco patologico" e dalle altre nuove dipendenze, Ed. Kappa, Roma.
Ladouceur R, Walker M. (1996). A cognitive perspective on gambling. In: Salkovskis PM, editor. Trends in cognitive and behavioral therapies. Wiley; New York: 1996. pp. 89-120.
Ladouceur R., Sylvain C., Boutin S., Doucet C. (2000). I1 Gioco d'azzardo eccessivo. Vincere il gambling, 2003, Centro Scientifico Editore.
Lambos C., Delfabbro P.H., Pulgies S. (2007). Adolescent gambling in South Australia. Report prepared for the Independent Gambling Authority of South Australia. Adelaide.
MacLaren V V., Fugelsang JA, Harrigan KA, Dixon MJ. The personality of pathological gamblers: A meta-analysis. Clin Psychol Rev. 2011;31(6):1057–67. pmid:21802620.
MacKillop J, Miller JD, Fortune E, Maples J, Lance CE, Campbell WK, et al. Multidimensional examination of impulsivity in relation to disordered gambling. Exp Clin Psychopharmacol. 2014;22(2):176–85. pmid:24708148.
Mallorquí-Bagué N, Vintró-Alcaraz C, Verdejo-García A, Granero R, Fernándcz-Aranda F, Magaña P, Mena-Moreno T, Aymami N, Gómez-Peña M, Del Pino-Gutiérrez A (2019). Impul- sivity and cognitive distortions in different clinical phenotypes of gambling disorder: profiles and longitudinal prediction of treatment outcomes. Eur Psychiatry 61:9-16.
Moragas L, Granero R, Stinchfield R, Fernández-Aranda F, Fröberg F, Aymamí N, et al. Comparative analysis of distinct phenotypes in gambling disorder based on gambling preferences. BMC Psychiatry 2015;15(1)86 [Internet].
Mouneyrac A, Lemercier C, Le Floch V, Challet-Bouju G, Moreau A, Jacques C, et al. Cognitive characteristics of strategic and non-strategic gamblers. J Gambl Stud 2017;199–208 [Internet].
Navas JF, Verdejo-García A, López-Gómez M, Maldonado A, Perales JC. Gambling with rose-tinted glasses on: Use of emotion-regulation strategies correlates with dysfunctional cognitions in gambling disorder patients. J Behav Addict. 2016;5(2):271–81. pmid:27363462.
Navas JF, Billieux J, Perandrés-Gómez A, López-Torrecillas F, Cándido A, Perales JC. Impulsivity traits and gambling cognitions associated with gambling preferences and clinical status. Int Gambl Stud 2017;17(1):102–24.
Petry, N. M. (2006). Internet gambling: an emerging concern in family practice medicine? Family.
Pettorruso M, Martinotti G, Cocciolillo F, De Risio L, Cinquino A, Di Nicola M, et al. Striatal presynaptic dopaminergic dysfunction in gambling disorder: a 123 I-FP-CIT SPECT study. Addict Biol 2018 [Internet].
Raylu, N., & Oei, T. P. S. (2004). The Gambling Related Cognitions Scale (GRCS): Development, confirmatory factor validation and psychometric properties. Addiction, 99(6), 757-769.
Ruiz de Lara, C. M., Navas, J. F., & Perales, J. C. (2019). The paradoxical relationship between emotion regulation and gambling-related cognitive biases. PLoS ONE, 14(8), https://doi.org/10.1371. journal.pone.0220668.
Toneatto T., Blitz-Miller T., Calderwood K., Dragonetti R.., Tsanos A. (1997), "Cognitive distortions in heavy gambling", Journal of Gambling Studies, 13:253-266.
Tversky A., Kahneman D. (1974). Science Judgment under Uncertainty: Heuristics and Biases. Science 185 (4157): 1124-1131. doi:10.1126/sci- ence.185.4157.1124. PMID 17835457.
Verdejo-García A, Lawrence AJ, Clark L. Impulsivity as a vulnerability marker for substance-use disorders: Review of findings from high-risk research, problem gamblers and genetic association studies. Neurosci Biobehav Rev. 2008;32(4):777–810. pmid:18295884.
Van Holst RJ, Sescousse G, Janssen LK, Janssen M, Berry AS, Jagust WJ, et al. Increased striatal dopamine synthesis capacity in gambling addiction. Biol Psychiatry 2018;83(12)1036–43. . [Internet], Jun 15 [cited 2019 Mar 15] Available from http://www.ncbi.nlm.nih.gov/pubmed/28728675.
Johansson A, Grant JE, Kim SW, Odlaug BL, Götestam KG. Risk factors for problematic gambling: A critical literature review. J Gambl Stud. 2009;25(1):67–92. pmid:18392670.
Williams AD, Grisham JR, Erskine A, Cassedy E. Deficits in emotion regulation associated with pathological gambling. Br J Clin Psychol. 2012;51(2):22338. pmid:22574806.
Zinberg, N. (1984) Drug, set and setting: The basis for controlled intoxicant use. New Haven: Yale University Press.
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