The Association among Childhood Trauma, Pathological Dissociation and Gambling Severity in Casino Gamblers

The Association among Childhood Trauma, Pathological Dissociation and Gambling Severity in Casino Gamblers

The aim of the present study was to explore the role of pathological dissociation in mediating the association between childhood trauma (CT) and gambling severity. One hundred seventy‐one (134 men and 37 women) gamblers recruited in gambling environments (i.e., two Italian casinos) have been enrolle...

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Published in:Clinical psychology and psychotherapy Vol. 24; no. 1; pp. 203 - 211
Main Authors: Imperatori, Claudio, Innamorati, Marco, Bersani, Francesco Saverio, Imbimbo, Francesca, Pompili, Maurizio, Contardi, Anna, Farina, Benedetto
Format: Journal Article
Language:English
Published: England John Wiley and Sons, Limited 01-01-2017
Subjects:
Adult
Child
Child abuse & neglect
Child Abuse - diagnosis
Child Abuse - psychology
Child Abuse, Sexual - diagnosis
Child Abuse, Sexual - psychology
Childhood Trauma
Clinical psychology
Dissociative Disorders - psychology
Female
Gambling
Gambling - diagnosis
Gambling - psychology
Gambling Severity
Humans
Italy
Male
Mediational Model
Middle Aged
Pathological Dissociation
Personality Assessment - statistics & numerical data
Psychometrics
Psychopathology
Reference Values
Statistics as Topic
Surveys and Questionnaires
Trauma and Stressor Related Disorders - diagnosis
Trauma and Stressor Related Disorders - psychology
Childhood Trauma
Pathological Dissociation
Mediational Model
Gambling Severity
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Summary:The aim of the present study was to explore the role of pathological dissociation in mediating the association between childhood trauma (CT) and gambling severity. One hundred seventy‐one (134 men and 37 women) gamblers recruited in gambling environments (i.e., two Italian casinos) have been enrolled in the study. Psychopathological assessments included the Childhood Trauma Questionnaire (CTQ), the Dissociative Experiences Scale‐Taxon (DES‐T), the South Oaks Gambling Screen (SOGS), the CAGE and the Hospital Anxiety and Depression Scale. A mediational model, analyzing the direct and indirect effects of CTQ on SOGS through the mediating role of DES‐T, showed that the relation between CTQ and SOGS was fully mediated by DES‐T scores (b = 0.07; se = 0.15; p < 0.001). This finding raises the possibility that CT explains gambling severity through the presence of pathological dissociative symptoms and dissociative pathogenetic processes. Copyright © 2015 John Wiley & Sons, Ltd. Key Practitioner Message Gambling severity is associated with both childhood trauma and pathological dissociation in casino gamblers. A mediational model shows that the effect of childhood trauma on gambling severity is entirely mediated by pathological dissociation. From a clinical point of view, our results highlight the importance of assessing, and possibly treating, dissociative symptoms in individuals with gambling disorder.
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ISSN:1063-3995
1099-0879
DOI:10.1002/cpp.1997