A Systematic Review on Intervention Treatment in Pathological Gambling.

Over the last century, there has been a growing interest in researching pathological gambling, particularly in industrialized nations. Historically, gambling was widely perceived as morally questionable, condemned by religious groups. However, contemporary concerns have shifted towards the health repercussions of gambling disorders and broader societal impacts like increased crime and money laundering. Governments, aiming to mitigate social harm, often regulate or directly oversee gambling activities. The global surge in legal gambling has resulted in a substantial rise in its prevalence, popularity, and accessibility in the last two decades. This paper provides a comprehensive overview of global research on interventions for pathological gambling. Through a systematic search on platforms such as EBSCO, PubMed, and Web of Science, 13 relevant records were identified. The revised findings indicate a heightened occurrence of behavioral addictions, linking them to the early onset of gambling issues and their severe consequences. The research emphasizes the active role that clients play in the process of self-directed change and therapy. Therapists recognizing clients as both catalysts for change and potential obstacles can enhance their effectiveness. A common source of resistance arises when clients and therapists are in different stages of the change process, underlining the importance of therapists aligning with clients' readiness for change. Recognizing the urgent need for a better understanding of this problem in adolescents, this study emphasizes the necessity to tailor prevention and treatment plans based on gender and age-specific requirements.

Risk Factors for Gambling Disorder: A Systematic Review.

Gambling disorder is a common and problematic behavioral disorder associated with depression, substance abuse, domestic violence, bankruptcy, and high suicide rates. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), pathological gambling was renamed "gambling disorder" and moved to the Substance-Related and Addiction Disorders chapter to acknowledge that research suggests that pathological gambling and alcohol and drug addiction are related. Therefore, this paper provides a systematic review of risk factors for gambling disorder. Systematic searches of EBSCO, PubMed, and Web of Science identified 33 records that met study inclusion criteria. A revised study acknowledges as risk factors for developing/maintaining a gambling disorder being a single young male, or married for less than 5 years, living alone, having a poor education, and struggling financially.

Exploring psychopathy traits on intertemporal decision-making, neurophysiological correlates, and emotions on time estimation in community adults.

There are certain characteristics of psychopathy that may be related to changes in intertemporal choices. Specifically, traits such as impulsivity or lack of inhibitory control may be associated with a more pronounced discounting function in intertemporal choices (IC) and, in turn, this function may be based on changes in the basic mechanisms of time estimation (TE). Therefore, this study aimed to examine potential differences in neurophysiological correlates, specifically through N1, P3, and LPP measurements, which may be related to TE and IC, examining their modulation according to psychopathic traits, different emotional conditions, and different decision-making conditions. This experimental study included 67 adult participants (48 women) from the northern region of Portugal, who performed an intertemporal decision-making task and, of those, 19 participants (16 women), with a mean age of 25 years (SD = 5.41) and a mean of 16 years of schooling (SD = 3.37) performed the time estimation task. The instruments/measures applied were MoCA, used as a neurocognitive screening tool; the Triarchic Psychopathy Measure (TriPM), a self-report instrument with 58 items that map the core features of psychopathy along three facets - boldness, meanness, and disinhibition - and considers them continuously distributed among the general population; intertemporal decision-making and time estimation tasks - for the time estimation task, the stimuli consisted of 45 color images extracted from the Nencki Affective Picture System (NAPS). In the TE task, there was an almost significant effect of disinhibition on the values of θ, with higher values on this variable associated with greater values of θ in the unpleasant emotional condition. In the IC task, there were no significant effects of any psychopathy measure on the values of the gains and losses ratios. In addition, the analysis of the neurophysiological correlates of the IC task did not reveal a main effect of the decision-making condition, nor effects of any psychopathy measure on the N1 and P3 amplitudes. The analysis of the neurophysiological correlates of the TE task revealed that higher meanness values are associated with smaller N1 amplitude in the pleasant emotional condition, whereas higher disinhibition values are associated with greater N1 amplitude in the pleasant emotional condition. Still in this task, higher disinhibition values were associated with a smaller LPP amplitude in the unpleasant emotional condition. The increase in the distribution of attention resources towards time and/or the increase in activation states, including those originated by responses to emotional stimuli, may be the main factor that alters the way impulsive individuals and, presumably, individuals with high psychopathy, consider time when making decisions.

Refining the link between psychopathy, antisocial behavior, and empathy: A meta-analytical approach across different conceptual frameworks.

The current meta-analysis includes 477 records (N = 142,692) and comprehensively explores the complex interplay between psychopathy, antisocial behavior, and empathy. First, empathy domains (cognitive and affective) were used to dissociate antisocial behavior from psychopathy. Cognitive empathy was more impaired in antisocial groups (gcognitive = -0.43; gaffective = -0.11), while samples scoring higher in psychopathy displayed larger deficits in affective empathy (gaffective = -0.40; gcognitive = -0.22). Secondly, the specific associations between empathy domains and psychopathy dimensions were evaluated. Most effect sizes pertaining to psychopathy traits closely related to antisocial behavior were mild for both empathy domains (r = -0.03 to -0.21). Callous-affective traits were largely correlated with affective empathy (r = -0.34 to -0.46) and moderately correlated to cognitive empathy (r = -0.26 to -0.27). Diverging results were found for the interpersonal dimension, as boldness-adaptive manifestations were unrelated to cognitive empathy (r = 0.03), while non-adaptive interpersonal traits were negatively associated with both empathy domains (rcognitive = -0.16; raffective = -0.25). Overall, these findings suggest that: (1) psychopathy and antisocial behavior display distinct empathic profiles; (2) psychopathy dimensions are differentially associated with cognitive and affective empathy; (3) the interaction between interpersonal traits and empathy domains is different across the conceptual models of psychopathy.

Relation between basal cortisol and reactivity cortisol with externalizing problems: A systematic review✰.

Delinquent behavior describes one of the most severe forms of antisocial and aggressive behavior, causing the highest mental health and public expenditures of problematic behavior in adolescence. Literature suggests that different concentrations of cortisol may serve as a biological marker for a severe antisocial subgroup of adolescents, although from the environmental risk factors that play a role in the development of severe delinquent and aggressive behavior, other neurobiological factors may be important. This review aims to analyze the association of cortisol levels with the development of delinquent behavior. Studies related to the topic were obtained from multiple databases, through rigorous exclusion and inclusion criteria. Only papers with empirical and quantitative methodologies from scientific and academic publications were included. Aims, methodological aspects (sample and instruments), and main conclusions were extracted from each study. Overall, the data suggest that regardless of the literature relating low cortisol levels to conduct problems and antisocial behavior, the lack of consensus in the examined studies demonstrates that more studies are needed to reveal the role of biosocial mechanisms in this hormonal-behavior link, and how these mechanisms are involved in establishing and maintaining delinquent behavior.

Using the inventory of problems - 29 (IOP-29) with the Test of Memory Malingering (TOMM) in symptom validity assessment: A study with a Portuguese sample of experimental feigners.

This study tested whether combining the Inventory of Problems - 29 (IOP-29) with the Test of Memory Malingering (TOMM) would increase sensitivity in the detection of experimentally feigned mental health problems, compared to using either test alone. Additionally, it also evaluated (a) the effects of administration order of these two tests and (b) the cultural and linguistic applicability of these tests to a European Portuguese population. The IOP-29 and TOMM were administered to a community sample of 100 nonclinical, adult volunteers from Portugal, with the instruction to feign mental health problems. Half were instructed to feign mild traumatic brain injury (mTBI) symptoms, half were instructed to feign major depression. Administration order had no effects on the tests' scores, and both measures produced excellent sensitivity values, ranging from .82 to .98 for the TOMM, and from .88 to 1.00 for the IOP-29, when using standard a priori cutoff scores. More importantly, combining the results of TOMM with those of IOP-29 notably increased sensitivity compared to using either test alone. This study thus supports the use of the IOP-29 together with the TOMM in multimethod symptom validity assessments and provides initial evidence that both tests can be used also in Portugal.

Delinquent Behavior: Systematic Review of Genetic and Environmental Risk Factors.

Delinquency refers to a juveniles' behavior pattern characterized by repeated offending, and is regarded mainly in its social, but also criminal aspects. Delinquent and non-delinquent individuals may be a product of the same society or even the same family. Young individuals who are unable to find affection and protection within the family may become more susceptible to delinquency as a form of empowerment. More than socioeconomic conditions, the lack of interaction between parents and children, the existence of psychopathological problems in either parent, and academic problems, together with a biological vulnerability, may be deciding factors for the involvement of young individuals in delinquent behavior. This review aims to analyze the influence of environmental and genetic factors in the development of delinquent behavior. Studies related to the influence of the environment and genes on the development of delinquent behavior were obtained from multiple databases, through rigorous exclusion and inclusion criteria. Of the 152 documents retrieved, 87 were retained for further analysis, and 36 final studies were considered eligible for inclusion. In addition to these, ten studies were added trough manual search, with the final sample thus comprising 46 articles, published between 1983 and 2016. Objectives, methodological aspects (samples and instruments), and main conclusions were extracted from each study. Overall, the interaction between genetic and environmental factors appears to best explain the variation of delinquent behavior. Environmental risk factors may have differential effects on the behavior of individuals, particularly according to their genetic propensity for delinquency.

Fostering advances to neuropsychological assessment based on the Research Domain Criteria: The bridge between cognitive functioning and physiology.

OBJECTIVES: The current review aimed to explore the advances in neuropsychological assessment in light of a recent research framework designed to improve our knowledge on mental health - the Research Domain Criteria (RDoC). METHODS: RDoC proposals on neuropsychological tests were reviewed across the RDoC cognitive systems domain. The focus is on the physiological unit of analysis and the potential applications are illustrated given the functional relevance of RDoC constructs to psychopathological and neurological conditions. RESULTS: The advances in neuropsychology anchored in RDoC are not observable in terms of innovative paradigms, but rather in the neurobiological correlates that may be obtained from the classical neuropsychological tasks. The behavior unit of analysis may be integrated with physiological outcomes while mapping distinct cognitive constructs simultaneously. CONCLUSIONS: Under the aegis of RDoC, the integration of multiple levels of analysis allows to obtain a more detailed and complete neuropsychological characterization with high potential to be translated into better intervention strategies.

ADHD, CD, and ODD: Systematic review of genetic and environmental risk factors.

This review aims to analyze the relationships between Attention-Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), and Conduct Disorder (CD), particularly regarding the relative importance of genetic and environmental factors in the development of these disorders. Studies that examined at least two of these disorders were obtained from multiple databases, following the procedures of the Cochrane Collaboration initiative. Of the 279 documents obtained, nine were retained for in-depth analysis and were considered eligible for inclusion. In addition, eight studies from the manual search were included. The objectives, methodological aspects (sample and instruments), and the main conclusions were extracted from each study. Overall, the results suggest that (a) the causes for the onset and maintenance of these disorders are more associated with genetic factors than environmental factors, although the importance of the latter is recognized, and (b) children with ADHD have a predisposition to manifest behaviors that are common to ODD and CD, including the antisocial behavior that these children often display.