Metacognition and Personality Functioning Levels as Mediators Between Maladaptive Personality Traits and Risk of Gambling Problems in a Non-Clinical Sample.

IF 2 Q3 CLINICAL NEUROLOGY
Roberto Pedone
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Abstract

Objective: This study investigates the role of metacognition and personality functioning levels as mediators in the relationship between maladaptive personality traits and the risk of problematic gambling (PG) within a non-clinical adult sample.

Method: A cross-sectional design was employed with 619 participants who completed self-report questionnaires assessing maladaptive personality traits, metacognitive abilities, personality functioning levels, and gambling-related behaviors. Instruments included the South Oaks Gambling Screen, the Assessment of DSM-IV Personality Disorders, the Metacognition Self-Assessment Scale, and the Levels of Personality Functioning Scale-Self Report. Data were analyzed using linear regression and serial mediation analyses.

Results: The findings revealed that the risk of PG was positively associated with maladaptive personality traits, particularly Antisocial, Narcissistic, and Borderline traits, and negatively associated with metacognitive abilities and personality functioning levels. Serial mediation analyses demonstrated that metacognitive functions, especially Critical Distance and Self-Reflexivity, along with personality functioning levels, mediated the relationship between maladaptive personality traits and PG risk. Notably, in individuals with pronounced Cluster B traits, metacognition alone served as the primary mediator, while in those with Cluster C traits, the mediation effect involved both metacognitive abilities and personality functioning levels, indicating a dual mediation pathway. These findings highlight distinct mechanisms across personality profiles.

Conclusions: The results underscore the critical role of metacognition and personality functioning in linking maladaptive personality traits to the risk of PG. Clinically, these findings suggest that interventions enhancing specific metacognitive abilities, such as perspective-taking and self-reflection, along with addressing impairments in personality functioning, could mitigate the risk of problematic gambling. These insights contribute to the development of tailored therapeutic strategies for preventing and managing gambling-related behaviors in at-risk populations.

元认知和人格功能水平在非临床样本中的不适应人格特征与赌博问题风险之间的中介作用
目的:本研究在非临床成人样本中探讨元认知和人格功能水平在适应不良人格特征与问题赌博风险之间的中介作用。方法:采用横断面设计对619名被试进行自我报告问卷,评估其适应不良人格特征、元认知能力、人格功能水平和赌博相关行为。工具包括南橡树赌博筛检、DSM-IV人格障碍评估、元认知自我评估量表、人格功能水平量表-自我报告。数据分析采用线性回归和序列中介分析。结果:PG风险与反社会、自恋和边缘型人格特征呈正相关,与元认知能力和人格功能水平呈负相关。序列中介分析表明,元认知功能,特别是临界距离和自我反思,以及人格功能水平,在适应不良人格特征与PG风险之间起中介作用。在具有显著B类特征的个体中,元认知仅为主要中介,而在具有显著C类特征的个体中,元认知能力和人格功能水平都参与了中介作用,表明存在双重中介途径。这些发现突出了不同性格特征的不同机制。结论:研究结果强调了元认知和人格功能在将适应不良的人格特征与PG风险联系起来方面的关键作用。在临床上,这些发现表明,通过干预提高特定的元认知能力,如换视角和自我反思,以及解决人格功能障碍,可以降低问题赌博的风险。这些见解有助于制定量身定制的治疗策略,以预防和管理高危人群的赌博相关行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Neuropsychiatry
Clinical Neuropsychiatry CLINICAL NEUROLOGY-
CiteScore
11.10
自引率
1.60%
发文量
0
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