Relationship Between Metabolic Syndrome and Impulsivity in Gambling Disorder

Abstract

Objective: The present study aims to compare Metabolic Syndrome (MetS) parameters in pathological gambling disorder (PGD) patients and healthy controls and analyze the correlation between MetS and impulsivity levels in PGD patients with MetS diagnosis. Method: The present study was conducted with 74 PGD patients and 73 healthy controls. The sociodemographic data form and the Barratt Impulsivity Scale short form (BIS-11) were applied to all participants. The MetS parameters determined for all participants were analyzed based on to the National Cholesterol Education Program (NCEP) Adult Treatment Panel II criteria. Results: The total BIS-11 and subscale scores of the patient group were statistically significantly higher when compared to the control group. MetS rate in patients was higher than the control group with 58.1%. There was a significant correlation between diastolic blood pressures of the patients and motor impulsivity and unplanned impulse scores. SBPs, DBPs, TG and fasting blood levels of the patients were found to be significantly higher than the controls, while HDL levels were found to be significantly lower. Conclusion: PGD patients had higher impulsivity levels and MetS rates in these patients were higher than healthy controls. We think that our findings emphasize the consideration of impulsivity-based approaches in PGD treatment and attention to MetS in patients with PGD.

Keywords

• Pathological gambling disorder
• metabolic syndrome
• impulsivity

Kumar Oynama Bozukluğunda Metabolik Sendrom ve Dürtüsellikle İlişkisi

Öz

Amaç: Bu araştırmanın amacı, kumar oynama bozukluğu (KOB) tanılı hastalardaki Metabolik Sendrom (MetS) parametrelerini sağlıklı kontrollerle kıyaslamak aynı zamanda MetS tanılı KOB‘lardaki dürtüsellik düzeyi ile MetS ilişkisini değerlendirmektir. Yöntem: Bu çalışmaya KOB tanılı 74 hasta ve 73 sağlıklı kontrol grubu dahil edildi. Tüm katılımcılara sosyodemografik veri formu, Barratt Dürtüsellik Ölçeği Kısa Formu (BDÖ-11) uygulandı. Tüm katılımcıların MetS parametreleri Ulusal Erişkin Kolesterol Eğitim Programı Erişkin Tedavi Paneli III ölçütlerine göre incelendi. Bulgular: Hasta grubunun BDÖ-11 toplam puanı ve alt ölçek puanları kontrol grubuna göre istatistiksel olarak anlamlı derece yüksek bulundu. Hastalarda MetS oranı %58,1 ile kontrol grubundan yüksek bulundu. Hastaların diyastolik kan basınçları ile hem motor dürtüsellik hem de plansızlık dürtüsellik skorları arasında pozitif yönde anlamlı korelasyon saptandı. Hastaların kontrollere göre SKB’ ları, DKB’ ları, TG ve açlık kan seviyeleri istatistiksel olarak anlamlı şekilde daha yüksek, HDL seviyeleri istatistiksel olarak anlamlı ölçüde daha düşük bulundu. Sonuç: Çalışmamızda KOB hastalarının yüksek dürtüselliğe sahip olduğu ve bu hastalarda MetS oranlarının sağlıklı kontrollerden yüksek olduğu belirlendi. Bulgularımızın, KOB tedavisinde dürtüsellik temelli yaklaşımların göz önünde bulundurulması ve KOB tanılı hastalarda MetS açısından dikkatli olunmasına vurgu yaptığını düşünmekteyiz.

Anahtar Kelimeler

• dürtüsellik
• kumar oynama bozukluğu
• metabolik sendrom

Kaynakça

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