Discounting and Pathological Gambling

Pathological gambling is a disorder characterized by excessive gambling. It often occurs in conjunction with substance use disorders, and research is beginning to examine the association between these disorders, especially with regard to impulsivity and discounting. In this chapter, we initially review the diagnosis and prevalence rates of pathological gambling, including its comorbidity with substance use disorders. We then describe relations between personality measures of impulsivity and pathological gambling. Gamblers\u27 patterns of choices on the Iowa Gambling Task (IGT) and measures of delay and probability discounting are covered in depth, and we discuss the degree to which these choices are uniquely associated with a gambling disorder rather than a comorbid substance use disorder. Recent theories regarding the role of discounting in the etiology of pathological gambling are described, as are suggestions for future research

A Delay-Discounting Primer

Given the importance of research findings and the potential of further research to aid in the prediction and control of impulsivity, the primary focus of this chapter (and this book) is on choice and the failure of future events to affect current decisions. In this primer chapter, we consider two types of impulsive choice: (a) preferring a smaller-sooner reward while forgoing a larger-later one and (b) preferring a larger-later aversive outcome over a smaller-sooner one. The first of these is exemplified by the toy-pilfering child with whom we opened this chapter. Taking the toy is immediately rewarded, but it is a short-lived reward because the caretaker soon returns the toy to the victimized peer. Undoubtedly, the child would prefer to play with the toy for a longer period of time, but waiting until the toy is dropped by the peer seems a weak reinforcer when compared with brief access now. To put an economic term on this phenomenon, the child appears to have discounted the value of the delayed but otherwise preferred reward. Delay discounting describes the process of devaluing behavioral outcomes, be they rewarding or aversive events, that happen in the future (and perhaps the past; see chap. 7, this volume). This chapter provides a primer in delay discounting; it is intended for readers who have only a limited background in the procedures, measures, and outcomes of studies examining this form of impulsive choice. Following an overview of the delay-discounting process, its quantification, and its implications for the human condition, emphasis is placed on procedures (and critiques of these procedures). The remainder of the book is concerned with experimental findings, and for the most part, we do not review these here

The Behavioral Economics of Smoking

Evidence that economic principles may be employed to predict the rates at which cigarettes are consumed is presented from several laboratory experiments. In these experiments, cigarette-deprived smokers were required to make a effortful response to earn cigarette puffs. Changing the number of responses required per puff is conceptualized as a price manipulation. Our experiments show that these price increases decrease cigarette consumption and that price elasticity of demand increases with increases in price. When from 74 different smokers, participating in 17 different experiments, in our laboratory were analyzed, five demographic variables were related to rates of earning and smoking cigarettes in the lab: 1) males smoked more than females; 2) less-educated individuals tended to smoke more than better-educated smokers; 3) higher rates of smoking were observed in individuals with high Fagerstr”m smoke more than heavy drinkers; and 5) unemployed subjects smoked more than employed individuals. Demographic effects on price elasticity did not accord as well with econometric data. Finally, we discuss the ability of behavioral- economic laboratory experiments to model cigarette smoking in the natural economy, and the validity of using these laboratory results as a means of assessing the likely effects of public-policy initiatives. The results from one such experiment are presented that suggest the economic concept of inferior goods may be informative in understanding nicotine-replacement products and the likely effects of differential pricing of cigarettes and these replacement products.

Effects of the FIT Game on Physical Activity in Sixth Graders: A Pilot Reversal Design Intervention Study

Background: The FIT Game is a low-cost intervention that increases fruit and vegetable consumption in elementary school children. For this study, the FIT Game was adapted into an intervention designed to increase children’s physical activity at school. Objective: We aimed to evaluate if the FIT Game could increase children’s physical activity relative to their baseline levels. Methods: A total of 29 participants were recruited from a sixth-grade classroom. An ABAB reversal design was used. Participants wore an accelerometer while at school during pre/postintervention baseline (A) and intervention (B) phases. During the FIT Game intervention, daily physical activity goals encouraged the class to increase their median daily step count above the 60th percentile of the previous 10 days. When daily goals were met, game-based accomplishments were realized. Results: Children met their activity goals 80% of the time during the intervention phases. Physical activity at school increased from a median of 3331 steps per day during the baseline to 4102 steps during the FIT Game phases (P Conclusions: Preliminary evidence showed that playing the FIT Game could positively influence children’s physical activity at school

Effects of Pramipexole on Impulsive Choice in Male Wistar Rats

This article may not exactly replicate the final version published in the APA journal. It is not the copy of record.Clinical reports, primarily with Parkinson’s patients, note an association between the prescribed use of pramipexole (and other direct-acting dopamine agonist medications) and impulse control disorders, particularly pathological gambling. Two experiments examined the effects of acute pramipexole on rats’ impulsive choices where impulsivity was defined as selecting a smaller-sooner over a larger-later food reward. In Experiment 1, pramipexole (0.1 to 0.3 mg/kg) significantly increased impulsive choices in a condition in which few impulsive choices were made during a stable baseline. In a control condition, in which impulsive choices predominated during baseline, pramipexole did not significantly change the same rats’ choices. Experiment 2 explored a wider range of doses (0.01 to 0.3 mg/kg) using a choice procedure in which delays to the larger-later reinforcer delivery increased across trial blocks within each session. At the doses used in Experiment 1, pramipexole shifted choice toward indifference regardless of the operative delay. At lower doses of pramipexole (0.01 & 0.03 mg/kg), a trend toward more impulsive choice was observed at the 0.03 mg/kg dose. The difference in outcomes across experiments may be due to the more complex discriminations required in Experiment 2; i.e., multiple discriminations between changing delays within each session

Choice Bundling Increases Valuation of Delayed Losses More Than Gains in Cigarette Smokers

Choice bundling, in which a single choice produces a series of repeating consequences over time, increases valuation of delayed monetary and non-monetary gains. Interventions derived from this manipulation may be an effective method for mitigating the elevated delay discounting rates observed in cigarette smokers. No prior work, however, has investigated whether the effects of choice bundling generalize to reward losses. In the present study, an online panel of cigarette smokers (N = 302), recruited using survey firms Ipsos and InnovateMR, completed assessments for either monetary gains or losses (randomly assigned). In Step 1, participants completed a delay-discounting task to establish Effective Delay 50 (ED50), or the delay required for an outcome to lose half of its value. In Step 2, participants completed three conditions of an adjusting-amount task, choosing between a smaller, sooner (SS) adjusting amount and a larger, later (LL) fixed amount. The bundle size (i.e., number of consequences) was manipulated across conditions, where a single choice produced either 1 (control), 3, or 9 consequences over time (ascending/descending order counterbalanced). The delay to the first LL amount in each condition, as well as the intervals between all additional SS and LL amounts (where applicable), were set to individual participants’ ED50 values from Step 1 to control for differences in discounting of gains and losses. Results from Step 1 showed significantly higher ED50 values (i.e., less discounting) for losses compared to gains (p \u3c 0.001). Results from Step 2 showed that choice bundling significantly increased valuation of both LL gains and losses (p \u3c 0.001), although effects were significantly greater for losses (p \u3c 0.01). Sensitivity analyses replicated these conclusions. Future research should examine the potential clinical utility of choice bundling, such as development of motivational interventions that emphasize both the bundled health gains associated with smoking cessation and the health losses associated with continued smoking