scholarly journals Psychometric Evaluation of the NORC Diagnostic Screen for Gambling Problems (NODS) for the Assessment of DSM-5 Gambling Disorder

Author(s):  
Brad W. Brazeau ◽  
David C. Hodgins

Abstract The National Opinion Research Center (NORC) Diagnostic Screen for Gambling Problems (NODS) is one of the most used outcome measures in gambling intervention trials. However, a screen based on DSM-5 gambling disorder criteria has yet to be developed or validated since the DSM-5 release in 2013. This omission is possibly because the criteria for gambling disorder only underwent minor changes from DSM-IV to DSM-5: the diagnostic threshold was reduced from 5 to 4 criteria, and the illegal activity criterion was removed. Validation of a measure that captures these changes is still warranted. The current study examined the psychometric properties of an online self-report past-year adaptation of the NODS based on DSM-5 diagnostic criteria for gambling disorder. Additionally, the new NODS was evaluated for how well it identifies ICD-10 pathological gambling. A diverse sample of participants (N = 959) was crowdsourced via Amazon’s TurkPrime. Internal consistency and one-week test-retest reliability were good. High correlations (r = .74–.77) with other measures of gambling problem severity were observed in addition to moderate correlations (r = .21–.36) with related but distinct constructs (e.g., gambling expenditures, time spent gambling, other addictive behaviours). All nine of the DSM-5 criteria loaded positively on one principal component, which accounted for 40% of the variance. Classification accuracy (i.e., sensitivity, specificity, predictive power) was generally very good with respect to the PGSI and ICD-10 diagnostic criteria. Future validation studies are encouraged to establish a gold standard measurement of gambling problem severity.

Author(s):  
Jonathan Mercier ◽  
Serge Sévigny ◽  
Christian Jacques ◽  
Isabelle Giroux

À travers le monde, les paris sportifs représentent la deuxième forme de jeux de hasard et d’argent (JHA) la plus associée aux problèmes de jeu. Les cognitions des parieurs sportifs pourraient contribuer à cette association. Cependant, aucun outil ne semble adapté aux parieurs de loteries sportives, principalement à cause de la composante d’habileté. Cette étude vise (a) à développer l’Inventaire des cognitions à risque — Loteries sportives (ICR-LS) et en déterminer la structure factorielle, (b) à évaluer la validité de convergence de l’ICR-LS avec Gambling Related Cognitions Scale (GRCS), les habitudes de jeu, et la gravité des problèmes de jeu; et (c) à évaluer les liens entre le nombre d’heures mensuelles consacrées à la préparation des paris aux loteries sportives et les habitudes de jeu. Les parieurs sportifs recrutés (N = 272) étaient principalement de sexe masculin (86,5 %), dans la vingtaine (M = 26,7 ans) et issus de la communauté universitaire (88,3 %). Les analyses en composantes principales indiquent que l’instrument possède deux dimensions (Superstitions et Habiletés), une forte cohérence interne (les coefficients alpha > ,85) et une bonne validité convergente. Des associations négligeables, mais statistiquement significatives, ressortent entre l’ICR-LS et le montant annuel dépensé aux loteries, les heures consacrées à la préparation des paris et la gravité des problèmes de jeu. En outre, le temps consacré à la préparation des paris sportifs est modérément corrélé avec le montant dépensé, la fréquence de jeu et la gravité des problèmes de jeu, ce qui incite à y voir, peut-être, un facteur de risque lié aux loteries sportives. Le temps consacré à la préparation des paris sportifs et ses effets sur les différentes sphères de vie mériteraient d’être étudiés davantage, notamment auprès de joueurs problématiques.AbstractAround the world, sports betting is the second type of gambling activity most associated with gambling problems. Thus, sports bettors’ cognitions play an essential role in this association. However, no instrument is specifically designed to assess sports bettors’ cognitions. This study aims (a) to develop the Inventaire des cognitions à risque — Loteries sportives (ICR-LS)  and to determine its factor structure, (b) to assess the convergent validity of the ICR-LS with the Gambling Related Cognitions Scale (GRCS), gambling habits, and the severity of gambling problems; and (c) to assess the links between the number of monthly hours spent preparing for sports lottery bets and gambling habits. Participants are sport lottery bettors (N = 272) that are mainly men (86.5%) in their twenties (M = 26.7 years old), and from a university community (88.3%). Principal component analysis results indicate that the instrument is composed of two factors (Superstitions and Abilities), and shows strong internal consistency (coefficients alpha > .85) and good convergent validity. The scale shows statistically significant but negligible associations with the annual amount spent on lotteries, hours spent on the preparation of bets, and gambling problem severity. In addition, time dedicated to bet preparation is moderately associated with the amount spent, gambling frequency, and gambling problem severity, suggesting that sports bettors bet preparation time could be a risk factor in sports betting. Studies should explore further the amount of time dedicated to bet preparation and its effects on different spheres of life, especially for problem gamblers.


2014 ◽  
Vol 29 (6) ◽  
pp. 554-554 ◽  
Author(s):  
D. Rogers ◽  
B. Evans ◽  
C. Roberts ◽  
A. Cuc ◽  
W. Mittenberg
Keyword(s):  
Dsm 5 ◽  

2018 ◽  
Vol 55 (2) ◽  
pp. 261-285 ◽  
Author(s):  
Ashley E. Nordsletten ◽  
Lorena Fernández de la Cruz ◽  
Elena Aluco ◽  
Pino Alonso ◽  
Clara López-Solà ◽  
...  

Though problematic hoarding is believed to be a universal human behavior, investigations of clinically-defined hoarding disorder (HD) have been confined almost exclusively to Western countries. The current investigation sought to describe and directly compare the features of individuals meeting diagnostic criteria for HD across four distinct cultural settings. Participants were 82 individuals meeting DSM-5 diagnostic criteria for HD, recruited and assessed by trained clinicians at one of four project sites: London, Barcelona, Fukuoka, and Rio de Janeiro. A series of semi-structured interviews and self-report scales were administered, including assessments of socio-demographic characteristics, psychiatric comorbidity, and severity of hoarding and related features. Results indicate that the severity and core features of HD, as well as the cognitions and behaviors commonly associated with this condition, are largely stable across cultures. However, some differences in patient demographics—in particular age, marital status, and clinical expression—as well as comorbid psychiatric features also emerged. These findings confirm that HD, as defined in DSM-5, exists and presents with similar phenomenology across the studied cultures. Future, more fine-grained, research will be needed to study the features of the disorder in additional cultures (e.g., non-industrialized nations) and to evaluate the impact of these cultural aspects on the design of interventions for the disorder.


2019 ◽  
Vol 10 ◽  
Author(s):  
Susana Jiménez-Murcia ◽  
Roser Granero ◽  
Fernando Fernández-Aranda ◽  
Anne Sauvaget ◽  
Andreas Fransson ◽  
...  

Author(s):  
Maris Catania ◽  
Mark D. Griffiths

AbstractThe emergence of online gambling has raised concerns about potential gambling-related harm, and various measures have been implemented in order to minimise harm such as identifying and/or predicting potential markers of harm. The present study explored how the nine DSM-5 criteria for gambling disorder can be operationalised in terms of actual online gambling behaviour using account-based gambling tracking data. The authors were given access to an anonymised sample of 982 gamblers registered with an online gambling operator. The data collected for these gamblers consisted of their first three months’ gambling activity. The data points included customer service contacts, number of hours spent gambling, number of active days, deposit amounts and frequency, the number of times a responsible gambling tool (such as deposit limit) were removed by the gamblers themselves, number of cancelled withdrawals, number of third-party requests, number of registered credit cards, and frequency of requesting bonuses through customer service (i.e., the number of instances of ‘bonus begging’). Using these metrics, most of the DSM-5 criteria for gambling disorder can be operationalized (at least to some extent) using actual transaction data. These metrics were then applied to a sample of online gamblers, and through cluster analysis four types of online gambler based on these metrics (non-problem gamblers, at-risk gamblers, financially vulnerable gamblers, and emotionally vulnerable gamblers) were identified. The present study is the first to examine the application of the DSM-5 criteria of gambling disorder to actual gambling behaviour using online gambling transaction data and suggests ways that gambling operators could identify problem gamblers online without the need for self-report diagnostic screening instruments.


2017 ◽  
Vol 40 (2) ◽  
pp. 174-180 ◽  
Author(s):  
Bianca M. Soll ◽  
Rebeca Robles-García ◽  
Angelo Brandelli-Costa ◽  
Daniel Mori ◽  
Andressa Mueller ◽  
...  

2020 ◽  
Vol 11 ◽  
Author(s):  
Flora Colledge ◽  
Robyn Cody ◽  
Ursula G. Buchner ◽  
André Schmidt ◽  
Uwe Pühse ◽  
...  

Background and Aims: While a number of studies have reported on individuals who exercise excessively, and feel unable to stop despite negative consequences, there is still insufficient evidence to categorize exercise as an addictive disorder. The aim of this meta-review is to summarize the published articles and to compile a list of symptoms reported in the qualitative literature in conjunction with excessive exercise. This list is compared with the DSM-5 criteria for gambling disorder, and initial diagnostic criteria for exercise addiction are suggested.Methods: The databases MEDLINE, Web of Science and PsycInfo were searched for qualitative studies or case reports, in which excessive exercise was the main focus. All symptoms reported in conjunction with excessive exercise were extracted from each study and documented. Symptoms were also compared to the diagnostic criteria for gambling disorder.Results: Seventeen studies were included in the review, yielding 56 distinct symptoms. The Critical Appraisal Skills Program tool showed that the majority of the studies were of acceptable quality. Exercise-related symptoms corresponded with seven of the nine DSM-5 criteria for gambling disorder. The ten suggested criteria for exercise addiction are: increasing volume, negative affect, inability to reduce, preoccupation, exercise as coping, continuation despite illness/injury, minimization, jeopardized relationships, continuation despite recognizing consequences, guilt when exercise is missed.Discussion: Our results suggest that excessive exercise may constitute a behavioral addiction, based on the criteria of the DSM-5.Conclusions: Subsequent studies should aim to systematically classify symptoms of excessive exercise; in addition, it should be noted that basic questionnaires may be need to be supplemented with detailed clinical examinations.


2021 ◽  
pp. 1-33
Author(s):  
Chloe F. Bliton ◽  
Michael J. Roche ◽  
Aaron L. Pincus ◽  
David Dueber

The Level of Personality Functioning Scale (LPFS) operationalizes Criterion A of the DSM-5 Alternative Model for Personality Disorders. Despite progress in LPFS measurement development and validation, there is a lack of research, and some disagreement, concerning structural, convergent, and incremental validity of LPFS self-report measures. The present study aimed to compare the LPFS Self-Report, LPFS Self-Report of Criterion A, and LPFS Brief Form. Internal structure was assessed through principal component analyses, factor analyses, and bifactor analyses of unidimensionality. Associations with both pathological and basic personality characteristics among the LPFS measures were explored. Incremental validity of LPFS severity in predicting pathological personality outcomes controlling for basic personality traits, and the reverse, were examined. Results suggest a unidimensional structure robustly associated with other pathological personality assessments. LPFS severity and basic personality traits mutually offered unique explanatory power. We discuss the implications of assessing personality pathology using LPFS self-report measures.


Author(s):  
Linda Martins ◽  
Ruby Nicholson ◽  
Robert Kohn

Practitioners working with geriatric patients need to be aware of Center for Medicare and Medicaid Services regulatory requirements, the definitions of fraud and abuse, and rules and criteria for billing and documentation. This chapter discusses these and other issues related Medicare billing, documentation, and coding. Denials for reimbursement and paybacks for audits are usually due to incomplete elements in documentation and incorrect coding. Although psychotherapy is appropriate for many elderly individuals, including those with neurocognitive disorders, it must be clear that the service is medically beneficial. A recent Department of Justice lawsuit qualifies that the patient has to have the capacity to recall what occurred in therapy from one session to the next. The changes created by DSM-5 diagnostic criteria and utilization of ICD-10 codes have had a particular impact on geriatric psychiatry. These changes in DSM-5 also have an implication in geriatric forensic psychiatry practice and are discussed in detail in the chapter.


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