scholarly journals Of time and The Chase: Lifetime versus past-year measures of pathological gambling

Author(s):  
Marianna Toce-Gerstein ◽  
Dean R. Gerstein

Objective: This analysis tested whether past-year measures can be shown to have methodological advantages over lifetime measures of pathological gambling based on DSM-IV criteria. Methods: Two stratified random-sample surveys (n=2,417, n=530) of gambling behavior and correlates were conducted with community-based U.S. adults. A fully structured questionnaire, administered by trained interviewers, screened for lifetime and past-year prevalence of the 10 DSM-IV criteria for pathological gambling. Sample: The study sample comprised 1,216 gamblers who were administered the pathological gambling screen, with particular attention given to the 400 gamblers who reported one or more gambling-related problems. Results: Pathological gambling criteria as measured by lifetime items showed greater consistency with past-year items than was true for other levels of gambling problems. Neither lifetime nor past-year measures were positively related to the age of the respondent. Conclusion: These findings deny the presumptively greater accuracy of past-year over lifetime measures of pathological gambling based on DSM-IV criteria in prevalence studies in the general population. In view of greater conceptual fidelity to DSM-IV concepts, lifetime measures appear preferable to past-year.

2004 ◽  
Vol 4 (2) ◽  
Author(s):  
Elisardo Becoña Iglesias

El juego patológico constituye un importante problema de salud mental en España y en otros países desarrollados. Se analizan los estudios de prevalencia en función de los criterios diagnósticos que se han utilizado hasta ahora para el juego patológico. Los estudios de prevalencia realizados en muestras representativas de la población basados en el DSM-III, DSM-III-R, DSM-IV y SOGS indicaban una prevalencia entre el 1.4 y el 1.7% en las muestras más representativas españolas, semejante a la de otros países. Los últimos estudios con instrumentos derivados del DSMIV, como el NODS, o versiones revisadas del SOGS indican un nivel de prevalencia menor para el juego patológico. Se analizan todos los estudios realizados en España con unos y otros instrumentos y su comparación con los resultados de otros países, especialmente en adultos junto a otros estudios realizados con niños y adolescentes. AbstractThe pathological gambling constitutes an important problem of mental health in Spain and in other developed countries. The prevalence studies are analyzed in function of the diagnostic criteria that have been used to assess the pathological gambling. The studies realized in the more representative samples of the general population in Spain based on the DSMIII, DSM-III-R, DSM-IV and SOGS indicated a prevalencia between the 1.4 and 1.7%, similar to that of other countries. The last studies with derivative instruments of the DSM-IV, as the NODS, or revised versions of the SOGS, indicate a level of smaller prevalencia for the pathological gambling. Finally, we discuss the results of the studies carried out in Spain with several instruments or criteria and their comparison with the results of other countries, especially in adults as in adolescents.


2006 ◽  
pp. 31 ◽  
Author(s):  
Jakob Jonsson

Estimates of the prevalence of gambling problems among adults by sampling from whole population registries have been made in Finland, Iceland, Norway, and Sweden. The studies in Norway and Sweden are fairly similar, showing a higher prevalence in Sweden according to the South Oaks Gambling Screen Revised (SOGS-R), and similar prevalence according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) screens. The difference is unexpected because Norway has relatively more gambling machines and Norwegian citizens spend more money on gambling. However, the low response rates in Norway may explain the result. Preliminary results from Iceland (2005) with a DSM-IV screen do not differ from those from Norway and Sweden concerning prevalences of pathological gambling, but differ from Norway concerning problem gamblers. However, different DSM-IV screens were used in the three countries, and response rates differed. With these reservations, the past-year prevalence of pathological gambling in Iceland, Norway, and Sweden is about 0.3%, as estimated from DSM-IV screens. Studies of gambling problems among young people have only been performed in Norway.


2007 ◽  
pp. 19 ◽  
Author(s):  
Sabine M. Grüsser ◽  
Babett Plöntzke ◽  
Ulrike Albrecht ◽  
Chantal Patricia Mörsen

Objective: Lottery gambling has enjoyed great popularity around the world for many years and is generally seen as a socially acceptable form of gambling. Apart from aspects such as effects on charities, pathological lottery gambling and its addictive nature have often been discussed recently but rarely investigated. Methods: In the present study lottery gambling was investigated with respect to criteria of pathological gambling and addiction using a standardized questionnaire on gambling behavior that also assesses diagnostic criteria of addiction according to the DSM-IV. Sample: 171 active lottery gambling subjects (40 females, 131 males) participated in the present study. Results: 15.2% of the subjects fulfilled the criteria of pathological lottery gambling. Pathological lottery gamblers differed significantly from nonpathological lottery gamblers concerning the diagnostic criteria for addiction. Conclusion: An extension of the diagnosis "pathological gambling" to "behavioral addiction" seems to be appropriate for excessive lottery gambling.


2019 ◽  
Vol 53 (12) ◽  
pp. 761-766 ◽  
Author(s):  
Jeffrey Lee Derevensky ◽  
David McDuff ◽  
Claudia L Reardon ◽  
Brian Hainline ◽  
Mary E Hitchcock ◽  
...  

Opportunities to participate in gambling have dramatically changed during the past 20 years. Casinos have proliferated as have electronic gambling machines, lotteries, sports betting, and most recently online gambling. Gambling among the general population has moved from being perceived negatively to a socially acceptable pastime. As over 80% of individuals have reported gambling for money during their lifetime, governments recognise that regulating gambling—a multibillion dollar industry—is a significant source of revenue. While the vast majority of individuals engaged in some form of gambling have no or few gambling-related problems, an identifiable proportion of both adolescents and adults experience significant gambling-related problems. Elite athletes have not been immune to the lure of gambling nor its concomitant problems. Prevalence studies suggest higher rates of gambling problems among athletes than the general population. In this narrative review, we examine several risk factors associated with gambling problems among elite athletes and new forms of gambling that may be problematic for this population. Given the potential serious mental health and performance consequences associated with a gambling disorder for athletes, we aim to increase coaches’, athletic directors’ and health professionals’ knowledge concerning the importance of screening and treatment referrals.


2008 ◽  
Vol 38 (9) ◽  
pp. 1351-1360 ◽  
Author(s):  
R. C. Kessler ◽  
I. Hwang ◽  
R. LaBrie ◽  
M. Petukhova ◽  
N. A. Sampson ◽  
...  

BackgroundLittle is known about the prevalence or correlates of DSM-IV pathological gambling (PG).MethodData from the US National Comorbidity Survey Replication (NCS-R), a nationally representative US household survey, were used to assess lifetime gambling symptoms and PG along with other DSM-IV disorders. Age of onset (AOO) of each lifetime disorder was assessed retrospectively. AOO reports were used to study associations between temporally primary disorders and the subsequent risk of secondary disorders.ResultsMost respondents (78.4%) reported lifetime gambling. Lifetime problem gambling (at least one Criterion A symptom of PG) (2.3%) and PG (0.6%) were much less common. PG was significantly associated with being young, male, and Non-Hispanic Black. People with PG reported first gambling significantly earlier than non-problem gamblers (mean age 16.7 v. 23.9 years, z=12.7, p<0.001), with gambling problems typically beginning during the mid-20s and persisting for an average of 9.4 years. During this time the largest annual gambling losses averaged US$4800. Onset and persistence of PG were predicted by a variety of prior DSM-IV anxiety, mood, impulse-control and substance use disorders. PG also predicted the subsequent onset of generalized anxiety disorder, post-traumatic stress disorder (PTSD) and substance dependence. Although none of the NCS-R respondents with PG ever received treatment for gambling problems, 49.0% were treated at some time for other mental disorders.ConclusionsDSM-IV PG is a comparatively rare, seriously impairing, and undertreated disorder whose symptoms typically start during early adulthood and is frequently secondary to other mental or substance disorders that are associated with both PG onset and persistence.


1996 ◽  
Vol 78 (2) ◽  
pp. 635-640 ◽  
Author(s):  
Elisardo Becoña ◽  
María Del Carmen Lorenzo ◽  
María José Fuentes

A number of previous studies have indicated that pathological gambling is often associated with depression. Equally, a number of theoretical models of pathological gambling have included depression as a key variable. Here we report a study of depression in pathological gamblers identified within a random sample of 1,615 adults living in the major cities of Galicia (northwest Spain). Pathological gamblers were identified on DSM–IV diagnostic criteria. Depression was evaluated with the Beck Depression Inventory, subjects being classified ‘depressive’ if they obtained a score of 18 or more. Of 19 pathological gamblers who completed the Beck Depression Inventory, 21% were depressive; by contrast, only 9% of the other subjects were depressive. The Beck scores of pathological gamblers were positively correlated with the severity of their addiction as indicated by the number of DSM–IV-specified symptoms reported.


2017 ◽  
Vol 1 (1) ◽  
pp. 11
Author(s):  
Nyoman Trisna Aryanata

Gambling has long been comprehended as activities involving money wagering or other belongings for random or uncertain outcomes and causes the risk to chains of problems to the individuals, ranged from financial problems, psychological problems, and interpersonal problems. Maladaptive gambling behavior has also been classified in DSM-IV, named as pathological gambling (312.31), and is considered as illegal practice in many countries, including Indonesia. Gambling activities as a tradition also exist in various cultures, such as ‘tajen’ in Bali, Indonesia. ‘Tajen’ is a cockfighting tradition and a part of religious rituals in Bali. This has resulted in a unique problem regarding to its cultural and legal context, while the risk to psychological problems (such as pathological gambling) cannot be disregarded. Using the case of Tajen in Bali, this paper also discusses the influences of culture to gambling behavior and its legal complexity.  


Author(s):  
A. Bharmal ◽  
C. Lu ◽  
J. Quickfall ◽  
D. Crockford ◽  
O. Suchowersky

Objective:To determine the outcomes of patients with Parkinson disease (PD) with pathological gambling (PG) from one Canadian Movement Disorders Clinic.Methods:Assessments were performed in-person during routine clinic visits of all patients currently followed by one neurologist (OS). Pathological gambling was defined according to DSM-IV-TR criteria. Chart review was performed to obtain details on medication use, dosages, and patient demographics. Follow-up of patients with PG collected information on gambling behavior, PG management interventions, medications, treatment, and psychosocial outcomes.Results:146 patients were surveyed with an overall prevalence of PG of 4.1% (6/146). The rate of pathological gambling for those patients on dopamine agonist therapy (DA) was 8.1% (6/74). Only patients who were recreational gamblers prior to starting DA developed PG. All PG patients discontinued, decreased, or switched to another DA, and experienced a partial or full remission of PG. 3 (50%) patients described financial losses of $100,000 or more, and 75% (3/4) patients described significant marital stresses. At follow-up (August 2008), 4 of the 6 patients with PG continued to gamble in a controlled fashion despite medication changes. No significant difference in levodopa equivalent daily dose (LEDD) pre- and post-PG were observed; however, the relative amount of DA was decreased (p= 0.0593), while levodopa was relatively increased (p= 0.5277). Despite control of PG, patients still experience financial and marital strains.Conclusions:DA (in combination with levodopa) was associated with a significantly higher prevalence of PG in PD, particularly in patients who were recreational gamblers previously. Despite control of PG, patients continued to experience significant financial and marital stresses that should be regularly enquired upon in follow-up care and managed appropriately.


Author(s):  
Flora I. Matheson ◽  
Parisa Dastoori ◽  
Tara Hahmann ◽  
Julia Woodhall-Melnik ◽  
Sara J. T. Guilcher ◽  
...  

AbstractPeople experiencing poverty/homelessness have higher rates of problematic gambling than the general population. Yet, research on gambling among this population is sparse, notably among women. This study examined prevalence of problematic gambling among women using shelter and drop-in services in Ontario, Canada. The NORC Diagnostic Screen for Disorders was administered to women during visits to 15 sites using time/location methodology. Within a sample of 162 women, the prevalence of at-risk (6.2%), problem (9.3%), and pathological gambling (19.1%) was higher than the general population. Among women who scored at-risk or higher, 55.4% met criteria for pathological gambling. The findings suggest that women seeking shelter and drop-in services are vulnerable to problematic gambling. Creating awareness of this vulnerability within the shelter and drop-in service sector is an important first step to support women with gambling problems who face financial and housing precarity.


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