Who Seeks Treatment When Medicine Opens the Door to Pathological Gambling Patients-Psychiatric Comorbidity and Heavy Predominance of Online Gambling - PubMed (original) (raw)

Who Seeks Treatment When Medicine Opens the Door to Pathological Gambling Patients-Psychiatric Comorbidity and Heavy Predominance of Online Gambling

Anders Håkansson et al. Front Psychiatry. 2017.

Abstract

Background: Few studies have assessed treatment-seeking behavior and patient characteristics in pathological gambling focusing on psychiatric comorbidity, particularly in a setting of heavy exposure to online gambling. This study aimed to address patient characteristics in a novel health care-based treatment modality for pathological gambling, including potential associations between gambling types, psychiatric comorbidity, and gender.

Methods: All patients undergoing structured assessment between January 2016 and April 2017 were included (N = 106), and patient records were reviewed for cooccurring psychiatric disorders and types of problem games.

Results: Eighty percent were men, and 58% received a psychiatric disorder apart from pathological gambling. Problematic gambling on online casino and online sports betting represented 84% of patients. Non-substance-related psychiatric comorbidity was significantly associated with female gender.

Conclusion: Online gambling is more clearly predominating in this setting than in studies from other countries. High rates of comorbidity call for structured psychiatric assessment in problem gambling, with a particular focus on female patients with pathological gambling.

Keywords: comorbidity; gambling; gambling disorder; gender; online gambling; pathological gambling.

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References

    1. Petry NM, Stinson FS, Grant BF. Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry (2005) 66(5):564–74.10.4088/JCP.v66n0504 - DOI - PubMed
    1. Kessler RC, Hwang I, LaBrie R, Petukhova M, Sampson NA, Winters K, et al. DSM-IV pathological gambling in the National Comorbidity Survey Replication. Psychol Med (2008) 38(9):1351–60.10.1017/S0033291708002900 - DOI - PMC - PubMed
    1. Calado F, Griffiths M. Problem gambling worldwide: an update and systematic review of empirical research (2000–2015). J Behav Addict (2016) 5:592–613.10.1556/2006.5.2016.073 - DOI - PMC - PubMed
    1. Cowlishaw S, Merkouris S, Dowling N, Anderson C, Jackson A, Thomas S. Psychological therapies for pathological and problem gambling. Cochrane Database Syst Rev (2012) 11:CD008937.10.1002/14651858.CD008937.pub2 - DOI - PubMed
    1. Braun B, Ludwig M, Sleczka P, Bühringer G, Kraus L. Gamblers seeking treatment: who does and who doesn’t? J Behav Addict (2014) 3(3):189–98.10.1556/JBA.3.2014.3.7 - DOI - PMC - PubMed

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