Natural recovery and treatment-seeking in pathological gambling: results of two U.S. national surveys - PubMed (original) (raw)
Comparative Study
. 2006 Feb;163(2):297-302.
doi: 10.1176/appi.ajp.163.2.297.
Affiliations
- PMID: 16449485
- DOI: 10.1176/appi.ajp.163.2.297
Comparative Study
Natural recovery and treatment-seeking in pathological gambling: results of two U.S. national surveys
Wendy S Slutske. Am J Psychiatry. 2006 Feb.
Abstract
Objective: Pathological gambling is described in DSM-IV as a chronic and persisting disorder, but recent community-based longitudinal studies that have highlighted the transitory nature of gambling-related problems have called into question whether this is an accurate characterization. This emerging evidence of high rates of recovery coupled with low rates of treatment-seeking for pathological gambling suggests that natural recovery might be common. The purpose of the present study was to document the rates of recovery, treatment-seeking, and natural recovery among individuals with DSM-IV pathological gambling disorder in two large and representative U.S. national surveys.
Method: Prevalences of recovery, treatment-seeking, and natural recovery were estimated among individuals from the Gambling Impact and Behavior Study (N=2,417) and the National Epidemiologic Survey on Alcohol and Related Conditions (N=43,093) who reported a lifetime history of DSM-IV pathological gambling disorder (N=21 and N=185, respectively).
Results: Among individuals with a lifetime history of DSM-IV pathological gambling, 36%-39% did not experience any gambling-related problems in the past year, even though only 7%-12% had ever sought either formal treatment or attended meetings of Gamblers Anonymous. About one-third of the individuals with pathological gambling disorder in these two nationally representative U.S. samples were characterized by natural recovery.
Conclusions: Pathological gambling may not always follow a chronic and persisting course. A substantial portion of individuals with a history of pathological gambling eventually recover, most without formal treatment. The results of large epidemiological surveys of pathological gambling may eventually overturn the established wisdom about pathological gambling disorder.
Comment in
- Gambling-related problems are chronic and persist for the majority of individuals with a lifetime diagnosis of pathological gambling.
Afifi TO, Cox BJ, Sareen J. Afifi TO, et al. Am J Psychiatry. 2006 Jul;163(7):1297; author reply 1297-8. doi: 10.1176/ajp.2006.163.7.1297. Am J Psychiatry. 2006. PMID: 16816246 No abstract available.
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