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.
Similar articles
- Over-Indebtedness and Problem Gambling in a General Population Sample of Online Gamblers.
Håkansson A, Widinghoff C. Håkansson A, et al. Front Psychiatry. 2020 Feb 4;11:7. doi: 10.3389/fpsyt.2020.00007. eCollection 2020. Front Psychiatry. 2020. PMID: 32116832 Free PMC article. - Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior.
Black DW, Moyer T. Black DW, et al. Psychiatr Serv. 1998 Nov;49(11):1434-9. doi: 10.1176/ps.49.11.1434. Psychiatr Serv. 1998. PMID: 9826244 - Primary and Secondary Diagnoses of Gambling Disorder and Psychiatric Comorbidity in the Swedish Health Care System-A Nationwide Register Study.
Håkansson A, Karlsson A, Widinghoff C. Håkansson A, et al. Front Psychiatry. 2018 Sep 7;9:426. doi: 10.3389/fpsyt.2018.00426. eCollection 2018. Front Psychiatry. 2018. PMID: 30258370 Free PMC article. - [Pathological gambling: risk factors].
Bouju G, Grall-Bronnec M, Landreat-Guillou M, Venisse JL. Bouju G, et al. Encephale. 2011 Sep;37(4):322-31. doi: 10.1016/j.encep.2011.01.003. Epub 2011 May 6. Encephale. 2011. PMID: 21981894 Review. French. - Prevalence of psychiatric co-morbidity in treatment-seeking problem gamblers: A systematic review and meta-analysis.
Dowling NA, Cowlishaw S, Jackson AC, Merkouris SS, Francis KL, Christensen DR. Dowling NA, et al. Aust N Z J Psychiatry. 2015 Jun;49(6):519-39. doi: 10.1177/0004867415575774. Epub 2015 Mar 3. Aust N Z J Psychiatry. 2015. PMID: 25735959 Free PMC article. Review.
Cited by
- A mixed method study exploring similarities and differences in general and social services-specific barriers to treatment-seeking among individuals with a problematic use of alcohol, cannabis, or gambling.
Schettini G, Lindner P, Ekström V, Johansson M. Schettini G, et al. BMC Health Serv Res. 2024 Aug 22;24(1):970. doi: 10.1186/s12913-024-11304-5. BMC Health Serv Res. 2024. PMID: 39174983 Free PMC article. - Exploring the Differences in Positive Play among Various Sports Wagering Behaviors.
Connolly AJ, Stall LM, Floyd CG, Kraus SW, Grubbs JB. Connolly AJ, et al. J Gambl Stud. 2024 Apr 23. doi: 10.1007/s10899-024-10304-8. Online ahead of print. J Gambl Stud. 2024. PMID: 38652388 - Treatment seeking for gambling disorder in nationwide register data - observations around a major shift in legislation.
Håkansson A, Karlsson A, Widinghoff C. Håkansson A, et al. Front Public Health. 2024 Mar 19;12:1293887. doi: 10.3389/fpubh.2024.1293887. eCollection 2024. Front Public Health. 2024. PMID: 38566789 Free PMC article. - Offering an auto-play feature likely increases total gambling activity at online slot-machines: preliminary evidence from an interrupted time series experiment at a real-life online casino.
Jonsson J, Carlbring P, Lindner P. Jonsson J, et al. Front Psychiatry. 2024 Feb 2;15:1340104. doi: 10.3389/fpsyt.2024.1340104. eCollection 2024. Front Psychiatry. 2024. PMID: 38370561 Free PMC article. - Motivational telephone intervention to risk gamblers by a state-owned gambling operator in Sweden.
Hakansson A, Franklin K, Dahlström M, Lyckberg A. Hakansson A, et al. Front Psychiatry. 2024 Jan 30;15:1343733. doi: 10.3389/fpsyt.2024.1343733. eCollection 2024. Front Psychiatry. 2024. PMID: 38352656 Free PMC article.
References
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous