Risk factors for pathological gambling (original) (raw)
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Problem and Pathological Gambling in a Sample of Casino Patrons
Journal of Gambling Studies, 2011
Relatively few studies have examined gambling problems among individuals in a casino setting. The current study sought to examine the prevalence of gambling problems among a sample of casino patrons and examine alcohol and tobacco use, health status, and quality of life by gambling problem status. To these ends, 176 casino patrons were recruited by going to a Southern California casino and requesting that they complete an anonymous survey. Results indicated the following lifetime rates for at-risk, problem, and pathological gambling: 29.2, 10.7, and 29.8%. Differences were found with regards to gambling behavior, and results indicated higher rates of smoking among individuals with gambling problems, but not higher rates of alcohol use. Self-rated quality of life was lower among pathological gamblers relative to non-problem gamblers, but did not differ from atrisk or problem gamblers. Although subject to some limitations, our data support the notion of higher frequency of gambling problems among casino patrons and may suggest the need for increased interventions for gambling problems on-site at casinos.
The “Pathological Gambling and Epidemiology” (PAGE) study program: design and fieldwork
International Journal of Methods in Psychiatric Research, 2015
The German federal states initiated the "Pathological Gambling and Epidemiology" (PAGE) program to evaluate the public health relevance of pathological gambling. The aim of PAGE was to estimate the prevalence of pathological gambling and cover the heterogenic presentation in the population with respect to comorbid substance use and mental disorders, risk and protective factors, course aspects, treatment utilization, triggering and maintenance factors of remission, and biological markers. This paper describes the methodological details of the study and reports basic prevalence data. Two sampling frames (landline and mobile telephone numbers) were used to generate a random sample from the general population consisting of 15,023 individuals (ages 14 to 64) completing a telephone interview. Additionally, high-risk populations have been approached in gambling locations, via media announcements, outpatient addiction services, debt counselors, probation assistants, self-help groups and specialized inpatient treatment facilities. The assessment included two steps: (1) a diagnostic interview comprising the gambling section of the Composite International Diagnostic Interview (CIDI) for case finding;
Journal of Gambling Issues, 2010
We examined at-risk, problem, or pathological gambling co-occurrence with frequency of past-year alcohol, tobacco, and marijuana use; depressive symptoms; and arrest history. Data included the responses of over 3,000 individuals who participated in a 2006 telephone survey designed to understand the extent of at-risk, problem, and pathological gambling; comorbidity levels with substance use; mental health; and social problems among Southwestern U.S. residents. Data were analyzed with multinomial and bivariate logistic regression. Respondents at risk for problem gambling were more likely to use alcohol, tobacco, and marijuana than those respondents not at risk. Pathological gamblers were no more or less likely to consume alcohol or tobacco than were non-gamblers or those not at risk. A dose-response relationship existed between degree of gambling problems and depressive symptoms and arrest history. Interventions for at-risk or problem gamblers need to include substance use treatment, and the phenomenon of low levels of substance use among pathological gamblers needs further exploration.
Prevalence of Problem Gambling: A Replication Study 7 Years Later
The Canadian Journal of Psychiatry, 1999
Objectives: To investigate the relationship between availability of gambling activities and participation in gambling, maximum amount of money lost in 1 day to gambling, and number of pathological gamblers. Method: Two random samples (1002 and 1257 adults) were surveyed 7 years apart using the South Oaks Gambling Screen to identify pathological gamblers. Results: Seven years later, significantly more people reported having gambled, and the number of pathological gamblers had increased by 75%. Conclusions: These findings support the hypothesis that increases in the availability of gambling are related to increases in the number of problem gamblers.
Addictive Behaviors, 2004
This article describes an analysis of gambling and gambling pathology from a telephone survey of 2631 U.S. residents, using Chi-square Automatic Interaction Detector (CHAID). Catholics were more likely to have gambled (92%) than Protestants (78%), and elderly Protestants were the least likely (55%) group to have gambled. Among past-year gamblers, men gambled more often (74 times) than women (46 times). The most frequent gamblers were divorced, widowed, or cohabiting men (125 times). Minorities were much more likely than whites to be problem gamblers (PGs). Nonpoor, married, or widowed whites were the least likely to be PGs. D
DSM-IV pathological gambling in the National Comorbidity Survey Replication
Psychological Medicine, 2008
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....
Course of pathological gambling symptoms and reliability of the Lifetime Gambling History measure
Psychiatry Research, 2007
The DSM-IV describes pathological gambling as a chronic condition with an insidious course. However, several extant studies characterize pathological and problem gambling as fluctuating over time. The present analyses expand on previous reports by evaluating changes in pathological gambling symptoms across the lifetime. DSM-IV pathological gambling symptoms were assessed retrospectively to derive diagnoses and capture changes in symptoms over time using the Lifetime Gambling History (LGH) in a sample of 1343 middle aged males from the Vietnam Era Twin (VET) Registry. Two to four weeks after initial assessment, 196 participants were re-assessed to determine test-retest reliability of the LGH. A greater number of lifetime symptoms was associated with a higher number of changes in gambling patterns. Fluctuations in pathological gambling symptoms were common among individuals who reported two or more gambling phases, with decreases in symptoms reported as frequently as increases. Reliability data revealed high reliability in reports of pathological gambling symptom endorsement and age of symptom onset. Results are consistent with findings from community based studies that describe the course of problem gambling behaviors as changing over time. Evidence is also provided for the utility of the LGH in assessing lifetime pathological gambling symptoms.
Frontiers in Psychiatry, 2021
The increase in gambling availability and the inclusion of gambling disorder as an addiction in DSM-5 highlight the importance of brief screening measures aiming to identify at-risk gamblers. The current study, using a brief telephone survey, assessed demographic characteristics and gambling behaviors in 2,118 adults. Questions were developed based on DSM-5 criteria for Gambling Disorder and common assessment tools. A 7% prevalence of as at-risk gamblers was identified. Male gender, low monthly income, high frequency of gambling behavior, large amounts of money spent, and gambling to escape from everyday problems or for amusement, specifically for men, were found to be the characteristics that can help in the early identification of at-risk gamblers. Gambling for financial gain and as a way to socialize, age, and employment status were not significant predictors of gambling severity. This study shows that the above characteristics can be assessed easily through phone screening of la...
There has been an increasing amount of research examining the links between problem gambling and substance abuse. By examining the co-occurrence of two (or more) sets of behaviors we can begin to consider the extent to which involvement in one behavior domain increases the likelihood of involvement in the other. An early study by Custer and Custer (1978) found that 8% of Gamblers Anonymous members were alcoholic and that a further 2% were addicted to other drugs. Since this study, evidence for co-existing dependencies with pathological gambling have appeared with regularity. Ramirez, McCormick, Russo and Taber (1984) reported that 47% of pathological gamblers attending at a Veteran's Administration medical centre met the criteria for alcohol and/or substance abuse at some point in their lives (with 39% meeting the criteria in the year prior to admission).