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Social Psychiatry and Psychiatric Epidemiology

Published in:

01-03-2008 | ORIGINAL PAPER

Gender differences in the associations between past-year gambling problems and psychiatric disorders

Authors: Rani A. Desai, PhD, MPH, Marc N. Potenza, MD, PhD

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 3/2008

Abstract

Background

Psychiatric disorders frequently co-occur with pathological gambling. The extent to which co-occurence extends to subsyndromal levels of gambling or differs between women and men is incompletely understood.

Aim

To examine whether the association between psychiatric disorders and past-year gambling problems is stronger in women than men.

Methods

Data from the national epidemiological survey of alcoholism and related disorders (NESARC) (n = 43,093) were analyzed.

Results

Increasing severity of past-year gambling problems was associated with increasing odds of most past-year Axis I and lifetime Axis II disorders, regardless of gender. Associations between gambling problems and major depression, dysthymia, panic disorder, and nicotine dependence were statistically stronger in women than in men.

Conclusions

A severity-related association exists between past-year gambling problems and psychiatric disorders. The stronger associations in women suggest that gambling research, prevention and treatment efforts consider gender differences.

American Psychiatric Association Committee on Nomenclature and Statistics (2000) Diagnostic and statistical manual of mental disorders (4th edn.—text revision). American Psychiatric Association, Washington, DC

Blaszczynski A, Steel Z (1998) Personality disorders among pathological gamblers. J Gambling Stud 14:51–72CrossRef

Crockford DN, el-Guebaly N (1998) Psychiatric comorbidity in pathological gambling: a critical review. Can J Psychiatry—Revue Canadienne de Psychiatrie 43:43–50

Cunningham-Williams RM, Cottler LB (2001) The epidemiology of pathological gambling. Semin Clin Neuropsychiatry 6:155–166PubMedCrossRef

Cunningham-Williams RM, Cottler LB, Compton WM, Spitznagel EL (1998) Taking chances: problem gamblers and mental health disorders—results from the St. Louis epidemiologic catchment area study. Am J Public Health 88:1093–1096PubMedCrossRef

Desai RA, Maciejewski PK, Dausey D, Caldarone BJ, Potenza MN (2004) Health correlates of recreational gambling in older adults. Am J Psychiatry 161:1672–1679PubMedCrossRef

Desai RA, Maciejewski PK, Pantalon MV, Potenza MN (2006) Gender differences among recreational gamblers: the association with alcohol use. Psychol of Addict Behav 20(2):145–153CrossRef

Desai RA, Maciejewski PK, Pantalon MV, Potenza MN (2005) Gender differences in adolescent gambling: mental health correlates and gambling patterns. Annals of Clin Psychiatry 17(4):249–259CrossRef

Gerstein D, Hoffmann J, Larison C, Engelman L, Murphy S, Palmer A, Chuchro L, Toce M, Johnson R, Buie T, Hill MA (1999) Gambling impact and behavior study. National Opinion Research Center, University of Chicago

10.

Grant BF, Dawson DA, Stinson FS, S.Chou P, Kay W, Pickering R (2003) The alcohol use disorder and associated disabilities interview schedule-IV (AUDADIS-IV): reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug Alcohol Dependence 71:7–16CrossRef

11.

Grant BF, Hasin DS, Chou SP, Stinson FS, Dawson DA (2005) Nicotine dependence and psychiatric disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry 61:1226–1233CrossRef

12.

Grant BF, Hasin DS, Stinson FS, Dawson DA, Chou SP, Ruan WJ, Huang B (2005) Co-occurrence of 12-month mood and anxiety disorders and personality disorders in the US: results from the national epidemiologic survey on alcohol and related conditions. J Psychiatr Res 39:1–9PubMedCrossRef

13.

Grant BF, Kaplan K, Shepard J, Moore T (2003) Source and acuracy statement for wave 1 of the 2001–2002 national epidemiologic survey on alcohol and related conditions. National Institute on Alcohol Abuse and Alcoholism, Bethesda

14.

Grant BF, Stinson FS, Dawson DA, Chou SP, Dufour MC, Compton W, Pickering R, Kaplan K (2004) Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders. Arch Gen Psychiatry 61:807–816PubMedCrossRef

15.

Grant JE, Kim SW, Potenza MN (2003) Advances in the pharmacological treatment of pathological gambling disorder. J Gambling Stud 19:85–109CrossRef

16.

Greenfield SF (2002) Women and alcohol use disorders. Harv Rev Psychiatry 10:76–85PubMedCrossRef

17.

Kendler KS, Prescott CA, Neale MC (2003) The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in women and men. Arch Gen Psychiatry 60:929–937PubMedCrossRef

18.

Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchem H, Kendler JS (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the national comorbidity survey. Arch Gen Psychiatry 51:8–19PubMed

19.

Lesieur H, Blume SB (1991) When lady luck loses: women and compulsive gambling. In: Van Den Bergh N (ed) Feminist perspectives on addictions. Springer, New York, pp 181–197

20.

Petry NM, Stinson FS, Grant BF (2005) Comorbidity of DSM-IV pathological gamblling and psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry 66:564–574PubMedCrossRef

21.

Potenza MN, Maciejewski PK, Desai RA, Caldarone B, Lynch W, Cavus I, Rounsaville BJ, Mazure CM (2002) Characteristics of gamblers: health measures and gender differences. Drug Alcohol Dependence 66:S141

22.

Potenza MN, Maciejewski PK, Mazure CM (2006) A gender-based examination of past-year recreational gamblers. J Gambling Stud 22:41–64CrossRef

23.

Potenza MN, Steinberg MA, McLaughlin SD, Wu R, Rounsaville BJ, Krishnan-Sarin S, George TP, O’Malley SS (2004) Characteristics of tobacco-using problem gamblers calling a gambling helpline. Am J Addictions 13:471–493CrossRef

24.

Potenza MN, Steinberg MA, McLaughlin SD, Wu R, Rounsaville BJ, O’Malley SS (2001) Gender-related differences in the characteristics of problem gamblers using a gambling helpline. Am J Psychiatry 158:1500–1505PubMedCrossRef

25.

Potenza MN, Xian H, Shah K, Scherrer JF, Eisen SA (2005) Shared genetic contributions to pathological gambling and major depression in men. Arch Gen Psychiatry 62:1015–1021PubMedCrossRef

26.

Research Triangle Institute (2001) SUDAAN Software. Research Triangle Institute, Research Triangle Park

27.

Shaffer HJ, Hall MN (2001) Updating and refining prevalence estimates of disordered gambling behavior in the United States and Canada. Can J Public Health 92:168–172PubMed

28.

Shaffer HJ, Korn DA (2002) Gambling and related mental disorders: A public health analysis. Annu Rev Public Health 23:171–212PubMedCrossRef

29.

Slutske WS, Eisen S, True WR, Lyons MJ, Goldberg J, Tsuang M (2000) Common genetic vulnerability for pathological gambling and alcohol dependence in men. Arch Gen Psychiatry 57:666–674PubMedCrossRef

30.

Slutske WS, Eisen S, Xian H, True WR, Lyons MJ, Goldberg J, Tsuang M (2001) A twin study of the association between pathological gambling and antisocial personality disorder. J Abnorm Psychol 110:297–308PubMedCrossRef

31.

Stinchfield R (2003) Reliability, validity and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. Am J Psychiatry 160:180–182PubMedCrossRef

32.

Taveres H, Zilberman ML, Beites FJ, Gentil V (2001) Gender differences in gambling progression. J Gambling Stud 17:151–160CrossRef

33.

Toce-Gerstein M, Gerstein DR, Volberg RA (2003) A hierarchy of gambling disorders in the community. Addiction 98:1661–1672PubMedCrossRef

34.

US Department of Health and Human Services and US Department of Agriculture. Chapter 9: Alcoholic beverages. In: Dietary Guidelines for Americans, 2005. 6th Edition, US Goverment Printing Office. Washington, DC. January, 2005

35.

Welte J, Barnes GM, Wieczorek WF, Tidwell M-C, Parker J (2002) Gambling participation in the U.S.—results from a national survey. J Gambling Stud 18:313–338CrossRef

Title: Gender differences in the associations between past-year gambling problems and psychiatric disorders
Authors: Rani A. Desai, PhD, MPH
Marc N. Potenza, MD, PhD
Publication date: 01-03-2008
Publisher: D. Steinkopff-Verlag
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 3/2008
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-007-0283-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Gender differences in the associations between past-year gambling problems and psychiatric disorders

Abstract

Background

Aim

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Aim

Methods

Results

Conclusions

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