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Published in: Journal of Gambling Studies 1/2016

01-03-2016 | Original Paper

Mediational Role of Age of Onset in Gambling Disorder, a Path Modeling Analysis

Authors: Susana Jiménez-Murcia, Roser Granero, Salomé Tárrega, Ariadna Angulo, Fernando Fernández-Aranda, Jon Arcelus, Ana B. Fagundo, Neus Aymamí, Laura Moragas, Anne Sauvaget, Marie Grall-Bronnec, Mónica Gómez-Peña, José M. Menchón

Published in: Journal of Gambling Studies | Issue 1/2016

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Abstract

The aim of the study is to assess a mediational pathway, which includes patients’ sex, personality traits, age of onset of gambling disorder (GD) and gambling-related variables. The South Oaks Gambling Screen, the Symptom Checklist (SCL-90-R) and the Temperament and Character Inventory-R were administered to a large sample of 1632 outpatients attending a specialized outpatient GD unit. Sociodemographic variables were also recorded. A Structural Equation Model was adjusted to assess the pathway. Age of onset mediated between personality profile (novelty seeking and self-transcendence) and GD severity and depression symptoms (measured by SCL-90-R). Sex had a direct effect on GD onset and depression symptoms: men initiated the GD earlier and reported fewer depression symptoms. Age of onset is a mediating variable between sex, personality traits, GD severity and depression symptoms. These empirical results provide new evidence about the underlying etiological process of dysfunctional behaviors related to gambling, and may help to guide the development of more effective treatment and prevention programs aimed at high-risk groups such as young men with high levels of novelty seeking and self-transcendence.
Literature
go back to reference Álvarez-Moya, E. M., Jiménez-Murcia, S., Aymamí, M. N., Gómez-Peña, M., Granero, R., Santamaría, J., et al. (2010). Subtyping study of a pathological gamblers sample. The Canadian Journal of Psychiatry/La Revue canadienne de psychiatrie, 55(8), 498–506. Álvarez-Moya, E. M., Jiménez-Murcia, S., Aymamí, M. N., Gómez-Peña, M., Granero, R., Santamaría, J., et al. (2010). Subtyping study of a pathological gamblers sample. The Canadian Journal of Psychiatry/La Revue canadienne de psychiatrie, 55(8), 498–506.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, Londres: American Psychiatric Association. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, Londres: American Psychiatric Association.
go back to reference Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: results from the National Epidemiologic Survey on alcohol and related conditions. Psychological Medicine, 36(7), 943–953. doi:10.1017/S0033291706007410.CrossRefPubMed Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: results from the National Epidemiologic Survey on alcohol and related conditions. Psychological Medicine, 36(7), 943–953. doi:10.​1017/​S003329170600741​0.CrossRefPubMed
go back to reference Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.CrossRefPubMed Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97(5), 487–499.CrossRefPubMed
go back to reference Bondolfi, G., Osiek, C., & Ferrero, F. (2000). Prevalence estimates of pathological gambling in Switzerland. Acta Psychiatrica Scandinavica, 101(6), 473–475.CrossRefPubMed Bondolfi, G., Osiek, C., & Ferrero, F. (2000). Prevalence estimates of pathological gambling in Switzerland. Acta Psychiatrica Scandinavica, 101(6), 473–475.CrossRefPubMed
go back to reference Burge, A. N., Pietrzak, R. H., & Petry, N. M. (2006). Pre/early adolescent onset of gambling and psychosocial problems in treatment-seeking pathological gamblers. Journal of Gambling Studies, 22(3), 263–274. doi:10.1007/s10899-006-9015-7.CrossRefPubMed Burge, A. N., Pietrzak, R. H., & Petry, N. M. (2006). Pre/early adolescent onset of gambling and psychosocial problems in treatment-seeking pathological gamblers. Journal of Gambling Studies, 22(3), 263–274. doi:10.​1007/​s10899-006-9015-7.CrossRefPubMed
go back to reference Chambers, R. A., & Potenza, M. N. (2003). Neurodevelopment, impulsivity, and adolescent gambling. Journal of Gambling Studies, 19(1), 53–84.CrossRefPubMed Chambers, R. A., & Potenza, M. N. (2003). Neurodevelopment, impulsivity, and adolescent gambling. Journal of Gambling Studies, 19(1), 53–84.CrossRefPubMed
go back to reference Cloninger, C. R., Svrakic, D. M., Bayon, C., & Przybeck, T. R. (1999). Measurement of psychopathology as variants of personality. In C. R. Cloninger (Ed.), Personality and psychopathology (pp. 33–65). Arlington, VA: American Psychiatric Association. Cloninger, C. R., Svrakic, D. M., Bayon, C., & Przybeck, T. R. (1999). Measurement of psychopathology as variants of personality. In C. R. Cloninger (Ed.), Personality and psychopathology (pp. 33–65). Arlington, VA: American Psychiatric Association.
go back to reference Cloninger, C. R., Svrakic, D. M., & Przybeck, T. R. (1993). A psychobiological model of temperament and character. Archives of General Psychiatry, 50(12), 975–990.CrossRefPubMed Cloninger, C. R., Svrakic, D. M., & Przybeck, T. R. (1993). A psychobiological model of temperament and character. Archives of General Psychiatry, 50(12), 975–990.CrossRefPubMed
go back to reference Derogatis, L. R. (1997). SCL-90-R. Cuestionario de 90 síntomas. Madrid: TEA. Derogatis, L. R. (1997). SCL-90-R. Cuestionario de 90 síntomas. Madrid: TEA.
go back to reference Echeburúa, E., Báez, C., Fernández, J., & Páez, D. (1994). Cuestionario de juego patológico de South Oaks (SOGS): Validación española (South Oaks Gambling Screen (SOGS): Spanish validation). Análisis de Modificación de Conducta, 20, 769–791. Echeburúa, E., Báez, C., Fernández, J., & Páez, D. (1994). Cuestionario de juego patológico de South Oaks (SOGS): Validación española (South Oaks Gambling Screen (SOGS): Spanish validation). Análisis de Modificación de Conducta, 20, 769–791.
go back to reference el-Guebaly, N., Patten, S. B., Currie, S., Williams, J. V. A., Beck, C. A., Maxwell, C. J., & Wang, J. L. (2006). Epidemiological associations between gambling behavior, substance use & mood and anxiety disorders. Journal of Gambling Studies, 22(3), 275–287. doi:10.1007/s10899-006-9016-6.CrossRefPubMed el-Guebaly, N., Patten, S. B., Currie, S., Williams, J. V. A., Beck, C. A., Maxwell, C. J., & Wang, J. L. (2006). Epidemiological associations between gambling behavior, substance use & mood and anxiety disorders. Journal of Gambling Studies, 22(3), 275–287. doi:10.​1007/​s10899-006-9016-6.CrossRefPubMed
go back to reference Forbush, K. T., Shaw, M., Graeber, M. A., Hovick, L., Meyer, V. J., Moser, D. J., et al. (2008). Neuropsychological characteristics and personality traits in pathological gambling. CNS Spectrums, 13(4), 306–315.PubMed Forbush, K. T., Shaw, M., Graeber, M. A., Hovick, L., Meyer, V. J., Moser, D. J., et al. (2008). Neuropsychological characteristics and personality traits in pathological gambling. CNS Spectrums, 13(4), 306–315.PubMed
go back to reference Gainsbury, S. M., Russell, A., Hing, N., Wood, R., Lubman, D., & Blaszczynski, A. (2013). How the Internet is changing gambling: Findings from an Australian Prevalence Survey. Journal of Gambling Studies. doi:10.1007/s10899-013-9404-7.PubMed Gainsbury, S. M., Russell, A., Hing, N., Wood, R., Lubman, D., & Blaszczynski, A. (2013). How the Internet is changing gambling: Findings from an Australian Prevalence Survey. Journal of Gambling Studies. doi:10.​1007/​s10899-013-9404-7.PubMed
go back to reference Granero, R., Penelo, E., Stinchfield, R., Fernández-Aranda, F., Aymamí, N., Gómez-Peña, M., et al. (2014a). Contribution of illegal acts to pathological gambling diagnosis: DSM-5 implications. Journal of Addictive Diseases, 33(1), 41–52. doi:10.1080/10550887.2014.882730.CrossRefPubMed Granero, R., Penelo, E., Stinchfield, R., Fernández-Aranda, F., Aymamí, N., Gómez-Peña, M., et al. (2014a). Contribution of illegal acts to pathological gambling diagnosis: DSM-5 implications. Journal of Addictive Diseases, 33(1), 41–52. doi:10.​1080/​10550887.​2014.​882730.CrossRefPubMed
go back to reference Granero, R., Penelo, E., Stinchfield, R., Fernandez-Aranda, F., Savvidou, L. G., Fröberg, F., et al. (2014b). Is pathological gambling moderated by age? Journal of Gambling Studies, 30(2), 475–492. doi:10.1007/s10899-013-9369-6.PubMed Granero, R., Penelo, E., Stinchfield, R., Fernandez-Aranda, F., Savvidou, L. G., Fröberg, F., et al. (2014b). Is pathological gambling moderated by age? Journal of Gambling Studies, 30(2), 475–492. doi:10.​1007/​s10899-013-9369-6.PubMed
go back to reference Gupta, R., Nower, L., Derevensky, J. L., Blaszczynski, A., Faregh, N., & Temcheff, C. (2013). Problem gambling in adolescents: an examination of the pathways model. Journal of Gambling Studies, 29(3), 575–588. doi:10.1007/s10899-012-9322-0.CrossRefPubMed Gupta, R., Nower, L., Derevensky, J. L., Blaszczynski, A., Faregh, N., & Temcheff, C. (2013). Problem gambling in adolescents: an examination of the pathways model. Journal of Gambling Studies, 29(3), 575–588. doi:10.​1007/​s10899-012-9322-0.CrossRefPubMed
go back to reference Gutiérrez-Zotes, J. A., Bayón, C., Montserrat, C., Valero, J., Labad, A., Cloninger, C. R., & Fernández-Aranda, F. (2004). Temperament and Character Inventory Revised (TCI-R). Standardization and normative data in a general population sample. Actas españolas de psiquiatría, 32(1), 8–15.PubMed Gutiérrez-Zotes, J. A., Bayón, C., Montserrat, C., Valero, J., Labad, A., Cloninger, C. R., & Fernández-Aranda, F. (2004). Temperament and Character Inventory Revised (TCI-R). Standardization and normative data in a general population sample. Actas españolas de psiquiatría, 32(1), 8–15.PubMed
go back to reference Ibáñez, A., Blanco, C., Donahue, E., Lesieur, H. R., Pérez de Castro, I., Fernández-Piqueras, J., & Sáiz-Ruiz, J. (2001). Psychiatric comorbidity in pathological gamblers seeking treatment. The American Journal of Psychiatry, 158(10), 1733–1735.CrossRefPubMed Ibáñez, A., Blanco, C., Donahue, E., Lesieur, H. R., Pérez de Castro, I., Fernández-Piqueras, J., & Sáiz-Ruiz, J. (2001). Psychiatric comorbidity in pathological gamblers seeking treatment. The American Journal of Psychiatry, 158(10), 1733–1735.CrossRefPubMed
go back to reference Jiménez-Murcia, S., Alvarez-Moya, E. M., Stinchfield, R., Fernández-Aranda, F., Granero, R., Aymamí, N., et al. (2010). Age of onset in pathological gambling: clinical, therapeutic and personality correlates. Journal of Gambling Studies, 26(2), 235–248. doi:10.1007/s10899-009-9175-3.CrossRefPubMed Jiménez-Murcia, S., Alvarez-Moya, E. M., Stinchfield, R., Fernández-Aranda, F., Granero, R., Aymamí, N., et al. (2010). Age of onset in pathological gambling: clinical, therapeutic and personality correlates. Journal of Gambling Studies, 26(2), 235–248. doi:10.​1007/​s10899-009-9175-3.CrossRefPubMed
go back to reference Jiménez-Murcia, S., Aymamí-Sanromà, M. N., Gómez-Peña, M., Álvarez-Moya, E. M., & Vallejo, J. (2006). Protocols de tractament cognitivoconductual pel joc patològic i d’altres addiccions no tóxiques. [Guidelines of cognitive-behavioural treatment of pathological gambling and other non-toxic addictions]. Barcelona: Hospital Universitari de Bellvitge, Departament de Salut, Generalitat de Catalunya. Jiménez-Murcia, S., Aymamí-Sanromà, M. N., Gómez-Peña, M., Álvarez-Moya, E. M., & Vallejo, J. (2006). Protocols de tractament cognitivoconductual pel joc patològic i d’altres addiccions no tóxiques. [Guidelines of cognitive-behavioural treatment of pathological gambling and other non-toxic addictions]. Barcelona: Hospital Universitari de Bellvitge, Departament de Salut, Generalitat de Catalunya.
go back to reference Jiménez-Murcia, S., Fernández-Aranda, F., Kalapanidas, E., Konstantas, D., Ganchev, T., Kocsis, O., et al. (2009a). Playmancer project: a serious videogame as an additional therapy tool for eating and impulse control disorders. Studies in Health Technology and Informatics, 144, 163–166.PubMed Jiménez-Murcia, S., Fernández-Aranda, F., Kalapanidas, E., Konstantas, D., Ganchev, T., Kocsis, O., et al. (2009a). Playmancer project: a serious videogame as an additional therapy tool for eating and impulse control disorders. Studies in Health Technology and Informatics, 144, 163–166.PubMed
go back to reference Jiménez-Murcia, S., Granero, R., Stinchfield, R., Fernández-Aranda, F., Penelo, E., Savvidou, L. G., et al. (2013). Typologies of young pathological gamblers based on sociodemographic and clinical characteristics. Comprehensive Psychiatry, 54(8), 1153–1160. doi:10.1016/j.comppsych.2013.05.017.CrossRefPubMed Jiménez-Murcia, S., Granero, R., Stinchfield, R., Fernández-Aranda, F., Penelo, E., Savvidou, L. G., et al. (2013). Typologies of young pathological gamblers based on sociodemographic and clinical characteristics. Comprehensive Psychiatry, 54(8), 1153–1160. doi:10.​1016/​j.​comppsych.​2013.​05.​017.CrossRefPubMed
go back to reference Jiménez-Murcia, S., Stinchfield, R., Alvarez-Moya, E., Jaurrieta, N., Bueno, B., Granero, R., et al. (2009b). Reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for pathological gambling. Journal of Gambling Studies, 25(1), 93–104. doi:10.1007/s10899-008-9104-x.CrossRefPubMed Jiménez-Murcia, S., Stinchfield, R., Alvarez-Moya, E., Jaurrieta, N., Bueno, B., Granero, R., et al. (2009b). Reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for pathological gambling. Journal of Gambling Studies, 25(1), 93–104. doi:10.​1007/​s10899-008-9104-x.CrossRefPubMed
go back to reference Kline, R. B. (2010). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford. Kline, R. B. (2010). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford.
go back to reference Ladd, G. T., & Petry, N. M. (2002). Gender differences among pathological gamblers seeking treatment. Experimental and Clinical Psychopharmacology, 10(3), 302–309.CrossRefPubMed Ladd, G. T., & Petry, N. M. (2002). Gender differences among pathological gamblers seeking treatment. Experimental and Clinical Psychopharmacology, 10(3), 302–309.CrossRefPubMed
go back to reference Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. The American Journal of Psychiatry, 144(9), 1184–1188.CrossRefPubMed Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. The American Journal of Psychiatry, 144(9), 1184–1188.CrossRefPubMed
go back to reference Lobo, D. S. S., Quilty, L. C., Martins, S. S., Tavares, H., Vallada, H., Kennedy, J. L., & Bagby, R. M. (2014). Addictive behaviors pathological gambling subtypes: A comparison of treatment-seeking and non-treatment-seeking samples from Brazil and Canada. Addictive Behaviors, 39(7), 1172–1175. doi:10.1016/j.addbeh.2014.03.006.CrossRefPubMed Lobo, D. S. S., Quilty, L. C., Martins, S. S., Tavares, H., Vallada, H., Kennedy, J. L., & Bagby, R. M. (2014). Addictive behaviors pathological gambling subtypes: A comparison of treatment-seeking and non-treatment-seeking samples from Brazil and Canada. Addictive Behaviors, 39(7), 1172–1175. doi:10.​1016/​j.​addbeh.​2014.​03.​006.CrossRefPubMed
go back to reference Lorains, F. K., Cowlishaw, S., & Thomas, S. A. (2011). Prevalence of comorbid disorders in problem and pathological gambling: Systematic review and meta-analysis of population surveys. Addiction (Abingdon, England), 106(3), 490–498. doi:10.1111/j.1360-0443.2010.03300.x.CrossRef Lorains, F. K., Cowlishaw, S., & Thomas, S. A. (2011). Prevalence of comorbid disorders in problem and pathological gambling: Systematic review and meta-analysis of population surveys. Addiction (Abingdon, England), 106(3), 490–498. doi:10.​1111/​j.​1360-0443.​2010.​03300.​x.CrossRef
go back to reference Martínez-Azumendi, O., Fernández-Gómez, C., & Beitia-Fernández, M. (2001). Factorial variance of the SCL-90-R in a Spanish out-patient psychiatric sample. Actas españolas de psiquiatría, 29(2), 95–102.PubMed Martínez-Azumendi, O., Fernández-Gómez, C., & Beitia-Fernández, M. (2001). Factorial variance of the SCL-90-R in a Spanish out-patient psychiatric sample. Actas españolas de psiquiatría, 29(2), 95–102.PubMed
go back to reference Martinotti, G., Andreoli, S., Giametta, E., Poli, V., Bria, P., & Janiri, L. (2006). The dimensional assessment of personality in pathologic and social gamblers: The role of novelty seeking and self-transcendence. Comprehensive Psychiatry, 47(5), 350–356. doi:10.1016/j.comppsych.2005.12.005.CrossRefPubMed Martinotti, G., Andreoli, S., Giametta, E., Poli, V., Bria, P., & Janiri, L. (2006). The dimensional assessment of personality in pathologic and social gamblers: The role of novelty seeking and self-transcendence. Comprehensive Psychiatry, 47(5), 350–356. doi:10.​1016/​j.​comppsych.​2005.​12.​005.CrossRefPubMed
go back to reference Meyer, G. (1991). Classification of gamblers from self-help groups using cluster analysis. Zeitschrift für klinische Psychologie, Psychopathologie und Psychotherapie/im Auftrag der Görres-Gesellschaft, 39(3), 261–282.PubMed Meyer, G. (1991). Classification of gamblers from self-help groups using cluster analysis. Zeitschrift für klinische Psychologie, Psychopathologie und Psychotherapie/im Auftrag der Görres-Gesellschaft, 39(3), 261–282.PubMed
go back to reference Moran, E. (1970). Varieties of pathological gambling. The British Journal of Psychiatry: The Journal of Mental Science, 116(535), 593–597.CrossRef Moran, E. (1970). Varieties of pathological gambling. The British Journal of Psychiatry: The Journal of Mental Science, 116(535), 593–597.CrossRef
go back to reference Nower, L., Martins, S. S., Lin, K.-H., & Blanco, C. (2013). Subtypes of disordered gamblers: Results from the National Epidemiologic Survey on alcohol and related conditions. Addiction (Abingdon, England), 108(4), 789–798. doi:10.1111/add.12012.CrossRef Nower, L., Martins, S. S., Lin, K.-H., & Blanco, C. (2013). Subtypes of disordered gamblers: Results from the National Epidemiologic Survey on alcohol and related conditions. Addiction (Abingdon, England), 108(4), 789–798. doi:10.​1111/​add.​12012.CrossRef
go back to reference Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on alcohol and related conditions. The Journal of clinical psychiatry, 66(5), 564–574.CrossRefPubMed Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on alcohol and related conditions. The Journal of clinical psychiatry, 66(5), 564–574.CrossRefPubMed
go back to reference Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. The American Journal of Psychiatry, 158(9), 1500–1505.CrossRefPubMed Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. The American Journal of Psychiatry, 158(9), 1500–1505.CrossRefPubMed
go back to reference Rabe-Hesketh, S., Skrondal, A., & Pickles, A. (2004). Generalized multilevel structural equation modeling. Psychometrika, 69, 167–190.CrossRef Rabe-Hesketh, S., Skrondal, A., & Pickles, A. (2004). Generalized multilevel structural equation modeling. Psychometrika, 69, 167–190.CrossRef
go back to reference Raylu, N., & Oei, T. P. S. (2002). Pathological gambling. A comprehensive review. Clinical Psychology Review, 22(7), 1009–1061.CrossRefPubMed Raylu, N., & Oei, T. P. S. (2002). Pathological gambling. A comprehensive review. Clinical Psychology Review, 22(7), 1009–1061.CrossRefPubMed
go back to reference Shin, Y.-C., Lim, S.-W., Choi, S.-W., Kim, S. W., & Grant, J. E. (2009). Comparison of temperament and character between early- and late-onset Korean male pathological gamblers. Journal of Gambling Studies, 25(4), 447–453. doi:10.1007/s10899-009-9125-0.CrossRefPubMed Shin, Y.-C., Lim, S.-W., Choi, S.-W., Kim, S. W., & Grant, J. E. (2009). Comparison of temperament and character between early- and late-onset Korean male pathological gamblers. Journal of Gambling Studies, 25(4), 447–453. doi:10.​1007/​s10899-009-9125-0.CrossRefPubMed
go back to reference Stinchfield, R. (2003). Reliability, validity, and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. The American Journal of Psychiatry, 160(1), 180–182.CrossRefPubMed Stinchfield, R. (2003). Reliability, validity, and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. The American Journal of Psychiatry, 160(1), 180–182.CrossRefPubMed
go back to reference Volberg, R. A., Gupta, R., Griffiths, M. D., Olason, D. T., & Delfabbro, P. (2010). An international perspective on youth gambling prevalence studies. International Journal of Adolescent Medicine and Health, 22(1), 3–38.PubMed Volberg, R. A., Gupta, R., Griffiths, M. D., Olason, D. T., & Delfabbro, P. (2010). An international perspective on youth gambling prevalence studies. International Journal of Adolescent Medicine and Health, 22(1), 3–38.PubMed
go back to reference Welte, J. W., Barnes, G. M., Tidwell, M.-C. O., & Hoffman, J. H. (2009). Association between problem gambling and conduct disorder in a national survey of adolescents and young adults in the United States. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 45(4), 396–401. doi:10.1016/j.jadohealth.2009.02.002.CrossRef Welte, J. W., Barnes, G. M., Tidwell, M.-C. O., & Hoffman, J. H. (2009). Association between problem gambling and conduct disorder in a national survey of adolescents and young adults in the United States. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 45(4), 396–401. doi:10.​1016/​j.​jadohealth.​2009.​02.​002.CrossRef
go back to reference Winters, K. C., Stinchfield, R. D., Botzet, A., & Anderson, N. (2002). A prospective study of youth gambling behaviors. Psychology of Addictive Behaviors, 16(1), 3–9.CrossRefPubMed Winters, K. C., Stinchfield, R. D., Botzet, A., & Anderson, N. (2002). A prospective study of youth gambling behaviors. Psychology of Addictive Behaviors, 16(1), 3–9.CrossRefPubMed
Metadata
Title
Mediational Role of Age of Onset in Gambling Disorder, a Path Modeling Analysis
Authors
Susana Jiménez-Murcia
Roser Granero
Salomé Tárrega
Ariadna Angulo
Fernando Fernández-Aranda
Jon Arcelus
Ana B. Fagundo
Neus Aymamí
Laura Moragas
Anne Sauvaget
Marie Grall-Bronnec
Mónica Gómez-Peña
José M. Menchón
Publication date
01-03-2016
Publisher
Springer US
Published in
Journal of Gambling Studies / Issue 1/2016
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-015-9537-y

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