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Published in: Journal of Gambling Studies 2/2006

01-06-2006

Prevalence and Diagnostic Correlates of DSM-IV Pathological Gambling in Psychiatric Outpatients

Authors: Mark Zimmerman, Iwona Chelminski, Diane Young

Published in: Journal of Gambling Studies | Issue 2/2006

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Abstract

Studies of the prevalence of pathological gambling (PG) in psychiatric and substance abusing patients suggest that the disorder is not rare. Most studies have been of substance abusers in treatment, and the rate of PG has been found to be several times higher than the rate found in community based epidemiological surveys. However, only one study has examined the prevalence of PG in a heterogeneous sample of patients, and this was a study of psychiatric inpatients. We are not aware of any prior study of the prevalence of PG in a psychiatric outpatient sample. In the present report from the Rhode Island Methods to Improve Diagnosis and Services (MIDAS) project we examined the current and lifetime prevalence of PG in 1,709 psychiatric outpatients interviewed with a semi-structured diagnostic interview that included a module to diagnose DSM-IV PG. Forty (2.3%) patients had a lifetime history of DSM-IV PG, all of whom had at least one other DSM-IV axis I disorder. Patients with PG had significantly more axis I disorders than patients without PG, and had significantly higher rates of bipolar disorder, social phobia, panic disorder with agoraphobia, alcohol use disorder, and other impulse control disorders. Possible reasons for the low prevalence of PG in our sample are discussed.
Literature
go back to reference Black, D., & Moyer, T. (1998). Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior. Psychiatric Services, 49, 1434–1439.PubMed Black, D., & Moyer, T. (1998). Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior. Psychiatric Services, 49, 1434–1439.PubMed
go back to reference Bland, R. C., Newman, S. C., Orn, H., & Stebelsky, G. (1993). Epidemiology of pathological gambling in Edmonton. Canadian Journal of Psychiarty, 38, 108–112. Bland, R. C., Newman, S. C., Orn, H., & Stebelsky, G. (1993). Epidemiology of pathological gambling in Edmonton. Canadian Journal of Psychiarty, 38, 108–112.
go back to reference Chen, C., Wong, J., Lee, N., Chan-Ho, M., Lau, J., & Fung, M. (1993). The Shatkin community mental health survey in Hong Kong. Archives of General Psychiatry, 50, 125–133.PubMed Chen, C., Wong, J., Lee, N., Chan-Ho, M., Lau, J., & Fung, M. (1993). The Shatkin community mental health survey in Hong Kong. Archives of General Psychiatry, 50, 125–133.PubMed
go back to reference Ciarrocchi, J. (1993). Rates of pathological gambling in publicly funded outpatient substance abuse treatment. Journal of Gambling Studies, 9, 289–293.CrossRef Ciarrocchi, J. (1993). Rates of pathological gambling in publicly funded outpatient substance abuse treatment. Journal of Gambling Studies, 9, 289–293.CrossRef
go back to reference Ciarrocchi, J., & Richardson, R. (1989). Profile of compulsive gamblers in treatment: Update and comparisons. Journal of Gambling Behavior, 5, 53–65.CrossRef Ciarrocchi, J., & Richardson, R. (1989). Profile of compulsive gamblers in treatment: Update and comparisons. Journal of Gambling Behavior, 5, 53–65.CrossRef
go back to reference Crockford, D. N., & el-Guebaly, N. (1998). Psychiatric comorbity in pathological gambling: A critical review. Canadian Journal of Psychiatry, 43, 43–50. Crockford, D. N., & el-Guebaly, N. (1998). Psychiatric comorbity in pathological gambling: A critical review. Canadian Journal of Psychiatry, 43, 43–50.
go back to reference Cunningham-Williams, R., Cottler, L., Compton, W., & Spitznagel, E. (1997). Taking chances: Problem gamblers and mental health disorders—results from the St. Louis Epidemiologic Catchment Area Study. American Journal of Public Health, 88, 1093–1096. Cunningham-Williams, R., Cottler, L., Compton, W., & Spitznagel, E. (1997). Taking chances: Problem gamblers and mental health disorders—results from the St. Louis Epidemiologic Catchment Area Study. American Journal of Public Health, 88, 1093–1096.
go back to reference Cunningham-Williams, R., Cottler, L., Compton, W., Spitznagel, E., & Ben-Abdallah, A. (2000). Problem gambling and comorbid psychiatric and substance use disorders among drug users recruited from drug treatment and community settings. Journal of Gambling Studies, 16, 347–375.PubMedCrossRef Cunningham-Williams, R., Cottler, L., Compton, W., Spitznagel, E., & Ben-Abdallah, A. (2000). Problem gambling and comorbid psychiatric and substance use disorders among drug users recruited from drug treatment and community settings. Journal of Gambling Studies, 16, 347–375.PubMedCrossRef
go back to reference Daghestani, A., Elenz, E., & Crayton, J. (1996). Pathological gambling in hospitalized substance abusing veterans. Journal of Clinical Psychiatry, 57, 360–363.PubMed Daghestani, A., Elenz, E., & Crayton, J. (1996). Pathological gambling in hospitalized substance abusing veterans. Journal of Clinical Psychiatry, 57, 360–363.PubMed
go back to reference Elia, C., & Jacobs, D. (1993). The incidence of pathological gambling among Native Americans treated for alcohol dependence. The International Journal of the Addictions, 28, 659–666.PubMed Elia, C., & Jacobs, D. (1993). The incidence of pathological gambling among Native Americans treated for alcohol dependence. The International Journal of the Addictions, 28, 659–666.PubMed
go back to reference Feigelman, W., Kleinman, P., Lesieur, H., Millman, R., & Lesser, M. (1995). Pathological gambling among methadone patients. Drug and Alcohol Dependence, 39, 75–81.PubMedCrossRef Feigelman, W., Kleinman, P., Lesieur, H., Millman, R., & Lesser, M. (1995). Pathological gambling among methadone patients. Drug and Alcohol Dependence, 39, 75–81.PubMedCrossRef
go back to reference First, M. B., Spitzer, R. L., Gibbon M., & Williams J. B. W. (1995). Structured clinical interview for DSM-IV Axis I Disorders—Patient edition (SCID-I/P, version 2.0). New York: Biometrics Research Department, New York State Psychiatric Institute. First, M. B., Spitzer, R. L., Gibbon M., & Williams J. B. W. (1995). Structured clinical interview for DSM-IV Axis I Disorders—Patient edition (SCID-I/P, version 2.0). New York: Biometrics Research Department, New York State Psychiatric Institute.
go back to reference Fleiss, J. (1981) Statistical methods for rates and proportions (2nd ed.). New York: Wiley and Sons. Fleiss, J. (1981) Statistical methods for rates and proportions (2nd ed.). New York: Wiley and Sons.
go back to reference Hall, G., Carriero, N., Takushi, R., Montoya, I., Preston, K., & Gorelick, D. (2000). Pathological gambling among cocaine-dependent outpatients. American Journal of Psychiatry, 157, 1127–1133.PubMedCrossRef Hall, G., Carriero, N., Takushi, R., Montoya, I., Preston, K., & Gorelick, D. (2000). Pathological gambling among cocaine-dependent outpatients. American Journal of Psychiatry, 157, 1127–1133.PubMedCrossRef
go back to reference Ibanez, A., Blanco, C., Donahue, E., Lesieur, H., de Castro, I., Fernandez-Piqueras, J., & Saiz-Ruiz, J. (2001). Psychiatric comorbidity in pathological gamblers seeking treatment. American Journal of Psychiatry, 158, 1733–1735.PubMedCrossRef Ibanez, A., Blanco, C., Donahue, E., Lesieur, H., de Castro, I., Fernandez-Piqueras, J., & Saiz-Ruiz, J. (2001). Psychiatric comorbidity in pathological gamblers seeking treatment. American Journal of Psychiatry, 158, 1733–1735.PubMedCrossRef
go back to reference Jaisoorya, T., Reddy, Y., & Srinath, S. (2003). The relationship of obsessive-compulsive disorder to putative spectrum disorders: Results from an Indian study. Comprehensive Psychiatry, 44, 317–323.PubMedCrossRef Jaisoorya, T., Reddy, Y., & Srinath, S. (2003). The relationship of obsessive-compulsive disorder to putative spectrum disorders: Results from an Indian study. Comprehensive Psychiatry, 44, 317–323.PubMedCrossRef
go back to reference Kausch, O. (2003). Suicide attempts among veterans seeking treatment for pathological gambling. Journal of Clinical Psychiatry, 64, 1031–1038.PubMedCrossRef Kausch, O. (2003). Suicide attempts among veterans seeking treatment for pathological gambling. Journal of Clinical Psychiatry, 64, 1031–1038.PubMedCrossRef
go back to reference Ledgerwood, D., & Downey, K. (2002). Relationship between problem gambling and substance use in a methadone maintenance population. Addictive Behaviors, 27, 483–491.PubMedCrossRef Ledgerwood, D., & Downey, K. (2002). Relationship between problem gambling and substance use in a methadone maintenance population. Addictive Behaviors, 27, 483–491.PubMedCrossRef
go back to reference Ledgerwood, D., & Petry, N. (2004). Gambling and suicidality in treatment-seeking pathological gamblers. The Journal of Nervous and Mental Disease, 192, 711–714.PubMedCrossRef Ledgerwood, D., & Petry, N. (2004). Gambling and suicidality in treatment-seeking pathological gamblers. The Journal of Nervous and Mental Disease, 192, 711–714.PubMedCrossRef
go back to reference Lejoyeux, M., Feuche, N., Loi, S., Solomon, J., & Ades, J. (1999). Study of impulse-control disorders among alcohol-dependent patients. Journal of Clinical Psychiatry, 60, 302–305.PubMed Lejoyeux, M., Feuche, N., Loi, S., Solomon, J., & Ades, J. (1999). Study of impulse-control disorders among alcohol-dependent patients. Journal of Clinical Psychiatry, 60, 302–305.PubMed
go back to reference Lesieur, H. (1984) The chase: Career of the compulsive gambler. Cambridge, MA: Schenkman Books. Lesieur, H. (1984) The chase: Career of the compulsive gambler. Cambridge, MA: Schenkman Books.
go back to reference Lesieur, H., & Blume, S. (1990). Characteristics of pathological gamblers indentified among patients on a psychiatric admissions service. Hospital and Community Psychiatry, 41, 1009–1012.PubMed Lesieur, H., & Blume, S. (1990). Characteristics of pathological gamblers indentified among patients on a psychiatric admissions service. Hospital and Community Psychiatry, 41, 1009–1012.PubMed
go back to reference Lesieur, H. R., & Blume, S. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.PubMed Lesieur, H. R., & Blume, S. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.PubMed
go back to reference Linden, R. D., Pope, H. G., & Jonas, J. M. (1986). Pathological gambling and major affective disorder: Preliminary findings. Journal of Clinical Psychiatry, 47, 201–203.PubMed Linden, R. D., Pope, H. G., & Jonas, J. M. (1986). Pathological gambling and major affective disorder: Preliminary findings. Journal of Clinical Psychiatry, 47, 201–203.PubMed
go back to reference Livingston, J. (1974) Compulsive gamblers: Observations on action and abstinence. New York: Harper Torchbooks. Livingston, J. (1974) Compulsive gamblers: Observations on action and abstinence. New York: Harper Torchbooks.
go back to reference Moreyra, P., Ibanez, A., Liebowitz, M., Saiz-Ruiz, J., & Blanco, C. (2002). Pathological gambling: Addiction or obsession?. Psychiatric Annals, 32, 161–166. Moreyra, P., Ibanez, A., Liebowitz, M., Saiz-Ruiz, J., & Blanco, C. (2002). Pathological gambling: Addiction or obsession?. Psychiatric Annals, 32, 161–166.
go back to reference Petry, N., & Kiluk, B. (2002). Suicidal ideation and suicide attempts in treatment-seeking pathological gamblers. The Journal of Nervous and Mental Disease, 190, 462–469.PubMedCrossRef Petry, N., & Kiluk, B. (2002). Suicidal ideation and suicide attempts in treatment-seeking pathological gamblers. The Journal of Nervous and Mental Disease, 190, 462–469.PubMedCrossRef
go back to reference Rupcich, N., Frisch, G. R., & Govoni, R. (1997). Comorbidity of pathological gambling in addiction treatment facilities. Journal of Substance Abuse Treatment, 14, 573–574.PubMedCrossRef Rupcich, N., Frisch, G. R., & Govoni, R. (1997). Comorbidity of pathological gambling in addiction treatment facilities. Journal of Substance Abuse Treatment, 14, 573–574.PubMedCrossRef
go back to reference Shaffer, H., Freed, C., & Healea, D. (2002). Gambling disorders among homeless persons with substance use disorders seeking treatment at a community center. Psychiatric Services, 53, 1112–1117.PubMedCrossRef Shaffer, H., Freed, C., & Healea, D. (2002). Gambling disorders among homeless persons with substance use disorders seeking treatment at a community center. Psychiatric Services, 53, 1112–1117.PubMedCrossRef
go back to reference Shaffer, H., Hall, M., & Vanderbilt, J. (1997) Estimating the prevalence of disordered gambling behavior in the United States and Canada: A meta-analysis. Boston, MA: President and Fellows of Harvard College. Shaffer, H., Hall, M., & Vanderbilt, J. (1997) Estimating the prevalence of disordered gambling behavior in the United States and Canada: A meta-analysis. Boston, MA: President and Fellows of Harvard College.
go back to reference Specker, S., Carlson, G., Edmonson, K., Johnson, P., & Marcotte, M. (1996). Psychopathology in pathological gamblers seeking treatment. Journal of Gambling Studies, 12, 67–81.CrossRef Specker, S., Carlson, G., Edmonson, K., Johnson, P., & Marcotte, M. (1996). Psychopathology in pathological gamblers seeking treatment. Journal of Gambling Studies, 12, 67–81.CrossRef
go back to reference Spunt, B. (2002). Pathological gambling and substance misuse. Substance Use & Misuse, 37, 1299–1304.CrossRef Spunt, B. (2002). Pathological gambling and substance misuse. Substance Use & Misuse, 37, 1299–1304.CrossRef
go back to reference Steinberg, M., Kosten, T., & Rounsaville, B. (1992). Cocaine abuse and pathological gambling. The American Journal on Addictions, 1, 121–132.CrossRef Steinberg, M., Kosten, T., & Rounsaville, B. (1992). Cocaine abuse and pathological gambling. The American Journal on Addictions, 1, 121–132.CrossRef
go back to reference Toneatto, T., & Brennan, J. (2002). Pathological gambling in treatment-seeking substance abusers. Addictive Behaviors, 27, 465–469.PubMedCrossRef Toneatto, T., & Brennan, J. (2002). Pathological gambling in treatment-seeking substance abusers. Addictive Behaviors, 27, 465–469.PubMedCrossRef
go back to reference Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: Implications for public health. American Journal of Public Health, 84, 237–241.PubMedCrossRef Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: Implications for public health. American Journal of Public Health, 84, 237–241.PubMedCrossRef
go back to reference Volberg, R. A., & Steadman, H. J. (1989). Prevalence estimates of pathological gambling in New Jersey and Maryland. American Journal of Psychiatry, 146, 1618–1619.PubMed Volberg, R. A., & Steadman, H. J. (1989). Prevalence estimates of pathological gambling in New Jersey and Maryland. American Journal of Psychiatry, 146, 1618–1619.PubMed
go back to reference Zimmerman, M. (2003). Integrating the assessment methods of researchers in routine clinical practice: The Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project. In: M. First (Ed.), Standardized Evaluation in Clinical Practice (vol. 22, pp. 29–74). Washington: American Psychiatric Publishing, Inc. Zimmerman, M. (2003). Integrating the assessment methods of researchers in routine clinical practice: The Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project. In: M. First (Ed.), Standardized Evaluation in Clinical Practice (vol. 22, pp. 29–74). Washington: American Psychiatric Publishing, Inc.
go back to reference Zimmerman, M., & Mattia, J. I. (1999). Psychiatric diagnosis in clinical practice: Is comorbidity being missed?. Comprehensive Psychiatry, 40, 182–191.PubMedCrossRef Zimmerman, M., & Mattia, J. I. (1999). Psychiatric diagnosis in clinical practice: Is comorbidity being missed?. Comprehensive Psychiatry, 40, 182–191.PubMedCrossRef
Metadata
Title
Prevalence and Diagnostic Correlates of DSM-IV Pathological Gambling in Psychiatric Outpatients
Authors
Mark Zimmerman
Iwona Chelminski
Diane Young
Publication date
01-06-2006
Publisher
Springer US
Published in
Journal of Gambling Studies / Issue 2/2006
Electronic ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-006-9014-8

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