Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior.
OBJECTIVE: Sociodemographic features, phenomenology, and psychiatric comorbidity of 30 subjects reporting pathological gambling behavior were examined. METHODS: Twenty-three men and seven women were recruited by advertisement and word-of-mouth. They all scored higher than 5 points on the South Oaks...
| Publicado en: | Psychiatric Services Vol. 49; no. 11; pp. 1434 - 1440 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Psychiatric Publishing, Inc.
Nov1998
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107190086&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107190086 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10752730 0Y1 jtl: Psychiatric Services issn: 10752730 maglogo: N pubinfo: dt: Nov1998 vid: 49 iid: 11 pid: 37323 pub: American Psychiatric Publishing, Inc. place: Arlington, Virginia artinfo: ui: 107190086 107190086 1999038368 10.1176/ps.49.11.1434 NLM9826244 107190086 ppf: 1434 ppct: 6 formats: tig: atl: Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior. aug: au: Black DW Moyer T affil: Department of Psychiatry, University of Iowa College of Medicine, Iowa City, Iowa 52242 (e-mail, donald-black@uiowa.edu sug: subj: Gambling Psychosocial Factors Mental Disorders Epidemiology Comorbidity Impulse Control Disorders Epidemiology Epidemiological Research Iowa Personality Disorders Epidemiology Descriptive Statistics Questionnaires Interview Guides Adult Middle Age Aged Male Female Human Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: OBJECTIVE: Sociodemographic features, phenomenology, and psychiatric comorbidity of 30 subjects reporting pathological gambling behavior were examined. METHODS: Twenty-three men and seven women were recruited by advertisement and word-of-mouth. They all scored higher than 5 points on the South Oaks Gambling Screen, indicating problematic gambling behaviors. They completed structured and semistructured assessments, including the Diagnostic Interview Schedule for DSM-III-R disorders (DIS), the Personality Diagnostic Questionnaire, Fourth Revision (PDQ-IV), and the Minnesota Impulsive Disorders Interview. RESULTS: The typical subject was a 44-year-old white married man with a mean income of $34,250 who visited a casino once or more weekly. All 30 subjects reported gambling more money than they intended to. Twenty subjects (67 percent) reported gambling as a current problem, and nine (30 percent) reported it as a past problem. Twenty-one subjects (70 percent) wanted to stop gambling but did not feel they could. According to DIS results, 18 subjects (60 percent) had a lifetime mood disorder, 19 (64 percent) a lifetime substance use disorder, and 12 (40 percent) a lifetime anxiety disorder. Based on the PDQ-IV, 26 subjects (87 percent) had a personality disorder, the most common being obsessive-compulsive, avoidant, schizotypal, and paranoid personality disorders. The sample also had a relatively high rate of antisocial personality disorder. Impulse control disorders were common, especially compulsive buying and compulsive sexual behavior. CONCLUSIONS: The results confirm that individuals with pathological gambling suffer substantial psychiatric comorbidity. They support continued inclusion of pathological gambling in the diagnostic category of impulse control disorders. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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