Differences between early-onset pathological gambling and later-onset pathological gambling: data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)

Addiction ◽  
2014 ◽  
Vol 109 (5) ◽  
pp. 807-813 ◽  
Author(s):  
Ernesto José Verdura Vizcaíno ◽  
Pablo Fernández-Navarro ◽  
Nancy Petry ◽  
Gabriel Rubio ◽  
Carlos Blanco
2012 ◽  
Vol 27 ◽  
pp. 1
Author(s):  
E.J. Verdura Vizcaino ◽  
P. Fernandez-Navarro ◽  
G. Ponce Alfaro ◽  
G. Rubio Valladolid ◽  
M. Navio Acosta ◽  
...  

2019 ◽  
Vol 71 (7) ◽  
pp. 986-992 ◽  
Author(s):  
Tristan Pascart ◽  
Laurène Norberciak ◽  
Hang‐Korng Ea ◽  
Pascal Guggenbuhl ◽  
Frédéric Lioté

2006 ◽  
Vol 36 (07) ◽  
pp. 943 ◽  
Author(s):  
CARLOS BLANCO ◽  
DEBORAH S. HASIN ◽  
NANCY PETRY ◽  
FREDERICK S. STINSON ◽  
BRIDGET F. GRANT

CNS Spectrums ◽  
2009 ◽  
Vol 14 (3) ◽  
pp. 132-143 ◽  
Author(s):  
Analucía A. Alegría ◽  
Nancy M. Petry ◽  
Deborah S. Hasin ◽  
Shang-Min Liu ◽  
Bridget F. Grant ◽  
...  

ABSTRACTIntroduction: Prior research suggests that racial minority groups in the United States are more vulnerable to develop a gambling disorder than whites. However, no national survey on gambling disorders exists that has focused on ethnic differences.Methods: Analyses of this study were based on the National Epidemiologic Survey on Alcohol and Related Conditions, a large (N=43,093) nationally representative survey of the adult (≥18 years of age) population residing in house-holds during 2001–2002 period. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision diagnoses of pathological gambling, mood, anxiety, drug use, and personality disorders were based on the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IVVersion.Results: Prevalence rates of disordered gambling among blacks (2.2%) and Native/Asian Americans (2.3%) were higher than that of whites (1.2%). Demographic characteristics and psychiatric comorbidity differed among Hispanic, black, and white disordered gamblers. However, all racial and ethnic groups evidenced similarities with respect to symptom patterns, time course, and treatment seeking for pathological gambling.Conclusion: The prevalence of disordered gambling, but not its onset or course of symptoms, varies by racial and ethnic group. These varying prevalence rates may reflect, at least in part, cultural differences in gambling and its acceptability and accessibility. These data may inform the need for targeted prevention strategies for high-risk racial and ethnic groups.


CNS Spectrums ◽  
2010 ◽  
Vol 15 (1) ◽  
pp. 33-44 ◽  
Author(s):  
Judson A. Brewer ◽  
Marc N. Potenza ◽  
Rani A. Desai

ABSTRACTBackground: Alcohol abuse and/or dependence, alcohol use disorders (AUDs), and problem and/or pathological gambling (PPG) frequently co-occur with each other and other psychiatric disorders. However, prior studies have not investigated the relative influence of AUDs on the associations between PPG and other psychiatric disorders.Methods: Nationally representative data from the National Epidemiologic Survey on Alcohol and Related Conditions (n=43,093; United States residents ≥18 years of age) was used to examine the influence of AUDs on the associations between gambling and other psychiatric disorders and behaviors. The main outcome measures were co-occurrence of past-year AUD and Axis I and II disorders and severity of gambling based on the 10 inclusionary diagnostic criteria for pathological gambling.Results: Among non-AUD respondents, increasing gambl ing severity was associated with increasingly elevated odds for the majority of Axis I and II disorders. Among AUD respondents, this pattern was typically not observed. Alcohol-by-gambling-group interactions for PPG were also found and the odds of these disorders was significantly increased in non-AUD respondents with PPG, but either unchanged or significantly lower in AUD respondents with PPG.Conclusions: Gambling-related associations exist with multiple psychiatric disorders, but particularly in those without AUD. These associations have important implications with respect to conceptualization, prevention, and treatment of psychiatric disorders in individuals with gambling and/or AUDs.


2006 ◽  
Vol 36 (12) ◽  
pp. 1695-1705 ◽  
Author(s):  
DEBORAH S. HASIN ◽  
XINHUA LIU ◽  
DONALD ALDERSON ◽  
BRIDGET F. GRANT

Background. Etiologic research on complex disorders including alcohol dependence requires informative phenotypes. Information is lost when categorical variables represent inherently dimensional conditions. We investigated the validity of DSM-IV alcohol dependence as a dimensional phenotype by examining evidence for linearity and thresholds in associations with validating variables.Method. Current drinkers in the National Longitudinal Alcohol Epidemiologic Survey (NLAES) (n=18352) and National Epidemiologic Survey of Alcohol and Related Conditions (NESARC) (n=20836) were analyzed. Validating variables included family alcoholism, early-onset drinking, and alcohol treatment. Logistic or Poisson regression modeled the relationships between the validating variables and dependence in categorical, dimensional or hybrid forms, with severity defined as number of current DSM-IV alcohol-dependence criteria. Wald tests assessed differences between models.Results. No evidence was found for boundaries between categories. Instead, the association of alcohol dependence with the validating variables generally increased in linear fashion as the number of alcohol-dependence criteria increased. For NLAES models of family alcoholism, early-onset drinking and treatment, the lines had zero intercepts, with slopes of 0·18, 0·27, 0·70, respectively. For NESARC models of family history and early-onset drinking, the zero intercept lines had slopes of 0·20, 0·33, and 0·77, respectively. Wald tests indicated that models representing alcohol dependence as a dimensional linear predictor best described the association between dependence criteria and the validating variables.Conclusions. The sample sizes allowed strong tests. Diagnoses are necessary for clinical decision-making, but a dimensional alcohol-dependence indicator should provide more information for research purposes.


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