Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment


Autoři: Madison Ford aff001;  Anders Håkansson aff001
Působiště autorů: Dept of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden aff001;  McGill group for suicide studies, McGill University, Montreal, Québec, Canada aff002
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
prolekare.web.journal.doi_sk: 10.1371/journal.pone.0227644

Souhrn

Background

Problem gambling is a public health issue and its comorbidity with other health conditions may provide an opportunity for screening in healthcare settings; however, a high level of uncertainty and a lack of research in the field remains. The objective of this study is to investigate potential associations between problem gambling and numerous other health conditions, including substance use, mental health problems, and behavioural addictions.

Methods

A cross-sectional web-survey was distributed by a market research company to an online panel of respondents in Sweden, which aimed to be representative of the general population. Chi-squared and Mann-Whitney U tests, followed by logistic regression analysis, were performed to determine associations between screening positive for lifetime problem gambling and potential comorbid conditions and behaviours.

Results

Among 2038 participants, 5.7 percent screened positive for lifetime problem gambling. Significant associations were found between problem gambling and male gender, education level, daily tobacco use, moderate psychological distress, problematic shopping, and problem gaming.

Conclusion

The association between screening for problem gambling and other health conditions, including psychological distress and behavioural addictions such as shopping and gaming, demonstrates the need to screen for problem gambling in the context of other health hazards, such as in different healthcare settings. Further research is required to identify the temporal relationship between these conditions and to investigate underlying etiological mechanisms.

Klíčová slova:

Addiction – Behavioral addiction – Gambling – Gambling addiction – Games – Internet – Mental health and psychiatry – Surveys


Zdroje

1. Abbott M, Romild U, Volberg R. The prevalence, incidence, and gender and age-specific incidence of problem gambling: results of the Swedish longitudinal gambling study (Swelogs). Addiction 2017;113: 699–707. doi: 10.1111/add.14083 29105942

2. Lorains FK, Cowlishaw S, Thomas SA. Prevalence of comorbid disorders in problem and pathological gambling: systematic review and meta-analysis of population surveys. Addiction. 2011;106: 490–498. doi: 10.1111/j.1360-0443.2010.03300.x 21210880

3. World Health Organization. Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). Geneva: World Health Organization; 1992.

4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.

5. Grant JE, Kim SW. Quality of life in kleptomania and pathological gambling. Compr Psychiatry. 2005;46: 34–37. doi: 10.1016/j.comppsych.2004.07.022 15714192

6. Argo TR, Black DW. Clinical characteristics. In: Grant JE, Potenza MN, editors. Pathological Gambling: A Clinical Guide to Treatment. Arlington, VA: American Psychiatric Publishing Inc.; 2004.

7. Ladd GT, Petry NM. A comparison of pathological gamblers with and without substance abuse treatment histories. Experimental and clinical psychopharmacology. 2003;11: 202–209. doi: 10.1037/1064-1297.11.3.202 12940499

8. Hall GW, Carriero NJ, Takushi RY, Montoya ID, Preston KL, Gorelick DA. Pathological gambling among cocaine-dependent outpatients. The American journal of psychiatry. 2000;157: 1127–1133. doi: 10.1176/appi.ajp.157.7.1127 10873922

9. Dowling NA, Cowlishaw S, Jackson AC, Merkouris SS, Francis KL, Christensen DR. Prevalence of psychiatric co-morbidity in treatment-seeking problem gamblers: A systematic review and meta-analysis. Austr N Z J Psychiatry. 2015;49: 519–539.

10. Karaca S, Saleh A, Canan F, Potenza MN. Comorbidity between Behavioral Addictions and Attention Deficit/Hyperactivity Disorder: a Systematic Review. Int J Mental Health Addiction. 2016;15: 701–724.

11. Petry NM, Stinson FS, Grant BF. Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2005;66: 564–574. doi: 10.4088/jcp.v66n0504 15889941

12. Barnes GM, Welte JW, Tidwell MC, Hoffman JH. Gambling and Substance Use: Co-occurrence among Adults in a Recent General Population Study in the United States. Int Gambl Stud. 2015;15: 55–71. doi: 10.1080/14459795.2014.990396 25914605

13. Bischof A, Meyer C, Bischof G, Kastirke N, John U, Rumpf HJ. Comorbid Axis I-disorders among subjects with pathological, problem, or at-risk gambling recruited from the general population in Germany: results of the PAGE study. Psychiatry Res. 2013;210: 1065–1070. doi: 10.1016/j.psychres.2013.07.026 23962739

14. Soberay A, Faragher JM, Barbash M, Brookover A, Grimsley P. Pathological gambling, co-occurring disorders, clinical presentation, and treatment outcomes at a university-based counseling clinic. J Gambl Stud. 2014;30: 61–69. doi: 10.1007/s10899-012-9357-2 23297170

15. Morasco BJ, Pietrzak RH, Blanco C, Grant BF, Hasin D, Petry NM. Health problems and medical utilization associated with gambling disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychosom Med. 2006;68: 976–984. doi: 10.1097/01.psy.0000238466.76172.cd 17132843

16. Black DW, Shaw M, McCormick B, Allen J. Pathological gambling: relationship to obesity, self-reported chronic medical conditions, poor lifestyle choices, and impaired quality of life. Compr Psychiatry. 2013;54: 97–104. doi: 10.1016/j.comppsych.2012.07.001 22938650

17. Algren MH, Ekholm O, Davidsen M, Larsen CV, Juel K. Health behaviour and body mass index among problem gamblers: results from a nationwide survey. J Gambl Stud. 2015;31: 547–556. doi: 10.1007/s10899-013-9437-y 24390713

18. Erickson L, Molina CA, Ladd GT, Pietrzak RH, Petry NM. Problem and pathological gambling are associated with poorer mental and physical health in older adults. Int J Ger Psychiatry. 2005;20: 754–759.

19. Yakovenko I, Hodgins D. A scoping review of co-morbidity in individuals with disordered gambling. Int Gambl Stud. 2017;18: 143–172.

20. Jimenez-Murcia S, Granero R, Wolz I, Bano M, Mestre-Bach G, Steward T, et al. Food Addiction in Gambling Disorder: Frequency and Clinical Outcomes. Front Psychol. 2017;8: 473. doi: 10.3389/fpsyg.2017.00473 28421009

21. Grant JE, Kim SW. Comorbidity of impulse control disorders in pathological gamblers. Acta Psych Scand. 2003;108: 203–207.

22. Grant JE, Kim SW. Demographic and clinical features of 131 adult pathological gamblers. J Clin Psychiatry. 2001;62: 957–962. doi: 10.4088/jcp.v62n1207 11780876

23. Black DW, Moyer T. Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior. Psychiatr Serv. 1998;49: 1434–1439. doi: 10.1176/ps.49.11.1434 9826244

24. Yip SW, Mei S, Pilver CE, Steinberg MA, Rugle LJ, Krishnan-Sarin S, et al. At-Risk/Problematic Shopping and Gambling in Adolescence. J Gambl Studies. 2015;31: 1431–1447.

25. Walther B, Morgenstern M, Hanewinkel R. Co-occurrence of addictive behaviours: personality factors related to substance use, gambling and computer gaming. Eur Addict Res. 2012;18: 167–174. doi: 10.1159/000335662 22398819

26. Tozzi L, Akre C, Fleury-Schubert A, Suris JC. Gambling among youths in Switzerland and its association with other addictive behaviours. A population-based study. Swiss Med Wkly. 2013;143: w13768. doi: 10.4414/smw.2013.13768 23572422

27. Lehmann S, Akre C, Berchtold A, Flatz A, Suris JC. The winner takes it all? Characteristics of adolescent at-risk/problem gamblers in Switzerland. Int J Adolesc Med Health. 2016;29.

28. Giotakos O, Tsouvelas G, Spourdalaki E, Janikian M, Tsitsika A, Vakirtzis A. Internet gambling in relation to Internet addiction, substance use, online sexual engagement and suicidality in a Greek sample. Int Gambl Stud. 2016;17: 20–29.

29. Tsitsika A, Critselis E, Janikian M, Kormas G, Kafetzis DA. Association between internet gambling and problematic internet use among adolescents. J Gambl Stud. 2011;27: 389–400. doi: 10.1007/s10899-010-9223-z 20953681

30. Westphal J, Johnson L. Multiple Co-occurring Behaviours among Gamblers in Treatment: Implications and Assessment. Int Gambl Stud. 2007;7: 73–99.

31. Hartmann M, Blaszczynski A. The Longitudinal Relationships Between Psychiatric Disorders and Gambling Disorders. Int J Ment Health Addict. 2018;16: 16–44.

32. Slutske WS. Natural recovery and treatment-seeking in pathological gambling: results of two U.S. national surveys. Am J Psychiatry. 2006;163: 297–302. doi: 10.1176/appi.ajp.163.2.297 16449485

33. Volberg RA. The prevalence and demographics of pathological gamblers: implications for public health. Am J Public Health. 1994;84: 237–241. doi: 10.2105/ajph.84.2.237 8296947

34. Userneeds. About Userneeds: History: Userneeds; 2019 [Available from: https://userneeds.com/en/about-userneeds/history/.

35. Gill DP, Jones GR, Zou G, Speechley M. Using a single question to assess physical activity in older adults: a reliability and validity study. BMC Med Research Methodol. 2012;12: 20.

36. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998;158: 1789–1795. doi: 10.1001/archinte.158.16.1789 9738608

37. Lundin A, Hallgren M, Balliu N, Forsell Y. The use of alcohol use disorders identification test (AUDIT) in detecting alcohol use disorder and risk drinking in the general population: validation of AUDIT using schedules for clinical assessment in neuropsychiatry. Alc Clin Exp Res. 2015;39: 158–165.

38. Smith PC, Schmidt SM, Allensworth-Davies D, Saitz R. A single-question screening test for drug use in primary care. Arch Intern Med. 2010;170: 1155–1160. doi: 10.1001/archinternmed.2010.140 20625025

39. Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60: 184–189. doi: 10.1001/archpsyc.60.2.184 12578436

40. Prochaska JJ, Sung HY, Max W, Shi Y, Ong M. Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization. Int J Methods Psychiatric Res. 2012;21: 88–97.

41. Toce-Gerstein M, Gerstein DR, Volberg RA. The NODS-CLiP: a rapid screen for adult pathological and problem gambling. J Gambl Stud. 2009;25: 541–555. doi: 10.1007/s10899-009-9135-y 19603259

42. Moreno MA, Arseniev-Koehler A, Selkie E. Development and Testing of a 3-Item Screening Tool for Problematic Internet Use. J Pediatr. 2016;176: 167–72.e1. doi: 10.1016/j.jpeds.2016.05.067 27395768

43. Andreassen C, Griffiths M, Pallesen S, Bilder R, Torsheim T, Aboujaoude E. The Bergen Shopping Addiction Scale: reliability and validity of a brief screening test. Front Psychol. 2015;6: 1374. doi: 10.3389/fpsyg.2015.01374 26441749

44. Lemmens JS, Valkenburg PM, Peter J. Development and Validation of a Game Addiction Scale for Adolescents. Media Psychol. 2009;12: 77–95.

45. Bonnaire C, Kovess-Masfety V, Guignard R, Richard JB, du Roscoat E, Beck F. Gambling Type, Substance Abuse, Health and Psychosocial Correlates of Male and Female Problem Gamblers in a Nationally Representative French Sample. J Gambl Stud. 2017;33: 343–369. doi: 10.1007/s10899-016-9628-4 27351764

46. Abbott M, Binde P, Clark L, Hodgins D, Korn D, Pereira A, et al. Conceptual Framework of Harmful Gambling: An International Collaboration Revised Edition. Guelph, Ontario, Canada: Gambling Research Exchange Ontario (GREO); 2015.

47. Buth S, Wurst FM, Thon N, Lahusen H, Kalke J. Comparative Analysis of Potential Risk Factors for at-Risk Gambling, Problem Gambling and Gambling Disorder among Current Gamblers-Results of the Austrian Representative Survey 2015. Front Psychol. 2017;8: 2188. doi: 10.3389/fpsyg.2017.02188 29312056

48. Wong G, Zane N, Saw A, Chan AKK. Examining gender differences for gambling engagement and gambling problems among emerging adults. J Gambli Stud. 2013;29: 171–189.

49. Cho MJ, Hahm B-J, Suh T, Suh G-H, Cho S-J, Lee CK. Comorbid mental disorders among the patients with alcohol abuse and dependence in Korea. J Korean Med Sci. 2002;17: 236–241. doi: 10.3346/jkms.2002.17.2.236 11961310

50. Slutske WS, Caspi A, Moffitt TE, Poulton R. Personality and problem gambling: a prospective study of a birth cohort of young adults. Arch Gen Psychiatry. 2005;62: 769–775. doi: 10.1001/archpsyc.62.7.769 15997018

51. Slutske WS, Eisen S, True WR, Lyons MJ, Goldberg J, Tsuang M. Common genetic vulnerability for pathological gambling and alcohol dependence in men. Arch Gen Psychiatry. 2000;57: 666–673. doi: 10.1001/archpsyc.57.7.666 10891037

52. Slutske WS, Ellingson JM, Richmond-Rakerd LS, Zhu G, Martin NG. Shared genetic vulnerability for disordered gambling and alcohol use disorder in men and women: evidence from a national community-based Australian Twin Study. Twin Res Human Gen. 2013;16: 525–534.

53. Goudriaan AE, Oosterlaan J, de Beurs E, van den Brink W. Neurocognitive functions in pathological gambling: a comparison with alcohol dependence, Tourette syndrome and normal controls. Addiction. 2006;101: 534–547. doi: 10.1111/j.1360-0443.2006.01380.x 16548933

54. Suomi A, Dowling NA, Jackson AC. Problem gambling subtypes based on psychological distress, alcohol abuse and impulsivity. Addict Behav. 2014;39: 1741–1745. doi: 10.1016/j.addbeh.2014.07.023 25119420

55. Shek DT, Chan EM, Wong RH. Associations between pathological gambling and psychiatric comorbidity among help-seeking populations in Hong Kong. Sci World J. 2012;2012: 571434.

56. Kennedy SH, Welsh BR, Fulton K, Soczynska JK, McIntyre RS, O'Donovan C, et al. Frequency and Correlates of Gambling Problems in Outpatients with Major Depressive Disorder and Bipolar Disorder. Can J Psychiatry. 2010;55(9): 568–576. doi: 10.1177/070674371005500905 20840804

57. Thomsen KR, Callesen MB, Linnet J, Kringelbach ML, Moller A. Severity of gambling is associated with severity of depressive symptoms in pathological gamblers. Behav Pharmacol. 2009;20: 527–536. doi: 10.1097/FBP.0b013e3283305e7a 19654506

58. Blaszczynski A, Nower L. A pathways model of problem and pathological gambling. Addiction. 2002;97: 487–499. doi: 10.1046/j.1360-0443.2002.00015.x 12033650

59. Allami Y, Vitaro F, Brendgen M, Carbonneau R, Lacourse E, Tremblay RE. A Longitudinal Empirical Investigation of the Pathways Model of Problem Gambling. J Gambl Stud. 2017;33: 1153–1167. doi: 10.1007/s10899-017-9682-6 28271371

60. Christenson GA, Faber RJ, de Zwaan M, Raymond NC, Specker SM, Ekern MD, et al. Compulsive buying: descriptive characteristics and psychiatric comorbidity. J Clin Psychiatry. 1994;55: 5–11.

61. McElroy SL, Keck PE Jr., Phillips KA. Kleptomania, compulsive buying, and binge-eating disorder. J Clin Psychiatry. 1995;56 Suppl 4: 14–26.

62. Becona E, Del Carmen Lorenzo M, Fuentes MJ. Pathological gambling and depression. Psychological reports. 1996;78: 635–640. doi: 10.2466/pr0.1996.78.2.635 9148321

63. Thorson JA, Powell FC, Hilt M. Epidemiology of Gambling and Depression in an Adult Sample. Psychol Rep. 1994;74: 987–994. doi: 10.2466/pr0.1994.74.3.987 8058890

64. Håkansson A, Karlsson A, Widinghoff C. Primary and Secondary Diagnoses of Gambling Disorder and Psychiatric Comorbidity in the Swedish Health Care System-A Nationwide Register Study. Front Psychiatry. 2018;9: 426–. doi: 10.3389/fpsyt.2018.00426 30258370

65. Griffiths MD. Conceptual Issues Concerning Internet Addiction and Internet Gaming Disorder: Further Critique on Ryding and Kaye (2017). Int J Mental Health Addiction. 2018;16: 233–239.

66. Blum K, Cull JG, Braverman ER, Comings DE. Reward Deficiency Syndrome. Am Scientist. 1996;84: 132–145.

67. Shaffer HJ, LaPlante DA, LaBrie RA, Kidman RC, Donato AN, Stanton MV. Toward a syndrome model of addiction: multiple expressions, common etiology. Harvard Rev Psychiatry. 2004;12: 367–374.

68. Nower L, Blaszczynski A. Development and validation of the Gambling Pathways Questionnaire (GPQ). Psychol Addict Behav. 2017;31:95–109. doi: 10.1037/adb0000234 27936817

69. Bowling A. Mode of questionnaire administration can have serious effects on data quality. J Public Health. 2005;27: 281–291.

70. Bradburn N. Response effects. In: Rossi PH, Wright JD, Anderson AB, editors. Handbook of Survey Research. 1st ed. New York: Academic Press; 1983.

71. Fransson A, Chóliz M, Håkansson A. Addiction-like mobile phone behavior–validation and association with problem gambling. Front Psychol. 2018;9:655. doi: 10.3389/fpsyg.2018.00655 29780345

72. Karlsson J, Broman N, Håkansson A. Associations between problem gambling, gaming, and internet use: a cross-sectional population survey. J Addict. 2019;2019:1464858. doi: 10.1155/2019/1464858 31662945

73. Abbott M, Romild U, Volberg R. The prevalence, incidence, and gender and age-specific incidence of problem gambling: results of the Swedish longitudinal gambling study (Swelogs). Addiction 2017;113:699–707. doi: 10.1111/add.14083 29105942

74. Yau YH, Potenza MN, White MA. Problematic Internet Use, Mental Health and Impulse Control in an Online Survey of Adults. J Behav Addict. 2013;2: 72. doi: 10.1556/jba.1.2012.015 24294501

75. Harrison GW, Jessen LJ, Lau MI, Ross D. Disordered Gambling Prevalence: Methodological Innovations in a General Danish Population Survey. J Gambl Stud. 2018;34: 225–253. doi: 10.1007/s10899-017-9707-1 28707140

76. Eysenbach G, Wyatt J. Using the Internet for surveys and health research. J Med Internet Res. 2002;4: E13–E. doi: 10.2196/jmir.4.2.e13 12554560

77. Carnethon MR, Gidding SS, Nehgme R, Sidney S, Jacobs DR Jr., Liu K. Cardiorespiratory fitness in young adulthood and the development of cardiovascular disease risk factors. JAMA. 2003;290: 3092–3100. doi: 10.1001/jama.290.23.3092 14679272

78. Schmidt NB, Telch MJ. Nonpsychiatric medical comorbidity, health perceptions, and treatment outcome in patients with panic disorder. Health psychology: official journal of the Division of Health Psychology, Am Psychol Assoc. 1997;16:114–122.


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