513. Disordered gambling and excessive tobacco use: addiction spectrum behaviors?

Potenza, Marc N.; Steinberg, Marvin A.; McLaughlin, S.; Wu, Rongqian; Lavelle, Ena; Hemstock, D.A.; Rounsaville, Bruce J.; O’Malley, Stephanie S.

doi:10.1016/s0006-3223(00)00784-8

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…A second mechanism for an association between problem/pathological gambling and schizophrenia/schizoaffective disorder is that they both share elements of impaired impulse control, particularly with respect to alcohol and substance related disorders that also have high rates of co-occurrence with pathological gambling 29–32 . In these data, higher alcohol ASI scores were associated with an increased likelihood of being in the problem/pathological group, a finding consistent with patterns of co-occurring disorders in non-psychotic groups 33, 34 .…”

Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Study of Problem and Pathological Gambling in Patients With Schizophrenia/Schizoaffective Disorder

Desai¹,

Potenza²

2009

J. Clin. Psychiatry

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Background Community data suggest frequent co-occurrence between schizophrenia/schizoaffective disorder and problem gambling. However, gambling behaviors in large samples of patients with schizophrenia/schizoaffective disorder have not been systematically examined to date. Methods A sample of outpatient subjects (n=337) diagnosed with schizophrenia/schizoaffective disorder or schizoaffective disorder and treated in either a VA hospital or a local state mental health center was interviewed in order to examine the prevalence estimates and clinical correlates of problem and pathological gambling. Multinomial logistic regression models investigated clinically relevant measures in recreational or problem/pathological gamblers, as compared to non-gamblers. Results Sixty-five participants (19%) met criteria for past-year problem/pathological gambling, with 10% meeting criteria for pathological gambling. Significant correlates of problem and pathological gambling from multivariable models included greater alcohol use severity (p=0.007), higher depression scores (p=0.04), and more outpatient mental health care utilization (p=0.03). Participants with problem/pathological gambling were more likely than recreational gamblers to gamble for excitement, gamble more frequently and heavily, and report either sports or card gambling as favorite. Conclusions A substantial proportion of individuals in treatment for psychotic disorders report past-year gambling problems. Patients with co-occurring alcohol use problems and depression may be at particularly high risk. These findings suggest the need for improved prevention and treatment efforts related to problem/pathological gambling in individuals with psychotic disorders.

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Section: Discussionmentioning

confidence: 99%

A Cross-Sectional Study of Problem and Pathological Gambling in Patients With Schizophrenia/Schizoaffective Disorder

Desai¹,

Potenza²

2009

J. Clin. Psychiatry

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show abstract

“…A second mechanism for an association between problem/pathological gambling and schizophrenia/schizoaffective disorder is that they both share elements of impaired impulse control, particularly with respect to alcohol and substance related disorders that also have high rates of co-occurrence with pathological gambling [29][30][31][32] . In these data, higher alcohol ASI scores were associated with an increased likelihood of being in the problem/ pathological group, a finding consistent with patterns of co-occurring disorders in nonpsychotic groups 33,34 .…”

Section: Problem/pathological Gambling In People With Schizophrenia/smentioning

confidence: 99%

A Cross-Sectional Study of Problem and Pathological Gambling in Patients With Schizophrenia/Schizoaffective Disorder

Desai¹,

Potenza²

2009

J. Clin. Psychiatry

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Characteristics of Tobacco‐Smoking Problem Gamblers Calling a Gambling Helpline

Potenza

Steinberg²,

McLaughlin³

et al. 2004

American J Addict

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Few studies have examined the smoking behaviors of problem gamblers. A high proportion of problem gamblers calling a gambling helpline reported daily tobacco smoking (43.1%). Problem gamblers reporting daily tobacco smoking more frequently acknowledged depression and suicidality secondary to gambling, gambling-related arrests, alcohol and drug use problems, mental health treatment, and problems with casino slot machine gambling. The findings substantiate the relationship in problem gamblers between tobacco smoking and psychiatric symptomatology, particularly other substance use problems. The high proportion of callers reporting daily tobacco smoking highlights the need for enhanced smoking cessation efforts in problem gamblers.

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513. Disordered gambling and excessive tobacco use: addiction spectrum behaviors?

Cited by 3 publications

References 3 publications

A Cross-Sectional Study of Problem and Pathological Gambling in Patients With Schizophrenia/Schizoaffective Disorder

A Cross-Sectional Study of Problem and Pathological Gambling in Patients With Schizophrenia/Schizoaffective Disorder

A Cross-Sectional Study of Problem and Pathological Gambling in Patients With Schizophrenia/Schizoaffective Disorder

Characteristics of Tobacco‐Smoking Problem Gamblers Calling a Gambling Helpline

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