Comorbid pathological gambling, mental health, and substance use disorders: Health-care services provision by clinician specialty

Rodríguez-Monguió, Rosa; Rodríguez, María Errea; Volberg, Rachel A.

doi:10.1556/2006.6.2017.054

Cited by 20 publications

(10 citation statements)

References 21 publications

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“…In addition, the prevalence rate for co‐occurring psychoactive substance use disorders in combined samples of problem and pathological gambling was estimated at 57.5% . The most prevalent co‐occurring diagnoses among treatment‐seeking patients who had a principal diagnosis of pathological gambling were anxiety disorders (27.8%), episodic mood disorders (25.6%), psychoactive substance use disorders (17.8%), and depressive disorders (13.35) …”

Section: Introductionmentioning

confidence: 99%

Gender differences in mental health and substance use disorders and related healthcare services utilization

2018

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Background and Objectives Pathological gambling often co‐occurs with other psychiatric disorders. Gender differences in treatment‐seeking behaviors among patients with pathological gambling diagnosis remain poorly understood. This study assessed gender differences in healthcare services utilization in patients seeking treatment for pathological gambling, substance use, and mental health co‐occurring conditions. Methods Study data were derived from a representative sample of the Massachusetts All Payers Claims Database for the period 2009–2013. Descriptive analyses were performed by gender using group t‐tests and Pearson's chi‐square tests. Bootstrap analysis was used to account for skewed distribution of healthcare services utilization data. Multiple linear regressions were used to evaluate the association between healthcare services utilization and gender while controlling for patient's age, county, and ICD‐9‐CM diagnosis codes. Results Over two‐thirds of the patients were males. Moreover, two in five patients seeking treatment had pathological gambling as principal or primary diagnosis. Females had a significantly greater number of three or more co‐occurring psychiatric conditions than males. Having a diagnosis of episodic mood disorder, neurotic disorder, or adjustment reaction significantly increased the utilization of healthcare services for both genders. Females had a greater utilization of healthcare services than males for the same psychiatric diagnosis. Discussion and Conclusions Healthcare services utilization significantly varies by gender and type of mental health and substance use diagnosis. There are significant differences by gender in the utilization of healthcare services for the same psychiatric disorders. Scientific Significance There is a need to address gender differences in psychiatric conditions and their related healthcare needs. (Am J Addict 2018;XX:1–7)

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Section: Introductionmentioning

confidence: 99%

Gender differences in mental health and substance use disorders and related healthcare services utilization

2018

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“…A US study demonstrated that patients with a gambling disorder were significantly more likely to receive treatment from social workers or psychologists if their condition was their primary diagnosis, and more likely to receive treatment from the medical sector if they had comorbid psychiatric diagnoses. 34 More remains to be understood about the reasons why a significant proportion of the general populationincluding individuals who screen positive for problem gamblingmay perceive problem gambling as a condition not primarily in need for a professional intervention and assessment, such as in the medical system. For example, this should be seen in the light of a gambling disorder being associated with high rates of psychiatric comorbidity 33 and severe complications including suicide.…”

Section: Discussionmentioning

confidence: 99%

<p>The General Population’s View on Where to Seek Treatment for Gambling Disorder – a General Population Survey</p>

Håkansson

Ford

2019

PRBM

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Background: More remains to be understood about attitudes towards treatment for gambling disorder and where to seek treatment. Given the low degree of treatment seeking behaviour in this condition, it may be of interest to study people's perception about where to seek help in case of problem gambling. From a study originally aiming to address health correlates of problem gambling, the present sub-study aimed to examine the general population's attitudes towards where to advise a person with problem gambling to seek treatment, and correlates of recommending a formal professional treatment modality. Methods: A cross-sectional general population web survey in Sweden (N=2,038, 55% women, 6% lifetime problem gamblers) was conducted. Preferred advice for gamblingrelated treatment seeking was defined with a question asking about where one would hypothetically advise a friend to seek help for gambling addiction. Advice for professional vs peer support help was compared with respect to individual characteristics, in problem gamblers and non-problem gamblers. Results: Fifty percent preferred to recommend peer support help for gambling, whereas among professional treatment options, the largest share preferred primary care (22%) or psychiatry/addiction psychiatry (18%), while few suggested occupational health-care (6%) or social services (3%). Opting for a professional treatment modality for problem gambling was unrelated to one's own problem gambling, whereas those recommending professional treatment were younger and more likely to report psychological distress. In problem gamblers specifically, history of indebtedness was associated with recommending professional treatment. Conclusion: Many people may not perceive gambling disorder to require professional treatment, and may recommend peer support outside of formal treatment systems. Younger individuals, as well as those with a personal history of psychological treatment needs, may be more prone to recommending formal treatment. The findings may have implications for treatment trajectories and may facilitate overcoming perceived treatment barriers.

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“…Thus, our findings are likely to be an incomplete clinical picture of those who participated in the study and of GA members and problem gamblers more generally. Indeed, substance dependence and psychiatric disorders are highly prevalent among problem gamblers (Rodriguez-Monguio, Errea, & Volberg, 2017), and such comorbidities may affect individuals' personal experiences of group therapy treatments, both practically (e.g., in terms of attendance and retention rates) and psychologically (e.g., in terms of factors such as engagement and emotional connectivity). Whether the present results stand up to replication in groups consisting of members with comorbid clinical needs should be a direction of future research.…”

Section: Discussionmentioning

confidence: 99%

Helping you helps me: Giving and receiving social support in recovery groups for problem gamblers.

Hutchison¹,

Cox²,

Frings³

2018

Group Dynamics: Theory, Research, and Practice

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Mutual aid fellowships are the most accessible and widely used treatments for different addictive behaviors including problem gambling, yet how and why such treatments may be effective remains underexplored. The present research investigated the relationships between recovery group identification, social support received and provided to the recovery group, and important recovery-related outcomes among people attending Gamblers Anonymous (GA). Recovery group identification was associated with increased abstinence self-efficacy and decreased perceived risk in gambling-related 'trigger' situations and these relationships were mediated by the perceived provision of social support but not its receipt. The findings suggest that mutual aid fellowships such as GA may be effective in part because they provide opportunities for members to not only receive social support from similar others but also to make a meaningful contribution to other people's recovery through the provision of social support, which can aid their own recovery.

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Comorbid pathological gambling, mental health, and substance use disorders: Health-care services provision by clinician specialty

Cited by 20 publications

References 21 publications

Gender differences in mental health and substance use disorders and related healthcare services utilization

Gender differences in mental health and substance use disorders and related healthcare services utilization

<p>The General Population’s View on Where to Seek Treatment for Gambling Disorder – a General Population Survey</p>

Helping you helps me: Giving and receiving social support in recovery groups for problem gamblers.

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