Gambling disorder, DSM-5 criteria and symptom severity

Grant, Jon E.; Odlaug, Brian L.; Chamberlain, Samuel R.

doi:10.1016/j.comppsych.2017.02.006

Cited by 74 publications

(29 citation statements)

References 17 publications

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“…The DSM-5 provides nine diagnostic criteria for GD and it is pre-assumed that all criteria have an equal diagnostic impact [31]. One of the drawbacks of this dichotomous approach is that factors, such as the frequency and the level of distress brought about by gambling behaviors [29, 59]. Our findings raise further questions regarding the clinical validity of merely summing the number of criteria endorsed by an individual and whether DSM-5 GD severity categories accurately reflect actual GD symptom severity, if each is weighted equally.…”

Section: Discussionmentioning

confidence: 99%

“…In view of this association and in order to carry out classification from a dimensional point of view, the DSM-5 proposed a new operationalization of clinical severity by numbering criteria. This system is used as an indicator of GD severity and is divided into three levels: mild (four to five criteria), moderate (six to seven), and severe (eight or nine) [1, 29]. However, this new classification has proven to be controversial among researchers and clinicians alike, highlighting the need to assess whether severity, as measured by these criteria, is clinically relevant [29–31].…”

Section: Introductionmentioning

confidence: 99%

“…Findings such as these are practical for clinicians in choosing treatment strategies by allowing them to take into account the characteristics of the individual seeking treatment. Nonetheless, evidence regarding the clinical utility of current working definition of GD symptom severity boundaries is scare [29, 31] and recent calls have been made to incorporate broader outcome domains that extend beyond disorder-specific symptoms in order to develop a single comprehensive to measure all aspects of gambling recovery [38].…”

Section: Introductionmentioning

confidence: 99%

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The predictive capacity of DSM-5 symptom severity and impulsivity on response to cognitive-behavioral therapy for gambling disorder: A 2-year longitudinal study

et al. 2019

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Background:DSM-5 proposed a new operational system by using the number of fulfilled criteria as an indicator of gambling disorder severity. This method has proven to be controversial among researchers and clinicians alike, due to the lack of studies indicating whether severity, as measured by these criteria, is clinically relevant in terms of treatment outcome. Additionally, numerous studies have highlighted the associations between gambling disorder and impulsivity, though few have examined the impact of impulsivity on long-term treatment outcomes.Methods:In this study, we aimed to assess the predictive value of DSM-5 severity levels on response to cognitive-behavioral therapy (CBT) in a sample of male adults seeking treatment for gambling disorder (n = 398). Furthermore, we explored longitudinal predictors of CBT treatment response at a follow-up, considering UPPS-P impulsivity traits.Results:Our study failed to identify differences in treatment outcomes between patients categorized by DSM-5 severity levels. Higher baseline scores in negative urgency predicted relapse during CBT treatment, and higher levels of sensation seeking were predictive of drop-out from short-term treatment, as well as of drop-out at 24-months.Conclusions:These noteworthy findings raise questions regarding the clinical utility of DSM-5 severity categories and lend support to the implementation of dimensional approaches for gambling disorder.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The predictive capacity of DSM-5 symptom severity and impulsivity on response to cognitive-behavioral therapy for gambling disorder: A 2-year longitudinal study

et al. 2019

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“…Research in behavioral addictions is still scarce and the area is somewhat controversial. There is an ongoing dialogue on which behaviors that might be included in the future where social media and other electronical activities than games and potential health effects are discussed ( Kuss and Griffiths, 2011 ; Yau and Potenza, 2015 ; Chamberlain et al, 2016 ; Grant et al, 2017 ). Although it seems as it is the kind of online activity that could be problematic and in some cases addictive ( Young, 1999 ; Kuss and Griffiths, 2011 ), an excessive use of the internet in general has been related to a poorer mental health status.…”

Section: Introductionmentioning

confidence: 99%

Gambling, Gaming, and Internet Behavior in a Sexual Minority Perspective. A Cross-Sectional Study in Seven European Countries

Broman

Prever²,

Giacomo

et al. 2022

Front. Psychol.

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BackgroundAddictive behavior of gambling, gaming and internet activity is partly a new research domain and has not been well investigated with regard to sexual minority populations. Although health disparities between sexual minorities and the general population are well documented, there is a lack of inclusion of sexual minorities in both research and clinic. Among lesbian, gay and bisexual populations certain features could be present that play a role for the development of addictive behaviors, such as social isolation and increased risk of other psychiatric problems. The aim of this study was to investigate problem gambling, problem gaming and problematic internet behavior in a European context and if it is affected by sexual orientation status.MethodsAn online web-survey was distributed among web-panels in England, Poland, Switzerland, Italy, Spain, Denmark, and Sweden in 2017–2018.Result10 983 complete answers were collected. 7.1% of the participants had a sexual minority status (n = 774). Regression models found that there was no difference in gambling, gaming and internet behavior among heterosexual and sexual minority men. Sexual minority women were associated with problematic gambling and gaming behavior, when also controlling for age and nationality. When also controlling for psychological distress, women defining as having another sexual minority status than lesbian and bisexual remained significant for having a problematic gaming behavior (AOR = 2.3).ConclusionAn awareness of female sexual minority perspectives is relevant in facilities treating behavioral addiction as well as in future research in behavioral addiction. More research is needed in problematic gambling and gaming behavior in different sexual minority populations with regard to psychiatric comorbidity and living conditions. An inclusion of sexual minority groups defining as other than gay and bisexual is needed in future research. No significant differences were found between heterosexual and sexual minority men in adjusted analysis in this study.

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“…It has been argued that affected individuals show similar symptoms to people with substance dependence, leading to proposals that similar criteria should be adopted for the definition of PUI ( Lu, Chou, Hsiao, Hu, & Yen, 2019 ; Tao et al, 2010 ), including, for instance, unsuccessful attempts to reduce consumption, continuous preoccupation, persistent use despite harmful consequences, neglect of other areas of life, psychological or physiological distress in reaction to withdrawal, etc. With the exception of gaming, so far, no other dysfunctional internet-related behavior has found its way into international classifications of diseases ( Grant, Odlaug, & Chamberlain, 2017 ; King, Delfabbro, Billieux, & Potenza, 2020 ). In the DSM-5, internet gaming disorder is classified in section III “Conditions to further study”, and gambling disorder as a behavioral addiction within the category of “Substance related and Addictive Disorders” ( APA, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Problematic use of digital media in children and adolescents with a diagnosis of attention-deficit/hyperactivity disorder compared to controls. A meta-analysis

Werling

Kuzhippallil

Emery

et al. 2022

JBA

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Objective Problematic use of digital media and problematic use of the internet (PUI) in particular are growing problems in the general population. Moreover, studies have shown links between PUI and symptoms of attention-deficit/hyperactivity disorder (ADHD). This meta-analysis investigated whether children and adolescents with ADHD are more often affected by PUI compared to control groups. Method Multiple databases (EBSCOhost, Pubmed) were reviewed. Studies were eligible if individuals (aged 6–18 years) were diagnosed with ADHD, assessed on PUI-related measures, and compared to non-clinical or/and clinical controls without a diagnosis of ADHD. Out of 3,859 identified studies, 14 studies assessing 2,488 participants met all inclusion criteria. Four meta-analyses examining time-based and scale-based measures, different informants and non-clinical vs. clinical controls using random-effects models were performed. Funnel plots were used to investigate publication bias. Results The analyses revealed significantly more severe PUI in individuals with ADHD compared to controls, both when PUI was assessed via rating scale (scaled-based) and via units for time (time-based measures). Different informants (self- vs. parent-rating) had no impact on results. Differences in PUI between groups with ADHD and non-clinical controls were significant, whereas differences between ADHD and clinical controls were not. Due to the high heterogeneity observed and the small sample sizes, these latter findings should be interpreted cautiously. Conclusion Children and adolescents with ADHD show more severe PUI compared to non-clinical controls without ADHD. However, the small number of studies does not allow for a systematic comparison between ADHD and groups with other psychopathologies.

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Gambling disorder, DSM-5 criteria and symptom severity

Cited by 74 publications

References 17 publications

The predictive capacity of DSM-5 symptom severity and impulsivity on response to cognitive-behavioral therapy for gambling disorder: A 2-year longitudinal study

The predictive capacity of DSM-5 symptom severity and impulsivity on response to cognitive-behavioral therapy for gambling disorder: A 2-year longitudinal study

Gambling, Gaming, and Internet Behavior in a Sexual Minority Perspective. A Cross-Sectional Study in Seven European Countries

Problematic use of digital media in children and adolescents with a diagnosis of attention-deficit/hyperactivity disorder compared to controls. A meta-analysis

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