Pathological and problem gambling in substance use treatment: A systematic review and meta-analysis

Cowlishaw, Sean; Merkouris, Stephanie; Chapman, Anna; Radermacher, Harriet

doi:10.1016/j.jsat.2013.08.019

Cited by 101 publications

(77 citation statements)

References 60 publications

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“…These consequences make PG an important public health problem, especially for more vulnerable populations (Gainsbury et al 2014;Korn and Shaffer 1999;Papineau 2010;Shaffer and Hall 2001) such as individuals with a history of problematic substance use. Indeed, within this vulnerable population, PG is 8 to 24 times the prevalence reported for the general population (Cowlishaw et al 2014;Cowlishaw and Hakes 2015;Cunningham-Williams et al 2000;Fernandez-Montalvo et al 2012;Mathias et al 2009;Toneatto and Brennan 2002). The few studies that have focused on cocaine users, all of which were carried out in drug treatment centers, have found prevalence rates of problem gambling among cocaine dependent users ranging from 8 to 15 % (Hall et al 2000;Steinberg et al 1992;Toneatto and Brennan 2002).…”

Section: Introductionmentioning

confidence: 97%

Gambling Problems Among Community Cocaine Users

et al. 2016

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Cocaine use is highly prevalent and a major public health problem. While some studies have reported frequent comorbidity problems among cocaine users, few studies have included evaluation of gambling problems. This study aimed to estimate the prevalence of gambling problems and compare those who were at-risk gamblers with nonproblem gamblers in terms of mental health problems, substance use problems, and some risk factors (i.e. family antecedents, erroneous perceptions and coping strategies) among individuals who smoke or inject cocaine.METHOD: A total of 424 smoked or injected cocaine users recruited through community-based programs in Montreal, Quebec completed the questionnaire, including the Canadian Pathological Gambling Index, the Composite International Diagnostic Interview (CIDI), the CAGE, and the Severity Dependence Scale (SDS).RESULTS: Of the sample, 18.4 % were considered at-risk gamblers, of whom 7.8 % had problems gambling and 10.6 % were moderate-risk gamblers. The at-risk group was more likely to have experienced a recent phobic disorder and alcohol problems than the non-problem group. A multivariate analysis showed that, compared to those who were non-problem gamblers, the at-risk ones were more likely to have lost a large sum of money when they first started gambling, believed that their luck would turn, and gambled in reaction to painful life events. These results indicate the need to include routines for screening to identify gambling problem among cocaine users.

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Section: Introductionmentioning

confidence: 97%

Gambling Problems Among Community Cocaine Users

et al. 2016

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“…The study extends research on gambling problems in treatment for other primary (e.g., substance use) conditions [9], through indication of rates and implications in individuals seeking help for affective disorders. This research is situated in a broader literature that demonstrates high levels of comorbid conditions in samples of problem gamblers [6], and contributes by indicating settings and samples that are vulnerable to gambling-related harms.…”

Section: Discussionmentioning

confidence: 74%

“…Although rates of gambling problems among individuals suffering other primary disorders are generally lower, there are studies showing non-trivial levels (>10%) of moderate to severe problems in patients seeking treatment for various psychiatric conditions, including psychotic [7] and posttraumatic stress [8] disorders. These include treatment for substance use problems, where studies indicate around 23% of patients that report difficulties across the spectrum of problem gambling [9]. Within such contexts, these co-occurring issues are associated with psychosocial harms (e.g., relationship breakdown) [10] that highlight implications for treatment and prognosis of the primary presenting problem.…”

mentioning

confidence: 99%

Gambling problems in treatment for affective disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)

Cowlishaw

Hakes

Dowling

2016

Journal of Affective Disorders

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms Deakin University (Australia). There were no other funding sources for this research. The opinions expressed are those of the authors and do not necessarily reflect those of the U.S.Census Bureau or the NIAAA.Role of the funding source: None of the funding sources listed above had any role in the design, analysis or interpretation of the data, writing of the report, or decision to submit the article for publication.Authors' contributions: SC was primarily responsible for all stages of this paper. JH contributed to the design and interpretation of the findings, and conducted the analyses. ND contributed to writing of the paper. PROBLEM GAMBLING IN AFFECTIVE DISORDERS Conflict of interests:The authors report no conflicts of interest. PROBLEM GAMBLING IN AFFECTIVE DISORDERS Highlights Gambling problems in a US representative sample reporting treatment for mood and anxiety.  Rates of lifetime problem gambling ranged from 3.1% for depression to 5.4% for social phobia.  There were 8.9% of all respondents indicating a history of at least some gambling problems.  Gambling problems had mainly psychosocial implications in treatment for affective disorders CONCLUSIONS: Gambling problems occur at non-trivial rates in treatment for affective disorders and have mainly psychosocial implications. The findings indicate scope for initiatives to identify and respond to gambling problems across a continuum of severity in treatment for affective disorders. PROBLEM GAMBLING IN AFFECTIVE DISORDERS PROBLEM GAMBLING IN AFFECTIVE DISORDERS

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“…constantly well above prevalence rates reported from the general population [3]. In a more recent study from a methadone maintenance facility, as many as 46 percent of patients fulfilled criteria of past-year gambling disorder [8].…”

Section: Introductionmentioning

confidence: 61%

“…Across types of substance use disorders and across study methodologies, in a review paper from 2014 [3], the prevalence of problem gambling ranged from less than 10 percent to around 50 percent, i.e. constantly well above prevalence rates reported from the general population [3].…”

Section: Introductionmentioning

confidence: 92%

Pilot Study of Problem Gambling in Specialized Substance Use Disorder Treatment—High Lifetime Prevalence of Problem Gambling in Opioid Maintenance Treatment Patients

Håkansson¹,

Ek²

2018

OJPsych

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Problem gambling is over-represented in patients treated for substance use disorders, but substance-specific prevalence of problem gambling is rarely reported. In specialized addiction treatment facilities for opioid maintenance treatment and for alcohol and prescription drug dependence, respectively, 129 patients were screened for problem gambling using the NODS-CLiP. The lifetime prevalence of problem gambling was markedly higher in opioid maintenance treatment (61 percent) than in alcohol and prescription drug dependence treatment (11 percent, p < 0.001). When controlling for gender and age, problem gambling remained significantly associated with opioid maintenance treatment. The present study demonstrated a very high prevalence of lifetime problem gambling in opioid maintenance treatment patients. This calls for active screening for problem gambling in substance use disorder patients, and mainly in treatment for opioid dependence.

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Pathological and problem gambling in substance use treatment: A systematic review and meta-analysis

Cited by 101 publications

References 60 publications

Gambling Problems Among Community Cocaine Users

Gambling Problems Among Community Cocaine Users

Gambling problems in treatment for affective disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)

Pilot Study of Problem Gambling in Specialized Substance Use Disorder Treatment—High Lifetime Prevalence of Problem Gambling in Opioid Maintenance Treatment Patients

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