Pathological Gambling and the Psychiatric Emergency Service

Chaput, Yves; Lebel, Marie-Josée; Labonté, Edith; Beaulieu, Lucie; Paradis, Michel

doi:10.1177/070674370705200812

Cited by 9 publications

(5 citation statements)

References 12 publications

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“…Despite the greater prevalence of pathological gambling in males, novel study findings show that females had a significantly greater average number of episodes of care related with a principal or primary diagnosis of pathological gambling. These findings could be related to a greater severity of gambling and other psychiatric disorders among females or to differences in treatment‐seeking behaviors intrinsic to gender specific cultural values, roles and expectations. Females might be more open to discuss gambling and other psychiatric disorders with their healthcare providers …”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

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

2018

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“…The database was used until December 31, 2000 and again from September 2002 to June 15, 2004 during the multi-site part of the study described below. A more detailed description of the database and of data acquisition has been provided in prior publications [ 2 , 17 , 18 ].…”

Section: Methodsmentioning

confidence: 99%

A qualitative study of a psychiatric emergency

Chaput

Paradis

Beaulieu

et al. 2008

Int J Ment Health Syst

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“…As previously described [ 6 , 9 ], clinical and demographic data were obtained from all adult patients visiting the PES of a university teaching hospital in Montreal (Canada) from June 15, 1985, to June 15, 2004. The database originated June 15 1985 as an 'in-house' register of seven variables (name, sex, service sector, referral source, disposition, date and time of entry into and, departure from, the PES) kept by the nursing staff.…”

Section: Methodsmentioning

confidence: 99%

An examination of the temporal and geographical patterns of psychiatric emergency service use by multiple visit patients as a means for their early detection

Chaput

Lebel

2007

BMC Psychiatry

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Pathological Gambling and the Psychiatric Emergency Service

Abstract: Although still manageable, the clinical impact of PG on the PES increased significantly during the course of this study.

Cited by 9 publications

References 12 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

A qualitative study of a psychiatric emergency

An examination of the temporal and geographical patterns of psychiatric emergency service use by multiple visit patients as a means for their early detection

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