Prevalence of comorbid disorders in problem and pathological gambling: systematic review and meta‐analysis of population surveys

Lorains, Felicity; Cowlishaw, Sean; Thomas, Samantha

doi:10.1111/j.1360-0443.2010.03300.x

Cited by 851 publications

(621 citation statements)

References 59 publications

Supporting

Mentioning

530

Contrasting

Unclassified

Order By: Relevance

“…Although different studies of clinical samples (Fernandez-Montalvo et al 2012;Mathias et al 2009;Petry 2005) and in the general population (El-Guebaly et al 2006;Lorains et al 2011 for a review) have highlighted higher prevalence of anxiety disorders and depression among problem gamblers, these findings were only partially supported by the present study. In fact, with the exception of phobic disorders, the at-risk group did not differ from non-problem gamblers.…”

Section: Discussioncontrasting

confidence: 73%

“…Impulsivity and difficulty making decisions could also be integral to the mechanisms of these two issues (Gonzales-Ortega et al 2013;Ochoa et al 2013). This high comorbidity with mental health problems underlines the necessity of thoroughly assessing the full range of mental health problems whenever someone is seeking help for recovery (Lorains et al 2011). …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Gambling Problems Among Community Cocaine Users

et al. 2016

View full text Add to dashboard Cite

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.

show abstract

Section: Discussioncontrasting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Gambling Problems Among Community Cocaine Users

et al. 2016

View full text Add to dashboard Cite

show abstract

“…studies 9 Meta‐analysis: yes Adults Range: 1,086–166,453 General population samples Community settings All North American, mostly US studies Standardized (clinical diagnostic) and nonstandardized indicators or symptomsSymptoms prev in general pop: 16% (1–30) Goldner 2014 Search: April 2012 # incl. studies 11 Meta‐analysis: yes Patients at admission or in treatment for substance abuse problems from US and Canada Sample size not rep. Chart review of admissions and discharges, survey of people entering treatment programs Clinical settings All North American, mostly US studies Clinical diagnostics based on DSM, other clinical assessments, or symptom self‐reports Prev of diagnosis and symptoms: 38% (14–63) Diagnosis prev: 29 (14–44); symptoms: 50% (16–84) No significant age or sex‐effects Lorains 2011 Search: Sept. 2010 # incl. studies 11 Meta‐analysis: yes Adults Range: 2417–43,093 General population samples/surveys Community settings Mostly US studies Validated screening tool/standardized measurement toolsPrev: 37.4% Ho 2014 Search: 2012 # incl.…”

Section: Embasementioning

confidence: 99%

“…studies 9 Meta‐analysis: yes Longitudinal studies to assess reasons for using NMPOU in individuals with mental health problems Original studies Heterogeneity: operationalization of anxiety and NMPOU Many screener or epidemiological instruments used (possible overestimation), instead of clinical diagnostic tools All North American studies – limited generalizability Small number of studies Review Between‐study heterogeneity 8 Goldner 2014 Search: April 2012 # incl. studies 11 Meta‐analysis: yes Relationship between NMPOU and mental illness Retrospective and prospective studies to examine development of mental health problems and NMPOU in those receiving POAs Use standardized and comparable diagnostic instruments Link between chronic pain and mental illness Alternative treatments for and outcomes of patients with both mental health problems and NMPOU Original studies Cross‐sectional data, thus temporality issues between NMPOU and mental illness Diff instruments used Review Publication bias High between‐study differences Heterogeneity: defining and measuring NMPOU psychiatric problems 8 Lorains 2011 Search: Sept. 2010 # incl. studies 11 Meta‐analysis: yes Health care workers should: Assess for comorbidities Determine whether anxiety developed before gambling problem and should be treated first Original studies Lifetime estimates may be confounded by age Diff tools (ex.…”

Section: Embasementioning

confidence: 99%

A systematic review of reviews on the prevalence of anxiety disorders in adult populations

et al. 2016

View full text Add to dashboard Cite

BackgroundA fragmented research field exists on the prevalence of anxiety disorders. Here, we present the results of a systematic review of reviews on this topic. We included the highest quality studies to inform practice and policy on this issue.MethodUsing PRISMA methodology, extensive electronic and manual citation searches were performed to identify relevant reviews. Screening, data extraction, and quality assessment were undertaken by two reviewers. Inclusion criteria consisted of systematic reviews or meta‐analyses on the prevalence of anxiety disorders that fulfilled at least half of the AMSTAR quality criteria.ResultsWe identified a total of 48 reviews and described the prevalence of anxiety across population subgroups and settings, as reported by these studies. Despite the high heterogeneity of prevalence estimates across primary studies, there was emerging and compelling evidence of substantial prevalence of anxiety disorders generally (3.8–25%), and particularly in women (5.2–8.7%); young adults (2.5–9.1%); people with chronic diseases (1.4–70%); and individuals from Euro/Anglo cultures (3.8–10.4%) versus individuals from Indo/Asian (2.8%), African (4.4%), Central/Eastern European (3.2%), North African/Middle Eastern (4.9%), and Ibero/Latin cultures (6.2%).ConclusionsThe prevalence of anxiety disorders is high in population subgroups across the globe. Recent research has expanded its focus to Asian countries, an increasingly greater number of physical and psychiatric conditions, and traumatic events associated with anxiety. Further research on illness trajectories and anxiety levels pre‐ and post‐treatment is needed. Few studies have been conducted in developing and under‐developed parts of the world and have little representation in the global literature.

show abstract

“…Wong, Chung, Wu, Tang, & Lau, 2014). A possible threat to the effectiveness of CBT in everyday gambling help services are co-morbid mental disorders such as depression and anxiety that commonly occur in problem gamblers (Lorains, Cowlishaw, & Thomas, 2011;Winters & Kushner, 2003). However, it is unclear as to the extent of the impact due to a deficiency of evidence and extant findings being mixed.…”

Section: Introductionmentioning

confidence: 99%

Effects of Affective and Anxiety Disorders on Outcome in Problem Gamblers Attending Routine Cognitive–Behavioural Treatment in South Australia

et al. 2014

View full text Add to dashboard Cite

Aims This study evaluated the influence of 12-month affective and anxiety disorders on treatment outcomes for adult problem gamblers in routine cognitive-behavioural therapy (CBT). Methods A cohort study at a state-wide gambling therapy service in South Australia. Primary outcome measure was rated by participants using Victorian Gambling Screen (VGS) 'harm to self' sub-scale with validated cut score 21+ (score range: 0 -60) indicative of problem gambling behaviour. Secondary outcome measure was work and social adjustment scale (WSAS). Independent variable was severity of affective and anxiety disorders based on Kessler 10 scale (K10). We used propensity score adjusted random-effects models to estimate treatment outcomes for subpopulations of individuals from baseline to 12 month follow-up. Results Between July, 2010 and December, 2012, 380 participants were eligible for inclusion in the final analysis. Mean age was 44.1(SD=13.6) years and 211 (56%) were males. At baseline, 353 (92.9%) were diagnosed with a gambling disorder using VGS. For exposure, 175 (46%) had a very high probability of a 12-month affective or anxiety disorder, 103 (27%) in the high range and 102 (27%) in the low to moderate range. For the main analysis, individuals experienced similar clinically significant reductions (improvement) in gambling related outcomes across time (p < 0.001). Conclusions Individuals with covarying patterns of problem gambling and 12 month affective and anxiety disorders who present to a gambling help service for treatment in metropolitan South Australia gain similar significant reductions in gambling behaviours from routine cognitivebehavioural therapy in the mid-term.

show abstract

Prevalence of comorbid disorders in problem and pathological gambling: systematic review and meta‐analysis of population surveys

Cited by 851 publications

References 59 publications

Gambling Problems Among Community Cocaine Users

Gambling Problems Among Community Cocaine Users

A systematic review of reviews on the prevalence of anxiety disorders in adult populations

Effects of Affective and Anxiety Disorders on Outcome in Problem Gamblers Attending Routine Cognitive–Behavioural Treatment in South Australia

Contact Info

Product

Resources

About