Screening for problem gambling within mental health services: a comparison of the classification accuracy of brief instruments

Dowling, Nathan; Merkouris, Stephanie; Manning, Victoria; Volberg, Rachel A.; Lee, Stuart; Rodda, Simone; Lubman, Dan I.

doi:10.1111/add.14150

Cited by 55 publications

(52 citation statements)

References 70 publications

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“…Thus, this further points to the need to address problematic gambling behaviors in the assessment of suicidality in patients with poor mental health, and that even in the presence of another disorder known to increase suicide risk, gambling may be of interest to screen for and to diagnose at an early stage. Screening for gambling problems has been called for in mental health services, where a number of brief screening tools have been suggested, and where the prevalence of problem gambling is likely markedly higher than in the general population (24). Furthermore, active screening in specialized mental health services may be of particular importance given the association with suicidal behavior seen in the present study.…”

Section: Discussionmentioning

confidence: 83%

Suicide Attempt in Patients With Gambling Disorder—Associations With Comorbidity Including Substance Use Disorders

Håkansson

Karlsson

2020

Front. Psychiatry

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Background: Gambling disorder is known to be associated with increased risk of suicidal behavior. However, relatively little is known about how the risk of suicide attempts in gambling disorder is influenced by comorbid alcohol or drug use disorders, as well as other psychiatric conditions. Methods: The present study is a nationwide, diagnostic register study assessing the risk of suicide attempts (including fatal ones) in gambling disorder in Sweden in 2005–2016. Results: In a total of 2,099 individuals (23 percent women) with gambling disorder, 417 individuals had a suicide attempt (including 10 fatal cases of suicide) during the study period. Suicidal behavior was more common in patients with substance use disorders at any time during the study period (50 percent if both alcohol and drug use disorders were present, and 10 percent if none of these were present). In logistic regression, suicidal behavior was significantly associated with female gender (OR 2.13 [1.63–2.78]), mood disorders (OR 2.65 [2.00–3.50]), anxiety disorders (OR 1.78 [1.34–2.35]), and with alcohol (OR 1.95 [1.51–2.51]) or drug use disorders (OR 3.60 [2.76–4.69]), respectively. Conclusions: Suicidal behavior in clinical gambling disorder patients is common, but markedly more common in the presence of substance use and other comorbid disorders.

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Section: Discussionmentioning

confidence: 83%

Suicide Attempt in Patients With Gambling Disorder—Associations With Comorbidity Including Substance Use Disorders

Håkansson

Karlsson

2020

Front. Psychiatry

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“…The same instrument was also used in the study of problem gambling prevalence in European athletes cited above [5], allowing for comparison with the prevalence data of that study. The Lie/Bet instrument has been described to have a high sensitivity (0.81) and specificity (0.94) with respect to problem gambling as measured with the well-established Problem Gambling Severity Index in clinical mental health samples [24].…”

Section: Methodsmentioning

confidence: 99%

Problem Gambling in the Fitness World—A General Population Web Survey

Håkansson

Entezarjou

Kenttä

et al. 2020

IJERPH

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The world of sports has a complex association to problem gambling, and the sparse research examining problem gambling in athletes has suggested an increased prevalence and particularly high male predominance. The present study aimed to study frequency and correlates of problem gambling in populations with moderate to high involvement in fitness or physical exercise. This is a self-selective online survey focusing on addictive behaviors in physical exercise distributed by ‘fitness influencers’ on social media and other online fitness forums to their followers. Respondents were included if they reported exercise at least thrice weekly, were above 15 years of age, and provided informed consent (N = 3088). Problem gambling, measured with the Lie/Bet, was studied in association with demographic data, substance use, and mental health variables. The occurrence of lifetime problem gambling was 8 percent (12 percent in men, one percent in women). In logistic regression, problem gambling was associated with male gender, younger age, risky alcohol drinking, obsessive-compulsive disorder, and less frequent exercise habits. In conclusion, in this self-recruited population with moderate to high fitness involvement, problem gambling was moderately elevated. As shown previously in elite athletes, the male predominance was larger than in the general population. The findings strengthen the link between problem gambling and the world of sports.

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“…Problem gambling was measured using the NODS-CLiP [17], a three-item instrument which has demonstrated acceptable psychometric properties in the screening of problem gambling [18] [19]. Items included address the following criteria likely to indicate problematic gambling; the patient has ever experienced an episode with increased tolerance for gambling, a reported need to cut back on gambling, or a need to lie to concerned significant others about the extent of her/his gambling.…”

Section: Methods and Measuresmentioning

confidence: 99%

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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Screening for problem gambling within mental health services: a comparison of the classification accuracy of brief instruments

Cited by 55 publications

References 70 publications

Suicide Attempt in Patients With Gambling Disorder—Associations With Comorbidity Including Substance Use Disorders

Suicide Attempt in Patients With Gambling Disorder—Associations With Comorbidity Including Substance Use Disorders

Problem Gambling in the Fitness World—A General Population Web Survey

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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