The Longitudinal Relationships Between Psychiatric Disorders and Gambling Disorders

Hartmann, Melanie; Blaszczynski, Alex

doi:10.1007/s11469-016-9705-z

Cited by 53 publications

(33 citation statements)

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“…As with previous research (Lee et al, 2011; Hartmann and Blaszczynski, 2016; for reviews see Ciccarelli et al, 2017), the present study found that the more individuals have a problematic gambling involvement, the more they experience anxiety and depression. These results confirm the findings of previous studies demonstrating that among both adolescents and adults anxiety and depression co-occur with problematic gambling (Blaszczynski and McConaghy, 1989; Coman et al, 1997; Raylu and Oei, 2002; Kim et al, 2006; Barrault and Varescon, 2013; Martin et al, 2014; Estevez et al, 2015; Chinneck et al, 2016; Cunningham et al, 2016; Toneatto and Pillai, 2016; see also, Takamatsu et al, 2016).…”

Section: Discussionsupporting

confidence: 90%

“…Given that anxiety and depression have been considered both precursors and consequences of problem gambling (see Hartmann and Blaszczynski, 2016), having found that female adolescents reported significantly greater levels of anxiety and depression suggests that gambling research, prevention, and treatment programs should consider carefully gender differences. In addition, since the combination of high impulsivity and emotional vulnerability contributes to foster the cycle of pathological gambling (e.g., McCormick et al, 1984), treatment protocols for gambling disorder should also take in account this underlying interplay.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, since the combination of high impulsivity and emotional vulnerability contributes to foster the cycle of pathological gambling (e.g., McCormick et al, 1984), treatment protocols for gambling disorder should also take in account this underlying interplay. Indeed, as stressed by Blaszczynski and Nower (2002) and Hartmann and Blaszczynski (2016), the co-occurrence of emotional vulnerability and problematic gambling makes treatment more difficult. If this is true for adults, it is especially true for adolescents.…”

Section: Discussionmentioning

confidence: 99%

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The Blurred Future of Adolescent Gamblers: Impulsivity, Time Horizon, and Emotional Distress

2017

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The main purpose of this study was to investigate the interplay of functional and dysfunctional impulsivity, delay discounting, time perspective, and emotional negative states on gambling severity in Italian adolescents. A second aim of the study was to analyze the developmental trajectories of gambling involvement, functional and dysfunctional impulsivity, delay discounting, consideration of future consequences, and negative affectivity in a cross-sectional perspective. One thousand and ten Italian adolescents aging between 12 and 19 years were administered the South Oaks Gambling Screen Revised for Adolescents (SOGS-RA), the Functional and Dysfunctional Impulsivity Scale (FDIS), the Monetary Choice Questionnaire (MCQ), the Consideration of Future Consequences Scale (CFC-14), and the Depression, Anxiety and Stress Scales-21 (DASS-21). Data analyses were conducted using correlational analysis, Chi-square test, analysis of variance, and hierarchical regression analysis. Results indicated that, relative to non-gamblers and non-problem gamblers, at-risk and problem gamblers showed higher levels of impulsivity, steeper delay discounting, shorter time horizon, and reported experiencing significantly higher levels of depression, anxiety, and stress. Results of hierarchical regression analysis, with SOGS-RA scores as the dependent variable, and gender, age, FDIS, MCQ, CFC-14, and DASS-21 scores as independent variables, indicated that, along with gender and age, low scores of future orientation and high scores of dysfunctional impulsivity, depression, anxiety, present orientation, and delay discounting significantly predicted gambling severity. These findings provide further evidence that the higher the gambling involvement, the greater the tendency to devalue delayed rewards and to focus on the immediate consequences of one's behavior. Interestingly, for the first time these results reveal an association between gambling severity and both dysfunctional impulsivity and negative affective states across adolescence. Finally, results of cross-sectional analyses suggest that gambling severity contributes more than age in shaping the developmental trajectories of functional and dysfunctional impulsivity, delay discounting, time perspective, and negative affective states.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Blurred Future of Adolescent Gamblers: Impulsivity, Time Horizon, and Emotional Distress

2017

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“…Similar to the previously discussed comorbidities, results have shown interaction between gambling problems and co-occurring addictive behaviours, more specifically demonstrating a dose-response relationship between the number of co-occurring behaviours and self-reported severity of gambling problems [30]. Though there appears to be a significant amount of research that points to a strong association between problem gambling and various co-morbidities, including substance use and psychiatric disorders [31], there appears to be significant variation between numerous reported prevalence estimates of comorbid conditions. Additionally, the majority of co-morbidity studies have drawn conclusions from treatment seeking samples, which can be unrepresentative of the general problem gambling population, as it has been estimated that only 7-12% of pathological gamblers seek treatment [2,32].…”

Section: Introductionsupporting

confidence: 73%

Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment

Ford

Håkansson

2020

PLoS ONE

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BackgroundProblem gambling is a public health issue and its comorbidity with other health conditions may provide an opportunity for screening in healthcare settings; however, a high level of uncertainty and a lack of research in the field remains. The objective of this study is to investigate potential associations between problem gambling and numerous other health conditions, including substance use, mental health problems, and behavioural addictions. MethodsA cross-sectional web-survey was distributed by a market research company to an online panel of respondents in Sweden, which aimed to be representative of the general population. Chi-squared and Mann-Whitney U tests, followed by logistic regression analysis, were performed to determine associations between screening positive for lifetime problem gambling and potential comorbid conditions and behaviours. OPEN ACCESSCitation: Ford M, Håkansson A (2020) Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment. PLoS ONE 15(1): e0227644. https://doi.

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“…Even a review of the longitudinal studies has not been able to shed more light on the issue of the extent to which the specific psychiatric disorders predispose or lead to pathological gambling as opposed to being its consequence (8). This review reported that impulsivity was an important, underlying factor in many cases of pathological gambling, facilitating both the onset of “problem” gambling and progression from less severe to more severe forms of pathological gambling, often in conjunction with depression and substance use disorders.…”

Section: Pathological Gambling (Gambling Disorder)mentioning

confidence: 99%

Relationships between Behavioural Addictions and Psychiatric Disorders: What Is Known and What Is Yet to Be Learned?

Starčević

Khazaal

2017

Front. Psychiatry

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This article provides a narrative review of the relationships between several behavioural addictions [pathological gambling, problematic Internet use (PIU), problematic online gaming, compulsive sexual behaviour disorder, compulsive buying, and exercise addiction] and psychiatric disorders. Associations between most behavioural addictions and depressive and anxiety disorders are strong and seem relatively non-specific. Strong links with substance use disorders may support the notion that some people are more prone to addictive behaviours, regardless of whether these involve substances or problematic activities. Other associations seem relatively specific, for example, those between PIU/online gaming and attention-deficit/hyperactivity disorder, between compulsive buying on the one hand and eating disorders and hoarding on the other hand and between exercise addiction and eating disorders. The quality of the research varies, but most studies suffer from methodological limitations, including a cross-sectional or correlational design, non-representative study populations, small sample sizes, reliance on self-report assessment instruments, diverse diagnostic criteria, and conceptual heterogeneity of most behavioural addictions. Due to these limitations, generalisability of the findings is questionable and the direction of causality, if any, is unknown in the relationships between behavioural addictions and psychiatric disorders. Regardless of the aetiological uncertainty, these relationships often call for a modified treatment approach. Prospective studies are needed to clarify the longitudinal relationships between behavioural addictions and psychiatric disorders.

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The Longitudinal Relationships Between Psychiatric Disorders and Gambling Disorders

Cited by 53 publications

References 54 publications

The Blurred Future of Adolescent Gamblers: Impulsivity, Time Horizon, and Emotional Distress

The Blurred Future of Adolescent Gamblers: Impulsivity, Time Horizon, and Emotional Distress

Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment

Relationships between Behavioural Addictions and Psychiatric Disorders: What Is Known and What Is Yet to Be Learned?

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