Journal of Gambling Studies

, Volume 21, Issue 3, pp 273–297 | Cite as

Alcohol Use and Prior Substance Abuse Treatment in Relation to Gambling Problem Severity and Gambling Treatment Outcome

  • Randy Stinchfield
  • Matt G. Kushner
  • Ken C. Winters

Recent research has made it clear that problematic gambling is often accompanied by problematic alcohol use. Unfortunately, little is known about the nature of this association, especially as it relates to gambling treatment outcome. The purpose of this study is to explore the effect of current alcohol use level and previous substance abuse treatment on the symptoms of a large cohort of pathological gamblers as well as on their response to treatment for pathological gambling. The sample included 464 men and 301 women recruited at six gambling treatment programs in Minnesota. Gambling treatment patients were assessed on a number of gambling problem severity and related clinical variables using the Gambling Treatment Outcome Monitoring System (GAMTOMS). Patients with frequent alcohol use had greater gambling involvement at baseline than infrequent alcohol users. Patients with a previous history of substance abuse treatment had more severe psychosocial problems, ostensibly resulting from their gambling behavior, than patients without past substance abuse treatment. A MANOVA with repeated measures showed that neither pretreatment alcohol use, nor past substance abuse treatment exerted significant effects on gambling treatment outcome. While the level of pretreatment alcohol use and a history of substance abuse treatment are markers for greater gambling problem severity, treatment outcome for pathological gambling was not adversely impacted by these variables.

Key words

gambling treatment outcome alcohol use substance abuse treatment 


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  1. Baron, E., Dickerson, M. G. 1999Alcohol consumption and self-control of gambling behaviourJournal of Gambling Studies15315CrossRefPubMedGoogle Scholar
  2. Bland, R. C., Newman, S. C., Orn, H., Stebelesky, G. 1993Epidemiology of pathological gambling in EdmontonCanadian Journal of Psychiatry38108112Google Scholar
  3. Breslin, F. C., Sobell, M. B., Cappell, H., Vakili, S. 1999The effects of alcohol, gender, and sensation seeking on the gambling choices of social drinkersPsychology of Addictive Behaviors13243252CrossRefGoogle Scholar
  4. Cunningham-Williams, R. M., Cottler, L. B., Compton, W. M., Spitznagel, E. L. 1998Taking chances: Problem gamblers and mental health disorders–results from the St. Louis Epidemiologic Catchment Area (ECA) StudyAmerican Journal of Public Health8810931096PubMedGoogle Scholar
  5. Cutter, H. S. G., Green, L. R., Harford, T. C. 1973Levels of risk taken by extraverted and introverted alcoholics as a function of drinking whiskeyBritish Journal of Social and Clinical Psychology128389Google Scholar
  6. Daghestani, A. N., Elenz, E., Crayton, J. W. 1996Pathological gambling in hospitalized substance abusing veteransJournal of Clinical Psychiatry57360363PubMedGoogle Scholar
  7. Ellery, M., Stewart, S. H., Loba, P. 2005Alcohol’s effects on video lotto terminal (VLT) play among probable pathological and nonpathological gamblersJournal of Gambling Studies21299324Google Scholar
  8. Feigelman, W., Wallisch, L. S., Lesieur, H. R. 1998Problem gamblers, problem substance users, and dual-problem individuals: An epidemiological studyAmerican Journal of Public Health88467470PubMedGoogle Scholar
  9. Feinstein, A. R. (1970). The pre-therapeutic classification of comorbidity in chronic disease. Journal of Clinical Epidemiology, 23, 455–468Google Scholar
  10. Giacopassi, D., Stitt, B. G., Vandiver, M. 1998An analysis of the relationship of alcohol to casino gambling among college studentsJournal of Gambling Studies14135149CrossRefPubMedGoogle Scholar
  11. Haberman, P. W. 1969Drinking and other self-indulgences: Complements or counter-attractions?International Journal of Addiction4157167Google Scholar
  12. Kushner, M. G., Abrams, K., Borchardt, C. 2000The relationship between anxiety disorders and alcohol use disorders: A review of major perspectives and findingsClinical Psychology Review20149171CrossRefPubMedGoogle Scholar
  13. Kyngdon, A., Dickerson, M. 1999An experimental study of the effect of prior alcohol consumption on a simulated gambling activityAddiction94697707CrossRefPubMedGoogle Scholar
  14. Lejoyeux, M., Feuche, N., Loi, S., Solomon, J., Ades, J. 1999Study of impulse-control disorders among alcohol-dependent patientsJournal of Clinical Psychiatry60302305Google Scholar
  15. Lesieur, H. R., Blume, S.B 1987The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblingAmerican Journal of Psychiatry14411841188PubMedGoogle Scholar
  16. Lesieur, H. R., Blume, S.B, Zappa, R. 1986Alcoholism, drug abuse and gamblingAlcoholism Clinical and Experimental Research103338Google Scholar
  17. Meier, S. E., Brigham, T. A., Ward, D. A., Myers, F. 1996Effects of blood alcohol concentrations on negative punishment: Implications for decision makingJournal of Studies on Alcohol578596PubMedGoogle Scholar
  18. National Opinion Research Center,1999Gambling impact and behavior study: Report to the National Gambling Impact Study CommissionUniversity of ChicagoChicago, IllinoisGoogle Scholar
  19. Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Roundsaville, B. J., Oȁ9Malley, S. S. 2001Gender-related differences in the characteristics of problem gamblers using a gambling helplineAmerican Journal of Psychiatry15815001505CrossRefPubMedGoogle Scholar
  20. Regier, D. A., Farmer, M. E., Rae, D. S., Locke, B. Z., Keith, S. J., Judd, L. J., Goodwin, F. K. 1990Comormidity of mental disorders with alcohol and other drug abuse: Results from the Epidemiologic catchment area (ECA) StudyJournal of the American Medical Association26425112518CrossRefPubMedGoogle Scholar
  21. Shaffer, H. J., Hall, M. N., Vander Bilt, J. 1999Estimating the prevalence of disordered gambling behavior in the United States and Canada: A research synthesisAmerican Journal of Public Health891376Google Scholar
  22. Sjoberg, L. 1969Alcohol and gamblingPsychopharmacologia14284298PubMedGoogle Scholar
  23. Smart, R. G., Ferris, J. 1996Alcohol, drugs and gambling in the Ontario adult populationCanadian Journal of Psychiatry413645Google Scholar
  24. Stewart, S. H., McWilliams, L. A., Blackburn, J. R., Klein, R. A. 2002Laboratory-based investigation of the influence of video lottery terminal (VLT) play on mood and alcohol consumption among regular VLT playersAddictive Behaviors27819835CrossRefPubMedGoogle Scholar
  25. Stinchfield, R. 2001Reliability, validity, and classification accuracy of the South Oaks Gambling Screen (SOGS)Addictive Behaviors27119CrossRefGoogle Scholar
  26. Stinchfield, R. 1999Gambling Treatment Outcome Monitoring SystemCoughlin, K. M. eds. Behavioural Outcomes and Guidelines Source bookFaulkner & GrayNew York533535Google Scholar
  27. Stinchfield, R., Winters, K. C. 2001Outcome of Minnesota’s gambling treatment programsJournal of Gambling Studies17217245CrossRefPubMedGoogle Scholar
  28. Toneatto, T., Skinner, W., Dragonetti, R. 2002Patterns of substance use in treatment-seeking problem gamblers: Impact on treatment outcomesJournal of Clinical Psychology58853859CrossRefPubMedGoogle Scholar
  29. F, J., Barnes, G., Wieczorek, W., Tidwell, M. C., Parker, J. 2001Alcohol and gambling pathology among U.S. adults: Prevalence, demographic patterns, and comorbidityJournal of Studies on Alcohol62706712PubMedGoogle Scholar
  30. Winters, K. C., Kushner, M. G. 2003Treatment issues pertaining to pathological gamblers with a comorbid disorderJournal of Gambling Studies19261278CrossRefPubMedGoogle Scholar
  31. World Health Organization (WHO),1993Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10)WHOGenevaGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Randy Stinchfield
    • 1
    • 2
  • Matt G. Kushner
    • 1
  • Ken C. Winters
    • 1
  1. 1.University of MinnesotaUSA
  2. 2.Randy StinchfieldSaint Paul

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