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Journal of Gambling Studies

, Volume 22, Issue 3, pp 275–287 | Cite as

Epidemiological Associations between Gambling Behavior, Substance Use & Mood and Anxiety Disorders

  • Nady el-Guebaly
  • Scott B. Patten
  • Shawn Currie
  • Jeanne V. A. Williams
  • Cynthia A. Beck
  • Colleen J. Maxwell
  • Jian Li Wang
Article

Abstract

Objective

To compare gambling behaviors in a random sample of community residents with and without mental disorders identified by the Composite International Diagnostic Interview (CIDI).

Method

A large national community survey conducted by Statistics Canada included questions about problems arising from gambling activities as per the Canadian Problem Gambling Index (CPGI). We compared respondents within three gambling severity categories (non-problem, low severity and moderate/high severity gambling) across three diagnostic groupings (mood/anxiety disorders, substance dependence/harmful alcohol use, no selected psychiatric disorder).

Results

Of the 14,934 respondents age 18–64 years who engaged in at least one type of gambling activity in the previous 12 months, 5.8% fell in the low severity gambling category while 2.9% fell in the moderate/high severity category. Females accounted for 51.7% of the sample. The risk of moderate/high severity gambling was 1.7 times higher in persons with mood or anxiety disorder compared to persons with no selected disorder. For persons with substance dependence or harmful alcohol use, the risk of moderate/high severity gambling was 2.9 times higher. Persons with both mood/anxiety and substance/alcohol disorders were five times more likely to be moderate/high severity gamblers. The odds ratio for females was 0.6 and for those with less than post-secondary education it was 1.52. Differences in age and personal income were not significant.

Conclusions

Individuals in the community suffering from mood/anxiety disorders and substance dependence/harmful alcohol, and especially those with both, experience a higher risk for gambling problems. The treatment of these comorbidities should be integrated into any problem gambling treatment program.

Keywords

Problem gambling Mood/anxiety disorders Substance use 

Notes

Acknowledgement

This project was supported by an operating grant from the Canadian Institutes of Health Research.

References

  1. Black, D. W., & Moyer, T. (1998). Clinical features and commorbidity of subjects with pathological gambling behavior. Psychiatric Services, 49, 1434–1439.Google Scholar
  2. Bland, R. C., Newman, S. C., Orn, H., & Stebelsky, G. (1993). Epidemiology of pathological gambling in Edmonton. Canadian Journal of Psychiatry, 38, 108–112.Google Scholar
  3. Crockford, D. N., & el-Guebaly, N. (1998). Psychiatric commorbidity in pathological gambling: A critical review. Canadian Journal of Psychiatry— Revue. Canadienne. de Psychiatrie, 43, 43–50.Google Scholar
  4. Cox, B. J., Yu, N., Afifi, T. O., & Ladouceur, R. (2005) A national survey of gambling problems in Canada. Canadian Journal of Psychiatry, 50, 213–217.Google Scholar
  5. Cunningham-Williams, R. M., Cottler, L. B., Compton, W. M., & Spitznagel, E. L. (1998). Taking chances: Problem gamblers and mental health disorders—Results from the St. Louis Epidemiological Catchment Area (ECA) study. American Journal of Public Health, 88, 1093–1096.CrossRefGoogle Scholar
  6. Dannon, P. N., Lowengrub, K., Sasson, M., Shalgi, B., Tuson, L., Saphir, Y., et al. (2004). Comorbid psychiatric diagnoses in kleptomania and pathological gambling: a preliminary comparison study. European Psychiatry, 19, 299–302.CrossRefGoogle Scholar
  7. Ferris, J., & Wynne, H. J. (2001). The Canadian Problem Gambling Index final report. Ottawa, ON: Canadian Centre on Substance Abuse.Google Scholar
  8. Hollander, E., Pallanti, S., Allen, A., Sood, E., & Rossi, N. B. (2005). Does sustained-release lithium reduce impulsive gambling and affective instability versus placebo in pathological gamblers with bipolar spectrum disorders? American Journal of Psychiatry, 162, 137–145.CrossRefGoogle Scholar
  9. Ibanez, A., Blanco, C., Donahue, E., Lesieur, H. R., Perez deCastro, I. P., & Fernandez-Piqueras, J., et al. (2001). Psychiatric commorbidity in pathological gamblers seeking treatment. American Journal of Psychiatry, 158, 1733–1735.CrossRefGoogle Scholar
  10. Kausch, O. (2003a). Suicide attempts among veterans seeking treatment for pathological gambling. Journal of Clinical Psychiatry, 64, 1031–1038.CrossRefGoogle Scholar
  11. Kausch, O. (2003b). Patterns of substance abuse among treatment-seeking pathological gamblers. Journal of Substance Abuse Treatment, 25, 263–270.CrossRefGoogle Scholar
  12. Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H. U. (1998). The World Health Organization composite international diagnostic interview short-form (CIDI-SF). International Journal of Methods in Psychiatric Research, 7, 171–185.CrossRefGoogle Scholar
  13. Kessler, R. C., & Ustun, T. B. (2004). The world mental health survey initiative version of the WHO composite international diagnostic interview. International Journal of Methods in Psychiatric Research, 13, 93–121.CrossRefGoogle Scholar
  14. Ladouceur, R. (1996). The prevalence of pathological gambling in Canada. Journal of Gambling Studies, 12, 129–142.CrossRefGoogle Scholar
  15. Lejoyeux, M., Arbaretaz, M., McLoughlin, M., & Ades, J. (2002). Impulse control disorders and depression. Journal of Nervous and Mental Disease, 190, 310–314.CrossRefGoogle Scholar
  16. Lesieur, H. R., & Rosenthal, R. J. (1998). Analysis of pathological gambling in DSM IV Sourcebook. Washington, D.C.: American Psychiatric Press.Google Scholar
  17. Marshall, K., & Wynne, H., (2003). Fighting the odds. Perspectives [Catalogue no. 75–001-XIE], 5–12. Ottawa, Statistics Canada. Ref Type: Serial (Book, Monograph).Google Scholar
  18. National Research Council (1999). Pathological gambling: A critical review. Washington, DC: National Academy Press.Google Scholar
  19. Newman, S. C., & Thompson, A. H. (2003). A population-based study of the association between pathological gambling and attempted suicide. Suicide and Life-Threatening Behavior, 33, 80–87.CrossRefGoogle Scholar
  20. Petry, N. M. (2005). Comorbidity of disordered gambling and other psychiatric disorders. In Pathological gambling: Etiology, comorbidity, and treatment (pp. 85–115). Washington, DC: American Psychological Association.Google Scholar
  21. Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the national epidemiological survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 564–573.CrossRefGoogle Scholar
  22. SAS Institute (1994). SAS/STAT user’s guide. Cary, NC: SAS Institute.Google Scholar
  23. Shaffer, H.J., Hall, M.N., & Vander Bilt, J. (1997). Estimating the prevalence of disordered gambling behavior in the United States and Canada: A meta-analysis. Boston: Harvard Medical School, Division on Addictions.Google Scholar
  24. Shaffer, H. J., LaBrie, R. A., LaPlante, D. A., Nelson, S. E., & Stanton, M. V. (2004). The road less travelled: moving from distribution to determinants in the study of gambling epidemiology. Canadian Journal of Psychiatry, 49, 504–516.Google Scholar
  25. Thorson, J., Powell, F. C., & Hilt, M. (1994). Epidemiology of gambling and depression in an adult sample. Psychology Reports, 74, 987–994.Google Scholar
  26. Welte, J., Barnes, G., Wieczorek, W., Tidwell, M.-C., & Parker J. (2001). Alcohol and gambling pathology among US adults: Prevalence, demographic patterns and comorbidity. Journal of Studies on Alcohol, 62, 706–712.Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Nady el-Guebaly
    • 1
    • 4
  • Scott B. Patten
    • 1
    • 2
  • Shawn Currie
    • 1
    • 3
  • Jeanne V. A. Williams
    • 2
  • Cynthia A. Beck
    • 1
    • 2
  • Colleen J. Maxwell
    • 2
  • Jian Li Wang
    • 1
    • 2
  1. 1.Department of PsychiatryUniversity of CalgaryCalgaryCanada
  2. 2.Department of Community Health SciencesUniversity of CalgaryCalgaryCanada
  3. 3.Department of PsychologyUniversity of CalgaryCalgaryCanada
  4. 4.Foothills Addiction CentreCalgaryCanada

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