Subtypes of disordered gamblers: Results from the national epidemiologic survey on alcohol and related conditions

TY - JOUR

T1 - Subtypes of disordered gamblers

T2 - Results from the national epidemiologic survey on alcohol and related conditions

AU - Nower, Lia

AU - Martins, Silvia S.

AU - Lin, Keng Han

AU - Blanco, Carlos

PY - 2013/4

Y1 - 2013/4

N2 - Aims To derive empirical subtypes of problem gamblers based on etiological and clinical characteristics described in the Pathways Model, using data from a nationally representative survey of US adults. Design & measurement Data were collected from structured diagnostic face-to-face interviews using the Alcohol Use Disorder and Associated Disabilities Interview Schedule DSM-IV version IV (AUDADIS-IV). Setting The study utilized data from US National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Participants All disordered gambling participants (n = 581) from a nationally representative cross-sectional sample of civilian non-institutionalized adults aged 18 years or older. Findings Latent class analyses indicated that the best-fitting model was a three-class solution. Those in the largest class (class 1: 50.76%, n = 295) reported the lowest overall levels of psychopathology including gambling problem severity and mood disorders. In contrast, respondents in class 2 (20.06%, n = 117) had a high probability of endorsing past-year substance use disorders, moderate probabilities of having parents with alcohol/drug problems and of having a personality disorder, and the highest probability for past-year mood disorders. Respondents in class 3 (29.18%, n = 169) had the highest probabilities of personality and prior-to-past year mood disorders, substance use disorders, separation/divorce, drinking-related physical fights and parents with alcohol/drug problems and/or a history of antisocial personality disorder (ASPD). Conclusions Three subtypes of disordered gamblers can be identified, roughly corresponding to the subtypes of the Pathways Model, ranging from a subgroup with low levels of gambling severity and psychopathology to one with high levels of gambling problem severity and comorbid psychiatric disorders.

AB - Aims To derive empirical subtypes of problem gamblers based on etiological and clinical characteristics described in the Pathways Model, using data from a nationally representative survey of US adults. Design & measurement Data were collected from structured diagnostic face-to-face interviews using the Alcohol Use Disorder and Associated Disabilities Interview Schedule DSM-IV version IV (AUDADIS-IV). Setting The study utilized data from US National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Participants All disordered gambling participants (n = 581) from a nationally representative cross-sectional sample of civilian non-institutionalized adults aged 18 years or older. Findings Latent class analyses indicated that the best-fitting model was a three-class solution. Those in the largest class (class 1: 50.76%, n = 295) reported the lowest overall levels of psychopathology including gambling problem severity and mood disorders. In contrast, respondents in class 2 (20.06%, n = 117) had a high probability of endorsing past-year substance use disorders, moderate probabilities of having parents with alcohol/drug problems and of having a personality disorder, and the highest probability for past-year mood disorders. Respondents in class 3 (29.18%, n = 169) had the highest probabilities of personality and prior-to-past year mood disorders, substance use disorders, separation/divorce, drinking-related physical fights and parents with alcohol/drug problems and/or a history of antisocial personality disorder (ASPD). Conclusions Three subtypes of disordered gamblers can be identified, roughly corresponding to the subtypes of the Pathways Model, ranging from a subgroup with low levels of gambling severity and psychopathology to one with high levels of gambling problem severity and comorbid psychiatric disorders.

KW - DSM-IV

KW - Epidemiology

KW - Gambling

KW - Gambling disorder

KW - Problem or pathological gambling

KW - Subtypes

KW - Survey research

UR - http://www.scopus.com/inward/record.url?scp=84891399768&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84891399768&partnerID=8YFLogxK

U2 - https://doi.org/10.1111/add.12012

DO - https://doi.org/10.1111/add.12012

M3 - Article

C2 - 23072599

VL - 108

SP - 789

EP - 798

JO - Addiction

JF - Addiction

SN - 0965-2140

IS - 4

ER -