Skip to main content
Log in

The Clustering of Psychiatric Disorders in High-Risk Gambling Populations

  • Original Paper
  • Published:
Journal of Gambling Studies Aims and scope Submit manuscript

Abstract

The aims of this study were to examine the associations between psychiatric disorders and pathological gambling (PG) and the clustering of psychiatric disorders in high risk gambler populations. The sample comprised 140 regular gamblers who were recruited from the general public. A variety of self- report and semi structured questionnaires was administered, including the Mini International Neuropsychiatric Interview, The Personality Diagnostic Questionnaire-4th Edition, NORC DSM-IV Screen for Gambling Problems Self- administered and Problem Gambling Severity Index. Axis I and Axis II psychiatric disorders and personality disturbances were found to be more prevalent amongst pathological gamblers than other gamblers with the strongest differences observed for mood and anxiety-related disorders. Almost two-thirds of pathological gamblers reported both an anxiety or mood disorder in conjunction with another type of disorder. These differences between the gambling groups existed even after controlling for gender. The results highlight the high rates of co-morbidity in pathological gamblers in the community and the extent to which anxiety and mood disorders co-existing with other forms of pathology. These results highlight the significant challenges facing treatment services in the treatment of PG and the extent to which this should be treated as the primary disorder.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Notes

  1. This category included anxiety disorders such as Generalised anxiety disorder, Panic disorder with Agoraphobia, Agoraphobia, Panic disorder, Obsessive–compulsive disorder, Social anxiety, Post Traumatic disorder, and also Major depressive disorder.

References

  • Alegria, A. A., Petry, N. M., Hasin, D. S., Liu, S. M., Grant, B. F., & Blanco, C. (2009). Disordered gambling among racial and ethnic groups in the US; Results from the national epidemiologic survey on alcohol and related conditions. CNS Spectrums, 14, 132–142.

    CAS  PubMed Central  PubMed  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: American Psychiatric Association.

    Google Scholar 

  • Bagby, R. M., Vachon, D. D., Bulmash, E., & Quilty, L. C. (2008). Personality disorders and pathological gambling: A review and re-examination of prevalence rates. Journal of Personality Disorders, 22, 191–207. doi:10.1521/pedi.2008.22.2.191.

    Article  PubMed  Google Scholar 

  • Barry, D. T., Stefanovics, E. A., Desai, R. A., & Potenza, M. N. (2011). Gambling problem severity and psychiatric disorders among Hispanic and white adults: Findings from a nationally representative sample. Journal of Psychiatric Research, 45, 404–411. doi:10.1016/j.jpsychires.2010.07.010.

    Article  PubMed Central  PubMed  Google Scholar 

  • Blaszczynski, A., & McConaghy, N. (1989). Anxiety and/or depression in the pathogenesis of addictive gambling. International Journal of the Addictions, 24, 337–350. doi:10.3109/10826088909047292.

    CAS  PubMed  Google Scholar 

  • Blaszczynski, A., & McConaghy, N. (1997). Antisocial personality disorder and pathological gambling. Journal of Gambling Studies, 10, 129–146.

    Article  Google Scholar 

  • Blaszczynski, A., & Nower, L. (2002). A pathways model of problem and pathological gambling. Addiction, 97, 487–499. doi:10.1046/j.1360-0443.2002.00015.x.

    Article  PubMed  Google Scholar 

  • Blaszczynski, A., & Steel, Z. (1998). Personality disorders among pathological gamblers. Journal of Gambling Studies, 14, 51–71. doi:10.1023/A:1023098525869.

    Article  PubMed  Google Scholar 

  • Blaszczynski, A., Steel, Z., & McConaghy, N. (1997). Impulsivity in pathological gambling: The antisocial impulsivist. Addiction, 92, 75–87. doi:10.1111/j.1360-0443.1997.tb03639.x.

    Article  CAS  PubMed  Google Scholar 

  • Delfabbro, P. H. (2010). Australasian gambling review (5th ed.). Adelaide: Independent Gambling Authority of South Australia.

    Google Scholar 

  • Delfabbro, P. H., King, D. L., & Griffiths, M. D. (2012). Behavioural profiling of problem gamblers: A summary and review. International Gambling Studies, 12, 349–366. doi:10.1080/14459795.2012.678274.

    Article  Google Scholar 

  • Delfabbro, P. H., Osborn, A., Nevile, M., Skelt, L., & McMillen, J. (2007). Identifying problem gamblers in venues. Melbourne: Gambling Research Australia.

    Google Scholar 

  • Echeburua, E., & Fernandez-Montalvo, J. (2008). Are there more personality disorders in treatment-seeking pathological gamblers than in other kind of patients? A comparative study between the IPDE and the MCMI. International Journal of Clinical and Health Psychology, 8, 53–64.

    Google Scholar 

  • Evans, L., & Delfabbro, P. H. (2005). Motivators for change and barriers to help-seeking in Australian problem gamblers. Journal of Gambling Studies, 21, 133–155. doi:10.1007/s10899-005-3029-4.

    Article  PubMed  Google Scholar 

  • Fager, M. (2007). How does one measure gambling problems? International Journal of Testing, 6, 25–39.

    Google Scholar 

  • Felsher, J., Derevensky, J., & Gupta, R. (2010). Young adults with gambling problems: The impact of childhood maltreatment. International Journal of Mental Health and Addiction, 8, 545–556. doi:10.1007/s11469-009-9230-4.

    Article  Google Scholar 

  • Ferris, J., & Wynne, H. (2001). The Canadian problem gambling index: Final report. Submitted for the Canadian Centre on Substance Abuse.

  • Gerstein, D., Hoffmann, J. L., Murphy, S., Larison, C., Engelman, L., Murphy, S., et al. (1999). Gambling impact and behavior study. Report to the National Gambling Impact Study Commission. Chicago: National Opinion Research Center at the University of Chicago.

    Google Scholar 

  • Griffiths, M. D. (2005). Video games and health. British Medical Journal, 331, 122–123. doi:10.1136/bmj.331.7509.122.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hyler, S. E. (1994). Personality diagnostic questionnaire, 4_. New York: New York State Psychiatric Institute.

    Google Scholar 

  • Ibanez, A., Blanco, C., Donahue, E., Lesieur, H. R., Pérez de Castro, I., Fernández-Piqueras, J., et al. (2001). Psychiatric co-morbidity in pathological gamblers seeking treatment. American Journal Psychiatry, 158, 1733–1735. doi:10.1176/appi.ajp.158.10.1733.

    Article  CAS  Google Scholar 

  • Jacobs, D. F. (1986). A general theory of addictions: A new theoretical model. Journal of Gambling Behavior, 2, 15–31. doi:10.1007/BF01019931.

    Article  Google Scholar 

  • Kausch, O., Rugle, L., & Rowland, D. Y. (2006). Lifetime histories of trauma among pathological gamblers. American Journal on Addiction, 15, 35–43. doi:10.1080/10550490500419045.

    Article  Google Scholar 

  • Kerber, C. S., Black, D. W., & Buckwalter, K. (2008). Comorbid psychiatric disorders among older adult recovering pathological gamblers. Issues in Mental Health Nursing, 29, 1018–1028. doi:10.1080/01612840802274933.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N. A., Winters, K. C., et al. (2008). DSM-IV pathological gambling in the National Co-morbidity Survey Replication. Psychological Medicine, 38, 1351–1360. doi:10.1017/S0033291708002900.

    CAS  PubMed Central  PubMed  Google Scholar 

  • Kim, S. W., Grant, J. E., Eckert, E. D., Faris, P. L., & Hartman, B. K. (2006). Problem gambling and mood disorders: Clinical associations and treatment implications. Journal of Affective Disorders, 92, 109–116. doi:10.1016/j.jad.2005.12.040.

    Article  PubMed  Google Scholar 

  • Ladouceur, R., Arsenault, C., Dube, D., Freeston, M. H., & Jacques, C. (1997). Psychological characteristics of volunteers in studies on gambling. Journal of Gambling Studies, 13, 69–84. doi:10.1023/A:1024991300084.

    Article  CAS  PubMed  Google Scholar 

  • Ledgerwood, D. M., & Petry, N. M. (2006). Posttraumatic stress disorder symptoms in treatment-seeking pathological gamblers. Journal of Traumatic Stress, 19, 411–416. doi:10.1002/jts.20123.

    Article  PubMed  Google Scholar 

  • Lorains, F. K., Cowlishaw, S., & Thomas, S. A. (2011). Prevalence of comorbid disorders in problem and pathological gambling: Systematic review and meta-analysis of population survey. Addiction, 106, 490–498. doi:10.1111/j.1360-0443.2010.03300.x.

    Article  PubMed  Google Scholar 

  • McConaghy, N. (1980). Behaviour completion mechanisms rather than primary drives maintain behavioural patterns. Activitas Nervosa Superior, 22, 138–151.

    CAS  PubMed  Google Scholar 

  • McCormick, J., Delfabbro, P., & Denson, L. A. (2012). Psychological vulnerability and problem gambling: An application of Duran Jacobs’ general theory of addictions to electronic gaming machine playing in Australia. Journal of Gambling Studies, 28, 665–690. doi:10.1007/s10899-011-9281-x.

    Article  PubMed  Google Scholar 

  • Moran, E. (1970). Varieties of pathological gambling. British Journal of Psychiatry, 116, 593–597. doi:10.1192/bjp.116.535.593.

    Article  CAS  PubMed  Google Scholar 

  • O’Connor, J., & Dickerson, M. (2003). Impaired control over gambling in gaming machine and off-course gamblers. Addiction, 98, 53–60. doi:10.1046/j.1360-0443.2003.00232.x.

    Article  PubMed  Google Scholar 

  • Orford, J. (1985). Excessive appetites: A psychological view of the addictions. Chichester: Wiley.

    Google Scholar 

  • Pelletier, O., Ladouceur, R., & Rheaume, J. (2008). Personality disorders and pathological gambling. Comorbidity and treatment dropout predictors. International Gambling Studies, 8, 299–313. doi:10.1080/14459790802405913.

    Article  Google Scholar 

  • Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical and Health Psychology, 66, 564–574. doi:10.4088/JCP.v66n0504.

    Google Scholar 

  • Phillips, D. P., Welty, W. R., & Smith, M. M. (1997). Elevated suicide levels associated with legalized gambling. Suicide and Life-threatening Behavior, 27, 373–378.

    CAS  PubMed  Google Scholar 

  • Pietrzak, R. H., Morasco, B. J., Blanco, C., Grant, B. F., & Petry, N. M. (2007). Gambling level and psychiatric and medical disorders in older adults: Results from the national epidemiologic survey on alcohol and related conditions. American Journal of Geriatric Psychiatry, 15, 301–310. doi:10.1097/01.JGP.0000239353.40880.cc.

    Article  PubMed  Google Scholar 

  • Productivity Commission. (1999). Australia’s gambling industries: Inquiry report No. 10. Canberra: Ausinfo.

  • Productivity Commission. (2010). Gambling. Canberra: Commonwealth of Australia.

    Google Scholar 

  • Pulford, J., Bellringer, M., Abbott, M., Clarke, D., Hodgins, D., & Williams, J. (2009). Reasons for seeking help for a gambling problem: The experiences of gamblers who have sought specialist assistance and the perceptions of those who have not. Journal of Studies on Gambling, 25, 19–32. doi:10.1007/s10899-008-9112-x.

    Article  Google Scholar 

  • Raylu, N., & Oei, T. (2004). The Gambling-related Urges Scale: Development, confirmatory factor validation, and psychometric properties. Psychology of Addictive Behaviors, 18, 100–115. doi:10.1037/0893-164X.18.2.100.

    Article  PubMed  Google Scholar 

  • Rodda, S., Brown, S. L., & Philips, J. G. (2004). The relationship between anxiety, smoking and gambling in electronic gaming machine players. Journal of Gambling Studies, 20, 71–81. doi:10.1023/B:JOGS.0000016704.06088.85.

    Article  PubMed  Google Scholar 

  • Scannell, E. D., Quirk, M. M., Smith, K., Maddern, R., & Dickerson, M. (2000). Females’ coping styles and control over poker machine gambling. Journal of Gambling Studies, 16, 417–432. doi:10.1023/A:1009484207439.

    Article  CAS  PubMed  Google Scholar 

  • Scherrer, J. F., Xian, H., Krygiel Kapp, J. M., Waterman, B., Shah, K. R., Volberg, R. A., et al. (2007). Association between exposure to childhood and lifetime traumatic events and lifetime pathological gambling. Journal of Nervous and Mental Disease, 195, 72–78. doi:10.1097/01.nmd.0000252384.20382.e9.

    Article  PubMed  Google Scholar 

  • Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., et al. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.

    PubMed  Google Scholar 

  • Specker, S. M., Carlson, G. A., Edmoson, K. M., Johnson, P. E., & Marcotte, M. (1996). Psychopathology in pathological gamblers seeking treatment. Journal of Gambling Studies, 12, 67–81. doi:10.1007/BF01533190.

    Article  CAS  PubMed  Google Scholar 

  • Steel, Z., & Blaszczynski, A. (1998). Impulsivity, personality disorders and pathological gambling severity. Addiction, 93, 895–905. doi:10.1046/j.1360-0443.1998.93689511.x.

    Article  CAS  PubMed  Google Scholar 

  • Taber, J. I., McCormick, R. A., & Ramirez, L. F. (1987). The prevalence and impact of major life stressors among pathological gamblers. International Journal of Addiction, 22, 71–79. doi:10.3109/10826088709027414.

    CAS  Google Scholar 

  • Walker, M. B. (1989). Some problems with the concept of “gambling addiction”: Should theories of addiction be generalized to include excessive gambling? Journal of Gambling Behavior, 5, 179–200. doi:10.1007/BF01024386.

    Article  Google Scholar 

  • Widiger, T. A., & Coker, L. A. (2001). Assessing personality disorders. In J. N. Butcher (Ed.), Clinical personality assessment: Practical approaches (2nd ed., pp. 407–434). New York: Oxford University Press.

    Google Scholar 

  • Wood, R. T. A., & Griffiths, M. D. (2007). Online data collection from gamblers: Methodological issues. International Journal of Mental Health and Addiction, 5, 511–518. doi:10.1007/s11469-007-9055-y.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohammad Reza Abdollahnejad.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Abdollahnejad, M.R., Delfabbro, P. & Denson, L. The Clustering of Psychiatric Disorders in High-Risk Gambling Populations. J Gambl Stud 30, 933–947 (2014). https://doi.org/10.1007/s10899-013-9392-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10899-013-9392-7

Keywords

Navigation