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Comorbidity of Alcohol and Gambling Problems in Emerging Adults: A Bifactor Model Conceptualization

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Abstract

Addictive disorders, such as pathological gambling and alcohol use disorders, frequently co-occur at greater than chance levels. Substantive questions stem from this comorbidity regarding the extent to which shared variance between gambling and alcohol use reflects a psychological core of addictive tendencies, and whether this differs as a function of gender. The aims of this study were to differentiate both common and unique variance in alcohol and gambling problems in a bifactor model, examine measurement invariance of this model by gender, and identify substantive correlates of the final bifactor model. Undergraduates (N = 4475) from a large northwestern university completed an online screening questionnaire which included demographics, quantity of money lost and won when gambling, the South Oaks Gambling Screen, the AUDIT, gambling motives, drinking motives, personality, and the Brief Symptom Inventory. Results suggest that the bifactor model fit the data well in the full sample. Although the data suggest configural invariance across gender, factor loadings could not be constrained to be equal between men and women. As such, general and specific factors were examined separately by gender with a more intensive subsample of females and males (n = 264). Correlations with motivational tendencies, personality traits, and mental health symptoms indicated support for the validity of the bifactor model, as well as gender-specific patterns of association. Results suggest informative distinctions between shared and unique attributes related to problematic drinking and gambling.

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References

  • American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders, text revision (DSM-IV-TR). Washington, DC: American Psychiatric Association.

  • American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders, (DSM-5 ® ). Washington, DC: American Psychiatric Association.

  • Baraona, E., Abittan, C. S., Dohmen, K., Moretti, M., Pozzato, G., Chayes, Z. W., et al. (2001). Gender differences in pharmacokinetics of alcohol. Alcoholism, Clinical and Experimental Research, 25, 502–507.

    Article  CAS  PubMed  Google Scholar 

  • Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine, 36, 943–953.

    Article  PubMed  Google Scholar 

  • Brady, K. T., Back, S. E., & Greenfield, S. F. (2009). Women and addiction: A comprehensive handbook. New York, NY: Guilford Press.

    Google Scholar 

  • Byrnes, J. P., Miller, D. C., & Schafer, W. D. (1999). Gender differences in risk taking: A meta-analysis. Psychological Bulletin, 125, 367–383.

    Article  Google Scholar 

  • Caspi, A., Houts, R. M., Belsky, D. W., Goldman-Mellor, S. J., Harrington, H., Israel, S., et al. (2014). The p factor one general psychopathology factor in the structure of psychiatric disorders? Clinical Psychological Science, 2, 119–137.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen, F. F., Hayes, A., Carver, C. S., Laurenceau, J. P., & Zhang, Z. (2012). Modeling general and specific variance in multifaceted constructs: A comparison of the bifactor model to other approaches. Journal of Personality, 80, 219–251.

    Article  PubMed  Google Scholar 

  • Cooper, M. L. (1994). Motivations for alcohol use among adolescents: Development and validation of a four-factor model. Psychological Assessment, 6, 117–128.

    Article  Google Scholar 

  • Crockford, D. N., & el-Guebaly, N. (1998). Psychiatric comorbidity in pathological gambling: A critical review. Canadian Journal of Psychiatry, 43, 43–50.

    Article  CAS  PubMed  Google Scholar 

  • Cunningham-Williams, R. M., Cottler, L. B., Compton, W. M, III, & Spitznagel, E. L. (1998). Taking chances: Problem gamblers and mental health disorders–results from the St. Louis Epidemiologic Catchment Area Study. American Journal of Public Health, 88, 1093–1096.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595–605.

    Article  CAS  PubMed  Google Scholar 

  • Desai, R. A., Maciejewski, P. K., Pantalon, M. V., & Potenza, M. N. (2006). Gender differences among recreational gamblers: Association with the frequency of alcohol use. Psychology of Addictive Behaviors, 20, 145.

    Article  PubMed  Google Scholar 

  • Desai, R. A., & Potenza, M. N. (2008). Gender differences in the associations between past-year gambling problems and psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology, 43, 173–183.

    Article  PubMed  Google Scholar 

  • Gottheil, E., Winters, K. C., Neighbors, C., Grant, J. E., & el-Guebaly, N. (2007). Pathologic gambling: A nonsubstance, substance-related disorder? Journal of Addiction Medicine, 1, 53–61.

    Article  PubMed  Google Scholar 

  • Grant, J. E., & Kim, S. W. (2002). Gender differences in pathological gamblers seeking medication treatment. Comprehensive Psychiatry, 43, 56–62.

    Article  PubMed  Google Scholar 

  • Grant, B. F., Moore, T. C., Shepard, J., & Kaplan, K. (2003). Source and accuracy statement: Wave 1 national epidemiologic survey on alcohol and related conditions (NESARC). Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.

    Google Scholar 

  • Grant, B. F., Stinson, F. S., Dawson, D. A., Chou, S. P., Dufour, M. C., Compton, W., & Kaplan, K. (2004). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 807–816.

    Article  PubMed  Google Scholar 

  • Greenfield, S. F. (2002). Women and alcohol use disorders. Harvard Review of Psychiatry, 10, 76–85.

    Article  PubMed  Google Scholar 

  • Harrell, Z. A., & Karim, N. M. (2008). Is gender relevant only for problem alcohol behaviors? An examination of correlates of alcohol use among college students. Addictive Behaviors, 33, 359–365.

    Article  PubMed  Google Scholar 

  • Hill, S. Y. (1995). Mental and physical health consequences of alcohol use in women. Recent Developments in Alcoholism, 12, 181–197.

    CAS  PubMed  Google Scholar 

  • Iwamoto, D. K., & Smiler, A. P. (2013). Alcohol makes you macho and helps you make friends: The role of masculine norms and peer pressure in adolescent boys’ and girls’ alcohol use. Substance Use and Misuse, 48, 371–378.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kessler, R. C., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N. A., Winters, K. C., & Shaffer, H. J. (2008). DSM-IV pathological gambling in the National Comorbidity Survey Replication. Psychological Medicine, 38, 1351–1360.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Krueger, R. F., Markon, K. E., Patrick, C. J., Benning, S. D., & Kramer, M. D. (2007). Linking antisocial behavior, substance use, and personality: An integrative quantitative model of the adult externalizing spectrum. Journal of Abnormal Psychology, 116, 645–666.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ladd, G. T., & Petry, N. M. (2002). Gender differences among pathological gamblers seeking treatment. Experimental and Clinical Psychopharmacology, 10, 302–309.

    Article  PubMed  Google Scholar 

  • Lahey, B. B., Van Hulle, C. A., Singh, A. L., Waldman, I. D., & Rathouz, P. J. (2011). Higher-order genetic and environmental structure of prevalent forms of child and adolescent psychopathology. Archives of General Psychiatry, 68, 181–189.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.

    Article  CAS  PubMed  Google Scholar 

  • Lesieur, H. R., & Blume, S. B. (1991). When lady luck loses: Women and compulsive gambling. In N. Van Den Bergh (Ed.), Feminist perspectives on treating addictions. New York: Springer.

    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 surveys. Addiction, 106, 490–498.

    Article  PubMed  Google Scholar 

  • Martel, M. M., Von Eye, A., & Nigg, J. T. (2010). Revisiting the latent structure of ADHD: Is there a ‘g’factor? Journal of Child Psychology and Psychiatry, 51, 905–914.

    Article  PubMed  PubMed Central  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (1998–2010). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén.

  • Neighbors, C., Lostutter, T. W., Cronce, J. M., & Larimer, M. E. (2002). Exploring College Student Gambling Motivation. Journal of Gambling Studies, 18, 361–370.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nolen-Hoeksema, S. (2004). Gender differences in risk factors and consequences for alcohol use and problems. Clinical Psychology Review, 24, 981–1010.

    Article  PubMed  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. The Journal of Clinical Psychiatry, 66, 564–574.

    Article  PubMed  Google Scholar 

  • Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. American Journal of Psychiatry, 158, 1500–1505.

    Article  CAS  PubMed  Google Scholar 

  • Raylu, N., & Oei, T. P. (2002). Pathological gambling: A comprehensive review. Clinical Psychology Review, 22, 1009–1061.

    Article  PubMed  Google Scholar 

  • Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders screening test (AUDIT). WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction, 88, 791–804.

    Article  CAS  PubMed  Google Scholar 

  • Shaffer, H. J., & Hall, M. N. (2001). Updating and refining prevalence estimates of disordered gambling behavior in United States and Canada. Canadian Journal of Public Health, 92, 169–172.

    Google Scholar 

  • Shaffer, H. J., Hall, M. N., & Vander Bilt, J. (1999). Estimating the prevalence of disordered gambling behavior in the United States and Canada: A research synthesis. American Journal of Public Health, 89, 1369–1376.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shaffer, H. J., LaPlante, D. A., LaBrie, R. A., Kidman, R. C., Donato, A. N., & Stanton, M. V. (2004). Toward a syndrome model of addiction: Multiple expressions, common etiology. Harvard Review of Psychiatry, 12, 367–374.

    Article  PubMed  Google Scholar 

  • Slade, T. I. M., & Watson, D. (2006). The structure of common DSM-IV and ICD-10 mental disorders in the Australian general population. Psychological Medicine, 36, 1593–1600.

    Article  PubMed  Google Scholar 

  • Slutske, W. S., Caspi, A., Moffitt, T. E., & Poulton, R. (2005). Personality and problem gambling: A prospective study of a birth cohort of young adults. Archives of General Psychiatry, 62, 769–775.

    Article  PubMed  Google Scholar 

  • Slutske, W. S., Ellingson, J. M., Richmond-Rakerd, L. S., Zhu, G., & Martin, N. G. (2013). Shared genetic vulnerability for disordered gambling and alcohol use disorder in men and women: Evidence from a national community-based Australian twin study. Twin Research and Human Genetics, 16, 525–534.

    Article  PubMed  PubMed Central  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2014). Results from the 2013 national survey on drug use and health: Summary of national findings. NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: Substance Abuse and Mental Health Services Administration. http://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.pdf.

  • Tackett, J. L., Daoud, S. L., De Bolle, M., & Burt, S. A. (2013a). Is relational aggression part of the externalizing spectrum? A bifactor model of youth antisocial behavior. Aggressive Behavior, 39, 149–159.

    Article  PubMed  Google Scholar 

  • Tackett, J. L., Lahey, B. B., Van Hulle, C., Waldman, I., Krueger, R. F., & Rathouz, P. J. (2013b). Common genetic influences on negative emotionality and a general psychopathology factor in childhood and adolescence. Journal of Abnormal Psychology, 122, 1142.

    Article  PubMed  PubMed Central  Google Scholar 

  • Toplak, M. E., Sorge, G. B., Flora, D. B., Chen, W., Banaschewski, T., Buitelaar, J., et al. (2012). The hierarchical factor model of ADHD: Invariant across age and national groupings? Journal of Child Psychology and Psychiatry, 53, 292–303.

    Article  PubMed  Google Scholar 

  • Tyler, K. A., Schmitz, R. M., & Adams, S. A. (2015). Alcohol expectancy, drinking behavior, and sexual victimization among female and male college students. Journal of Interpersonal Violence. doi:10.1177/0886260515591280.

  • Welte, J. W., Barnes, G. M., Wieczorek, W., Tidwell, M.-C., & Parker, J. (2001). Alcohol and gambling pathology among U.S. adults: Prevalence, demographic patterns, and comorbidity. Journal of Studies on Alcohol, 62, 706–712.

    Article  CAS  PubMed  Google Scholar 

  • Welte, J. W., Barnes, G. M., Wieczorek, W. F., Tidwell, M. C., & Parker, J. (2002). Gambling participation in the US—Results from a national survey. Journal of Gambling Studies, 18, 313–337.

    Article  PubMed  Google Scholar 

  • Wilsnack, R. W., Vogeltanz, N. D., Wilsnack, S. C., & Harris, T. R. (2000). Gender differences in alcohol consumption and adverse drinking consequences: Cross-cultural patterns. Addiction, 95, 251–265.

    Article  CAS  PubMed  Google Scholar 

  • Zuckerman, M., Kuhlman, D. M., Joireman, J., Teta, P., & Kraft, M. (1993). A comparison of three structural models for personality: The Big Three, the Big Five, and the Alternative Five. Journal of Personality and Social Psychology, 65, 757–768.

    Article  Google Scholar 

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Acknowledgments

This research was supported by grants from the National Center for Responsible Gaming to J.L.T., C.N., and G.E.

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Authors and Affiliations

  1. Department of Psychology, Northwestern University, Evanston, IL, 60208, USA

    Jennifer L. Tackett

  2. Department of Psychology, University of Houston, Houston, TX, USA

    Heather Krieger, Clayton Neighbors & Dipali Rinker

  3. Department of Psychology, University of New Hampshire, Durham, NH, USA

    Lindsey Rodriguez

  4. Department of Psychology, University of Washington, Seattle, WA, USA

    Gottheil Edward

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  1. Jennifer L. Tackett
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  2. Heather Krieger
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Correspondence to Jennifer L. Tackett.

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Tackett, J.L., Krieger, H., Neighbors, C. et al. Comorbidity of Alcohol and Gambling Problems in Emerging Adults: A Bifactor Model Conceptualization. J Gambl Stud 33, 131–147 (2017). https://doi.org/10.1007/s10899-016-9618-6

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