Abstract
Introduction
Recent reviews found problem gamblers are heterogeneous and recommended subtyping gamblers in treatment studies.
Objective
Review factors (stage of change, preferred gambling activity, co-occurring disorder, and temporal instability of symptoms) for subtyping by evaluating the evidence for their effects on gambling treatment.
Methods
Literature review, evidence grading.
Results
Evidence is limited that any of the reviewed factors affects gambling treatment. Substantial evidence from prospective studies and other evidence from cross-sectional studies and the strong placebo response among pathological gamblers support the temporal instability of gambling symptoms.
Conclusions
Multiple studies are needed to develop the evidence base needed to subtype gamblers in treatment. Changes in the diagnostic criteria of pathological gambling may be necessary, especially to specify the persistence of gambling-related symptoms.
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References
Abbott, M. W., & Volberg, R. A. (1999). Gambling and problem gambling in the community: An international overview and critique. Report number one of the New Zealand Gaming Survey. Wellington: Department of Internal Affairs.
Abbott, M. W., Williams, M. M., & Volberg, R. A. (2004). A prospective study of problem and nonproblem regular gamblers living in the community. Substance Use and Misuse, 39(6), 855–884 (May).
Abramowitz, J. S. (2004). Treatment of obsessive–compulsive disorder in patients who have comorbid major depression. Journal of Clinical Psychology, 60(11), 1133–1141 (Nov).
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed.), Text revision. Washington, DC: American Psychiatric Association.
Andrews, G., Slade, T., & Issakidis, C. (2002). Deconstructing current co morbidity: Data from the Australian National Survey of Mental Health and Well-Being. British Journal of Psychiatry, 181(4), 306–314.
Bagby, R., Ryder, A., & Cristi, C. (2002). Psychosocial and clinical predictors of response to pharmacotherapy for depression. Journal of Psychiatry and Neuroscience, 27(4), 250–257.
Becoña, E. (1993). The prevalence of pathological gambling in Galicia (Spain). Journal of Gambling Studies, 9(4), 353–369.
Berkson, J. (1946). Limitations of the application of fourfold table analysis to hospital data. Biometrics, 2, 47–53.
Bijl, R. V., & Ravelli, A. (2000). Current and residual functional disability associated with psychopathology: Findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Psychological Medicine, 30(3), 657–668 (May).
Blanchard, K. A., Morgenstern, J., Morgan, T. J., Labouvie, E., & Bux, D. A. (2003). Motivational subtypes and continuous measures of readiness for change: Concurrent and predictive validity. Psychology of Addictive Behavior, 17(1), 56–65 (Mar).
Blaszczynski, A., & Farrell, E. (1998) A case series of 44 completed gambling-related suicides. Journal of Gambling Studies, 14(2), 93–109 (Summer).
Blaszczynski, A., Ladouceur, R., & Shaffer, H. J. (2004). A science-based framework for responsible gambling: The Reno model. Journal of Gambling Studies, 20(3), 301–317 (Fall).
Blaszczynski, A. P., & McConaghy, N. (1989). The medical model of pathological gambling: Current shortcomings. Journal of Gambling Studies, 5, 42–52.
Blaszczynski, A., & Silove, D. (1996). Pathological gambling: Forensic issues. Australia New Zealand Journal of Psychiatry, 30(3), 358–369 (Jun).
Blaszczynski, A., & Steel, Z. (1998). Personality disorders among pathological gamblers. Journal of Gambling Studies, 14(1), 51–71.
Bondolfi, G., Osiek, C., & Ferrero, F. (2000). Prevalence estimates of pathological gambling in Switzerland. Acta Psychiatric Scandinavia, 101(6), 473–475 (Jun).
Breslau, N. (2001). Outcomes of posttraumatic stress disorder. Journal of Clinical Psychiatry, 62(suppl17), 55–59.
Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., et al. (2005). Influence of psychiatric co morbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: A 12-year prospective study. American Journal of Psychiatry, 162(6), 1179–1187 (June).
Campbell, C. S., & Smith, G. J. (2003). Gambling in Canada, from vice to disease to responsibility: A negotiated history. Canadian Bulletin of Medical History, 20(1), 121–149.
Cox, B. J., Enns, M. W., & Michaud, V. (2004). Comparisons between the South Oaks Gambling Screen and a DSM-IV-based interview in a community survey of problem gambling. Canadian Journal of Psychiatry, 49(4), 258–264 (Apr).
Cox, B. J., Kwong, J., Michaud, V., & Enns, M. W. (2000). Problem and probable pathological gambling: Considerations from a community survey. Canadian Journal of Psychiatry, 45(6), 548–553 (Aug).
Cox, B. J., Yu, N., Afifi, T. O., & Ladouceur, R. (2005). A national survey of gambling problems in Canada. Canadian Journal of Psychiatry, 50(4), 213–217 (Mar).
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: The Journal of the Association of European Psychiatrists, 19(5), 299–302 (August).
de Carvalho, S. V., Collakis, S. T., de Oliveira, M. P., & da Silveira, D. X. (2005). Frequency of pathological gambling among substance abusers under treatment. Review Saude Publication, 39(2), 217–222. Epub 2005 May 9 (Apr).
DeFuentes-Merillas, L., Koeter, M. W., Schippers, G. M., & van den Brink, W. (2004). Temporal stability of pathological scratch card gambling among adult scratch card buyers two years later. Addiction, 99(1), 117–127 (Jan).
Dozois, D. J., Westra, H. A., Collins, K. A., Fung, T. S., & Garry, J. K. (2004). Stages of change in anxiety: Psychometric properties of the University of Rhode Island Change Assessment (URICA) scale. Behavioral Research and Therapy, 42(6), 711–729 (Jun).
Echeburua, E., Baez, C., & Fernandez-Montalvo, J. (1996). Comparative effectiveness of three therapeutic modalities in the psychological treatment of pathological gambling. Behavioral and Cognitive Psychotherapy, 24, 51–72.
Echeburua, E., & Fernandez-Montalvo, J. (2005). Psychological treatment of slot-machine pathological gambling: New perspectives. Journal of Gambling Studies, 21(1), 21–26 (Spring).
Edens, J. F., & Willoughby, F. W. (2000). Motivational patterns of alcohol dependent patients: A replication. Psychology of Addictive Behavior, 14(4), 397–400 (Dec).
Eisen, S. A., Slutske, W. S., Lyons, M. J., Lassman, J., Xian, H., Toomey, R., et al. (2001). The genetics of pathological gambling. Seminars Clinical Neuropsychiatry, 6(3), 195–204 (Jul).
Erickson, L., Molina, C. A., Ladd, G. T., Pietrzak, R. H., & Petry, N. M. (2005). Problem and pathological gambling are associated with poorer mental and physical health in older adults. International Journal of Geriatric Psychiatry, 20(8), 754–759 (Aug).
Evans, L., & Delfabbro, P. H. (2005). Motivators for change and barriers to help-seeking in Australian problem gamblers. Journal of Gambling Studies, 21(2), 133–155 (Summer).
Foster, J. H., Powell, J. E., Marshall, E. J. & Peters, T. J. (1999). Quality of life in alcohol-dependent subjects—A review. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 8(3), 255–261 (May).
Frangou, S. (2002). Predictors of outcome in a representative population of bipolar disorder. Bipolar Disorders, 4(suppl 1), 41–42.
Gonzalez-Ibanez, A., Mora, M., Gutierrez-Maldonado, J., Ariza, A., & Lourido-Ferreira, M. R. (2005). Pathological gambling and age. Addictive Behavior, 30(2), 383–388 (Feb).
Gotestam, K. G., & Johansson, A. (2003). Characteristics of gambling and problematic gambling in the Norwegian context: A DSM-IV-based telephone interview study. Addictive Behavior, 28(1), 189–197 (Jan–Feb).
Grant, J. E., & Kim, S. W. (2001). Demographic and clinical features of 131 adult pathological gamblers. Journal of Clinical Psychiatry, 62(12), 957–962 (Dec).
Grant, J. E., & Kim, S. W. (2005). Quality of life in kleptomania and pathological gambling. Comprehensive Psychiatry, 46(1), 34–37 (Jan–Feb).
Grant, J. E., Kim, S. W., Potenza, M. N., Blanco, C., Ibanez, A., Stevens, L., et al. (2003). Paroxetine treatment of pathological gambling: A multi-centre randomized controlled trial. International Journal of Clinical Psychopharmacology, 18(4), 243–249 (Jul).
Green, A. I., Canuso, C. M., Brenner, M. J., & Wojcik, J. D. (2003). Detection and management of co morbidity in patients with schizophrenia. The Psychiatric Clinics of North America, 26(1), 115–139 (March).
Haettenschwiler, J., Rueesch, P., & Modestin, J. (2001). Comparison of four groups of substance-abusing in-patients with different psychiatric co morbidity. Acta Psychiatrica Scandinavica, 104(1), 59–65.
Hannien, V., & Koski-Jannes, A. (1999). Narratives of recovery from addictive behaviors. Addiction, 94(12), 1837–1848 (Dec).
Harbour, R., & Miller, J. (2001). A new system for grading recommendations in evidence based guidelines. British Medical Journal, 323(7308), 334–336 (August).
Henderson, M. J., Saules, K. K., & Galen, L. W. (2004). The predictive validity of the University of Rhode Island change assessment questionnaire in a heroin-addicted polysubstance abuse sample. Psychology of Addictive Behavior, 18(2), 106–112 (Jun).
Hickie, I. B., Koschera, A., Davenport, T. A., Naismith, S. L., & Scott, E. M. (2001). Co morbidity of common mental disorders and alcohol or other substance misuse in Australian general practice. Medical Journal of Australia, 16(175 Suppl), S31–S36 (July).
Hodgins, D. C. (2004). Using the NORC DSM Screen for Gambling Problems as an outcome measure for pathological gambling: Psychometric evaluation. Addictive Behavior, 29(8), 1685–1690 (Nov).
Hodgins, D. C. (2005). Implications of a brief intervention trial for problem gambling for future outcome research. Journal of Gambling Studies, 21(1), 13–19 (Spring).
Hodgins, D. C., & el-Guebaly, N. (2000). Natural and treatment-assisted recovery from gambling problems: A comparison of resolved and active gamblers. Addiction, 95(5), 777–789 (May).
Hodgins, D. C., Peden, N., & Cassidy, E. (2005). The association between comorbidity and outcome in pathological gambling: A prospective follow-up of recent quitters. Journal of Gambling Studies, 21(3), 255–271 (Fall).
Hodgins, D. C., Wynne, H., & Makarchuk, K. (1999). Pathways to recovery from gambling problems: Follow-up from a general population survey. Journal of Gambling Studies, 15(2), 93–104 (Summer).
Hollander, E., Pallanti, S., Allen, A., Sood, E., & Baldini Rossi, N. (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(1), 137–145 (Jan).
Hollander, E., Sood, E., Pallanti, S., Baldini-Rossi, N., & Baker, B. (2005). Pharmacological treatments of pathological gambling. Journal of Gambling Studies, 21(1), 99–108 (Spring).
Hrobjartsson, A., & Gotzsche, P. C. (2004). Is the placebo powerless? Update of a systematic review with 52 new randomized trials comparing placebo with no treatment. Journal of Internal Medicine, 256(2), 91–100 (Aug).
Ibanez, A., Blanco, B., Donahue, E., Lesieur, H. R., Perez de Castro, I., Fernandez-Piqueras, J., et al. (2001). Psychiatric co morbidity in pathological gamblers seeking treatment. American Journal of Psychiatry, 158, 1733–1735.
Khan, A., Kolts, R. L., Rapaport, M. H., Krishnan, K. R., Brodhead, A. E., & Browns, W. A. (2005). Magnitude of placebo response and drug–placebo differences across psychiatric disorders. Psychological Medicine, 35(5), 743–749 (May).
Knecht, T. (1993). Excessive gambling in prisoners. A statistical study of 72 criminals of various crime categories. Archives Kriminologie, 191(3–4), 65–73 (March–April).
LaBrie, R. A., Shaffer, H. J., LaPlante, D. A., & Wechsler, H. (2003). Correlates of college student gambling in the United States. Journal of American College Health, 52(2), 53–62 (Sep–Oct).
Ladouceur, R., Boisvert, J., Pepin, M., Loranger, M., & Sylvain, C. (1994). Social cost of pathological gambling. Journal of Gambling Studies, 10(4), 399–409 (Winter).
Ladouceur, R., Jacques, C., Chevalier, S., Sevigny, S., & Hamel, D. (2005). Prevalence of pathological gambling in Quebec in 2002. Canadian Journal of Psychiatry, 50(8), 451–456 (Jul).
Ladouceur, R., Sylvain, C., Boutin, C., Lachance, S., Doucet, C., & Leblond, J. (2003). Group therapy for pathological gamblers: A cognitive approach. Behavior Research and Therapy, 41(5), 587–596 (May).
Ladouceur, R., Sylvain, C., Boutin, C., Lachance, S., Doucet, C., Leblond, J., et al. (2001). Cognitive treatment of pathological gambling. Journal of Nervous and Mental Disease, 189(11), 774–780 (Nov).
Lahn, J. (2005). Gambling among offenders: Results from an Australian survey. International Journal of Offender Therapeutics and Comprehensive Criminology, 49(3), 343–355 (Jun).
Langenbucher, J., Martin, C. S., Labouvie, E., Sanjuan, P. M., Bavly, L., & Pollock, N. K. (2000). Toward the DSM-V: The withdrawal-gate model versus the DSM-IV in the diagnosis of alcohol abuse and dependence. Journal of Consulting and Clinical Psychology, 68(5), 799–809 (Oct).
Leblond, J., Ladouceur, R., & Blaszczynski, A. (2003). Which pathological gamblers will complete treatment? British Journal of Clinical Psychology, 42(Pt 2), 205–209 (Jun).
Ledgerwood, D. M., & Petry, N. M. (2004). Gambling and suicidality in treatment-seeking pathological gamblers. Journal of Nervous and Mental Disorders, 192(10), 711–714 (Oct).
Lee, C. K., Kwak, Y. S., Yamamoto, J., Rhee, H., Kim, Y. S., Han, J. H., et al. (1990). Psychiatric epidemiology in Korea. Part I: Gender and age differences in Seoul. Journal of Nervous and Mental Disorders, 178(4), 242–246 (Apr).
Lejoyeux, M., Feuche, N., Loi, S., Solomon, J., & Ades, J. (1999). Study of impulse-control disorders among alcohol-dependent patients. Journal of Clinical Psychiatry, 60(5), 302–305 (May).
Leverich, G., & Post, R. M. (1996). Life charting the course of bipolar disorder. Current Review of Mood and Anxiety Disorder, 1, 48–61.
Littell, J. H., & Girvin, H. (2002). Stages of change. A critique. Behavior Modification, 26(2), 223–273, Apr.
Maccallum, F., & Blaszczynski, A. (2002). Pathological gambling and co-occurring substance use. Australian and New Zealand Journal of Psychiatry, 36(3), 411–415.
Maccallum, F., & Blaszczynski, A. (2003). Pathological gambling and suicidality: An analysis of severity and lethality. Suicide and Life Threatening Behavior, 33(1), 88–98 (Spring).
Marlowe, D. B., Merikle, E. P., Kirby, K. C., Festinger, D. S., & McLellan, A. T. (2001). Multidimensional assessment of perceived treatment-entry pressures among substance abusers. Psychology of Addictive Behavior, 15(2), 97–108 (Jun).
McCormick, R. A., Russo, A. M., Ramirez, L. F., & Taber, J. I. (1984). Affective disorders among pathological gamblers seeking treatment. American Journal of Psychiatry, 141(2), 215–218 (Feb).
Mennin, D. S., & Heimberg, R. G. (2000). The impact of co-occurring mood and personality disorders in the cognitive–behavioral treatment of panic disorder. Clinical Psychology Review, 20(3), 339–357.
Meyer, C., Rumpf, H. J., Hapke, U., & John, U. (2004). Impact of psychiatric disorders in the general population: Satisfaction with life and the influence of co morbidity and disorder duration. Social Psychiatry and Psychiatric Epidemiology, 39(6), 435–441 (June).
Ministry of Health (2005). Preventing and minimizing gambling harm: Three-year funding plan 2004–2007. Wellington, New Zealand: Ministry of Health.
Mohan, D., Ray, R., & Sethi, H. (1995). Unidimensionality of alcohol dependence syndrome. Drug and Alcohol Dependence, 37(2), 163–166 (Feb).
Montgomery, S. A. (1999). The failure of placebo-controlled studies. ECNP Consensus Meeting, September 13, 1997, Vienna. European College of Neuropsychopharmacology. European Neuropsychopharmacology, 9(3), 271–276 (March).
Najavits, L. M. (2003). How to design an effective treatment outcome study. Journal of Gambling Studies, 19(3), 317–337 (Fall).
Nathan, P. E. (2005). Methodological problems in research on treatments for pathological gambling. Journal of Gambling Studies, 21(1), 109–114 (Spring).
National Council of Welfare (1996). Gambling in Canada: A Report by the National Council of Welfare, Ottawa.
National Council on Problem Gambling (1999). 1998 National survey of problem gambling programs. Report prepared for the National Gambling Impact Study Commission.
National Gambling Impact Study Commission (1999). National Gambling Impact Study Commission Final Report. Washington, DC: National Gambling Impact Study Commission. Accessed on 9/17/05, Available at: govinfo.library.unt.edu/ngisc/reports/fullrpt.html.
National Responsible Gambling Program 2005. Annual Report 2004. Accessed on 9/17/05 Available at: http://www.responsiblegambling.co.za.
Neff, J. A., & Zule, W. A. (2002). Predictive validity of a measure of treatment readiness for out-of-treatment drug users: Enhancing prediction beyond demographic and drug history variables. American Journal of Drug and Alcohol Abuse, 28(1), 147–169.
Noyes, R. (2001). Co-morbidity in generalized anxiety disorder. Psychiatric Clinics of North America, 24(1), 41–55.
Oakley-Browne, M. A., Adams, P., & Mobberley, P. M. (2000). Interventions for pathological gambling. Cochrane Database Systematic Reviews, (2):CD001521.
Oster, S. L., & Knapp, T. J. (2001). Underage and pathological gambling by college students: Emerging problem on campus? Psychology and Education: An Interdisciplinary Journal, 38, 15–19.
Pantalon, M. V., & Swanson, A. J. (2003). Use of the University of Rhode Island Change Assessment to measure motivational readiness to change in psychiatric and dually diagnosed individuals. Psychology of Addictive Behavior, 17(2), 91–97 (Jun).
Petry, N. M. (2003). A comparison of treatment-seeking pathological gamblers based on preferred gambling activity. Addiction, 98(5), 645–655 (May).
Petry, N. M. (2005). Stages of change in treatment-seeking pathological gamblers. Journal of Consulting and Clinical Psychology, 73(2), 312–322 (Apr).
Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Co-morbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66(5), 564–574 (May).
Pietrzak, R. H., Molina, C. A., Ladd, G. T., Kerins, G. J., & Petry, N. M. (2005). Health and psychosocial correlates of disordered gambling in older adults. American Journal of Geriatric Psychiatry, 13(6), 510–519 (Jun).
Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Rounsaville, B. J., & O’Malley, S. S. (2000). Illegal behaviors in problem gambling: Analysis of data from a gambling helpline. Journal of Academy of Psychiatry and Law, 28(4), 389–403.
Productivity Commission (1999). Australia’s gambling industries, Report No. 10. Canberra: AusInfo. Available at http://www.pc.gov.au/.
Quitkin, F. M. (1999). Placebos, drug effects, and study design: A clinician’s guide. American Journal of Psychiatry, 156(6), 829–836 (Jun).
Raylu, N., & Oei, T. P. (2002). Pathological gambling. A comprehensive review. Clinical Psychology Review, 22(7), 1009–1061 (Sep).
Ritsher, J. B., McKellar, J. D., Finney, J. W., Otilingam, P. G., & Moos, R. H. (2002). Psychiatric co morbidity, continuing care and mutual help as predictors of five-year remission from substance use disorders. Journal of Studies on Alcohol, 63(6), 709–715 (November).
Rockloff, M. J., & Schofield, G. (2004). Factor analysis of barriers to treatment for problem gambling. Journal of Gambling Studies, 20(2), 121–126.
Ross, H., & Shirley, M. (1997) Life-time problem drinking and psychiatric co-morbidity among Ontario women. Addiction, 92(2), 183–196 (February).
Rugle, L. J., Derevensky, J., Gupta, R., Winters, K. C., & Stinchfield, R. (2001). The treatment of pathological gambling. Commissioned by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.
Saiz-Ruiz, J., Blanco, C., Ibanez, A., Masramon, X., Gomez, M. M., Madrigal, M., et al. (2005). Sertraline treatment of pathological gambling: A pilot study. Journal of Clinical Psychiatry, 66(1), 28–33 (Jan).
Scherrer, J. F., Xian, H., Shah, K. R., Volberg, R., Slutske, W., & Eisen, S. A. (2005). Effect of genes, environment, and lifetime co-occurring disorders on health-related quality of life in problem and pathological gamblers. Archives of General Psychiatry, 62(6), 677–683 (Jun).
Shaffer, H. J., & Hall, M. N. (2002). The natural history of gambling and drinking problems among casino employees. Journal of Social Psychology, 142(4), 405–424.
Shaffer, H. J., Hall, M. N., & Vander Belt, J. (1999). Estimating the prevalence of disordered gambling behavior in the United States and Canada: A research synthesis. American Journal of Public Health, 89(9), 1369–1376 (Sep).
Shaffer, H. J., & Korn, D. A. (2002). Gambling and related mental disorders: A public health analysis. Annual Review of Public Health, 23, 171–212.
Shaffer, H. J., Labrie, R. A., Laplante, D. A., Kidman, R. C., & Donato, A. N. (2005). The Iowa Gambling Treatment Program: Treatment outcomes for a follow-up sample. Journal of Gambling Studies, 21(1), 59–71 (Spring).
Shaffer, H. J., LaBrie, R. A., LaPlante, D. A., Nelson, S. E., & Stanton, M. V. (2004). The road less traveled: Moving from distribution to determinants in the study of gambling epidemiology. Canadian Journal of Psychiatry, 49(8), 504–516 (Aug).
Skokauskas, N., Satkeviciute, R., & Burba, B. (2003). Psychiatric co morbidity in pathological gambling. Medicina (Kaunas), 39(9), 838–844.
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(7), 769–775 (July).
Slutske, W. S., Eisen, S., True, W. R., Lyons, M. J., Goldberg, J., & Tsuang. M. (2000). Common genetic vulnerability for pathological gambling and alcohol dependence in men. Archives of General Psychiatry, 57(7), 666–673 (Jul).
Slutske, W. S., Jackson, K. M., & Sher, K. J. (2003). The natural history of problem gambling from age 18 to 29. Journal of Abnormal Psychology, 112(2), 263–274 (May).
Sproston, K., Ernst, B., & Orford, J. (2000). Gambling behavior in Britain: Results from the British Gambling Prevalence Survey. London, UK: National Centre for Social Research.
Steketee, G., Chambless, D. L., & Tran, G. Q. (2001). Effects of Axis I and II co morbidity on behavior therapy outcome for obsessive–compulsive disorder and agoraphobia. Comprehensive Psychiatry, 42(1), 76–86 (January– February).
Stinchfield, R., Kushner, M. G., & Winters, K. C. (2005). Alcohol use and prior substance abuse treatment in relation to gambling problem severity and gambling treatment outcome. Journal of Gambling Studies, 21(3), 273–297 (Fall).
Sutton, S. (2001). Back to the drawing board? A review of applications of the Tran theoretical model to substance use. Addiction, 96(1), 175–186 (Jan).
Templer, D. I., Kaiser, G., & Siscoe, K. (1993). Correlates of pathological gambling propensity in prison inmates. Comprehensive Psychiatry, 34(5), 347–351 (Sep–Oct).
Thomas, S., & Jackson, A. (2000). Longitudinal evaluation of the effectiveness of problem gambling counseling services, community education strategies, and information products—Volume 5: Natural recovery from problem gambling. Melbourne: Victorian Department of Human Services.
Toce-Gerstein, M., Gerstein, D. R., & Volberg, R. A. (2003). A hierarchy of gambling disorders in the community. Addiction, 98(12), 1661–1672 (Dec).
Toneatto, T., & Ladouceur R. (2003). Treatment of pathological gambling: A critical review of the literature. Psychology of Addictive Behaviors, 42, 92–99.
Toneatto, T., & Millar, G. (2004). Assessing and treating problem gambling: Empirical status and promising trends. Canadian Journal of Psychiatry, 49(8), 517–525 (Aug).
Toneatto, T., Skinner, W., & Dragonetti, R. (2002). Patterns of substance use in treatment-seeking problem gamblers: Impact on treatment outcomes. Journal of Clinical Psychology, 58(7), 853–859 (July).
Vicente, B., Kohn, R., Rioseco, P., Saldivia, S., Baker, C., & Torres, S. (2004) Population prevalence of psychiatric disorders in Chile: 6-month and 1-month rates. The British Journal of Psychiatry: The Journal of Mental Science, 184, 299–305 (April).
Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: Implications for public health. American Journal of Public Health, 84(2), 237–241 (Feb).
Volberg, R. A., Abbott, M. W., Ronnberg, S., & Munck, I. M. (2001). Prevalence and risks of pathological gambling in Sweden. Acta Psychiatrica Scandinavia, 104(4), 250–256 (Oct).
Weinstock, J., Whelan, J. P., & Meyers, A. W. (2004). Behavioral assessment of gambling: An application of the timeline follow back method. Psychological Assessment, 16(1), 72–80 (Mar).
Wiebe, J., Single, E., & Falkowski-Ham, A. (2003). Exploring the evolution of problem gambling; a one year follow up study. Toronto Responsible Gambling Council, Accessed on September 19, 2005, Available: http://www.responsiblegambling.org.
Wiebe, J. M., & Cox, B. J. (2005). Problem and probable pathological gambling among older adults assessed by the SOGS-R. Journal of Gambling Studies, 21(2), 205–221 (Summer).
Willoughby, F. W., & Edens, J. F. (1996). Construct validity and predictive utility of the stages of change scale for alcoholics. Journal of Substance Abuse, 8(3), 275–291.
Winters, K. C., & Kushner, M. G. (2003). Treatment issues pertaining to pathological gamblers with a comorbid disorder. Journal of Gambling Studies, 19(3), 261–277 (Fall).
Winters, K. C., Stinchfield, R. D., Botzet, A., & Slutske, W. S. (2005). Pathways of youth gambling problem severity. Psychology of Addictive Behavior, 19(1), 104–107 (Mar).
Wittchen, H. U., Lieb, R., Pfister, H., & Schuster, P. (2000). The waxing and waning of mental disorders: Evaluating the stability of syndromes of mental disorders in the population. Comprehensive Psychiatry, 41(2 Suppl 1), 122–132 (Mar–Apr).
Wittchen, H. U., Nelson, C. B., & Lachner, G. (1998). Prevalence of mental disorders and psychosocial impairments in adolescents and young adults. Psychological Medicine, 28(1), 109–126 (January).
Wong, I. L., & So, E. M. (2003). Prevalence estimates of problem and pathological gambling in Hong Kong. American Journal of Psychiatry, 160(7), 1353–1354 (Jul).
Wynne, H. J., Smith, G. J., & Volberg, R. A. (1994). Gambling and problem gambling in Alberta. (Report prepared for Alberta Lotteries and Gaming). Edmonton: Alberta.
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Westphal, J.R. The Evidence Base Supporting the Subtyping of Gamblers in Treatment. Int J Ment Health Addiction 5, 123–140 (2007). https://doi.org/10.1007/s11469-006-9040-x
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DOI: https://doi.org/10.1007/s11469-006-9040-x