Pathological Gambling, Problem Gambling and Sleep Complaints: An Analysis of the National Comorbidity Survey: Replication (NCS-R)
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The purpose of this study is to investigate the relationship between sleep disturbances and gambling behavior. Data from the National Comorbidity Survey—Replication (NCS-R) was used to examine the relationship between three specific sleep complaints (difficulty initiating sleep [DIS], difficulty maintaining sleep [DMS], and early morning awakening [EMA]) and gambling behavior. Bivariate logistic regression models were used to control for potentially confounding psychiatric disorders and age. Almost half of respondents with problem gambling behavior (45.9%) and two thirds (67.7%) of respondents with pathological gambling behavior reported at least one sleep compliant. Compared to respondents with no gambling pathology, respondents with pathological gambling were significantly more likely to report at least one sleep complaint (Adjusted Odds Ratio [AOR] = 3.444, 95% CI = 1.538–7.713), to report all sleep complaints (AOR = 3.449, 95% CI = 1.503–7.914), and to report any individual complaint (DIS: OR = 2.300, 95% CI = 1.069–4.946; DMS: AOR = 4.604, 95% CI = 2.093–10.129; EMA: AOR = 3.968, 95% CI = 1.856–8.481). The relationship between problem gambling and sleep complaints were more modest (any sleep complaint: AOR = 1.794, 95% CI = 1.142–2.818; all three sleep complaints: AOR = 2.144, 95% CI = 1.169–3.931; DIS: AOR = 1.961, 95% CI = 1.204–3.194; DMS: AOR = 1.551, 95% CI = 0.951–2.529; EMA: AOR = 1.796, 95% CI = 1.099–2.935). Given the individual and societal ramifications linked with the presence of sleep problems, this study presents another health-related repercussion associated with gambling pathology rarely discussed in the literature.
KeywordsGambling Sleep National comorbidity survey replication Epidemiology
This project was supported by the National Institute on Drug Abuse (Grant #: K23DA 19522-2) and a grant from the Annenberg Foundation. The authors would like to thank everyone involved with conducting the National Comorbidity Survey Replication and making the data publically available. Christopher Biely offered invaluable statistical advice.
- APA. (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR (Text Revision): American Psychiatric Association. DC: Washington.Google Scholar
- Buysse, D. J., Hall, M. L., Strollo, P. J., Kamarck, T. W., Owens, J., Lee, L., et al. (2008). Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. Journal of Clinical Sleep Medicine, 4, 563–571.PubMedGoogle Scholar
- First, M., Spitzer, R., Gibbon, M., & Williams, J. (1995). Structured clinical interview for DSM-IV axis I disorders-patient edition (SCID-I/P, Version 2.0). New York: Biometric Research, New York State Psychiatric Institute.Google Scholar
- Lorenz, V. C., & Yaffee, R. A. (1986). Pathological gambling: Psychosomatic, emotional, and marital difficulties as reported by the gambler. Journal of Gambling Studies, 2, 20–49.Google Scholar
- Morasco, B. J., Pietrzak, R. H., Blanco, C., Grant, B. F., Hasin, D., & Petry, N. M. (2006a). Health problems and medical utilization associated with gambling disorders: Results from the national epidemiologic survey on alcohol and related conditions. Psychosomatic Medicine, 68, 976–984.PubMedCrossRefGoogle Scholar
- Rosenthal, R. J., & Lesieur, H. R. (1992). Self reported withdrawal symptoms and pathological gambling. American Journal on Addictions, 1, 150–154.Google Scholar
- Shaffer, H., & Hall, M. (2002). Updating and refining prevalence estimates of disordered gambling behaviour in the United States and Canada. Canadian Journal of Public Health. Revue Canadienne de Sante Publique, 92, 168–172.Google Scholar
- Shaffer, H. J., Stein, S. A., Gambino, B., & Thomas, N. (1989). Compulsive gambling: Theory, research, and practice. Lexington, MA: Lexington Books.Google Scholar