Journal of Gambling Studies

, Volume 30, Issue 2, pp 321–333 | Cite as

Disordered gambling and co-morbidity of psychiatric disorders among college students: An examination of problem drinking, anxiety and depression

  • Ryan J. Martin
  • Stuart Usdan
  • Jennifer Cremeens
  • Karen Vail-Smith
Original Paper

Abstract

We assessed the occurrence of co-morbid psychiatric disorders (i.e., problem drinking, anxiety, and depression) among college students who met the threshold for disordered gambling. The participants included a large sample of undergraduate students (n = 1,430) who were enrolled in an introductory health course at a large, southeastern university in Spring 2011 and completed an online assessment that included scales to assess disordered gambling, problem drinking, anxiety, and depression. We calculated screening scores, computed prevalence rates for each disorder, and calculated Pearson correlations and Chi square tests to examine correlations and co-morbid relationships between the four disorders. Analyses indicated that all disorders were significantly associated (p < .01) except for disordered gambling and anxiety. Because college students who experience disordered gambling (and other psychiatric disorders) are at increased risk of experiencing co-occurring disorders, it might be useful for college health professionals to concurrently screen and intervene for co-occurring disorders.

Keywords

College students Co-morbidity Disordered gambling Anxiety Depression Problem drinking 

References

  1. American College Health Association. (2009). In American College Health Association (Ed.). American College Health Association-National College Health Assessment II: Reference group executive summary fall 2009. Linthicum, MD: American College Health Association.Google Scholar
  2. American Psychiatric Association. (1994). DSM-IV: Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: American Psychiatric Association.Google Scholar
  3. American Psychiatric Association. (2000). DSM IV-TR: Diagnostic and statistical manual of mental disorders–Text revision (4th ed.). Washington, D.C.: American Psychiatric Association.Google Scholar
  4. Barnes, G., Welte, J., Hoffman, J., & Tidwell, M. (2010). Comparisons of gambling and alcohol use among college students and noncollege young people in the United States. Journal of American College Health, 58(5), 443–452.PubMedCrossRefGoogle Scholar
  5. Blanco, C., Okuda, M., Wright, C., Hasin, D., Grant, B., Liu, S., et al. (2008). Mental health of college students and their non-college attending peers. Archives of General Psychiatry, 65(12), 1429–1437.PubMedCentralPubMedCrossRefGoogle Scholar
  6. Blinn-Pike, L., Lokken Worthy, S., & Jonkman, J. (2007). Disordered gambling among college students: a meta-analytic synthesis. Journal of Gambling Studies, 23, 175–183.PubMedCrossRefGoogle Scholar
  7. Core Institute. (2006). 2006 Core drug and alcohol survey: Results. Retrieved Oct 23, 2009.Google Scholar
  8. Cranford, J., Eisenberg, D., & Serras, A. (2009). Substance use behaviors, mental health problems, and use mental health services in a probability sample of college students. Addictive Behaviors, 34, 134–145.PubMedCrossRefGoogle Scholar
  9. Eisenberg, D., Gollust, S., Golberstein, E., & Hefner, J. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77(4), 534–542.PubMedCrossRefGoogle Scholar
  10. Engwall, D., Hunter, R., & Steinberg, M. (2004). Gambling and other risk behaviors on university campuses. Journal of American College Health, 52(6), 245–255.PubMedCrossRefGoogle Scholar
  11. Fiellin, D., Reid, M., & O’Connor, P. (2000). Screening for alcohol problems in primary care: A systematic review. Archives of Internal Medicine, 160(13), 1977–1989.PubMedCrossRefGoogle Scholar
  12. Garlow, S., Rosenberg, J., Moore, J., Haas, A., Koestner, B., Hendin, H., et al. (2008). Depression, desperation and suicide ideation in college students: Results from the American Foundation for suicide prevention college screening project at Emory University. Depression and Anxiety, 25, 482–488.PubMedCrossRefGoogle Scholar
  13. Gilles, D., Turk, C., & Fresco, D. (2006). Social anxiety, alcohol expectancies, and self-efficacy as predictors of heavy drinking in college students. Addictive Behaviors, 31, 388–398.PubMedCrossRefGoogle Scholar
  14. Goudriaan, A., Slutske, W., Krull, J., & Sher, K. (2009). Longitudinal patterns of gambling activities and associated risk factors in college students. Addiction, 104, 1219–1232.PubMedCentralPubMedCrossRefGoogle Scholar
  15. Hingson, R., Heeren, T., Winter, M., Wechsler, H., et al. (2005). Magnitiude of alcohol-related mortality and morbidity among US college students ages 18–24: Changes from 1998 to 2001. Annual Review of Public Health, 26, 259–279.PubMedCrossRefGoogle Scholar
  16. Hingson, R., Zha, W., & Weitzman, E. (2009). Magnitude of and trends in alcohol-related mortality and morbidity among US college students ages 18–24, 1998, 2005. Journal of Studies on Alcohol and Drugs, 16, 12–20.PubMedGoogle Scholar
  17. Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3–10.PubMedCrossRefGoogle Scholar
  18. Kessler, R. C., Hwang, I., LaBrie, R. A., Petukhova, M., Sampson, N., Winters, K., et al. (2008). DSM-IV pathological gambling in the National comorbidity survey replication. Psychological Medicine, 38, 1351–1360.PubMedCentralPubMedGoogle Scholar
  19. Kokotailo, P., Egan, J., Gangnon, R., Brown, D., Mundt, M., & Fleming, M. (2004). Validity of alchol use disorders identification test in college students. Alcoholism Clinical and Experimental Research, 28(6), 914–920.CrossRefGoogle Scholar
  20. Kroenke, K., & Spitzer, R. (2002). The PHQ-9: A new depression and diagnostic severity measure. Psychiatric Annals, 32, 509–521.Google Scholar
  21. Kroenke, K., Spitzer, R., & Williams, J. (2002). Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.CrossRefGoogle Scholar
  22. 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.PubMedCrossRefGoogle Scholar
  23. Ladouceur, R., Dubé, D., & Bujold, A. (1994). Prevalence of pathological gambling and related problems among college students in the Quebec metropolitan area. Canadian Journal of Psychiatry, 39, 289–293.Google Scholar
  24. Little, R., & Rubin, D. (1987). Statistical analysis with missing data. New York: Wiley.Google Scholar
  25. Lorains, F., Cowlishaw, S., & Thomas, S. (2011). Prevalence of comorbid disorders in problem and pathological gambling: Systematic review and meta-analysis of population surveys. Addiction, 106, 490–498.PubMedCrossRefGoogle Scholar
  26. Martens, M., Rocha, T., Cimini, D., Diaz-Myers, A., Rivero, E., & Wulfert, E. (2009). The co-occurrence of alcohol use and gambling activities in first-year college students. Journal of American College Health, 57(6), 597–602.PubMedCrossRefGoogle Scholar
  27. Martin, R. J., Nelson, S., Usdan, S., & Turner, L. (2011). Predicting college student gambling frequency using the theory of planned behavior: Does the theory work differently for disordered and non-disordered gamblers. Analysis of Gambling Behavior, 5, 45–62.Google Scholar
  28. National Institute on Alcohol Abuse and Alcoholism. (2007). What colleges need to know: An update on college drinking research (Vol. NIH Publication No. 07–5010).Google Scholar
  29. National Research Council. (1999). Pathological gambling: a critical review. Washington D.C.: National Academy Press.Google Scholar
  30. 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 Psychiatry, 66(5), 564–574.PubMedCrossRefGoogle Scholar
  31. Reinert, D., & Allen, J. (2002). Alcohol use disorders identification test (AUDIT): A review of recent research. Alcoholism: Clinical and Experimental Research, 26(2), 272–279.CrossRefGoogle Scholar
  32. Rockey, D., Beason, K., Howington, E., Rockey, C., & Gilbert, J. (2005). Gambling by Greek-affiliated college students: An association between affiliation and gambling. Journal of College Student Development, 46(1), 75–87.CrossRefGoogle Scholar
  33. Saunders, B., Aasland, O., Barbot, T., de la Fuente, J., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption: II. Addiction, 88, 791–804.PubMedCrossRefGoogle Scholar
  34. Shaffer, H. J., & Hall, M. N. (2001). Updating and refining prevalence estimates of disordered gambling behaviour in the United States and Canada. Canadian Journal of Public Health, 92(3), 168–172.PubMedGoogle Scholar
  35. Shaffer, H. J., Hall, M. N., & Vander Bilt, J. (1997). Estimating the prevalence of disordered gambling behavior in the United States and Canada: A meta-analysis (p. 122). Boston: Presidents and Fellows of Harvard College.Google Scholar
  36. Shaffer, H. J., LaPlante, D. A., LaBrie, R. A., Kidman, R., Donato, A., & Stanton, M. (2004). Toward a syndrome model of addiction: Multiple expressions, common etiology. Harvard Review of Psychiatry, 12, 367–374.PubMedCrossRefGoogle Scholar
  37. Spitzer, R., Kroenke, K., Williiams, J., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder. Archives of Internal Medicine, 166, 1092–1097.PubMedCrossRefGoogle Scholar
  38. SPSS Inc. (2010). SPSS (Version 19.0). Chicago: SPSS.Google Scholar
  39. Stuhldreher, W. L., Stuhldreher, T. J., & Forrest, K. Y. (2007). Gambling as an emerging health problem on campus. Journal of American College Health, 56(1), 75–83.PubMedCrossRefGoogle Scholar
  40. Wechsler, H., Lee, J. E., Kuo, M., & Lee, H. (2000). College binge drinking in the 1990s: A continuing problem. Results of the Harvard School of Public Health 1999 College Alcohol Study. Journal of American College Health, 48(5), 199–210.PubMedCrossRefGoogle Scholar
  41. Weinstock, J., Whelan, J., Meyers, A., & Watson, J. (2007). Gambling behavior of student athletes and a student cohort: What are the odds? Journal of Gambling Studies, 23, 13–24.PubMedCrossRefGoogle Scholar
  42. Weitzman, E. (2004). Poor mental health, depression, and associations with alcohol consumption, harm, and abuse in a national sample of young adults in college. Journal of Nervous and Mental Disease, 192(4), 269–277.PubMedCrossRefGoogle Scholar
  43. Winters, K., Bengston, P., Door, D., & Stinchfield, R. (1998). Prevalence and risk factors of problem gambling among college students. Psychology of Addictive Behaviors, 12(2), 127–135.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Ryan J. Martin
    • 1
  • Stuart Usdan
    • 2
  • Jennifer Cremeens
    • 3
  • Karen Vail-Smith
    • 4
  1. 1.Department of Health Education and PromotionEast Carolina UniversityGreenvilleUSA
  2. 2.College of Human Environmental SciencesUniversity of AlabamaTuscaloosaUSA
  3. 3.Department of Health Education and PromotionEast Carolina UniversityGreenvilleUSA
  4. 4.Department of Health Education and PromotionEast Carolina UniversityGreenvilleUSA

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