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Association of Sociodemographic, Psychopathological and Gambling-Related Factors with Treatment Utilization for Pathological Gambling

  • Background/Aims: Only a small percentage of pathological gamblers utilizes professional treatment for gambling problems. Little is known about which social and gambling-related factors are associated with treatment utilization. The aim of this study was to look for factors associated with treatment utilization for pathological gambling. Methods: The study followed a sampling design with 3 different recruitment channels, namely (1) a general population-based telephone sample, (2) a gambling location sample and (3) a project telephone hotline. Pathological gambling was diagnosed in a telephone interview. Participants with pathological gambling (n = 395) received an in-depth clinical interview concerning treatment utilization, comorbid psychiatric disorders and social characteristics. Results: Variables associated with treatment were higher age [odds ratio (OR) 1.05, 95% confidence interval (CI) 1.03-1.08], an increased number of DSM-IV criteria for pathological gambling (OR 1.34, 95% CI 1.06-1.70), more adverse consequences from gambling (OR 1.10, 95% CI 1.03-1.16) and more social pressure from significant others (OR 1.17, 95% CI 1.07-1.27). Affective disorders were associated with treatment utilization in the univariate analysis (OR 1.81, 95% CI 1.19-2.73), but multivariate analysis showed that comorbid psychiatric disorders were not independently associated. Conclusion: These results indicate that individuals with more severe gambling problems utilize treatment at an older age when more adverse consequences have occurred. Further research should focus on proactive early interventions.

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Metadaten
Author: Anja Bischof, Christian Meyer, Gallus Bischof, Diana Guertler, Nadin Kastirke, Ulrich John, Hans-Juergen Rumpf
URN:urn:nbn:de:gbv:9-opus-31340
URL:http://www.karger.com/ear
DOI:https://doi.org/10.1159/000356904
ISSN:1022-6877
ISSN:1421-9891
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=24401333
Parent Title (English):European Addiction Research
Publisher:S. Karger AG
Place of publication:Basel, Switzerland
Document Type:Article
Language:English
Date of first Publication:2013/12/24
Release Date:2020/09/29
Tag:Adverse consequences; Comorbidity; Pathological gambling; Treatment utilization
GND Keyword:-
Volume:20
Issue:4
First Page:167
Last Page:173
Faculties:Universitätsmedizin / Klinik für Psychiatrie und Psychotherapie
Licence (German):License LogoUrheberrechtlich geschützt