Titre : | Subtypes of disordered gamblers: results from the National Epidemiologic Survey on Alcohol and Related Conditions (2013) |
Auteurs : | L. NOWER ; S. S. MARTINS ; K. H. LIN ; C. BLANCO |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.108, n°4, April 2013) |
Article en page(s) : | 789-798 |
Langues: | Anglais |
Discipline : | PSY (Psychopathologie / Psychopathology) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés ADULTE ; ENQUETE ; DIAGNOSTIC ; JEU PATHOLOGIQUE ; EPIDEMIOLOGIE DESCRIPTIVE ; CLASSIFICATION ; PERSONNALITE |
Résumé : |
Aims - To derive empirical subtypes of problem gamblers based on etiological and clinical characteristics described in the Pathways Model, using data from a nationally representative survey of US adults.
Design & measurement - Data were collected from structured diagnostic face-to-face interviews using the Alcohol Use Disorder and Associated Disabilities Interview Schedule DSM-IV version IV (AUDADIS-IV). Setting - The study utilized data from US National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Participants - All disordered gambling participants (n = 581) from a nationally representative cross-sectional sample of civilian non-institutionalized adults aged 18 years or older. Findings - Latent class analyses indicated that the best-fitting model was a three-class solution. Those in the largest class (class 1: 50.76%, n = 295) reported the lowest overall levels of psychopathology including gambling problem severity and mood disorders. In contrast, respondents in class 2 (20.06%, n = 117) had a high probability of endorsing past-year substance use disorders, moderate probabilities of having parents with alcohol/drug problems and of having a personality disorder, and the highest probability for past-year mood disorders. Respondents in class 3 (29.18%, n = 169) had the highest probabilities of personality and prior-to-past year mood disorders, substance use disorders, separation/divorce, drinking-related physical fights and parents with alcohol/drug problems and/or a history of antisocial personality disorder (ASPD). Conclusions - Three subtypes of disordered gamblers can be identified, roughly corresponding to the subtypes of the Pathways Model, ranging from a subgroup with low levels of gambling severity and psychopathology to one with high levels of gambling problem severity and comorbid psychiatric disorders. KEY FINDINGS: In the USA, three subtypes of disordered gambling can be identified, ranging from low to high levels of gambling severity and psychopathology. |
Domaine : | Addictions sans produit / Addictions without drug |
Refs biblio. : | 57 |
Affiliation : | Center for Gambling Studies, Rutgers University, New Brunswick, NJ, USA |
Cote : | Abonnement |
Lien : | http://dx.doi.org/10.1111/add.12012 |
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