Rani A Desai1, Marc N Potenza. 1. Dept. of Psychiatry and Women and Addictive Disorders, Core of Women's Health Research, Yale University School of Medicine, New Haven, CT, USA. rani.desai@yale.edu
Abstract
BACKGROUND: Psychiatric disorders frequently co-occur with pathological gambling. The extent to which co-occurence extends to subsyndromal levels of gambling or differs between women and men is incompletely understood. AIM: To examine whether the association between psychiatric disorders and past-year gambling problems is stronger in women than men. METHODS: Data from the national epidemiological survey of alcoholism and related disorders (NESARC) (n = 43,093) were analyzed. RESULTS: Increasing severity of past-year gambling problems was associated with increasing odds of most past-year Axis I and lifetime Axis II disorders, regardless of gender. Associations between gambling problems and major depression, dysthymia, panic disorder, and nicotine dependence were statistically stronger in women than in men. CONCLUSIONS: A severity-related association exists between past-year gambling problems and psychiatric disorders. The stronger associations in women suggest that gambling research, prevention and treatment efforts consider gender differences.
BACKGROUND:Psychiatric disorders frequently co-occur with pathological gambling. The extent to which co-occurence extends to subsyndromal levels of gambling or differs between women and men is incompletely understood. AIM: To examine whether the association between psychiatric disorders and past-year gambling problems is stronger in women than men. METHODS: Data from the national epidemiological survey of alcoholism and related disorders (NESARC) (n = 43,093) were analyzed. RESULTS: Increasing severity of past-year gambling problems was associated with increasing odds of most past-year Axis I and lifetime Axis II disorders, regardless of gender. Associations between gambling problems and major depression, dysthymia, panic disorder, and nicotine dependence were statistically stronger in women than in men. CONCLUSIONS: A severity-related association exists between past-year gambling problems and psychiatric disorders. The stronger associations in women suggest that gambling research, prevention and treatment efforts consider gender differences.
Authors: Rani A Desai; Paul K Maciejewski; David J Dausey; Barbara J Caldarone; Marc N Potenza Journal: Am J Psychiatry Date: 2004-09 Impact factor: 18.112
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