Young-Chul Shin1, Sam-Wook Choi, Juwon Ha, Jung Yeon Mok, Se-Won Lim, Jung-Seok Choi, Dai-Jin Kim. 1. From the Department of Psychiatry (YCS, SWL), Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea; Department of Psychiatry, Gangnam Eulji Hospital, Eulji Addiction Institute, and Department of Addiction Rehabilitation and Social welfare (SWC), Eulji University, Korea; Department of Psychiatry (JH), Sejong General Hospital, Bucheon, Korea; Eulji Addiction Institute (JYM), Eulji University, Korea; Department of Psychiatry (JSC), SMG-SNU Boramae Medical Center, Seoul, Korea; and Department of Psychiatry (DJK), Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
OBJECTIVES: This study examined differences in the clinical and treatment-related features of pathological gambling (PG) on the basis of the age of PG onset among pathological gamblers who sought treatment. METHODS: A total of 702 male outpatients with a primary diagnosis of PG and who were treated in a clinical practice were assessed by retrospective chart review. We selected the age of 25 years and younger as the threshold for "group 1." We then stratified the participants into 4 groups on the basis of the age of PG onset in 10-year intervals. Analysis of covariance with a covariant of age and the Pearson χ test were used for analyses. RESULTS: We found that the earlier-onset gamblers were less likely to be escape type (P < 0.05), used significantly more Internet-based gambling (P < 0.001), and were less likely to engage in nonstrategic gambling (P < 0.05) than the later-onset gamblers. In addition, the earlier-onset gamblers took anticraving medication, such as naltrexone, significantly more often (P < 0.05), and sought treatment significantly more slowly after the onset of PG than the later-onset group (P < 0.01). Regarding adherence to treatment, however, there was no significant difference among the 4 groups on the basis of the age of PG onset. CONCLUSIONS: The age of PG onset is associated with several important clinical and treatment features. More studies are needed to advance prevention and treatment strategies for each age group.
OBJECTIVES: This study examined differences in the clinical and treatment-related features of pathological gambling (PG) on the basis of the age of PG onset among pathological gamblers who sought treatment. METHODS: A total of 702 male outpatients with a primary diagnosis of PG and who were treated in a clinical practice were assessed by retrospective chart review. We selected the age of 25 years and younger as the threshold for "group 1." We then stratified the participants into 4 groups on the basis of the age of PG onset in 10-year intervals. Analysis of covariance with a covariant of age and the Pearson χ test were used for analyses. RESULTS: We found that the earlier-onset gamblers were less likely to be escape type (P < 0.05), used significantly more Internet-based gambling (P < 0.001), and were less likely to engage in nonstrategic gambling (P < 0.05) than the later-onset gamblers. In addition, the earlier-onset gamblers took anticraving medication, such as naltrexone, significantly more often (P < 0.05), and sought treatment significantly more slowly after the onset of PG than the later-onset group (P < 0.01). Regarding adherence to treatment, however, there was no significant difference among the 4 groups on the basis of the age of PG onset. CONCLUSIONS: The age of PG onset is associated with several important clinical and treatment features. More studies are needed to advance prevention and treatment strategies for each age group.
Authors: Susana Jiménez-Murcia; Roser Granero; Salomé Tárrega; Ariadna Angulo; Fernando Fernández-Aranda; Jon Arcelus; Ana B Fagundo; Neus Aymamí; Laura Moragas; Anne Sauvaget; Marie Grall-Bronnec; Mónica Gómez-Peña; José M Menchón Journal: J Gambl Stud Date: 2016-03
Authors: Susana Jiménez-Murcia; Roser Granero; Randy Stinchfield; Joël Tremblay; Amparo Del Pino-Gutiérrez; Laura Moragas; Lamprini G Savvidou; Fernando Fernández-Aranda; Neus Aymamí; Mónica Gómez-Peña; Salomé Tárrega; Katarina Gunnard; Virginia Martín-Romera; Trevor Steward; Gemma Mestre-Bach; José M Menchón Journal: Front Psychol Date: 2017-02-07
Authors: Roser Granero; Fernando Fernández-Aranda; Trevor Steward; Gemma Mestre-Bach; Marta Baño; Amparo Del Pino-Gutiérrez; Laura Moragas; Neus Aymamí; Mónica Gómez-Peña; Núria Mallorquí-Bagué; Salomé Tárrega; José M Menchón; Susana Jiménez-Murcia Journal: Front Psychol Date: 2016-04-29