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Subtypes of disordered gamblers: results from the N ational E pidemiologic S urvey on A lcohol and R elated C onditions
Author(s) -
Nower Lia,
Martins Silvia S.,
Lin KengHan,
Blanco Carlos
Publication year - 2013
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.12012
Subject(s) - chemistry , microbiology and biotechnology , biology
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 A lcohol U se D isorder and A ssociated D isabilities I nterview S chedule DSM ‐ IV version IV ( AUDADIS ‐ IV ). Setting The study utilized data from US N ational E pidemiologic S urvey on A lcohol and R elated C onditions ( 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.

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