Document Detail


Antisocial personality disorder is associated with increased severity of gambling, medical, drug and psychiatric problems among treatment-seeking pathological gamblers.
MedLine Citation:
PMID:  16042649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To evaluate systematically whether pathological gamblers with antisocial personality disorder (ASPD) experience increased severity of gambling, medical, psychiatric, substance use and psychosocial problems compared to pathological gamblers without ASPD. PARTICIPANTS, DESIGN AND MEASUREMENTS: Pathological gamblers (n = 237) entering an out-patient treatment study for pathological gambling completed the ASPD section of the Structured Clinical Interview for Diagnostic and Statistical Manual version IV (DSM-IV) Personality Disorders, California Psychological Inventory-Socialization Scale, Addiction Severity Index (ASI), Brief Symptom Inventory (BSI) and gambling questionnaires. SETTING: Pathological gambling research clinic. FINDINGS: Thirty-nine (16.5%) pathological gamblers met DSM-IV diagnostic criteria for ASPD. Compared to pathological gamblers without ASPD, pathological gamblers with ASPD were younger, more likely to be male and divorced/separated, and had fewer years of education. They also began gambling earlier in life, reported increased severity of gambling, medical and drug problems, and scored higher on the paranoid ideation, somatization and phobic anxiety subscales of the BSI. Further, logistic regression identified male gender, history of illicit drug use and severity of gambling and medical problems as independent predictors of ASPD. CONCLUSIONS: These results underscore the importance of assessing a wide range of behaviors and personality indices, including ASPD, among treatment-seeking pathological gamblers.
Authors:
Robert H Pietrzak; Nancy M Petry
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Addiction (Abingdon, England)     Volume:  100     ISSN:  0965-2140     ISO Abbreviation:  Addiction     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-26     Completed Date:  2005-12-13     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9304118     Medline TA:  Addiction     Country:  England    
Other Details:
Languages:  eng     Pagination:  1183-93     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, University of Connecticut Health Center, Farmington, CT 06030, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antisocial Personality Disorder / psychology*,  therapy
Female
Gambling / psychology*
Humans
Linear Models
Male
Mental Disorders / psychology
Middle Aged
Patient Acceptance of Health Care
Psychiatric Status Rating Scales
Questionnaires
Grant Support
ID/Acronym/Agency:
P50-AA03510/AA/NIAAA NIH HHS; P50-DA09241/DA/NIDA NIH HHS; R01-DA13444/DA/NIDA NIH HHS; R01-DA14618/DA/NIDA NIH HHS; R01-MH60417/MH/NIMH NIH HHS; R01-MH60417-SUPP/MH/NIMH NIH HHS
Comments/Corrections
Comment In:
Addiction. 2006 May;101(5):748; author reply 748-9   [PMID:  16669911 ]

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