Relationships Between Problem-Gambling Severity and Psychopathology as Moderated by Income – open access

Sanacora, R. L., Whiting, S. W., Pilver, C. E., Hoff, R. A., & Potenza, M. N.

Background and aims: Problem and pathological gambling have been associated with elevated rates of both Axis-I and Axis-II psychiatric disorders. Although both problem gambling and psychiatric disorders have been reported as being more prevalent among lower income vs. middle/higher income groups, how income might moderate the relationship between problem-gambling severity and psychopathology is incompletely understood. To examine the associations between problem-gambling severity and psychopathology in lower income and middle/higher income groups.MethodsData from the first wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) (n = 43,093) were analyzed in adjusted logistic regression models to investigate the relationships between problem-gambling severity and psychiatric disorders within and across income groups.ResultsGreater problem-gambling severity was associated with increased odds of multiple psychiatric disorders for both lower income and middle/higher income groups. Income moderated the association between problem/pathological gambling and alcohol abuse/dependence, with a stronger association seen among middle/higher income respondents than among lower income respondents.Discussion and conclusionsThe findings that problem-gambling severity is related to psychopathology across income groups suggest a need for public health initiatives across social strata to reduce the impact that problem/pathological gambling may have in relation to psychopathology. Middle/higher income populations, perhaps owing to the availability of more “disposable income,” may be at greater risk for co-occurring gambling and alcohol-use psychopathology and may benefit preferentially from interventions targeting both gambling and alcohol use.

Sanacora, R. L., Whiting, S. W., Pilver, C. E., Hoff, R. A., & Potenza, M. N. (2016). Relationships Between Problem-Gambling Severity and Psychopathology as Moderated by Income. Journal of Behavioral Addictions, 1–10. http://doi.org/10.1556/2006.5.2016.045
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Problem-Gambling Severity and Psychiatric Disorders among American-Indian/Alaska Native Adults

Little is known about the association between problem-gambling severity and psychiatric disorders among American-Indian/Alaska-Native (AI/AN) individuals. Thus, we examined these factors among a nationally representative sample of AI/AN and other American adults in the USA.

Method

Using the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) data, we conducted separate Wald tests and multinomial logistic regression analyses comparing AI/AN to black/African American, white/Caucasian, and all other racial/ethnic groups, respectively…

Source: Kong, G., Smith, P. H., Pilver, C., Hoff, R., & Potenza, M. N. (2015). Problem-Gambling Severity and Psychiatric Disorders among American-Indian/Alaska Native Adults. Journal of Psychiatric Research.