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Cited by 45Gambling Behavior and TreatmentsPosttraumatic Stress Disorder ResearchObsessive-Compulsive Spectrum Disorders

Pathological Gambling and Posttraumatic Stress Disorder: A Study of the Co-Morbidity versus Each Alone

Najavits, Lisa M., Meyer, Tamar, Johnson, Kay M., Korn, David·2011·Journal of Gambling Studies
DOI 10.1007/s10899-010-9230-0
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Abstract

This report is the first empirical study to compare pathological gambling (PG), posttraumatic stress disorder (PTSD), and their co-occurrence. The sample was 106 adults recruited from the community (35 with current PG; 36 with current PTSD, and 35 with BOTH). Using a cross-sectional design, the three groups were rigorously diagnosed and compared on various measures including sociodemographics, psychopathology (e.g., dissociation, suicidality, comorbid Axis I and II disorders), functioning, cognition, life history, and severity of gambling and PTSD. Overall, the PG group reported better psychological health and higher functioning than PTSD or BOTH; and there were virtually no differences between PTSD and BOTH. This suggests that it is the impact of PTSD, rather than comorbidity per se, that appears to drive a substantial increase in symptoms. We also found high rates of additional co-occurring disorders and suicidality in PTSD and BOTH, which warrants further clinical attention. Across the total sample, many reported a family history of substance use disorder (59%) and gambling problems (34%), highlighting the intergenerational impact of these. We also found notable subthreshold PTSD and gambling symptoms even among those not diagnosed with the disorders, suggesting a need for preventive care. Dissociation measures had mixed results. Discussion includes methodology considerations and future research areas.

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Authors
Najavits, L. M., Meyer, T., Johnson, K. M., & Korn, D.
Affiliations
  • Harvard University (US)
  • University of Toronto (CA)
  • Treatment Innovations (United States) (US)
Corresponding author
Najavits, Lisa M.
ORCID
Venue
Journal of Gambling Studies
Publisher
Springer Science and Business Media LLC
Published
2010-12-30
Volume
27
Issue
4
Pages
663-683
ISSN
  • 1050-5350 (ISSN-L)
  • 1573-3602
DOI
10.1007/s10899-010-9230-0
OpenAlex
W2057699391
Cited by
45
References
63
Citations by year
2026: 2 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 7 · 2019: 3 · 2018: 6 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 2
FWCI
2.46
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Gambling Studies (publishedVersion)
  • PubMed (publishedVersion)
Funders
Connaught Fund
Topics
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Keywords
gambling addiction, post-traumatic stress disorder, comorbidities, suicidality, dissociation, subthreshold PTSD, family history of substance use disorder, intergenerational transmission, psychological functioning, preventive medicine
MeSH terms
Adult, Cross-Sectional Studies, Female, Gambling, Health Status, Health Surveys, Humans, Male, Middle Aged, Quality of Life, Severity of Illness Index, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Suicide, Attempted, Comorbidity, Substance-Related Disorders

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