Pathological gambling severity and co-occurring psychiatric disorders in individuals with and without anxiety disorders in a nationally representative sample
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While anxiety disorders (ADs) and pathological gambling (PG) frequently co-occur with each other and other Axis I and Axis II disorders, previous studies have not examined the relative influence of ADs on the co-occurrences between PG severity and non-anxiety psychopathologies. The current study used data from the National Epidemiologic Survey on Alcohol and Related Conditions (N=43,093) to examine the influence of past-year ADs on the associations between past-year PG severity measures based on DSM-IV criteria for PG and non-anxiety psychiatric disorders. The findings revealed that increased PG severity was associated with Axes I and II psychopathology in both the groups with and without ADs. Significant anxiety-by-gambling-group interactions were also observed, particularly with respect to mood and personality disorders. The interactions indicate a stronger relationship between PG severity and psychopathology in participants without ADs than in those with ADs. Future research should investigate specific factors contributing to the co-occurrence of anxiety, gambling, and other psychiatric disorders and how the co-occurrences might influence clinically relevant phenomena such as treatment selection or course.
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A "dose-dependent" relationship has been cited between anxiety, substance use, and gambling disorders, whereby the severity of the anxiety symptomatology is positively associated with that of the substance use or gambling disorder.
“Building upon these findings, a “dose-dependent” relationship has been cited between anxiety, substance use, and gambling disorders, whereby the severity of the anxiety symptomatology is positively associated with that of the substance use or gambling disorder (Desai & Potenza, 2008; Giddens, Stefanovics, Pilver, Desai, & Potenza, 2012).”
From Cued for Risk: Evidence for an Incentive Sensitization Framework to Explain the Interplay between Stress and Anxiety, Substance Abuse, and Reward Uncertainty in Disordered Gambling Behavior (2019) · cites this paper as Giddens, Stefanovics, Pilver, Desai, & Potenza, 2012
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- Authors
- Giddens, J. L., Stefanovics, E., Pilver, C. E., Desai, R., & Potenza, M. N.
- Affiliations
- Yale University (US)
- VA Connecticut Healthcare System (US)
- Corresponding author
- Potenza, Marc Nicholas
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2012-08
- Volume
- 199
- Issue
- 1
- Pages
- 58-64
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC3572829
- OpenAlex
- W2044303437
- Cited by
- 20
- References
- 36
- Citations by year
- 2025: 2 · 2023: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 6 · 2013: 2
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Responsible Gaming
- National Institutes of Health (5rc1da028279-02)
- National Institute on Drug Abuse (R01DA019039, P20DA027844, RC1-DA028279)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- gambling addiction, gambling severity, anxiety disorders, psychiatric comorbidity, mood disorders, personality disorders, psychopathology, DSM-IV diagnostic criteria, NESARC
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Mental Disorders, Female, Gambling, Health Surveys, Humans, Male, United States, Comorbidity, Diagnostic and Statistical Manual of Mental Disorders
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