Gender differences in the associations between past-year gambling problems and psychiatric disorders

Background Psychiatric disorders frequently co-occur with pathological gambling. The extent to which co-occurence extends to subsyndromal levels of gambling or differs between women and men is incompletely understood. Aim To examine whether the association between psychiatric disorders and past-year...

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Bibliographic Details
Published in:Social Psychiatry and Psychiatric Epidemiology 2008-03, Vol.43 (3), p.173-183
Main Authors: Desai, Rani A., Potenza, Marc N.
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Alcohol use
Alcoholism
Biological and medical sciences
Comorbidity
Diagnostic and Statistical Manual of Mental Disorders
Disruptive, Impulse Control, and Conduct Disorders - epidemiology
Drug abuse
Epidemiology
Fear & phobias
Female
Gambling
Gender differences
Generalized anxiety disorder
Households
Humans
Male
Medical sciences
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental Disorders - epidemiology
Mental Disorders - psychology
Miscellaneous
Original Paper
Panic attacks
Prevalence
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Sex Factors
Women
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Summary:Background Psychiatric disorders frequently co-occur with pathological gambling. The extent to which co-occurence extends to subsyndromal levels of gambling or differs between women and men is incompletely understood. Aim To examine whether the association between psychiatric disorders and past-year gambling problems is stronger in women than men. Methods Data from the national epidemiological survey of alcoholism and related disorders (NESARC) ( n = 43,093) were analyzed. Results Increasing severity of past-year gambling problems was associated with increasing odds of most past-year Axis I and lifetime Axis II disorders, regardless of gender. Associations between gambling problems and major depression, dysthymia, panic disorder, and nicotine dependence were statistically stronger in women than in men. Conclusions A severity-related association exists between past-year gambling problems and psychiatric disorders. The stronger associations in women suggest that gambling research, prevention and treatment efforts consider gender differences.
ISSN:0933-7954
1433-9285
DOI:10.1007/s00127-007-0283-z