An examination of a proposed DSM-IV pathological gambling hierarchy in a treatment seeking population: similarities with substance dependence and evidence for three classification systems

Christensen, Darren R., Jackson, Alun C., Dowling, Nicki A., Volberg, Rachel A. and Thomas, Shane A. 2015, An examination of a proposed DSM-IV pathological gambling hierarchy in a treatment seeking population: similarities with substance dependence and evidence for three classification systems, Journal of gambling studies, vol. 31, no. 3, pp. 787-806.

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Title An examination of a proposed DSM-IV pathological gambling hierarchy in a treatment seeking population: similarities with substance dependence and evidence for three classification systems
Author(s) Christensen, Darren R.
Jackson, Alun C.
Dowling, Nicki A.ORCID iD for Dowling, Nicki A. orcid.org/0000-0001-8592-2407
Volberg, Rachel A.
Thomas, Shane A.
Journal name Journal of gambling studies
Volume number 31
Issue number 3
Start page 787
End page 806
Total pages 20
Publisher Springer
Place of publication Berlin, Germany
Publication date 2015-09
ISSN 1050-5350
Keyword(s) DSM-IV
DSM-V
pathological gambling
disordered gambling
substance related and addictive disorders
behavioral addiction
classification systems
taxonomy
severity
Summary Toce-Gerstein et al. (Addiction 98:1661–1672, 2003) investigated the distribution of Diagnostic and Statistical Manual for Mental Disorders, 4th edition (DSM-IV) pathological gambling criteria endorsement in a U.S. community sample for those people endorsing a least one of the DSM-IV criteria (n = 399). They proposed a hierarchy of gambling disorders where endorsement of 1–2 criteria were deemed ‘At-Risk’, 3–4 ‘Problem gamblers’, 5–7 ‘Low Pathological’, and 8–10 ‘High Pathological’ gamblers. This article examines these claims in a larger Australian treatment seeking population. Data from 4,349 clients attending specialist problem gambling services were assessed for meeting the ten DSM-IV pathological gambling criteria. Results found higher overall criteria endorsement frequencies, three components, a direct relationship between criteria endorsement and gambling severity, clustering of criteria similar to the Toce-Gerstein et al. taxonomy, high accuracy scores for numerical and criteria specific taxonomies, and also high accuracy scores for dichotomous pathological gambling diagnoses. These results suggest significant complexities in the frequencies of criteria reports and relationships between criteria.
Language eng
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Springer
Persistent URL http://hdl.handle.net/10536/DRO/DU:30066187

Document type: Journal Article
Collection: School of Psychology
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