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Effects of affective and anxiety disorders on outcome in problem gamblers attending routine cognitive-behavioural treatment in South Australia

Smith, David, Harvey, Peter, Humeniuk, Rachel, Battersby, Malcolm and Pols, Rene 2014, Effects of affective and anxiety disorders on outcome in problem gamblers attending routine cognitive-behavioural treatment in South Australia, Journal of gambling studies, vol. 31, no. 3, pp. 1069-1083, doi: 10.1007/s10899-014-9465-2.

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Title Effects of affective and anxiety disorders on outcome in problem gamblers attending routine cognitive-behavioural treatment in South Australia
Author(s) Smith, David
Harvey, PeterORCID iD for Harvey, Peter orcid.org/0000-0003-2983-663X
Humeniuk, Rachel
Battersby, Malcolm
Pols, Rene
Journal name Journal of gambling studies
Volume number 31
Issue number 3
Start page 1069
End page 1083
Total pages 15
Publisher Springer
Place of publication Berlin, Germany
Publication date 2014-09
ISSN 1573-3602
Keyword(s) Problem gambling
Cognitive–behavioural therapy
Co-morbidity
Treatment outcomes
Summary This study evaluated the influence of 12-month affective and anxiety disorders on treatment outcomes for adult problem gamblers in routine cognitive–behavioural therapy. A cohort study at a state-wide gambling therapy service in South Australia. Primary outcome measure was rated by participants using victorian gambling screen (VGS) ‘harm to self’ sub-scale with validated cut score 21? (score range 0–60) indicative of problem gambling behaviour. Secondary outcome measure was Work and Social Adjustment Scale (WSAS). Independent variable was severity of affective and anxiety disorders based on Kessler 10 scale. We used propensity score adjusted random-effects models to estimate treatment outcomes for sub-populations of individuals from baseline to 12 month follow-up. Between July, 2010 and December, 2012, 380 participants were eligible for inclusion in the final analysis. Mean age was 44.1 (SD = 13.6) years and 211 (56 %) were males. At baseline, 353 (92.9 %) were diagnosed with a gambling disorder using VGS. For exposure, 175 (46 %) had a very high probability of a 12-month affective or anxiety disorder, 103 (27 %) in the high range and 102 (27 %) in the low to moderate range. For the main analysis, individuals experienced similar clinically significant reductions (improvement) in gambling related outcomes across time (p\0.001). Individuals with co-varying patterns of problem gambling and 12 month affective and anxiety disorders who present to a gambling help service for treatment in metropolitan South Australia
Language eng
DOI 10.1007/s10899-014-9465-2
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Springer Science+Business Media New York
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081274

Document type: Journal Article
Collection: School of Medicine
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