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The prevalence of comorbid personality disorders in treatment-seeking problem gamblers: a systematic review and meta-analysis

Dowling, Nicki A., Cowlishaw, Sean, Jackson, Alun C., Merkouris, Stephanie S., Francis, Kate L. and Christensen, Darren R. 2015, The prevalence of comorbid personality disorders in treatment-seeking problem gamblers: a systematic review and meta-analysis, Journal of personality disorders, vol. 29, no. 6, pp. 735-754, doi: 10.1521/pedi_2014_28_168.

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Title The prevalence of comorbid personality disorders in treatment-seeking problem gamblers: a systematic review and meta-analysis
Author(s) Dowling, Nicki A.ORCID iD for Dowling, Nicki A. orcid.org/0000-0001-8592-2407
Cowlishaw, Sean
Jackson, Alun C.
Merkouris, Stephanie S.ORCID iD for Merkouris, Stephanie S. orcid.org/0000-0001-9037-6121
Francis, Kate L.ORCID iD for Francis, Kate L. orcid.org/0000-0002-1751-5313
Christensen, Darren R.
Journal name Journal of personality disorders
Volume number 29
Issue number 6
Start page 735
End page 754
Total pages 20
Publisher Guilford Publications
Place of publication New York, N.Y.
Publication date 2015-12
ISSN 0885-579X
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Psychiatry
PATHOLOGICAL GAMBLERS
PSYCHIATRIC COMORBIDITY
EPIDEMIOLOGY
IMPULSIVITY
IPDE
Summary The aim of this study was to systematically review and meta-analyze the prevalence of comorbid personality disorders among treatment-seeking problem gamblers. Almost one half (47.9%) of problem gamblers displayed comorbid personality disorders. They were most likely to display Cluster B disorders (17.6%), with smaller proportions reporting Cluster C disorders (12.6%) and Cluster A disorders (6.1%). The most prevalent personality disorders were narcissistic (16.6%), antisocial (14.0%), avoidant (13.4%), obsessive-compulsive (13.4%), and borderline (13.1%) personality disorders. Sensitivity analyses suggested that these prevalence estimates were robust to the inclusion of clinical trials and self-selected samples. Although there was significant variability in reported rates, subgroup analyses revealed no significant differences in estimates of antisocial personality disorder according to problem gambling severity, measure of comorbidity employed, and study jurisdiction. The findings highlight the need for gambling treatment services to conduct routine screening and assessment of co-occurring personality disorders and to provide treatment approaches that adequately address these comorbid conditions.
Language eng
DOI 10.1521/pedi_2014_28_168
Field of Research 1701 Psychology
170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Guilford Publications
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081275

Document type: Journal Article
Collection: School of Psychology
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