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Problem gambling and substance use in patients attending community mental health services

Manning, Victoria, Dowling, Nicole A, Lee, Stuart, Rodda, Simone, Garfield, Joshua Benjamin Bernard, Volberg, Rachel, Kulkarni, Jayashari and Lubman, Dan Ian 2017, Problem gambling and substance use in patients attending community mental health services, Journal of behavioral addictions, vol. 6, no. 4, pp. 678-688, doi: 10.1556/2006.6.2017.077.

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Title Problem gambling and substance use in patients attending community mental health services
Author(s) Manning, Victoria
Dowling, Nicole AORCID iD for Dowling, Nicole A orcid.org/0000-0001-8592-2407
Lee, Stuart
Rodda, SimoneORCID iD for Rodda, Simone orcid.org/0000-0002-7973-1003
Garfield, Joshua Benjamin Bernard
Volberg, Rachel
Kulkarni, Jayashari
Lubman, Dan Ian
Journal name Journal of behavioral addictions
Volume number 6
Issue number 4
Start page 678
End page 688
Total pages 11
Publisher Akademiai Kiado
Place of publication Budapest, Hungary
Publication date 2017-12-01
ISSN 2063-5303
Keyword(s) alcohol
illicit drugs
mental health
nicotine
problem gambling
adult
anxiety disorders
Australia
bipolar disorder
community mental health services
comorbidity
depressive disorder, major
female
gambling
human body
logistic models
male
middle aged
prevalence
psychotic disorders
substance-related disorders
Victoria
science & technology
life sciences & biomedicine
psychiatry
Summary Background and aims
Relatively little is known about co-occurring gambling problems and their overlap with other addictive behaviors among individuals attending mental health services. We aimed to determine rates of gambling and substance use problems in patients accessing mental health services in Victoria, Australia.

Methods
A total of 837 adult patients were surveyed about their gambling and administered standardized screening tools for problem gambling and harmful tobacco, alcohol, and drug use. Prevalence of gambling problems was estimated and regression models used to determine predictors of problem gambling.

Results
The gambling participation rate was 41.6% [95% CI = 38.2–44.9]. The Problem Gambling Severity Index identified 19.7% [CI = 17.0–22.4] as “non-problem gamblers,” 7.2% [CI = 5.4–8.9] as “low-risk” gamblers, 8.4% [CI = 6.5–10.2] as “moderate-risk” gamblers, and 6.3% [CI = 4.7–8.0] as “problem gamblers.” One-fifth (21.9%) of the sample and 52.6% of all gamblers were identified as either low-risk, moderate-risk, or problem gamblers (PGs). Patients classified as problem and moderate-risk gamblers had significantly elevated rates of nicotine and illicit drug dependence (p < .001) according to short screening tools. Current diagnosis of drug use (OR = 4.31 [CI = 1.98–9.37]), borderline personality (OR = 2.59 [CI = 1.13–5.94]), bipolar affective (OR = 2.01 [CI = 1.07–3.80]), and psychotic (OR = 1.83 [CI = 1.03–3.25]) disorders were significant predictors of problem gambling.

Discussion and conclusions

Patients were less likely to gamble, but eight times as likely to be classified as PG, relative to Victoria’s adult general population. Elevated rates of harmful substance use among moderate-risk and PG suggest overlapping vulnerability to addictive behaviors. These findings suggest mental health services should embed routine screening into clinical practice, and train clinicians in the management of problem gambling.
Language eng
DOI 10.1556/2006.6.2017.077
Field of Research 170199 Psychology not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30106010

Document type: Journal Article
Collections: School of Psychology
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.