Psychological Correlates of Comorbid Gambling in Psychiatric Outpatients: A Pilot Study

Abstract

This study compared psychiatric outpatients with and without lifetime gambling problems on clinical disorder and personality disorder scales, and the relationship of these scales with involvement in gambling. One hundred and sixty-two adults (females = 112) in an urban, outpatient psychiatric setting completed the South Oaks Gambling Screen (SOGS; Lesieur, H. R., Blume, S. B. (). The south oaks gambling screen (SOGS): a new instrument for the identification of pathological gamblers. Am. J. Psychiatry 144(9):1184–1188) and the Millon Clinical Multiaxial Inventory-II (MCMI-II; Millon, T. (). Manual for the MCMI-II: 2nd Edition. Minneapolis, MN: National Computer Systems, Inc.) after their initial psychiatric evaluation in . Avoidant and compulsive personality features were significantly related to gambling problem status. The Self-Defeating and Dysthymic Disorder scales were positively associated with gambling involvement. The Alcohol Dependence scale was predictive of gambling involvement for males only. Findings are somewhat consistent with the literature examining comorbidity in pathological gamblers seeking treatment, although no association was found with antisocial personality disorder.

• Pathological gambling
• Psychiatric comorbidity

Resumen

Este estudio pacientes externos psiquiátricos comparados con y sin problemas de apostar de vida en el desorden clínico del desorden y la personalidad escala, y la relación de estas escalas con el envolvimiento a apostar. Ciento sesenta y dos adultos (mujer = 112) en un urbano, el paciente externo la colocación psiquiátrica completó los Robles del sur Pantalla que Apuesta (SOGS; Lesieur, H. R., Blume, S. B. (1987). The south oaks gambling screen (SOGS): a new instrument for the identification of pathological gamblers. Am. J. Psychiatry 144(9):1184–1188) y el Millon Multiaxial Clínico II del Inventario (II de MCMI; Millon, T. (1987). Manual for the MCMI-II: 2nd Edition. Minneapolis, MN: National Computer Systems, Inc.) después de su evaluación psiquiátrica inicial en 1999. El evitar y características obligatorias de personalidad fueron relacionados significativamente a apostar la posición del problema. El Contraproducente y las escalas del Desorden de Dysthymic se asociaron positivamente con apostar el envolvimiento. La escala de la Dependencia del Alcohol era predictiva de apostar el envolvimiento para males sólo. Las conclusiones son algo consistentas con el comorbidity de examinar de literatura en el tratamiento patológico de buscar de jugadores, aunque ninguna asociación sea funda con el desorden antisocial de la personalidad.

Résumé

Cette étude a comparé les patients consultant en psychiatrie à et sans vie entiere des problèmes de jeu sur les échelles de désordre cliniques et désordre de personnalité, et le rapport de ces échelles avec l’engagement dans le jeu. Cent soixante-deux adultes (females = 112) dans un urbain, les patients consultant en psychiatrie a complété les South Oaks Gambling Screen (SOGS; Lesieur, H. R., Blume, S. B. (1987). The south oaks gambling screen (SOGS): a new instrument for the identification of pathological gamblers. Am. J. Psychiatry 144(9):1184–1188) et le Millon Clinical Multiaxial Inventory-II (MCMI-II; Millon, T. (1987). Manual for the MCMI-II: 2nd Edition. Minneapolis, MN: National Computer Systems, Inc.) après leur évaluation psychiatrique initiale dans 1999. Les caractéristiques des personnalités avoidant et compulsif ont été associé significatif á la statut de problème au jeu. Les échelles des Désordres de Soi Battre et de Dysthymic ont été absolument associés avec le jeu d’engagement. L’échelle de Dépendance d’Alcool était predictive de jeu d’engagement pour les maux seulement. Les découvertes sont un peu conforme à la littérature examiner comorbidité dans joueurs chercher le traitement pathologique, bien qu’aucune association a été trouvée avec le désordre de personnalité antisocial.

Additional information

Notes on contributors

Melinda J. Henderson

Dr. Melinda Henderson, an Assistant Professor in the Department of Psychology, is currently the Director of the Psychology Clinic and Behavioral Addictions Laboratory at Wayne State University (WSU). Dr. Henderson has participated in a Center for Substance Abuse Training grant (1995–1998) as an Investigator (Faculty Fellow). She was an Investigator on a National Institutes of Drug Abuse grant and participated in a manualized Cognitive Behavioral intervention with heroin addicts. She has trained Psychology Interns, Graduate Students, Psychiatry Residents and Medical Students in the treatment of substance abuse. Currently, she and her students are investigating the impact of Motivational Interviewing on individuals with pathological gambling and substance abuse problems. They are also developing a measure of gambling expectancies. Over the past 12 years, Dr. Henderson has also conducted psychotherapy on a weekly basis with clients in the Detroit Metropolitan area.