Source:http://linkedlifedata.com/resource/pubmed/id/19197945
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2009-2-23
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pubmed:abstractText |
Despite clinical reports of other withdrawal-like symptoms, the DSM-IV considers only restlessness/irritability as a withdrawal-like criterion comprising pathological gambling disorder (PGD). We explored whether this criterion should be broadened to include other gambling withdrawal-like symptoms.Community-recruited adult gamblers (n = 312) participated in telephone interviews about gambling and related behaviors as a part of a larger psychometric study. Frequency and chi-square analyses described the association of gambling withdrawal-like symptoms by gambling disorder status. Multinomial forward selection logistic regression obtained a multivariate model describing the simultaneous relationship between these symptoms and gambling disorder status.One-quarter of the sample experienced the DSM-IV PGD criterion of restlessness/irritability. However, 41% experienced additional gambling withdrawal-like symptoms when attempting to quit or control gambling. A model including restlessness/irritability and three additional non-DSM-IV withdrawal-like symptoms (i.e. feelings of anger, guilt, and disappointment) is a stronger model of gambling disorder (chi(2) = 217.488; df = 8, p < 0.0001; R(2) = 0.5428; p < 0.0001) than restlessness/irritability alone (chi(2) = 151.278; df = 2, p < 0.0001; R(2) = 0.4133). The overlap of gambling withdrawal-like symptoms with substance use withdrawal (11%) and depressive symptoms (34%) failed to fully account for these associations with gambling disorder status.Future PGD conceptualization and potential criteria revisions for DSM-V may warrant a broader inclusion of gambling withdrawal-like symptoms.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
1049-8931
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
13-22
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pubmed:meshHeading |
pubmed-meshheading:19197945-Adolescent,
pubmed-meshheading:19197945-Adult,
pubmed-meshheading:19197945-Aged,
pubmed-meshheading:19197945-Aged, 80 and over,
pubmed-meshheading:19197945-Chi-Square Distribution,
pubmed-meshheading:19197945-Depression,
pubmed-meshheading:19197945-Diagnostic and Statistical Manual of Mental Disorders,
pubmed-meshheading:19197945-Female,
pubmed-meshheading:19197945-Gambling,
pubmed-meshheading:19197945-Humans,
pubmed-meshheading:19197945-Likelihood Functions,
pubmed-meshheading:19197945-Logistic Models,
pubmed-meshheading:19197945-Male,
pubmed-meshheading:19197945-Middle Aged,
pubmed-meshheading:19197945-Substance Withdrawal Syndrome,
pubmed-meshheading:19197945-Young Adult
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pubmed:year |
2009
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pubmed:articleTitle |
Towards DSM-V: considering other withdrawal-like symptoms of pathological gambling disorder.
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pubmed:affiliation |
George Warren Brown School of Social Work, Washington University, St Louis, Missouri, USA. williamsr@wustl.edu
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pubmed:publicationType |
Journal Article,
Research Support, N.I.H., Extramural
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