Age at onset of DSM-IV pathological gambling in a non-treatment sample: Early- versus later-onset

Donald W Black; Martha Shaw; William Coryell; Raymond Crowe; Brett McCormick; Jeff Allen

doi:10.1016/j.comppsych.2015.04.007

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Age at onset of DSM-IV pathological gambling in a non-treatment sample: Early- versus later-onset

Journal article

Peer reviewed

Age at onset of DSM-IV pathological gambling in a non-treatment sample: Early- versus later-onset

Donald W Black, Martha Shaw, William Coryell, Raymond Crowe, Brett McCormick and Jeff Allen

Comprehensive psychiatry, Vol.60, pp.40-46

07/2015

DOI: 10.1016/j.comppsych.2015.04.007

PMCID: PMC4459896

PMID: 25956751

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https://doaj.org/article/402fc3825968444892fce4e318a20a7eView

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Abstract

Pathological gambling (PG) is a prevalent and impairing public health problem. In this study we assessed age at onset in men and women with PG and compared the demographic and clinical picture of early- vs. later-onset individuals. We also compared age at onset in PG subjects and their first-degree relatives with PG. Subjects with DSM-IV PG were recruited during the conduct of two non-treatment clinical studies. Subjects were evaluated with structured interviews and validated questionnaires. Early-onset was defined as PG starting prior to age 33years. Age at onset of PG in the 255 subjects ranged from 8 to 80years with a mean (SD) of 34.0 (15.3) years. Men had an earlier onset than women. 84% of all subjects with PG had developed the disorder by age 50years. Early-onset subjects were more likely to be male, to prefer action games, and to have substance use disorders, antisocial personality disorder, attention deficit/hyperactivity disorder, trait impulsiveness, and social anxiety disorder. Later-onset was more common in women and was associated with a preference for slots and a history of sexual abuse. Age at onset of PG is bimodal and differs for men and women. Early-onset PG and later-onset PG have important demographic and clinical differences. The implications of the findings are discussed.

Family - psychology

Impulsive Behavior

Diagnostic and Statistical Manual of Mental Disorders

Age Distribution

Prevalence

Comorbidity

Humans

Middle Aged

Anxiety Disorders - epidemiology

Male

Substance-Related Disorders - epidemiology

Age of Onset

Sex Factors

Adult

Female

Iowa - epidemiology

Surveys and Questionnaires

Antisocial Personality Disorder - epidemiology

Gambling - epidemiology

Attention Deficit Disorder with Hyperactivity - epidemiology

Details

Title: Subtitle: Age at onset of DSM-IV pathological gambling in a non-treatment sample: Early- versus later-onset
Creators: Donald W Black - Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242. Electronic address: donald-black@uiowa.edu
Martha Shaw - Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242
William Coryell - Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242
Raymond Crowe - Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242
Brett McCormick - Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242
Jeff Allen - Department of Psychiatry, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA, 52242
Resource Type: Journal article
Publication Details: Comprehensive psychiatry, Vol.60, pp.40-46
DOI: 10.1016/j.comppsych.2015.04.007
PMID: 25956751
PMCID: PMC4459896
NLM abbreviation: Compr Psychiatry
ISSN: 0010-440X
eISSN: 1532-8384
Publisher: United States
Grant note: R01DA021361 / NIDA NIH HHS R01 DA021361 / NIDA NIH HHS R01 AG037132 / NIA NIH HHS R01AG037132 / NIA NIH HHS
Language: English
Date published: 07/2015
Academic Unit: Psychiatry
Record Identifier: 9984003485202771

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