Intergenerational Childhood Maltreatment in Persons with DSM-IV Pathological Gambling and Their First-Degree Relatives

Samuel K Shultz; Martha Shaw; Brett McCormick; Jeff Allen; Donald W Black

doi:10.1007/s10899-015-9588-0

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Intergenerational Childhood Maltreatment in Persons with DSM-IV Pathological Gambling and Their First-Degree Relatives

Journal article

Peer reviewed

Intergenerational Childhood Maltreatment in Persons with DSM-IV Pathological Gambling and Their First-Degree Relatives

Samuel K Shultz, Martha Shaw, Brett McCormick, Jeff Allen and Donald W Black

Journal of gambling studies, Vol.32(3), pp.877-887

09/2016

DOI: 10.1007/s10899-015-9588-0

PMCID: PMC4939131

PMID: 26749583

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Abstract

This study investigates the characteristics of individuals with DSM-IV pathological gambling (PG) who experienced childhood maltreatment and rates of maltreatment occurring in their first-degree relatives (FDRs). 94 subjects with DSM-IV PG, 91 controls, and 312 FDRs were assessed for childhood maltreatment as part of a family study of PG. Maltreatment was evaluated using the Revised Childhood Experiences Questionnaire. The Family Assessment Device was used to evaluate the functionality of the PG subject's (or control's) family of origin. Data were analyzed using logistic regression by the method of generalized estimating equations. Rates of maltreatment were significantly higher in subjects with PG than controls (61 vs. 25 %, P < 0.001). Subjects with PG who experienced maltreatment were more likely to be female, had more severe PG symptoms, had co-occurring mood and anxiety disorders, and reported greater early family life dysfunction than those with PG who did not experience maltreatment. Rates of maltreatment were higher in FDRs of PG subjects than controls (41 vs. 24 %, P = .002). Rates in FDRs of individuals with PG who experienced maltreatment themselves were still higher that in FDRs of those with PG who did not experience maltreatment (50 vs. 28 %, P = .009). The former were also more likely to have anxiety disorders, substance use disorders, and suicide attempts. The results suggest that childhood maltreatment in persons with PG is common and intergenerational. Rates of maltreatment in FDRs of PG subjects are high, particularly among those who experienced abuse. The implications of the findings are discussed.

Comorbidity

Adult

Adult Survivors of Child Abuse - psychology

Adult Survivors of Child Abuse - statistics & numerical data

Child

Diagnostic and Statistical Manual of Mental Disorders

Female

Gambling - epidemiology

Gambling - psychology

Humans

Intergenerational Relations

Male

Middle Aged

Parent-Child Relations

Substance-Related Disorders - epidemiology

Suicide, Attempted - statistics & numerical data

Surveys and Questionnaires

Details

Title: Subtitle: Intergenerational Childhood Maltreatment in Persons with DSM-IV Pathological Gambling and Their First-Degree Relatives
Creators: Samuel K Shultz - University of Iowa
Martha Shaw - Roy J. and Lucille A. Carver College of Medicine
Brett McCormick - Roy J. and Lucille A. Carver College of Medicine
Jeff Allen - University of Iowa
Donald W Black - Roy J. and Lucille A. Carver College of Medicine
Resource Type: Journal article
Publication Details: Journal of gambling studies, Vol.32(3), pp.877-887
DOI: 10.1007/s10899-015-9588-0
PMID: 26749583
PMCID: PMC4939131
ISSN: 1050-5350
eISSN: 1573-3602
Grant note: R01 DA021361 / NIDA NIH HHS R01 AG037132 / NIA NIH HHS
Language: English
Date published: 09/2016
Academic Unit: Psychiatry
Record Identifier: 9984296358902771

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