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dc.contributor.authorGrant, Jon Een
dc.contributor.authorOdlaug, Brian Len
dc.contributor.authorChamberlain, Samuelen
dc.date.accessioned2017-03-30T14:30:46Z
dc.date.available2017-03-30T14:30:46Z
dc.date.issued2017-05en
dc.identifier.issn0010-440X
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/263363
dc.description.abstract$\textit{Introduction}$ Gambling disorder (GD) is a prevalent psychiatric condition whose severity is typically defined by the number of DSM-5 criteria met out of a maximum of nine. The relationships between the levels of gambling severity, thus defined, and other measures of psychopathology and everyday functioning are clinically important. $\textit{Methods}$ Baseline data were collected in patients with GD, conducted from 2001 to 2016. Participants completed clinical interviews and questionnaires. The impact of disease severity (mild, moderate, and severe) on clinical measures was characterized using analysis of variance models. $\textit{Results}$ The sample included 574 adults with GD, of whom 73 (12.7%) had mild, 184 (32.1%) moderate, and 317 (55.2%) severe GD. The moderate and severe cases, compared to mild severity group tended be older, had later age of onset, lost more money to gambling in the preceding year, had worse quality of life, had higher state anxiety and depressive scores, consumed more nicotine via smoking per day, and had lower venturesomeness scores. The moderate and severe groups did not differ significantly on these measures, however. The Yale–Brown Obsessive Compulsive Scale modified for Pathological Gambling (PG-YBOCS) discriminated significantly between all three groups. $\textit{Conclusions}$ Several measures of psychopathology and functional impact of gambling symptoms appear similar between moderate and severe GD cases, while mild cases are clearly differentiated from moderate and severe cases. Thus, the current working definition of GD symptom severity boundaries has important limitations in terms of potential clinical utility.
dc.description.sponsorshipWellcome Trust
dc.format.mediumPrint-Electronicen
dc.languageengen
dc.language.isoenen
dc.publisherElsevier
dc.subjectHumansen
dc.subjectSeverity of Illness Indexen
dc.subjectAnalysis of Varianceen
dc.subjectDepressionen
dc.subjectGamblingen
dc.subjectAnxiety Disordersen
dc.subjectPsychiatric Status Rating Scalesen
dc.subjectDiagnostic and Statistical Manual of Mental Disordersen
dc.subjectAdulten
dc.subjectMiddle Ageden
dc.subjectFemaleen
dc.subjectMaleen
dc.subjectSymptom Assessmenten
dc.subjectSurveys and Questionnairesen
dc.titleGambling disorder, DSM-5 criteria and symptom severity.en
dc.typeArticle
prism.endingPage5
prism.publicationDate2017en
prism.publicationNameComprehensive psychiatryen
prism.startingPage1
prism.volume75en
dc.identifier.doi10.17863/CAM.8703
dcterms.dateAccepted2017-02-16en
rioxxterms.versionofrecord10.1016/j.comppsych.2017.02.006en
rioxxterms.versionAMen
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2017-05en
dc.contributor.orcidChamberlain, Samuel [0000-0001-7014-8121]
dc.identifier.eissn1532-8384
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idWELLCOME TRUST (110049/Z/15/Z)
rioxxterms.freetoread.startdate2018-02-21


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