Abstract
This study examined the association between pre- or early-adolescent onset of gambling and severity of gambling and psychosocial problems in treatment-seeking adult pathological gamblers. A total of 236 pathological gamblers entering outpatient treatment completed the South Oaks Gambling Screen (SOGS) and the Addiction Severity Index (ASI). Using a quartile split procedure, gamblers who began gambling during their pre- or early-adolescent years (mean age of 10.5 years; 1st quartile) were compared to gamblers who began gambling later in life (mean age of 23.0 years; 2nd to 4th quartiles). Compared to later onset gamblers, pre/early adolescent onset gamblers reported increased severity of psychiatric, family/social, and substance abuse problems on the ASI. They were more likely to report cognitive problems (trouble understanding, concentrating, or remembering), suicidal ideation, and a history of inpatient psychiatric treatment, and were less likely to be satisfied with their current living situation. Pre/early adolescent onset gamblers also reported earlier age of initiation of drinking, and were more likely to have received treatment for an alcohol use disorder, and to have used cannabis and cocaine in their lifetimes. Taken together, these data suggest that pre/early adolescent-onset of gambling may be a risk factor for later-life psychiatric, family/social, and substance abuse problems in treatment-seeking pathological gamblers.
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Alterman, A. I., McDermott, P. A., Cook, T. G., Cacciola, J. S., McKay, J. R., McLellan, A. T., & Rutherford, M. J. (2000) Generalizability of the clinical dimensions of the Addiction Severity Index to nonopioid-dependent patients. Psychology of Addictive Behaviors, 14, 287–294.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: American Psychiatric Association.
Black, D. W., & Moyer, T. (1998). Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior. Psychiatric Services, 49, 1434–1439.
Bland, R. C., Newman, S. C., Orn, H., & Stebelsky, G. (1993). Epidemiology of pathological gambling in Edmonton. Canadian Journal of Psychiatry, 38, 108–112.
Burge, A. N., Pietrzak, R. H., Molina, C. A., & Petry, N. M. (2004). Age of gambling initiation and severity of gambling and health problems among older adult problem gamblers. Psychiatric Services, 55, 1437–1439.
Chou, S. P., & Pickering, R. P. (1992). Early onset of drinking as a risk factor for lifetime alcohol-related problems. British Journal of Addiction, 87, 1199–1204.
Cunningham-Williams, R. M., Cottler, L. B., Compton, W. M., & Spitznagel, E. L. (1998). Taking chances: Problem gamblers and mental health disorder – results from the St Louis Epidemiologic Catchment Area Study. American Journal of Public Health, 88, 1093–1096.
Dell, L., Ruzicka, M. F., & Palisi, A. T. (1981). Personality and other factors associated with gambling addiction. International Journal of Addictions, 16, 149–156.
DeWit, D. J., Adlaf, E. M., Offord, D. R., & Ogborne, A. C. (2000). Age at first alcohol use: A risk factor for the development of alcohol disorders. American Journal of Psychiatry, 157, 745–750.
Felsher, J. R., Derevensky, J. L., & Gupta, R. (2004). Lottery playing amongst youth: Implications for prevention and social policy. Journal of Gambling Studies, 20, 127–153.
Gerstein, D. R., Volberg, R. A., Toce, M. T., Harwood, H., Johnson, R. A., Buie, T., Christiansen, E., Chuchro, L., Cummings, W., Engelman, L., Hill, M. A., Hoffmann, J., Larison, C., Murphy, S. A., Palmer, A., Sinclair, S., Tucker, A. (1999). Gambling impact and behavior study. Report to the National Gambling Impact Study Commission. Chicago, IL: National Opinion Research Center.
Grant, B. F. (1997). Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. Journal of Studies on Alcohol, 58, 463–473.
Grant, B. F., & Dawson, D. A. (1997). Age at onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: Results from the National Longitudinal Alcohol Epidemiologic Survey. Journal of Substance Abuse, 9, 103–110.
Gruber, E., DiClemente, R. J., Anderson, M. M., & Lodico, M. (1996). Early drinking onset and its association with alcohol use and problem behavior in late adolescence. Preventive Medicine, 25, 293–300.
Gupta, R., & Derevensky, J. L. (1998). Adolescent gambling behaviour: A prevalence study and examination of the correlates associated with problem gambling. Journal of Gambling Studies, 14, 319–343.
Hardoon, K. K., & Derevensky, J. L. (2001). Social influences involved in children’s gambling behavior. Journal of Gambling Studies, 17, 191–215.
Hardoon, K. K., Gupta, R., & Derevensky, J. L. (2004). Psychosocial variables associated with adolescent gambling. Psychology of Addictive Behaviors, 18, 170–179.
Hawkins, J. D., Graham, J. W., Maguin, E., Abbott, R., Hill, K. G., & Catalano, R. F. (1997). Exploring the effects of age of alcohol use initiation and psychosocial risk factors on subsequent alcohol misuse. Journal of Studies on Alcohol, 58, 280–290.
Hollander, E., Buchalter, A. J., & DeCaria, C. M. (2000). Pathological gambling. Psychiatric Clinics of North America, 23, 629–642.
Jacobs, D. F. (2000). Juvenile gambling in North America: An analysis of long term trends and future prospects. Journal of Gambling Studies, 16, 119–152.
Kausch, O. (2003). Patterns of substance abuse among treatment-seeking pathological gamblers. Journal of Substance Abuse Treatment, 25, 263–270.
Ladd, G. T., & Petry, N. M. (2002). Gender differences among pathological gamblers seeking treatment. Experimental and Clinical Psychopharmacology, 10, 302–309.
Ladd, G. T., & Petry, N. M. (2003). A comparison of pathological gamblers with and without substance abuse treatment histories. Experimental and Clinical Psychopharmacology, 11, 202–209.
Lesieur, H. R., & Blume, S. B. (1991). Evaluation of patients treated for pathological gambling in a combined alcohol, substance abuse and pathological gambling treatment unit using the Addiction Severity Index. British Journal of Addiction, 86, 1017–1028.
Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.
Lesieur, H. R., Blume, S. B., & Zoppa, R. M. (1986). Alcoholism, substance abuse, and gambling. Alcoholism Clinical and Experimental Research, 10, 33–38.
Linden, R. D., Pope, H. G., & Jonas, J. M. (1986). Pathological gambling and major affective disorder: Preliminary findings. Journal of Clinical Psychiatry, 47, 201–203.
Lynch, W. J., Maciejewski, P. K., & Potenza, M. N. (2004). Psychiatric correlates of gambling in adolescents and young adults grouped by age at gambling onset. Archives of General Psychiatry, 61, 1116–1122.
Maddux, J. F., & Desmond, D. P. (1980). New light on the maturing out hypothesis in opioid dependence. Bulletin on Narcotics, 32, 15–25.
McCormick, R. A., Russo, A. M., Ramirez, L. F., & Taber, J. I. (1984). Affective disorders among pathological gamblers seeking treatment. American Journal of Psychiatry, 141, 215–218.
McLellan, A. T., Luborsky, L., Cacciola, J., Griffith, J., Evans, F., Barr, H. L., & O’Brien, C. P. (1985). New data from the Addiction Severity Index Reliability and validity in three centers. Journal of Nervous and Mental Disease, 173, 412–423.
Muelleman, R. L., DenOtter, T., Wadman, M. C., Tran, T. P., & Anderson, J. (2002). Problem gambling in the partner of the emergency department patient as a risk factor for intimate partner violence. Journal of Emergency Medicine, 23, 307–312.
Oxford, M. L., Harachi, T. W., Catalano, R. F., & Abbott, R. D. (2001). Preadolescent predictors of substance initiation: A test of both the direct and mediated effect of family/social control factors on deviant peer associations and substance initiation. American Journal of Drug and Alcohol Abuse, 27, 599–616.
National Gambling Impact Study Commission. (1999). Final report. Washington, DC: Government Printing Office.
National Research Council. (1999). Pathological gambling: A critical review. Washington, DC: National Academy Press.
Petry, N. M. (2005). Stages of change in treatment-seeking pathological gamblers. Journal of Consulting and Clinical Psychology, 73, 312–322.
Petry, N. M. (2003). Validity of a gambling scale for the addiction severity index. Journal of Nervous and Mental Disease, 191, 399–407.
Petry, N. M., & Kiluk, B. D. (2002). Suicidal ideation and suicide attempts in treatment-seeking pathological gamblers. Journal of Nervous and Mental Disease, 190, 462–469.
Petry, N. M., & Pietrzak, R. H. (2004). Comorbidity of substance use and gambling disorders. In H. R. Kranzler, J. Tinsley (Eds.), Dual diagnosis and psychiatric treatment: Substance abuse and comorbid disorders (pp. 437–459). New York: Marcel Dekker.
Potenza, M. N., Steinberg, M. A., McLaughlin, S. D., Wu, R., Rounsaville, B. J., & O’Malley, S. S. (2001). Gender-related differences in the characteristics of problem gamblers using a gambling helpline. American Journal of Psychiatry, 158, 1500–1505.
Schutte, K. K., Brennan, P. L., & Moos, R. H. (1994). Remission of late-life drinking problems: A 4-year follow-up. Alcoholism Clinical and Experimental Research, 18, 835–844.
Shaffer, H. J., & Hall, M. N. (1996). Estimating the prevalence of adolescent gambling disorders: A quantitative synthesis and guide toward standard gambling nomenclature. Journal of Gambling Studies, 12, 193–214.
Shaffer, H. J., Hall, M. N., & Vander Bilt, J. (1999). Estimating the prevalence of disordered gambling behavior in the United States and Canada: A research synthesis. American Journal of Public Health, 89, 1369–1376.
Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York: Harper Collins.
Tonneatto, T., & Brennan, J. (2002). Pathological gambling in treatment-seeking substance abusers. Addictive Behaviors, 27, 465–469.
Vachon, J., Vitaro, F., Wanner, B., & Tremblay, R. E. (2004). Adolescent gambling: Relationships with parent gambling and parenting practices. Psychology of Addictive Behaviors, 18, 398–401.
Volberg, R. A. (1994). The prevalence and demographics of pathological gamblers: Implications for public health. American Journal of Public Health, 84, 237–241.
Weisner, C., McLellan, A. T., & Hunkeler, E. M. (2000). Addiction severity index data from general membership and treatment samples of HMO members One case of norming the ASI. Journal of Substance Abuse Treatment, 19, 103–109.
Welte, J. W., Barnes, G., Wieczorek, W., Tidwell, M. C., & Parker, J. (2001). Alcohol and gambling pathology among US adults: Prevalence, demographic patterns and comorbidity. Journal of Studies on Alcohol, 62, 706–712.
Welte, J. W., Barnes, G. M., Wieczorek, W. F., Tidwell, M. C., & Parker, J. C. (2004). Risk factors for pathological gambling. Addictive Behaviors, 29, 323–335.
Westphal, J. R., Rush, J. A., Stevens, L., & Johnson, L. J. (2000). Gambling behavior in Louisiana students in grades 6 through 12. Psychiatric Services, 51, 96–99.
Winters, K. C., Stinchfield R. D., Botzet A., & Anderson, N. (2002). A prospective study of youth gambling behaviors. Psychology of Addictive Behaviors, 16, 3–9.
Wynne, H. J., Smith G. J., & Jacobs, D. F. (1996). Adolescent gambling and problem gambling in Alberta. Prepared for the Alberta Alcohol and Drug Abuse Commission. Edmonton: Wynne Resources.
Acknowledgements
This study was supported in part by NIH grants R01-MH60417, R01-MH60417-Supp, R01-DA13444, R01-DA14618, R29-DA12056, P50-AA03510, P50-DA09241 and the Patrick and Catherine Weldon Donaghue Medical Research Foundation Investigator Program. The authors thank Yola Ammerman, Heather Gay, and Cheryl Molina for their assistance in data collection and management.
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Burge, A.N., Pietrzak, R.H. & Petry, N.M. Pre/Early Adolescent Onset of Gambling and Psychosocial Problems in Treatment-Seeking Pathological Gamblers. J Gambl Stud 22, 263–274 (2006). https://doi.org/10.1007/s10899-006-9015-7
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DOI: https://doi.org/10.1007/s10899-006-9015-7