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Male and Female Pathological Gamblers: Bet in a Different Way and Show Different Mental Disorders

Published online by Cambridge University Press:  29 December 2014

Dominica Díez*
Affiliation:
Universitat Autónoma de Barcelona (Spain)
Núria Aragay
Affiliation:
Consorci Sanitari de Terrassa (Spain)
Mercè Soms
Affiliation:
XSM-Institut d’Assistència Sanitària de Girona (Spain)
Gemma Prat
Affiliation:
Fundació Althaia, Xarxa Assistencial Universitària de Manresa (Spain)
Miquel Casas
Affiliation:
Universitat Autónoma de Barcelona (Spain)
*
*Correspondence concerning this article should be addressed to Dominica Díez Marcet. Edifici Cesam. Divisió de Salut Mental. Fundació Althaia. Xarxa Assistencial Universitària de Manresa. c/ Dr. Llatjós s/n. 08243. Manresa (Spain). E-mail: [email protected]

Abstract

Although in the last years several studies comparing male and female pathological gamblers have been published, most of them have been carried out using only samples of males. The aim of this study was to investigate gender differences in a sample of subjects diagnosed with pathological gambling (PG) attending three specialized outpatient units. Retrospective study was carried out of 96 patients (49% female and 51% male), comparing the main socio-demographic, clinical, and behavioral data. Most subjects (94%) met the criteria for pathological gambling. No significant differences between sexes were found in the severity of gambling behavior or the socio-demographic variables studied. Whereas slot machines were the main type of game for most subjects, a higher percentage of women were addicted to bingo (χ2(1, 4) = 5.19, p = .029 Cohen’s d = 0.48) and had more than one type of game as a secondary addiction χ2(1, 4) = 7.63, p = .006; Cohen’s d = 0.59) . Women started gambling at a later age than men (t (94) = 2.95, p = .004; Cohen’s d = 0.60), but developed a pattern of addiction faster ( t (94) = 2.95, p = .004; Cohen’s d = –0.61) . Women also had higher comorbidity with other psychiatric disorders (χ2(1) = 7.28, p = .007; Cohen’s d = 0.57), specifically with affective (χ2(1) = 11.31, p = .001; Cohen’s d = 0.73) and personality disorders (χ2(1) = 4.71, p = .030; Cohen’s d = 0.45). Our results indicate the existence of differences between women and men in the pattern of gambling behavior and in psychiatric comorbidity. These aspects should be considered in the design of treatment programs for pathological gamblers.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2014 

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References

Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., …Volleberg, W. A. (2004). Prevalence of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinava, 420, 2127.Google Scholar
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR (4 th Rev. Ed., pp. 671674). Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-V (5 th Text Rev.). Washington, DC: American Psychiatric Association.Google Scholar
Becoña, E. (2004). Prevalencia del juego patológico en Galicia mediante el NODS. ¿Descenso de la prevalencia o mejor evaluación del trastorno? [Prevalence of pathological gambling in Galicia by NODS. ¿Decreased prevalence or better assessment of the condition?] Adicciones, 16, 173184.Google Scholar
Blanco, C., Hasin, D. S., Petry, N., Stinson, F. S., & Grant, B. F. (2006). Sex differences in subclinical and DSM-IV pathological gambling: Results from the National epidemiologic survey on alcohol and related conditions. Psychological Medicine, 36, 943953. http://dx.doi.org/10.1017/S0033291706007410 CrossRefGoogle ScholarPubMed
Real Decreto-Ley, de 7 de marzo, por el que se regulan los aspectos penales, administrativos y fiscales de los juegos de suerte, envite o azar y apuestas [Royal Decree of 7 March, the criminal, administrative and fiscal aspects of the games of chance, wager or gambling and betting are regulated], Boletín Oficial del Estado 56, 53025304 (1977).Google Scholar
Boughton, R., & Falenchuk, O., (2007). Vulnerability and comorbidity factors of female problem gambling. Journal of Gambling Studies, 23, 323334. http://dx.doi.org/10.1007/s10899-007-9056-6 CrossRefGoogle ScholarPubMed
De Corral, P., Echeburúa, E., & Irureta, M. (2005). Perfil psicopatológico diferencial de las mujeres ludópatas: Implicaciones para el tratamiento. [Differential psychopathological profile of women gamblers: Implications for the treatment]. Análisis y modificación de Conducta, 31, 539556.CrossRefGoogle Scholar
Desai, R. A., & Potenza, M. N. (2008). Gender differences in the associations between past-year gambling problems and psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology, 43, 173183. http://dx.doi.org/10.1007/s00127-007-0283-z Google Scholar
Echeburúa, E., (2005) Retos de futuro en el tratamiento del juego patológico. [Future challenges in the treatment of pathological gambling]. Adicciones, 17, 1116.CrossRefGoogle Scholar
Echeburúa, E., González-Ortega, I., De Corral, P., & Polo, R. P. (2011). Clinical gender differences among adult pathological gamblers seeking treatment. Journal of Gambling Studies, 27, 215227. http://dx.doi.org/10.1007/s10899-010-9205-1 Google Scholar
Fong, T. E. (2005). The vulnerable faces of pathological gambling. Psychiatry, 2, 3442.Google ScholarPubMed
González-Ortega, I., Echeburúa, E., Corral, P., Polo-López, R., & Alberich, S. (2013). Predictors of pathological gambling severity taking gender differences into account. European Addiction Research, 19, 146154. http://dx.doi.org/10.1159/000342311 Google Scholar
Granero, R., Penelo, E., Martínez-Giménez, R., Alvarez-Moya, E. M., Aymamí, N., Bueno, B., … Jiménez-Murcia, (2009). Sex differences among treatment-seeking adult pathologic gamblers. Comprehensive Psychiatry, 50, 173180. http://dx.doi.org/10.1016/j.comppsych.2008.07.005 Google Scholar
Grant, J. E., & Kim, S. W. (2002). Gender differences in pathological gamblers seeking medication treatment. Comprehensive Psychiatry, 43, 5662. http://dx.doi.org/10.1053/comp.2002.29857 Google Scholar
Grant, J. E., Kim, S. W., Odlaug, B. L., Buchanan, S. N., & Potenza, M. N. (2009). Late-onset pathological gambling: Clinical correlates and gender differences. Journal of Psychiatric Research, 43, 380387. http://dx.doi.org/10.1016/j.jpsychires.2008.04.005 Google Scholar
Greenfield, S. K., Back, S. E., Lawson, K., & Brady, K. T., (2010). Substance abuse in women. Psychiatric Clinics of North America, 33, 339355. http://dx.doi.org/10.1016/j.psc.2010.01.004 CrossRefGoogle ScholarPubMed
Haro, J. M., Palacín, C., Vilagut, G., Martínez, M., Berbal, M., Luque, I., … Alonso, J. (2006). Prevalencia de los trastornos mentales y factores asociados: Resultados del estudio ESEMeD-España. [Prevalence of mental disorders and associated factors: results ESEMeD-Spain study] Medicina clínica, 126, 445451. http://dx.doi.org/10.1157/13086324 Google Scholar
Ibáñez, A., Blanco, C., Donahue, E., Lesieur, H., Pérez de Castro, I., Fernández-Piqueras, J., & Saiz, J. (2001). Psychiatric comorbidity in pathological gamblers seeking treatment. American Journal of Psychiatry, 158, 17331735. http://dx.doi.org/10.1176/appi.ajp.158.10.1733 Google Scholar
Kessler, R. C., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N. A., Winters, K. C., & Shaffer, H. J. (2008). The prevalence and correlates of DSM-IV pathological gambling in the national comorbidity survey replication. Psychological Medicine, 38, 13511360. https://xpv.uab.cat/10.1017/,DanaInfo=.adyBgsnFvzp+S0033291708002900 CrossRefGoogle ScholarPubMed
Ladd, G. T., & Petry, N. M. (2002). Gender differences among pathological gamblers seeking treatment. Experimental Clinical Psychopharmacology, 10, 302309. http://dx.doi.org/10.1037/1064-1297.10.3.302 Google Scholar
LaPlante, D. A., Nelson, S. E., LaBrie, R. A., & Shaffer, H. J. (2006). Men & Women gambling games: Gender and the gambling preferences of Iowa gambling treatment program participants. Journal of Gambling Studies, 22, 6580. http://dx.doi.org/10.1007/s10899-005-9003-3 Google Scholar
Lesieur, H. R., & Blume, S. B. (1991). When lady luck loses: Women and compulsive gambling. In Van Den Bergh, N. (Ed.) Feminist perspectives on addictions. New York, NY: Springer.Google Scholar
Lisansky, E. S. (1957). Alcoholism in women: Social and psychological concomitants. Quaterly Journal of Studies on Alcohol, 18, 588623.Google Scholar
Martins, S. S., Tavares, H., da Silva Lobo, D. S., Galetti, A. M., & Gentil, V. (2004). Pathological gambling, gender, and risk-taking behaviors. Addictive Behaviours, 29, 12311235. http://dx.doi.org/10.1016/j.addbeh.2004.03.023 CrossRefGoogle ScholarPubMed
Petry, N., Stinson, F., & Grant, B. (2005). Pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66, 564574.Google Scholar
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, 15001505. http://dx.doi.org/10.1176/appi.ajp.158.9.1500 Google Scholar
Tavares, H., Martins, S. S., Lobo, D. S. S., Silveira, C. M., Gentil, V., & Hodgins, D. C. (2003). Factors at play in faster progression for female pathological gamblers: An exploratory analysis. Journal of Clinical Psychiatry, 64, 433438. http://dx.doi.org/10.4088/JCP.v64n0413 Google Scholar
Tavares, H., Zilberman, M. L., Beites, F. J., & Gentil, V. (2001). Gender differences in gambling progression. Journal of Gambling Studies, 17, 151159. http://dx.doi.org/10.1023/A:1016620513381 Google Scholar
Toce-Gerstein, M., Gerstein, D. R., & Volberg, R. A. (2003). A hierarchy of gambling disorders in the community. Addiction, 98, 16611672. http://dx.doi.org/10.1111/j.1360-0443.2003.00545.x Google Scholar
World Health Organization (1992). International statistical classification of diseases and related health problems: ICD-10 (10 th Rev., Vol. 1, pp. 364) Geneva, Switzerland: World Health Organization.Google Scholar
Williams, R. J., Volberg, R. A., & Stevens, R. M. G. (2012). The population prevalence of problem gambling: Methodological influences, standardized rates, jurisdictional differences, and worldwide trends. Report prepared for the Ontario Problem Gambling Research Centre and the Ontario Ministry of Health and Long Term Care. May 8, 2012. Alberta Gambling Research Institute University of Lethbridge, Alberta, Canada. Retrieved from http://hdl.handle.net/10133/3068 Google Scholar