Comorbidity of impulse control disorders in pathological gamblers
Article first published online: 31 JUL 2003
Acta Psychiatrica Scandinavica
Volume 108, Issue 3, pages 203–207, September 2003
How to Cite
Grant, J. E. and Kim, S. W. (2003), Comorbidity of impulse control disorders in pathological gamblers. Acta Psychiatrica Scandinavica, 108: 203–207. doi: 10.1034/j.1600-0447.2003.00162.x
- Issue published online: 31 JUL 2003
- Article first published online: 31 JUL 2003
- Accepted for publication April 14, 2003
- impulse control disorders;
Objective: To investigate the rate of impulse control disorders among pathological gamblers and examine the relationship of comorbidity to gambling severity.
Method: Ninety-six adult pathological gamblers [mean age: 46.7 ± 11.0 years; female: 44 (45.8%)] completed the following: Minnesota Impulsive Disorders Interview, Yale-Brown Obsessive–Compulsive Scale Modified for Pathological Gambling, and Gambling Symptom Assessment Scale.
Results: Twenty-two subjects (22.9%) reported a comorbid impulse control disorder, most commonly compulsive sexual behaviour and compulsive buying. Subjects with comorbidity reported significantly greater intensity of urges (t = −2.021; df = 94; P = 0.046) and thoughts (t = −2.147; df = 42.3; P = 0.038) related to gambling, and greater interference (t = −3.913; df = 48.1; P < 0.001) and distress (t = −2.504; df = 52.7; P = 0.015) secondary to gambling urges and thoughts.
Conclusion: Impulse control disorders appear common among pathological gamblers and are associated with more severe gambling symptoms.