Subtypes of disordered gamblers: results from the National Epidemiologic Survey on Alcohol and Related Conditions
Article first published online: 3 JAN 2013
© 2012 The Authors, Addiction © 2012 Society for the Study of Addiction
Volume 108, Issue 4, pages 789–798, April 2013
How to Cite
Nower, L., Martins, S. S., Lin, K.-H. and Blanco, C. (2013), Subtypes of disordered gamblers: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Addiction, 108: 789–798. doi: 10.1111/add.12012
- Issue published online: 18 MAR 2013
- Article first published online: 3 JAN 2013
- Accepted manuscript online: 16 OCT 2012 08:35AM EST
- Manuscript Accepted: 1 OCT 2012
- Manuscript Revised: 28 NOV 2011
- Manuscript Received: 21 AUG 2011
- NIH. Grant Numbers: DA019606, DA020783, DA023200, DA023973, MH082773, DA02066&, DA023434, HD060772
- gambling disorder;
- problem or pathological gambling;
- survey research
To derive empirical subtypes of problem gamblers based on etiological and clinical characteristics described in the Pathways Model, using data from a nationally representative survey of US adults.
Design & measurement
Data were collected from structured diagnostic face-to-face interviews using the Alcohol Use Disorder and Associated Disabilities Interview Schedule DSM-IV version IV (AUDADIS-IV).
The study utilized data from US National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).
All disordered gambling participants (n = 581) from a nationally representative cross-sectional sample of civilian non-institutionalized adults aged 18 years or older.
Latent class analyses indicated that the best-fitting model was a three-class solution. Those in the largest class (class 1: 50.76%, n = 295) reported the lowest overall levels of psychopathology including gambling problem severity and mood disorders. In contrast, respondents in class 2 (20.06%, n = 117) had a high probability of endorsing past-year substance use disorders, moderate probabilities of having parents with alcohol/drug problems and of having a personality disorder, and the highest probability for past-year mood disorders. Respondents in class 3 (29.18%, n = 169) had the highest probabilities of personality and prior-to-past year mood disorders, substance use disorders, separation/divorce, drinking-related physical fights and parents with alcohol/drug problems and/or a history of antisocial personality disorder (ASPD).
Three subtypes of disordered gamblers can be identified, roughly corresponding to the subtypes of the Pathways Model, ranging from a subgroup with low levels of gambling severity and psychopathology to one with high levels of gambling problem severity and comorbid psychiatric disorders.