Gambling problem symptom patterns and stability across individual and timeframe.

Abstract

Few studies investigate gambling problems at the symptom level; even fewer investigate how symptom patterns change throughout the course of a gambling disorder. The current study utilized the National Epidemiological Survey on Alcohol and Related Conditions (NESARC; Grant et al., 2004) to investigate how the specific symptoms of disordered gambling relate to its severity and course. Results demonstrated that symptom patterns and stability changed as the number of symptoms endorsed increased. Symptom patterns varied considerably from prior to past year (PPY) to past year (PY) timeframes. Certain symptoms were more stable than others and held predictive value as markers of emerging pathological gambling (PG). In particular, gambling to escape problems was one of the most stable symptoms and also predictive of progression to PG; reliance on others to support gambling was predictive of progression to PG among participants at-risk for PG. The differential diagnostic value of various reported symptoms, as well as their lack of stability, has implications for both researchers and clinicians.

Reconceptualizing anhedonia: novel perspectives on balancing the pleasure networks in the human brain

“…Generally speaking, anhedonia can be expressed differently across individual patients (sometimes even across time within the same patient as seen most clearly in bipolar disorder, but also in other disorders such as addiction (Nelson et al, 2009)). Importantly, there are also clear differences between the imbalances across psychiatric disorders (as illustrated above), suggesting that anhedonia is a complex psychological process, which consists of several subcomponents, similar to reward (Berridge and Kringelbach, 2008).…”

“…As such it offers a number of potential test instruments that could be more reliable and specific than the existing self-report questionnaires for anhedonia. These tests may offer greater specificity in diagnosing anhedonia in many heterogeneous psychological disorders, where symptoms may be expressed differently across people, or even differently across time within the same individual (Nelson et al, 2009). …”

Depression among children at shelter care institutions in Terengganu Malaysia

“…[16] Research state that, these tests may offer greater specificity in diagnosing anhedonia in many heterogeneous psychological disorders, where symptoms may be expressed differently across people, or even differently across time within the same individual. [17] Next, the low level shows the second-highest result that is 88.79% of the ineffectiveness factor. Four questions represent this kind of factor.…”

Cuestionario breve de juego patológico en estudiantes colombianos: propiedades psicométricas

“…Otros instrumentos de evaluación del JP son, entre otros, el Adicction Severity Index (Petry, Rash, & Blanco, 2010;Ledgerwoord & Petry, 2010); el AUDADIS-IV (Grant, Dawson et al, como se citó en Nelson, Gebauer, LaBrie, & Shaffer, 2009;Ledgerwoord & Petry, 2010); el DSM-IV-MR-J, con 12 ítems referidos a 9 categorías para evaluar jóvenes (J) que han participado en juegos de azar en el año anterior (Hardoon, Gupta, & Derevensky, 2004); el Massachusetts Gambling Screen DSM-IV Questionnaire, autoinforme de doce ítems (Shaffer, LaBrie, Scanlan, & Cummings, 1994, como se citó en Steenbergh, Meyers, May, & Whelan, 2002), o el NODS DSM Screen, que evalúa la prevalencia de juego patológico en el año anterior o en el mes anterior (Hodgins, Currie, Currie, & Fick, 2009;Petry, Weinstock, Ledgerwood, & Morasco, 2008).…”