Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk.

Autor: Stefanovics EA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. elina.stefanovics@yale.edu.; U.S. Department of Veterans Affairs New England Mental Illness Research and Education Clinical Center (MIRECC), VA Connecticut Healthcare System (116A-4), 950 Campbell Avenue, Build 36, West Haven, CT, 06516, USA. elina.stefanovics@yale.edu.; National Center on Homelessness Among Veterans, U.S. Department of Veterans Affairs, Tampa, FL, USA. elina.stefanovics@yale.edu., Potenza MN; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.; Yale Child Study Center, Yale University, New Haven, CT, USA.; Connecticut Mental Health Center, New Haven, CT, USA.; Connecticut Council On Problem Gambling, Wethersfield, CT, USA.; Department of Neuroscience, Yale University, New Haven, CT, USA.; Wu Tsai Institute, Yale University, New Haven, CT, USA., Tsai J; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.; National Center on Homelessness Among Veterans, U.S. Department of Veterans Affairs, Tampa, FL, USA.; Department of Management, Policy, and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA., Pietrzak RH; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.; U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, CT, USA.
Jazyk: angličtina
Zdroj: Journal of gambling studies [J Gambl Stud] 2024 Dec; Vol. 40 (4), pp. 2119-2139. Date of Electronic Publication: 2024 Sep 29.
DOI: 10.1007/s10899-024-10359-7
Abstrakt: Gambling and substance use disorders (SUDs) are prevalent among U.S. military veterans and often co-occur. However, little is known about the clinical and behavioral correlates and suicidal risk of SUDs and gambling among veterans that can help inform targeted interventions for their co-occurrence. In the current study, we analyzed data from a nationally representative sample of 4069 veterans who participated in the National Health and Resilience in Veterans Study. Self-reported measures of lifetime SUDs and past-year gambling (Brief Problem Gambling Screen) were administered. A multinomial logistic regression analysis was conducted to examine differences between four groups: non-SUD/non-gambling, 40.3%; SUD-only 27.3%; Gambling-only 16.3%; and SUD + Gambling, 16.1%. The Gambling-only, SUD-only, and SUD + Gambling groups reported more adverse childhood experiences relative to the non-SUD/non-gambling group. The SUD-only and SUD + Gambling groups had higher odds for all lifetime and current clinical and trauma variables relative to the non-SUD/non-gambling group. The SUD + Gambling group had higher odds of suicidality, non-suicidal self-injury, nicotine dependence and mental health treatment relative to the SUD-only group and all assessed clinical measures relative to the Gambling-only group. Results suggest that SUDs and gambling are associated with substantial trauma and mental health burden among U.S. veterans, with co-occurring SUDs and gambling linked particularly to suicidality/self-harm and mental health treatment. The findings underscore the importance of multicomponent assessments and interventions targeting SUDs, gambling, and related concerns, such as trauma-related mental health difficulties, in this population.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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