Moderate to severe gambling problems and traumatic brain injury: A population-based study
| Autor: | Robert E. Mann, Nigel E. Turner, Tara Elton-Marshall, Mark van der Maas, Michael D. Cusimano, Susan J. Bondy, Christine M. Wickens, Dov B. Millstone, Steven Cook, Sherald Sanchez, Neda Faregh, André J. McDonald, John McCready, Paul Kurdyak, Jürgen Rehm, Hayley Hamilton, Anca Ialomiteanu, Thao Lan Le, Gabriela Ilie |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Moderate to severe Adolescent Traumatic brain injury Population Comorbidity Impulsivity Logistic regression Young Adult 03 medical and health sciences 0302 clinical medicine Brain Injuries Traumatic medicine Humans education Biological Psychiatry Aged Aged 80 and over Ontario education.field_of_study business.industry Confounding Odds ratio Middle Aged medicine.disease Health Surveys 3. Good health 030227 psychiatry Substance abuse Psychiatry and Mental health Cross-Sectional Studies Gambling Impulsive Behavior Female medicine.symptom business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Psychiatry Research. 272:692-697 |
| ISSN: | 0165-1781 |
| DOI: | 10.1016/j.psychres.2018.12.170 |
| Popis: | Traumatic brain injury (TBI) is a common injury characterized by a change in brain function after an external blow to the head and is associated with substance abuse, psychological distress, risk-taking, and impulsivity. Convenience and clinical samples have also linked TBI to problem gambling, but have not ruled out confounding variables such as hazardous drinking and psychological distress. This study examines the relationship between TBI and moderate to severe problem gambling in a general population probability sample controlling for hazardous drinking and psychological distress. The data were obtained from a 2015–2016 cross-sectional general population telephone survey of adults ages 18+from Ontario, Canada (N = 3809). Logistic regression was used to estimate the association as adjusted odds ratios (AOR). Moderate to severe problem gambling was independently associated with a history of TBI after adjusting for potential confounders (AOR: 2.80), and had a statistically significant relationship with psychological distress (AOR = 2.74), hazardous drinking (AOR = 2.69), and lower educational levels (AOR = 0.37). This study provides further data to suggest a link between TBI and moderate to severe problem gambling; however, more research is needed to determine if there is a causal relationship or the potential implications for prevention and treatment. |
| Databáze: | OpenAIRE |
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