Gambling disorders, gambling type preferences, and psychiatric comorbidity among the Thai general population: Results of the 2013 National Mental Health Survey

Autor: Edward McNeil, Phunnapa Kittirattanapaiboon, Sawitri Assanangkornchai, Nopporn Tantirangsee
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Full-Length Report
Substance-Related Disorders
Population
Medicine (miscellaneous)
Comorbidity
03 medical and health sciences
Young Adult
0302 clinical medicine
Sex Factors
problem gambling
Epidemiology
medicine
Odds Ratio
Prevalence
Humans
gambling type preference
030212 general & internal medicine
Psychiatry
education
Depression (differential diagnoses)
education.field_of_study
Depressive Disorder
Major
Public health
pathological gambling
Age Factors
General Medicine
Odds ratio
Middle Aged
medicine.disease
Thailand
Mental health
030227 psychiatry
Substance abuse
Disruptive
Impulse Control
and Conduct Disorders
National Mental Health Survey
Psychiatry and Mental health
Clinical Psychology
Socioeconomic Factors
psychiatric comorbidity
Gambling
Female
Psychology
Zdroj: Journal of Behavioral Addictions
ISSN: 2063-5303
Popis: Background and aims To estimate the prevalence of problem and pathological gambling, gender and age-group differences in gambling types, and comorbidities with other psychiatric disorders among the Thai general population. Methods Analysis was conducted on 4,727 participants of Thailand’s 2013 National Mental Health Survey, a multistage stratified cluster survey, using the Composite International Diagnostic Interview. Diagnoses of problem and pathological gambling and other psychiatric disorders were based on the DSM-IV-TR criteria with the following additional criteria for gamblers: more than 10 lifetime gambling episodes and a single year loss of at least 365 USD from gambling. Results The estimated lifetime prevalence rates of pathological and problem gambling were 0.90% [95% confidence interval (CI): 0.51–1.29] and 1.14% (95% CI: 0.58–1.70), respectively. The most popular type of gambling was playing lotteries [69.5%, standard error (SE) = 1.9], the prevalence of which was significantly higher among females and older age groups. The most common psychiatric disorders seen among pathological gamblers were alcohol abuse (57.4%), nicotine dependence (49.5%), and any drug use disorder (16.2%). Pathological gambling was highly prevalent among those who ever experienced major depressive episodes (5.5%), any drug dependence (5.1%), and intermittent explosive disorder (4.8%). The association between pathological gambling was strongest with a history of major depressive episode [adjusted odds ratio (AOR) = 10.4, 95% CI: 2.80–38.4]. Conclusion The study confirms the recognition of gambling disorders as a public health concern in Thailand and suggests a need for culturally specific preventive measures for pathological gamblers and those with a history of substance use disorders or major depression.
Databáze: OpenAIRE
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