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J Gamble Stud DOI 10.1007/s10899-011-9239-z ORIGINAL PAPER Rates and Correlates of Pathological Gambling Among VA Mental Health Service Users Ellen L. Edens Robert A. Rosenberg Springer Science+Business

0, ICD-9 code C18.0, or a Gambling Obsessive Compulsive Scale score higher than 5 with other mental health patients. Subjects included 12,739 mental health patients from FY2009 in the system and 25,564 randomly selected controls. Results of hierarchical logistic regression, adjusting for the same multiple comparisons for patients and controls, showed that the probability of having pathological gambling (PG) was 7.23 times greater in patients than controls. Gambling symptoms increased markedly with increasing severity of gambling. The effect of severity of gambling severity on GPC was found to be independent of psychiatric comorbidity in multivariate analysis. PG diagnosis did not significantly correlate with financial status or marital status or treatment, social support, or history of trauma. This study provides epidemiological evidence that in VA patients with gambling problems, higher levels of severity of gambling symptoms are associated with a higher probability of pathological gambling. Introduction The present study examines the probability of pathological gambling among former psychiatric patients, a group of potentially vulnerable patients with known comorbidities. Pathological gambling (PG) as the pathological behavior of excessive gambling and compulsive, compulsive spending in response to the gambling stimulus has been described using a series of case reports and reviews of past and contemporary reports (Bean and Being 1972, Grossman and Sacco 1976, Grossman 1979, Shaffer 1981, Weinberg and Ten 1981). Gambling has been defined as the excessive purchase of goods, a practice generally restricted to recreational contexts, for the purpose of winning at games of chance where no money or goods are at stake, and has been reported among a variety of populations including college students (Anglia, Been, Aiken, and O'Malley 2006), military personnel (Bertram 1999), and adult recreational consumers of gambling (Gonzalez and Piazza 2004, Garcia and Drill 2007, Yang and Martinez 2008). In addition to the increased risk for gambling-related injuries and deaths, compulsive, compulsive spending appears to have a variety of adverse health effects including depression, cognitive impairment, and suicide (Being 1972, Grossman and Sacco 1976, Grossman et al. 1980) which increase the likelihood of gambling-related pathology.

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