Age of pathological gambling onset: clinical and treatment-related features.

Abstract:

OBJECTIVES:This study examined differences in the clinical and treatment-related features of pathological gambling (PG) on the basis of the age of PG onset among pathological gamblers who sought treatment. METHODS:A total of 702 male outpatients with a primary diagnosis of PG and who were treated in a clinical practice were assessed by retrospective chart review. We selected the age of 25 years and younger as the threshold for "group 1." We then stratified the participants into 4 groups on the basis of the age of PG onset in 10-year intervals. Analysis of covariance with a covariant of age and the Pearson χ test were used for analyses. RESULTS:We found that the earlier-onset gamblers were less likely to be escape type (P < 0.05), used significantly more Internet-based gambling (P < 0.001), and were less likely to engage in nonstrategic gambling (P < 0.05) than the later-onset gamblers. In addition, the earlier-onset gamblers took anticraving medication, such as naltrexone, significantly more often (P < 0.05), and sought treatment significantly more slowly after the onset of PG than the later-onset group (P < 0.01). Regarding adherence to treatment, however, there was no significant difference among the 4 groups on the basis of the age of PG onset. CONCLUSIONS:The age of PG onset is associated with several important clinical and treatment features. More studies are needed to advance prevention and treatment strategies for each age group.

journal_name

J Addict Med

authors

Shin YC,Choi SW,Ha J,Mok JY,Lim SW,Choi JS,Kim DJ

doi

10.1097/ADM.0000000000000031

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

205-10

issue

3

eissn

1932-0620

issn

1935-3227

journal_volume

8

pub_type

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