Title

Comorbid psychiatric disorders among older adult recovering pathological gamblers

Document Type

Article

Peer Reviewed

1

Publication Date

9-1-2008

Journal, Book or Conference Title

Issues in Mental Health Nursing

NLM Title Abbreviation

Issues Ment Health Nurs

PubMed ID

18770105

DOI

10.1080/01612840802274933

Abstract

The proliferation of state lotteries and casinos has led to an increased participation in gambling and its associated problems. Older retired adults have more opportunities to gamble and available funds than other demographic groups. For these reasons, older adults may constitute a special risk group for pathological gambling. Because substance misuse, mood, anxiety, and personality disorders are common in problem and pathological gamblers, we sought to examine rates of comorbid psychiatric disorders in 40 older adults with lifetime pathological gambling using structured assessments of known reliability. The results indicate a high level of psychiatric comorbidity in this population including depression, alcohol dependence, panic, and generalized anxiety disorders, as well as obsessive compulsive and avoidant personality disorders. Implications of these findings for psychiatric nurses are discussed.

Keywords

Aged, Aged, 80 and over, Comorbidity, Diagnosis, Dual (Psychiatry), Female, Gambling/psychology, Geriatric Assessment, Geriatric Nursing, Humans, Illinois/epidemiology, Iowa/epidemiology, Male, Mass Screening, Mental Disorders/complications/diagnosis/epidemiology, Middle Aged, Nursing Assessment, Nursing Research, Psychiatric Nursing, Psychiatric Status Rating Scales, Questionnaires, Regression Analysis, Retirement/psychology, Risk Factors, Substance-Related Disorders/complications/diagnosis/epidemiology

Published Article/Book Citation

The definitive version was published in Issues in Mental Health Nursing, 29:9 (2008) pp.1018-1028. DOI:10.1080/01612840802274933.

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URL

http://ir.uiowa.edu/nursing_pubs/366