Analyses related to the development of DSM-5 criteria for substance use related disorders: 3. An assessment of Pathological Gambling criteria
Drug and Alcohol Dependence. 2012-04-01; 122(1-2): 22-27
DOI: 10.1016/j.drugalcdep.2011.09.006
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1. Drug Alcohol Depend. 2012 Apr 1;122(1-2):22-7. doi:
10.1016/j.drugalcdep.2011.09.006. Epub 2011 Sep 29.
Analyses related to the development of DSM-5 criteria for substance use related
disorders: 3. An assessment of Pathological Gambling criteria.
Denis C(1), Fatséas M, Auriacombe M.
Author information:
(1)Addiction Psychiatry (Laboratoire de psychiatrie-CNRS USR 3413 SANPsy),
Université Bordeaux Segalen, 121 rue de la Béchade, Bordeaux, France.
BACKGROUND: The DSM-5 Substance-Related Disorders Work Group proposed to include
Pathological Gambling within the current Substance-Related Disorders section. The
objective of the current report was to assess four possible sets of diagnostic
criteria for Pathological Gambling.
METHODS: Gamblers (N=161) were defined as either Pathological or Non-Pathological
according to four classification methods. (a) Option 1: the current DSM-IV
criteria for Pathological Gambling; (b) Option 2: dropping the “Illegal Acts”
criterion, while keeping the threshold at 5 required criteria endorsed; (c)
Option 3: the proposed DSM-5 approach, i.e., deleting “Illegal Acts” and lowering
the threshold of required criteria from 5 to 4; (d) Option 4: to use a set of
Pathological Gambling criteria modeled on the DSM-IV Substance Dependence
criteria. Cronbach’s alpha and eigenvalues were calculated for reliability, Phi,
discriminant function analyses, correlations and multivariate regression models
were performed for validity and kappa coefficients were calculated for diagnostic
consistency of each option.
RESULTS: All criteria sets were reliable and valid. Some criteria had higher
discriminant properties than others.
CONCLUSION: The proposed DSM-5 criteria in Options 2 and 3 performed well and did
not appear to alter the meanings of the diagnoses of Pathological Gambling from
DSM-IV. Future work should further explore if Pathological Gambling might be
assessed using the same criteria as those used for Substance Use Disorders.
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
DOI: 10.1016/j.drugalcdep.2011.09.006
PMID: 21962725 [Indexed for MEDLINE]