Gambling behaviors and psychopathology related to Attention-Deficit/Hyperactivity Disorder (ADHD) in problem and non-problem adult gamblers

Melina Fatseas, Jean-Marc Alexandre, Jean-Luc Vénisse, Lucia Romo, Marc Valleur, David Magalon, Isabelle Chéreau-Boudet, Amandine Luquiens, Alice Guilleux, Groupe JEU, Gaëlle Challet-Bouju, Marie Grall-Bronnec
Psychiatry Research. 2016-05-01; 239: 232-238
DOI: 10.1016/j.psychres.2016.03.028

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1. Psychiatry Res. 2016 May 30;239:232-8. doi: 10.1016/j.psychres.2016.03.028. Epub
2016 Mar 14.

Gambling behaviors and psychopathology related to Attention-Deficit/Hyperactivity
Disorder (ADHD) in problem and non-problem adult gamblers.

Fatseas M(1), Alexandre JM(2), Vénisse JL(3), Romo L(4), Valleur M(5), Magalon
D(6), Chéreau-Boudet I(7), Luquiens A(8), Guilleux A(9), Groupe Jeu(10),
Challet-Bouju G(3), Grall-Bronnec M(3).

Author information:
(1)Laboratoire de psychiatrie/SANPSY, CNRS USR 3413, Université de Bordeaux,
Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux,
Bordeaux, France. Electronic address: .
(2)Laboratoire de psychiatrie/SANPSY, CNRS USR 3413, Université de Bordeaux,
Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux,
Bordeaux, France.
(3)Clinical Investigation Unit “Behavioral Addictions and Complex Mood
Disorders”, Department of Addictology and Psychiatry, University Hospital of
Nantes, France; EA 4275 SPHERE “bioStatistics, Pharmacoepidemiology and Human
sciEnces Research tEam”, Faculties of Medicine and Pharmaceutical Sciences,
University of Nantes, France.
(4)EA 4430 CLIPSYD CLInique PSYchanalyse Développement, University of Paris Ouest
Nanterre La Défense, France; Louis Mourier Hospital of Colombes, Assistance
Publique – Hôpitaux de Paris (APHP), France; Psychotherapies Unit, Sainte-Anne
Hospital – Psychiatry and Neurosciences, Paris, France.
(5)Marmottan Medical center, GPS Perray-Vaucluse, Hôpital Marmottan, 17 rue
d’Armaillé, 75017 Paris, France.
(6)Department of Adult Psychiatry, Sainte-Marguerite University Hospital of
Marseille, France.
(7)Psychiatry Department, University Hospital of Clermont-Ferrand, France.
(8)Psychiatry and Addictology Department, Paul Brousse University Hospital of
Villejuif, Assistance Publique – Hôpitaux de Paris (APHP), France.
(9)EA 4275 SPHERE “bioStatistics, Pharmacoepidemiology and Human sciEnces
Research tEam”, Faculties of Medicine and Pharmaceutical Sciences, University of
Nantes, France.
(10)Laboratoire de psychiatrie/SANPSY, CNRS USR 3413, Université de Bordeaux,
Bordeaux, France.

Previous studies showed that Pathological Gambling and Attention
Deficit/Hyperactivity Disorder (ADHD) often co-occur. The aim of this study was
to examine whether ADHD is associated with specific severity patterns in terms of
gambling behavior, psychopathology and personality traits. 599 problem and
non-problem-gamblers were recruited in addiction clinics and gambling places in
France. Subjects were assessed with the Wender-Utah Rating Scale-Child, the Adult
ADHD Self-Report Scale, the Mini International Neuropsychiatric Interview, the
Temperament and Character Inventory, the South Oaks Gambling Screen and
questionnaires assessing gambling related cognitive distortions and gambling
habits. 20.7% (n=124) of gamblers were screened positive for lifetime or current
ADHD. Results from the multivariate analysis showed that ADHD was associated with
a higher severity of gambling-related problems and with more psychiatric
comorbidity. Among problem gamblers, subjects with history of ADHD were also at
higher risk for unemployment, psychiatric comorbidity and specific dysfunctional
personality traits. This study supports the link between gambling related
problems and ADHD in a large sample of problem and non-problem gamblers,
including problem-gamblers not seeking treatment. This points out the necessity
to consider this disorder in the prevention and in the treatment of pathological
gambling.

Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

DOI: 10.1016/j.psychres.2016.03.028
PMID: 27031593 [Indexed for MEDLINE]

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