caa a22 4500 445837349 CHVBK 20180317145333.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10899-010-9230-0 doi (NATIONALLICENCE)springer-10.1007/s10899-010-9230-0 Pathological Gambling and Posttraumatic Stress Disorder: A Study of the Co-Morbidity versus Each Alone [Elektronische Daten] [Lisa Najavits, Tamar Meyer, Kay Johnson, David Korn] This report is the first empirical study to compare pathological gambling (PG), posttraumatic stress disorder (PTSD), and their co-occurrence. The sample was 106 adults recruited from the community (35 with current PG; 36 with current PTSD, and 35 with BOTH). Using a cross-sectional design, the three groups were rigorously diagnosed and compared on various measures including sociodemographics, psychopathology (e.g., dissociation, suicidality, comorbid Axis I and II disorders), functioning, cognition, life history, and severity of gambling and PTSD. Overall, the PG group reported better psychological health and higher functioning than PTSD or BOTH; and there were virtually no differences between PTSD and BOTH. This suggests that it is the impact of PTSD, rather than comorbidity per se, that appears to drive a substantial increase in symptoms. We also found high rates of additional co-occurring disorders and suicidality in PTSD and BOTH, which warrants further clinical attention. Across the total sample, many reported a family history of substance use disorder (59%) and gambling problems (34%), highlighting the intergenerational impact of these. We also found notable subthreshold PTSD and gambling symptoms even among those not diagnosed with the disorders, suggesting a need for preventive care. Dissociation measures had mixed results. Discussion includes methodology considerations and future research areas. Springer Science+Business Media, LLC, 2010 Problem gambling nationallicence Pathological gambling nationallicence PTSD nationallicence Posttraumatic stress disorder nationallicence Trauma nationallicence Comorbidity nationallicence Najavits Lisa Harvard Medical School, Boston, MA, USA aut Meyer Tamar Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada aut Johnson Kay Treatment Innovations, 28 Westbourne Road, 02459, Newton Centre, MA, USA aut Korn David Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada aut Journal of Gambling Studies Springer US; http://www.springer-ny.com 27/4(2011-12-01), 663-683 1573-3602 27:4<663 2011 27 10899 https://doi.org/10.1007/s10899-010-9230-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10899-010-9230-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Najavits Lisa Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- Meyer Tamar Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada aut NATIONALLICENCE 700 1- Johnson Kay Treatment Innovations, 28 Westbourne Road, 02459, Newton Centre, MA, USA aut NATIONALLICENCE 700 1- Korn David Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada aut NATIONALLICENCE 773 0- Journal of Gambling Studies Springer US; http://www.springer-ny.com 27/4(2011-12-01), 663-683 1573-3602 27:4<663 2011 27 10899 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer