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Journal of Gambling Studies
Erschienen in:

29.09.2024 | Original Paper

Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk

verfasst von: Elina A. Stefanovics, Marc N. Potenza, Jack Tsai, Robert H. Pietrzak

Erschienen in: Journal of Gambling Studies | Ausgabe 4/2024

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Abstract

Gambling and substance use disorders (SUDs) are prevalent among U.S. military veterans and often co-occur. However, little is known about the clinical and behavioral correlates and suicidal risk of SUDs and gambling among veterans that can help inform targeted interventions for their co-occurrence. In the current study, we analyzed data from a nationally representative sample of 4069 veterans who participated in the National Health and Resilience in Veterans Study. Self-reported measures of lifetime SUDs and past-year gambling (Brief Problem Gambling Screen) were administered. A multinomial logistic regression analysis was conducted to examine differences between four groups: non-SUD/non-gambling, 40.3%; SUD-only 27.3%; Gambling-only 16.3%; and SUD + Gambling, 16.1%. The Gambling-only, SUD-only, and SUD + Gambling groups reported more adverse childhood experiences relative to the non-SUD/non-gambling group. The SUD-only and SUD + Gambling groups had higher odds for all lifetime and current clinical and trauma variables relative to the non-SUD/non-gambling group. The SUD + Gambling group had higher odds of suicidality, non-suicidal self-injury, nicotine dependence and mental health treatment relative to the SUD-only group and all assessed clinical measures relative to the Gambling-only group. Results suggest that SUDs and gambling are associated with substantial trauma and mental health burden among U.S. veterans, with co-occurring SUDs and gambling linked particularly to suicidality/self-harm and mental health treatment. The findings underscore the importance of multicomponent assessments and interventions targeting SUDs, gambling, and related concerns, such as trauma-related mental health difficulties, in this population.
Literatur
Amit, N., Ismail, R., Zumrah, A. R., Mohd Nizah, M. A., Tengku Muda, T. E. A., Tat Meng, E. C., & Che Din, N. (2020). Relationship between debt and depression, anxiety, stress, or suicide ideation in Asia: A systematic review. Frontiers in Psychology, 11, 530077.CrossRef
Anderson, A., Sisask, M., & Värnik, A. (2011). Familicide and suicide in a case of gambling dependence. The Journal of Forensic Psychiatry & Psychology, 22(1), 156–168.CrossRef
Andreeva, M., Audette-Chapdelaine, S., & Brodeur, M. (2022). Gambling-related completed suicides: a scoping review. Addiction Research & Theory, 30, 1–12.CrossRef
Armoon, B., Griffiths, M. D., Mohammadi, R., & Ahounbar, E. (2023). Suicidal behaviors and associated factors among individuals with gambling disorders: A meta-analysis. Journal of Gambling Studies, 39(2), 751–777.PubMedCrossRef
Balhara, Y. P. S., Singh, S., & Yadav, Z. (2022). Media reporting on deaths due to suicide attributed to gaming in digital news: A case of misrepresentation and missed opportunities. Asian Journal of Psychiatry, 68, 102955.PubMedCrossRef
Barnes, G. M., Welte, J. W., Hoffman, J. H., & Dintcheff, B. A. (2005). Shared predictors of youthful gambling, substance use, and delinquency. Psychology of Addictive Behaviors, 19(2), 165.PubMedCrossRef
Barnes, G. M., Welte, J. W., Tidwell, M.-C.O., & Hoffman, J. H. (2015). Gambling and substance use: Co-occurrence among adults in a recent general population study in the United States. International Gambling Studies, 15(1), 55–71.PubMedPubMedCentralCrossRef
Bonnaire, C., Kovess-Masfety, V., Guignard, R., Richard, J., Du Roscoät, E., & Beck, F. (2017). Gambling type, substance abuse, health and psychosocial correlates of male and female problem gamblers in a nationally representative French sample. Journal of Gambling Studies, 33(2), 343–369.PubMedCrossRef
Brady, L. L., Credé, M., Harms, P., Bachrach, D. G., & Lester, P. B. (2019). Meta-analysis of risk factors for substance abuse in the US military. Military Psychology, 31(6), 450–461.CrossRef
Butler, N., Quigg, Z., Bates, R., Sayle, M., & Ewart, H. (2020). Gambling with your health: Associations between gambling problem severity and health risk behaviours, health and wellbeing. Journal of Gambling Studies, 36(2), 527–538.PubMedCrossRef
Caldeira, K. M., Arria, A. M., O’Grady, K. E., Vincent, K. B., Robertson, C., & Welsh, C. J. (2017). Risk factors for gambling and substance use among recent college students. Drug and Alcohol Dependence, 179, 280–290.PubMedPubMedCentralCrossRef
Cowlishaw, S., & Hakes, J. K. (2015). Pathological and problem gambling in substance use treatment: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). The American Journal on Addictions, 24(5), 467–474.PubMedCrossRef
Cowlishaw, S., Merkouris, S., Chapman, A., & Radermacher, H. (2014). Pathological and problem gambling in substance use treatment: A systematic review and meta-analysis. Journal of Substance Abuse Treatment, 46(2), 98–105.PubMedCrossRef
Cowlishaw, S., Metcalf, O., Lawrence-Wood, E., Little, J., Sbisa, A., Deans, C., & Crozier, M. (2020). Gambling problems among military personnel after deployment. Journal of Psychiatric Research, 131, 47–53.PubMedCrossRef
Desai, R. A., Maciejewski, P. K., Dausey, D. J., Caldarone, B. J., & Potenza, M. N. (2004). Health correlates of recreational gambling in older adults. American Journal of Psychiatry, 161(9), 1672–1679.PubMedCrossRef
Deutscher, K., Gutwinski, S., Bermpohl, F., Bowden-Jones, H., Fazel, S., & Schreiter, S. (2023). The prevalence of problem gambling and gambling disorder among homeless people: A systematic review and meta-analysis. Journal of Gambling Studies, 39(2), 467–482.PubMedCrossRef
Dowling, N. A., Merkouris, S. S., Dias, S., Rodda, S. N., Manning, V., Youssef, G. J., Lubman, D. I., & Volberg, R. A. (2019). The diagnostic accuracy of brief screening instruments for problem gambling: A systematic review and meta-analysis. Clinical Psychology Review, 74, 101784.PubMedCrossRef
Dufour, M., Nguyen, N., Bertrand, K., Perreault, M., Jutras-Aswad, D., Morvannou, A., & Roy, É. (2016). Gambling problems among community cocaine users. Journal of Gambling Studies, 32, 1039–1053.PubMedCrossRef
Edens, E. L., Kasprow, W., Tsai, J., & Rosenheck, R. A. (2011). Association of substance use and VA service-connected disability benefits with risk of homelessness among veterans. The American Journal on Addictions, 20(5), 412–419.PubMedCrossRef
Etuk, R., Shirk, S. D., Grubbs, J., & Kraus, S. W. (2020). Gambling problems in US military veterans. Current Addiction Reports, 7(2), 210–228.CrossRef
Evans, E. A., Upchurch, D. M., Simpson, T., Hamilton, A. B., & Hoggatt, K. J. (2018). Differences by veteran/civilian status and gender in associations between childhood adversity and alcohol and drug use disorders. Social Psychiatry and Psychiatric Epidemiology, 53(4), 421–435.PubMedCrossRef
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258.PubMedCrossRef
Ford, M., & Håkansson, A. (2020). Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment. PLoS ONE, 15(1), e0227644.PubMedPubMedCentralCrossRef
Gill, D., Ahmadi, J., & Pridmore, S. (2014). Suicide and gambling on the public record. Malaysian Journal of Psychiatry, 23(1), 81–88.
Håkansson, A., & Karlsson, A. (2020). Suicide attempt in patients with gambling disorder—associations with comorbidity including substance use disorders. Frontiers in Psychiatry, 11, 1240.CrossRef
Hall, G. W., Carriero, N. J., Takushi, R. Y., Montoya, I. D., Preston, K. L., & Gorelick, D. A. (2000). Pathological gambling among cocaine-dependent outpatients. American Journal of Psychiatry, 157(7), 1127–1133.PubMedCrossRef
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerström test for nicotine dependence: A revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addiction, 86(9), 1119–1127.PubMedCrossRef
Hill, M. L., Nichter, B., Loflin, M., Norman, S. B., & Pietrzak, R. H. (2021). Comparative associations of problematic alcohol and cannabis use with suicidal behavior in US military veterans: A population-based study. Journal of Psychiatric Research, 135, 135–142.PubMedCrossRef
Hodgins, D. C., & Makarchuk, K. (2003). Trusting problem gamblers: Reliability and validity of self-reported gambling behavior. Psychology of Addictive Behaviors, 17(3), 244.PubMedCrossRef
Hodgins, D. C., Stea, J. N., & Grant, J. E. (2011). Gambling disorders. The Lancet, 378(9806), 1874–1884.CrossRef
Holdsworth, L., & Tiyce, M. (2013). Untangling the complex needs of people experiencing gambling problems and homelessness. International Journal of Mental Health and Addiction, 11(2), 186–198.CrossRef
Johnstone, P., & Regan, M. (2020). Gambling harm is everybody’s business: A public health approach and call to action. Public Health, 184, 63–66.PubMedCrossRef
Kessler, R. C., Hwang, I., LaBrie, R., Petukhova, M., Sampson, N. A., Winters, K. C., & Shaffer, H. J. (2008). DSM-IV pathological gambling in the National Comorbidity Survey Replication. Psychological Medicine, 38(9), 1351–1360.PubMedPubMedCentralCrossRef
Kimerling, R., Gima, K., Smith, M. W., Street, A., & Frayne, S. (2007). The Veterans Health Administration and military sexual trauma. American Journal of Public Health, 97(12), 2160–2166.PubMedPubMedCentralCrossRef
Kober, H., Lacadie, C. M., Wexler, B. E., Malison, R. T., Sinha, R., & Potenza, M. N. (2016). Brain activity during cocaine craving and gambling urges: An fMRI study. Neuropsychopharmacology, 41(2), 628–637.PubMedCrossRef
Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ–4. Psychosomatics, 50(6), 613–621.PubMed
Lan, C. W., Fiellin, D. A., Barry, D. T., Bryant, K. J., Gordon, A. J., Edelman, E. J., & Marshall, B. D. (2016). The epidemiology of substance use disorders in US Veterans: A systematic review and analysis of assessment methods. The American Journal on Addictions, 25(1), 7–24.PubMedCrossRef
Leung, M., Chow, C.-B., Ip, P.-K.P., & Yip, S.-F.P. (2019). Self-harm attempters’ perception of community services and its implication on service provision. International Journal of Nursing Sciences, 6(1), 50–57.PubMedCrossRef
Li, X., Lu, Q., & Miller, R. (2013). Self-medication and pleasure seeking as dichotomous motivations underlying behavioral disorders. Journal of Business Research, 66(9), 1598–1604.CrossRef
Liu, T., Maciejewski, P. K., & Potenza, M. N. (2009). The relationship between recreational gambling and substance abuse/dependence: Data from a nationally representative sample. Drug and Alcohol Dependence, 100(1–2), 164–168.PubMedCrossRef
Loo, J. M., Kraus, S. W., & Potenza, M. N. (2019). A systematic review of gambling-related findings from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Behavioral Addictions, 8(4), 625–648.PubMedPubMedCentralCrossRef
Lorains, F. K., Cowlishaw, S., & Thomas, S. A. (2011). Prevalence of comorbid disorders in problem and pathological gambling: Systematic review and meta-analysis of population surveys. Addiction, 106(3), 490–498.PubMedCrossRef
Lynch, W. J., Maciejewski, P. K., & Potenza, M. N. (2004). Psychiatric correlates of gambling in adolescents and young adultsgrouped by age at gambling onset. Archives of General Psychiatry, 61(11), 1116–1122.PubMedCrossRef
Manning, V., Koh, P. K., Yang, Y., Ng, A., Guo, S., Kandasami, G., & Wong, K. E. (2015). Suicidal ideation and lifetime attempts in substance and gambling disorders. Psychiatry Research, 225(3), 706–709.PubMedCrossRef
Marionneau, V., & Nikkinen, J. (2022). Gambling-related suicides and suicidality: A systematic review of qualitative evidence. Frontiers in Psychiatry, 13, 980303.PubMedPubMedCentralCrossRef
Martinac, M., Karlović, D., & Babić, D. (2019). Alcohol and gambling addiction. In Neuroscience of alcohol (pp. 529–535): Elsevier.
Morden, E., Oster, M., & O'Brien, C. P. (2013). Substance use disorders in the US Armed Forces.
Nock, M. K., & Favazza, A. R. (2009). Nonsuicidal self-injury: Definition and classification.
Nower, L., Eyrich-Garg, K. M., Pollio, D. E., & North, C. S. (2015). Problem gambling and homelessness: Results from an epidemiologic study. Journal of Gambling Studies, 31(2), 533–545.PubMedCrossRef
Okunna, N. C., Rodriguez-Monguio, R., Smelson, D. A., & Volberg, R. A. (2016). An evaluation of substance abuse, mental health disorders, and gambling correlations: An opportunity for early public health interventions. International Journal of Mental Health and Addiction, 14, 618–633.CrossRef
Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66(5), 564–574.PubMedCrossRef
Petry, N. M., & Tawfik, Z. (2001). Comparison of problem-gambling and non–problem-gambling youths seeking treatment for marijuana abuse. Journal of the American Academy of Child & Adolescent Psychiatry, 40(11), 1324–1331.CrossRef
Picó-Pérez, M., Costumero, V., Verdejo-Román, J., Albein-Urios, N., Martínez-González, J. M., Soriano-Mas, C., Verdejo-Garcia, A. (2022). Brain networks alterations in cocaine use and gambling disorders during emotion regulation. Journal of behavioral addictions.
Pietrzak, R. H., Morasco, B. J., Blanco, C., Grant, B. F., & Petry, N. M. (2007). Gambling level and psychiatric and medical disorders in older adults: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. The American Journal of Geriatric Psychiatry, 15(4), 301–313.PubMedCrossRef
Polcin, D. L. (2016). Co-occurring substance abuse and mental health problems among homeless persons: Suggestions for research and practice. Journal of Social Distress and the Homeless, 25(1), 1–10.PubMedCrossRef
Potenza, M. N. (2017). Clinical neuropsychiatric considerations regarding nonsubstance or behavioral addictions. Dialogues in Clinical Neuroscience, 19(3), 281–291.PubMedPubMedCentralCrossRef
Potenza, M. N., Balodis, I. M., Derevensky, J., Grant, J. E., Petry, N. M., Verdejo-Garcia, A., & Yip, S. W. (2019a). Gambling disorder. Nature Reviews Disease Primers, 5(1), 51.PubMedCrossRef
Potenza, M. N., Balodis, I. M., Derevensky, J., Grant, J. E., Petry, N. M., Verdejo-Garcia, A., & Yip, S. W. (2019b). Gambling disorder. Nature Reviews Disease Primers, 5(1), 1–21.CrossRef
Potenza, M. N., Maciejewski, P. K., & Mazure, C. M. (2006). A gender-based examination of past-year recreational gamblers. Journal of Gambling Studies, 22(1), 41–64.PubMedCrossRef
Potenza, M. N., Wareham, J. D., Steinberg, M. A., Rugle, L., Cavallo, D. A., Krishnan-Sarin, S., & Desai, R. A. (2011). Correlates of at-risk/problem internet gambling in adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 50(2), 150–159.CrossRef
Quigley, L., Yakovenko, I., Hodgins, D. C., Dobson, K. S., El-Guebaly, N., Casey, D. M., & Schopflocher, D. P. (2015). Comorbid problem gambling and major depression in a community sample. Journal of Gambling Studies, 31(4), 1135–1152.PubMedCrossRef
Rash, C. J., Weinstock, J., & Van Patten, R. (2016). A review of gambling disorder and substance use disorders. Substance Abuse and Rehabilitation, 7, 3.PubMedPubMedCentralCrossRef
Richardson, T., Elliott, P., & Roberts, R. (2013). The relationship between personal unsecured debt and mental and physical health: A systematic review and meta-analysis. Clinical Psychology Review, 33(8), 1148–1162.PubMedCrossRef
Ronzitti, S., Kraus, S. W., Decker, S. E., & Ashrafioun, L. (2019). Clinical characteristics of veterans with gambling disorders seeking pain treatment. Addictive Behaviors, 95, 160–165.PubMedCrossRef
Ronzitti, S., Soldini, E., Smith, N., Potenza, M. N., Clerici, M., & Bowden-Jones, H. (2017). Current suicidal ideation in treatment-seeking individuals in the United Kingdom with gambling problems. Addictive Behaviors, 74, 33–40.PubMedCrossRef
SAS Institute, I. (2011). SAS® 9.3. In: Software. SAS Institute, Inc. Cary, NC.
Sellman, J. D., Adamson, S., Robertson, P., Sullivan, S., & Coverdale, J. (2002). Gambling in mild–moderate alcohol-dependent outpatients. Substance Use & Misuse, 37(2), 199–213.CrossRef
Sharman, S., & D’Ardenne, J. (2018). Gambling and Homelessness: Developing an information sheet, screening tool and resource sheet. GambleAware.
Sheehan, D. (2016). The MINI international neuropsychiatric interview,(Version 7.0. 2) for DSM-5. In: Harm Research Institute.
Stefanovics, E. A., Potenza, M. N., & Pietrzak, R. H. (2017). Gambling in a national US veteran population: Prevalence, socio-demographics, and psychiatric comorbidities. Journal of Gambling Studies, 33(4), 1099–1120.PubMedCrossRef
Stefanovics, E. A., Potenza, M. N., Szymkowiak, D., & Tsai, J. (2023). Chronically homeless veterans with gambling disorder: Epidemiology, clinical correlates, and traumatic experiences. Journal of Psychiatric Research, 164, 118–124.PubMedCrossRef
Swanton, T. B., & Gainsbury, S. M. (2020). Debt stress partly explains the relationship between problem gambling and comorbid mental health problems. Social Science & Medicine, 265, 113476.CrossRef
Toneatto, T., & Brennan, J. (2002). Pathological gambling in treatment-seeking substance abusers. Addictive Behaviors, 27(3), 465–469.PubMedCrossRef
Tsai, J., Link, B., Rosenheck, R. A., & Pietrzak, R. H. (2016). Homelessness among a nationally representative sample of US veterans: Prevalence, service utilization, and correlates. Social Psychiatry and Psychiatric Epidemiology, 51, 907–916.PubMedCrossRef
Tse, S., Hong, S.-I., Wang, C.-W., & Cunningham-Williams, R. M. (2012). Gambling behavior and problems among older adults: A systematic review of empirical studies. Journals of Gerontology Series b: Psychological Sciences and Social Sciences, 67(5), 639–652.PubMedCrossRef
Tukey, J. W. (1949). Comparing individual means in the analysis of variance. Biometrics, 99–114.
Valenciano-Mendoza, E., Fernández-Aranda, F., Granero, R., Gómez-Peña, M., Moragas, L., Mora-Maltas, B., & Jiménez-Murcia, S. (2021). Prevalence of suicidal behavior and associated clinical correlates in patients with behavioral addictions. International Journal of Environmental Research and Public Health, 18(21), 11085.PubMedPubMedCentralCrossRef
van der Maas, M., & Nower, L. (2021). Gambling and military Service: Characteristics, comorbidity, and problem severity in an epidemiological sample. Addictive Behaviors, 114, 106725.PubMedCrossRef
Verdejo-Garcia, A., Clark, L., Verdejo-Roman, J., Albein-Urios, N., Martinez-Gonzalez, J. M., Gutierrez, B., & Soriano-Mas, C. (2015). Neural substrates of cognitive flexibility in cocaine and gambling addictions. The British Journal of Psychiatry, 207(2), 158–164.PubMedCrossRef
Volberg, R. A., & Williams, R. J. (2011). Developing a brief problem gambling screen using clinically validated samples of at-risk, problem and pathological gamblers. Health Sciences.
Wardle, H., Dymond, S., John, A., & McManus, S. (2019). Problem gambling and suicidal thoughts, suicide attempts and non-suicidal self-harm in England: evidence from the Adult Psychiatric Morbidity Survey 2007. Birmingham: Gambling Commission.
Wareham, J. D., & Potenza, M. N. (2010). Pathological gambling and substance use disorders. The American Journal of Drug and Alcohol Abuse, 36(5), 242–247.PubMedPubMedCentralCrossRef
Weathers, F., Litz, B., Keane, T., Palmieri, P., Marx, B., & Schnurr, P. (2013). The PTSD Checklist for DSM-5 (PCL-5). US Department of Veterans Affairs. National Center for PTSD, 2021–2004.
Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The ptsd checklist for dsm-5 (pcl-5). Scale available from the National Center for PTSD at www. ptsd. va. gov, 10.
Whiting, S. W., Potenza, M. N., Park, C. L., McKee, S. A., Mazure, C. M., & Hoff, R. A. (2016). Investigating veterans’ pre-, peri-, and post-deployment experiences as potential risk factors for problem gambling. Journal of Behavioral Addictions, 5(2), 213–220.PubMedPubMedCentralCrossRef
Winters, K. C., & Whelan, J. P. (2020). Gambling and Cannabis use: Clinical and policy implications. Journal of Gambling Studies, 36(1), 223–241.PubMedCrossRef
Wong, P. W., Cheung, D. Y., Conner, K. R., Conwell, Y., & Yip, P. S. (2010). Gambling and completed suicide in Hong Kong: A review of coroner court files. The Primary Care Companion for CNS Disorders, 12(6), 27298.
Yau, Y. H., & Potenza, M. N. (2015). Gambling disorder and other behavioral addictions: Recognition and treatment. Harvard Review of Psychiatry, 23(2), 134–146.PubMedPubMedCentralCrossRef
Yip, S. W., Desai, R. A., Steinberg, M. A., Rugle, L., Cavallo, D. A., Krishnan-Sarin, S., & Potenza, M. N. (2011). Health/functioning characteristics, gambling behaviors, and gambling-related motivations in adolescents stratified by gambling problem severity: Findings from a high school survey. The American Journal on Addictions, 20(6), 495–508.PubMedPubMedCentralCrossRef
Metadaten
Titel
Gambling and Substance Use Disorders in U.S. Military Veterans: Prevalence, Clinical Characteristics, and Suicide Risk
verfasst von
Elina A. Stefanovics
Marc N. Potenza
Jack Tsai
Robert H. Pietrzak
Publikationsdatum
29.09.2024
Verlag
Springer US
Erschienen in
Journal of Gambling Studies / Ausgabe 4/2024
Elektronische ISSN: 1573-3602
DOI
https://doi.org/10.1007/s10899-024-10359-7

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