Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient Registry

Q1 Psychology
Lisa-Christine Girard , Mark D. Griffiths , Ingeborg Rossow , Tony Leino , Anna E. Goudriaan , Otto R.F. Smith , Ståle Pallesen
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引用次数: 0

Abstract

Introduction

Previous research has established co-occurrence between substance use disorders (SUDs) and gambling disorder (GD). Less well understood is the temporal sequencing of onset between these disorders, and in particular whether SUD is a risk factor for GD. The present study examined the temporal order between registered diagnoses of SUD and GD, stratified by sex.

Methods

A study with a longitudinal design using objective registry data drawn from the Norwegian Patient Registry was carried out. Among the patients with a registered diagnosis of GD between 2008 and 2018 (N = 5,131; males = 81.8%), those (who in addition) had a registered diagnosis of any SUD (n = 1,196; males = 82.1%) were included. The measures included a registered diagnosis using the ICD-10 of both GD (code F63.0) and SUDs (codes F10-F19) by a health care professional. Binomial tests were used to identify the temporal order between SUD(s) and GD. Co-occurring cases (i.e., cases diagnosed within the same month) were removed in the main analyses.

Results

Results showed a significant directional path from SUD to GD but no support for the reversed path (i.e., from GD to SUD). This finding was similar overall for (i) both males and females, (ii) when different SUDs (alcohol, cannabis, sedatives, and polysubstance) were examined individually, and (iii) when specifying a 12-month time-lag between diagnoses.

Conclusions

The findings suggest that experiencing SUD(s) is a risk marker for GD given the temporal precedence observed for patients in specialised healthcare services seeking treatment. These results should be considered alongside screening and prevention efforts for GD.

赌博障碍和物质使用障碍之间诊断的时间顺序:来自挪威患者登记处的纵向结果
引言先前的研究已经确定了物质使用障碍(SUDs)和赌博障碍(GD)之间的共现性。不太清楚的是这些疾病发病的时间顺序,特别是SUD是否是GD的风险因素。本研究检查了SUD和GD登记诊断之间的时间顺序(按性别分层)。方法采用挪威患者登记处的客观登记数据进行纵向设计研究。在2008年至2018年间登记诊断为GD的患者中(N=5131;男性=81.8%),包括那些(此外)登记诊断为任何SUD的患者(N=1196;男性=82.1%)。这些措施包括由卫生保健专业人员使用GD(代码F63.0)和SUD(代码F10-F19)的ICD-10进行注册诊断。使用二项式检验来确定SUD和GD之间的时间顺序。在主要分析中删除了合并病例(即在同一个月内诊断的病例)。结果显示从SUD到GD有明显的定向路径,但不支持反向路径(即从GD到SUD)。这一发现总体上类似于(i)男性和女性,(ii)当单独检查不同的SUD(酒精、大麻、镇静剂和多物质)时,以及(iii)当指定诊断之间的12个月时间滞后时。结论鉴于在专业医疗服务中寻求治疗的患者的时间优先性,研究结果表明,经历SUD是GD的风险标志。这些结果应与GD的筛查和预防工作一起考虑。
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来源期刊
Addictive Behaviors Reports
Addictive Behaviors Reports Medicine-Psychiatry and Mental Health
CiteScore
6.80
自引率
0.00%
发文量
69
审稿时长
71 days
期刊介绍: Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.
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