Problem gambling in psychotic disorders: A systematic review and meta-analysis of prevalence

IF 5.3 2区医学 Q1 PSYCHIATRY

Acta Psychiatrica Scandinavica Pub Date : 2024-04-02 DOI:10.1111/acps.13686

Olivier Corbeil, Élizabeth Anderson, Laurent Béchard, Charles Desmeules, Maxime Huot-Lavoie, Lauryann Bachand, Sébastien Brodeur, Pierre-Hugues Carmichael, Christian Jacques, Marco Solmi, Isabelle Giroux, Michel Dorval, Marie-France Demers, Marc-André Roy

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Abstract

Introduction

Problem gambling (PBG) is more common in people with mental health disorders, including substance use, bipolar, and personality disorders, than in the general population. Although individuals with psychotic disorders might be expected to be more vulnerable to PBG, fewer studies have focused on this comorbidity. The aim of this review was to estimate the prevalence of PBG in people with psychotic disorders.

Methods

Medline (Ovid), EMBASE, PsycINFO (Ovid), CINAHL, CENTRAL, Web of science, and ProQuest were searched on November 1, 2023, without language restrictions. Observational and experimental studies including individuals with psychotic disorders and reporting the prevalence of PBG were included. Risk of bias was assessed using the Joanna Briggs Institute critical appraisal for systematic reviews of prevalence data. The pooled prevalence of PBG was calculated using a fixed effects generalized linear mixed model and presented through forest plots.

Results

Of 1271 records screened, 12 studies (n = 3443) were included. The overall prevalence of PBG was 8.7% (95% CI = 7.8%–9.7%, I² = 69%). A lower prevalence was found in studies with a low risk of bias (5.6%; 95% CI = 4.4%–7.0%) compared with studies with a moderate risk of bias (10.4%; 95% CI = 9.2%–11.7%). Different methods used to assess PBG also contributed to the heterogeneity found.

Conclusion

This meta-analysis found substantial heterogeneity, partly due to the risk of bias of the included studies and a lack of uniformity in PBG assessment. Although more research is needed to identify those at increased risk for PBG, its relatively high prevalence warrants routine screening for gambling in clinical practice.

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精神病性障碍中的问题赌博：患病率的系统回顾和荟萃分析

导言问题赌博（PBG）在精神疾病患者（包括药物使用、双相情感障碍和人格障碍）中比在普通人群中更为常见。尽管人们可能会认为患有精神障碍的人更容易出现问题赌博，但关注这一合并症的研究却较少。本综述旨在估算 PBG 在精神障碍患者中的患病率。方法于 2023 年 11 月 1 日检索了 Medline (Ovid)、EMBASE、PsycINFO (Ovid)、CINAHL、CENTRAL、Web of science 和 ProQuest，无语言限制。纳入的观察性和实验性研究均包括精神病患者，并报告了 PBG 的患病率。采用乔安娜-布里格斯研究所（Joanna Briggs Institute）对流行率数据系统综述的批判性评估方法对偏倚风险进行了评估。使用固定效应广义线性混合模型计算了PBG的汇总患病率，并通过森林图进行展示。结果在筛选出的1271条记录中，有12项研究（n = 3443）被纳入。PBG 的总患病率为 8.7% (95% CI = 7.8%-9.7%, I2 = 69%)。与存在中度偏倚风险的研究（10.4%；95% CI = 9.2%-11.7%）相比，存在低度偏倚风险的研究（5.6%；95% CI = 4.4%-7.0%）患病率较低。结论这项荟萃分析发现了很大的异质性，部分原因是纳入研究的偏倚风险和 PBG 评估缺乏统一性。虽然还需要更多的研究来确定哪些人的 PBG 风险更高，但其相对较高的患病率值得在临床实践中对赌博进行常规筛查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Psychiatrica Scandinavica 医学-精神病学

CiteScore

11.20

自引率

3.00%

发文量

135

审稿时长

6-12 weeks

期刊介绍： Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers. Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.