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Titolo:
Pathological gambling among cocaine-dependent outpatients
Autore:
Hall, GW; Carriero, NJ; Takushi, RY; Montoya, ID; Preston, KL; Gorelick, DA;
Indirizzi:
NIDA, IRP, Baltimore, MD 21224 USA NIDA Baltimore MD USA 21224NIDA, IRP, Baltimore, MD 21224 USA Howard Univ, Dept Social Work Direct Serv, Washington, DC 20059 USA HowardUniv Washington DC USA 20059 Direct Serv, Washington, DC 20059 USA Howard Univ, Dept Psychol, Washington, DC 20059 USA Howard Univ Washington DC USA 20059 ept Psychol, Washington, DC 20059 USA
Titolo Testata:
AMERICAN JOURNAL OF PSYCHIATRY
fascicolo: 7, volume: 157, anno: 2000,
pagine: 1127 - 1133
SICI:
0002-953X(200007)157:7<1127:PGACO>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADDICTION SEVERITY INDEX; METHADONE PATIENTS; SUBSTANCE-ABUSERS; GAMBLERS; DEMOGRAPHICS; ALCOHOLICS; MISUSERS; VETERANS; SEEKING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Gorelick, DA NIDA, IRP, 5500 Nathan Shock Dr, Baltimore, MD 21224 USA NIDA5500 Nathan Shock Dr Baltimore MD USA 21224 MD 21224 USA
Citazione:
G.W. Hall et al., "Pathological gambling among cocaine-dependent outpatients", AM J PSYCHI, 157(7), 2000, pp. 1127-1133

Abstract

Objective: The authors investigated the occurrence of pathological gambling among cocaine-dependent outpatients, its influence on short-term outcome of treatment, and comparative characteristics of patients with and without pathological gambling. Method: The subjects were 313 cocaine-dependent (200 also opiate-dependent) outpatients in clinical trials of medication for cocaine dependence. Pathological gambling (DSM-III-R criteria) was assessed with the Diagnostic Interview Schedule, and sociodemographic and socioeconomic characteristics were determined with the Addiction Severity Index. Outcome was defined as timein treatment (proportion of maximum scheduled time) and proportion of cocaine-positive urine samples during treatment. Results: Pathological gambling had a lifetime occurrence rate of 8.0% and a current (past month) occurrence of 3.8%. Onset preceded the onset of cocaine dependence in 72.0% of the patients (and preceded onset of opiate dependence in 44.4%). Patients with pathological gambling (lifetime or current) did not differ significantly from other patients in length of treatment or proportion of cocaine-positive urine samples. Those with lifetime pathological gambling were significantly more likely to have tobacco dependence (84.0% versus 61.1%) and antisocial personality disorder (56.0% versus 19.8%), to be unemployed (84.0% versus 49.3%), to have recently engaged in illegal activity for profit (64.0% versus 38.5%), and to have been incarcerated (62.5% versus 33.9%). Conclusions: Pathological gambling is substantially more prevalent among cocaine-dependent outpatients than in the general population. Patients with pathological gambling differ from other cocaine-dependent outpatients in some sociodemographic characteristics but not in short-term outcome of treatment for cocaine dependence.

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Documento generato il 09/04/20 alle ore 19:23:04