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      Psychological Distress as an Indicator of Co-Occurring Psychopathology among Treatment-Seeking Disordered Gamblers.

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          Abstract

          Disordered gamblers frequently present with concurrent anxiety, depressive, personality, and substance use disorders, which may complicate treatment. Although there is a need for a thorough assessment, some questionnaires may prove lengthy for clients and clinicians. Thus, there is a need for brief screens for identifying co-occurring psychopathology. The present study sought to examine whether a brief, self-report measure of psychological distress could indicate the presence of co-occurring psychopathology among an outpatient sample of disordered gamblers. At intake, 69 participants completed self-report measures of distress and gambling symptomatology, a personality inventory, and a structured interview for the diagnostic criteria for disordered gambling. Gamblers with greater elevations of psychological distress evidenced greater severity of gambling pathology. Clinically significant elevations were present for symptoms of depression, deviancy, and anxiety, but not substance abuse. Greater scores of psychological distress significantly predicted elevations of depression, deviancy, and anxiety. Sensitivity and specificity were evaluated and the findings supported that an average psychological distress score of 16 corresponded with the presence of co-occurring psychopathology. Clinicians treating disordered gamblers should consider screening for co-occurring psychopathology with brief, self-report measures of psychological distress.

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          Author and article information

          Journal
          J Gambl Stud
          Journal of gambling studies
          Springer Science and Business Media LLC
          1573-3602
          1050-5350
          Sep 2017
          : 33
          : 3
          Affiliations
          [1 ] Department of Psychology, University of Memphis, 202 Psychology Building, Memphis, TN, 38152, USA. rorypfund@gmail.com.
          [2 ] Department of Psychology, University of Memphis, 202 Psychology Building, Memphis, TN, 38152, USA.
          [3 ] Emory & Henry College, Emory, VA, USA.
          [4 ] Arizona WinWay Center, Tempe, AZ, USA.
          Article
          10.1007/s10899-016-9645-3
          10.1007/s10899-016-9645-3
          27699525
          5296dc8b-a72b-4b7a-adac-90f80e292525
          History

          Disordered gambling,Assessment,Comorbidity,Distress,Gambling

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