Health and psychosocial correlates of disordered gambling in older adults

Am J Geriatr Psychiatry. 2005 Jun;13(6):510-9. doi: 10.1176/appi.ajgp.13.6.510.

Abstract

Objective: A number of regional prevalence studies suggest that disordered gambling is a clinically significant problem among older adults. However, little research has evaluated whether older adults with a gambling disorder experience increased health, psychiatric, substance use, and social problems as compared with older adults without a gambling disorder.

Methods: A group of 48 older-adult disordered gamblers and 48 older adult non/infrequent gamblers, matched by age, sex, race, and recruitment site, completed the Addiction Severity Index (ASI), Brief Symptom Inventory (BSI), and Short Form-36 Health Survey (SF-36). Multivariate general-linear models evaluated between-group differences on these indices.

Results: Compared with non/infrequent gamblers, disordered gamblers reported increased severity of medical, family/social, psychiatric, and alcohol problems on the ASI. They also scored higher on depression, anxiety, paranoid ideation, and psychoticism subscales of the BSI, and lower on vitality, physical functioning, role-physical, general health, and social functioning subscales of the SF-36.

Conclusions: These results suggest that older adults with a gambling disorder experience increased severity of health and psychosocial problems, compared with older adult non/infrequent gamblers matched by age, sex, race, and recruitment site.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Demography
  • Disruptive, Impulse Control, and Conduct Disorders / epidemiology*
  • Female
  • Gambling / psychology*
  • Health Status*
  • Health Surveys
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Middle Aged
  • Surveys and Questionnaires