{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T20:02:22Z","timestamp":1759694542650},"reference-count":33,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,6,24]],"date-time":"2013-06-24T00:00:00Z","timestamp":1372032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To examine the effect of proposed the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM\u20105) changes to pathological gambling relative to DSM\u2010IV criteria in a large gambling helpline sample (<jats:italic>N<\/jats:italic> = 2,750). Changes in prevalence rates, the diagnostic utility of the illegal acts criterion, and severity of alternative diagnostic formulation thresholds were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Callers to the helpline completed a semistructured interview and DSM\u2010IV criteria were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Without lowering the diagnostic threshold, removal of the illegal acts criterion resulted in loss of diagnostic status in less than 2% of helpline callers. The DSM\u2010IV prevalence rate in this sample was 81.2%, and DSM\u20105 formulations with lowered thresholds of 4, 3, and 2 symptoms increased prevalence rates by 9% to 17%. However, item\u2010level symptom endorsement suggested that subclinical gamblers experience significant adverse consequences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Lowered thresholds may lead to earlier provision of treatment to gamblers and prevent escalation of the disorder, while being more consistent with diagnostic thresholds of other addiction disorders.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22003","type":"journal-article","created":{"date-parts":[[2013,6,24]],"date-time":"2013-06-24T17:16:42Z","timestamp":1372094202000},"page":"1305-1314","source":"Crossref","is-referenced-by-count":13,"title":["Examination of Proposed DSM\u20105 Changes to Pathological Gambling in a Helpline Sample"],"prefix":"10.1002","volume":"69","author":[{"given":"Jeremiah","family":"Weinstock","sequence":"first","affiliation":[{"name":"Saint Louis University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Rash","sequence":"additional","affiliation":[{"name":"University of Connecticut Health Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Burton","sequence":"additional","affiliation":[{"name":"Problem Gamblers Help Network of West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila","family":"Moran","sequence":"additional","affiliation":[{"name":"Problem Gamblers Help Network of West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Warren","family":"Biller","sequence":"additional","affiliation":[{"name":"Problem Gamblers Help Network of West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"O'Neil","sequence":"additional","affiliation":[{"name":"Problem Gamblers Help Network of West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norman","family":"Kruedelbach","sequence":"additional","affiliation":[{"name":"Problem Gamblers Help Network of West Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_5_3_1","unstructured":"American Psychiatric Association. 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