{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T06:30:58Z","timestamp":1791009058875,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2009,2,5]],"date-time":"2009-02-05T00:00:00Z","timestamp":1233792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Methods Psych Res"],"published-print":{"date-parts":[[2009,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Despite clinical reports of other withdrawal\u2010like symptoms, the DSM\u2010IV considers only restlessness\/irritability as a withdrawal\u2010like criterion comprising pathological gambling disorder (PGD). We explored whether this criterion should be broadened to include other gambling withdrawal\u2010like symptoms.<\/jats:p><jats:p>Community\u2010recruited adult gamblers (<jats:italic>n<\/jats:italic> = 312) participated in telephone interviews about gambling and related behaviors as a part of a larger psychometric study. Frequency and chi\u2010square analyses described the association of gambling withdrawal\u2010like symptoms by gambling disorder status. Multinomial forward selection logistic regression obtained a multivariate model describing the simultaneous relationship between these symptoms and gambling disorder status.<\/jats:p><jats:p>One\u2010quarter of the sample experienced the DSM\u2010IV PGD criterion of restlessness\/irritability. However, 41% experienced additional gambling withdrawal\u2010like symptoms when attempting to quit or control gambling. A model including restlessness\/irritability and three additional non\u2010DSM\u2010IV withdrawal\u2010like symptoms (i.e. feelings of anger, guilt, and disappointment) is a stronger model of gambling disorder (\u03c7<jats:sup>2<\/jats:sup> = 217.488; df = 8, <jats:italic>p<\/jats:italic> &lt; 0.0001; <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> = 0.5428; <jats:italic>p<\/jats:italic> &lt; 0.0001) than restlessness\/irritability alone (\u03c7<jats:sup>2<\/jats:sup> = 151.278; df = 2, <jats:italic>p<\/jats:italic> &lt; 0.0001; <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> = 0.4133). The overlap of gambling withdrawal\u2010like symptoms with substance use withdrawal (11%) and depressive symptoms (34%) failed to fully account for these associations with gambling disorder status.<\/jats:p><jats:p>Future PGD conceptualization and potential criteria revisions for DSM\u2010V may warrant a broader inclusion of gambling withdrawal\u2010like symptoms. Copyright \u00a9 2009 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/mpr.273","type":"journal-article","created":{"date-parts":[[2009,2,7]],"date-time":"2009-02-07T02:42:12Z","timestamp":1233974532000},"page":"13-22","source":"Crossref","is-referenced-by-count":29,"title":["Towards DSM\u2010V: considering other withdrawal\u2010like symptoms of pathological gambling disorder"],"prefix":"10.1002","volume":"18","author":[{"given":"Renee M.","family":"Cunningham\u2010Williams","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice N.","family":"Gattis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter M.","family":"Dore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peichang","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Edward L.","family":"Spitznagel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,2,5]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02104967"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.58.10.917"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e31815947e1"},{"key":"e_1_2_1_6_1","unstructured":"Cunningham\u2010WilliamsR.M. 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