{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T18:43:39Z","timestamp":1778697819306,"version":"3.51.4"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,1,12]],"date-time":"2014-01-12T00:00:00Z","timestamp":1389484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Multiple forms of drug abuse\/dependence frequently co\u2010occur with problem\/pathological gambling (<jats:styled-content style=\"fixed-case\">PPG<\/jats:styled-content>). The current study examines the extent to which genetic and environmental factors contribute to their co\u2010occurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Bivariate models investigated the magnitude and correlation of genetic and environmental contributions to problem\/pathological gambling and its co\u2010occurrence with nicotine dependence, cannabis abuse\/dependence and stimulant abuse\/dependence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Computer\u2010assisted telephone interviews in the community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Participants were 7869 male twins in the <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>ietnam <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>ra <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>win <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>egistry, a <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>\u2010based national twin registry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>Life\u2010time <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">R<\/jats:styled-content> diagnoses for problem\/pathological gambling, nicotine dependence, cannabis abuse\/dependence and stimulant abuse\/dependence were determined using the <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>iagnostic <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nterview <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>chedule.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>All drug\u2010use disorders displayed additive genetic and non\u2010shared environmental contributions, with cannabis abuse\/dependence also displaying shared environmental contributions. Both genetic [genetic correlation <jats:italic>r<\/jats:italic><jats:styled-content style=\"fixed-case\"><jats:sub>A<\/jats:sub><\/jats:styled-content>\u2009=\u20090.22; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI)<\/jats:styled-content>\u2009=\u20090.10\u20130.34] and non\u2010shared environmental components (environmental correlation <jats:italic>r<\/jats:italic><jats:styled-content style=\"fixed-case\"><jats:sub>E<\/jats:sub><\/jats:styled-content>\u2009=\u20090.24; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u2009=\u20090.10\u20130.37) contributed to the co\u2010occurrence of problem\/pathological gambling and nicotine dependence. This pattern was shared by cannabis abuse\/dependence (<jats:italic>r<\/jats:italic><jats:styled-content style=\"fixed-case\"><jats:sub>A<\/jats:sub><\/jats:styled-content>\u2009=\u20090.32; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u2009=\u20090.05\u20131.0; <jats:italic>r<\/jats:italic><jats:styled-content style=\"fixed-case\"><jats:sub>E<\/jats:sub><\/jats:styled-content>\u2009=\u20090.36; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u2009=\u20090.16\u20130.55) but not stimulant abuse\/dependence (<jats:styled-content style=\"fixed-case\">SAD<\/jats:styled-content>), which showed only genetic contributions to the co\u2010occurrence with problem\/pathological gambling (<jats:italic>r<\/jats:italic><jats:styled-content style=\"fixed-case\"><jats:sub>A<\/jats:sub><\/jats:styled-content>\u2009=\u20090.58; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u2009=\u20090.45\u20130.73).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Strong links between gambling and stimulant\u2010use disorders may relate to the neurochemical properties of stimulants or the illicit nature of using \u2018hard\u2019 drugs such as cocaine. The greater contribution of environmental factors to the co\u2010occurrence between problem\/pathological gambling and \u2018softer\u2019 forms of drug abuse\/dependence (cannabis, tobacco) suggest that environmental interventions (perhaps relating to availability and legality) may help to diminish the relationship between problem\/pathological gambling and tobacco\u2010 and cannabis\u2010use disorders.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.12407","type":"journal-article","created":{"date-parts":[[2013,11,13]],"date-time":"2013-11-13T10:36:47Z","timestamp":1384339007000},"page":"635-644","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Environmental factors selectively impact co\u2010occurrence of problem\/pathological gambling with specific drug\u2010use disorders in male twins"],"prefix":"10.1111","volume":"109","author":[{"given":"Hong","family":"Xian","sequence":"first","affiliation":[{"name":"Research Service 151\u2010JC St Louis VAMC  St Louis MO USA"},{"name":"Department of Biostatistics St Louis University School of Public Health  St Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine L.","family":"Giddens","sequence":"additional","affiliation":[{"name":"Child Study Center Yale University School of Medicine  New Haven CT USA"},{"name":"University of Toronto School of Medicine  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey F.","family":"Scherrer","sequence":"additional","affiliation":[{"name":"Research Service 151\u2010JC St Louis VAMC  St Louis MO USA"},{"name":"Family and Community Medicine St Louis University School of Medicine  St Louis MO USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth A.","family":"Eisen","sequence":"additional","affiliation":[{"name":"Veterans Health Administration Office of Research and Development  Washington, DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc N.","family":"Potenza","sequence":"additional","affiliation":[{"name":"Child Study Center Yale University School of Medicine  New Haven CT USA"},{"name":"Departments of Psychiatry and Neurobiology Yale University School of Medicine  New Haven CT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,1,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2006.01591.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2006.01593.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.327.5968.935"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e31815947e1"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.96147"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.19.2.165"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v66n0504"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-007-0283-z"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.18.1.49"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.57.7.666"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.7.1093"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-9125.2011.00243.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220500243364"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220127912"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.110.2.297"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.9.1015"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.03.008"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10899-005-3031-x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0001566000004591"},{"key":"e_1_2_7_22_1","volume-title":"Psychiatric Disorders in America","author":"Robins L. 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