{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T07:57:23Z","timestamp":1790495843686,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005188","name":"Tobacco-Related Disease Research Program","doi-asserted-by":"publisher","award":["T32KT5241"],"award-info":[{"award-number":["T32KT5241"]}],"id":[{"id":"10.13039\/100005188","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K23DA060073"],"award-info":[{"award-number":["K23DA060073"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Problem gambling impacts substance use disorder (SUD) treatment outcomes. To support early intervention, this study investigated gambling behaviors associated with problem gambling among SUD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009593) from 19 residential SUD treatment facilities in California were surveyed about gambling behaviors and services. Patients identified as \u201cproblem gamblers\u201d screened positive for gambling disorder or reported gambling behaviors at high risk for progression to gambling disorder. Multivariate regression analyses compared problem gamblers to nonproblem gamblers on specific gambling behaviors and receipt of gambling services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the total sample, 223 (37.6%) gambled in the past year. Among past\u2010year gamblers, those meeting problem gambling criteria (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009106) were more likely than nonproblem gamblers to endorse betting on \u201cgames of skill\u201d including cards (adjusted odds ratio [AOR]\u2009=\u20092.35, 95% confidence interval [CI]\u2009=\u20091.46, 3.78) and participating in online\/electronic gambling (AOR\u2009=\u20095.61, 95% CI\u2009=\u20092.27, 13.88) and casino games (AOR\u2009=\u20092.30, 95% CI\u2009=\u20091.42, 3.72). Patients with problem gambling reported more gambling activity types than nonproblem gamblers (mean difference\u2009=\u20091.82, 95% CI\u2009=\u20091.59, 2.05). Only 35% of patients with problem gambling received gambling services from the SUD treatment program.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Specific gambling behaviors increase risk of problem gambling for SUD patients. SUD treatment programs should screen for and address problem gambling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Scientific Significance<\/jats:title>\n                    <jats:p>SUD patients may have lower risk thresholds for gambling disorder. This study provides new data on specific behaviors associated with problem gambling among SUD patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajad.70203","type":"journal-article","created":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T07:04:04Z","timestamp":1790492644000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gambling behaviors associated with problem gambling among patients in treatment for substance use disorder"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-2234","authenticated-orcid":false,"given":"Anna","family":"Pagano","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California, San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8357-8961","authenticated-orcid":false,"given":"Nadra E.","family":"Lisha","sequence":"additional","affiliation":[{"name":"Division of Prevention Sciences, School of Medicine University of California, San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9892-8224","authenticated-orcid":false,"given":"Jennifer T.","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California, San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1898-2431","authenticated-orcid":false,"given":"Caravella","family":"McCuistian","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California, San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"issue":"2","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1007\/s11469-023-01167-y","article-title":"The global prevalence of problem and pathological gambling and its associated factors among individuals with substance use disorders: a meta\u2010analysis","volume":"23","author":"Armoon B","year":"2025","journal-title":"Int J Mental Health Addict"},{"issue":"11","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1111\/j.1360-0443.2008.02338.x","article-title":"Influence of co\u2010occurring mental and substance use disorders on the prevalence of problem gambling in Canada","volume":"103","author":"Rush BR","year":"2008","journal-title":"Addiction"},{"issue":"4","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/ADM.0000000000000129","article-title":"Impaired decision\u2010making, higher impulsivity, and drug severity in substance dependence and pathological gambling","volume":"9","author":"Krmpotich T","year":"2015","journal-title":"J Addict Med"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.drugalcdep.2014.12.028","article-title":"Co\u2010occurrence of alcohol use disorder and behavioral addictions: relevance of impulsivity and craving","volume":"148","author":"Di Nicola M","year":"2015","journal-title":"Drug Alcohol Depend"},{"issue":"4","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/S0306-4603(01)00187-3","article-title":"Relationship between problem gambling and substance use in a methadone maintenance population","volume":"27","author":"Ledgerwood DM","year":"2002","journal-title":"Addict Behav"},{"issue":"1","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/s10899-013-9406-5","article-title":"Overall gambling behaviors and gambling treatment needs among a statewide sample of drug treatment clients in Ohio","volume":"31","author":"Thomas Sherba R","year":"2015","journal-title":"J Gambl Stud"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.addbeh.2021.106953","article-title":"Changes in secondary outcomes associated with brief interventions for problem gambling in methadone patients","volume":"120","author":"Baxley C","year":"2021","journal-title":"Addict Behav"},{"issue":"10","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1037\/ccp0000127","article-title":"A randomized controlled trial of brief interventions for problem gambling in substance abuse treatment patients","volume":"84","author":"Petry NM","year":"2016","journal-title":"J Consult Clin Psychol"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. 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