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The SOGS score has been found to be correlated with the DSM-5 criteria for Gambling Disorder (GD). However, one of its main limitations is the high rate of false positives. The\u00a0objective of this study was to establish more accurate cutoff points for the SOGS based on the DSM-5 criteria and severity levels, taking into account sex-specific samples. Additionally, we aimed to validate these cutoff points using external measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study sample comprised 4.516 patients (398\u00a0women and 4,118 men) who sought treatment for GD. Of these patients, 4.203 met the DSM-5 criteria for GD, while 313 did not meet the threshold for GD diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The recommended cutoff value for the SOGS is eight for men (Sensitivity (Se): 82.9%, Specificity (Sp): 86.2%) and seven for women (Se: 85.6%, Sp: 77.4%). For moderate severity of GD, the cutoff points are nine for men (Se: 82.1%, Sp: 82.0%) and eight for women (Se: 86.3%, Sp: 73.3%), while for severe cases of GD, the cutoff point is ten for both sexes (Se: 83.0%, Sp: 56.7% for men; Se: 80.0%, Sp: 77.4% for women). These cutoff values are validated by evidence of worse psychopathological states, more dysfunctional personality traits, and risky behaviours commonly associated with GD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>These findings support adjusting the reference values for the SOGS to eight in males and seven in females to enhance the classification of individuals potentially experiencing GD. The use of higher cutoff values has significant implications for clinical and research purposes, enabling a more precise assessment of the diagnosis and severity of GD.<\/jats:p><\/jats:sec>","DOI":"10.1556\/2006.2024.00053","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T16:17:21Z","timestamp":1728058641000},"page":"1003-1013","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":3,"title":["Rethinking cutoff values for the South Oaks\u00a0Gambling Screen: Sex-specific insights and\u00a0DSM-5 severity adjustments in Gambling Disorder assessment"],"prefix":"10.1556","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9426-5082","authenticated-orcid":true,"given":"Ignacio","family":"Lucas","sequence":"first","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviours Group, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6308-3198","authenticated-orcid":true,"given":"Roser","family":"Granero","sequence":"additional","affiliation":[{"name":"Psychoneurobiology of Eating and Addictive Behaviours Group, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain"},{"name":"CIBER de Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, Barcelona, Spain"},{"name":"Departament de Psicobiologia i Metodologia, Universitat Aut\u00f2noma de Barcelona, Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4142-3208","authenticated-orcid":true,"given":"Bernat","family":"Mora-Maltas","sequence":"additional","affiliation":[{"name":"Psychoneurobiology of Eating and Addictive Behaviours Group, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain"},{"name":"Doctoral Program in Medicine and Translational Research, University of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2968-9898","authenticated-orcid":true,"given":"Fernando","family":"Fern\u00e1ndez-Aranda","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviours Group, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain"},{"name":"CIBER de Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, Barcelona, Spain"},{"name":"Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3596-8033","authenticated-orcid":true,"given":"Susana","family":"Jim\u00e9nez-Murcia","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviours Group, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain"},{"name":"CIBER de Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, Barcelona, Spain"},{"name":"Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"issue":"3","key":"B1","series-title":"Behavioural Processes","first-page":"345","article-title":"Pathological gambling severity is associated with impulsivity in a delay discounting procedure","volume":"64","author":"Alessi, S. 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