{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:24:53Z","timestamp":1785410693703,"version":"3.56.0"},"reference-count":114,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Fonds de recherche du Qu\u00e9bec - Soci\u00e9t\u00e9 et culture","award":["338854"],"award-info":[{"award-number":["338854"]}]}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["JBA"],"published-print":{"date-parts":[[2026,4,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>Service use data among patients with gambling disorder (GD) remains scarce. This exploratory study aimed to identify the service use profiles associated with social and health conditions, gambling games or chronicity (\u2265 5 years), and subsequent adverse outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In 2012\u20132013, 2,311 patients (72% men, 45 years [SD: 13.60]) were recruited from addiction treatment centers in Quebec (Canada); their administrative data were merged with provincial health and education data (1979\u20132022). Latent class analysis identified profiles related to GD treatment received (2009\u20132021) and other service use in the 12 months before index date (last GD records). Multiple multinomial logistic and Cox regressions examined associations with patient conditions and subsequent outcomes over 12 months (acute care, suicidal behaviors, death).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Profile 2 patients (35% of sample) exhibited the most chronic GD, and high use of GD and other services. Profile 4 (20%) reported the worst social and health conditions, received no GD treatment, and showed moderate use of other services. Profile 1 (15%) included patients with the best conditions, but moderate GD treatment and low use of other services. Mostly composed of\u00a0patients aged 35+ years, Profile 3 (30%) received low GD treatment but high general practitioner care. Patients in Profiles 4 and 2 reported the worst conditions and highest rates of adverse outcomes \u2013 although Profile 2 received the best care overall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>GD treatment and other care may be strengthened and better coordinated. Screening, motivational interventions, and referrals to care could be consolidated. Profiles 4 and 2 may benefit from more long-term care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1556\/2006.2025.00097","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:32:58Z","timestamp":1769686378000},"page":"395-406","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Profiles of service use among patients with gambling disorders"],"prefix":"10.1556","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4743-8611","authenticated-orcid":true,"given":"Marie-Jos\u00e9e","family":"Fleury","sequence":"first","affiliation":[{"name":"Department of Psychiatry, McGill University, Montreal, Quebec, Canada"},{"name":"Douglas Hospital Research Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3830-5649","authenticated-orcid":true,"given":"Zhirong","family":"Cao","sequence":"additional","affiliation":[{"name":"Douglas Hospital Research Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2445-0060","authenticated-orcid":true,"given":"Guy","family":"Grenier","sequence":"additional","affiliation":[{"name":"Douglas Hospital Research Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2105-887X","authenticated-orcid":true,"given":"Francine","family":"Ferland","sequence":"additional","affiliation":[{"name":"School of Social Work, Laval University, Service de recherche en d\u00e9pendance Centre int\u00e9gr\u00e9 de sant\u00e9 et de service sociaux de la Capitale-Nationale et du Centre de sant\u00e9 et de service sociaux de Chaudi\u00e8re-Appalaches, Quebec City, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0594-5986","authenticated-orcid":true,"given":"Nadine","family":"Banchette-Martin","sequence":"additional","affiliation":[{"name":"Service de recherche en d\u00e9pendance Centre int\u00e9gr\u00e9 de sant\u00e9 et de service sociaux de la Capitale-Nationale et du Centre de sant\u00e9 et de service sociaux de Chaudi\u00e8re-Appalaches, Quebec\u00a0City,\u00a0Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"B1","series-title":"Public Health","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.puhe.2020.04.003","article-title":"The changing epidemiology of gambling disorder and gambling-related harm: Public health implications","volume":"184","author":"Abbott, M. 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