{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T07:50:16Z","timestamp":1789458616765,"version":"build-2803163510"},"reference-count":40,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2016,5,9]],"date-time":"2016-05-09T00:00:00Z","timestamp":1462752000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["J Behav Addict"],"published-print":{"date-parts":[[2016,5,9]]},"abstract":"<jats:sec sec-type=\"background and aims\">\n          <jats:title>Background and aims<\/jats:title>\n          <jats:p>Gambling disorder and its comorbid diagnoses are observed at higher rates in military veterans than in the general population. A significant research gap exists regarding the relationships of veterans\u2019 life and service experiences to problematic gambling. The present study explored pre-, peri-, and post-deployment factors associated with problem gambling in veterans.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"methods\">\n          <jats:title>Methods<\/jats:title>\n          <jats:p>Veterans of Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn (<jats:italic>n<\/jats:italic>\u2009=\u2009738; 463 males, and 275 females) completed questionnaires via structured telephone interview. We conducted bivariate and multinomial logistic regression analyses exploring associations among problem-gambling severity and socio-demographic variables, psychiatric comorbidities, and 10 scales of the Deployment Risk and Resilience Inventory measuring experiences pre-, peri-, and post-deployment.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"results\">\n          <jats:title>Results<\/jats:title>\n          <jats:p>Approximately 4.2% of veterans indicated at-risk or probable pathological gambling (ARPG) post-deployment (two or more DSM-IV criteria for pathological gambling). Bivariate analyses found more severe gambling in males, higher frequencies of post-traumatic stress disorder, substance dependence, traumatic brain injury, panic disorder, and depression in veterans with ARPG, and higher general harassment during deployment, and lower social support and more stressful life events post-deployment in those with ARPG. In multivariable models, both post-deployment factors remained significantly associated with ARPG.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"discussion\">\n          <jats:title>Discussion<\/jats:title>\n          <jats:p>The study suggests that problem gambling among veterans is related to service experiences, and particularly to life experiences post-deployment.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec sec-type=\"conclusions\">\n          <jats:title>Conclusions<\/jats:title>\n          <jats:p>Adverse service and life experiences and lack of social support may contribute to the risk of problem gambling in military veterans. Investigation of how Veterans Affairs clinical settings may serve veterans following deployment to prevent behavioral addictions is warranted.<\/jats:p>\n        <\/jats:sec>","DOI":"10.1556\/2006.5.2016.027","type":"journal-article","created":{"date-parts":[[2016,5,9]],"date-time":"2016-05-09T07:41:52Z","timestamp":1462779712000},"page":"213-220","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":46,"title":["Investigating Veterans\u2019 Pre-, Peri-, and Post-Deployment Experiences as Potential Risk Factors for Problem Gambling"],"prefix":"10.1556","volume":"5","author":[{"given":"Seth W.","family":"Whiting","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs, VISN 1 Mental Illness Research Education and Clinical Center (MIRECC), West Haven, CT, USA"},{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc N.","family":"Potenza","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"},{"name":"Department of Neurobiology, Yale University School of Medicine, New Haven, CT, USA"},{"name":"Child Study Center, Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crystal L.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Connecticut, Storrs, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry A.","family":"McKee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn M.","family":"Mazure","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rani A.","family":"Hoff","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, VISN 1 Mental Illness Research Education and Clinical Center (MIRECC), West Haven, CT, USA"},{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"B101","series-title":"Diagnostic and statistical manual of mental disorders: DSM-5","author":"American Psychiatric Association","year":"2013","unstructured":"American Psychiatric Association. 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Rockville, MD: National Institute on Alcohol Abuse and Alcoholism."},{"key":"B10","series-title":"Drug and Alcohol Dependence,","first-page":"7","article-title":"The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample","volume":"71,","author":"Grant, B.\u00a0F.","year":"2003","unstructured":"Grant, B.\u00a0F.\n            , \n            \n              Dawson, D.\u00a0A.\n            , \n            \n              Stinson, F.\u00a0S.\n            , \n            \n              Chou, P.\u00a0S.\n            , \n            \n              Kay, W.\n            , & \n            \n              Pickering, R.\n           (2003). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence,71,7\u201316. doi:10.1016\/S0376-8716(03)00070-X"},{"key":"B11","series-title":"Comprehensive Psychiatry,","first-page":"115","article-title":"Pathological gambling and bankruptcy","volume":"51,","author":"Grant, J.\u00a0E.","year":"2010","unstructured":"Grant, J.\u00a0E.\n            , \n            \n              Schreiber, L.\n            , \n            \n              Odlaug, B.\u00a0L.\n            , & \n            \n              Kim, S.\u00a0W.\n           (2010). Pathological gambling and bankruptcy. Comprehensive Psychiatry,51,115\u2013120. doi:10.1016\/j.comppsych.2009.04.002"},{"key":"B12","series-title":"Gambling in America: Costs and benefits","author":"Grinols, E.\u00a0L.","year":"2004","unstructured":"Grinols, E.\u00a0L.\n           (2004). Gambling in America: Costs and benefits. Cambridge: Cambridge University Press."},{"key":"B100","series-title":"Journal of Gambling Studies,","first-page":"319","article-title":"Adolescent gambling behavior: A prevalence study and examination of the correlates associated with problem gambling","volume":"14,","author":"Gupta, R.","year":"1998","unstructured":"Gupta, R.\n            , & \n            \n              Derevensky, J.\u00a0L.\n           (1998). Adolescent gambling behavior: A prevalence study and examination of the correlates associated with problem gambling. 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Lancet,378,1874\u20131884. doi:10.1016\/S0140-6736(10)62185-X"},{"key":"B14","series-title":"Journal of Gambling Behavior,","first-page":"261","article-title":"Children of problem gamblers","volume":"5,","author":"Jacobs, D.\u00a0F.","year":"1989","unstructured":"Jacobs, D.\u00a0F.\n            , \n            \n              Marston, A.\u00a0R.\n            , \n            \n              Singer, R.\u00a0D.\n            , \n            \n              Widaman, K.\n            , \n            \n              Little, T.\n            , & \n            \n              Zeizades, J.\n           (1989). Children of problem gamblers. Journal of Gambling Behavior,5,261\u2013268. doi:10.1007\/BF01672427"},{"key":"B15","series-title":"Journal of Substance Abuse Treatment,","first-page":"263","article-title":"Patterns of substance abuse among treatment-seeking pathological gamblers","volume":"25,","author":"Kausch, O.","year":"2003","unstructured":"Kausch, O.\n           (2003). Patterns of substance abuse among treatment-seeking pathological gamblers. Journal of Substance Abuse Treatment,25,263\u2013270. doi:10.1016\/S0740-5472(03)00117-X"},{"key":"B16","series-title":"Military Medicine,","first-page":"683","article-title":"Review of the first year of an overseas military gambling treatment program","volume":"170,","author":"Kennedy, C.\u00a0H.","year":"2005","unstructured":"Kennedy, C.\u00a0H.\n            , \n            \n              Cook, J.\u00a0H.\n            , \n            \n              Poole, D.\u00a0R.\n            , \n            \n              Brunson, C.\u00a0L.\n            , & \n            \n              Jones, D.\u00a0E.\n           (2005). Review of the first year of an overseas military gambling treatment program. 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Journal of Behavioral Addictions,3,214\u2013222. doi:10.1556\/JBA.3.2014.4.2"},{"key":"B28","series-title":"Journal of the American Medical Association,","first-page":"1737","article-title":"Validation and utility of a self-report version of PRIME-MD","volume":"282,","author":"Spitzer, R.\u00a0L.","year":"1999","unstructured":"Spitzer, R.\u00a0L.\n            , \n            \n              Kroenke, K.\n            , & \n            \n              Williams, J.\u00a0B.\u00a0W.\n           (1999). Validation and utility of a self-report version of PRIME-MD. 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Substance Use & Misuse,22,71\u201379. doi:10.3109\/10826088709027414"},{"key":"B105","series-title":"Addiction,","first-page":"1661","article-title":"A hierarchy of gambling disorders in the community","volume":"98,","author":"Toce-Gerstein, M.","year":"2003","unstructured":"Toce-Gerstein, M.\n            , \n            \n              Gerstein, D.\u00a0R.\n            , & \n            \n              Volberg, R.\u00a0A.\n           (2003). A hierarchy of gambling disorders in the community. Addiction,98,1661\u20131672. doi:10.1111\/j.1360-0443.2003.00545.x"},{"key":"B31","series-title":"American Journal of Epidemiology,","first-page":"710","article-title":"Relaxing the rule of ten events per variable in logistic and Cox regression","volume":"165,","author":"Vittinghoff, E.","year":"2007","unstructured":"Vittinghoff, E.\n            , & \n            \n              McCulloch, C.\u00a0E.\n           (2007). Relaxing the rule of ten events per variable in logistic and Cox regression. 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