{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:05:44Z","timestamp":1789409144927,"version":"build-2803163510"},"reference-count":56,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"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":[[2017,12,18]]},"abstract":"\n Background and aims<\/jats:title>\n Relatively little is known about co-occurring gambling problems and their overlap with other addictive behaviors among individuals attending mental health services. We aimed to determine rates of gambling and substance use problems in patients accessing mental health services in Victoria, Australia.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A total of 837 adult patients were surveyed about their gambling and administered standardized screening tools for problem gambling and harmful tobacco, alcohol, and drug use. Prevalence of gambling problems was estimated and regression models used to determine predictors of problem gambling.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The gambling participation rate was 41.6% [95% CI\u2009=\u200938.2\u201344.9]. The Problem Gambling Severity Index identified 19.7% [CI\u2009=\u200917.0\u201322.4] as \u201cnon-problem gamblers,\u201d 7.2% [CI\u2009=\u20095.4\u20138.9] as \u201clow-risk\u201d gamblers, 8.4% [CI\u2009=\u20096.5\u201310.2] as \u201cmoderate-risk\u201d gamblers, and 6.3% [CI\u2009=\u20094.7\u20138.0] as \u201cproblem gamblers.\u201d One-fifth (21.9%) of the sample and 52.6% of all gamblers were identified as either low-risk, moderate-risk, or problem gamblers (PGs). Patients classified as problem and moderate-risk gamblers had significantly elevated rates of nicotine and illicit drug dependence (p<\/jats:italic>\u2009<\u2009.001) according to short screening tools. Current diagnosis of drug use (OR\u2009=\u20094.31 [CI\u2009=\u20091.98\u20139.37]), borderline personality (OR\u2009=\u20092.59 [CI\u2009=\u20091.13\u20135.94]), bipolar affective (OR\u2009=\u20092.01 [CI\u2009=\u20091.07\u20133.80]), and psychotic (OR\u2009=\u20091.83 [CI\u2009=\u20091.03\u20133.25]) disorders were significant predictors of problem gambling.<\/jats:p>\n <\/jats:sec>\n \n Discussion and conclusions<\/jats:title>\n Patients were less likely to gamble, but eight times as likely to be classified as PG, relative to Victoria\u2019s adult general population. Elevated rates of harmful substance use among moderate-risk and PG suggest overlapping vulnerability to addictive behaviors. These findings suggest mental health services should embed routine screening into clinical practice, and train clinicians in the management of problem gambling.<\/jats:p>\n <\/jats:sec>","DOI":"10.1556\/2006.6.2017.077","type":"journal-article","created":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T09:21:27Z","timestamp":1513675287000},"page":"678-688","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":32,"title":["Problem gambling and substance use in patients attending community mental health services"],"prefix":"10.1556","volume":"6","author":[{"given":"Victoria","family":"Manning","sequence":"first","affiliation":[{"name":"Turning Point, Eastern Health, Melbourne, VIC, Australia"},{"name":"Eastern Health Clinical School, Monash University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicki.\u00a0A.","family":"Dowling","sequence":"additional","affiliation":[{"name":"School of Psychology, Deakin University, Geelong, VIC, Australia"},{"name":"Melbourne Graduate School of Education, University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Lee","sequence":"additional","affiliation":[{"name":"Monash Alfred Psychiatry Research Centre, Alfred Health and Monash University Central Clinical School, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Rodda","sequence":"additional","affiliation":[{"name":"Turning Point, Eastern Health, Melbourne, VIC, Australia"},{"name":"School of Psychology, Deakin University, Geelong, VIC, Australia"},{"name":"School of Population Health, University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua\u00a0Benjamin\u00a0Bernard","family":"Garfield","sequence":"additional","affiliation":[{"name":"Turning Point, Eastern Health, Melbourne, VIC, Australia"},{"name":"Eastern Health Clinical School, Monash University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Volberg","sequence":"additional","affiliation":[{"name":"School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayashri","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Monash Alfred Psychiatry Research Centre, Alfred Health and Monash University Central Clinical School, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan\u00a0Ian","family":"Lubman","sequence":"additional","affiliation":[{"name":"Turning Point, Eastern Health, Melbourne, VIC, Australia"},{"name":"Eastern Health Clinical School, Monash University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"issue":"5","key":"B1","series-title":"Behavior Therapy,","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1016\/j.beth.2016.02.014","article-title":"Role of reward sensitivity and processing in major depressive and bipolar spectrum disorders","volume":"47","author":"Alloy, L.\u00a0B.","year":"2016","unstructured":"Alloy, L.\u00a0B.\n , \n \n Olino, T.\n , \n \n Freed, R.\u00a0D.\n , & \n \n Nusslock, R.\n (2016). 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Journal of Gambling Studies,33(2), 343\u2013369. doi:10.1007\/s10899-016-9628-410.1007\/s10899-016-9628-4"},{"issue":"3","key":"B7","series-title":"Journal of Gambling Studies,","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1007\/s10899-015-9575-5","article-title":"Marital status and problem gambling among Australian older adults: The mediating role of loneliness","volume":"32","author":"Botterill, E.","year":"2016","unstructured":"Botterill, E.\n , \n \n Gill, P.\u00a0R.\n , \n \n McLaren, S.\n , & \n \n Gomez, R.\n (2016). Marital status and problem gambling among Australian older adults: The mediating role of loneliness. 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Archives of Internal Medicine,158(16), 1789\u20131795. doi:10.1001\/archinte.158.16.178910.1001\/archinte.158.16.1789"},{"issue":"2","key":"B9","series-title":"Biological Psychiatry: Cognitive Neuroscience and Neuroimaging,","first-page":"180","article-title":"Reward-related ventral striatum activity links polygenic risk for attention-deficit\/hyperactivity disorder to problematic alcohol use in young adulthood","volume":"2","author":"Carey, C.\u00a0E.","year":"2017","unstructured":"Carey, C.\u00a0E.\n , \n \n Knodt, A.\u00a0R.\n , \n \n Conley, E.\u00a0D.\n , \n \n Hariri, A.\u00a0R.\n , & \n \n Bogdan, R.\n (2017). Reward-related ventral striatum activity links polygenic risk for attention-deficit\/hyperactivity disorder to problematic alcohol use in young adulthood. 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