{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:53:07Z","timestamp":1790787187627,"version":"4.1.0"},"reference-count":162,"publisher":"Akademiai Kiado Zrt.","issue":"3","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["J Behav Addict"],"published-print":{"date-parts":[[2018,8,25]]},"abstract":"<jats:sec sec-type=\"background and aims\">\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>Our goal was to examine the association between attention-deficit hyperactivity disorder (ADHD) symptoms and gambling problems, and to identify potential mediating factors of this association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study used cross-sectional, community-based data from 7,403 people aged \u226516 years who participated in the Adult Psychiatric Morbidity Survey 2007. ADHD symptoms were assessed using the Adult ADHD Self-Report Scale (ASRS) Screener. Problem gambling was assessed using a questionnaire based on the 10 DSM-IV diagnostic criteria for pathological gambling. Respondents were classified as having no problem, at-risk, or problem gambling. Logistic regression and mediation analyses were conducted to analyze the association between ADHD symptoms (i.e.,\u00a0ASRS score \u226514) and problem gambling and the role of several variables in this association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of at-risk (5.3% vs. 2.4%) and problem gambling (2.4% vs. 0.6%) was higher in individuals with ADHD symptoms than in those without ADHD symptoms. ADHD symptoms were significantly associated with both at-risk (OR\u2009=\u20092.15; 95% CI\u2009=\u20091.22\u20133.79) and problem gambling (OR\u2009=\u20093.57; 95% CI\u2009=\u20091.53\u20138.31) when adjusted for age, sex, and ethnicity. Common mental disorders (CMDs; i.e.,\u00a0depression and anxiety disorders) (mediated percentage\u2009=\u200922.4%), borderline personality disorder (BPD) traits (22.1%), stressful life events (13.2%), stress at work or home (12.6%), alcohol dependence (11.8%), and impulsivity (11.2%) were significant mediators in the ADHD\u2013gambling association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"discussion and conclusions\">\n                    <jats:title>Discussion and conclusions<\/jats:title>\n                    <jats:p>Overall, ADHD symptoms were positively associated with problem gambling. CMDs, BPD traits, and stressful life events were important mediators in this relationship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1556\/2006.7.2018.72","type":"journal-article","created":{"date-parts":[[2018,10,5]],"date-time":"2018-10-05T08:22:02Z","timestamp":1538727722000},"page":"781-791","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":30,"title":["Relationship between attention-deficit hyperactivity disorder symptoms and problem gambling: A mediation analysis of influential factors among 7,403 individuals from the UK"],"prefix":"10.1556","volume":"7","author":[{"given":"Louis","family":"Jacob","sequence":"first","affiliation":[{"name":"1 Faculty of Medicine, University of Paris 5, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep Maria","family":"Haro","sequence":"additional","affiliation":[{"name":"2 Research and Development Unit, Parc Sanitari Sant Joan de D\u00e9u, Fundaci\u00f3 Sant Joan de D\u00e9u, Universitat de Barcelona, Barcelona, Spain"},{"name":"3 Instituto de Salud Carlos III, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental, CIBERSAM, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai","family":"Koyanagi","sequence":"additional","affiliation":[{"name":"2 Research and Development Unit, Parc Sanitari Sant Joan de D\u00e9u, Fundaci\u00f3 Sant Joan de D\u00e9u, Universitat de Barcelona, Barcelona, Spain"},{"name":"3 Instituto de Salud Carlos III, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental, CIBERSAM, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref971","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1177\/0049124113494572","article-title":"Total, direct, and indirect effects in logit and probit models","volume":"42","author":"Breen","year":"2013","journal-title":"Sociological Methods & Research,"},{"key":"ref1261","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1002\/mpr.208","article-title":"Validity of the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener in a representative sample of health plan members","volume":"16","author":"Kessler","year":"2007","journal-title":"International Journal of Methods in Psychiatric Research,"},{"key":"ref1071","doi-asserted-by":"crossref","first-page":"e47404","DOI":"10.1371\/journal.pone.0047404","article-title":"Attention deficit hyperactivity disorder in Australian adults: Prevalence, persistence, conduct problems and disadvantage","volume":"7","author":"Ebejer","year":"2012","journal-title":"PLoS One,"},{"key":"ref861","doi-asserted-by":"crossref","first-page":"182","DOI":"10.3389\/fnbeh.2013.00182","article-title":"What motivates gambling behavior? 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