TY - JOUR
T1 - Pathological gambling in eating disorders: Prevalence and clinical implications
AU - Jiménez-Murcia, Susana
AU - Steiger, Howard
AU - Isräel, Mimi
AU - Granero, Roser
AU - Prat, Remei
AU - Santamaría, Juan José
AU - Moragas, Laura
AU - Sánchez, Isabel
AU - Custal, Núria
AU - Orekhova, Lisa
AU - Fagundo, Ana B.
AU - Menchón, José
AU - Fernández-Aranda, Fernando
PY - 2013/10/1
Y1 - 2013/10/1
N2 - Objective Pathological gambling (PG) and eating disorders (ED) rarely co-occur. We explored the prevalence of lifetime PG in ED, compared severity of ED symptoms, personality traits, and psychopathological profiles across individuals with ED and PG (ED + PG) and without PG (ED-PG). Finally, we assessed the incremental predictive value of gender on the presentation of a comorbid PG. Method A total sample of 1681 consecutively admitted ED patients (1576 females and 105 males), participated in the current study (25 ED + PG and 1656 ED-PG). All participants were diagnosed according to DSM-IV criteria. Assessment measures included the Symptom Checklist and the Temperament and Character Inventory-Revised, as well as other clinical and psychopathological indices. Results The observed lifetime prevalence of PG was 1.49%. ED subtype was associated with lifetime PG (p =.003), with PG being more frequent in binge eating disorder (5.7%). ED + PG was more prevalent in males than in females (16% vs. 1.26%, respectively). Additionally, ED + PG patients exhibited more impulsive behaviours, lower impulse regulation and higher novelty seeking. Best predictors of ED + PG were novelty seeking (OR 1.030, p =.035), sex (OR 3.295, p =.048) and BMI (OR 1.081, p =.005). Conclusions Some personality traits (novelty seeking), being male and higher BMI are strongly related to the presence of lifetime PG in specific ED subtypes (namely binge eating disorder). © 2013 Elsevier Inc. All rights reserved.
AB - Objective Pathological gambling (PG) and eating disorders (ED) rarely co-occur. We explored the prevalence of lifetime PG in ED, compared severity of ED symptoms, personality traits, and psychopathological profiles across individuals with ED and PG (ED + PG) and without PG (ED-PG). Finally, we assessed the incremental predictive value of gender on the presentation of a comorbid PG. Method A total sample of 1681 consecutively admitted ED patients (1576 females and 105 males), participated in the current study (25 ED + PG and 1656 ED-PG). All participants were diagnosed according to DSM-IV criteria. Assessment measures included the Symptom Checklist and the Temperament and Character Inventory-Revised, as well as other clinical and psychopathological indices. Results The observed lifetime prevalence of PG was 1.49%. ED subtype was associated with lifetime PG (p =.003), with PG being more frequent in binge eating disorder (5.7%). ED + PG was more prevalent in males than in females (16% vs. 1.26%, respectively). Additionally, ED + PG patients exhibited more impulsive behaviours, lower impulse regulation and higher novelty seeking. Best predictors of ED + PG were novelty seeking (OR 1.030, p =.035), sex (OR 3.295, p =.048) and BMI (OR 1.081, p =.005). Conclusions Some personality traits (novelty seeking), being male and higher BMI are strongly related to the presence of lifetime PG in specific ED subtypes (namely binge eating disorder). © 2013 Elsevier Inc. All rights reserved.
UR - https://www.scopus.com/pages/publications/84884352632
U2 - 10.1016/j.comppsych.2013.04.014
DO - 10.1016/j.comppsych.2013.04.014
M3 - Article
SN - 0010-440X
VL - 54
SP - 1053
EP - 1060
JO - Comprehensive Psychiatry
JF - Comprehensive Psychiatry
IS - 7
ER -