Problem gambling: patients affected by their own or another's gambling may approve of help from general practitioners.
OBJECTIVE
To identify the health effects, including depression, on problem gambling patients and family members, and their perception of their GP as a help provider for problem gambling.


METHODS
1580 patients from practices in Auckland, Taranaki, and Rotorua completed an anonymous questionnaire containing brief screens for problem gambling, effects on family of gambling, and depression. Patients were asked to assess their GP as a help provider for problem gambling.


RESULTS
7.5% of patients were positive for problem gambling, ranging from 3% of NZ European patients to 24% of Pacific patients; 18% of patients were affected by another's gambling. Less than one in four problem gambling patients, and one in three family positives, did not perceive their GP as a suitable help provider for problem gambling issues. Problem gambling patients were more likely than other patients to approve their GP as a help-provider. Patients affected by problem gambling were more depressed than other patients. No other disease indicators were found. Patients over 54 years are less likely than others to be problem gamblers.


CONCLUSIONS
Problem gambling is associated with depression in patients. GPs are an important complementary resource for brief interventions for gambling problems, and for some possibly a more acceptable alternative than attending specialist problem gambling treatment providers.
Sullivan
Sean
S
Abacus Counselling Training and Supervision Ltd, Auckland. sean@acts.co.nz
McCormick
Ross
R
Lamont
Michael
M
Penfold
Alison
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D003863:Depression / Q000453:epidemiology; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000453:epidemiology / Q000628:therapy*; D005194:Family Practice; D005195:Family Relations; D005260:Female; D005715:Gambling; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D009520:New Zealand; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires