title: Gambling behaviors and psychopathology related to Attention-Deficit/Hyperactivity Disorder (ADHD) in problem and non-problem adult gamblers.
abstract: Previous studies showed that Pathological Gambling and Attention Deficit/Hyperactivity Disorder (ADHD) often co-occur. The aim of this study was to examine whether ADHD is associated with specific severity patterns in terms of gambling behavior, psychopathology and personality traits. 599 problem and non-problem-gamblers were recruited in addiction clinics and gambling places in France. Subjects were assessed with the Wender-Utah Rating Scale-Child, the Adult ADHD Self-Report Scale, the Mini International Neuropsychiatric Interview, the Temperament and Character Inventory, the South Oaks Gambling Screen and questionnaires assessing gambling related cognitive distortions and gambling habits. 20.7% (n=124) of gamblers were screened positive for lifetime or current ADHD. Results from the multivariate analysis showed that ADHD was associated with a higher severity of gambling-related problems and with more psychiatric comorbidity. Among problem gamblers, subjects with history of ADHD were also at higher risk for unemployment, psychiatric comorbidity and specific dysfunctional personality traits. This study supports the link between gambling related problems and ADHD in a large sample of problem and non-problem gamblers, including problem-gamblers not seeking treatment. This points out the necessity to consider this disorder in the prevention and in the treatment of pathological gambling.
authors.affiliation: Laboratoire de psychiatrie/SANPSY, CNRS USR 3413, Université de Bordeaux, Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France. Electronic address: melina.fatseas@u-bordeaux.fr.
authors.forename: Melina
authors.initials: M
authors.lastname: Fatseas
authors.affiliation: Laboratoire de psychiatrie/SANPSY, CNRS USR 3413, Université de Bordeaux, Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Alexandre
authors.affiliation: Clinical Investigation Unit "Behavioral Addictions and Complex Mood Disorders", Department of Addictology and Psychiatry, University Hospital of Nantes, France; EA 4275 SPHERE "bioStatistics, Pharmacoepidemiology and Human sciEnces Research tEam", Faculties of Medicine and Pharmaceutical Sciences, University of Nantes, France.
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Vénisse
authors.affiliation: EA 4430 CLIPSYD CLInique PSYchanalyse Développement, University of Paris Ouest Nanterre La Défense, France; Louis Mourier Hospital of Colombes, Assistance Publique - Hôpitaux de Paris (APHP), France; Psychotherapies Unit, Sainte-Anne Hospital - Psychiatry and Neurosciences, Paris, France.
authors.forename: Lucia
authors.initials: L
authors.lastname: Romo
authors.affiliation: Marmottan Medical center, GPS Perray-Vaucluse, Hôpital Marmottan, 17 rue d'Armaillé, 75017 Paris, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Valleur
authors.affiliation: Department of Adult Psychiatry, Sainte-Marguerite University Hospital of Marseille, France.
authors.forename: David
authors.initials: D
authors.lastname: Magalon
authors.affiliation: Psychiatry Department, University Hospital of Clermont-Ferrand, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Chéreau-Boudet
authors.affiliation: Psychiatry and Addictology Department, Paul Brousse University Hospital of Villejuif, Assistance Publique - Hôpitaux de Paris (APHP), France.
authors.forename: Amandine
authors.initials: A
authors.lastname: Luquiens
authors.affiliation: EA 4275 SPHERE "bioStatistics, Pharmacoepidemiology and Human sciEnces Research tEam", Faculties of Medicine and Pharmaceutical Sciences, University of Nantes, France.
authors.forename: Alice
authors.initials: A
authors.lastname: Guilleux
authors.affiliation: Laboratoire de psychiatrie/SANPSY, CNRS USR 3413, Université de Bordeaux, Bordeaux, France.
authors.lastname: Groupe Jeu
authors.affiliation: Clinical Investigation Unit "Behavioral Addictions and Complex Mood Disorders", Department of Addictology and Psychiatry, University Hospital of Nantes, France; EA 4275 SPHERE "bioStatistics, Pharmacoepidemiology and Human sciEnces Research tEam", Faculties of Medicine and Pharmaceutical Sciences, University of Nantes, France.
authors.forename: Gaëlle
authors.initials: G
authors.lastname: Challet-Bouju
authors.affiliation: Clinical Investigation Unit "Behavioral Addictions and Complex Mood Disorders", Department of Addictology and Psychiatry, University Hospital of Nantes, France; EA 4275 SPHERE "bioStatistics, Pharmacoepidemiology and Human sciEnces Research tEam", Faculties of Medicine and Pharmaceutical Sciences, University of Nantes, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Grall-Bronnec
mesh_terms: D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000503:physiopathology* / Q000523:psychology; D016739:Behavior, Addictive / Q000453:epidemiology / Q000503:physiopathology*; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D005715:Gambling / Q000453:epidemiology / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality / Q000502:physiology*; D055815:Young Adult
keywords: Addiction; Attention Deficit Hyperactivity Disorder; Pathological gambling; Personality traits; Problem gambling; Psychiatric Comorbidity; Psychopathology