title: Harmonizing Screening for Gambling Problems in Epidemiological Surveys - Development of the Rapid Screener for Problem Gambling (RSPG).
abstract: Background and aims The aim of this study was to test the screening properties of several combinations of items from gambling scales, in order to harmonize screening of gambling problems in epidemiological surveys. The objective was to propose two brief screening tools (three items or less) for a use in interviews and self-administered questionnaires. Methods We tested the screening properties of combinations of items from several gambling scales, in a sample of 425 gamblers (301 non-problem gamblers and 124 disordered gamblers). Items tested included interview-based items (Pathological Gambling section of the DSM-IV, lifetime history of problem gambling, monthly expenses in gambling, and abstinence of 1 month or more) and self-report items (South Oaks Gambling Screen, Gambling Attitudes, and Beliefs Survey). The gold standard used was the diagnosis of a gambling disorder according to the DSM-5. Results Two versions of the Rapid Screener for Problem Gambling (RSPG) were developed: the RSPG-Interview (RSPG-I), being composed of two interview items (increasing bets and loss of control), and the RSPG-Self-Assessment (RSPG-SA), being composed of three self-report items (chasing, guiltiness, and perceived inability to stop). Discussion and conclusions We recommend using the RSPG-SA/I for screening problem gambling in epidemiological surveys, with the version adapted for each purpose (RSPG-I for interview-based surveys and RSPG-SA for self-administered surveys). This first triage of potential problem gamblers must be supplemented by further assessment, as it may overestimate the proportion of problem gamblers. However, a first triage has the great advantage of saving time and energy in large-scale screening for problem gambling.
authors.affiliation: CHU Nantes, Clinical Investigation Unit BALANCED "BehaviorAL AddictioNs and ComplEx mood Disorders," Department of Addictology and Psychiatry , 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: EA 4275 SPHERE "bioStatistics, Pharmacoepidemiology and Human sciEnces Research tEam," Faculties of Medicine and Pharmaceutical Sciences, University of Nantes , France.|Unit of Methodology and Biostatistics, University Hospital of Nantes , France.
authors.forename: Bastien
authors.initials: B
authors.lastname: Perrot
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 , 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 Laboratory, Sanpsy CNRS USR 3413, University of Bordeaux and Charles Perrens Hospital , Bordeaux, France.
authors.forename: Mélina
authors.initials: M
authors.lastname: Fatséas
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: CHU Nantes, Clinical Investigation Unit BALANCED "BehaviorAL AddictioNs and ComplEx mood Disorders," Department of Addictology and Psychiatry , 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
authors.affiliation: EA 4275 SPHERE "bioStatistics, Pharmacoepidemiology and Human sciEnces Research tEam," Faculties of Medicine and Pharmaceutical Sciences, University of Nantes , France.|Unit of Methodology and Biostatistics, University Hospital of Nantes , France.
authors.forename: Jean-Benoit
authors.initials: JB
authors.lastname: Hardouin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005715:Gambling / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D057566:Self Report; D055815:Young Adult
keywords: RSPG; epidemiological surveys; general population; problem gambling; screening