Moderate to severe gambling problems and traumatic brain injury: A population-based study

Nigel E. Turner, André J. McDonald, Anca R. Ialomiteanu, Robert E. Mann, John McCready, Dov Millstone, Hayley Hamilton, Tara Elton-Marshall, Jurgen Rehm, Paul Kurdyak, Gabriela Ilie, Christine M. Wickens, Thao Lan Le, Mark van der Maas, Neda Faregh, Steven Cook, Susan Bondy, Sherald Sanchez, Michael D. Cusimano

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

18 Citas (Scopus)

Resumen

Traumatic brain injury (TBI) is a common injury characterized by a change in brain function after an external blow to the head and is associated with substance abuse, psychological distress, risk-taking, and impulsivity. Convenience and clinical samples have also linked TBI to problem gambling, but have not ruled out confounding variables such as hazardous drinking and psychological distress. This study examines the relationship between TBI and moderate to severe problem gambling in a general population probability sample controlling for hazardous drinking and psychological distress. The data were obtained from a 2015–2016 cross-sectional general population telephone survey of adults ages 18+from Ontario, Canada (N = 3809). Logistic regression was used to estimate the association as adjusted odds ratios (AOR). Moderate to severe problem gambling was independently associated with a history of TBI after adjusting for potential confounders (AOR: 2.80), and had a statistically significant relationship with psychological distress (AOR = 2.74), hazardous drinking (AOR = 2.69), and lower educational levels (AOR = 0.37). This study provides further data to suggest a link between TBI and moderate to severe problem gambling; however, more research is needed to determine if there is a causal relationship or the potential implications for prevention and treatment.

Idioma originalEnglish
Páginas (desde-hasta)692-697
Número de páginas6
PublicaciónPsychiatry Research
Volumen272
DOI
EstadoPublished - feb. 2019

Nota bibliográfica

Funding Information:
Turner, has received grant funding from the Ontario Lottery and Gaming to evaluate some of their prevention initiatives, but otherwise has not received funding from the gambling industry.. The remaining authors declare no competing interests.

Funding Information:
The ideas expressed are those of the authors and do not necessarily reflect those of the Centre for Addiction and Mental Health, the University of Toronto, or the Ministry of Health and Long Term Care. This study was supported by the Institute for Mental Health Policy Research. The study was funded by the Ministry of Health and Long Term Care as grant number 06703. In addition, this research was supported by the Canadian Institutes of Health Research Strategic Team Grant in Applied Injury Research #TIR-103946, Canadian Institutes of Health Research MOP 123371 and the Ontario Neurotrauma Foundation. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Publisher Copyright:
© 2018

ASJC Scopus Subject Areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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