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Contribution of stressful life events to gambling activity in older age

Published online by Cambridge University Press:  26 November 2020

Roser Granero
Affiliation:
Department of Psychobiology and Methodology, Autonomous University of Barcelona, Barcelona, Spain Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain
Susana Jiménez-Murcia*
Affiliation:
Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain Psychiatry and Mental Health Group, Neuroscience Program, Institut d'Investigació Biomèdica de Bellvitge – IDIBELL, L'Hospitalet de Llobregat, Spain Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
Fernando Fernández-Aranda
Affiliation:
Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain Psychiatry and Mental Health Group, Neuroscience Program, Institut d'Investigació Biomèdica de Bellvitge – IDIBELL, L'Hospitalet de Llobregat, Spain Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
Amparo del Pino-Gutiérrez
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain Department of Public Health, Mental Health and Perinatal Nursing, School of Nursing, University of Barcelona, Barcelona, Spain
Teresa Mena-Moreno
Affiliation:
Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Gemma Mestre-Bach
Affiliation:
Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Mónica Gómez-Peña
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Laura Moragas
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Neus Aymamí
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Isabelle Giroux
Affiliation:
Centre d'Excellence pour la Prévention et le Traitement du Jeu, Faculté de Sciencies Sociales, Université Laval, Pavillon Félix-Antoine-Savard, Quebec, Canada
Marie Grall-Bronnec
Affiliation:
INSERM, SPHERE U1246, University of Nantes, Nantes, France
Anne Sauvaget
Affiliation:
CHU Nantes, Movement – Interactions – Performance, University of Nantes, Nantes, France
Ester Codina
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Cristina Vintró-Alcaraz
Affiliation:
Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
María Lozano-Madrid
Affiliation:
Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Marco Camozzi
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Zaida Agüera
Affiliation:
Ciber Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Jéssica Sánchez-González
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Gemma Casalé-Salayet
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Isabel Sánchez
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Hibai López-González
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
Isabel Baenas
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
José M. Menchón
Affiliation:
Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain Ciber Salud Mental (CIBERsam), Instituto de Salud Carlos III, Madrid, Spain
*
*Corresponding author. Email: sjimenez@bellvitgehospital.cat

Abstract

Older subjects are susceptible to develop gambling problems, and researchers have attempted to assess the mechanisms underlying the gambling profile in later life. The objective of this study was to identify the main stressful life events (SLE) across the lifespan which have discriminative capacity for detecting the presence of gambling disorder (GD) in older adults. Data from two independent samples of individuals aged 50+ were analysed: N = 47 patients seeking treatment at a Pathological Gambling Outpatient Unit and N = 361 participants recruited from the general population. Sexual problems (p < 0.001), exposure to domestic violent behaviour (p < 0.001), severe financial problems (p = 0.002), alcohol or drug-related problems (p = 0.004) and extramarital sex (p < 0.001) were related to a higher risk of GD, while getting married (p = 0.005), moving to a new home (p = 0.003) and moving to a new city (p = 0.006) decreased the likelihood of disordered gambling. The accumulated number of SLE was not a predictor of the presence of GD (p = 0.732), but patients who met clinical criteria for GD reported higher concurrence of SLE in time than control individuals (p < 0.001). Empirical research highlights the need to include older age groups in evidence-based policies for gambling prevention, because these individuals are at high risk of onset and/or progression of behavioural addiction-related problems such as GD. The results of this study may be useful for developing reliable screening/diagnostic tools and for planning effective early intervention programmes aimed to reduce the harm related to the onset and evolution of problem gambling in older adults.

Type
Article
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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