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Related Experiment Videos

Pathological gambling among cocaine-dependent outpatients.

G W Hall1, N J Carriero, R Y Takushi

  • 1Intramural Research Program, National Institute on Drug Abuse, Baltimore, MD 21224, USA.

The American Journal of Psychiatry
|June 30, 2000
PubMed
Summary
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Pathological gambling is more common in cocaine-dependent patients than the general population. While these patients share certain characteristics, their treatment outcomes for cocaine dependence remain similar.

Area of Science:

  • Psychiatry
  • Addiction Medicine
  • Clinical Psychology

Background:

  • Pathological gambling is a recognized disorder.
  • Cocaine dependence is a significant public health issue.
  • Comorbidity between substance use disorders and gambling disorder is common.

Purpose of the Study:

  • To determine the prevalence of pathological gambling in cocaine-dependent outpatients.
  • To assess the impact of pathological gambling on treatment outcomes for cocaine dependence.
  • To compare the characteristics of cocaine-dependent patients with and without pathological gambling.

Main Methods:

  • 313 cocaine-dependent outpatients participated in clinical trials.
  • Pathological gambling was assessed using the Diagnostic Interview Schedule (DSM-III-R criteria).

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  • Sociodemographic and socioeconomic data were collected using the Addiction Severity Index.

    • Main Results:

    • Lifetime prevalence of pathological gambling was 8.0%; current prevalence was 3.8%.
    • Pathological gambling onset often preceded cocaine dependence (72.0%).
    • Patients with pathological gambling showed higher rates of tobacco dependence, antisocial personality disorder, unemployment, illegal activity, and incarceration, but similar treatment outcomes.

    Conclusions:

    • Pathological gambling is significantly more prevalent in cocaine-dependent outpatients compared to the general population.
    • Co-occurring pathological gambling is associated with distinct sociodemographic and clinical characteristics in cocaine-dependent patients.
    • Pathological gambling does not appear to negatively impact short-term treatment outcomes for cocaine dependence in this cohort.