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Examination of Proposed DSM-5 Changes to Pathological Gambling in a Helpline Sample.

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Title: Examination of Proposed DSM-5 Changes to Pathological Gambling in a Helpline Sample.
Authors: Weinstock, Jeremiah, Rash, Carla, Burton, Steve, Moran, Sheila, Biller, Warren, O'Neil, Kathleen, Kruedelbach, Norman
Source: Journal of Clinical Psychology. Dec2013, Vol. 69 Issue 12, p1305-1314. 10p. 4 Charts.
Subjects: Diagnosis of compulsive gambling, Diagnostic & Statistical Manual of Mental Disorders (Book), Compulsive gambler psychology, Hotlines (Counseling), Clinical psychology
Abstract: Objectives To examine the effect of proposed the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) changes to pathological gambling relative to DSM-IV criteria in a large gambling helpline sample ( N = 2,750). Changes in prevalence rates, the diagnostic utility of the illegal acts criterion, and severity of alternative diagnostic formulation thresholds were examined. Method Callers to the helpline completed a semistructured interview and DSM-IV criteria were assessed. Results Without lowering the diagnostic threshold, removal of the illegal acts criterion resulted in loss of diagnostic status in less than 2% of helpline callers. The DSM-IV prevalence rate in this sample was 81.2%, and DSM-5 formulations with lowered thresholds of 4, 3, and 2 symptoms increased prevalence rates by 9% to 17%. However, item-level symptom endorsement suggested that subclinical gamblers experience significant adverse consequences. Conclusions Lowered thresholds may lead to earlier provision of treatment to gamblers and prevent escalation of the disorder, while being more consistent with diagnostic thresholds of other addiction disorders. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Examination of Proposed DSM-5 Changes to Pathological Gambling in a Helpline Sample.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+compulsive+gambling%22">Diagnosis of compulsive gambling</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+%26+Statistical+Manual+of+Mental+Disorders+%28Book%29%22">Diagnostic & Statistical Manual of Mental Disorders (Book)</searchLink><br /><searchLink fieldCode="DE" term="%22Compulsive+gambler+psychology%22">Compulsive gambler psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Hotlines+%28Counseling%29%22">Hotlines (Counseling)</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+psychology%22">Clinical psychology</searchLink>
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  Label: Abstract
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  Data: Objectives To examine the effect of proposed the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) changes to pathological gambling relative to DSM-IV criteria in a large gambling helpline sample ( N = 2,750). Changes in prevalence rates, the diagnostic utility of the illegal acts criterion, and severity of alternative diagnostic formulation thresholds were examined. Method Callers to the helpline completed a semistructured interview and DSM-IV criteria were assessed. Results Without lowering the diagnostic threshold, removal of the illegal acts criterion resulted in loss of diagnostic status in less than 2% of helpline callers. The DSM-IV prevalence rate in this sample was 81.2%, and DSM-5 formulations with lowered thresholds of 4, 3, and 2 symptoms increased prevalence rates by 9% to 17%. However, item-level symptom endorsement suggested that subclinical gamblers experience significant adverse consequences. Conclusions Lowered thresholds may lead to earlier provision of treatment to gamblers and prevent escalation of the disorder, while being more consistent with diagnostic thresholds of other addiction disorders. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/jclp.22003
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      – SubjectFull: Diagnostic & Statistical Manual of Mental Disorders (Book)
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      – SubjectFull: Compulsive gambler psychology
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              Text: Dec2013
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