Clinical features and treatment prognosis of pathological gamblers with and without recent gambling-related illegal behavior

David M. Ledgerwood, Jeremiah Weinstock, Benjamin J. Morasco, Nancy M. Petry

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

A substantial proportion of pathological gamblers engage in gambling-related illegal behavior. We examined differences in baseline characteristics and treatment outcomes in two groups: pathological gamblers who did and did not commit gambling-related illegal acts in the year before treatment. Participants were 231 pathological gamblers enrolled in a randomized study of treatment that included cognitive behavior therapy and referral to Gamblers Anonymous (GA). Participants reporting recent illegal behavior (n = 63) endorsed more severe lifetime and recent (past-year) gambling disorder symptoms and higher gambling-related debt than did gamblers who denied illegal behavior (n = 168). Those who reported illegal behavior also maintained a significantly higher severity of gambling disorder throughout treatment, although both groups experienced similar improvements in gambling symptoms over time. While pathological gamblers with or without gambling-related illegal behavior appeared to improve at a similar rate regardless of the treatment provided, more intensive treatment may be warranted for individuals with gambling-related illegal behavior, as they demonstrated greater gambling severity throughout treatment and follow-up.

Original languageEnglish (US)
Pages (from-to)294-301
Number of pages8
JournalJournal of the American Academy of Psychiatry and the Law
Volume35
Issue number3
StatePublished - 2007

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Psychiatry and Mental health

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