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dc.contributor.authorJones, Lisa
dc.contributor.authorMetcalf, Alice
dc.contributor.authorGordon-Smith, Katherine
dc.contributor.authorForty, Liz
dc.contributor.authorPerry, Amy
dc.contributor.authorLloyd, Joanne
dc.contributor.authorGeddes, John R.
dc.contributor.authorGoodwin, Guy M.
dc.contributor.authorJones, Ian
dc.contributor.authorCraddock, Nick
dc.contributor.authorRogers, Robert D.
dc.date.accessioned2018-05-24T08:45:51Z
dc.date.available2018-05-24T08:45:51Z
dc.date.issued2015-10-31
dc.identifier.citationGambling problems in bipolar disorder in the UK: Prevalence and distribution 2018, 207 (04):328 British Journal of Psychiatry
dc.identifier.issn0007-1250
dc.identifier.issn1472-1465
dc.identifier.doi10.1192/bjp.bp.114.154286
dc.identifier.urihttp://hdl.handle.net/2436/621299
dc.description.abstractBackground North American studies show bipolar disorder is associated with elevated rates of problem gambling; however, little is known about rates in the different presentations of bipolar illness. Aims To determine the prevalence and distribution of problem gambling in people with bipolar disorder in the UK. Method The Problem Gambling Severity Index was used to measure gambling problems in 635 participants with bipolar disorder. Results Moderate to severe gambling problems were four times higher in people with bipolar disorder than in the general population, and were associated with type 2 disorder (OR = 1.74, P = 0.036), history of suicidal ideation or attempt (OR = 3.44, P = 0.02) and rapid cycling (OR = 2.63, P = 0.008). Conclusions Approximately 1 in 10 patients with bipolar disorder may be at moderate to severe risk of problem gambling, possibly associated with suicidal behaviour and a rapid cycling course. Elevated rates of gambling problems in type 2 disorder highlight the probable significance of modest but unstable mood disturbance in the development and maintenance of such problems.
dc.description.sponsorshipThis work was supported by grants from the Wellcome Trust (078901) and the Stanley Medical Research Institute.
dc.language.isoen
dc.relation.urlhttps://www.cambridge.org/core/product/identifier/S0007125000239470/type/journal_article
dc.subjectproblem gambling
dc.subjectbipolar disorder
dc.subjectprevalence
dc.subjectcomorbidity
dc.titleGambling problems in bipolar disorder in the UK: Prevalence and distribution
dc.typeWorking paper
dc.identifier.journalBritish Journal of Psychiatry
pubs.place-of-publicationEngland
dc.date.accepted2014-11-03
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.source.volume207
dc.source.issue4
dc.source.beginpage328
dc.source.endpage333
refterms.dateFOA2018-08-20T13:01:05Z
html.description.abstractBackground North American studies show bipolar disorder is associated with elevated rates of problem gambling; however, little is known about rates in the different presentations of bipolar illness. Aims To determine the prevalence and distribution of problem gambling in people with bipolar disorder in the UK. Method The Problem Gambling Severity Index was used to measure gambling problems in 635 participants with bipolar disorder. Results Moderate to severe gambling problems were four times higher in people with bipolar disorder than in the general population, and were associated with type 2 disorder (OR = 1.74, P = 0.036), history of suicidal ideation or attempt (OR = 3.44, P = 0.02) and rapid cycling (OR = 2.63, P = 0.008). Conclusions Approximately 1 in 10 patients with bipolar disorder may be at moderate to severe risk of problem gambling, possibly associated with suicidal behaviour and a rapid cycling course. Elevated rates of gambling problems in type 2 disorder highlight the probable significance of modest but unstable mood disturbance in the development and maintenance of such problems.


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