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Gambling problems in bipolar disorder in the UK: Prevalence and distribution
Jones, Lisa Metcalf, Alice Gordon-Smith, Katherine Forty, Liz Perry, Amy Lloyd, Joanne Geddes, John R. Goodwin, Guy M. Jones, Ian Craddock, Nick
Jones, Lisa
Metcalf, Alice
Gordon-Smith, Katherine
Forty, Liz
Perry, Amy
Lloyd, Joanne
Geddes, John R.
Goodwin, Guy M.
Jones, Ian
Craddock, Nick
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2015-10-31
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Abstract
Background 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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Gambling problems in bipolar disorder in the UK: Prevalence and distribution 2018, 207 (04):328 British Journal of Psychiatry
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Working paper
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en
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0007-1250
1472-1465
1472-1465
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This work was supported by grants from the Wellcome Trust (078901) and the Stanley Medical Research Institute.