TY - JOUR
T1 - Contribution of illegal acts to pathological gambling diagnosis
T2 - DSM-5 implications
AU - Granero, Roser
AU - Penelo, Eva
AU - Stinchfield, Randy
AU - Fernández-Aranda, Fernando
AU - Aymamí, Neus
AU - Gómez-Peña, Mónica
AU - Fagundo, Ana B.
AU - Sauchelli, Sarah
AU - Islam, Mohammed A.
AU - Menchón, José M.
AU - Jiménez-Murcia, Susana
N1 - Funding Information:
This research was supported by the Ministry of Science and Innovation grant PSI2011-28349), CIBER Fisiología Obesidad y Nutrición (CIBER-obn) and CIBER Salud Mental (CIBERSAM), both are initiatives of ISCIII.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - The purposes of this study were to examine the specific contribution of illegal acts to the diagnostic criteria of pathological gambling, to assess the possibility of differential item functioning across patients sex and age, and to explore the existence of different clinical phenotypes based on the presence of illegal acts. The sample consisted of 2,155 patients seeking treatment for pathological gambling at the University Hospital of Bellvitge in Barcelona, Spain. The illegal acts item did not show different item functioning, and younger patients presented higher latent means than middle-aged and older patients, whereas no differences were found across sex. This item also showed the lowest discrimination coefficient; its exclusion would maintain satisfactory internal consistency for the remaining 9 symptoms and was poorly related to psychopathology and the severity of the gambling behavior. The relevance of the illegal acts as a diagnostic criterion appears to be limited, and its elimination from the Diagnostic and Statistical Manual for Mental Disorders, 5th edition, seems justified. However, illegal acts have implications for both the clinical and legal domains and contribute to increase the patients impairment.
AB - The purposes of this study were to examine the specific contribution of illegal acts to the diagnostic criteria of pathological gambling, to assess the possibility of differential item functioning across patients sex and age, and to explore the existence of different clinical phenotypes based on the presence of illegal acts. The sample consisted of 2,155 patients seeking treatment for pathological gambling at the University Hospital of Bellvitge in Barcelona, Spain. The illegal acts item did not show different item functioning, and younger patients presented higher latent means than middle-aged and older patients, whereas no differences were found across sex. This item also showed the lowest discrimination coefficient; its exclusion would maintain satisfactory internal consistency for the remaining 9 symptoms and was poorly related to psychopathology and the severity of the gambling behavior. The relevance of the illegal acts as a diagnostic criterion appears to be limited, and its elimination from the Diagnostic and Statistical Manual for Mental Disorders, 5th edition, seems justified. However, illegal acts have implications for both the clinical and legal domains and contribute to increase the patients impairment.
KW - DSM
KW - illegal acts
KW - measurement invariance
KW - pathological gambling
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U2 - 10.1080/10550887.2014.882730
DO - 10.1080/10550887.2014.882730
M3 - Article
C2 - 24471454
AN - SCOPUS:84898940434
SN - 1055-0887
VL - 33
SP - 41
EP - 52
JO - Journal of Addictive Diseases
JF - Journal of Addictive Diseases
IS - 1
ER -
