A Meta-Analysis Examining the Relations among Pathological Gambling,Obsessive-Compulsive Disorder,and Obsessive-Compulsive Traits

Abstract

Pathological gambling has been proposed to belong to the obsessive-compulsive spectrum of disorders. Disorders on this spectrum are thought to share similar clinical features, neurobiology, and responses to treatment as Obsessive-Compulsive Disorder. A total of 18 studies were included in a meta-analysis to assess the strength of the association between these disorders. A strong relationship (effect size = 1. 01) was found between pathological gambling and obsessive-compulsive traits. A weak relationship was found between pathological gambling and Obsessive-Compulsive Disorder (.07) and Obsessive-Compulsive Personality Disorder (effect size = .23). These results suggest pathological gambling and Obsessive-Compulsive Disorder are distinct disorders. However, pathological gamblers do appear to show high rates of obsessive-compulsive traits relative to controls. These findings are only moderately supportive of the inclusion of pathological gambling within the obsessive-compulsive spectrum of conditions.

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References

American Psychiatric Association. (1980) Diagnostic and statistical manual of mental disorders. (3rd ed.) Washington, DC: Author.

American Psychiatric Association. (1987) Diagnostic and statistical manual of mental disorders. (3rd ed., Rev.) Washington, DC: Author.

American Psychiatric Association. (1994) Diagnostic and statistical manual of mental disorders. (4th ed.) Washington. DC: Author.

American Psychiatric Association. (2000) Diagnostic and statistical manual of mental disorders. (4th ed., Rev.) Washington, DC: Author.

Anholt

G. E.

Emmelkamp

P. M. G.

Cath

D. C.

Van Oppen

Neussen

Smit

J. H.

(2004) Do patients with OCD and pathological gambling have similar dysfunctional cognitions? Behaviour Research and Therapy. 42, 529–537.∗

Bienvenu

O. J.

Samuels

J. F.

Riddle

M. A.

Hoehn-Saric

Liang

K-Y.

Cullen

B. A. M.

Grados

M. A.

Nestadt

(2000) The relationship of Obsessive-Compulsive Disorder to possible spectrum disorders: results from a family study. Biological Psychiatry, 48, 287–293.∗

Black

D. W.

Goldstein

R. B.

Noyes

Jr. Blum

(1994) Compulsive behaviors and Obsessive-Compulsive Disorder (OCD): lack of a relationship between OCD, eating disorders, and gambling. Comprehensive Psychiatry, 35, 145–148.

Black

D. W.

Monahan

P. O.

Temkit

Shaw

(2006) A family study of pathological gambling. Psychiatry Research, 141, 295–303.∗

Black

D. W.

Moyer

(1998) Clinical features and psychiatric comorbidity of subjects with pathological gambling behavior. Psychiatric Services, 49, 1434–1439.

10.

Black

D. W.

Moyer

Schlosser

(2003) Quality of life and family history in pathological gambling. Journal of Nervous and Mental Disease, 191, 124–126.∗

11.

Blanco

Moreyra

Nunes

E. V.

Sáiz-Ruiz

Ibáñez

(2001) Pathological gambling: addiction or compulsion? Seminars in Clinical Neuropsychiatry, 6, 167–176.

12.

Bland

R. C.

Newman

S. C.

Orn

Stebelsky

(1993) Epidemiology of pathological gambling in Edmonton. Canadian Journal of Psychiatry, 38, 108–112.∗

13.

Blaszczynski

(1999) Pathological gambling and Obsessive-Compulsive Spectrum Disorders. Psychological Reports, 84, 107–113.∗

14.

Blaszczynski

A. P.

McConaghy

(1988) SCL-90 assessed psychopathology in pathological gamblers. Psychological Reports. 62, 547–552.

15.

Blaszczynski

Steel

(1998) Personality disorders among pathological gamblers. Journal of Gambling Studies, 14, 51–71.∗

16.

Burton

Netemeyer

R. G.

Andrews

J. C.

(2000) Modeling potential psychological risk factors of pathological gambling. Journal of Applied Social Psychology, 30, 2058–2078.∗

17.

Cohen

(1988) Statistical power analysis for the behavioral sciences. (2nd ed.) Hillsdale, NJ: Erlbaum.

18.

Cooper

(1998) Synthesizing research: a guide for literature reviews. (3rd ed.) Thousand Oaks, CA: Sage.

19.

Dannon

P. N.

Lowengrub

Aizer

Kotler

(2006) Pathological gambling: comorbid psychiatric diagnoses in patients and their families. Israeli Journal of Psychiatry and Related Sciences, 43, 88–92.∗

20.

Dannon

P. N.

Lowencrub

Sasson

Shalgi

Tuson

Saphir

Kotler

(2004) Comorbid psychiatric diagnoses in kleptomania and pathological gambling: a preliminary comparison study. European Psychiatry, 19, 299–302.

21.

De Smidt

G. A.

Gorey

K. M.

(1997) Unpublished social work research: systematic replication of a recent meta-analysis of published intervention effectiveness research. Social Work Research. 21, 58–62.

22.

Durdle

Stewart

S. H.

(2007) Should pathological gambling be considered an obsessive-compulsive spectrum condition? In Abramowitz

Taylor

MacKay

(Eds.), Obsessive-Compulsive Disorder: subtypes and spectrum conditions. Baltimore, MD: The Johns Hopkins Univer. Press.

23.

Du Toit

P. L.

Van Kradenburg

Niehaus

Stein

D. J.

(2001) Comparison of obsessive-compulsive disorder patients with and without co-morbid putative obsessive-compulsive spectrum disorders using a structured clinical interview. Comprehensive Psychiatry, 42, 291–300.

24.

Frost

R. O.

Meagher

B. M.

Riskind

J. H.

(2001) Obsessive-compulsive features in pathological lottery and scratch-ticket gamblers. Journal of Gambling Studies, 17, 5–19.∗

25.

Grenier

A. M.

Gorey

K. M.

(1998) The effectiveness of social work with older people and their families: a meta-analysis of conference proceedings. Social Work Research, 22, 60–64.

26.

Hollander

(2005) Obsessive-compulsive disorder and spectrum across the life span. International Journal of Psychiatry in Clinical Practice, 9, 79–86.

27.

Hollander

Sood

Pallanti

Baldini-Rossi

Baker

(2005) Pharmacological treatments of pathological gambling. Journal of Gambling Studies, 21, 101–110.

28.

Hollander

Wong

C. M.

(1995) Obsessive-compulsive spectrum disorders. Journal of Clinical Psychiatry, 56(Suppl. 4). 3–6.

29.

Jaisoorya

T. S.

Janardhan Reddy

Y. C.

Srinath

(2003) The relationship of Obsessive-Compulsive Disorder to putative spectrum disorders: results from an Indian study. Comprehensive Psychiatry, 44, 317–323.∗

30.

Ladouceur

Bouchard

Rheaume

Jacques

Ferland

Leblond

Walker

(2000) Is the SOGS an accurate measure of pathological gambling among children, adolescents, and adults? Journal of Gambling Studies. 16, 1–24.

31.

Lesieur

H. R.

Blume

S. B.

(1987) The South Oaks Gambling Screen (SOGS): a new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.

32.

Lesieur

H. R.

Blume

S. B.

(1993) Revising the South Oaks Gambling Screen in different settings. Journal of Gambling Studies, 9, 213–223.

33.

Linden

R. D.

Pope

H. G.

Jonas

J. M.

(1986) Pathological gambling and major affective disorder: preliminary findings. Journal of Clinical Psychiatry. 47, 201–203.

34.

Martinez-Pina

Guirao De Parga

J. L.

Fusté

Vallverdú

Serrat Planas

Martin Mateo

Moreno Aguado

(1991) The Catalonia Survey: personality and intelligence structure in a sample of compulsive gamblers. Journal of Gambling Studies, 7, 275–299.∗

35.

McElroy

S. L.

Hudson

J. L.

Phillips

K. A.

Keck

P. E.

Pope

H. G.

(1993) Clinical and theoretical implications of a possible link between obsessive-compulsive and impulse control disorders. Depression, 1, 121–132.

36.

Moreyra

Ibáñez

Liebowitz

M. R.

Sáiz-Ruiz

Blanco

(2002) Pathological gambling: addiction or obsession? Psychiatric Annals, 32, 161–166.

37.

Petry

N. M.

(2000) Psychiatric symptoms in problem gambling and non problem gambling substance abusers. The American Journal of Addictions, 9, 163–171.∗

38.

Rosenthal

(1979) The file drawer problem and tolerance for null results. Psychological Bulletin, 86, 638–641.

39.

Shaffer

H. J.

Hall

M. N.

Vander Bilt

(1999) Estimating the prevalence of disordered gambling behavior in the United States and Canada: a research synthesis. American Journal of Public Health, 89, 1369–1376.

40.

Skitch

S. A.

Hodgins

D. C.

(2004) Impulsivity, compulsivity and pathological gambling: an exploratory study of pathological gambling as an impulsivity-compulsivity spectrum disorder. International Gambling Studies, 4, 175–188.

41.

Specker

S. M.

Carlson

G. A.

Edmonson

K. M.

Johnson

P. E.

Marcotte

(1996) Psychopathology in pathological gamblers seeking treatment. Journal of Gambling Studies, 12, 67–81∗.

42.

Stanley

M. A.

Turner

S. M.

(1995) Current status of pharmacological and behavioral treatment of obsessive-compulsive disorder. Behavior Therapy, 26, 163–186.

43.

Symes

B. A.

Nicki

R. M.

(1997) A preliminary consideration of cue-exposure, response-prevention treatment for pathological gambling behaviour: two case studies. Journal of Gambling Studies, 13, 145–157.

44.

Zimmerman

Chelminski

Young

(2006) Prevalence and diagnostic correlates of DSM-IV pathological gambling in psychiatric outpatients. Journal of Gambling Studies, 22. 255–262.∗