Gambling disorder (GD) is known to be associated with severe complications, including suicidal behavior ( 3) and psychological distress in concerned significant others ( 5). Psychiatric comorbidity is common in gambling disorder patients in the health care system, with a higher prevalence in women.Īround 0.5 percent of the adult population are known to suffer from a level of problem gambling severe enough to fulfill criteria for a diagnosis ( 1, 2), hitherto defined as pathological gambling in the International Classification of Diseases (ICD-10) ( 3) and, since 2013, as gambling disorder in the Diagnostic and Statistical Manual of Mental Disorders ( 4) and in the ICD-11 ( 3). Prevalence of substance use disorders did not differ with respect to gender.Ĭonclusions: Despite a large gap between probable population prevalence of gambling disorder and the number of treated patients, the number of patients treated in out-patient health care with a gambling disorder diagnosis increased over time, with an increasing treatment uptake in younger individuals. Several diagnostic subgroups were more common in women, with anxiety and affective disorders being the most common subgroups. A co-occurring psychiatric diagnosis was registered in 73 percent of patients, more commonly in females (77 vs. Treatment uptake during the study period increased significantly in out-patient care, with an increasing uptake of younger individuals, whereas in-patient treatment uptake remained stable. Results: A total of 2,099 patients were included (1,784 in out-patient care and 629 patients in in-patient care), among whom 77 percent were men. All psychiatric disorders co-occurring with the diagnoses were recorded, along with age, gender and the type of medical specialty. Methods: This is a nationwide register-based study of all patients aged above 18 years who were diagnosed with gambling disorder (corresponding to pathological gambling, code F63.0, in the ICD-10) in Swedish specialized out-patient health care or in-patient care, from 2005 through 2016. There is a paucity of documented nationwide data on gambling disorder and its co-occurring psychiatric comorbidities in the health care system. 2Malmö Addiction Center, Clinical Research Unit, Malmö, Swedenīackground: Psychiatric comorbidity is common in gambling disorder, a condition with low rates of treatment seeking.1Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden.ICD-10-CM F60.2 is grouped within Diagnostic Related Group(s) (MS-DRG v40.Anders Håkansson 1,2 * Anna Karlsson 1,2 Carolina Widinghoff 1,2 Personality disorder whose essential feature is a pervasive pattern of disregard for, and violation of, the rights of others through aggressive, antisocial behavior, without remorse or loyalty to anyone.Personality disorder characterized by conflict with others, low frustration tolerance, inadequate conscience development, and rejection of authority and discipline.The individual must be at least age 18 and must have a history of some symptoms of conduct disorder before age 15. A personality disorder whose essential feature is a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood.
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