The prevalence of pathological gambling in galicia according to the nods. Reduction in prevalence or better assessment of the disorder?
DOI:
https://doi.org/10.20882/adicciones.399Keywords:
NODS, pathological gambling, prevalence, SpainAbstract
At the present time, pathological gambling is an important mental health problem that carries with it a large number of problems at a personal, family and social level. This study analyses the prevalence of pathological gambling in Galicia (NW Spain), in a representative sample of adults of 18 years of age or above (N = 1.624), collected in 33 municipalities, stratified by habitat, age and sex. The NODS (NORC DSM-IV Screen for Gambling Problems) by Gernstein et al. (1999) was used for the assessment of pathological, problem and at-risk gamblers. The 17 NODS items cover the ten DSM-IV categories for the diagnosis of pathological gambling (5 or more criteria). The results indicate that 0.92% are pathological gamblers throughout their lifetime, and 0.31% in the past year; 0.18% problem gamblers throughout their lifetime and 0.25% in the past year; and 0.31% are at risk of becoming gamblers throughout their lifetime and 0.25% in the past year. These results are clearly lower those obtained in other previous studies in Galicia and Spain, but equivalent to the North America NODS evaluation. We discuss the necessity of adjustment to the DSM-IV criteria, and to instruments derived from the same, in studies on the prevalence of pathological gambling. Data is also presented from other recent studies that permit an explanation for the current prevalence levels being lower than those obtained some years ago. The more restrictive DSM-IV criteria, and the questionnaires derived from it, would explain the lower level of current prevalence, in addition to a greater social awareness, nowadays, on the problems of gambling.References
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