The Paradoxical Clinical Course of Persons with Gambling Disorder and Comorbid Attention-Deficit/Hyperactivity Disorder (ADHD)

The co-occurrence of gambling disorder (GD) and attention-deficit/hyperactivity disorder (ADHD) has been widely reported. In this study, we aimed to investigate the social background, clinical characteristics, and clinical course of initial-visit GD patients with and without ADHD in a Japanese psych...

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Published inJournal of gambling studies Vol. 39; no. 4; pp. 1723 - 1734
Main Authors Tanaka, Masuo, Cho, Tetsuji, Arai, Kiyomi, Iriki, Akihisa, Hashimoto, Takashi, Horii, Shigeo, Tsurumi, Kosuke
Format Journal Article
LanguageEnglish
Published New York Springer US 01.12.2023
Springer Nature B.V
Subjects
Attention deficit hyperactivity disorder
Autism
Clinical outcomes
Community and Environmental Psychology
Comorbidity
Economics
Employment
Gambling
Marriage
Medical records
Medicine
Medicine & Public Health
Original Paper
Psychiatry
Self report
Social background
Social support
Sociology
Gambling disorder
Clinical course
Prognosis
Comorbidity
Attention-deficit/hyperactivity disorder (ADHD)
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Summary:The co-occurrence of gambling disorder (GD) and attention-deficit/hyperactivity disorder (ADHD) has been widely reported. In this study, we aimed to investigate the social background, clinical characteristics, and clinical course of initial-visit GD patients with and without ADHD in a Japanese psychiatric hospital. We recruited 40 initial-visit GD patients and collected comprehensive information by self-report questionnaires, direct interviews, and medical records. 27.5% of the GD patients had comorbid ADHD. Compared to the GD patients without ADHD, those with ADHD had significantly higher comorbidity rates of autism spectrum disorder (ASD), lower rates of marriage, slightly less years of education and marginally lower employment rates. On the other hand, the GD patients with ADHD showed higher treatment retention rates and participation rates in the mutual support group. Despite presenting with disadvantageous characteristics, GD patients with ADHD exhibited a more favourable clinical course. Therefore, clinicians should be mindful of the possibility of ADHD comorbidity and the potential for better clinical outcomes among GD patients with ADHD.
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ISSN:1573-3602
1573-3602
DOI:10.1007/s10899-023-10233-y