Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient Registry

Introduction: Previous research has established co-occurrence between substance use disorders (SUDs) and gambling disorder (GD). Less well understood is the temporal sequencing of onset between these disorders, and in particular whether SUD is a risk factor for GD. The present study examined the tem...

Full description

Bibliographic Details
Main Authors: Lisa-Christine Girard, Mark D. Griffiths, Ingeborg Rossow, Tony Leino, Anna E. Goudriaan, Otto R.F. Smith, Ståle Pallesen
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Addictive Behaviors Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352853223000238
_version_ 1797804598453338112
author Lisa-Christine Girard
Mark D. Griffiths
Ingeborg Rossow
Tony Leino
Anna E. Goudriaan
Otto R.F. Smith
Ståle Pallesen
author_facet Lisa-Christine Girard
Mark D. Griffiths
Ingeborg Rossow
Tony Leino
Anna E. Goudriaan
Otto R.F. Smith
Ståle Pallesen
author_sort Lisa-Christine Girard
collection DOAJ
description Introduction: Previous research has established co-occurrence between substance use disorders (SUDs) and gambling disorder (GD). Less well understood is the temporal sequencing of onset between these disorders, and in particular whether SUD is a risk factor for GD. The present study examined the temporal order between registered diagnoses of SUD and GD, stratified by sex. Methods: A study with a longitudinal design using objective registry data drawn from the Norwegian Patient Registry was carried out. Among the patients with a registered diagnosis of GD between 2008 and 2018 (N = 5,131; males = 81.8%), those (who in addition) had a registered diagnosis of any SUD (n = 1,196; males = 82.1%) were included. The measures included a registered diagnosis using the ICD-10 of both GD (code F63.0) and SUDs (codes F10-F19) by a health care professional. Binomial tests were used to identify the temporal order between SUD(s) and GD. Co-occurring cases (i.e., cases diagnosed within the same month) were removed in the main analyses. Results: Results showed a significant directional path from SUD to GD but no support for the reversed path (i.e., from GD to SUD). This finding was similar overall for (i) both males and females, (ii) when different SUDs (alcohol, cannabis, sedatives, and polysubstance) were examined individually, and (iii) when specifying a 12-month time-lag between diagnoses. Conclusions: The findings suggest that experiencing SUD(s) is a risk marker for GD given the temporal precedence observed for patients in specialised healthcare services seeking treatment. These results should be considered alongside screening and prevention efforts for GD.
first_indexed 2024-03-13T05:39:36Z
format Article
id doaj.art-7c5e74dccd3d4881afb50663c3ff262d
institution Directory Open Access Journal
issn 2352-8532
language English
last_indexed 2024-03-13T05:39:36Z
publishDate 2023-06-01
publisher Elsevier
record_format Article
series Addictive Behaviors Reports
spelling doaj.art-7c5e74dccd3d4881afb50663c3ff262d2023-06-14T04:33:37ZengElsevierAddictive Behaviors Reports2352-85322023-06-0117100501Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient RegistryLisa-Christine Girard0Mark D. Griffiths1Ingeborg Rossow2Tony Leino3Anna E. Goudriaan4Otto R.F. Smith5Ståle Pallesen6Department of Psychosocial Science, University of Bergen, Norway; Department of Special Needs Education, University of Oslo, Norway; Corresponding author at: Department of Psychosocial Science, University of Bergen, Christies gate 12 (4th floor), 5015 Bergen, Norway.Department of Psychology, Nottingham Trent University, UKDepartment of Alcohol, Tobacco and Drugs, Norwegian Institute of Public Health, NorwayDepartment of Health Promotion, Norwegian Institute of Public Health, NorwayDepartment of Psychiatry, Amsterdam UMC Location University of Amsterdam, Netherlands; Amsterdam Public Health, Mental Health, Amsterdam, NetherlandsDepartment of Psychosocial Science, University of Bergen, Norway; Department of Health Promotion, Norwegian Institute of Public Health, Norway; Department of Teacher Education, NLA University College, NorwayDepartment of Psychosocial Science, University of Bergen, Norway; Norwegian Competence Centre for Gambling and Gaming Research, University of Bergen, NorwayIntroduction: Previous research has established co-occurrence between substance use disorders (SUDs) and gambling disorder (GD). Less well understood is the temporal sequencing of onset between these disorders, and in particular whether SUD is a risk factor for GD. The present study examined the temporal order between registered diagnoses of SUD and GD, stratified by sex. Methods: A study with a longitudinal design using objective registry data drawn from the Norwegian Patient Registry was carried out. Among the patients with a registered diagnosis of GD between 2008 and 2018 (N = 5,131; males = 81.8%), those (who in addition) had a registered diagnosis of any SUD (n = 1,196; males = 82.1%) were included. The measures included a registered diagnosis using the ICD-10 of both GD (code F63.0) and SUDs (codes F10-F19) by a health care professional. Binomial tests were used to identify the temporal order between SUD(s) and GD. Co-occurring cases (i.e., cases diagnosed within the same month) were removed in the main analyses. Results: Results showed a significant directional path from SUD to GD but no support for the reversed path (i.e., from GD to SUD). This finding was similar overall for (i) both males and females, (ii) when different SUDs (alcohol, cannabis, sedatives, and polysubstance) were examined individually, and (iii) when specifying a 12-month time-lag between diagnoses. Conclusions: The findings suggest that experiencing SUD(s) is a risk marker for GD given the temporal precedence observed for patients in specialised healthcare services seeking treatment. These results should be considered alongside screening and prevention efforts for GD.http://www.sciencedirect.com/science/article/pii/S2352853223000238Gambling disorderSubstance use disordersCo-occurrenceRegistry dataLongitudinal
spellingShingle Lisa-Christine Girard
Mark D. Griffiths
Ingeborg Rossow
Tony Leino
Anna E. Goudriaan
Otto R.F. Smith
Ståle Pallesen
Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient Registry
Addictive Behaviors Reports
Gambling disorder
Substance use disorders
Co-occurrence
Registry data
Longitudinal
title Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient Registry
title_full Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient Registry
title_fullStr Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient Registry
title_full_unstemmed Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient Registry
title_short Temporal order of diagnosis between gambling disorder and substance use disorders: Longitudinal results from the Norwegian Patient Registry
title_sort temporal order of diagnosis between gambling disorder and substance use disorders longitudinal results from the norwegian patient registry
topic Gambling disorder
Substance use disorders
Co-occurrence
Registry data
Longitudinal
url http://www.sciencedirect.com/science/article/pii/S2352853223000238
work_keys_str_mv AT lisachristinegirard temporalorderofdiagnosisbetweengamblingdisorderandsubstanceusedisorderslongitudinalresultsfromthenorwegianpatientregistry
AT markdgriffiths temporalorderofdiagnosisbetweengamblingdisorderandsubstanceusedisorderslongitudinalresultsfromthenorwegianpatientregistry
AT ingeborgrossow temporalorderofdiagnosisbetweengamblingdisorderandsubstanceusedisorderslongitudinalresultsfromthenorwegianpatientregistry
AT tonyleino temporalorderofdiagnosisbetweengamblingdisorderandsubstanceusedisorderslongitudinalresultsfromthenorwegianpatientregistry
AT annaegoudriaan temporalorderofdiagnosisbetweengamblingdisorderandsubstanceusedisorderslongitudinalresultsfromthenorwegianpatientregistry
AT ottorfsmith temporalorderofdiagnosisbetweengamblingdisorderandsubstanceusedisorderslongitudinalresultsfromthenorwegianpatientregistry
AT stalepallesen temporalorderofdiagnosisbetweengamblingdisorderandsubstanceusedisorderslongitudinalresultsfromthenorwegianpatientregistry