The prevalence of comorbid personality disorders in treatment-seeking problem gamblers: A systematic review and meta-analysis

Journal article


Dowling, Nicki, Cowlishaw, Sean, Jackson, Alun, Merkouris, Stephanie, Francis, Kate and Christensen, Darren. (2015) The prevalence of comorbid personality disorders in treatment-seeking problem gamblers: A systematic review and meta-analysis. Journal Of Personality Disorders. https://doi.org/10.1521/pedi_2014_28_168
AuthorsDowling, Nicki, Cowlishaw, Sean, Jackson, Alun, Merkouris, Stephanie, Francis, Kate and Christensen, Darren
Abstract

The aim of this study was to systematically review and meta-analyze the prevalence of comorbid personality disorders among treatment-seeking problem gamblers. Almost one half (47.9%) of problem gamblers displayed comorbid personality disorders. They were most likely to display Cluster B disorders (17.6%), with smaller proportions reporting Cluster C disorders (12.6%) and Cluster A disorders (6.1%). The most prevalent personality disorders were narcissistic (16.6%), antisocial (14.0%), avoidant (13.4%), obsessive-compulsive (13.4%), and borderline (13.1%) personality disorders. Sensitivity analyses suggested that these prevalence estimates were robust to the inclusion of clinical trials and self-selected samples. Although there was significant variability in reported rates, subgroup analyses revealed no significant differences in estimates of antisocial personality disorder according to problem gambling severity, measure of comorbidity employed, and study jurisdiction. The findings highlight the need for gambling treatment services to conduct routine screening and assessment of co-occurring personality disorders and to provide treatment approaches that adequately address these comorbid conditions.

Year2015
JournalJournal Of Personality Disorders
ISSN0885-579X
Digital Object Identifier (DOI)https://doi.org/10.1521/pedi_2014_28_168
Web address (URL)http://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=25248010&site=ehost-live
Page range735 - 754
Research GroupCentre for Health and Social Research
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https://acuresearchbank.acu.edu.au/item/88xq9/the-prevalence-of-comorbid-personality-disorders-in-treatment-seeking-problem-gamblers-a-systematic-review-and-meta-analysis

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