Abstract
The aim of this study was to measure the reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for Pathological Gambling (PG). Participants were 263 male and 23 female patients seeking treatment for PG and a matched non-psychiatric control sample of 259 men and 24 women. A Spanish translation of a 19-item measure of DSM-IV diagnostic criteria for PG (Stinchfield 2003) was administered along with other validity measures. The DSM-IV diagnostic criteria were found to be internally consistent with a coefficient alpha of .95 in the combined sample. Evidence of satisfactory convergent validity included moderate to high correlations with other measures of problem gambling. Using the standard DSM-IV cut-score of five, the ten criteria were found to yield satisfactory classification accuracy results with a high hit rate (.95), high sensitivity (.92), high specificity (.99), low false positive (.01), and low false negative rate (.08). Lowering the cut score to four resulted in modest improvements in classification accuracy and reduced the false negative rate from .08 to .05. The Spanish translation of a measure of DSM-IV diagnostic criteria for PG demonstrated satisfactory psychometric properties and a cut score of four improved diagnostic precision.
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Allen, M. J., & Yen, W. M. (1979). Introduction to measurement theory. California: Brooks/Cole Publishing Company.
Alonso, J., et al. (2004). Prevalence of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica, 420, 21–27.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed). Washington, DC: Author.
Baldessarini, R. J., Finklestein, S., & Arana, G. W. (1983). The predictive power of diagnostic tests and the effect of prevalence of illness. Archives of General Psychiatry, 40(5), 569–573.
Becona, E. (1997). Pathological gambling in Spanish children and adolescents: An emerging problem. Psychological Reports, 81(1), 275–287.
Brislin, R. W. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1(3), 185–216. doi:10.1177/135910457000100301.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334. doi:10.1007/BF02310555.
Cunningham-Williams, R. M., Grucza, R. A., Cottler, L. B., Womack, S. B., Books, S. J., Przybeck, T. R., et al. (2005). Prevalence and predictors of pathological gambling: results from the St. Louis personality, health and lifestyle (SLPHL) study. Journal of Psychiatric Research, 39(4), 377–390. doi:10.1016/j.jpsychires.2004.09.002.
Dannon, P. N., Lowengrub, K., Sasson, M., Shalgi, B., Tuson, L., Saphir, Y., et al. (2004). Comorbid psychiatric diagnoses in kleptomania and pathological gambling: A preliminary comparison study. European Psychiatry, 19(5), 299–302. doi:10.1016/j.eurpsy.2004.04.012.
Dannon, P. N., Lowengrub, K., Shalgi, B., Sasson, M., Tuson, L., Saphir, Y., et al. (2006). Dual psychiatric diagnosis and substance abuse in pathological gamblers: A preliminary gender comparison study. Journal of Addictive Diseases, 25(3), 49–54. doi:10.1300/J069v25n03_07.
Desai, R. A. (2006). Pathological gambling. Southern Medical Journal, 99(1), 12. doi:10.1097/01.smj.0000197045.87932.54.
Echeburúa, E., Báez, C., Fernández, J., & Páez, D. (1994). Cuestionario de juego patológico de South Oaks (SOGS): Validación española. Análisis y Modificación de Conducta, 20, 769–791.
Evans, L., & Delfabbro, P. H. (2005). Motivators for change and barriers to help-seeking in Australian problema gamblers. Journal of Gambling Studies, 21(2), 133–155. doi:10.1007/s10899-005-3029-4.
Fernandez-Aranda, F., Jimenez-Murcia, S., Alvarez-Moya, E. M., Granero, R., Vallejo, J., & Bulik, C. M. (2006). Impulse control disorders in eating disorders: Clinical and therapeutic implications. Comprehensive Psychiatry, 47(6), 482–488. doi:10.1016/j.comppsych.2006.03.002.
Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). New York: Wiley.
Goldberg, D. P. (1981). Manual of the general health questionnaire (GHQ-28). Toronto: NFER Nelson Publishing.
Hodgins, D. C. (2005). Implications of a brief intervention trial for problem gambling for future outcome research. Journal of Gambling Studies, 21(1), 13–19. doi:10.1007/s10899-004-1917-7.
Jiménez-Murcia, S., Álvarez-Moya, E. M., Granero, R., Aymamí, M. N., Gómez-Peña, M., Jaurrieta, N., et al. (2005). Análisis de la eficacia de dos modalidades de tratamiento cognitivo-conductual grupal para el juego patológico. Psicología Conductual, 13(3), 497–512. Analysis of the afficacy of two types of group cognitive-behavioral tratment for pathological gambling.
Jiménez-Murcia, S., Alvarez Moya, E., Granero, R., Aymamí, M.N., Gómez, M., Jaurrieta, N., et al. (2007). Cognitive-behavioral group treatment for pathological gambling: Analysis of efficacy and predictors of therapy outcome. Psychotherapy Research (in press).
Kuentzel, J. G., Henderson, M. J., & Melville, C. L. (2008). The impact of social desirability biases on self-report among college student and problem gamblers. Journal of Gambling Studies, (Mar), 28. Epub ahead of print.
Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. The American Journal of Psychiatry, 144(9), 1184–1188.
Lobo, A., Perez-Echeverria, M. J., & Artal, J. (1986). Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychological Medicine, 16, 135–140.
Molina, J. D., Andrade-Rosa, C., Gonzalez-Parra, S., Blasco-Fontecilla, H., Real, M. A., & Pintor, C. (2006). The factor structure of the General Health Questionnaire (GHQ): A scaled version for general practice in Spain. European Psychiatry, 21(7), 478–486. doi:10.1016/j.eurpsy.2006.03.002.
Nunnally, J. (1978). Psychometric theory (2nd ed.). New York: McGraw-Hill.
Petry, N. M., Stinson, F. S., & Grant, B. F. (2005). Comorbidity of DSM-IV pathological gambling and other psychiatric disorders: Results from the national epidemiologic survey on alcohol and related conditions. The Journal of Clinical Psychiatry, 66(5), 564–574.
Pietrzak, R. H., & Petry, N. M. (2005). Antisocial personality disorder is associated with increased severity of gambling, medical, drug and psychiatric problems among treatment-seeking pathological gamblers. Addiction (Abingdon, England), 100(8), 1183–1193. doi:10.1111/j.1360-0443.2005.01151.x.
Raylu, N., & Oei, T. P. (2002). Pathological gambling. A comprehensive review. Clinical Psychology Review, 22(7), 1009–1061. doi:10.1016/S0272-7358(02)00101-0.
Schaffer, H. J., Hall, M. N., & Bilt, J. V. (1997). Estimating the prvalence of disordered gambling behaviour in the United States and Canada: A meta-analysis. Cambridge: Harvard Medical School of Addictions.
Slutske, W. (2006). Natural recovery and treatment-seeking in pathological gambling: Results of two US national surveys. The American Journal of Psychiatry, 163, 207–302.
Stinchfield, R. (2002). Reliability, validity, and classification accuracy of the South Oaks Gambling Screen (SOGS). Addictive Behaviors, 27(1), 1–19. doi:10.1016/S0306-4603(00)00158-1.
Stinchfield, R. (2003). Reliability, validity, and classification accuracy of a measure of DSM-IV diagnostic criteria for pathological gambling. The American Journal of Psychiatry, 160(1), 180–182. doi:10.1176/appi.ajp. 160.1.180.
Stinchfield, R., Govoni, R., & Frisch, G. R. (2005). DSM-IV diagnostic criteria for pathological gambling: Reliability, validity, and classification accuracy. The American Journal on Addictions, 14(1), 73–82. doi:10.1080/10550490590899871.
Westermeyer, J., Canive, J., Garrard, J., Thuras, P., & Thompson, J. (2005). Lifetime prevalence of pathological gambling among american Indian and Hispanic American Veterans. American Journal of Public Health, 95(5), 860–866. doi:10.2105/AJPH.2003.023770.
Winters, K. C., Specker, S., & Stinchfield, R. (2002). Measuring pathological gambling with the Diagnostic Interview for Gambling Severity (DIGS). In J. J. Marotta, J. A. Cornelius & W. R. Eadington (Eds.), The downside: Problem and pathological gambling (pp. 143–148). Reno, NV: University of Nevada, Reno.
Zimmerman, M., Chelminsky, I., & Young, D. (2006). A psychometric evaluation of the DSM-IV pathological gambling diagnostic criteria. Journal of Gambling Studies, 22, 329–337. doi:10.1007/s10899-006-9020-x.
Acknowledgements
Financial support was received from Fondo de Investigación Sanitaria of Spain (FIS: PI-040619; CIBER-CB06/03/0034) and Generalitat de Catalunya (2005SGR00322). We want to thank the support given by Prof. E. Jaurrieta (Medical Director HUB) and by Department of Cardiology (HUB) to this study.
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Jiménez-Murcia, S., Stinchfield, R., Álvarez-Moya, E. et al. Reliability, Validity, and Classification Accuracy of a Spanish Translation of a Measure of DSM-IV Diagnostic Criteria for Pathological Gambling. J Gambl Stud 25, 93–104 (2009). https://doi.org/10.1007/s10899-008-9104-x
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DOI: https://doi.org/10.1007/s10899-008-9104-x