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<p>This study examined patient characteristics, gambling types, and overall service use as factors associated with the frequency of gambling disorder (GD) treatment admissions in specialized addiction centers over a 13‑year period. Data were drawn from 14 Quebec (Canada) administrative addiction center databases for 2,341 patients with GD (2009–2022) and linked with the province’s health and social administrative databases (2006–2022). Factors associated with the number of GD treatment admissions were analyzed using Poisson regression, with each patient’s last GD treatment serving as the index date. Across the cohort, GD treatment admissions ranged from 0 to 11, with a mean of 1.67. Close to half of the patients (42%) accounted for 2 + admissions, averaging 3.1 admissions occurring roughly 20 months apart. A higher number of admissions was partly associated with indicators of greater clinical severity, including chronic GD (5 + years; 35% of the cohort), online gambling, co‑occurring mental disorders, and receiving residential or longer‑term GD treatments (≥ 4 months) or community psychosocial services. In contrast, patients with criminal history/social issues or substance‑related disorders tended to have fewer admissions. Motivation for treatment, expressed positively through self‑referral to GD treatment and regular care from various providers, or negatively through higher dropout rates from GD treatments, was linked to more frequent admissions. Overall, these results highlight the need to strengthen services by increasing screening, motivational interventions, referrals to GD treatment, and using multiple intervention strategies to better meet the needs of patients, particularly those with repeated admissions or chronic GD.</p>

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Factors Associated with the Frequency of Treatment Admissions Over A 13-year Period Among Patients with Gambling Disorder

  • 期刊论文

  • 发表日期：

    2026年4月22日

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  • Marie-Josée Fleury,
  • Ovidiu Tatar,
  • Guy Grenier,
  • Sharmin Sharker,
  • Francine Ferland,
  • Nadine Banchette-Martin

摘要

This study examined patient characteristics, gambling types, and overall service use as factors associated with the frequency of gambling disorder (GD) treatment admissions in specialized addiction centers over a 13‑year period. Data were drawn from 14 Quebec (Canada) administrative addiction center databases for 2,341 patients with GD (2009–2022) and linked with the province’s health and social administrative databases (2006–2022). Factors associated with the number of GD treatment admissions were analyzed using Poisson regression, with each patient’s last GD treatment serving as the index date. Across the cohort, GD treatment admissions ranged from 0 to 11, with a mean of 1.67. Close to half of the patients (42%) accounted for 2 + admissions, averaging 3.1 admissions occurring roughly 20 months apart. A higher number of admissions was partly associated with indicators of greater clinical severity, including chronic GD (5 + years; 35% of the cohort), online gambling, co‑occurring mental disorders, and receiving residential or longer‑term GD treatments (≥ 4 months) or community psychosocial services. In contrast, patients with criminal history/social issues or substance‑related disorders tended to have fewer admissions. Motivation for treatment, expressed positively through self‑referral to GD treatment and regular care from various providers, or negatively through higher dropout rates from GD treatments, was linked to more frequent admissions. Overall, these results highlight the need to strengthen services by increasing screening, motivational interventions, referrals to GD treatment, and using multiple intervention strategies to better meet the needs of patients, particularly those with repeated admissions or chronic GD.