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Disordered Gambling Among Racial and Ethnic Groups in the US: Results From the National Epidemiologic Survey on Alcohol and Related Conditions

Published online by Cambridge University Press:  07 November 2014

Analucía A. Alegría ,
Nancy M. Petry ,
Deborah S. Hasin ,
Shang-Min Liu ,
Bridget F. Grant  and
Carlos Blanco
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Abstract

Introduction: Prior research suggests that racial minority groups in the United States are more vulnerable to develop a gambling disorder than whites. However, no national survey on gambling disorders exists that has focused on ethnic differences.

Methods: Analyses of this study were based on the National Epidemiologic Survey on Alcohol and Related Conditions, a large (N=43,093) nationally representative survey of the adult (≥18 years of age) population residing in house-holds during 2001–2002 period. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision diagnoses of pathological gambling, mood, anxiety, drug use, and personality disorders were based on the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IVVersion.

Results: Prevalence rates of disordered gambling among blacks (2.2%) and Native/Asian Americans (2.3%) were higher than that of whites (1.2%). Demographic characteristics and psychiatric comorbidity differed among Hispanic, black, and white disordered gamblers. However, all racial and ethnic groups evidenced similarities with respect to symptom patterns, time course, and treatment seeking for pathological gambling.

Conclusion: The prevalence of disordered gambling, but not its onset or course of symptoms, varies by racial and ethnic group. These varying prevalence rates may reflect, at least in part, cultural differences in gambling and its acceptability and accessibility. These data may inform the need for targeted prevention strategies for high-risk racial and ethnic groups.

Type
Original Research
Information
CNS Spectrums , Volume 14 , Issue 3 , March 2009 , pp. 132 - 143
Copyright
Copyright © Cambridge University Press 2009

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References

REFERENCES

1.Diagnostic and Statistical Manual of Mental Disorders. 4th ed, text rev. Washington, DC: American Psychiatric Association; 2000.Google Scholar
2.Toce-Gerstein, M, Gerstein, DR, Volberg, RA. A hierarchy of gambling disorders in the community. Addiction. 2003;98:1661–1672.Google Scholar
3.Petry, NM, Stinson, FS, Grant, BF. Comorbidity of DSM-IV. Pathological gambling and other psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2005;66:564–574.CrossRefGoogle ScholarPubMed
4.Blanco, C, Hasin, DS, Petry, N, Stinson, FS, Grant, BF. Sex differences in subclinical and DSM-IV pathological gambling: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychol Med. 2006;36:943–953.CrossRefGoogle ScholarPubMed
5.Shaffer, HJ, Hall, MN, Vander Bilt, J. Estimating the prevalence of disordered gambling behavior in the United States and Canada: a research synthesis. Boston, Mass: Presidents and Fellows of Harvard College; 1997.Google Scholar
6.Cunningham-Williams, RM, Cottler, LB, Compton, WM III, Spitznagel, EL. Taking chances: problem gamblers and mental health disorders—results from the St. Louis Epidemiologic Catchment Area Study. Am J Public Health. 1998;88:1093–1096.Google Scholar
7.Volberg, RA, Abbott, MW. Gambling and problem gambling among indigenous peoples. Subst Use Misuse. 1997;32:1525–1538.CrossRefGoogle ScholarPubMed
8.Zitzow, D. Comparative study of problematic gambling behaviors between American Indian and non-Indian adults in a northern plains reservation. Am Indian Alsk Native Ment Health Res. 1996;7:27–41.CrossRefGoogle Scholar
9.Zitzow, D. Comparative study of problematic gambling behaviors between American Indian and non-Indian adolescents within and near a Northern Plains reservation. Am Indian Alsk Native Ment Health Res. 1996;7:14–26.CrossRefGoogle Scholar
10.Westermeyer, J, Canive, J, Garrard, J, Thuras, P, Thompson, J. Lifetime prevalence of pathological gambling among American Indian and Hispanic American Veterans. Am J Public Health. 2005;95:860–866.Google Scholar
11.Blaszczynski, A, Huynh, S, Dumlao, V, Farrell, E. Problem gambling within a Chinese Speaking Community. J Gambl Stud. 1998;14:359–380.CrossRefGoogle ScholarPubMed
12.Welte, J, Barnes, G, Wieczorek, W, Tidwell, MC, Parker, J. Alcohol and gambling pathology among U.S. adults: prevalence, demographic patterns and comorbidity. J Stud Alcohol. 2001;62:706–712.CrossRefGoogle ScholarPubMed
13.Abbott, M, Volberg, R. Taking the pulse on gambling and problem gambling in New Zealand: a report on phase 1 of the 1999 National Prevalence Survey. Report No 3: New Zealand Gaming Survey. Wellington, New Zealand: Department of Internal Affairs; 2000.Google Scholar
14.Volberg, RA, Abbott, MW, Ronnberg, S, Munck, IM. Prevalence and risks of pathological gambling in Sweden. Acta Psychiatr Scand. 2001;104:250–256.Google Scholar
15.Petry, NM, Armentano, C, Kuoch, T, Norinth, T, Smith, L. Gambling participation and problems among South East Asian refugees to the United States. Psychiatr Serv. 2003;54:1142–1148.Google Scholar
16.Ibanez, A, Blanco, C, Moreryra, P, Saiz-Ruiz, J. Gender differences in pathological gambling. J Clin Psychiatry. 2003;64:295–301.Google Scholar
17.Grant, JE, Kim, SW. Gender differences in pathological gamblers seeking medication treatment. Compr Psychiatry. 2002;43:56–62.CrossRefGoogle ScholarPubMed
18.Ladd, GT, Petry, NM. Gender differences among pathological gamblers seeking treatment. Exp Clin Psychopharmacol. 2002;10:302–309.CrossRefGoogle ScholarPubMed
19.Stinchfield, R. Gambling and correlates of gambling among Minnesota public school students. J Gambl Stud. 2000;16:153–173.Google Scholar
20.Lynch, W, Maciejewski, P, Potenza, M. Psychiatric correlates of gambling in adolescents and young adults grouped by age at gambling onset. Arch Gen Psychiatry. 2004;61:1116–1122.CrossRefGoogle Scholar
21.Welte, JW, Barnes, GM, Wieczorek, WF, Tidwell, MC, Parker, JC. Alcohol and gambling pathology among U.S. adults: prevalence, demographic patterns and comorbidity. J Stud Alcohol. 2004;29:323–335.Google Scholar
22. National Gambling Impact Study Commission. Final Report. Available at: http://govinfo.library.unt.edu/ngisc/reports/fullrpt.html. Accessed July 1, 2007.Google Scholar
23.Grant, B, Moore, T, Shepard, J, Kaplan, K. Source and Accuracy Statement: Wave 1 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Bethesda, Md: National Institute on Alcohol Abuse and Alcoholism; 2003.Google Scholar
24.Grant, BF, Stinson, FS, Dawson, DA, et al.Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2005;35;1747–1759.Google Scholar
25.Grant, B, Dawson, D, Hasin, D. The Alcohol use Disorder and Associated Disabilities Interview Schedule-DSM-IV Version. Bethesda, Md: National Institute on Alcohol Abuse and Alcoholism; Available at: http://www.niaaa.nih.gov. Accessed July 15, 2001.Google Scholar
26.Grant, BF, Dawson, DA, Stinson, FS, Chou, PS, Kay, W, Pickering, R. The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug Alcohol Depend. 2008;69:533–545.Google Scholar
27.Pietrzak, RH, Morasco, BJ, Blanco, C, Grant, BF, Petry, NM. Gambling level and psychiatric and medical disorders in older adults: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Am J Geriatr Psychiatry. 2007;15:301–313.CrossRefGoogle ScholarPubMed
28.Ruan, WJ, Goldstein, RB, Chou, SP, et al.The alcohol use disorder and associated disabilities interview schedule-IV (AUDADIS-IV): reliability of new psychiatric diagnostic modules and risk factors in a general population sample. Drug Alcohol Depend. 2008;92:27–36.CrossRefGoogle Scholar
29.Chatterji, S, Saunders, JB, Vrasti, R, Grant, BF, Hasin, D, Mager, D. Reliability of the alcohol and drug modules of the Alcohol Use Disorder and Associated Disabilities Interview Schedule-Alcohol/Drug-Revised (AUDADIS-ADR): An international comparison. Drug Alcohol Depend. 1997;47:171–185.Google Scholar
30.Canino, G, Bravo, M, Ramirez, R, et al.The Spanish Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): reliability and concordance with clinical diagnoses in a Hispanic population. J Stud Alcohol. 1999;60:790–799.Google Scholar
31.Grant, B, Harford, T, Dawson, D, Chou, P, Pickering, R. The Alcohol Use Disorder and Associated Disabilities Schedule: reliability of alcohol and drug modules in a general population sample. Drug Alcohol Depend. 1995;39:37–44.Google Scholar
32.Hasin, D, Carpenter, KM, McCloud, S, Smith, M, Grant, BF. The alcohol use disorder and associated disabilities interview schedule (AUDADIS): reliability of alcohol and drug modules in a clinical sample. Drug Alcohol Depend. 1997;44:133–141.Google Scholar
33.Hasin, D, Paykin, A. Alcohol dependence and abuse diagnoses: concurrent validity in a nationally representative sample. Alcohol Clin Exp Res. 1999;23:144–150.Google Scholar
34.Hasin, DS, Grant, B, Endicott, J. The natural history of alcohol abuse: implications for definitions of alcohol use disorders. Am J Psychiatry. 1990;147:1537–1541.Google Scholar
35.Hasin, DS, Muthuen, B, Wisnicki, KS, Grant, B. Validity of the bi-axial dependence concept: a test in the US general population. Addiction. 1994;89:573–579.Google Scholar
36.Hasin, DS, Van Rossem, R. McCloud, S, Endicott, J. Differentiating DSM-IV alcohol dependence and abuse by course: community heavy drinkers. J Subst Abuse. 1997;9:127–135.CrossRefGoogle ScholarPubMed
37.Cottler, LB, Grant, BF, Blaine, J, et al.Concordance of DSM-IV alcohol and drug use disorder criteria and diagnoses as measured by AUDADIS-ADR, CIDI and SCAN. Drug Alcohol Depend. 1997;47:195–205.CrossRefGoogle ScholarPubMed
38.Hasin, D, Grant, BF, Cottler, L, et al.Nosological comparisons of alcohol and drug diagnoses: A multisite, multi-instrument international study. Drug Alcohol Depend. 1997;47:217–226.Google Scholar
39.Nelson, CB, Rehm, J, Ustun, TB, Grant, B, Chatterji, S. Factor structures for DSM-IV substance disorder criteria endorsed by alcohol, cannabis, cocaine and opiate users: results from the WHO reliability and validity study. Addiction. 1999;94:843–855.Google Scholar
40.Pull, CB, Saunders, JB, Mavreas, V, et al.Concordance between ICD-10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study. Drug Alcohol Depend. 1997;47:207–216.Google Scholar
41.Ustun, B, Compton, W, Mager, D, et al.WHO Study on the reliability and validity of the alcohol and drug use disorder instruments: overview of methods and results. Drug Alcohol Depend. 1997;47:161–169.Google Scholar
42.Vrasti, R, Grant, BF, Chatterji, S, et al.Reliability of the Romanian version of the alcohol module of the WHO Alcohol Use Disorder and Associated Disabilities: Interview Schedule—Alcohol/Drug-Revised. Eur Addict Res. 1998;4:144–149.Google Scholar
43.Hasin, DS, Schuckit, MA, Martin, CS, Grant, BF, Bucholz, KK, Helzer, JE. The validity of DSM-IV alcohol dependence: What do we know and what do we need to know? Alcohol Clin Exp Res. 2003;27:244–252.CrossRefGoogle ScholarPubMed
44.Grant, BF, Dawson, DA, Stinson, FS, Chou, PS, Kay, W, Pickering, R. The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug Alcohol Depend. 2003;71:7–16.Google Scholar
45.Grant, BF, Stinson, FS, Hasin, DS, et al.Prevalence, correlates, and comorbidity of bipolar I disorder and axis I and II disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2005:1205–1215.Google Scholar
46.Grant, BF, Hasin, DS, Stinson, FS, et al.Prevalence, correlates, co-morbidity, and comparative disability of DSM-IV generalized anxiety disorder in the USA: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychol Med. 2005;35:1747–1759.Google Scholar
47.Hasin, DS, Goodwin, RD, Stinson, FS, Grant, BF. Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Arch Gen Psychiatry. 2005;62:1097–1106.CrossRefGoogle ScholarPubMed
48.Grant, BF, Hasin, DS, Blanco, C, et al.The epidemiology of social anxiety disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2005;66:1351–1361.CrossRefGoogle ScholarPubMed
49.Grant, BF, Hasin, DS, Stinson, FS, et al.The epidemiology of DSM-IV panic disorder and agoraphobia in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2006;67:363–374.Google Scholar
50.Stinson, FS, Dawson, DA, Patricia Chou, S, et al.The epidemiology of DSM-IV specific phobia in the USA: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychol Med. 2007;37:1047–1059.Google Scholar
51.Zimmerman, M. Diagnosing personality disorders. A review of issues and research methods. Arch Gen Psychiatry. 1994;51:225–245.Google Scholar
52.Compton, WM, Conway, KP, Stinson, FS, Colliver, JD, Grant, BF. Prevalence, correlates, and comorbidity of DSM-IV antisocial personality syndromes and alcohol and specific drug use disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry. 2005;66:677–685.CrossRefGoogle ScholarPubMed
53.Grant, BF, Hasin, DS, Stinson, FS, et al.Co-occurrence of 12-month mood and anxiety disorders and personality disorders in the US: results from the national epidemiologic survey on alcohol and related conditions. J Psychiatr Res. 2005;39:1–9.Google Scholar
54.Grant, BF, Hasin, DS, Stinson, FS, et al.Prevalence, correlates, and disability of personality disorders in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2004;65:948–958.Google Scholar
55.Dawson, DA, Grant, BF, Li, TK. Impact of age at first drink on stress-reactive drinking. Alcohol Clin Exp Res. 2007;31:69–77.Google Scholar
56.Dawson, DA, Grant, BF, Ruan, WJ. The association between stress and drinking: modifying effects of gender and vulnerability. Alcohol Alcohol. 2005;40:453–460.Google Scholar
57.Holmes, TH, Rahe, RH. The Social Readjustment Rating Scale. J Psychosom Res. 1967;11:213–218.Google Scholar
58.Marvin, SG, Grant, I, Yager, Y, Sweetsood, H. The Reliability of the Social Readjustment Rating Scale: Moderate and Long Term Stability. J Psychosom Res. 1978;22, 519–523.Google Scholar
59.Ware, JE Jr, Turner-Bowker, DM, Kosinski, M, Gandek, B. SF-12v2: How to Score Version 2 of the SF-12 Health Survey. Lincoln, RI: Quality Metrics; 2006.Google Scholar
60.Ware, J Jr, Kosinski, M, Keller, SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–233.Google Scholar
61.Agresti, A. Categorical Data Analysis. 2nd ed. Hoboken, NJ: John Wiley & Sons, Inc.; 2002.Google Scholar
62.Research Triangle Institute. Software for Survey Data Analysis (SUDAAN), Version 9.0. Research Triangle Park, NC: Research Triangle Institute; 2004.Google Scholar
63.Volberg, RA. The prevalence and demographics of pathological gamblers: implications for public health. Am J Public Health. 1994;84:237–241.Google Scholar
64. U.S. Bureau of the Census. Profiles of general demographic characteristics: 2000 Census of Population and Housing, United States. Accessed July 15, 2001, fromhttp://www2.census.gov/census_2000/datasets//demographic_profile/0_National_Summary. Accessed July 15, 2001.Google Scholar
65.Gillmore, MR, Catalano, RF, Morrison, DM, Wells, EA, Iritani, B, Hawkins, JD. Racial differences in acceptability and availability of drugs and early initiation of substance use. Am J Drug Alcohol Abuse. 1990;16:185–206.Google Scholar
66.Barnes, GM, Welte, J. Patterns and predictors of alcohol use among 7-12th grade students in New York State. J Stud Alcohol. 1992;47:53–62.Google Scholar
67.Catalano, RF, Morrison, DM, Wells, EA, et al.Ethnic differences in Family Factors related to early drug initiation. J Stud Alcohol. 1992;53:208–217.Google Scholar
68.Caetano, R, Schafer, J. DSM-IV alcohol dependence and drug abuse/dependence in a treatment sample of whites, blacks and Mexican Americans. Drug Alcohol Depend. 1996;43:93–101.Google Scholar
69.Smith, SM, Stinson, FS, Dawson, DA, Goldstein, R, Huang, B, Grant, BF. Race/ethnic differences in the prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychol Med. 2006;36:987–998.CrossRefGoogle ScholarPubMed
70.Compton, WM III, Cottler, LB, Ben Abdallah, A, Phelps, DL, Spitznagel, EL, Horton, JC. Substance dependence and other psychiatric disorders among drug dependent subjects: Race and gender correlates. Am J Addict. 2000;9:113–125.Google Scholar
71.Kandel, D, Chen, K, Warner, LA, Kessler, RC, Grant, B. Prevalence and demographic correlates of symptoms of last year dependence on alcohol, nicotine, marijuana and cocaine in the U.S. population. Drug Alcohol Depend. 1997;44:11–29.CrossRefGoogle ScholarPubMed
72.Raylu, N, Oei, TP. Pathological gambling. A comprehensive review. Clin Psychol Rev. 2002;22:1009–1061.Google Scholar
73.Huang, B, Grant, BF, Dawson, DA, et al.Race-ethnicity and the prevalence and co-occurrence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, alcohol and drug use disorders and Axis I and II disorders: United States, 2001 to 2002. Compr Psychiatry. 2006;47:252–257.CrossRefGoogle ScholarPubMed
74.Beals, J, Manson, SM, Whitesell, NR, Spicer, P, Novins, DK, Mitchell, CM. Prevalence of DSM-IV disorders and attendant help-seeking in 2 American Indian reservation populations. Arch Gen Psychiatry. 2005;62:99–108.Google Scholar
75.Spicer, P, Beals, J, Croy, CD, et al.The prevalence of DSM-III-R alcohol dependence in two American Indian populations. Alcohol Clin Exp Res. 2003;27:1785–1797.Google Scholar
76.Miller, MA, Westermeyer, J. Race-ethnicity and the prevalence and co-occurrence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, alcohol and drug use disorders and Axis I and II disorders: United States, 2001 to 2002. Am J Psychiatry. 1996;153:845.Google Scholar
77.Raylu, N, Oei, TP. Role of culture in gambling and problem gambling. Clin Psychol Rev. 2004;23:1087–1114.Google Scholar
78.Clark, R, King, B, Laylim, D. Tin Sin Kuk (Heavenly swindle). New South Wales, Australia: Asian Community Research Unit State Intelligence Group; 1990.Google Scholar
79.Abbott, MW, Volberg, RA, Ronnberg, S. Comparing the New Zealand and Swedish national surveys of gambling and problem gambling. J Gambl Stud. 2004;20:237–258.Google Scholar
80.Felsher, JR, Derevensky, JL, Gupta, R. Parental influences and social modeling of youth lottery participation. J Community Appl Soc Psychol. 2003;13:361–377.Google Scholar
81.Hardoon, KK, Baboushkin, HR, Derevensky, JL, Gupta, R. Underlying cognitions in the selection of lottery tickets. J Clin Psychol. 2001;57:749–763.Google Scholar
82.Ngai, M, Chu, K. Issues and services needs of the Chinese communities. Can Soc Work Rev. 2001;13:2–6.Google Scholar
83.Tse, S. From claiming to changing: an Asian perspective in Aotearoa. Paper presented at 3rd International Conference on Gambling. “Gambling through a public health lens: health promotion, harm minimization and treatment”. September 11-13, 2003; Auckland, New Zeland; 2003.Google Scholar
84.Wardman, D, el-Guebaly, N, Hodgins, D. Problem and pathological gambling in North American Aboriginal populations: a review of the empirical literature. J Gambl Stud. 2001;17:91–100.Google Scholar
85.Kovas, AE, McFarland, BH, Landen, MG, Lopez, Al. The future of Indian gaming. J Gambl Stud. 2008;69:183–191.Google Scholar
86.Tversky, A. Prospect theory: an analysis of decision under risk. Econometrica. 1979;4:263–291.Google Scholar
87.Trepel, C, Fox, CR, Poldrack, RA. Proscpect theory on the brain? Toward a cognitive neuroscience of decision under risk. Cogn Brain Res. 2005;23:34–50.Google Scholar
88.Scribner, R. Paradox as paradigm—the health outcomes of Mexican Americans. Am J Public Health. 1996;86:303–305.Google Scholar
89.Vega, WA, Alderete, E, Kolody, B, Aguilar-Gaxiola, S. Illicit drug use among Mexicans and Mexican Americans in California: the effects of gender and acculturation. Addiction. 1998;93:1839–1850.Google Scholar
90.Vega, WA, Sribney, WM, Aguilar-Gaxiola, S, Kolody, B. 12-month prevalence of DSM-III-R psychiatric disorders among Mexican Americans: nativity, social assimilation, and age determinants. J Nerv Ment Dis. 2004;192:532–541.Google Scholar
91.Hodgins, DC, Makarchuk, K. Trusting problem gamblers: Reliability and validity of self-reported gambling behavior. Psychol Addict Behav. 2003;17:244–248.Google Scholar
92.Slutske, WS, Eisen Sm True, WR, Lyons, MJ, Goldberg, J, Tsuang, M. Common genetic vulnerability for pathological gambling and alcohol dependence in men. Arch Gen Psychiatry. 2000;57:666–673.Google Scholar
93.Strong, DR, Kahler, CW. Evaluation of the continuum of gambling problems using the DSM-IV. Addiction. 2007;102:713–721.Google Scholar
94.Orford, J. Addiction as Excessive Appetite. Chichester, UK: Wiley; 2001.Google Scholar
95.Orford, J, Sproston, K, Erens, B. SOGS and the DSM-IV on the British Gambling Prevalence Survey: Reliability and factor structure. International Gambling Studies. 2003;3:53–65.Google Scholar
96.Cunningham-Williams, RM, Ostmann, EL, Spitznagel, EL, Books, SJ. Racial/ethnic variation in the reliability of DSM-IV pathological gambling disorder. J Nerv Ment Dis. 2007;195:551–559.Google Scholar
97.Kirmayer, LJ. Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment. J Clin Psychiatry. 2001;62:22–28.Google Scholar
98.Rogler, L, Mroczek, D, Fellows, M, Loftus, S. The neglect of response bias in mental health research. J Nerv Ment Dis. 2001;189:182–187.Google Scholar
99.Hasin, DS, Liu, X, Alderson, D, Grant, BF. DSM-IV alcohol dependence: a categorical or dimensional phenotype? Psychol Med. 2006;36:1695–1705.Google Scholar
100.Alegria, M, McGuire, T. Rethinking a universal framework in the psychiatric symptom-disorder relationship. J Health Soc Behav. 2003;44:257–274.Google Scholar