A cross-cultural study of gambling disorder: a comparison between women from Brazil and the United States

Objective: To perform a cross-cultural comparison of gambling disorder (GD) in women from Brazil and the United States, two countries with pronounced social and cultural differences. We hoped to produce insight into the impact of cultural influences on the presentation of GD in women, which may be u...

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Main Authors: Gustavo C. Medeiros, Eric W. Leppink, Sarah A. Redden, Ana Yaemi, Mirella Mariani, Hermano Tavares, Jon E. Grant
Format: Article
Language:English
Published: Associação Brasileira de Psiquiatria (ABP) 2016-03-01
Series:Brazilian Journal of Psychiatry
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462016000100053&lng=en&tlng=en
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spelling doaj-2254915f0b3f47dd9c1bb5bf2a1b2e742020-11-25T01:26:06ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2016-03-01381535710.1590/1516-4446-2015-1718S1516-44462016000100053A cross-cultural study of gambling disorder: a comparison between women from Brazil and the United StatesGustavo C. MedeirosEric W. LeppinkSarah A. ReddenAna YaemiMirella MarianiHermano TavaresJon E. GrantObjective: To perform a cross-cultural comparison of gambling disorder (GD) in women from Brazil and the United States, two countries with pronounced social and cultural differences. We hoped to produce insight into the impact of cultural influences on the presentation of GD in women, which may be useful for the development of culturally-sensitive interventions. Method: We assessed 681 women with GD: 406 from a Brazilian sample and 275 from a U.S. sample. We assessed demographic and gambling behavior variables in addition to co-occurring psychiatric disorders. Results: Fewer Brazilian participants were Caucasian (73.3 vs. 91.3%; p = 0.022). Also, Brazilian women had lower levels of education (59.9% with high school or less vs. 44.4%; p < 0.001), and were more likely to have a current partner (54.9 vs. 43.4%; p = 0.003). Brazilian gamblers also reported lower urge scores (6.6±4.3 vs. 11.6±2.4; p < 0.001) and higher chasing rates (89.1 vs. 80.0%; p = 0.002). Brazilian gamblers reported higher rates of bingo gambling (19.2 vs. 5.7%; p < 0.001), but lower rates of card game gambling (5.8 vs. 23.1%; p < 0.001). Finally, Brazilian gamblers were more likely to endorse a history of major depressive disorder (36.9 vs. 24.4%; p = 0.001). Conclusions: This study reinforces the need for further general cross-cultural research on GD and particularly for studies investigating how gender mediates these differences. Finally, the differences noted in this analysis suggest that the findings of predominantly Anglo-Saxon cultures may not be generalizable to other world populations.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462016000100053&lng=en&tlng=enGender differencesimpulse control disorderswomenminority issuescross-cultural psychiatry
collection DOAJ
language English
format Article
sources DOAJ
author Gustavo C. Medeiros
Eric W. Leppink
Sarah A. Redden
Ana Yaemi
Mirella Mariani
Hermano Tavares
Jon E. Grant
spellingShingle Gustavo C. Medeiros
Eric W. Leppink
Sarah A. Redden
Ana Yaemi
Mirella Mariani
Hermano Tavares
Jon E. Grant
A cross-cultural study of gambling disorder: a comparison between women from Brazil and the United States
Brazilian Journal of Psychiatry
Gender differences
impulse control disorders
women
minority issues
cross-cultural psychiatry
author_facet Gustavo C. Medeiros
Eric W. Leppink
Sarah A. Redden
Ana Yaemi
Mirella Mariani
Hermano Tavares
Jon E. Grant
author_sort Gustavo C. Medeiros
title A cross-cultural study of gambling disorder: a comparison between women from Brazil and the United States
title_short A cross-cultural study of gambling disorder: a comparison between women from Brazil and the United States
title_full A cross-cultural study of gambling disorder: a comparison between women from Brazil and the United States
title_fullStr A cross-cultural study of gambling disorder: a comparison between women from Brazil and the United States
title_full_unstemmed A cross-cultural study of gambling disorder: a comparison between women from Brazil and the United States
title_sort cross-cultural study of gambling disorder: a comparison between women from brazil and the united states
publisher Associação Brasileira de Psiquiatria (ABP)
series Brazilian Journal of Psychiatry
issn 1809-452X
publishDate 2016-03-01
description Objective: To perform a cross-cultural comparison of gambling disorder (GD) in women from Brazil and the United States, two countries with pronounced social and cultural differences. We hoped to produce insight into the impact of cultural influences on the presentation of GD in women, which may be useful for the development of culturally-sensitive interventions. Method: We assessed 681 women with GD: 406 from a Brazilian sample and 275 from a U.S. sample. We assessed demographic and gambling behavior variables in addition to co-occurring psychiatric disorders. Results: Fewer Brazilian participants were Caucasian (73.3 vs. 91.3%; p = 0.022). Also, Brazilian women had lower levels of education (59.9% with high school or less vs. 44.4%; p < 0.001), and were more likely to have a current partner (54.9 vs. 43.4%; p = 0.003). Brazilian gamblers also reported lower urge scores (6.6±4.3 vs. 11.6±2.4; p < 0.001) and higher chasing rates (89.1 vs. 80.0%; p = 0.002). Brazilian gamblers reported higher rates of bingo gambling (19.2 vs. 5.7%; p < 0.001), but lower rates of card game gambling (5.8 vs. 23.1%; p < 0.001). Finally, Brazilian gamblers were more likely to endorse a history of major depressive disorder (36.9 vs. 24.4%; p = 0.001). Conclusions: This study reinforces the need for further general cross-cultural research on GD and particularly for studies investigating how gender mediates these differences. Finally, the differences noted in this analysis suggest that the findings of predominantly Anglo-Saxon cultures may not be generalizable to other world populations.
topic Gender differences
impulse control disorders
women
minority issues
cross-cultural psychiatry
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462016000100053&lng=en&tlng=en
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