ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2024
Network analysis of DSM-5 criteria for gambling disorder: considering sex differences in a large clinical sample.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Problematic Online Gaming and Gambling Among First-Year University Students: Identification of Profiles and Psychological Vulnerabilities.Journal of gambling studies · 2026Article
- Neurophysiological and Behavioral Responses to Gambling Cues in Individuals with Internet Gambling Disorder: A VR-EEG-GSR Study.Brain sciences · 2026Article
- A clustering based on the dynamics of DSM-5 criteria for gambling disorder: A 5-year follow-up of gamblers with and without gambling disorder.Journal of behavioral addictions · 2026Article
- Food addiction in behavioral addictions: a network approach.Frontiers in psychology · 2026Article
- Gambling, trauma, and the mind: a network analysis of online gambling and personal well-being.BMC psychology · 2025Article
- Smartphone usage in young adults: cross-sectional associations with physical activity, sleep, social isolation, academic achievement, and anxiety.Frontiers in psychiatry · 2025Article
- Understanding the Emergence of Comorbidity between Problematic Online Gaming and Gambling: A Network Analysis Approach.Brain sciences · 2024Article
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11 authors.
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Abstract
backgroundThe fifth version of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) and its revised version (DSM-5-TR) propose severity levels for gambling disorder (GD) based on the number of criteria met. However, this taxonomy has some limitations. We aimed to assess the centrality of each criterion and its relationship by conducting a network analysis while considering sex differences.
methodsWe performed a network analysis with the DSM-5 criteria for GD with data from 4,203 treatment-seeking patients (3,836 men and 367 women) diagnosed with GD who sought for treatment in a general tertiary hospital which has a unit specialized in behavioral addictions.
resultsThe withdrawal criterion ("Restless or irritable when attempting to cut down or stop gambling") showed the highest centrality values in both sexes. In men, the second most central criterion was the tolerance criterion ("Needs to gamble with increasing amounts of money in order to achieve the desired excitement"); while among women, the second was the chasing losses criterion ("After losing money gambling, often returns another day to get even").
conclusionsThe most central criteria identified are associated with compulsivity-driven behaviors of the addictive process. Taking into account the high relevance and transitive capacity of withdrawal in both men and women, as well as tolerance in men, and chasing losses in women, the recognition and understanding of these symptoms are fundamental for the accurate diagnosis and severity assessment of GD.
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