Evidence map›Paper›PMID 39368073›Full record

ArticleJournal of behavioral addictions2024

Rethinking cutoff values for the South Oaks Gambling Screen: Sex-specific insights and DSM-5 severity adjustments in Gambling Disorder assessment.

Ignacio Lucas, Roser Granero, Bernat Mora-Maltas, Fernando Fernández-Aranda, Susana Jiménez-Murcia

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Article in Journal of behavioral addictions, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ignacio Lucas1Clinical Psychology Department, Bellvitge University Hospital, Barcelona, Spain.ORCID 0000-0001-9426-5082
Roser Granero2Psychoneurobiology of Eating and Addictive Behaviours Group, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.ORCID 0000-0001-6308-3198
Bernat Mora-Maltas2Psychoneurobiology of Eating and Addictive Behaviours Group, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.ORCID 0000-0002-4142-3208
Fernando Fernández-Aranda1Clinical Psychology Department, Bellvitge University Hospital, Barcelona, Spain.ORCID 0000-0002-2968-9898
Susana Jiménez-Murcia1Clinical Psychology Department, Bellvitge University Hospital, Barcelona, Spain.ORCID 0000-0002-3596-8033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: The South Oaks Gambling Screen (SOGS) is a commonly used tool for screening potential gambling problems. The SOGS score has been found to be correlated with the DSM-5 criteria for Gambling Disorder (GD). However, one of its main limitations is the high rate of false positives. The objective of this study was to establish more accurate cutoff points for the SOGS based on the DSM-5 criteria and severity levels, taking into account sex-specific samples. Additionally, we aimed to validate these cutoff points using external measures. Methods: The study sample comprised 4.516 patients (398 women and 4,118 men) who sought treatment for GD. Of these patients, 4.203 met the DSM-5 criteria for GD, while 313 did not meet the threshold for GD diagnosis. Results: The recommended cutoff value for the SOGS is eight for men (Sensitivity (Se): 82.9%, Specificity (Sp): 86.2%) and seven for women (Se: 85.6%, Sp: 77.4%). For moderate severity of GD, the cutoff points are nine for men (Se: 82.1%, Sp: 82.0%) and eight for women (Se: 86.3%, Sp: 73.3%), while for severe cases of GD, the cutoff point is ten for both sexes (Se: 83.0%, Sp: 56.7% for men; Se: 80.0%, Sp: 77.4% for women). These cutoff values are validated by evidence of worse psychopathological states, more dysfunctional personality traits, and risky behaviours commonly associated with GD. Discussion and Conclusions: These findings support adjusting the reference values for the SOGS to eight in males and seven in females to enhance the classification of individuals potentially experiencing GD. The use of higher cutoff values has significant implications for clinical and research purposes, enabling a more precise assessment of the diagnosis and severity of GD.

Indexed as

Diagnostic and Statistical Manual of Mental DisordersGamblingSeverity of Illness IndexAdultAgedFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesSensitivity and SpecificitySex FactorsYoung AdultDSM-5gambling disorderReceiver Operating Characteristics (ROC)severitySouth Oaks Gambling Screen (SOGS)

Identifiers

PMID39368073
PMCPMC11737411

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.