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Genetic and Environmental Contributions to Pathological Gambling Symptoms in a 10-Year Follow-Up

Published online by Cambridge University Press:  21 February 2012

Hong Xian*
Affiliation:
Research Service, St Louis Veterans Affairs Medical Center, St Louis, Missouri, United States of America; Department of Internal Medicine, Division of General Medical Sciences, Washington University School of Medicine, St Louis, Missouri, United States of America. [email protected]
Jeffrey F. Scherrer
Affiliation:
Research Service, St Louis Veterans Affairs Medical Center, St Louis, Missouri, United States of America; Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri, United States of America.
Wendy S. Slutske
Affiliation:
Department of Psychological Sciences, University of Missouri-Columbia, Columbia, Missouri, United States of America.
Kamini R. Shah
Affiliation:
Research Service, St Louis Veterans Affairs Medical Center, St Louis, Missouri, United States of America; Department of Internal Medicine, Division of General Medical Sciences, Washington University School of Medicine, St Louis, Missouri, United States of America.
Rachel Volberg
Affiliation:
Gemini Research Ltd., Northampton, Massachusetts, United States of America.
Seth A. Eisen
Affiliation:
Research Service, St Louis Veterans Affairs Medical Center, St Louis, Missouri, United States of America; Department of Internal Medicine, Division of General Medical Sciences, Washington University School of Medicine, St Louis, Missouri, United States of America; Medical Service, St Louis Veterans Affairs Medical Center, St Louis, Missouri, United States of America.
*
*Address for correspondence: Hong Xian, Research Service 151-JC, 915 North Grand Boulevard, St. Louis, MO 63106, USA.

Abstract

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Problem (P) and pathological gambling (PG) symptoms wax and wane. Past symptoms are a risk for future symptoms even after controlling for familial influences. To address the genetic architecture of lifetime PG and current PG symptoms, we tested for common and unique genetic factors to lifetime PG symptoms at baseline and past year PG symptoms at 10-year follow-up. Diagnostic and Statistical Manual of Mental Disorders (3rd ed., Rev.; DSM-III-R; American Psychiatric Association, 1987) lifetime criteria of one or more PG symptoms were derived in 1992 and past year PG symptoms in 2002 from 1675 individual twins from the Vietnam Era Twin Registry. Cholesky decomposition models were fit to baseline and past year PG symptoms. Under the best fitting model we observed that 49% of the risk for one or more baseline PG symptoms in 1992 was due to a genetic factor and 51% of the risk was due to a unique environmental factor. All of the genetic variance (57.5%) in risk to past year PG symptoms in 2002 was common with baseline PG symptoms. Unique environment accounted for the remaining variance in past year PG symptoms with 13% common to baseline and 30% specific to past year PG symptoms. The genetic contributions to lifetime and past year gambling symptoms 10 years later are similar. There is no evidence for genetic contributions unique to past year PG symptoms. However, most of the unique environmental influences to past year PG are not shared with lifetime PG. This may reflect the changed social–cultural environment between 1992 and 2002, characterized by increasing access to legalized gambling.

Type
Articles
Copyright
Copyright © Cambridge University Press 2007