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Washington University
School of Medicine
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Gambling and Personality Protocol (GAPP) -
Validity and Measurement Issues in Pathological Gambling
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Project Title |
Gambling and
Personality Protocol (GAPP) - Validity and Measurement Issues in
Pathological Gambling |
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Funding Source |
National
Institute on Drug Abuse (NIDA) |
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Project Dates |
9/25/2003 -
4/30/2005 |
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Project Number |
1 R01 DA15032 |
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Team |
Principal Investigators-
Renee Cunningham-Williams, Ph.D.
Co-Investigator-
Linda B. Cottler, Ph.D.
Edward L. Spitznagel, Ph.D.
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Project Coordinator |
Samantha Books, MPE.
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Description
The, "Validity and Measurement Issues in
Pathological Gambling" (nicknamed, GAPP – Gambling and Personality
Protocol), responds to a call for much needed attention to measurement and
design challenges in mental health research. This is especially essential
in pathological gambling (PG) research. National research efforts have
recognized the need for consensus in the validity and assessment of PG
across diverse populations (e.g., those with comorbid mental health and
substance abuse conditions; NRC Report 1999). Critical to making these
inroads is the development of rigorously tested tools for diagnosing the
disorder, such as our research team's development of the computerized
Gambling Assessment Module (C-GAM). The C-GAM addresses the criticisms of
currently available assessments of PG. The currently proposed study adds a
new dimension of validity to the Pl's NIDA (K01) Award design. The order
of the clinical interview session will be randomly assigned to occur
either one week before or one week after the two lab administered
interviews. The clinical interview session includes administration of the
semi-structured CGAM and a comprehensive personality assessment. Thus, the
major aim of the proposed study is to establish diagnostic concordance of
the structured, lay administered C-GAM interview to the semi structured,
clinician administered C-GAM interview for the overall sample (n=150) and
for several subgroups of gamblers varying by socio-demographics and
psychiatric and substance abuse comorbidity. We will also evaluate the
sensitivity and specificity of the C-GAM and explore the dimensionality of
PG. As a methodology to further understand answers given in multiple
interviews, we will evaluate discrepancies between the clinical and lay
interviews, reasons for those discrepancies, and level of respondent
understanding of these items. The proposed methodology is innovative in PG
research and can potentially increase our understanding of PG disorder,
thus aiding in future research and clinical efforts in refining diagnoses,
establishing prevalence estimates, and identifying risk and protective
factors associated with the development of comorbid mental health and
substance use problems.
Updates:
We have completed the start-up phase of this project, and have entered the
field. We have also recruited, hired, and trained our licensed clinical
consultants for this study. Each of the clinicians has experience in the
diagnosis and assessment of PG. We have also developed and/or modified,
and compiled all of the project’s protocol manuals and project-related
materials such as respondent booklets, interviewing binders, respondent
files, and interview face sheets for this project. The computerized
subject tracking database has been modified. The project’s protocols for
interviewing and editing have also been pilot tested and modified
accordingly for this project. This next project year will focus on data
collection and analysis.
Volunteers Needed for Study!
Click here for the gambling study volunteer flyer
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