Rethinking cutoff values for the South Oaks Gambling Screen : sex-specific insights and DSM-5 severity adjustments in Gambling Disorder assessment
Lucas, Ignacio (Hospital Universitari de Bellvitge)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Mora-Maltas, Bernat (Universitat de Barcelona)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)
Jiménez-Murcia, Susana (Hospital Universitari de Bellvitge)

Fecha:	2024
Descripción:	11 pàg.
Resumen:	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.
Ayudas:	Agencia Estatal de Investigación PID2021-124887OB-I00 Instituto de Salud Carlos III PI20/00132 Agència de Gestió d'Ajuts Universitaris i de Recerca 2021/SGR-00824 European Commission 847879 European Commission 101080219
Nota:	Altres ajuts: We thank CERCA Programme/Generalitat de Catalunya for guarantee institutional support. This manuscript and research were supported by grants from the Delegación del Gobierno para el Plan Nacional sobre Drogas (2021I031), Plan Nacional sobre Drogas Convocatoria de subvenciones para proyectos de investigación financiados con fondos europeos 2022 (EXP2022/008847). CIBERObn is an initiative of ISCIII. IL was supported by the Ministerio de Ciencia e Innovación (Juan de la Cierva-Formación program, FJC2021-046494-I). RG is supported by the Catalan Institution for Research and Advanced Studies (ICREA-Academia, 2021-Programme).
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Receiver Operating Characteristics (ROC) ; Gambling disorder ; South Oaks Gambling Screen (SOGS) ; DSM-5 ; Severity
Publicado en:	Journal of behavioral addictions, ISSN 2063-5303

DOI: 10.1556/2006.2024.00053
PMID: 39368073

11 p, 1.0 MB

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