Why do some children start gambling at a young age while others do not? Theorists have suggested that the answer to this question is some combination of individual traits and environmental factors, both nature and nurture, but it is not yet understood which traits and factors have more of an influence on behavior. To address this question, researchers must examine the same children over a length of time (in what is called a longitudinal study) in order to see what traits in a younger child predict gambling behavior as the child ages. A recent study of Canadian children published in the journalPsychology of Addictive Behaviorstook just this approach (Vitaro & Wanner, 2011). The researchers gathered information about 1,125 children and their families between the ages of six and eight, and then measured their gambling behavior at the age of 10. The findings suggest that preventing gambling in children will require a multifaceted approach that addresses all of the potential risk factors involved.

The researchers measured several variables in the children, including their teacher’s impressions of child sensitivity to reward and punishment, parent gambling behavior and demographic factors. Low sensitivity to punishment, which is controlled in the brain by serotonin levels in what is called the behavioral inhibition system (BIS), is manifested in low inhibition and lack of regard for consequences. High sensitivity to reward, which is controlled in the brain by dopamine levels in what is called the behavioral activation system (BAS), is demonstrated in impulsive behavior. These two systems are biologically distinct from each other and vary from person to person.

The researchers were especially interested in how the BIS and BAS interacted with each other, and with the gambling behavior of the parents, to affect gambling in children. One hypothesis is that the systems affect each other. For example, a child who is very sensitive to rewards might be more likely to gamble, but if that same child were also very sensitive to punishment the aversion to punishment might override the desire for rewards and keep him/her from gambling. Another hypothesis is that the systems do not interact at all, and each exerts a separate impact on the individual child.

The researchers’ findings support the second hypothesis. Both BIS and BAS, as well as parental gambling, independently affected whether or not children gambled at the age of 10. That is, the children who were more likely to gamble at age 10 had teachers who thought they were more sensitive to rewards, less sensitive to punishment, or whose parents gambled. However, whether parents suffered from disordered gambling was not a factor. This may be because young children are not aware of their parent’s gambling problems, or because too few family members had gambling problems to achieve statistical significance in this study. While this study lays the groundwork for discussions of what causes youth gambling, more research is needed to further unravel the relationship between genetics, environment and childhood gambling.

More information on the article is available on the website of the journalPsychology of Addictive Behaviors. Do you have thoughts or questions about gamblingamong young children? Tell us in the Comments section below.

References

Vitaro, F., & Wanner, B. (2011). Predicting early gambling in children.Psychology of Addictive Behaviors. doi:10.1037/a0021109

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Measuring addictive behaviors accurately is very difficult. Among the many complications are recruiting subjects, relying on their memory and self-report and quantifying the difference between pathological actions and actions that are merely unusual or uncommon. (Jerome Wakefield, Ph.D.,discussed this topic in detailat the NCRG conference 2010.) One particularly difficult aspect of studying addiction is the diagnostic screening instrument (when scored, the instrument shows whether or not a person should be diagnosed with a particular disorder). Diagnostic screens of all kinds pose the problem of advancement versus consistency: It is always possible to make a newer and better instrument, but a new instrument means that studies conducted with the older one cannot be directly compared to studies conducted with the new instrument. This tension dictates that new instruments must be shown as better along several lines to make them worth implementing. Two researchers at the forefront of this discussion for gambling disorders are Erica Fortune and Adam Goodie, Ph.D., at the University of Georgia. Fortune and Goodie recently published a study, partly funded by a grant from the NCRG to Dr. Goodie, that compares the performance of two diagnostic screens in a population of college students (Fortune & Goodie, 2010).

The researchers compared two gambling screens, the South Oaks Gambling Screen (SOGS) (Lesieur & Blume, 1987) and the Diagnostic Interview for Gambling Severity-S (DIGS-S) (Winters & Stinchfield, 1996). The SOGS was published in 1987 and is the most-used screening instrument for gambling disorders. (Ina recent blogreviewing the 10 most cited gambling research papers of all time, the SOGS paper was number one). The DIGS-S is a more recent screen with questions that mirror the diagnostic criteria for pathological gambling in the American Psychiatric Association’sDiagnostic and Statistical Manual of Mental Disorders(American Psychiatric Association, 1994). The DIGS-S was derived from the original Diagnostic Interview for Gambling Severity (DIGS) that was designed for clinicians to diagnose patients in clinical settings.

To test the two instruments, the researchers recruited 72 undergraduate students who self-identified as frequent gamblers. The participants were given both instruments three times over the course of two months. This allowed the participants’ scores on each screen to be compared to each other and to their previous score on the same scale (a common method for validating diagnostic instruments). The results showed that while both screens performed well, the DIGS-S was more reliable over the three administrations than the SOGS. Coupling this finding with the ease with which the DIGS-S is given to college students via computer, the DIGS-S appears to be a valid alternative to the SOGS for studying disordered gambling in college populations.

More information on the article is available on the website of theJournal of Gambling Studies. Do you have thoughts or questions about problem gambling research or diagnosing gambling problems? Are you a college student and are looking for more information? Please visitwww.CollegeGambling.orgor start a conversation in the Comments section below.

References

American Psychiatric Association. (1994).DSM-IV: Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association.

Fortune, E. E., & Goodie, A. S. (2010). Comparing the utility of a modified Diagnostic Interview for Gambling Severity (DIGS) with the South Oaks Gambling Screen (SOGS) as a research screen in college students.Journal of Gambling Studies / Co-Sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming,26(4), 639-644. doi:10.1007/s10899-010-9189-x

Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers.American Journal of Psychiatry,144(9), 1184-8.

Winters, K. C., & Stinchfield, R. D. (1996).Diagnostic Interview for Gambling severtiy (DIGS). Minneapolis: University of Minnesota Medical School.

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What do college basketball and college gambling have in common? Now is a good time to learn about both.Click hereto take the National Center for Responsible Gaming’s (NCRG) newinteractive quizto learn some fun facts about the NCAA tournament at the same time you increase your knowledge about responsible gaming and the risks of gambling disorders. The animated interactive quiz was created to help promote and celebrate the launch of the NCRG’s new resource,www.collegegambling.org. Please let us know what you think about the site, its information and the interactive quiz in the Comments below.

You can also listen to the informational media call about CollegeGambling.org from the launch this week. Click below to hear from: Glenn Christenson, Chairman of the NCRG Board of Directors; Christine Reilly, Senior Research Director for the NCRG; and Patricia Ketcham, Ph.D., CHES, chair of the CollegeGambling.org Advisory Committee. To learn more about Dr. Ketcham’s thoughts about CollegeGambling.org, you canclick hereto read the NCRG’s interview.

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The National Center for Responsible Gaming launchedwww.CollegeGambling.orgthis week as part of its ongoing efforts to develop tools to help higher education institutions address gambling disorders and responsible gaming on campus. The first site of its kind, CollegeGambling.org is a comprehensive resource to help current and prospective students, campus administrators, campus health professionals and parents address gambling and gambling-related harms on campus. The site is a valuable resource for those interested in learning more about college gambling, including information about responsible gaming for students of legal age to gamble and resources for those who may encounter problems. As a part of this launch, the NCRG sat down with Patricia Ketcham, Ph.D., CHES, chair of the CollegeGambling.org Advisory Committee, to learn her perspective on the new site.

NCRG:How did the vision for the CollegeGambling.org resource come about?

PK:It all started with the Task Force on College Gambling. The NCRG and the Division on Addictions at the Cambridge Health Alliance (a teaching affiliate of Harvard Medical School) began the Task Force in 2008 to examine research findings and real-world experiences in student health and university policy issues to develop science-based campus gambling policies.

At that time, the Task Force worked to combine scientific research findings and real-world university experiences to develop science-based recommendations about gambling that would help higher education institutions. We published those recommendations in 2009 in a report titledA Call to Action;Addressing College Gambling: Recommendations for Science-Based Policies and Programs.When completing that report, we realized that universities didn’t have access to tools ready for them to discuss gambling issues with their students. We first wanted to expand the resources to a unique niche – college administrators, students and their parents. Thus, the foundation for CollegeGambling.org was created.

NCRG:What was your role in development of CollegeGambling.org?

PK:The entire Task Force provided content and feedback for the site from our 2009 report and the scientific research findings on student health. We also included other information we gathered from our experiences at our various universities. We watched as CollegeGambling.org began to take shape and offered suggestions along the way. We wanted to make sure that it gave help current and prospective students, campus administrators, campus health professionals and parents the help they really need.

NCRG:What is most exciting for you about the launch of CollegeGambling.org?

PK:For me, there are two aspects of this website that I’m very excited about. First, it is another step toward making sure that more campus administrators and health professionals are aware of the issues. In many cases, gambling problems were not on the radar for many university administrators in their campus policy issues. Currently in the United States, only 22 percent of colleges and universities have formal policies on gambling. Students who admit to having a problem sometimes find a lack of support on campus. An important piece of this resource is to simply heighten the issue on a campus level.

Second, CollegeGambling.org is the first site of its kind for students and their parents. It is a comprehensive resource for those who want to learn more about college gambling, especially discussing what responsible gaming looks like for students who can legally gamble and sharing information with those who want to know more about resources to help those who may have gambling problems. It also opens up conversations between students and parents that may not have happened before.

NCRG:What do you see in the future of CollegeGambling.org?

PK:As the body of literature continues to expand about this subject area, the website will be charged with keeping pace with progress and movement on these issues. We are hopeful that many will refer to it as a key resource in their campus communities, and will continue to find up-to-date information on CollegeGambling.org as it is available.

________

Patricia Ketcham, Ph.D., CHES is the Associate Director of Health Promotion, Student Health Services at Oregon State University. With more than 20 years experience in college health, she is also a member of the Task Force on College Gambling Policies and the chair of the CollegeGambling.org Advisory Committee.

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Today,the National Center for Responsible Gaming (NCRG) launchedwww.CollegeGambling.org, a new resource to help colleges and universities address gambling and gambling-related harms on campus. View thepress releaseannouncing the launch.

The first site of its kind,CollegeGambling.org brings together the latest research and best practices in responsible gaming and the field of addiction awareness and prevention in order to provide a substantive and versatile resource that will help schools and their students address this important issue in the way that best fits each school’s needs. School administrators are encouraged to use theCollege Policy Toolkitincluding on the site, and campus health professionals can easily locate and distribute theCollegeGambling.org materialsin their health centers.

Research finds that 75 percent of college students gambled during the past year (whether legally or illegally, on campus or off). While the vast majority of those old enough to legally gamble can do so responsibly, the most recent research estimates that 6 percent of college students in the U.S. have a serious gambling problem that can result in psychological difficulties, unmanageable debt and failing grades. For those who are not of legal age to gamble, there is no safe level of gambling.

CollegeGambling.org is a comprehensive resource for students, campus administrators, campus health professionals and parents. In addition to providing those who are concerned about a gambling problem with resources to find help, the website includes separate sections for each of these audiences and content is tailored to address the needs, questions and concerns of these groups.

The site also offers free collateral materials, such as brochures about college gambling and responsible gambling, fact sheets, posters, and stickers, which can help raise awareness about gambling and gambling disorders on campus.

The development of CollegeGambling.org was guided by an advisory committee of leading scientists, clinicians and student life experts. The NCRG has relied on theAdvisory Committeeto help ensure the materials created for the site are firmly grounded in the highest-quality research on these issues and will be effective for the intended audiences.

CollegeGambling.org builds on the recommendations of theTask Force on College Gambling Policies, which provide schools with a roadmap for reducing gambling among students and enabling those who are struggling with addiction to participate more fully in college life. View the Task Force’s“Call to Action”report.

What do you think of CollegeGambling.org? We would love your feedback in the comments below!

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Stories about a recent study on gambling and alcohol use across the lifespan have begun popping up around the Internet with contradictory titles like“Gambling Problems Are More Common Than Drinking Problems, According To First-Of-Its-Kind Study”and“Are Gambling Problems More Common than Drinking Problems? Maybe Not”. The study, published in theJournal of Gambling Studies,is from the Research Institute on Addictions at the University at Buffalo, N.Y.(Welte, Barnes, Tidwell, & Hoffman, 2010). The study is primarily about patterns of gambling behavior across the lifespan compared to patterns of alcohol use and other potentially problematic behaviors, but the researchers also report findings that compare gambling and alcohol problems in the general population. These differences have caused some confusion on the issue.

The researchers state that “after age 21 problem gambling is considerably more common than alcohol dependence” (Welte et al., 2010, p. 57). At first, this statement seems to be at odds with previously published research. It is generally accepted that the rate of alcohol dependence is about double that of pathological gambling (Keyes, Geier, Grant, & Hasin, 2009; Stucki & Rihs-Middel, 2007).

However, a look at the definitions the researchers use explains the apparent discrepancy. The “problem gambling” they refer to is defined as anyone who endorses three or more items on the Diagnostic Interview Schedule (DIS) for the DSM-IV,the handbook for psychiatric disorder in the United States (American Psychiatric Association, 1994). This is a standard way to define problem gambling, a less severe form of the disorder, with pathological gambling being defined as endorsing “five or more criteria,” as the researchers state in the methods section of the paper (Welte et al., 2010, p. 53). The researchers found this broadest definition of problem and pathological gambling to be between 3 and 5 percent for people ages 22 to 60. This is in line with previous research on the subject.

The confusion comes from comparing this broadest definition of disordered gambling with a narrow definition of alcohol disorders. Like gambling disorders, alcohol use disorders are categorized by severity. Alcohol abuse is the less severe disorder while alcohol dependence is the most severe, and the two together are called alcohol use disorders. One of the largest studies of alcohol use disorders is the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) (Hasin, Stinson, Ogburn, & Grant, 2007). The NESARC is a nationally representative survey consisting of face-to-face interviews with more than 43,000 Americans. The NESARC found that people ages 30 to 44 suffered from alcohol abuse at 6 percent and alcohol dependence at 3.8 percent, for a total alcohol use disorder rate of 9.7 percent. When the rate of 9.7 percent is compared with the combined rate of problem and pathological gambling in the Welte et al. study, about 4.5 percent, we find that alcohol use disorders are about double gambling disorders. Note that Welte et al. divided their age groups differently, so this analysis combines the 31-40 and 41-50 groups.

The researchers at the University of Buffalo did not discuss the discrepancies in definitions in their study. However, their larger discussion of alcohol use and gambling across the lifespan is an interesting one that certainly deserves more in-depth study.

More information about the University of Buffalo study is available on theJournal of Gambling Studieswebsite. As always, we welcome your thoughts and questions in the Comments section below.

References

American Psychiatric Association. (1994).DSM-IV: Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association.

Hasin, D. S., Stinson, F. S., Ogburn, E., & Grant, B. F. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions.Archives of General Psychiatry,64(7), 830-842. doi:10.1001/archpsyc.64.7.830

Keyes, K. M., Geier, T., Grant, B. F., & Hasin, D. S. (2009). Influence of a drinking quantity and frequency measure on the prevalence and demographic correlates of DSM-IV alcohol dependence.Alcoholism, Clinical and Experimental Research,33(5), 761-771. doi:10.1111/j.1530-0277.2009.00894.x

Stucki, S., & Rihs-Middel, M. (2007). Prevalence of Adult Problem and Pathological Gambling between 2000 and 2005: An Update.Journal of Gambling Studies / Co-Sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming. doi:10.1007/s10899-006-9031-7

Welte, J. W., Barnes, G. M., Tidwell, M. O., & Hoffman, J. H. (2010). Gambling and Problem Gambling Across the Lifespan.Journal of Gambling Studies / Co-Sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming. doi:10.1007/s10899-010-9195-z

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How much college students gamble, and to what extent they suffer from gambling disorders, is an area of great concern in the United States. It is well established that college students suffer from high rates of alcohol and other substance use disorders, and do so in larger numbers than demographically similar non-college students. It is also commonly known that alcohol misuse and gambling disorders are similar in many ways; both cause craving and withdrawal symptoms, have similar neurological characteristics and follow similar clinical courses. This fact raises questions about whether gambling disorders may be found in larger numbers in college populations than in non-college populations with similar demographics. To answer this question, researchers at the Research Institute on Addictions at the University at Buffalo, N.Y., analyzed data from 1,000 representative respondents ages 18-21. Their findings were published in theJournal of American College Health(Barnes, Welte, Hoffman, & Tidwell, 2010).

The researchers analyzed data on the gambling and alcohol-related behaviors of the respondents, including if they had gambled in the past year, if they were a frequent gambler, and if they had a gambling disorder, as well as demographic questions. The researchers found that about three-fourths of college age respondents had gambled in the past year, about one-fourth were “frequent gamblers” (gambling 52 or more times in the past year), and about 6 percent met criteria for problem or pathological gambling. The researchers also compared their findings for the students attending college with those who did not attend, taking into account demographic differences. The results showed that college student status did not predict gambling, frequent gambling, or problem gambling. In contrast, being a college student did predict higher levels of alcohol use and problem drinking.

The strongest predictor of both problem gambling and problem drinking was male gender. Also, whites were found to be more likely to drink heavily than blacks, while blacks were more likely to gamble heavily than whites. Future research should explore treatment opportunities created by the differences in alcohol and gambling problems by gender, race and college attendance.

More information on the article is available on the website of theJournal of American College Health. Do you have thoughts or questions about college gambling? Tell us in the Comments section below.

References

Barnes, G. M., Welte, J. W., Hoffman, J. H., & Tidwell, M. O. (2010). Comparisons of gambling and alcohol use among college students and noncollege young people in the United States.Journal of American College Health: J of ACH,58(5), 443-452. doi:10.1080/07448480903540499

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TheTask Force on College Gambling Policiesissued a report in 2009 recommending that student health professionals screen for gambling problems among students engaged in risky behaviors. Since the release of this report, new research has been published that provides evidence that a single question can open up information about risky behaviors.

For example, alcohol use by college students – and binge drinking in particular – has been associated with a range of risky behaviors, including gambling. A new study published in theAmerican Journal on Addictionsprovides further evidence of this link by focusing on thequalityof drinking behavior rather than on thequantityof alcohol consumed , which is the typical measure used by researchers to identify students at risk for alcohol-related problems (Pedrelli et al., 2010). Specifically, this study examined compulsive drinking, described as “persistent thoughts about alcohol, inability to control alcohol consumption, and a compulsive drive to consume alcohol” (Pedrelli et al., 2010, p. 15). The authors of the study hypothesized that this behavior would be associated with an increased likelihood of substance use, unsafe sex and gambling.

The 904 study participants were undergraduates at three universities in various regions who were predominantly female (54.8 percent), Caucasian (57.1 percent) and living on campus (39.5 percent). They were asked questions from the Consumptive Habits Questionnaire (Guidi et al., 2009). One question asked respondents to report on whether they engaged in a number of risky behaviors, including compulsive use of street drugs, prescription drugs, alcohol and caffeine and activities such as compulsive gambling.

Both females and males who reported compulsive alcohol use were at a greater risk for risky behaviors. However, while males in this group were more likely to gamble, there was no statistically significant association in females between compulsive drinking and gambling.

The authors offered several possible reasons for the link between compulsive drinking and risky behaviors: the pharmacological effect of alcohol and drugs in lifting inhibitions; the possibility that problematic behaviors share a biological foundation; shared personality traits such as sensation-seeking and impulsivity; and that students who report compulsive drinking might be more at ease reporting on other risky behaviors.

The practical implications of these findings suggest that researchers can identify the risky behaviors with a single question, which bodes well for enabling college student health professionals to identify potentially problematic behaviors. The authors explained, “In light of the limited resources available on college campuses overall, and in particular in settings where screening can be conducted such as at health centers, asking about compulsive drinking may represent a helpful strategy to identify high-risk college students” (Pedrelli et al., 2010, p.19).

References

Guidi, J., Pender, M., Hollon, S.D., et al. (2009). The prevalence of compulsive eating and exercise among college students: An exploratory study.Psychiatry Research, 165, 154-162.

Pedrelli, P., Bitran, S., Shyu, I., Baer, L., Guidi, J., Tucker, D. D., et al. (2010). Compulsive alcohol use and other high-risk behaviors among college students.American Journal on Addictions, 20(1), 14-20.

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The National Center for Responsible Gaming (NCRG) offers grants in five categories to support research on gambling disorders. The next application deadline is April 1, 2011, for Exploration Grant and Postdoctoral Fellowship proposals.

The Exploration Grant category offers quick access to funding and provides up to $10,000 for a period of 12 months and is intended to support pilot studies or other small projects. Applicants will be notified about grant decisions by May 2, 2011. Download the application instructions and application form (in PDF form) from theExplorations Grants pageon the Institute website.

The new Postdoctoral Fellowship is intended for individuals who are within five years of completing their terminal research degree or within five years of completing medical residency (or the equivalent). Applicants may request up to $43,000 for one year. The Postdoctoral Fellowship is not available to recipients of an NIH Career Development Award or an NCRG grant. Download the application instructions and application form (in PDF form) from thePostdoctoral Fellowshippage on the Institute website.

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Addiction researchers have found associations between numerous addictive behaviors, with individuals often being involved with many addictive substances and behaviors at the same time. Though this relationship is common, it is not well understood. The intermingling relationships of less thoroughly studied addictive behaviors, such as gambling and prescription drug misuse (PDM), are particularly unclear. A recent study led by Cheryl Currie, a Ph.D. candidate at the University of Alberta, Canada, was published in theCanadian Journal of Psychiatryand explores the relationship between prescription drug misuse, demographics and addictive behaviors including gambling (Currie, Schopflocher, & Wild, 2011). Currie won the Outstanding Poster Award at the 2010 NCRG Conference on Gambling and Addiction, and discussed early findings from this study with us in anaudio interviewconducted at the conference.

The researchers surveyed a representative sample of 3,511 adults living in Alberta, Canada, about their PDM, illicit drug and alcohol use and abuse, tobacco use, gambling behavior and demographics. They found that 8.2 percent of Albertans had misused a prescription drug in the previous 12 months, and the strongest demographic predictors for PDM were disabled status, younger age, and high school graduates with no college experience. These correlations are not unexpected, as younger people use more illicit drugs generally, and disabled persons use more prescription drugs than adults generally (e.g. to control pain). What was not expected was the strong relationship between PDM and problem gambling.

After disabled status, problem gambling was the second strongest predictor for PDM, with problem gamblers misusing prescription drugs three times more often than others. This finding is unexpected because PDM is a form of substance abuse, and it would be logical to assume that people who misuse prescription drugs might also abuse other substances like alcohol or cannabis. In fact, alcohol and cannabis dependenceismore common in people with past-12-month PDM, but gambling is the most common addictive predictor of PDM in this study.

Since the relationship between gambling and PDM has not yet been comprehensively examined, there is no way of knowing how or why the two behaviors interact. The authors suggest that problem gamblers may be misusing prescription drugs to “cope with gambling losses, deal with gambling urges, to stay awake while gambling, or they may engage in both PDM and gambling to escape other life stressors,” (Currie et al., 2011, p. 32). Certainly this surprising finding deserves more research attention as the complex relationships between addictive disorders are further explored.

More information on the article is available onthe journal’s website, and the full interview with Cheryl Currie can be heard on theGambling Disorders 360 post from November 15th. Are you surprised by these findings? Let us know in the Comments section below.

References

Currie, C. L., Schopflocher, D. P., & Wild, T. C. (2011). Prevalence and correlates of 12-month prescription drug misuse in alberta.Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie,56(1), 27-34.

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