Temperament and Character in Pathological Gambling

Objective We have studied temperament and character in pathological gambling (PG). Methods Thirty-eight DSM-IV verified pathological gamblers (31 males and 7 females; mean age 35.4 ± 10.4 years) were tested with Cloninger’s Temperament and Character Inventory (TCI). Matched controls were chosen from the normal population. Results Pathological gamblers scored higher on the temperament factors novelty seeking (NS) and harm avoidance (HA). The most pronounced difference was found in the character factor self-directedness (SD). The pathological gamblers differed from controls in cooperativeness and self-transcendence. A personality disorder was found in 29% of the pathological gamblers 84% of whom scored either low on SD and high on impulsivity or had a more dishonest behaviour. Two-thirds of pathological gamblers showed immature character with or without high HA in temperament. The other third showed normal-character extravagant behaviour (86%), high impulsivity (36%) and less responsibility (50%) being the most common personality traits. Conclusion HA and NS might be trait-like characteristics in PG.     

SOCIOECONOMIC RESOURCES AND SELF-RATED HEALTH: A STUDY IN THE MISSISSIPPI DELTA

Numerous factors influence health, including family background, individual behaviors, and community context. Access to care and insurance are critical, especially for people in lower socioeconomic groups who often face challenges beyond their immediate control. Building from a synthesis of theoretical frameworks, and using data from the Delta Rural Poll, this article utilizes logistic regression to explore the relationship between macro and micro socioeconomic resources and self-rated health among residents of the Mississippi Delta. Results demonstrate that these are important factors, although associations vary by racial group. Theory and policy considerations arising from the results are discussed.