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Assessing gambling disorder using frequency- and time-based response options: A Rasch analysis of the gambling disorder identification test
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. Karolinska Institutet, Sweden; Inland Norway University of Applied Sciences, Norway.ORCID iD: 0000-0002-0013-2965
Number of Authors: 42024 (English)In: International Journal of Methods in Psychiatric Research, ISSN 1049-8931, E-ISSN 1557-0657, Vol. 33, no 1, article id e2018Article in journal (Refereed) Published
Abstract [en]

Objectives: The Gambling Disorder Identification Test (GDIT) is a recently developed self-report measure. The GDIT includes items with multiple response options that are either based on frequency or time, and item response theory evaluations of these could yield vital knowledge on its measurement performance.

Methods: The GDIT was evaluated using Rasch analysis in a study involving 597 Swedish gamblers.

Results: In a three-dimensional Rasch model, the item response difficulty range extended from −1.88 to 4.06 and increased with higher time- and frequency-based responses. Differential item functioning showed that some GDIT items displayed age and gender-related differences. Additionally, person-separation reliability indicated the GDIT could reliably be divided into three to four diagnostic levels.

Conclusions: The frequency- and time-based item response options of the GDIT offer excellent measurement, allowing for elaborate assessment across both lower and higher gambling severity. The GDIT can be used to detect DSM-5 Gambling Disorder, thereby holding significance from both epidemiological and clinical standpoints. Notably, the 3-item GDIT Gambling Behavior subscale also shows potential as a brief screening tool for identifying at-risk gambling behavior.

Place, publisher, year, edition, pages
2024. Vol. 33, no 1, article id e2018
Keywords [en]
DSM-5, gambling disorder, item difficulty, Rasch analysis, the gambling disorder identification test
National Category
Psychiatry Drug Abuse and Addiction
Identifiers
URN: urn:nbn:se:su:diva-228225DOI: 10.1002/mpr.2018ISI: 001183509000001PubMedID: 38475935Scopus ID: 2-s2.0-85187776204OAI: oai:DiVA.org:su-228225DiVA, id: diva2:1850483
Available from: 2024-04-10 Created: 2024-04-10 Last updated: 2025-02-11Bibliographically approved

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Wennberg, Peter

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