The effect of the choice of screening test when measuring the prevalence of gambling disorder: A cross-sectional study in Japan.

This study examines the influence of the selection of screening tests and cut-off scores on the prevalence of gambling disorders by simultaneously administering several tests to the same sample. The survey was conducted online in 2021, with 2,000 respondents distributed equally across two prefecture...

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Main Authors: Tatsuya Noda, Moritoshi Kido, Chieko Ito, Toshiyuki Ojima
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0318885
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author Tatsuya Noda
Moritoshi Kido
Chieko Ito
Toshiyuki Ojima
author_facet Tatsuya Noda
Moritoshi Kido
Chieko Ito
Toshiyuki Ojima
author_sort Tatsuya Noda
collection DOAJ
description This study examines the influence of the selection of screening tests and cut-off scores on the prevalence of gambling disorders by simultaneously administering several tests to the same sample. The survey was conducted online in 2021, with 2,000 respondents distributed equally across two prefectures in Japan. Four screening tests were administered simultaneously: the South Oaks Gambling Screen (SOGS), Problem Gambling Severity Index (PGSI), Lie/Bet questionnaire, and Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5). The prevalence at the original cut-off scores was markedly different, with the SOGS (10.3%) showing the highest prevalence and the DSM-5 (3.8%) showing the lowest prevalence. Adjusting the cut-off score from 5 to 4 for the SOGS increased prevalence by 2.9%, while changing the PGSI cut-off score from 8 to 7 only increased it by 0.5%. This is the first study in Japan to simultaneously compare the scores for multiple screening tests and cut-off scores regarding gambling disorders. The SOGS screens more individuals with a possible gambling disorder than other measures, and altering the cut-off score significantly affected its prevalence. Selecting appropriate screening tests and cut-off scores is crucial to accurately assessing the prevalence of possible gambling disorders.
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spelling doaj-art-3a6c244f5b7d469bbbf5adae57c3d5022025-08-20T02:16:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01204e031888510.1371/journal.pone.0318885The effect of the choice of screening test when measuring the prevalence of gambling disorder: A cross-sectional study in Japan.Tatsuya NodaMoritoshi KidoChieko ItoToshiyuki OjimaThis study examines the influence of the selection of screening tests and cut-off scores on the prevalence of gambling disorders by simultaneously administering several tests to the same sample. The survey was conducted online in 2021, with 2,000 respondents distributed equally across two prefectures in Japan. Four screening tests were administered simultaneously: the South Oaks Gambling Screen (SOGS), Problem Gambling Severity Index (PGSI), Lie/Bet questionnaire, and Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5). The prevalence at the original cut-off scores was markedly different, with the SOGS (10.3%) showing the highest prevalence and the DSM-5 (3.8%) showing the lowest prevalence. Adjusting the cut-off score from 5 to 4 for the SOGS increased prevalence by 2.9%, while changing the PGSI cut-off score from 8 to 7 only increased it by 0.5%. This is the first study in Japan to simultaneously compare the scores for multiple screening tests and cut-off scores regarding gambling disorders. The SOGS screens more individuals with a possible gambling disorder than other measures, and altering the cut-off score significantly affected its prevalence. Selecting appropriate screening tests and cut-off scores is crucial to accurately assessing the prevalence of possible gambling disorders.https://doi.org/10.1371/journal.pone.0318885
spellingShingle Tatsuya Noda
Moritoshi Kido
Chieko Ito
Toshiyuki Ojima
The effect of the choice of screening test when measuring the prevalence of gambling disorder: A cross-sectional study in Japan.
PLoS ONE
title The effect of the choice of screening test when measuring the prevalence of gambling disorder: A cross-sectional study in Japan.
title_full The effect of the choice of screening test when measuring the prevalence of gambling disorder: A cross-sectional study in Japan.
title_fullStr The effect of the choice of screening test when measuring the prevalence of gambling disorder: A cross-sectional study in Japan.
title_full_unstemmed The effect of the choice of screening test when measuring the prevalence of gambling disorder: A cross-sectional study in Japan.
title_short The effect of the choice of screening test when measuring the prevalence of gambling disorder: A cross-sectional study in Japan.
title_sort effect of the choice of screening test when measuring the prevalence of gambling disorder a cross sectional study in japan
url https://doi.org/10.1371/journal.pone.0318885
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