Compared to research studies, in actual clinical practice, brief problem gambling screens identify which of the following?

• A. Identify significantly fewer individuals with gambling disorder
• B. Identify more males than females with gambling disorder
• C. Identify more individuals with gambling disorder
• D. Work equally well

Answer: (A)

Brief problem gambling screens tend to identify fewer cases in real-world clinical settings than in research. In practice, screening is often not done consistently, time is limited, and patients may be reluctant to disclose gambling issues unless specifically asked. Researchers typically apply screens systematically to larger or targeted populations and follow up with thorough diagnostic assessments, which increases the likelihood of identifying true cases. So, while the tool can be valid, its real-world use often results in under-identification of gambling disorder, making fewer individuals identifiable in clinical practice.