PC supplies are fairly limited in current capacity on their -5V rail, but I've never encountered a modern (JAMMA era) board that uses much. Most noted for using it at all (many don't) are Midway sound boards, which only use it for small signal amplification (preamp) and active filtering. Most PC supplies are good for at least a few 100mA on the -5V line, which is good enough for these applications. I've seen various arcade supplies and many aren't capable of much more, though some are.
The most common thing people run into with PC supplies is turning the darned things on. AT supplies are easiest since they have an external 120V switch that you can just turn on (or jumper the wires together using butt splices or similar), but I don't like having 120V floating around if I can avoid it. ATX supplies aren't too tough, really: just take the "PS-ON" (sometimes called "remote") wire and tie it to a ground pin with a short length of wire. This will make the supply be "always on". If you'd like a switch, you can put a small switch in there. This switch only needs to be capable of switching a few milliamps as it is only a signal (much like your control panel buttons) and is not actually switching power lines.
Another thing to remember is that all PC supplies tie their power common ("power ground") line to the AC safety ground ("earth ground"). This can sometimes cause problems due to ground loops or the rare monitor that expects fully floating inputs. Most people recommend tieing these together at the power supply, anyway, unless you have a reason not to, so this isn't usually a big deal.