Problem Gambling Severity Research Articles

Watch and yearn? Effects of watching gambling livestreams on cravings.

Gambling content on streaming platforms has gained popularity. Given their intense, cue-laden nature, watching gambling streams may trigger cravings among viewers. At the same time, people who gamble may be motivated to watch gambling streams in an attempt to regulate their cravings. We tested these ideas across two preregistered online studies, recruiting i) people who gambleto compare a subgroup of gambling stream viewers with non-viewers (Study 1; nviewers = 221, nnon-viewers = 642), and ii) a group of gambling stream viewers (Study 2; nviewers = 271). Gambling stream viewers were younger, tended to identify as men, and displayed higher levels of problem gambling and gambling cravings compared to non-viewers. Problem gambling severity was correlated positively with both the motivation to use gambling streams to regulate cravings and with cravings elicited by watching gambling streams. Our findings indicate that while viewers with higher levels of problem gambling may use gambling streams to regulate their cravings, doing so might evoke cravings.

Dimensionality and validity of the gambling motives questionnaire – Financial among lottery loyalty program participants

ObjectiveThe Gambling Motives Questionnaire – Financial (GMQ-F) measures four gambling motives and these overlapping constructs may be distinct but also represent an overall gambling motivation. Thus, this study examined the scale’s factor structure by testing multiple-factor model configurations and then analyzing the association between these constructs and gambling measures. MethodsData from a lottery loyalty program in a Midwestern state in the United States were analyzed (n = 6847). The dimensionality of the GMQ-F was tested using confirmatory factor analyses (CFAs) comparing three different models. A structural equation model (SEM) was used to assess the association between gambling motives using the best fitted model in the CFA and problem gambling severity measured by the Problem Gambling Severity Index (PGSI). ResultsBifactor indices suggested limited multidimensionality with most of the variance explained by overall gambling motives, and limited variances explained by specific motives except financial motives. In the SEM, general motives were associated with a higher PGSI score. Social motives were associated with lower PGSI scores, while coping motives were associated with higher scores. Enhancement and financial motives showed no associations with PGSI scores. ConclusionOur findings support the value of the GMQ-F as an instrument for measuring gambling motivation, with the caveat that the types of motivations or subscales are highly correlated. Future research should explore the financial gain as a distinct motivation for gambling.

The Role of Videogame Micro-Transactions in the Relationship Between Motivations, Problem Gaming, and Problem Gambling.

Emerging research has highlighted potential associations between micro-transaction use and problematic videogame and gambling behaviour. An increasingly prominent theory highlights that self-determined motivations and basic psychological needs may play crucial roles in the development of problematic videogame and gambling behaviour. However, literature discussing the role thatmicro-transaction use has in this relationship is scarce. The present study examined the role of micro-transactions in the relationship between self-determined motivations for gaming and gambling and problematic behaviour (internet gaming disorder and problem gambling severity). A sample of 370 participants (74.1% male, Mage = 28.24years, SD = 7.88) answered questions related to their gaming and gambling motivations, basic psychological needs, micro-transaction use (i.e., type of micro-transaction, expenditure, and frequency of use), internet gaming disorder, and problem gambling. The present study used structural equation modelling methods to test relationships between these variables. The results indicated positive associations between extrinsic gaming and gambling motivations and frequency of micro-transaction use. Frequency of micro-transaction use (i) partially mediated the relationship between extrinsic gambling motivations and problem gambling severity, and (ii) fully mediated the relationship between externally regulated gaming motivations and problem gambling severity. Expenditure on micro-transactions and basic psychological needs were not found to be significant variables in the present study. Potential explanations for the findings, including a lack of self-esteem and a need to boost ego, social pressure, and rapid reward processes, are discussed. The implications and applications of the research are also discussed, focusing on limit setting and policy development focusing on frequency of micro-transaction use.

Assessing the Risk of Online Gambling Products: A Replication and Validation of Behavioural Markers of Harm Using the Problem Gambling Severity Index.

In this paper, we investigate the validity of objective operator data as proxy indicators for riskier gambling as based upon an independent self-report measure. Such work is important to strengthen the validity of gambling research involving objective behavioral indicators of harm used to detect higher risk gambling or product choices. To address these aims, a total of 21,464 individual customers from a single international operator completed the Problem Gambling Severity Index (PGSI). These data were then mapped to measures of player gambling activity and a range of objective behavioural markers of harm. The results confirmed that people scoring 8 + on the PGSI were found to have higher levels of gambling involvement (participation, days active and expenditure) on a range of gambling products, with differences generally larger for casino than wagering activities. Importantly, this group was also more likely to have a higher incidence of behavioural markers of harm (e.g., declined deposits). The data allowed for the replication of a previous study using such markers to detect differences in product risk, but further validated their use in a variety of analytical contexts by showing a concordance between self-reported and objective risk measures.

Internet Gaming Disorder and Problem Gambling Severity do not Predict Money and Time Spent on Games with Loot Boxes

Internet Gaming Disorder and Problem Gambling Severity do not Predict Money and Time Spent on Games with Loot Boxes

Loss of resources and gambling during the COVID-19 pandemic: a three-wave longitudinal study

This study is based on the Conservation of Resources theory and investigates the impact of the COVID-19 pandemic and associated resource loss on gambling behaviour among Polish gamblers. The study surveyed 585 individuals engaged in land-based gambling before the pandemic. Participants completed computer-assisted web interviews, responding to questions regarding land-based and online gambling frequencies, the Problem Gambling Severity Index, and the Inventory of Loss of Resources in Pandemics. The findings revealed significant shifts in gambling behaviour due to pandemic-related restrictions. Land-based gambling declined during lockdowns and the third wave of the study, while online gambling surged as gamblers transitioned from land-based venues. Gamblers tended to return to land-based options as restrictions eased. Over consecutive waves, participants reported decreasing resource loss levels. Significantly, resource loss was influenced by gambling frequency rather than vice versa. Both types of gambling experienced parallel declines at the beginning of the pandemic, which subsided as the new situation became normalised. Players engaging more in gambling experienced more significant resource losses during the pandemic. Those with more resources at the pandemic’s onset adapted more readily, whereas individuals with limited resources faced resource loss. Conclusions Even with stable gambling levels, heavy gamblers at baseline were at higher risk for issues. The dynamics between resource loss and gambling and problem gambling supported the resource loss spiral concept.

Illusion of control or passive superstition? A comparison of two explanations for irrational gambling beliefs.

The "illusion of control" is a dominant cognitive illusion in disordered gambling, but its role in shaping irrational gambling beliefs has been questioned by recent null experimental findings. Here, we aimed to test this recent work, in a preregistered Bayesian framework, by additionally correlating the dependent variable (nonuniform probabilistic beliefs) with self-reported gambling behavior and by exploring "passive superstition" as an alternative driver of these irrational gambling beliefs. A between-participants online experiment involving three boxes, one of which a $1 prize was randomly assigned to (N = 3,064; 49.1% males, 49.5% females, 1.4% other; Mage = 42.5 years). Participants estimated the likelihood of each box winning, with any estimates outside the 33%-34% interval categorized as irrational "nonuniform" probabilistic beliefs. "Preselection" participants gave estimates prior to box selection, "post-no-choice" participants had their box randomly selected, and participants in the treatment "postchoice" condition selected their own box. Whether participants gambled within the past 12 months (gambling status), Problem Gambling Severity Index (PGSI) score, and passive superstition scores were used as additional predictors. Comparing postchoice participants with post-no-choice participants (95% CI [0.80, 1.22]) and comparing postchoice with preselection participants (95% CI [0.88, 1.34]) yielded substantial support for a null effect. Gambling status supported substantial evidence for a null effect (95% CI [0.92, 1.30]), whereas higher PGSI (95% CI [1.08, 1.13]) and higher passive superstition scores (95% CI [1.08, 1.10]) overwhelmingly predicted our outcome. Active choice elements in illusions of control may have been overemphasized in irrational gambling beliefs compared to passive superstitions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

"I Don't Have Any Limits": A Qualitative Analysis of Individual Gambling Self-Control Strategies.

Despite existing knowledge on self-control strategies in the context of problem gambling, further insight is needed to understand a broader spectrum of self-control strategies among individuals who span the continuum of problem gambling. This qualitative study drew on the experiences and perceptions of individuals engaging in recreational gambling as well as those at the at-risk and problem gambling levels to explore various self-control strategies and their nuances. Thirty semi-structured interviews, guided by open-ended questions exploring how gamblers define and practice responsible gambling and their understanding of responsible gambling interventions, were conducted in Quebec, Canada. Thematic analysis identified three main themes: setting limits on frequency, time, and spending, playing smart (i.e., mindful gambling), and recognizing strategy limitations. Despite employing various strategies, participants struggled to maintain self-control. Maintaining self-control was particularly difficult for those with higher Problem Gambling Severity Index scores. These findings underscore the complexities of managing gambling behavior and, more specifically, these findings contribute to understanding the role of self-control in mitigating gambling problems. This study highlights the need to focus on developing comprehensive support systems and harm minimization measures within gambling environments to better support individuals across the gambling spectrum.

The active foundations of the illusion of control: an experimental test of the Henslin effect

The mistaken belief that personal control can affect the outcomes of random events is seen as a core part of disordered gamblers’ irrational beliefs via the ‘illusion of control’. The present study tests the extent of action-based manifestation of the illusion of control in a dice-rolling game, which provides a novel controlled test of a claim first made by Henslin that craps gamblers tend to shake their dice harder when aiming for higher numbers. We also tested participants’ recent involvement in gambling games and rates of disordered gambling symptomology as two theoretically-informed potential moderators of any effect. An incentivized dice-rolling experiment was programmed for participants’ mobile devices, where device accelerometer data was used to animate the effects of their shaking and to record the dependent variable of shaking strength. 1,692 US-Based participants (Mean age 37.1; 60.7% male) completed 24 trials each, across which the target number that they would win a $1 bonus if rolled was varied from one to six. Participants rolled the dice 4.1% harder for the highest- (six) compared to lowest-number (one). However, the effect did not vary based on participants’ recent engagement with various gambling games, and also did not correlate with gamblers’ Problem Gambling Severity Index scores. These results uniquely demonstrate a small Henslin effect, but also challenge theoretical accounts that illusion of control effects should be higher in people with greater familiarity with a given situation (i.e. relevant gambling games), or who have higher levels of disordered gambling symptomatology.

Illusions of control: A quasi-experiment comparing skill-based and traditional slotmachines.

Electronic gaming machines (EGMs) are a significant source of gambling spend due to their widespread use. Skill-based gambling machines (SGMs) represent an innovative adaptation, merging EGMs' chance-based rewards with video game-like skills. This study aimed to explore the appeal and behavioural consequences of playing SGMs in comparison to traditional reel-based EGMs, particularly focusing on illusions of control, betting behaviour, and the subjective experience of gamblers. Participants (N = 1,260) were recruited online and engaged in an online task simulating either an SGM or a reel-based EGM, with outcomes represented to influence their survey compensation. The study examined the effect of SGMs relative to EGMs on bet size, persistence, enjoyment, illusionsofcontrol, game immersion, and the influence of demographic and gambling problem severity. SGMs particularly appealed to younger adults, regular EGM players, and people with more gambling problems. Despite identical payout structures, people assigned to play SGM showed greater illusions of control, believing in the influence of skill on game outcomes and that practice could improveresults. However, there was no significant difference in overall betting intensity between SGM and EGM players, although specific demographic groups showed faster betting speeds in SGMs. SGMs, despite not inherently encouraging higher betting intensity, attract vulnerable groups and create illusions of control, posing new regulatory challenges. The visual and interactive features of SGMs, while appealing, might contribute to these perceptions, indicating a need for careful regulation and further research on their long-term impacts on gambling behaviour and harm.

Associations between loot box purchasing and gambling behaviours, financial problems, and low mental wellbeing in a household sample from a British island, a cross-sectional study

Abstract Aim This study estimated the prevalence of loot box purchasing and associated sociodemographic factors in a general population of a British island, and explored relationships between loot box purchasing and gambling behaviours, financial problems, and mental wellbeing. Subject and methods A cross-sectional survey was undertaken using representative household and supplementary convenience samples with (n = 1,234) residents of a British island aged 16 + years. The Problem Gambling Severity Index (PGSI) was used to assess gambling harm. Financial problems in the past year were defined as having been behind with payments for expenses. The Short Warwick Edinburgh Mental Wellbeing Scale was used to measure mental wellbeing. Purchasing loot boxes in the past year was measured via self-report as: ‘In the last 12 months, have you purchased in-game loot boxes (e.g. weapons, armour, players for a virtual sports team)?’. Analyses were performed using χ2 and binary logistic regressions. Results 5.9% of participants purchased loot boxes in the past year. There was no significant association between purchasing loot boxes and PGSI score. After controlling for sociodemographics and PGSI score, those who purchased loot boxes in the past year were 3.39 (1.42–8.11; p < 0.01) times more likely to experience financial problems, and 2.99 times (1.46–6.13; p < 0.01) more likely to have low mental wellbeing, compared to those who didn’t purchase loot boxes. Conclusion Findings in the current study suggest that purchasing loot boxes is associated with increased odds of experiencing financial problems and low mental wellbeing, independently of gambling behaviours.

What are escapists made of, and what does it have to do with excessive gambling and gaming?

AbstractResearch shows that escapism and frustration of basic psychological needs are linked with gambling and gaming problems, but an effect of escapism combined with restricted autonomy, competence, and relatedness on excessive gambling and gaming remains unclear. The purpose of this study is to identify shared characteristics of people who engage in escapist behavior and analyze to what extent the interaction of escapism and basic psychological need frustration predicts excessive gambling and gaming. We conducted a five-wave longitudinal survey with Finnish residents aged 18–75 years (n = 1530, 50.33% male) from April 2021 (T1) to April–May 2023 (T5). Measures included the Problem Gambling Severity Index, the ten-item Internet Gaming Disorder Test, and three escapism-specific questions. We analyzed the Basic Psychological Need Satisfaction and Frustration Scale, sociodemographic controls, and personality traits using multilevel regression models. We found that escapism was related to autonomy frustration, competence frustration, male gender, impulsivity, openness, and having a significant other who has experienced gambling problems. Escapism predicted excessive gambling, and competence frustration moderated this association. Escapism also predicted excessive gaming, and autonomy frustration and competence frustration moderated this association. Research on and treatment of excessive gambling and gaming should consider these underlying factors driving escapism.

Gender and trait rumination moderates the link between trait impulsivity and gambling problems severity in young adults

AimsTrait impulsivity and trait rumination appear to uniquely contribute to problem gambling. However, only a limited number of studies have investigated their relationship with each other, and no study has tested whether their interplay could explain problem gambling. In this study, we aimed to examine these associations, especially focusing on the putative moderator role of gender. MethodsThe present study utilized data from the first wave of the Budapest Longitudinal Study, representatively surveying young adults. The final, weighted sample consisted of N = 1202 (649 men; mean age = 28.04 years; SD = 4.31) participants who reported gambling in the past year. Gambling severity was assessed by the Problem Gambling Severity Index (PGSI), trait impulsivity was measured by Barratt Impulsiveness Scale short form (BIS-R-10), while rumination was assessed by the short version of Ruminative Response Scale (RRS). ResultsMultiple linear regression analysis showed significant positive association between impulsivity and problematic gambling, and we found that both trait rumination and gender moderated this association, even after controlling for depressed mood, age, level of education, and subjective relative wealth. For men, when the level of trait rumination was high, higher levels of trait impulsivity were associated with an increase in gambling problems. However, these associations were not found among women. ConclusionsOur results suggested that the interplay of trait rumination and trait impulsivity might contribute to problem gambling, potentially by the impulsive desire to alleviate negative mood states. Our results also revealed that these associations could be stronger among men than in women.

A moderated mediation analysis of the quality of life, gambling craving, escape expectancies and problem gambling relationships

The easy access to Internet through increased availability and ownership of Internet-enabled facilities such as smart/android phones and communication data by adolescents have increased their vulnerability to problem gambling (PG). There is therefore need to understand the relationship between PG and some psychological and situational factors that have the capacity to influence its development and severity. The present study is a test of a moderated mediation model in which the effect of quality of life (QoL) on PG was mediated by escape, and this mediation effect was further moderated by gambling craving (GAC). Participants (N = 197: 83% male, Mage = 24.05 years, SD age = 7.23 years) online gamblers took part in the survey and responded to the Problem Gambling Severity Index (PGSI), GQoL scale, Gambling Outcome Expectancies Scale-Escape (GOES-E), and the GAC scale. PROCESS macro analysis result reveals a significant moderated mediation effect of the escape-PG path by GAC. The findings provide support for escape as a potential pathway through which the QoL-PG association may thrive, and this support was further influenced by GAC. This is a significant contribution to the QoL-PG literature. However, we emphasize the need for further investigation of GAC as a criterion for PG.

A Clean Slate: Adapting the Realization Effect to Online Gambling and Its Effectiveness in People With Gambling Problems

ABSTRACTBetting more after losses (i.e., “loss‐chasing”) is a central clinical feature of disordered gambling. According to prospect theory, increasing risk‐seeking following losses could arise from a failure to “re‐reference.” By contrast, successful re‐referencing between successive decisions closes the mental account, and any losses are regarded as final or realized; gamblers should not chase realized losses. The present study sought to test this “realization effect” among gamblers using an ecologically valid online gambling task. We were further interested in whether the effectiveness of the loss realization varied as a function of problem gambling severity. Using online recruitment of past‐year gamblers stratified on the Problem Gambling Severity Index, we tested a group without gambling problems (n = 227), a group with at‐risk gambling (n = 239), and a group with gambling problems (n = 223). Over a sequence of nine bets, after the sixth bet, half of the participants underwent a simulated realization procedure that entailed cashing out from the gambling website and redepositing their remaining funds on another website. The feedback comparison group were shown their account balance after the sixth bet but did not withdraw or transfer their funds. In line with the realization effect, the group with non‐problem gambling significantly reduced their bet after cashing out. The realization procedure did not significantly ameliorate loss‐chasing in the groups with at‐risk gambling or gambling problems. We conclude that the realization effect can be elicited in an online gambling context but that stronger interventions for realizing losses may be required for people experiencing gambling problems.

Internet and Gambling: Insights from Australia's NBN Rollout.

Gambling is a well-known leisure activity that leads to significant consequences when consumed excessively. We provide an analysis of the impact of access to faster and more reliable internet connection on gambling. We rely on variations in the rollout of Australia's largest infrastructure project, National Broadband Network (NBN) installation, to measure internet speed at the postcode level. Using gambling data from the Household, Income and Labour Dynamics in Australia (HILDA) survey, we find that access to high-speed internet is associated with a decline in gambling proxied by the Problem Gambling Severity Index (PGSI). However, a closer look at the various forms of gambling show that internet speed is associated with an increase in online-based gambling activities, which constitute a relatively small proportion of gambling activities that Australians participate in. In contrast, internet speed is associated with a decline in venue-based gambling activities, which constitute a large proportion of gambling activities that occur in Australia, and therefore explains the overall negative effect on gambling. We find that social capital and cognitive functioning are channels through which internet speed influences gambling.

Can Positive Play Deficits Explain the Associations Between Posttraumatic Stress Symptoms, Gambling Motives, and Problem Gambling? Results of a National U.S. Sample.

Past research has demonstrated a consistent connection between symptoms of posttraumatic stress disorder (PTSD) and problematic gambling in both general and clinical United States (U.S.) populations. Little is known, however, about the mediating role that responsible gambling practices related to positive play might have in the relationships between symptoms of PTSD, problem gambling (PG) severity, and different motives for gambling. Therefore, using mediation analysis, this study investigated these associations within a census-matched national sample of U.S. adults (N = 2,806). Results indicated PTSD symptoms and PG often co-occur in this population (r = .43, p < .01), and coping motives for gambling were the key mechanism connecting PTSD symptoms to PG severity rather than deficits in positive play practices or other gambling motives. Moreover, it was found that the average gambler who had sought treatment for gambling in the past not only had more severe PTSD symptoms and PG but also had the strongest gambling motives, the largest deficits in positive play, and was more likely to be younger than 50years old. In this sample, approximately 1 in 10 people who gambled in the past year were classified as problem gamblers, 1 in 5 met criteria for a provisional PTSD diagnosis, and 1 in 33 sought out gambling treatment previously. These findings provide further evidence for the relationship between symptoms of posttraumatic stress and problematic gambling behaviors in the U.S. population and offer critical insights into the explanatory roles of coping motives and positive play practices in this connection.

Betting high, feeling low: a cross-sectional examination of gambling severity and psychological distress among Ghanaian youth

BackgroundLittle is known about the nexus between online gambling and psychological distress among youth, especially in Ghana. This study aimed to investigate the effects of online sports betting on psychological distress, focusing on depression, anxiety, and stress among young individuals in the Volta region of Ghana.MethodsA cross-sectional study was carried out at various betting centers in the Volta region of Ghana. Four hundred and three (403) participants were selected using a multi-stage sampling method. The study used a standardized questionnaire to assess psychological distress with the Depression, Anxiety, and Stress Scale (DASS 21) and problematic gambling with the Problem Gambling Severity Index (PGSI). The analysis included both descriptive and inferential methods. These include the implementation of the bootstrap technique within multiple regression models using the current versions of Jeffreys’s Amazing Statistics Program (JASP) [0.18.2], Statistical Package for the Social Sciences (SPSS) [29.0.2], and Microsoft Excel (2019).ResultsThe study found a prevalence of 40% for problematic gambling and 44% for moderate gambling problems among participants, resulting in an overall gambling prevalence of 84%. Regarding psychological distress, the estimated prevalence of depression among participants was 43.6%, with stress reported at 31.1% and anxiety at 68.8%. The overall prevalence of psychological distress was 48%. When analyzing the link between gambling and psychological distress, the study noted that males were more prone to gambling-related psychological distress than females (β = 2.036, p = 0.025). Furthermore, individuals with problem gambling showed the highest probability of experiencing more significant psychological distress compared to other groups (β = 9.228, p = 0.002), followed by those with moderate gambling levels (β = 3.283, p = 0.002).ConclusionWe recommend that the mental health unit of the Ghana Health Service, in collaboration with the Gaming Commission of Ghana, should develop youth-friendly interventions to address the prevalence and onset of problematic gambling among the youth, especially males. This could, in turn, reduce the prevalence of psychological distress among youth engaged in online gambling in Ghana.

Excite, or Take Flight? Exploring the Relationship between Difficulties with Emotion Regulation, Outcome Expectancies, and Problem Gambling.

Emotional dysregulation is a transdiagnostic process associated with a range of addictive behaviours including problem gambling, with emerging research indicating that emotionally oriented reasons for gambling (i.e., excitement, escape) are associated with problem gambling. However, the relationships between difficulties with emotion regulation, reasons for gambling, and problem gambling, are unclear. The current study tested whether the association between difficulties with emotion regulation and problem gambling could be explained by escape and excitement gambling outcome expectancies. A total of 187 regular gamblers recruited via social media (50.3% male, 48.7% female) completed measures of difficulties with emotion regulation, gambling outcome expectancies, and problem gambling severity (Mage = 41.07, SD = 15.8). Analyses revealed that escape outcome expectancies partially mediated the relationship between difficulties with emotion regulation and problem gambling severity. However, the mediating effect of excitement on this relationship was not significant. The findings suggest that individuals with greater emotional regulation difficulties may engage in problem gambling to help manage aversive emotional states. The study's findings illustrate the importance of considering emotional dysregulation and outcome expectancies in problem gambling treatment planning and public health strategies.

The impacts of stress and loneliness on gambling and gaming problems: A nationwide longitudinal study.

Problems related to gambling and digital gaming have been a topic of concern for years. Less attention has been paid to the probable psychosocial factors behind these problems. While previous studies have established links between stress, loneliness, and addiction, there is a lack of longitudinal research investigating how stress and loneliness affect addictive behaviors, including problem gambling and gaming. This study uses multilevel mixed-effects generalized linear models to analyze the between- and within-person effects of stress and loneliness on gambling and gaming problems. The interaction between stress and loneliness was also investigated. A representative sample of Finns (N = 1,530) answered a survey in 6-month intervals between spring 2021 and autumn 2023; 49.22% of the sample took part at all six time points. The Problem Gambling Severity Index and the Internet Gaming Disorder Test were used to measure gambling and gaming problems. The three-item UCLA Loneliness Scale was used to assess loneliness, and the Perceived Stress Scale was used to evaluate stress. After controlling for gender and age, loneliness was found to increase only gaming problems at both the between- and within-person levels, but not gambling. In contrast, stress enhanced both gambling and gaming problems at the between- and within-person levels. Additionally, loneliness and stress were found to have negative interaction suggesting that their combined effect was lower than their separate effects. The findings provide longitudinal insight into the psychosocial vulnerabilities behind problem gambling and gaming, which can be helpful in designing targeted interventions.