Greater Problem Gambling Severity Research Articles

Loot box purchasing is associated with gambling and problem gambling when controlling for known psychological risk factors of gambling

Background A robust literature has found that loot box purchasing is associated with gambling and problem gambling. However, it remains unclear whether this association is merely an artifact of known psychological risk factors for gambling. The present study thus examined associations of loot box purchasing with gambling and problem gambling while controlling for potential psychological confounders. Methods Current gamers, recruited from five Canadian universities (N = 1189) and Academic Prolific and Reddit (N = 499), reported on loot box engagement, gambling engagement, and psychological characteristics. In each sample, binomial logistic regression analyses were used to examine the association between past-year loot box purchasing and likelihood of past-year gambling. Hierarchical linear regression analyses were used to examine the associations of each of past-year loot box purchasing and risky loot box engagement with problem gambling severity. Results In both samples, having purchased loot boxes in the past year was significantly associated with increased likelihood of having gambled in the past year and greater problem gambling severity. In the student sample, greater risky loot box engagement was significantly associated with increased problem gambling severity. Conclusions Consistent with previous research, there exist associations between loot box purchasing and gambling. Results suggest that these associations are robust to known psychological risk factors for gambling, reducing plausibility of the notion that the association between loot box purchasing and gambling exists only due to shared psychological vulnerabilities. Loot box purchasing represents an important marker of risk for gambling and problem gambling among people who play video games.

Lottery-Purchasing Adolescents: Gambling Perceptions, Problems, and Characteristics.

Gambling on the lottery is a prevalent behavior, and lottery products are increasingly available in online and electronic formats. As lottery-purchasing is prevalent in adolescents, this study systematically examined relationships between lottery-purchasing and problem-gambling severity and gambling perceptions and attitudes, as well as differences in the relationships between problem-gambling severity and measures of health/functioning and gambling characteristics among lottery-purchasing groups. Participants were 1517 Connecticut high-school adolescents with past-year gambling. Chi-square and logistic regression models were conducted, and interactions between problem-gambling severity and lottery-purchasing status on multiple outcomes were determined. Lottery-purchasing, compared to non-lottery-purchasing, adolescents had greater problem-gambling severity and reported more permissive gambling attitudes and greater parental approval of gambling. Significant between-group differences were observed, with at-risk/problem-gambling more strongly associated with having friends and adult gambling partners among non-lottery-purchasing adolescents, and machine and online gambling, and gambling alone more strongly associated among lottery-purchasing adolescents. Greater problem-gambling severity, permissive gambling attitudes, and parental approval of gambling in lottery-purchasing adolescents suggest that parenting contexts are important considerations in prevention efforts targeting problem gambling in youths. Between-group differences in associations between problem-gambling severity and gambling types and partners may identify high-risk groups associated with more solitary gambling behaviors for whom targeted interventions may be adapted.

Predictors of Sports Gambling among College Students: The Role of the Theory of Planned Behavior and Problem Gambling Severity.

The current study investigated what influences college students’ behavioral intention and behavior towards sports gambling using the theory of planned behavior (TPB) as a theoretical framework. The study also explored the moderation effect of problem gambling severity in the relationships between TPB determinants, behavioral intention, and sports gambling behavior. Data were collected from 334 college students from four different universities in the U.S. and analyzed through partial least squares structural equation modeling (PLS-SEM) and multi-group analysis. The results indicated that attitude was the most critical determinant of college students’ sports gambling intentions, followed by the subjective norms, while both behavioral intention and perceived behavioral control were significant predictors of sports gambling behavior. The study also found some meaningful moderation effects of problem gambling severity. Subjective norms were influential on college students with greater problem gambling severity, while attitude was the strongest predictor of recreational sports gamblers. Suggestions on prevention and treatment programs regarding sports gambling and problem gambling are discussed.

Impacts of the COVID-19 Shutdown on Gambling Patterns in Australia: Consideration of Problem Gambling and Psychological Distress.

Objectives:The COVID-19 pandemic reduced access to gambling and contributed to widespread psychological distress. Psychological distress is a known risk factor for problem gambling as it can motivate excessive gambling as a coping response. The availability of gambling is considered a factor in maintaining problems. This paper aimed to investigate the impact of the shutdown of gambling venues on Australians, particularly among those vulnerable to mental health problems and gambling disorder.Methods:Australian adults who had gambled at least once in the past 12 months (N = 764, 85.2% male) completed an online cross-sectional survey. Self-report measures retrospectively assessed typical monthly gambling frequency and expenditure before and after the COVID-19 venue shutdown, problem gambling, and psychological distress.Results:Significant median decreases in gambling frequency were observed, both online and overall. No relationship was found between psychological distress and baseline or increases in gambling. Greater problem gambling severity was related to higher baseline gambling, but not to increases in gambling. Exploratory analysis showed that individuals engaged in moderate-risk gambling, but not problem gambling, were more likely to report increased gambling frequency compared to nonproblem and low-risk gamblers combined.Conclusions:Findings provide important insights into how changes in availability influence gambling participation, and for understanding the effectiveness of forced restrictions and venue exclusion strategies. Most people moderated their gambling when venue-based gambling was unavailable and opportunities for sports betting were limited. However, harms experienced by individuals with some gambling problems may have been exacerbated during the period of limited access. Policies to enhance prevention and treatment of gambling problems are necessary even when availability is reduced.

Cannabis use, problem-gambling severity, and psychiatric disorders: Data from the National Epidemiological Survey on Alcohol and Related Conditions.

Cannabis use and related disorders are common in adults and frequently co-occur with subsyndromal and pathological gambling. However, understanding how cannabis use may moderate relationships between problem-gambling severity and psychiatric disorders remains poorly understood. Data from the National Epidemiological Survey on Alcohol and Related Conditions (N = 43,093 adults) were examined to investigate how cannabis use moderated associations between problem-gambling severity (with gambling groups based on the 10 Diagnostic and Statistical Manual [DSM-IV] inclusionary criteria for pathological gambling) and Axis I and Axis II psychiatric disorders. Problem-gambling severity groups included low frequency/nongambling, low-risk gambling, at-risk gambling, and problem/pathological gambling (PPG). Among both the group with lifetime cannabis use and that which never used cannabis, greater problem-gambling severity was associated with more psychopathology across mood, anxiety, substance-use and Axis II disorders. Significant Cannabis Use × Problem-Gambling Severity Group interactions were observed between PPG and major depression (OR = 0.35, 95% CI = [0.14-0.85]), cluster A personality disorders (OR = 0.37, 95% CI = [0.16-0.86])-especially paranoid personality disorder (OR = 0.34, 95% CI = [0.14-0.81])-and cluster B personality disorders (OR = 0.36, 95% CI = [0.18-0.75])-especially antisocial personality disorder (OR = 0.25, 95% CI = [0.11-0.60]). In all cases, associations between problem-gambling severity and psychopathologies were weaker among the lifetime-cannabis-using group as compared to the never-using group. Cannabis use moderates the relationships between problem-gambling severity and psychiatric disorders, with cannabis use appearing to account for some of the variance in the associations between greater problem-gambling severity and specific forms of psychopathology. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Problem-gambling severity, suicidality and DSM-IV Axis II personality disorders

BackgroundDespite the strong associations between personality disorders and problem/pathological gambling, few studies have investigated the relationships between personality disorders, problem-gambling severity and suicidal thoughts/behaviors. ObjectivesWe examined the relationships between problem-gambling severity and personality disorders among individuals with differing levels of suicidality (none, thoughts alone, attempts). MethodsWe analyzed data from 13,543 participants of the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC) study. First, differences in sociodemographic characteristics and prevalence of personality disorders were analyzed according to problem-gambling severity and suicidality status. Second, we performed a logistic regression to assess among the relationship between problem-gambling severity and DSM-IV Axis II psychopathology according to suicidality level. ResultsAt-risk or problem/pathological gambling groups showed higher rates of a wide range of personality disorders compared to non-gamblers. Logistic regression showed that at-risk pathological gamblers had a higher odds ratio for any personality disorder in the group with no history of suicidality, particularly for cluster-B personality disorders. Odds ratio interaction analysis identified the relationship between problem-gambling severity and personality disorders, particularly those in cluster B, differ according to suicidality status. ConclusionsOur findings suggest a complex relationship between suicidality, problem-gambling severity and personality disorders. The stronger relationship between problem-gambling severity and personality disorders in people with no suicidality as compared to some suicidality suggests that some of the relationship between greater problem-gambling severity and Axis II psychopathology is accounted for by increased suicidality. The findings have implications for clinical interventions targeting suicidality in individuals with gambling disorders.

Consumer engagement with and perceptions of offshore online gambling sites

Many jurisdictions have legalized and licensed online gambling sites. Nonetheless, a notable proportion of the online gambling market operates offshore. Offshore sites pose risks for consumers in terms of unsafe and disreputable practices, compete with domestically licensed sites and do not participate in the economies in which they operate. This study aimed to explore the extent to which Australian online gamblers use offshore as compared to domestic gambling sites, consumer attitudes and gambling-related harms. Participants ( N = 3199) completed an online survey assessing gambling behaviour, reasons for choosing sites, awareness of and impact of online gambling legislation, and problem gambling. Results show that 25.8% of online gamblers used offshore sites, and that these were more involved gamblers overall than domestic gamblers, and had greater problem gambling severity. Most online gamblers preferred domestic sites, indicating that regulation of online gambling with associated consumer protection measures may benefit those who wish to gamble online.

Gender Differences in Self-Conscious Emotions and Motivation to Quit Gambling

Considerable gender differences have been previously noted in the prevalence, etiology, and clinical features of problem gambling. While differences in affective states between men and women in particular, may explain differential experiences in the process of gambling, the role of affect in motivations for quitting gambling and recovery has not been thoroughly explored. The aim of this study was to examine gender differences within a sample of problem gamblers motivated to quit with or without formal treatment, and further, to explore the interactions between gender, shame and guilt-proneness, and autonomous versus controlled reasons for change. Motivation for change and self-conscious emotional traits were analyzed for 207 adult problem gamblers with an interest in quitting or reducing their gambling (96.6% not receiving treatment). Overall, gender differences were not observed in clinical and demographic characteristics. However, women exhibited greater shame [F(1,204)=12.11, p=0.001] and guilt proneness [F(1,204)=14.16, p<0.001] compared to men, whereas men scored higher on trait detachment [F(1,204)=7.08, p=0.008]. Controlling for demographic and clinical characteristics, general linear models revealed that autonomous motivation for change was associated with higher guilt-proneness, greater problem gambling severity, and the preparation stage of change; whereas controlled forms of motivation were significantly associated with higher shame-proneness and greater problem gambling severity. No gender effects were observed for either motivation for change. These findings suggest that the process of change can be different for shame-prone and guilt-prone problem gamblers, which may impact behavioral outcomes.

Drug use trends following the 12-weeks OST in the Republic of Georgia (RCT)

Conclusions: Studyfindingshighlight the relevanceof considering gender in the prevention and treatment of SUDs. Those factors underlying the progression of specific SUDs in women and men with greater problem-gambling severity warrant identification, particularly as incident AUDs as compared toND andDUDs showed gender-related differences that differed from cross-sectional patterns. Financial support: Supported by grants from NIMH, NIDA, and NCRG.

Clinical characteristics and treatment readiness of male and female problem gamblers calling a state gambling helpline

Helplines for problem gamblers play a critical role in a systems approach but more information is needed on the people who call. Men and women problem gamblers differ in the consequences of their gambling, and these differences likely affect motivation to change gambling behaviors. This study examined gender differences in gambling consequences and readiness to change gambling behaviors among callers to the State of Michigan Problem Gambling Helpline. In total, 202 callers (n = 118 women; n = 84 men) were interviewed by telephone and asked questions about their gambling severity, psychosocial consequences of gambling, experience with the help they received from the helpline, and treatment readiness as assessed using the Stages of Change model. Women reported significantly greater problem gambling severity and financial consequences than men. They were more likely to have a family history of alcoholism, more likely to have sought mental health and gambling treatment than men. Women also reported greater readiness for changing gambling behaviors, and this gender difference was mediated, in part, by problem gambling symptom severity. These data reveal some consistent and important differences between male and female problem gamblers that should be considered when developing helpline services.