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An Exploratory Study in Gambling Recovery Communities: A Comparison Between ‘‘Pure’’ and Substance-Abusing Gamblers 赌博康复社区的探索性研究:纯粹赌徒与滥用药物赌徒的比较
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.2
Alessandro Quaglieri, Emanuela Mari, Pierluigi Cordellieri, Elena Paoli, Francesca Dimarco, Mario Postiglione, Giampaolo Nicolasi, Tania Fontanella, Umberto Guidoni, Sandro Vedovi, A. Giannini
Most of the available literature has shown that gambling disorder (GD) is often associated with several psychiatric conditions. Comorbidities with mood disorders, impulsiveness, personality traits, and impairments in cognitive function have also been frequently investigated. However, it is currently uncommon to study this disorder in individuals without comorbid substance abuse; therefore, the primary aim of our study was to compare the psychological profile of individuals with GD with and without substance use disorder. A total of 60 participants (100% male), including 20 individuals with GD, 20 substance-dependent gamblers (SDGs), and 20 healthy controls (HCs), were assessed with several clinical measures to investigate impulsivity, hostility, mood, and personality traits, as well as with cognitive tasks (i.e., decision-making tasks). Our results showed differences in both experimental groups compared with the HC group in mood disorders, impulsivity, and hostility traits. The ‘‘pure’’ GD group differed from the SDG group only in characteristics related to mood disorders (e.g., State-Trait Anxiety Inventory-Y2, Beck Depression Inventory-II, and assault dimension), whereas greater impairment in decision making processes related to risky choices was shown in the SDG group. This study suggests the importance of studying pure GD to clarify the underlying mechanisms without the neurotoxic effects of the substances. This could provide an important contribution to the treatment and understanding of this complex disorder.
大多数现有文献表明,赌博障碍(GD)通常与几种精神疾病有关。情绪障碍、冲动、性格特征和认知功能损伤的合并症也经常被调查。然而,目前在没有药物滥用共病的个体中研究这种障碍并不常见;因此,我们研究的主要目的是比较有和没有药物使用障碍的GD患者的心理状况。共有60名参与者(100%男性),包括20名GD患者、20名物质依赖性赌徒(SDG)和20名健康对照者(HC),接受了多项临床测量,以调查冲动、敌意、情绪和人格特征,以及认知任务(即决策任务)。我们的研究结果显示,与HC组相比,两个实验组在情绪障碍、冲动和敌意特征方面存在差异。“纯”GD组与SDG组的差异仅在于与情绪障碍相关的特征(例如,状态-特质焦虑量表-Y2、Beck抑郁量表II和攻击维度),而SDG组在与风险选择相关的决策过程中表现出更大的损伤。这项研究表明,研究纯GD以阐明其潜在机制而不产生神经毒性作用的重要性。这可以为治疗和理解这种复杂的疾病做出重要贡献。
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引用次数: 1
Self-Management Strategies for Problem Gambling in the Context of Poverty and Homelessness 贫困和无家可归背景下问题赌博的自我管理策略
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.4
F. Matheson, Sarah Hamilton-Wright, Arthur McLuhan, Jing Shi, J. Wiese, David T. Kryszajtys, N. Turner, S. Guilcher
Problem gambling and gambling disorder are serious public health issues that disproportionately affect persons experiencing poverty, homelessness, and multimorbidity. Several barriers to service access contribute to low rates of formal treatment-seeking for problem gambling compared with treatments for other addictions. Given these challenges to treatment and care, self-management may be a viable alternative or complement to formal problem gambling interventions. In this study, we described problem gambling self management strategies among persons experiencing poverty and homelessness. We conducted semi-structured interviews with 19 adults experiencing problem gambling and poverty/homelessness, and employed qualitative content analysis to code and analyze the data thematically. We identified five types of self-management strategies: (1) seeking information on problem gambling, (2) talking about gambling problems, (3) limiting money spent on gambling, (4) avoiding gambling providers, and (5) engaging in alternative activities. Although these strategies are consistent with previous research, the social, financial,housing, and health challenges of persons experiencing poverty and homelessness shaped their self-management experiences and approaches in distinct ways. Approaches to problem gambling treatment should attend to the broader context in which persons experience and attempt to self-manage problem gambling.
问题赌博和赌博障碍是严重的公共卫生问题,对贫困、无家可归和多病人群的影响尤为严重。与其他成瘾的治疗相比,获得服务的几个障碍导致寻求正规治疗的赌博问题率较低。鉴于治疗和护理面临的这些挑战,自我管理可能是正式问题赌博干预措施的可行替代或补充。在本研究中,我们描述了问题赌博自我管理策略的人经历贫困和无家可归。我们对19名经历过问题赌博和贫困/无家可归的成年人进行了半结构化访谈,并采用定性内容分析对数据进行编码和主题分析。我们确定了五种类型的自我管理策略:(1)寻求有关问题赌博的信息,(2)谈论赌博问题,(3)限制在赌博上的花费,(4)避免赌博提供者,(5)参与替代活动。虽然这些战略与以前的研究一致,但贫困和无家可归者面临的社会、财政、住房和健康挑战以不同的方式影响了他们的自我管理经验和做法。问题赌博治疗的方法应该考虑到人们经历和试图自我管理问题赌博的更广泛的背景。
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引用次数: 1
An Exploratory Study of the Relationship Between Financial Well-Being and Changes in Reported Gambling Behaviour During the COVID-19 Shutdown in Australia 新冠肺炎疫情期间澳大利亚金融健康与报告赌博行为变化关系的探索性研究
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.7
Thomas B. Swanton, Martin T. Burgess, A. Blaszczynski, S. Gainsbury
A change in someone’s financial situation, such as a windfall gain or increased financial stress, can affect the way that they gamble. The aim of this paper was to explore the relationship between financial well-being and changes in gambling behaviour during the coronavirus 2019 (COVID-19) shutdown. Australian past-year gamblers (N = 764; 85% male) completed an online cross-sectional survey in May 2020. Participants retrospectively reported monthly gambling participation before and after the COVID-19 shutdown, as well as their financial well-being, experience of COVID-related financial hardship, problem gambling severity, and psychological distress. Financial well-being showed strong negative associations with problem gambling and psychological distress. Neither financial well-being nor the interaction between financial well-being and problem gambling severity showed consistent evidence for predicting changes in gambling participation during the shutdown in this sample. This study provides preliminary evidence that self-reported financial well-being has a strong negative association with gambling problems but is not related to gambling participation. Future studies should link objective measures of financial well-being from bank transaction data with survey measures of problem gambling severity and experience of gambling-related harm.
某人财务状况的变化,如意外之财或财务压力增加,都会影响他们的赌博方式。本文的目的是探讨2019冠状病毒病(新冠肺炎)停摆期间财务状况与赌博行为变化之间的关系。2020年5月,澳大利亚过去一年的赌徒(N=764;85%为男性)完成了一项在线横断面调查。参与者回顾性报告了新冠肺炎疫情关闭前后每月的赌博参与情况,以及他们的财务状况、与新冠肺炎相关的财务困难经历、问题赌博的严重程度和心理困扰。财务状况与问题赌博和心理困扰呈强烈的负相关。在该样本中,无论是财务状况还是财务状况与问题赌博严重程度之间的相互作用,都没有显示出预测关闭期间赌博参与变化的一致证据。这项研究提供了初步证据,表明自我报告的财务状况与赌博问题有很强的负相关,但与参与赌博无关。未来的研究应将银行交易数据中的财务状况客观指标与问题赌博严重程度和赌博相关伤害经历的调查指标联系起来。
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引用次数: 2
Alcohol Misuse in a Treatment-Seeking Sample of Pathological Gamblers 病态赌徒寻求治疗样本中的酒精滥用
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.10
Emmert Roberts, V. Leonidaki, Zoe Delaney, H. Jones
We aimed to estimate the prevalence of alcohol misuse and examine its relationship with gambling severity and psychological distress in a UK treatment-seeking sample of pathological gamblers. Approximately one in four patients (27.1%) scored X 8 on the Alcohol Use Disorders Identification Test (AUDIT) screening tool indicating alcohol misuse, and one in four (28.1%) reported abstinence. There was no evidence of an association between alcohol misuse and gambling severity or psychological distress level. Compared to the UK general population a significantly higher proportion demonstrated probable alcohol dependence (1.2% vs. 6.3%, p < 0.001).
我们的目的是估计酒精滥用的流行程度,并检查其与赌博严重程度和心理困扰的关系,在英国寻求治疗的病态赌徒样本。大约四分之一(27.1%)的患者在酒精使用障碍识别测试(AUDIT)筛查工具中得分为x8,表明酒精滥用,四分之一(28.1%)的患者报告戒酒。没有证据表明酒精滥用与赌博严重程度或心理困扰程度之间存在关联。与英国普通人群相比,明显更高的比例表现出可能的酒精依赖(1.2%对6.3%,p < 0.001)。
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引用次数: 0
Gambling Prevention Mobile Applications: Understanding the Inclusion and Use of Behaviour Change Techniques 预防赌博移动应用:了解行为改变技术的包含和使用
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.5
Thomas St Quinton, B. Morris
Online gambling is emerging as a significant health behaviour of concern at a population level. Mobile applications (apps) are a popular tool to target change in health behaviour. Behaviour change techniques (BCTs) can be included within such apps to change relevant psychological mechanisms along established pathways, yet the content of apps targeting gambling problems specifically is not currently known. The purpose of the review was to identify the BCTs included in gambling prevention apps. Apps were downloaded from the Apple App Store and Google Play Store in October 2020. Apps were included if they related to gambling problems, were freely downloadable, and available in English. Once downloaded, two researchers independently coded the apps in November 2020 using the behaviour change technique taxonomy version 1 (Michie et al., 2013). The screening led to forty apps meeting the inclusion criteria (12 Apple App Store, 28 Google Play). The analyses identified 32 BCTs (20 Apple apps, 28 Google Play apps), with apps including between 0 and 9 BCTs (mean = 2.82, median = 2). The BCTs included most frequently were “3.1. Social support (unspecified),” “2.3. Self-monitoring of behaviour,” and “7.4. Remove access to the reward.” The review provides important information on the BCTs used in apps developed to reduce gambling-related problems. A limited number of BCTs were adopted within apps. Developers of apps seeking to develop effective gambling reduction products should draw upon a greater variety of BCTs.  
在线赌博正在成为一种令人关注的重大健康行为。移动应用程序是一种旨在改变健康行为的流行工具。行为改变技术(bct)可以包含在这样的应用程序中,以改变相关的心理机制,沿着既定的途径,但具体针对赌博问题的应用程序的内容目前尚不清楚。审查的目的是确定赌博预防应用程序中包含的bct。应用程序是在2020年10月从苹果应用商店和bb0 Play商店下载的。如果应用程序与赌博问题有关,可以免费下载,并提供英文版本,则将其纳入其中。下载后,两名研究人员在2020年11月使用行为改变技术分类法版本1独立编码应用程序(Michie et al., 2013)。经过筛选,最终有40款应用符合入选标准(12款苹果应用商店,28款bb0 Play)。分析确定了32个btc(20个苹果应用程序,28个谷歌Play应用程序),应用程序包含0到9个btc(平均值= 2.82,中位数= 2)。社会支持(未指明);行为的自我监控”和“7.4”。取消获得奖励的权限。”该审查提供了用于减少赌博相关问题的应用程序中使用的bct的重要信息。在应用程序中采用了数量有限的bct。寻求开发有效减少赌博产品的应用程序开发者应该利用更多种类的bct。
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引用次数: 0
Gambling behaviours and treatment uptake among vulnerable populations during COVID-19 crisis 2019冠状病毒病危机期间弱势群体的赌博行为和接受治疗情况
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.13
R. Miela, W. Cubała, Katarzyna Jakuszkowiak-Wojten, D. Mazurkiewicz
This study aimed to explore changes in gambling behaviours and gambling disorder (GD) treatment uptake during the COVID-19 pandemic among those with a heightened vulnerability to gambling-related harm. This was a single-center, cross-sectional, retrospective case series study assessing gambling behaviours and GD counselling participation among a vulnerable population sector following the COVID-19 shutdown. The clinical records of clients at a community substance use disorder (SUD) treatment center were explored (N = 67). Eight clients (n = 8) had satisfied the objective criteria, and were qualified for data exploration and analysis of gambling activities and GD treatment participation following the COVID-19 shutdown. All clients in the study belonged to subgroups at an elevated risk for gambling-related harm, with a mean duration of gambling problems of 9.5 years. Following the COVID-19 shutdown, an increase in gambling activities was noted in five cases. Migration to online gambling was noted in three cases. In two cases, no change in gambling activities was noted, and a reduction of gambling activities was noted in one case. In seven cases, no screening for gambling problems prior to current SUD program was noted. None had a history of, nor were currently engaged in counselling for gambling problems. The COVID-19 crisis and associated increase in gambling participation, coupled with a diminutive gambling counselling uptake during the pandemic, present an opportunity to rethink current behavioural addictions service delivery model for those with an increased vulnerability to gambling-related harm. Further investigation of the changes in gambling participation, and a closer look at optimizing GD service delivery among vulnerable population sectors during the COVID-19 crisis is warranted.
本研究旨在探讨在COVID-19大流行期间,赌博行为和赌博障碍(GD)治疗在易受赌博相关伤害人群中的变化。这是一项单中心、横断面、回顾性病例系列研究,评估了在COVID-19关闭后弱势人群群体的赌博行为和GD咨询参与情况。对某社区物质使用障碍(SUD)治疗中心患者的临床记录进行分析(N = 67)。8名客户(n = 8)满足客观标准,符合COVID-19关闭后赌博活动和参与GD治疗的数据探索和分析。研究中的所有客户都属于赌博相关伤害风险较高的亚组,平均持续时间为9.5年。在COVID-19关闭后,有五个案例发现赌博活动增加。在三个案例中,人们注意到了网络赌博的迁移。在两个案例中,没有注意到赌博活动的变化,在一个案例中注意到赌博活动的减少。在7个案例中,在目前的SUD计划之前没有对赌博问题进行筛查。没有人有赌博的历史,目前也没有从事赌博问题的咨询。2019冠状病毒病危机和相关的赌博参与增加,加上大流行期间对赌博咨询的小规模接受,为那些更容易受到赌博相关伤害的人提供了重新思考当前行为成瘾服务提供模式的机会。有必要进一步调查赌博参与情况的变化,并仔细研究在2019冠状病毒病危机期间优化弱势群体的GD服务提供情况。
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引用次数: 2
Revenue Associated With Gambling-Related Harm as a Putative Indicator for Social Responsibility: Results From the Swiss Health Survey 与赌博相关危害相关的收入作为社会责任的假定指标:来自瑞士健康调查的结果
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.6
E. Jeannot, J. Costes, C. Dickson, O. Simon
Gambling behaviours represent a significant social and economic cost and an important public health problem. A putative index for monitoring gambling-related harm is a  concentration of spending indicator that reports the proportion of gambling revenue derived from problem gambling. Using this indicator, we aimed to provide a first estimate of the proportion of gambling revenue associated with gambling-related harm in Switzerland according to the Swiss Health Survey. Data were obtained from the Swiss Health Survey 2017. The National Opinion Research Centre Diagnostic and Statistical Manual of Mental Disorders – Loss of Control, Lying and Preoccupation (NODS-CLiP) screening tool was used as part of the questionnaire, and the study findings were evaluated to determine the prevalence of gambling-related harm. Self-reported spending on terrestrial and online gambling (including gaming tables, electronic gaming machines, lotteries, sports betting) during the past 12 months was then used to calculate the portion of gambling revenue derived from players experiencing harm. A total of 12,191 respondents were included. Gambling-related harm was reported by 3.10% of our sample, according to NODS-CLiP criteria. The findings showed that although 52% of people experiencing harm spend less than 100 francs per month on gambling, 31.3% of total spending is attributable to gambling-related harm. In addition to pre-existing national prevalence studies, data on spending should be made readily available by gambling operators and regulators, in keeping with their regulatory obligations. The revenue structure, according to gambling type, should also be provided, including data from third-party gambling operators. In an interdisciplinary effort to improve public health and consumer protection, organized national structural prevention measures should be developed and evaluated.
赌博行为是一项重大的社会和经济成本,也是一个重要的公共卫生问题。监控赌博相关危害的一个假定指标是支出集中度指标,它报告了来自问题赌博的赌博收入的比例。利用这一指标,我们的目的是根据瑞士健康调查,对瑞士赌博相关危害与赌博收入的比例进行初步估计。数据来自2017年瑞士健康调查。国家意见研究中心精神障碍诊断和统计手册-失控、撒谎和专注(NODS-CLiP)筛选工具被用作问卷的一部分,并对研究结果进行评估,以确定与赌博有关的危害的流行程度。在过去的12个月里,自报在地面和在线赌博(包括赌桌、电子游戏机、彩票、体育博彩)上的支出被用来计算玩家遭受伤害所带来的赌博收入的比例。共有12191名受访者参与了调查。根据NODS-CLiP标准,我们的样本中有3.10%报告了与赌博相关的伤害。调查结果显示,虽然52%受到伤害的人每月花在赌博上的钱不到100法郎,但总开支的31.3%可归因于赌博相关的伤害。除了现有的国家流行率研究外,赌博经营者和管理人员应根据其管理义务随时提供有关支出的数据。还应提供按赌博类型划分的收入结构,包括第三方赌博经营者的数据。在改善公共卫生和消费者保护的跨学科努力中,应制定和评价有组织的国家结构性预防措施。
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引用次数: 2
Safer by design: Building a collaborative, integrated and evidence-based framework to inform the regulation and mitigation of gambling product risk 设计更安全:建立一个协作、综合和基于证据的框架,为赌博产品风险的监管和缓解提供信息
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.8
P. Delfabbro, J. Parke, Simo Dragecvic, Chris Percy, Richard Bayliss
Evidence suggests that harms may result from gambling participation as a result of a complex interaction between individual differences among consumers, environmental factors, and the characteristics of the gambling product. The latter of these factors, broadly referred to in this paper as product risk, has received increased policy attention in recent years. Product-focussed approaches to harm reduction, however, are under-developed relative to other forms of player protection and likely reflects the limitations of existing evidence and relative complexity of the topic. In this position paper, we define and explain the concept of product risk and consider what is currently known regarding the link between gambling products and harm. The paper describes the present barriers to develop effective product risk regulation and harm mitigation strategies. These include the competing interests of stakeholders, limited collaboration and information sharing, clear roles, responsibilities and leadership and a lack of integrated evidence-informed approaches. In response to these challenges, we propose adopting a framework comprised of a series of principles to progress this contested area of policy. The framework encourages better collaboration and communication between stakeholders; the accelerated production of valid and reliable evidence; a strategic alignment of stakeholder activity; and, more effective and efficient approaches to assessing and mitigating product risk.
有证据表明,参与赌博可能造成危害,这是消费者个体差异、环境因素和赌博产品特性之间复杂相互作用的结果。这些因素中的后一个,在本文中被广泛地称为产品风险,近年来受到越来越多的政策关注。然而,与其他形式的玩家保护相比,以产品为重点的减少伤害方法尚不发达,这可能反映了现有证据的局限性和该主题的相对复杂性。在这份立场文件中,我们定义和解释了产品风险的概念,并考虑了目前已知的赌博产品与伤害之间的联系。本文描述了目前制定有效的产品风险监管和减轻危害战略的障碍。这些问题包括利益攸关方之间的利益冲突、有限的合作和信息共享、明确的作用、责任和领导以及缺乏综合的循证方法。为了应对这些挑战,我们建议采用一个由一系列原则组成的框架,以推进这一有争议的政策领域。该框架鼓励利益攸关方之间更好地协作和沟通;加快提供有效可靠的证据;利益相关者活动的战略协调;并且,更有效和高效的方法来评估和减轻产品风险。
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引用次数: 3
Corporate Digital Responsibility Challenges for Sports Betting Companies 体育博彩公司面临的企业数字化责任挑战
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.9
P. Jones, D. Comfort
The emergence and continuing development of digital technologies is disrupting and reshaping traditional business practices throughout the service industries, and the gambling industry is no exception. On the one hand, digital technologies have opened the door to a landscape of new sports betting opportunities. On the other, the introduction of digital technologies brings responsibility challenges for sports betting companies. This policy paper outlines the features of corporate digital responsibility, provides some simple illustrations of digital responsibility issues in sports betting, and offers reflections on how these responsibilities are being discharged.
数字技术的出现和持续发展正在颠覆和重塑整个服务行业的传统商业惯例,博彩业也不例外。一方面,数字技术为新的体育博彩机会打开了大门。另一方面,数字技术的引入给体育博彩公司带来了责任挑战。本政策文件概述了企业数字责任的特点,提供了体育博彩中数字责任问题的一些简单例子,并就如何履行这些责任提出了一些思考。
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引用次数: 1
Elevated Prevalence of Adverse Childhood Experiences in Severe Gambling Disorder: A Pilot Study in U.S. Veterans 严重赌博障碍儿童不良经历患病率升高:美国退伍军人的一项试点研究
IF 1.2 Q4 SUBSTANCE ABUSE Pub Date : 2021-09-23 DOI: 10.4309/jgi.2021.48.12
G. Jaskiw, Toby Chen, Heather Chapman, P. Konicki, Peijun Chen
Gambling disorder (GD) is associated with a higher prevalence of adverse childhood experiences (ACEs). Whether this applies to groups such as U.S. veterans, who already have elevated ACEs, is not known. In this pilot study, we extracted ACEs from the charts of a random sample (n = 19) male veterans in residential GD treatment and compared them to those from a general veteran sample (n =154, 30 females, 124 males). The GD group had an elevated prevalence (79% vs. 37%) of three or more ACEs and a lower prevalence (5% vs. 49%) of one or fewer ACEs. Within groups with elevated ACEs, higher ACE load may still confer a higher risk of adult GD.
赌博障碍(GD)与儿童不良经历(ACE)的患病率较高有关。这是否适用于美国退伍军人等已经升高ACE的群体,目前尚不清楚。在这项试点研究中,我们从接受住院GD治疗的随机样本(n=19)男性退伍军人的图表中提取了ACE,并将其与普通退伍军人样本(n=154,30名女性,124名男性)中的ACE进行了比较。GD组三种或三种以上ACE的患病率较高(79%对37%),一种或一种以下ACE的发病率较低(5%对49%)。在ACE升高的组中,更高的ACE负荷可能仍然会带来更高的成人GD风险。
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引用次数: 0
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Journal of Gambling Issues
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