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A process-based analysis of the pathways model of problem gambling through clinical case formulations 通过临床案例公式对问题赌博的路径模型进行过程分析
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-05-04 DOI: 10.1080/14459795.2022.2102203
C. Bonnaire, J. Billieux
ABSTRACT Blaszczynski and Nower conceptualized in 2002 an integrative Pathways Model leading to gambling disorder by postulating three subtypes of individuals with problem gambling characterized by common and specific characteristics (sociodemographic features, comorbidities, psychological factors). Here we propose a clinical illustration that fits each subtype. For each pathway, we (1) describe a corresponding clinical case, (2) propose a symptom-based clinical description, and (3) elaborate a process-based case formulation to explain the development and maintenance of the problematic gambling behavior. We argue that the clinical work with patients benefited from this two-level approach (symptoms vs. psychological processes) combined with a more holistic approach that takes into account intrapersonal (e.g. personality), interpersonal (e.g. family functioning), and environmental variables (e.g. life events). Crucially, our approach not only considers psychopathological dimensions (e.g. symptoms, diagnostic criteria), but it also views as central individual differences (personality traits) and cognitive and affective processes postulated to mediate relationships between biopsychosocial antecedents and psychopathological symptoms. In the current paper, we aim to demonstrate how the Pathways Model can be used as a framework to embrace a holistic perspective that promotes individualized and process-centered psychological interventions for individuals with gambling problems.
Blaszczynski和Nower在2002年提出了一种导致赌博障碍的综合途径模型,该模型假设了具有共同和特定特征(社会人口特征、共病、心理因素)的问题赌博个体的三种亚型。在这里,我们提出了一个适合每个亚型的临床例证。对于每个路径,我们(1)描述了一个相应的临床案例,(2)提出了一个基于症状的临床描述,(3)阐述了一个基于过程的案例公式来解释问题赌博行为的发展和维持。我们认为,患者的临床工作受益于这种两级方法(症状与心理过程)结合更全面的方法,考虑到个人内部(如个性),人际关系(如家庭功能)和环境变量(如生活事件)。至关重要的是,我们的方法不仅考虑了精神病理维度(如症状、诊断标准),而且还考虑了中心个体差异(人格特征)和认知和情感过程,这些过程被假定为调节生物心理社会前因和精神病理症状之间的关系。在当前的论文中,我们的目标是展示如何将路径模型用作一个框架,以拥抱一个整体的角度,促进个性化和以过程为中心的心理干预个人赌博问题。
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引用次数: 3
Behavioral analysis of habit formation in modern slot machine gambling 现代老虎机赌博习惯形成的行为分析
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-05-04 DOI: 10.1080/14459795.2022.2088822
Mario A. Ferrari, Eve H. Limbrick-Oldfield, L. Clark
ABSTRACT Habit formation is a key process in contemporary models of addictive behaviors but has received limited attention in the context of gambling and problem gambling. Methods for examining habit formation and expression in relation to gambling are also lacking. In this study, 60 participants with no prior slot machine experience attended three sessions spaced 6–8 days apart, during which they played a short 200-spin session on a realistic simulation of a modern multi-line slot machine. Behavioral data were analyzed to characterize habit formation within and between sessions. Fixed-effects regressions, integrating trial- and session-level effects, assessed predictors of gambling speed (spin initiation latencies) and betting rigidity (the likelihood of switching the bet amount), as two putative markers of habit formation. Participants gambled faster and showed less variability in betting strategy as they accumulated experience in the number of trials and sessions gambled. Simultaneously, as the number of sessions gambled increased, participants showed a more pronounced tendency to slow their betting after larger wins (i.e. the post-reinforcement pause increased from session 1 to session 3). Our methods provide a basis for future research to examine habits in the context of slot machine gambling.
习惯形成是当代成瘾行为模型中的一个关键过程,但在赌博和问题赌博的背景下受到的关注有限。对赌博习惯的形成和表现的检查方法也很缺乏。在这项研究中,60名没有老虎机经验的参与者参加了三个间隔6-8天的会议,在此期间,他们在一个现实的模拟现代多线老虎机上玩了一个简短的200转会议。研究人员分析了行为数据,以确定会议期间和会议之间习惯形成的特征。固定效应回归,整合试验和会话水平的影响,评估了赌博速度(旋转启动延迟)和投注刚性(转换投注金额的可能性)的预测因素,作为习惯形成的两个假定标志。随着参与者在试验和赌博次数上的经验积累,他们的赌博速度更快,赌博策略的变化也更少。同时,随着赌博次数的增加,参与者在获得更大的胜利后表现出更明显的放慢投注速度的趋势(即从第1次到第3次的强化后暂停时间增加)。我们的方法为未来研究老虎机赌博的习惯提供了基础。
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引用次数: 5
Gambling disorder subtypes: an updated systematic review 赌博障碍亚型:更新的系统综述
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-05-04 DOI: 10.1080/14459795.2022.2083654
ShayLin Excell, Ciara N. Cannoy, Danishi K. Bedi, Mannat K. Bedi, Yasir Mehmood, L. Lundahl, David M. Ledgerwood
ABSTRACT Blaszczynski and Nower established the Pathways model as an integrative theoretical framework for subtyping GD. Within this framework, they propose three etiological subtypes of problem gamblers: (a) behaviorally conditioned, (b) emotionally vulnerable, and (c) antisocial impulsivist gamblers. The current systematic review was conducted to evaluate the validity and clinical utility of the Pathways model and other subtyping models, providing an update to a previous systematic review. A literature search was conducted using the PubMed, PsycINFO, and Web of Science databases. Included articles were written in English, and published in a peer-reviewed journal between 2010 and 2021. The articles used empirical methods to derive subtypes from a sample of individuals who gamble, including both qualitative and quantitative methods. In total, 38 articles were included in this review. Articles are presented as consistent with Pathways or as utilizing another subtyping schema. Evaluation of the literature reveals that use of the Pathways model appears to be influential in efforts to subtype gamblers over the last decade. Other subtyping schemas that emphasize symptom severity and comorbid psychopathology may be incorporated into the Pathways model. Gaps in the current literature and future directions are discussed.
摘要Blaszczynski和Nower建立了路径模型作为GD亚型的综合理论框架。在这个框架内,他们提出了问题赌徒的三种病因亚型:(a)行为条件型,(b)情绪脆弱型,和(c)反社会冲动型赌徒。目前的系统综述是为了评估路径模型和其他分型模型的有效性和临床实用性,为之前的系统综述提供了更新。使用PubMed、PsycINFO和Web of Science数据库进行文献检索。收录的文章是用英语撰写的,并在2010年至2021年间发表在同行评审期刊上。这些文章使用实证方法从赌博的个体样本中推导出亚型,包括定性和定量方法。本综述共收录了38篇文章。文章被呈现为与Pathways一致或使用另一种亚型模式。对文献的评估表明,在过去十年中,路径模型的使用似乎对亚型赌徒的努力产生了影响。其他强调症状严重程度和共病精神病理学的分型模式可以纳入Pathways模型。讨论了当前文献中的差距和未来的发展方向。
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引用次数: 1
Measuring the pathways model through the gambling pathways questionnaire: the psychometric properties of the Italian version 通过赌博途径问卷测量途径模型:意大利版本的心理测量特性
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-05-04 DOI: 10.1080/14459795.2022.2077975
C. Primi, M. Donati, O. Casciani, O. De Luca, D. Capitanucci, R. Smaniotto, S. Cabrini, M. Avanzi, A. Fiorin, G. Bellio, L. Giachero, A. Baselice, A. Iozzi, G. Iraci Sareri, L. Nower
ABSTRACT Over the last decade, gambling opportunities worldwide have increased significantly, providing continual access to more people. Thus, standardized measures to assess various facets of Gambling Disorder and holistic approaches to identifying sub-groups of disordered gamblers are needed. The Gambling Pathways Questionnaire (GPQ), based on the Pathways Model of problem gambling, is designed to assign gamblers to subtypes at intake and identify a variety of salient etiological factors. This study sought to validate the Italian version of the GPQ. After the translation and adaptation of the scale to the Italian language and culture, the GPQ was administered to 490 treatment-seeking disordered gamblers (84% males, M age = 43.77, SD = 13.25) who attended 54 treatment centers distributed across all of Italy. Confirmatory factor analysis (CFA) supported the six-factor structure and internal coherence coefficients showed good to very good reliability. Moreover, cluster analysis revealed that the three-cluster solution produced the best model fit, which generally corresponded with the Pathways Model. The Italian version of the GPQ evidenced good psychometric properties, and the Italian-adapted scoring corresponds to the cluster analysis.
摘要在过去的十年里,全球范围内的赌博机会显著增加,为更多的人提供了持续的机会。因此,需要采取标准化措施来评估赌博障碍的各个方面,并采取整体方法来识别无序赌徒的亚群体。赌博途径问卷(GPQ)基于问题赌博的途径模型,旨在将赌徒分为摄入时的亚型,并确定各种显著的病因。这项研究试图验证意大利版的GPQ。在将量表翻译并适应意大利语言和文化后,对490名寻求治疗的精神障碍赌徒(84%为男性,M年龄=43.77,SD=13.25)进行了GPQ,他们参加了分布在意大利各地的54个治疗中心。验证性因子分析(CFA)支持六因子结构,内部相干系数显示出良好到非常好的可靠性。此外,聚类分析表明,三个聚类的解决方案产生了最佳的模型拟合,通常与路径模型相对应。意大利版的GPQ证明了良好的心理测量特性,意大利版的评分与聚类分析相对应。
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引用次数: 0
Problem video gaming in adolescents: An examination of the Pathways Model 青少年的问题电子游戏:路径模型的检验
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-04-18 DOI: 10.1080/14459795.2022.2055110
Loredana A. Marchica, J. Richard, L. Nower, William Ivoska, J. Derevensky
ABSTRACT Problem video gaming (PVG) is of significant concern among youth and contributes to increases in mental health issues among adolescents. Prevalence rates for PVG are estimated at 1-3% among non-clinical samples. Like problem gambling, it has been hypothesized that individuals reporting PVG are part of a heterogeneous group with different profiles, dependent on specific psychosocial factors. Identifying these profiles allows clinicians to create targeted interventions. The following preliminary study aimed to identify the emotional and behavioral characteristics that distinguish between subgroups of adolescents reporting PVG and how these subgroups compare to those proposed by the Pathways Model. The study included a cross-sectional sample of 288 adolescents reporting PVG from a Midwestern state. Measures included the Ohio Problem Severity Scales, the Internet Gaming Disorder Scale-SF, and frequency of video gaming. A latent class analysis identified four classes which aligned with the subgroups proposed by the Pathways Model (i.e. behavioral conditioned, emotionally vulnerable, and antisocial/impulsivist), and two additional classes which could be considered as milder variants of the emotionally vulnerable and antisocial/impulsivist groups. These results suggest that adolescents reporting PVG form a heterogeneous group, with each profile requiring different considerations in developing targeted interventions. Implications for prevention and future research are discussed.
问题视频游戏(PVG)在青少年中引起了很大的关注,并导致青少年心理健康问题的增加。在非临床样本中,PVG的患病率估计为1-3%。就像问题赌博一样,据推测,报告PVG的个体是具有不同概况的异质群体的一部分,依赖于特定的社会心理因素。识别这些特征使临床医生能够制定有针对性的干预措施。下面的初步研究旨在确定报告PVG的青少年亚组之间的情感和行为特征,并将这些亚组与路径模型提出的亚组进行比较。该研究包括来自中西部一个州的288名报告PVG的青少年的横断面样本。测量方法包括俄亥俄问题严重程度量表、网络游戏障碍量表和视频游戏的频率。潜在类别分析确定了与路径模型提出的子群体(即行为条件,情感脆弱和反社会/冲动者)一致的四个类别,以及可以被认为是情感脆弱和反社会/冲动者群体的温和变体的另外两个类别。这些结果表明,报告PVG的青少年构成了一个异质性群体,在制定有针对性的干预措施时,每种情况都需要不同的考虑因素。讨论了预防和未来研究的意义。
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引用次数: 2
Subtypes of patients with opioid use disorder in methadone maintenance treatment: A pathways model analysis 美沙酮维持治疗中阿片类药物使用障碍患者亚型:通路模型分析
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-04-12 DOI: 10.1080/14459795.2022.2044502
Jamey J. Lister, Miyoung Yoon, L. Nower, J. Ellis, David M. Ledgerwood
ABSTRACT This study applied constructs from a widely-utilized subtyping model in the field of gambling studies, the Pathways Model, to a sample of 118 patients with opioid use disorder receiving methadone-maintenance-treatment. Surveys were analyzed using latent class analysis (LCA) to examine whether the Pathways Model indicators distinguished class membership, with confidence band interpretation used to compare class scores, and multinomial logistic regression conducted to examine associations with other correlates. LCA fit indices supported a three-class solution: (1) ‘opioid-related only’ (55.9%), (2) ‘personal trauma/emotionally vulnerable’ (15.3%), and (3) ‘impulsive/current psychopathology’ (28.8%). Class 1 was characterized by lower scores on nearly all indicators. Class 2 was characterized by the highest scores for personal experiences with sexual, physical, and emotional abuse during childhood and interpersonal trauma, and high impulsivity scores. Class 3 was characterized by the highest scores on stress, depression, loneliness, and impulsivity. Classes 2 and 3 both had higher scores for witnessing community violence, opioid-related coping motives, and impulsivity than Class 1. Gender, age, opioid-related consequences, and social network substance misuse were associated with membership. Our findings generally demonstrate trans-diagnostic overlap with the Pathways Model, offering support for the model’s translation to other addictions.
摘要本研究将赌博研究领域广泛使用的亚型模型——路径模型——的构建应用于118名接受美沙酮维持治疗的阿片类药物使用障碍患者的样本。使用潜在类别分析(LCA)对调查进行分析,以检查路径模型指标是否区分了类别成员,使用置信带解释来比较类别得分,并进行多项逻辑回归来检查与其他相关因素的关联。LCA拟合指数支持三类解决方案:(1)“仅与阿片类药物相关”(55.9%),(2)“个人创伤/情感脆弱”(15.3%),以及(3)“冲动/当前精神病理学”(28.8%)。1类的特点是几乎所有指标的得分都较低。2班的特点是儿童时期性虐待、身体虐待和情感虐待的个人经历以及人际创伤得分最高,冲动性得分也很高。三班的特点是在压力、抑郁、孤独和冲动方面得分最高。2班和3班在目睹社区暴力、阿片类药物相关的应对动机和冲动方面的得分都高于1班。性别、年龄、阿片类药物相关后果和社交网络药物滥用与会员资格有关。我们的研究结果总体上证明了跨诊断与路径模型的重叠,为该模型转化为其他成瘾提供了支持。
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引用次数: 1
Financial speculation in Canada: prevalence, correlates and relationship to gambling 加拿大的金融投机:盛行率、相关性和与赌博的关系
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-04-07 DOI: 10.1080/14459795.2022.2041702
J. Williams, R. Williams, Nolan B. Gooding, Jessy Mix
ABSTRACT The purpose of the present investigation was to determine the prevalence, demographic profile, and correlates of financial speculation in Canada, with a focus on its relationship to gambling. In cooperation with Statistics Canada, a brief assessment of financial speculation was developed and included in the 2018 Canadian Community Health Survey (CCHS) and administered to 23,952 adults. The past year national prevalence of financial speculation was found to be 3.6%, with the province of Alberta having the only higher inter-provincial rate. Speculators were predominantly male, White, with a modal age of 30–49, and with higher educational attainment and household income. In terms of health indicators, they were more likely to be regular alcohol drinkers and occasional smokers, but to have better self-reported general health, mental health, and life satisfaction. However, the strongest multivariate predictor of speculation was higher frequency of gambling involvement. Speculators had higher levels of participation in all types of gambling (especially skill-based formats) with the exception of instant lotteries. This high level of involvement contributes to somewhat higher rates of problem gambling symptomatology. The present investigation confirms that speculation not only has a strong conceptual relationship to gambling but also a strong empirical relationship.
本研究的目的是确定加拿大金融投机的流行程度、人口特征和相关因素,重点是其与赌博的关系。与加拿大统计局合作,对金融投机进行了简要评估,并将其纳入2018年加拿大社区卫生调查(CCHS),对23,952名成年人进行了评估。去年全国金融投机盛行率为3.6%,阿尔伯塔省是唯一一个省际比率较高的省份。投机者主要是白人男性,年龄在30-49岁之间,具有较高的教育程度和家庭收入。在健康指标方面,他们更有可能经常喝酒,偶尔吸烟,但自我报告的总体健康、心理健康和生活满意度更好。然而,最强烈的多变量预测因素是参与赌博的频率更高。除了即时彩票外,投机者在所有类型的赌博(尤其是基于技能的形式)中都有更高的参与度。这种高水平的参与导致了更高的问题赌博症状率。目前的调查证实,投机不仅与赌博有很强的概念关系,而且也有很强的经验关系。
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引用次数: 3
Limit-setting in gambling: Some further thoughts and observations on Delfabbro and King (2021) 赌博的极限设定:对Delfabbro和King(2021)的进一步思考和观察
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-03-10 DOI: 10.1080/14459795.2021.2009003
M. Griffiths, M. Auer
ABSTRACT A recent review by Delfabbro and King (2021) published in International Gambling Studies examined the efficacy of voluntary versus mandatory limit-setting in gambling. The review examined 25 empirical studies (18 on voluntary limit-setting and seven on mandatory limit-setting). In this short commentary, we outline a few other thoughts and observations as a supplement to their review. Of the 25 studies reviewed, only ten were published in peer-reviewed journals and given the high reliance on studies in the grey literature, there were other studies that could have been included. There were also other studies not meeting Delfabbro and King’s inclusion criterion that could have provided some further useful data.
摘要Delfabbro和King(2021)最近发表在《国际赌博研究》上的一篇综述考察了自愿与强制设定赌博限额的效果。该审查审查了25项实证研究(18项关于自愿设定限额,7项关于强制性设定限额)。在这篇简短的评论中,我们概述了其他一些想法和意见,作为对其评论的补充。在审查的25项研究中,只有10项发表在同行评审期刊上,鉴于对灰色文献研究的高度依赖,还有其他研究本可以纳入。还有其他研究不符合Delfabbro和King的纳入标准,可以提供一些进一步有用的数据。
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引用次数: 0
Microtransaction spending and problematic gambling of UK university call of duty gamers 英国大学使命召唤游戏玩家的小额交易支出和问题赌博
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-03-03 DOI: 10.1080/14459795.2022.2046843
D. Hunt
ABSTRACT Increased implementation of loot boxes within computer games has received widespread concern for the wellbeing of gamers, especially given the increased engagement during COVID-19 restrictions. Loot boxes share similarities with traditional gambling mechanisms that influence addiction-like behaviors and the amount of money spent on in-game items. The present study investigated loot box expenditure alongside peer engagement, perceptions of gaming value, self-worth, and problematic gambling of 130 Call of Duty players. Results identified significantly higher Risky Loot Box Index and visual authority scores for high-risk and medium-risk problem gamblers than non-problem gamblers. High-risk problem gamblers were also found to have higher purchase intention and validation seeking scores than non-problem gamblers. Problem gambling risk and all but three self-worth and perceived value subscale behaviors were not associated with loot box expenditure, contrasting previous findings. Concerning peer influence, non-problem gamblers were significantly less likely to play any Call of Duty game with friends whilst having all or most friends purchase loot boxes were also found to be associated with higher RLBI scores. The findings continue to support the associations between loot box engagement and problematic gambling and suggests the need to continue to explore individual in-game motivations for engaging with microtransactions.
在电脑游戏中越来越多地使用战利品盒已经引起了人们对玩家福祉的广泛关注,特别是考虑到在COVID-19限制期间增加的参与度。战利品箱与传统赌博机制有相似之处,即影响成瘾行为和在游戏道具上花费的金钱。本研究调查了130名《使命召唤》玩家的战利品盒消费、同伴参与度、游戏价值感知、自我价值和赌博问题。结果表明,高风险和中等风险问题赌徒的风险战利品箱指数和视觉权威得分明显高于非问题赌徒。高风险问题赌徒也被发现比非问题赌徒有更高的购买意愿和验证寻求得分。与之前的研究结果相比,问题赌博风险以及除了三个自我价值和感知价值外的所有子尺度行为都与战利品箱支出无关。关于同伴影响,没有问题的赌徒不太可能与朋友一起玩《使命召唤》游戏,而让所有或大多数朋友购买战利品盒也与较高的RLBI得分有关。这些发现继续支持战利品盒粘性与问题赌博之间的联系,并表明有必要继续探索参与微交易的个人游戏内部动机。
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引用次数: 4
Fast or slow: applying life history strategies to responsible gambling adherence 快还是慢:将生活史策略应用于负责任的赌博坚持
IF 3.2 3区 心理学 Q2 Psychology Pub Date : 2022-02-13 DOI: 10.1080/14459795.2022.2035422
Mu He, J. H. Chen, A. Wu, Kwok-kit Tong
ABSTRACT From the evolutionary perspective, life history (LH) strategies have been used to account for individual differences in behaviors and traits such as impulsivity, sensation seeking, and risk-taking propensity. The present study aimed to extend the application of LH strategies based on the psychometric approach to study individual differences in endorsing protective gambling beliefs and adopting responsible gambling (RG) behaviors. We conducted a telephone survey in Macao, China, and acquired a community-dwelling Chinese adult sample (N = 697) with the two-stage cluster random sampling method. Regression analyses showed that individuals with slower LH strategies displayed higher levels of protective gambling beliefs and RG behaviors. As hypothesized, protective gambling beliefs demonstrated a positive association with RG behaviors; furthermore, we found its partial mediating effect on the relationship between LH strategies and RG behaviors. Our findings suggested that one could take LH strategies into account in understanding individual differences in adopting RG behaviors and designing tailored measures to promote RG adherence. The present study also highlighted the effect of protective gambling beliefs in exploring the underlying mechanism of the link between LH strategies and RG behaviors, pointing to a potential avenue in fostering protective gambling beliefs to further increase RG adherence.
摘要从进化的角度来看,生命史策略已被用于解释冲动、寻求感觉和冒险倾向等行为和特征的个体差异。本研究旨在扩展基于心理测量方法的LH策略的应用,以研究支持保护性赌博信念和采取负责任赌博(RG)行为的个体差异。我们在中国澳门进行了一项电话调查,并采用两阶段整群随机抽样方法获得了一个居住在社区的中国成年人样本(N=697)。回归分析表明,LH策略较慢的个体表现出更高水平的保护性赌博信念和RG行为。正如假设的那样,保护性赌博信念与RG行为呈正相关;此外,我们发现它对LH策略和RG行为之间的关系具有部分中介作用。我们的研究结果表明,在理解采用RG行为的个体差异和设计有针对性的措施来促进RG依从性时,可以考虑LH策略。本研究还强调了保护性赌博信念在探索LH策略和RG行为之间联系的潜在机制方面的作用,指出了培养保护性赌博信仰以进一步提高RG依从性的潜在途径。
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引用次数: 1
期刊
International Gambling Studies
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