Differences in preferred level of arousal in two sub-groups of problem gamblers: A preliminary report

Twelve problem poker machine players and thirteen horse race gamblers (20 males and 5 females; age range 28–69) completed a series of questionnaires which assessed levels of anxiety, their preferred state of arousal and their motivations to gamble. As predicted, problem poker machine gamblers were found to be more anxious and reported avoiding arousal more frequently than the horse race gamblers. Alternately, problem horse race gamblers were found to prefer heightened levels of arousal and appeared to gamble to achieve these optimal levels of arousal. However, there was no difference between the groups on proneness to boredom. The present results provide evidence which is consistent with the Reversal theory and its application to the field of problem gambling.     

Children of problem gamblers

An anonymous 37-item Health Survey was administered to 844 randomly selected ninth- to twelfth-grade students in four Southern California public high schools. Systematic information was gathered about their general health, quality of life, school and work adjustment, involvement with a range of potentially addictive substances and activities, and indications of psychosocial maladjustment, including difficulties with the law and suicide attempts. A series of self-ratings of students who characterized one or both of their parents as having a compulsive gambling problem (N=52) were contrasted with those of their classmates who reported no gambling problem among their parents (N=792). Findings have been grouped into three major areas: (a) comparative levels and reported effects of involvement with health-threatening behaviors (i.e., smoking, drinking, drug use, overeating, and gambling); (b) comparative incidence of psychosocial risk indicators (i.e., broken home, unhappy childhood and teenage years, legal action pending, overall quality of youth rated as poor); and (c) comparative incidence of dysphoria, school and work problems, and suicide attempts. Across each of these areas children of parents said to gamble excessively were found to be at consistently greater risk than their classmates who did not describe their parents as having a problem with compulsive gambling. These findings strongly suggest that without early and competent intervention, children of parents who gamble excessively: (a) will be seriously disadvantaged when attempting to solve their present adolescent and future adult problems of living; and (b) as a consequence are, themselves, high-risk candidates for developing one or another form of dysfunctional adjustment, including an addictive pattern of behavior.     

Behavioural profiling of problem gamblers: a summary and review

In many countries, there is increasing interest in early intervention strategies to assist people who are experiencing gambling-related problems. Central to these discussions is whether it is possible to identify problem gambling and/or risky behaviour in situ before gamblers formally seek assistance. This paper provides a review and critique of the small amount of published literature relating specifically to behavioural indicators and their practical application. It concludes that, while there is general agreement concerning the range of indicators that could be used, the process of identification remains difficult in practice. Multiple indicators are usually required to make reliable identifications; the nature of indicators will vary depending on the mode of gambling (land-based vs online), and venue staff employees usually have insufficient opportunity to obtain enough information to make judgments. The potential value of combining behavioural information with electronically monitored gambling data is discussed as a possible future strategy for enhancing the effectiveness of identification processes.     

Gambling decisions: an early intervention program for problem gamblers

An implementation and one-year follow-up of the Gambling Decisions program attempted to answer several important questions. First, is controlled gambling a viable treatment option for some gamblers? Can earlier stage problem gamblers be separated for treatment from those with more severe problems? Finally, would problem gamblers utilize a community health agency for treatment of their excessive gambling? A pretest/posttest design was chosen where the efficacy of the program was assessed using repeated measures ANOVA analysis. Results showed that an average loss of $608 over a 4-week period was reduced to $113 immediately after the 6-week program and to a loss of $73 at 12 months. The average number of hours spent gambling per 4 weeks was significantly reduced from 23.5 at pretest to 6.5 at the 12 month posttest. Significant decreases were also observed in the number of days per week that clients gambled, and clients reported significant reductions in everyday life problems related to gambling after completing the program.     

Suicidality and depression among youth gamblers: a preliminary examination of three studies

Both suicide and problem gambling among youth are two growing areas of public health concern, though studies have yet to characterise the relationship between these issues. Youth report higher prevalence rates of problem gambling than adults, but no studies to date have investigated whether they are likewise prone to higher risks of gambling‐related suicidality. This article explores the relationship of depression, suicidality, and problem gambling in youth in three studies of middle and high‐school students (total N = 3,941; males n = 1,937, females n = 2,004) conducted in 1996, 2000, and 2001 in Quebec and Ontario. All studies reported significantly higher rates of suicidality among problem and pathological gamblers as compared to non‐gamblers and social gamblers, irrespective of gender, grade, or level of depression. The implications for future investigations are discussed.     

Conformity to masculine norms among treatment-seeking male problem gamblers

Men are more likely than women to engage in so-called ‘strategic’ forms of gambling, particularly wagering and casino table games, but the reasons for this preference are unclear. Previous research on male gender roles found that behaviours that are effective at establishing masculinity are those perceived as being risky, skill-based and public – which are also characteristic of these ‘strategic’ forms of gambling. The aim of the current study was to examine the possibility that men may be drawn to wagering and casino table games because these strategic forms of gambling are associated with masculinity. Seventy male treatment-seeking problem gamblers completed a survey on their perceptions of various forms of gambling, and a measure of conformity to masculine norms. Participants reported that being seen as skilled and intelligent, and acting in public were important motivators for both wagering and playing casino table games. Furthermore, individuals who engaged in wagering and casino table games displayed higher levels of conformity to masculine norms than those who preferred gambling on gaming machines. The findings have important implications for the regulation of gambling promotion, the encouragement of help-seeking, and the treatment of gambling disorders in men.     

The Gambling Cognitions Inventory: scale development and psychometric validation with problem and pathological gamblers

Cognitive distortions are typically identified as an important etiological factor in pathological gambling. The Gambling Cognitions Inventory (GCI) developed by Holub (2003) is examined in this study using a sample of 710 pathological gamblers collected in four Canadian studies. Confirmatory factor analysis did not support the initial 40-item scale and suggested a 33-item scale. The sample was split into two groups to conduct exploratory and confirmatory factor analyses. Scree plots and parallel analysis suggested a two-factor scale. The scale developed by exploratory factor analysis on the first sample was supported by confirmatory factor analysis on the second sample (CFI>0.95; RMSEA < 0.05). The two factors indicated a Skill and Attitude subscale and a Luck and Chance subscale. Analysis conducted within each of the four studies showed good internal reliability for the scale (range of α = 0.91–0.95) and subscales (α = 0.77–0.92). The scale and subscales correlated with gambling severity measures as well as other measures of gambling cognitions including the Gambling Attitudes and Beliefs Scale and the Gambling Beliefs Questionnaire. The results of the study indicate that the GCI is a psychometrically strong scale and may be beneficial in directing cognitive therapy to the most problematic cognitions.     

Delinquency among pathological gamblers: A causal approach

In a comprehensive research project on gamblers in self-help groups in West Germany one object of investigation was the question of whether or not pathological gambling has a criminogenic effect. 54.5% of the 437 members of Gamblers Anonymous interviewed stated that they had committed illegal actions in order to obtain money for gambling. Comparisons of this sub-group with those interviewees who did not admit having committed criminal offences show distinct differences: Those who admitted illegal action were more excessive in their gambling behavior and experienced a higher degree of subjective satisfaction through gambling. They also showed a more pronounced problem behavior and more psychosocial problems because of gambling. A multiple regression within the framework of path analysis was computed in order to explore causal links between pathological gambling and delinquency. The results support the hypothesis that pathological gambling can lead to delinquent behavior. Forensic implications are discussed.This article is a revised version of a paper presented at the Eighth International Conference on Risk and Gambling in London, U.K., August 15–17, 1990.The content and presentation of this article has benefited from the comments of Agnes Roemer, Department of Psychology, University of Bremen.     

Prevalence studies and the development of services for problem gamblers and their families

Where funded by government, prevalence studies have typically led to the development of services for problem gamblers and their families. Such assessments of the need for services have been seen as the appropriate political response to growing expressions of concern about problem gambling that often follow moves to legislate for an increasing range of gambling products. This theme is apparent for Australia, Canada, New Zealand and the United States. In this paper, initiatives in these different jurisdictions are briefly summarized and tabulated.     

Locus of control and race track betting behaviors: A preliminary investigation

Principal components factor analysis of a fifteen-item betting behavior question-naire and the internal-external locus of control scale administered to 175 male racegoers at two different race tracks yielded four interpretable behavior patterns approximating four personality dimensions found in the gambling literature.     

The relationship between dissociative-like experiences and sensation seeking among social and problem gamblers

The present study examined the relationships between dissociative experiences, sensation seeking scores, and gambling behavior. On the basis of the frequency of their gambling behavior and responses to the Gamblers Anonymous Twenty Questions, subjects were designated as either problem gamblers (N=30) or social gamblers (N=30).Those designated as problem gamblers responded yes to an average of 12.17 questions on the Gamblers Anonymous Twenty Questions as compared to the social gamblers who averaged 1.90 yes responses. Responses on the Twenty Questions correlated strongly with the frequency of gambling behavior and dissociative experiences. Problem gamblers reported a significantly greater number of dissociative experiences than social gamblers (p<.01). Problem gamblers scored significantly higher than social gamblers on the Total Sensation Seeking Scale, and the Boredom Susceptibility, Experience Seeking, and Disinhibition subscales. Clinical implications and recommendations for future research are discussed.     

Roulette gamblers and gamblers at electronic game machines: Where are the differences?

In an unselected group of 46 excessive gamblers who came for psychiatric help or for an expert opinion on legal responsibility, two different groups of gamblers are compared: roulette gamblers and those who played at German-style slot machines. In all excessive gamblers, childhood developmental limitations as well as disorders in the ability to form and maintain partner relationships in later life were frequent; at the same time the childhood conditions and their life histories are diverse. The spectrum of observed psychiatric disorders is rather wide. Gamblers at electronic game machines began to play at an average age of 19 years; they more often belong to the lower classes and show depressive and reactive disorders more frequently. Roulette gamblers began to gamble excessively on average nine years later than other gamblers; they showed signs of personality disorders, especially narcissistic and cyclothymic patterns, significantly more often. Anti-social behavior and delinquency before the onset of excessive gambling were frequent in both groups.     

Criminal offenses in gamblers anonymous and hospital treated pathological gamblers

The purpose of this study was to compare the nature and prevalence of gambling and non-gambling related offenses in samples of pathological gamblers seeking behavioural treatment from a hospital-based program and those attending Gamblers Anonymous. A semi-structured interview schedule obtaining demographic data and details of the nature, frequency, and consequent legal action of criminal offenses committed was administered to 152 consecutive hospital treated pathological gamblers, and 154 Gamblers Anonymous attendees who volunteered to participate in the study. Of the total sample, 59% admitted a gambling-related offense, and 23% to a conviction. There was no difference in the proportion of hospital treated and Gamblers Anonymous subjects who offended. The most common gambling-related offenses were larceny, embezzlement and misappropriation. Gamblers committed a median of ten offenses over an average ten year period of pathological gambling with a median value of $ A 300¹ per offense. The median value for each non-gambling-related offense was $ A 130. Except for the significantly older mean age of Gamblers Anonymous subjects, hospital treated gamblers did not differ from Gamblers Anonymous attenders on relevant demographic features or parameters of gambling behaviour. Findings were interpreted to suggest a possible causal link between pathological gambling and the commission of non-violent property offenses.This study was supported by a grant from the Criminology Research Council. The views expressed are the responsibility of the authors and are not necessarily those of the Council. The contribution of Anna Frankova, Research Assistant, is gratefully acknowledged.     

Pathological gamblers in methadone treatment: A comparison between men and women

This article uses data from interviews with 462 individuals enrolled in methadone treatment programs in New York City to compare the gambling and gambling-related drug use and criminal activities of those males (N=72) and females (N=27) found to be pathological gamblers. Both the male and female pathological gamblers were and continue to be actively involved in various forms of gambling. A greater proportion of males had engaged in almost all specific types of gambling, although differences between males and females were not all statistically significant. Males and females were very similar in terms of their patterns of drug and alcohol use and the substances they used when gambling. Males and females shared some reasons but also had separate reasons as to why they used heroin when they gambled. Males especially may participate in a variety of criminal and hustling activities to have the money to be able to gamble or to pay gambling debts. The implications of this research are discussed.This study was supported by grant 1RO3-DA08348, Prevalence of Gambling Problems Among Methadone Patients, from the National Institute on Drug Abuse, awarded to National Development and Research Institutes, Inc. Points of view or opinions in this report do not necessarily represent the official opinions or policies of the United States Government, National Development and Research Institutes, Inc., John Jay College of Criminal Justice/CUNY, Illinois State University, or Abt Associates. The authors wish to thank Leila Cahill and Michelle Silverman for their assistance with this research.     

The use of therapeutic interventions to reduce crowding-related arousal: A preliminary investigation

Studies of mass transportation crowding have universally shown that such crowding is arousing and often anxiety producing. Attempts to intervene to reduce arousal and anxiety have met with mixed results. In this study four therapeutically based interventions were used to reduce the arousal evoked by a laboratory analogue of mass transportation crowding. Subjects in the intervention conditions showed significantly fewer increases in pulse rate during crowding. Two of the intervention conditions showed significant decreases in skin conductance level when compared to subjects in an uninstructed crowded condition. An intervention which increased feelings of control over the environment resulted in a more positive view of the environment but did not decrease physiological arousal any more than interventions which did not increase perceived control.The research reported in this paper was sponsored by grants from Rutgers University Research Council to Yakov M. Epstein and Robert A. Karlin.     

Pathological gamblers and their spouses: Problems in interaction

Two parallel self-administered surveys were distributed at three conferences of Gamblers Anonymous. One survey was for members of Gamblers Anonymous and the other was for members of GamAnon. Of the approximately 450 respondents, 302 were completed by the compulsive gambler and the spouse (N=151 couples). This article is a report on these 151 couples. The survey focused on two time periods — the gambler's time of torment, a phase spent in plumbing the depths of dread and despair, and the period of recovery following abstinence from gambling. Specific areas covered focus on the gambler's gambling activities, the spouse's awareness of problems, psychosomatic and emotional difficulties of the couple, sexual relationships, children's attitudes, and financial management. The respondents also indicated their need for specific therapy and workshops which could be provided by professional mental health counselors or at Gamblers Anonymous conferences.Based on a paper presented at the Seventh International Conference on Gambling and Risk Taking, Reno, August 22–26, 1987.     

Accurately depicting pathological gamblers: Policy and treatment implications

This paper describes results from a 3-year study of pathological gambling in the general population. Two distinct groups of pathological gamblers, based on income, were distinguished in the general population. These two groups varied considerably on several dimensions, including their demographic characteristics, gambling involvement and problematic gambling-related behaviors. These results contradict widely-accepted beliefs about the characteristics and behaviors of pathological gamblers and suggest that efforts in outreach, education and program development must be expanded to include types of pathological gamblers beyond those currently in treatment.This work was funded by Research Grant MH44295 from the Violence & Traumatic Stress Research Branch of the National Institute of Mental Health.