The UK National Telephone Gambling Helpline-Results on the First Year of Operation

This study outlines the results of the UK's national gambling helpline run by GamCare. The results outlined here cover the period of the first 12 months of operation (November 1997 to October 1998). The helpline received a total of 1729 calls. Of these, 51% were from problem gamblers themselves (90% male; 10% female) and a further 26% of calls were from relatives of problem gamblers. The remaining calls came from other professionals handling problem gambling cases (13%), attempted calls, e.g., people calling and then putting the phone down due to being scared of talking (4%), information requests (3%) and the media (3%). Fruit machine gambling appeared to be most problematic for the callers as a whole and for particular sub-groups such as adolescents (82%) and women (52%).     

Economic perceptions of gambling behavior

This article outlines the structure of orthodox consumer theory in economics, and reviews the major applications to gambling behavior. Gambling as a means to achieve higher desired levels of wealth is discussed, as is gambling as a consumption activity, as an end in itself. The question of rationality and gambling is discussed, and implications for public policy toward gambling, as it relates to economic models of gambling behavior, are presented.     

Measuring the Prevalence of Sector-Specific Problem Gambling: A Study of Casino Patrons

This study is the first attempt to measure the prevalence of problem gambling attributable to a specific sector of the gambling industry. One thousand, one hundred and five casino patrons in 40 casinos in the UK were interviewed, face-to-face. Respondents were screened for problem gambling using a multiple response version of DSM-IV (DSM-IV-MR). The study found support for Eadington's (1988) hypothesis, that UK casinos could be largely sustained by regular players, among whom the prevalence of problem gambling is high. The study also found support for the hypothesis that, to the extent different gambling sectors are patronised by demographically different client groups, so the problem gamblers associated with them will reflect these client groups. The problem gamblers among the regular casino patrons were demographically distinct from the problem gamblers in the sample who showed a preference for other gambling forms. Other key findings support those found in other jurisdictions. Sector-specific prevalence studies may be the next step forward in epidemiological research on problem gambling. They have the major advantage of netting significantly more problem gamblers from much smaller samples than similar studies in the general population. They also have the potential to reveal the proportion of problem gamblers attributable to each sector, along with their demographic characteristics. Such information would result in more specific information being available for regulators seeking to minimise the social impact of problem gambling and those involved in the development of prevention and treatment strategies.     

‘It wasn't a very encouraging environment’: influence of early family experiences on problem and at-risk gamblers in Victoria,Australia

Prior research suggests that at-risk and problem gamblers are more likely to have experienced early family dysfunction and exposure to gambling within the family in early childhood. However, little is known about the ways in which early childhood experiences contribute to at-risk and problem gambling in adulthood. Drawing on life history interviews with 48 participants, this article shows that the vast majority of regular gamblers in our study had been exposed to gambling as children in their family of origin. It also shows that different experiences of gambling within the early family were associated with contrasting gambling forms and risk levels in adulthood. Several at-risk and problem gamblers reported having had a parent or other family member with problematic gambling behaviour, while low-risk gamblers had experienced gambling in their early family life as purely recreational. In addition, the majority of the problem and at-risk gamblers had experienced conflicts, lack of encouragement and support, negativity, emotional distance and lack of communication in their early family life. A few also reported experiencing various forms of abuse as children. This paper shows that early exposure to problematic gambling and early family dysfunction impacted substantially on the participants' lives as adults and contributed to problem gambling.     

Prevalence of Problem Gambling Among the Prison Population in Hamburg,Germany

Despite the increasing research in gambling, the prevalence of problem gambling in the criminal justice population is rarely investigated, especially in Europe. Given the lack in knowledge the Hamburg study aimed at identifying the prevalence of problem gambling in the whole regional prison population. For this purpose two major approaches were used: a 10 months long-term screening of pre-trial detainees at prison entry through the Lie/Bet Questionnaire, and full-scale survey of inmate personnel records of prisoners being in prison on a defined reporting date. Based on 792 valid screening files 6.6 % of the pre-trial detainees were positive on the Lie/Bet Questionnaire, and these problem gamblers were male only. Among the 1,236 inmate personnel records reviewed in 7.3 % the records indicated problem gambling (90 prisoners). This indication was found in 7.5 % males and 3.6 % females. For almost half of the prisoners with problem gambling their prison sentence was related to their gambling behavior (46.7 %). These results are representative for the regional prison population, and the first of its kind in Europe.     

Predictors of Problem Gambling in the U.S.

In this article we examine data from a national U.S. adult survey of gambling to determine correlates of problem gambling and discuss them in light of theories of the etiology of problem gambling. These include theories that focus on personality traits, irrational beliefs, anti-social tendencies, neighborhood influences and availability of gambling. Results show that males, persons in the 31–40 age range, blacks, and the least educated had the highest average problem gambling symptoms. Adults who lived in disadvantaged neighborhoods also had the most problem gambling symptoms. Those who attended religious services most often had the fewest problem gambling symptoms, regardless of religious denomination. Respondents who reported that it was most convenient for them to gamble had the highest average problem gambling symptoms, compared to those for whom gambling was less convenient. Likewise, adults with the personality traits of impulsiveness and depression had more problem gambling symptoms than those less impulsive or depressed. Respondents who had friends who approve of gambling had more problem gambling symptoms than those whose friends did not approve of gambling. The results for the demographic variables as well as for impulsiveness and religious attendance are consistent with an anti-social/impulsivist pathway to problem gambling. The results for depression are consistent with an emotionally vulnerable pathway to problem gambling.     

Further Evidence Concerning the Prevalence of Adolescent Gambling and Problem Gambling in Australia: A Study of the ACT

Abstract

This paper summarises the results of a cross-sectional study of 926 young people (years 7–12, age 11–19) attending State, independent and Catholic schools in the Australian Capital Territory (ACT). The aim of the study was to describe the prevalence of gambling and problem gambling among ACT adolescents and to obtain insights into the social context in which gambling was occurring. Survey results showed that 70% of adolescents had gambled in the previous 12 months and 10% at least weekly. Approximately 4% of adolescents could be described as problem gamblers based upon the DSM-IV-J classification with males and young people from indigenous backgrounds found to be more significantly affected. Most adolescent gambling in the ACT was undertaken either privately or conjunction with others (usually parents or peers), suggesting that existing regulatory provisions are working well. However, the paper nonetheless suggests the need for tighter controls over access to lottery products, greater consumer information in schools to educate young people about the risks of gambling, as well as additional ethnographic research to obtain further insights into how young people gain access to gambling opportunities.     

Breaking Bad: Comparing Gambling Harms Among Gamblers and Affected Others

This article examines gambling harms from both gamblers and affected others’ perspectives. Participants (3076 gamblers and 2129 affected others) completed a retrospective survey that elicited information on harms they experienced from gambling across their lifetime. Their responses were analyzed through testing measurement invariance, estimating item-response theoretic parameters, calculating percentages, confidence intervals, and correlations, as well as regressions. The results indicated large commonalities in the experience of harms reported by gamblers and affected others. Further, gamblers appeared to ‘export’ about half of the harms they experienced to those around them. The findings also provided detailed profiles of evolving harms as problem gambling severity varies.     

A public health perspective for youth gambling

The recent emergence of gambling problems among youth around the world is alarming. For those most vulnerable in our society, children and adolescents, problem gambling presents a serious public health concern. Our current knowledge and understanding of the magnitude of the problem and its considerable impact upon the well-being of youth compels us to respond in a timely and effective manner. A general public health paradigm to gambling, originally articulated by Wynne (1997) and Korn and Shaffer (1999), highlights the importance of such an approach. However, a conceptual model and framework to understand and specifically address youth problem gambling within a public health framework is needed. This article articulates a theoretical framework and model that will help facilitate the development, implementation and evaluation of a comprehensive, multi-level health promotion and prevention strategy for youth problem gambling.     

Clustering Finnish Gambler Profiles Based on the Money and Time Consumed in Gambling Activities

Gambling involves consumption of gamblers’ money and time. Gamblers are a heterogeneous group, and in addition to grouping gamblers based on personality factors, it is also important to find different gambler profiles with respect to their gambling behavior. Using the nationally representative survey ‘Finnish Gambling 2011’ (N = 4484), this article studies the subtypes of Finnish gamblers based on the frequency of gambling and the amounts of money and time used in different gambling forms. Cluster analysis reveals six profiles of gamblers, from infrequent gamblers to omnivorous gamblers. In the further analysis of the clusters, it was found that the highest problem gambling prevalence was in the groups of sport betting + electronic gaming machine gamblers and omnivorous gamblers, which were also both dominated by men. Certain gambling consumption patterns and risk factors for problem gambling are related to both socio-demographic backgrounds of the gamblers as well as the structural and situational characteristics of the games. The results have implications for the prevention of problem gambling, as some consumption patterns may be connected with the probability of developing gambling problems.     

Impact of problem gambling on financial,emotional and social well-being of Singaporean families

Problem gambling has a profound impact on family members. While this has been previously documented, this paper reports on the first study to consider the extent of this impact in Asian societies where the family continues to be a very important basis for social organization. This study, based on in-depth interviews with 50 Singaporeans with a family member who is a problem or pathological gambler, examines how their financial, emotional and social well-being is impinged upon by gambling. The enormous losses of savings, property and lifestyle, the emotional tensions based on constant harassment from moneylenders, the threats of suicide by the gambler and the distancing of social networks place family members of problem gamblers in a vulnerable state. The qualitative data in this paper fleshes out the lived experience of family members and reveals the extent to which the family is mobilized in Asian societies to cope with problem gambling. While the impact of problem gambling on families is similar across societies, routine mobilization of the extended family and the greater role of public shame and embarrassment in dictating Asian families' responses underscore the need for specialized services in these societies to assist family members to better cope with the financial, emotional and social strains caused by problem gambling.     

Adolescent Gambling and Problem Gambling: Does the Total Consumption Model Apply?

This study describes the extent and distribution of gambling among Norwegian adolescents. The study assesses whether gambling frequency and expenditures and prevalence of problem gambling are associated both at the individual and aggregate (school) level, and in particular whether the total consumption model applies to gambling behaviour. Data comprised a national representative sample of 11,637 13- to 19-year-old students in 73 schools (response rate 92.3%). The Lie/Bet Questionnaire and an additional DSM-criterion on chasing the losses were applied to assess problem gambling. A majority (78.5%) had gambled during the last year and 3.1% met all three criteria for problem gambling. Gambling frequency and expenditures were much higher among problem gamblers and increased proportionally with the degree of problem gambling. The 6.1% who scored on both Lie/Bet items accounted for 59% of all gambling expenditures on slot machines. Positive and significant correlations between various indicators of problem gambling and the overall amount of gambling at the aggregate (school) level imply that the higher the overall amount of gambling and gambling expenditures are, the higher the prevalence of problem gambling, which indicates that the total consumption model also applies to gambling behaviour among adolescents.     

A mixed method approach to developing a multidimensional scale for gambling fallacy in the Korean context

This article offers an understanding of and reduces gaps in the existing literature regarding cognitive distortion (e.g. gambling fallacy) and problem gambling behaviour. The primary objective of this study is to develop a valid gambling fallacy scale for the South Korean population using qualitative and quantitative methods to thoroughly understand the underlying structure of erroneous beliefs towards gambling among recreational and problem gamblers. The study interviewed eight casino supervisors and dealers and conducted online (n = 1419 gamblers) and onsite surveys (n = 400 gamblers) in South Korea. The proposed scale satisfies reliability and numerous types of validity that provide evidence on the three distinctive underlying structures of gambling fallacy (i.e. a system to win, superstitions, and follow and blame) among the Korean population. This study carries substantial theoretical and practical implications that further assure its usability as a platform for developing scales in various cultural settings.     

Problem Gambling in Non-English Speaking Background Communities in Queensland,Australia: A Qualitative Exploration

This paper provides an overview of qualitative research into problem gambling among non-English speaking background (NESB) communities in Queensland, Australia. The focus for this pilot study was the Chinese, Greek and Vietnamese communities. Using qualitative methodologies, this community-based research explored the motivations for gambling, and the impacts of problem gambling upon individuals and communities. Findings indicate that problem gambling is evident in each of the communities of study, but the issue is characterised by a pervasive sense of denial. Gambling is an issue of enormous shame and stigma, not only for the problem gambler but their entire family. As a result, most problem gamblers do not seek professional help but try to resolve the problem themselves or within the family unit. Research findings indicate that service access could be increased through a range of strategies including the provision of culturally appropriate community education and gambling help services, partnerships between NESB communities, gambling help services and community workers, and the development and implementation of preventative strategies.     

Pathological gambling: A review of the literature (prepared for the American Psychiatric Association task force on DSM-IV committee on disorders of impulse control not elsewhere classified)

This is a review of the literature on pathological gambling prepared for the work group on disorders of impulse control, not elsewhere classified of the American Psychiatric Association. It introduces the new DSM-IV criteria as well as outlines the phases of the career of the pathological gambler. Research discussed includes that on pathological gambling and psychiatric disorders, substance abuse, family issues, children, finances, and crime. Psychoanalytic, personality, behavioral, sociological, psychologically based addiction theories, and physiological research are also summarized. Finally, treatment outcome studies are outlined.This article is dedicated to the memory of Robert L. Custer, MD whose inspiration and encouragement stimulated much of the research discussed herein.     

Behind the allure of gambling: A qualitative exploration of the existential yearnings of Chinese men with problem gambling in Hong Kong

Drawing on a qualitative exploratory study of the gambling narratives of a group of Chinese men with problem gambling in Hong Kong, this paper proposes an alternative understanding of problem gambling. Rather than identifying problem gambling as a personal deficit or pathology, a narrative analysis of these Chinese men's gambling stories reveals their existential yearnings behind problem gambling. Told from the perspectives of these men, their gambling narratives invite us as researchers and practitioners to explore the meanings gamblers ascribe to gambling which they derived from the interplay between the socioeconomic and cultural ethos of the society and their personal histories. This offers us new insights into their motivations of gambling. As an attempt to fill the methodological gap in gambling studies, this paper also shows how an in-depth narrative research method can contribute to expanding our understanding of problem gambling beyond pathology.     

SOGS and DSM-IV in the British Gambling Prevalence Survey: Reliability and Factor Structure

This article examines the psychometric performance and reliability of two problem gambling scales (the South Oaks Gambling Screen [SOGS], and a scale based on the Diagnostic and Statistical Manual (4th edn) [DSM-IV]) and their constituent items, based upon data from the first British Gambling Prevalence Survey (Sproston et al ., 2000). Separate factor analyses of SOGS items and DSM-IV items suggested the existence of two independent factors in each case: dependence and gambling-related problems. Scores based upon SOGS and DSM factors correlated only moderately. It is concluded that no single existing screening questionnaire adequately reflects the multi-dimensional nature of problem gambling.     

Lottery play and problem gambling

This study sought to determine if lottery play along with other possible causes engenders problem gambling. Problem gambling was defined as a progression and measured by three scales: Gambling behavior, loss of control over gambling and gambling consequences. Possible causes of problem gambling included lottery play, personality traits, exposure to gambling, leisure pursuits, marital status, residence, and other background characteristics of respondents. Respondents are a stratified random sample of adult residents of Iowa contacted by telephone in May–June, 1989. It was found that lottery play is a predictor of gambling behavior, as well as loss of control and gambling consequences when previous stages of problem gambling were deleted from the analysis as predictor variables. Other predictors of the latter stages of problem gambling include its earlier stages, as well as personality traits and various background characteristics of respondents. The relevance of the findings for theory and future research on gambling are discussed.This research was partially supported by the Iowa Department of Human Services. We also wish to acknowledge the helpful comments of reviewers from this journal.     

The inclusion of health concerns in Swiss gambling legislation: an opportunity to access industry data

Swiss gambling legislation is unique in the fact that it includes health concerns and obligations for gambling operators. Specifically, they are required to provide social measures for the prevention of problem gambling and to collaborate with prevention centres. These provisions are crucial for the development of problem gambling prevention and training programmes. Further, they open important research avenues to make use of data collected within the industry. The present article provides an insight into these specific aspects of Swiss gambling legislation. It also illustrates recent examples of research that has been conducted on the basis of these legal provisions and considers their results.