Children of Gamblers Anonymous members

One hundred and five children of Gamblers Anonymous (GA) members and pathological gamblers in treatment were surveyed concerning behavioral, psychological, and emotional problems as well as parental use of violence. The results were compared with control groups and Jacobs' study of high school students who reported they were children of compulsive gamblers. Children of known pathological gamblers were less likely to admit to moderate or heavy use of cocaine/crack and less likely to gamble more than they could afford than either Jacobs' children of compulsive gamblers or controls. Children of pure gamblers looked more like Jacobs' controls than the self-reported children of compulsive gamblers he surveyed on several measures. Children of multiple-problem families are more likely than children of pure gamblers to smoke tobacco, get drunk, overeat, sleep worse than most people, have an unhappy present state of mind, and feel more insecure, inferior, or inadequate than most. GA and treatment children as a whole were more likely to say they had an unhappy childhood, and feel a need for success, acceptance, and approval than Jacobs' children of compulsive gamblers or his controls. Using Strauset al.'s conflict tactics scale, children of known pathological gamblers were more subject to parental violence and abuse than nationally normed samples. On most measures, the children of multiple-problem families fared worse than children of pure gamblers. However, there were no differences in the expressions of anger, hurt, sadness, depression, confusion, and other feelings between these groups concerning their parents' gambling. Treatment implications of the findings are discussed.The authors would like to thank Mary Heineman, M.S.W., and Valerie Lorenz, Ph.D., for their comments on an earlier draft of this paper.     

Delabeling and relabeling in Gamblers Anonymous: Problems with transferring the Alcoholics Anonymous paradigm

Exploratory data from both structured and unstructured interviews with members of Alcoholics Anonymous and Gamblers Anonymous, as well as additional data from previous observations, suggest that the recovery rate of A.A. is higher than that of G.A.. Since the programs are virtually the same an examination of the social context of the labeling process reveals that the more readily available use of the medical model for both the alcoholic and the significant others of the alcoholic are likely significant differences between the compulsive gambler and the compulsive drinker.An embryonic version of this paper was presented at the Second Annual Conference on Gambling, Lake Tahoe, August 1975. The authors thank Henry Lesieur, Robert Custer, and the anonymous reviewers ofThe Journal of Gambling Behavior for their comments and suggestions. We give special thanks to Dan, Howie, Jeanne, Berdell, Barbara, John, Swede, Happy Jack, Nancy, Skip, and many other anonymous members of G.A. and A.A. for their help and cooperation in this study.     

Gamblers Anonymous as a Recovery Pathway: A Scoping Review

Given the preponderance of Gamblers Anonymous (GA), there has been relatively little effort to explore the existing evidence base on its effectiveness as a recovery approach for problem gambling. To remedy this gap in the literature we conducted a scoping review of the literature on mutual aid for individuals experiencing problem gambling published between 2002 and 2015. We searched 13 databases and reviewed reference lists and websites of relevant organizations. We reviewed records for eligibility and extracted relevant data from eligible articles. Three reviewers independently assessed the methodological quality of the included studies using the Mixed Methods Appraisal Tool. We identified 17 studies in 25 publications that were eligible for inclusion. Most studies were conducted in the United States, were cross-sectional in design, and involved both male and female adult participants. Results indicate that the evidence for the effectiveness of GA either as a control condition or in conjunction with formal treatment or medication is inconsistent. An emphasis on patience, using the Serenity Prayer as a way to gain acceptance of financial matters and reality, and absolute assertion of identity as a “compulsive gambler” were identified as important aspects of GA’s recovery culture. There is a need for large-scale randomized controlled trials to determine GA’s effectiveness, as well as research exploring the mechanisms through which GA works, barriers to GA as a recovery approach, and the status of women in the fellowship.     

Suicidal behavior among members of Gamblers Anonymous

A national sample of 500 members of Gamblers Anonymous was surveyed by mail in order to gather information on suicidal history. One hundred sixty two usable surveys were returned representing 32.4% of the original sample. Compulsive gamblers who had a history of suicidal preoccupation began gambling at an earlier age than nonsuicidal gamblers and were more likely to have stolen to support their gambling. They also tended to have addicted relatives and children more than nonsuicidal gamblers did. The data suggest that those gamblers who had been suicidal tend to be more serious gamblers than nonsuicidal respondents.     

Really not god: Secularization and pragmatism in Gamblers Anonymous

The paper argues that despite maintaining the image of a twelve-step organization, the central theme of the history of Gamblers Anonymous (GA) in the United States is the increasing secularization of the program of the recovery. The paper documents the increasing secularization and pragmatism of Gamblers Anonymous, as reflected in key documents, despite the spiritual vision of its founding member. The author speculates on why Gamblers Anonymous took a secularized development path. Further research is called for.This research was supported in part by NIAAA post-doctoral grant, 2 T32 AA07240-11, at the Alcohol Research Group (ARG), Berkeley, California. I would like to thank ARG, Mary Phillips, the anonymous reviewers and editor of theJournal of Gambling Studies, Kathy Deierlein, Bob Yamashita, and anonymous members of Gamblers Anonymous. This paper is a revision of one presented at the Fifth National Conference on Gambling Behavior in Duluth, Minnesota during July, 1991.     

Dropouts and continuers in Gamblers Anonymous: Life-context and other factors

The design, aims and rationale are outlined of a follow-up study of dropouts from Gamblers Anonymous. A cohort of those attending for the first time and dropping out after more than one meeting was contacted and the cooperators given a structured interview examining factors which may have contributed to decisions to dropout. A comparison group of continuers from the same meeting who had been totally abstinent for at least a year were given the same structured interviews. This first of four parts examines life context factors making it more difficult to maintain attendance, commitment to the treatment program, perceived pre-meeting expectations and reasons for coming, impacts of the first meeting, effects of pressures to maintain attendance and the influence of spouses.     

Dropouts and continuers in Gamblers Anonymous: Part four. Evaluation and summary

In this fourth part of a study of dropouts from Gamblers Anonymous, the design, aims and rationale of which are outlined in part 1 (Brown, 1985b) experiences of GA by a sample of dropouts who had attended more than one meeting are analyzed and compared with similarly obtained responses from a group of continuing attenders who had not gambled for at least one year. The overall pattern of findings from the three prior parts of the study is interpreted as suggesting that

1. Gamblers anonymous may be better at coping with those whose gambling has been severely excessive and had led to many problems. However GA's approach is not so easily accepted and therefore not so effective with those who seek help at an earlier stage in the development of their problems.
2. Gamblers Anonymous may work better with those who have few relapses or best with those who have none at all. Although it may be very helpful in avoiding relapses, it may be less helpful in dealing with them when they do occur.

problems of the representativeness of the sample, of generalizing to Gamblers Anonymous as a whole, and of arguing from associations to causes are discussed. A general picture of the organization as a whole is presented.     

The selective adaptation of the alcoholics anonymous program by Gamblers Anonymous

This paper is largely based on a year long observation study of Gamblers Anonymous and Alcoholics Anonymous meetings in northern California. The paper argues, contrary to popular assumption, that Gamblers Anonymous is significantly different from Alcoholics Anonymous. Differences, in members' consciousness for example, are discussed. The paper contends that although there is some12 step consciousness in G.A., the dominant consciousness ispage 17 consciousness. The significant differences are attributed to the selective adaptation of the Alcoholics Anonymous program. Several consequences of these differences, such as the central role of a language of the self in A.A. and not in G.A., are highlighted.This research was supported by NIAAA post-doctoral grant, 2 T32 AA07240-11, at the Alcohol Research Group, Berkeley, California. I would like to thank everyone at ARG for the wonderfully supportive and intellectually stimulating atmosphere at ARG. I would like to thank especially Mary Phillips, Ron Roizen, Kim Bloomfield, Robin Room, Mike Hilton, Laura Schmidt, John Rumbarger and David Newmark for listening patiently to the unfolding story. I would also like to thank Rachel Volberg and Richard Rosenthal, M.D. for comments on an earlier draft. Comments from the anonymous reviewers and the editor ofJournal of Gambling Studies were also quite useful. Most of all, though, I would like to thank the anonymous members of A.A. and G.A. I, however, take responsibility for the arguments advanced in the paper. This paper is a revision of one presented at theEighth International Conference on Risk and Gambling in London, England, August, 1990.     

Factors Associated with Gamblers: A Population-based Cross-sectional Study of South Australian Adults

Objective To determine, using a random telephone survey, the prevalence of various gambling activities among South Australian adults, the prevalence of adult problem gamblers using the South Oaks Gambling Screen (SOGS) instrument, and to examine the problem gamblers by demographic and health-related risk factors.Method A random representative sample of South Australian adults selected from the Electronic White Pages. Overall, 6045 interviews were conducted (73.1% response rate) using Computer Assisted Telephone Interviewing (CATI) technology.Results Overall, 75.6% (95% CI: 74.5–76.7) of respondents had participated in at least one gambling activity during the last 12 months and 2.0% (95% CI: 1.7–2.4) were identified to be problem gamblers. A wide range of factors was associated with problem gambling at a univariate level, when compared to frequent gamblers. The logistic regression analysis highlighted that problem gamblers were more likely to speak a language other than English, be employed part time and a smoker when compared to frequent gamblers. Problem gamblers were also more likely to have a mental health condition (according to the Kessler 10), have had suicidal thoughts and know of services for gambling problems.Conclusion There is a wide range of characteristics associated with problem gambling in South Australia. All of these factors need addressing during policy development to assist problem gamblers.     

Dropouts and continuers in Gamblers Anonymous: Part 3: Some possible specific reasons for dropout

This is the third part of a study of dropouts from Gamblers Anonymous, the overall design, aims and rationale of which are outlined in part one. Dropouts who had attended more than one meeting were asked about many specific aspects of their experience in Gamblers Anonymous. These reports are compared with similarly obtained reports from a group of continuing attendees who had not gambled for more than one year in an attempt to explore the viability of many specific hypotheses as to the possible factors in dropout.     

Psychosocial Factors Related to Gambling Abstinence and Relapse in Members of Gamblers Anonymous

Problem gamblers account for almost one-third of the industry’s total revenue with the adverse effects of problem gambling including significant financial loss, legal and occupational difficulties, family problems, psychological distress and suicide. As such, it is important to understand the influential factors in gambling abstinence and relapse, which will assist in the development of relapse prevention methods in therapeutic treatment regimes. This paper reported the role of a set of seven predictors in distinguishing between abstinent and relapsed gamblers among 75 Gambling Anonymous (GA) members (55 males; 20 females; Mean age 45 years) in Southeast Queensland. The measures taken were meeting Attendance and Participation, Social Support, God Belief, Belief in a Higher Power, Working the 12-steps of Recovery, Gambling Urges and Erroneous Cognitions. Discriminant analysis revealed that the variables separating the two groups were significant, suggesting that GA members achieving abstinence could be distinguished from those who relapsed, with Attendance and Participation, and Social Support contributing the greatest influence on member’s ability to abstain from gambling. The findings suggested that GA member’s involvement in meetings, and support from family and friends had significant impact on their gambling abstinence. In contrast, increased gambling urges and erroneous cognitions increased the chance of relapse.     

Sociodemographic,Psychopathological and Clinical Characteristics of Pathological Slot-Machine Gamblers in Treatment: A Descriptive Study of Spanish Male Gamblers

The purpose of this study is to describe the sociodemographic, psychopathological, and clinical characteristics of a sample of Spanish male pathological slot-machine gamblers in treatment. The sample was made up of 80 men who met the criteria of the DSM-IV for pathological gambling. The mean age was 29 years, and the mean age at which they had started slot-machine gambling was 20 years, with a mean problem duration of three years before they sought treatment. Regarding employment status, service sector workers were the most frequently represented (36.3%), followed by students (20%) and the unemployed (15%). The most influential psychopathological variables noted were the prevalence of affective disorders (36.2%), past abuse of alcohol (12.5%), and regular use of illegal substances (26.3%), either in the past or at the time of seeking treatment. Also discussed is the low age of the men seeking treatment for gambling problems, the way they finance their gambling and explanations for their gambling behaviour.     

Sociodemographic Correlates and Morbidity in Lottery Gamblers: Results from a Population Survey

The aim of the current study was to examine the socio-demographic correlates, the association of mental and physical illness, and the prevalence of pathological gambling among three groups (1) those with lottery gambling only (2) those with lottery and other types of gambling and (3) those with other types of gambling only—such as playing cards, sports betting, horse racing, casino gambling etc. Data was used from a nationwide cross-sectional epidemiological nationally representative survey of the resident (Singapore Citizens and Permanent Residents) population in Singapore of 6616 Singaporean adults aged 18 years and older. All respondents were administered the South Oaks Gambling Screen to screen for pathological gambling. The diagnoses of mental disorders were established using the Composite International Diagnostic Interview and relevant socio-demographic data was collected using a structured questionnaire. Lottery gambling was by far the most popular form of gambling in Singapore, with 83.5 % of those who had ever gambled indicating that they had participated in lottery gambling. Those who participated in lottery gambling alone were more likely to belong to the older age group (as compared to the 18–35 years age group), be of Indian ethnicity, have a secondary or vocational education, and earn a lower income as compared to the other two groups. Our findings that those with pure lottery gambling were significantly less likely to be pathological gamblers and had significantly lower odds of psychiatric and physical morbidity as compared to the other two groups are unique and need further research.     

Gambling Motivation and Passion: A Comparison Study of Recreational and Pathological Gamblers

The aim of this study was to examine the structural relationship among gambling motivation, gambling passion, and behavioral intentions to gamble between recreational and pathological gamblers. Specifically, this study aimed to shed light on the different ways in which gambling motivation and affective attitude are associated with recreational and pathological gamblers. Using a purposive sampling method, 400 subjects were selected for and participated in this study during their visits to a casino. Study results echoed the notion of distinctive and separate gambling motivations and passions between recreational and pathological gamblers. Also, results identified specific areas to which casino operators or policy makers should pay special attention in developing effective marketing strategies to promote responsible gambling.     

Family environment and length of recovery for married male members of Gamblers Anonymous and female members of GamAnon

Family environments of married male members of Gamblers Anonymous (GA) and married female members of GamAnon were measured with the Family Environment Scale (FES), a measure of 10 characteristics of family life. The total sample of 86 included 50 male GA and 36 female GamAnon members. GA and GamAnon groups did not differ from each other. However, the short-term GA group reported greater dissatisfaction than controls on five personal growth dimensions. The long-term GA group reported less Conflict than controls. Both short-term and long-term GamAnon groups reported less satisfaction than normal controls on personal growth dimensions. A composite measure of social support demonstrated improvement with duration of abstinence for gamblers but not for spouses. Results suggest improvement in family environment for male pathological gamblers with length of gambling abstinence but less improvement for wives.The authors wish to thank Mr. Les Franklin for assistance with data coding.     

Changing Spousal Roles and Their Effect on Recovery in Gamblers Anonymous: GamAnon,Social Support,Wives and Husbands

This paper examines changing spousal roles and their effects upon recovery in Gamblers Anonymous (GA). It is based upon a qualitative study designed to gage uniformity as well as variations in approaches to recovery in GA. Interviews were conducted with 39 GA members (26 men, 13 women; mean age 56.5 years). Though the study was based in the Toronto area, only 13 interviews involved participants from that region. Phone interviews were conducted with GA members from various regions of both Canada and the US. GamAnon, GA’s sister fellowship, has been designed for anyone affected seriously by someone’s gambling problem. In practice, GamAnon comprises mostly women––spouses of male GA members––who traditionally have taken a keen interest in the ways in which their husbands achieve and maintain abstinence from gambling. Changing spousal roles have led to fewer women joining GamAnon, as many opt instead to part with troubled spouses. As well, more women are attending GA than in the past, typically with husbands who are disinclined to join GamAnon. All of this has drastically altered how GA members pursue recovery. These changes and their implications are discussed.     

A Gender-based Examination of Past-year Recreational Gamblers

Background Most adults gamble recreationally yet few studies have systematically investigated for gender-related differences in recreational gamblers.Methods Logistic regression analyses were performed on data from a nationally representative sample of respondents from the 1998 Gambling Impact and Behavior Study. Results Female gamblers versus non-gamblers were more likely to report use of alcohol and drugs. Male gamblers versus non-gamblers were more likely to report alcohol use and abuse/dependence, any substance abuse/dependence, and lifetime incarceration. An analysis of gambling by gender group interaction effects did not identify significant differences in health-related measures. Male as compared with female gamblers reported beginning gambling earlier, experiencing higher past-year maximal losses and wins, and finding favorite and engaging in different types of gambling.Conclusions Despite heavier gambling in male as compared with female recreational gamblers, similar mental health functioning was observed in female and male past-year recreational gamblers. Types of gambling problematic for men and women are reflected in the gambling preferences of recreational gamblers.     

Self-Perceived Distress and Impairment in Problem Gamblers: A Study of Pre- to Post-treatment Measurement Invariance

Gambling help services typically evaluate treatment outcomes using self-reported responses and measurements. However, gamblers’ conceptualisations and prioritisations with respect to these measurements may shift over time. Thus, changes in the self-reported responses may not always reflect true change in the individuals. This study investigated for response shift in self-report measures of psychological distress and impairment in 293 help-seeking problem gamblers. We used confirmatory factor analysis to model data structures from pre-treatment to post-treatment. The findings indicated that a response shift had occurred. Two items became less important and one item became more important in measuring psychological distress. Measurement invariance was achieved for the complete set of items for impairment. These findings provide a more in-depth understanding of the nature of self-report outcomes in otherwise routinely collected data.     

Brief Communications: Treating Problem Gamblers: A Residential Therapy Approach

The Gordon House Association (GHA) is the UK's only specialist and dedicated residential facility for problem gamblers. This paper describes the GHA therapeutic programme which is centred round a nine-month period of residency. Progression through the programme is described by overviewing each of the phases. These are initial assessment and five distinct phases comprising coping with today (Phase One), coping with yesterday (Phase Two), coping with change (Phase Three), coping with tomorrow (Phase Four), and coping on my own (Phase Five). These phases are themselves underpinned within the GHA core therapeutic approach which is also described.