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Congress Considers Two Bills Expanding Veterans Treatment Study of Naltrexone Buoys Hopes for Viable Gambling Treatments PTSD and Substance Use Disorders Who was Justin Bailey Nebraska Surveys Consumers on Addiction Treatment Topiramate Improves Life and Health for Alcoholics, Study Finds Thoughts on Amenities and Costs of Addiction Treatment Programs Briefly Noted State Watch Coming up     

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Primary Care Physicians Still Challenged by Lab Tests, AUDIT Causal Link Shown Between Alcohol Ads and Increased Drinking in Young People Injectable Naltrexone Moves Closer to Final Approval Mobile Clinics Seen as Improving Access to Methadone Briefly Noted Coming up     

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Bordering States of N.Y., N.J. Miles Apart in Curbing Smoking in Treatment Centers DSM‐V Diagnostic Criteria to Move Away From ‘Abuse’ and ‘Dependence’ Stimulus Funds can be Used Creatively to Fund Addiction Treatment More Than Parity: Insurance Reform Must Include Addiction NIAAA vs. NIDA Screening Tools Briefly Noted Marijuana Found to Improve Compliance With Naltrexone Treatment State News Call for Comment Coming up     

Behavioural Addictions in Adolescents and Young Adults: Results from a Prevalence Study

Our study aims to assess the prevalence of behavioural addictions in an adolescent population, evaluating the effects of gender and age, and to assess the correlations among different behavioural addictions. 2853 high school students were assessed in order to evaluate the prevalence of behavioural addictions such as Pathological Gambling (PG), Compulsive Buying (CB), Exercise Addiction (EA), Internet Addiction (IA), and Work Addiction (WA), in a population of Italian adolescents. The South Oaks Gambling Screen-Revised Adolescent (SOGS-RA), the Compulsive Buying Scale (CBS), the Exercise Addiction Inventory (EAI), the Internet Addiction Test (IAT), and the Work Addiction Risk Test (WART), were compiled anonymously by the students. Overall prevalence was 7.0% for PG, 11.3% for CB, 1.2% for IA, 7.6% for WA, 8.5% for EA. PG and EA were more common among boys, while gender had no effect on the other conditions. CB was more common among younger (<18 years old) students. The scores of all of these scales were significantly correlated. The strong correlation among different addictive behaviours is in line with the hypothesis of a common psychopathological dimension underlying these phenomena. Further studies are needed to assess personality traits and other clinical disorders associated with these problems behaviours.     

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Oregon Council Report May Lead to Damage Repair for Treatment Field Counseling and Naltrexone Found Equally Effective Highlights from ‘The Domino Effect’ Treatment Works: Outcomes for Substance Abuse Treatment 2003 COMBINE Findings: Highlights Server Responsibility Can Help Prevent Drunk Driving Cigna Behavioral Health Sponsors Symposium on Addiction Advocates Seek Funding for Patriot Act's Meth Provision Addiction Community Offers Support as Kennedy Enters Treatment Briefly Noted Resources Business Coming Up     

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Oklahoma Medicaid Requires Master's Degree for Substance Abuse Assessments Wis. Program Diversifies Operation With Residential Care, Medications Who Can Treat What in Oklahoma Medicaid Managed Care Enters New York Addiction Treatment Measures of Success in Health Care Reform: Efficiency and Recovery Study Looks at Which Drinkers Best Respond to Naltrexone Most Treatment Admissions for Inhalant Abuse are Adults Obituary Coming up     

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Wide Interest in Process Improvement has Campaign Planners Thinking Bigger High Dropout Rates for Blacks Attributed to Economics in RAND Study Naltrexone/Family Treatment Mix Under Study for Opiods Addiction Issues Still in the Background in Presidential Campaign How Treatment Providers can Participate Another Perspective on Cultural Differences RAND Racial Disparity and Alcohol Treatment Studies Briefly Noted State Watch Resources Call for Comments Names in the News     

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States Hope to Make Money With Gambling Expansion, But at What Cost? Center Sees Role for Residential, But Drives to Diversify TC Base ‘Residential’ is a Misnomer That Could Hurt Parity/ACA Gains ASAM Issues New Definition of Addiction How DEA Monitors Buprenorphine Prescribing and Dispensing Briefly Noted Business News Coming up     

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New Drug Court Program in Michigan Defines Distinct Alcohol Component Serious Mental Disorders Predict New Onset Substance Abuse NASADAD Supports Veterans Bill, State Involvement in Services States Set up Programs for Veterans Building the Science of Recovery Gambling vs. Drug/Alcohol Addiction Treatment: Showdown in Iowa Briefly Noted State Watch Resources Names in the News Coming up     

Gambling Related Cognitions Mediate the Association Between Thinking Style and Problem Gambling Severity

This study examined the associations among thinking style (rational versus experiential), gambling related cognitions, and problem gambling severity. The participants were 70 female and 41 male regular gamblers who completed the Gambling Related Cognitions Scale (Raylu and Oei, Addiction 99:757–769, 2004), the Rational-Experiential Inventory (Pacini and Epstien, J Pers Soc Psychol 76(6):972–987, 1999), and the Problem Gambling Severity Index (Ferris and Wynne, The Canadian problem and gambling index: final report. Canadian Centre on Substance Abuse, Ottawa, 2001). Rational thinking was negatively related to problem gambling severity. Gambling related biases increased with problem gambling severity but the strength of those biases was dampened by rational thought. The patterns by which gambling related cognition mediated the association between thinking style and gambling severity suggest that therapeutic interventions may benefit from a consideration of a gambler’s thinking style.     

Internet Gamblers Differ on Social Variables: A Latent Class Analysis

Online gambling has gained popularity in the last decade, leading to an important shift in how consumers engage in gambling and in the factors related to problem gambling and prevention. Indebtedness and loneliness have previously been associated with problem gambling. The current study aimed to characterize online gamblers in relation to indebtedness, loneliness, and several in-game social behaviors. The data set was obtained from 584 Internet gamblers recruited online through gambling websites and forums. Of these gamblers, 372 participants completed all study assessments and were included in the analyses. Questionnaires included those on sociodemographics and social variables (indebtedness, loneliness, in-game social behaviors), as well as the Gambling Motives Questionnaire, Gambling Related Cognitions Scale, Internet Addiction Test, Problem Gambling Severity Index, Short Depression–Happiness Scale, and UPPS-P Impulsive Behavior Scale. Social variables were explored with a latent class model. The clusters obtained were compared for psychological measures and three clusters were found: lonely indebted gamblers (cluster 1: 6.5%), not lonely not indebted gamblers (cluster 2: 75.4%), and not lonely indebted gamblers (cluster 3: 18%). Participants in clusters 1 and 3 (particularly in cluster 1) were at higher risk of problem gambling than were those in cluster 2. The three groups differed on most assessed variables, including the Problem Gambling Severity Index, the Short Depression–Happiness Scale, and the UPPS-P subscales (except the sensation seeking subscore). Results highlight significant between-group differences, suggesting that Internet gamblers are not a homogeneous group. Specific intervention strategies could be implemented for groups at risk.     

Electronic Gaming Machine Gambling: Measuring Motivation

Electronic gambling machines (EGMs) are known to be a particularly risky form of gambling (Petry. Addiction 98(5):645–655, 2003). It is vital that researchers and clinicians are aware of factors which could lead to people having problems with this form. Gambling motivation is one such factor. This study developed a measure of EGM gambling motivations based on the results of qualitative research conducted with EGM problem gamblers and experienced counsellors (Thomas et al. Int J Mental Health Addiction 7:97–107, 2009). A community based sample of 232 females (M = 29.60 years of age, SD = 15.41 years) and 123 males (M = 29.64 years of age, SD = 12.29 years) participated. Exploratory factor analysis extracted three motivational factors indicating people gambled on EGMs to escape, for its accessibility and for the social environment. Gambling to escape and for its accessibility had substantial positive correlations with frequency of EGM gambling and gambling problems. Social environment correlated less well with these indicators of excessive gambling. Correlations between factors suggested the accessible, social experience offered by EGM venues increases their appeal as a means of escape. The new subscales were internally consistent and demonstrated good evidence of validity. This new measure will facilitate future investigations into the relationships between gambling motivations, other aetiological factors and EGM problem gambling.     

Are Gambling Related Cognitions in Adolescence Multidimensional?: Factor Structure of the Gambling Related Cognitions Scale

The present study examined the factor structure of the Gambling Related Cognitions Scale (GRCS); (Raylu and Oei in Addiction 99:757–769, 2004) in a large sample of adolescents (N = 1,490) between the ages of 16 and 18 years (630 males, 860 females) attending several high schools in central Ontario. Problem gambling was measured using the DSM-IV-J (Fisher in J Gambl Stud 8:263–285, 1992). A 5-factor GRCS model was found to have the best fit to the data, and gambling-related cognitions were found to be powerful predictors of disordered gambling among adolescents. However, strong associations among GRCS subscales, as well as the small amount of variance in problem gambling accounted for by specific GRCS subscales, call into question the multidimensionality of the GRCS when used with adolescents.     

Toward the development of an adolescent gambling problem severity scale

The development and initial psychometric properties of an adolescent gambling problem severity measure are described. The scale, based on a revision of the South Oaks Gambling Screen (Lesieur & Blume, 1987), was administered to 1,101 older (ages 15 to 18) Minnesota adolescents as part of a state-wide gambling survey. Study results indicated that the scale had moderate internal consistency reliability and was significantly related to alternate measures of problem severity for male subjects. Because the rate and severity of gambling among females was very low, the psychometric adequacy of the scale for females is not known at this time. The implications of study findings to the conceptual understanding of adolescent gambling problem severity as well as study limitations and future research needs, are discussed.Support for the study was provided by the Minnesota Department of Human Services and the Center for Addiction Studies, University of Minnesota, Duluth. The authors gratefully acknowledge the assistance from Robert Blum, Linda Harris, Durand Jacobs, J. Laundergan, Alan Mathiason, Brenda Miller, James Schaefer, school officials from the participating high schools, and interviewers who assisted with the telephone survey.     

Problem Gambling and Intimate Partner Violence

This study examined the prevalence and severity of intimate partner violence (IPV) among 248 problem gamblers (43 women, 205 men) recruited from newspaper advertisements. The main outcome measures used were the Canadian Problem Gambling Index, the Conflicts Tactics Scale-2, the State Trait Anger Expression Inventory-2, the drug and alcohol section of the Addiction Severity Index and the substance use section of the Structured Clinical Interview for the DSM-IV. In this sample, 62.9% of participants reported perpetrating and/or being the victims of IPV in the past year, with 25.4% reporting perpetrating severe IPV. The majority of the sample (64.5%) also had clinically significant anger problems, which was associated with an increased risk of being both the perpetrator and victim of IPV. The presence of a lifetime substance use disorder among participants who had clinically significant anger problems further increased the likelihood of both IPV perpetration and victimization. These findings underscore the importance of routinely screening gambling clients for anger and IPV, and the need to develop public policy, prevention and treatment programs to address IPV among problem gamblers. Future research to examine IPV among problem gamblers is recommended.     

Impulsivity,compulsivity and pathological gambling: an exploratory study of pathological gambling as an impulsivity-compulsivity spectrum disorder

The current study was conducted to examine pathological gambling as an impulsivity-compulsivity spectrum disorder. University students (N=162) who gambled a minimum of twice monthly completed measures of impulsivity, compulsivity and pathological gambling. Instruments completed included: measures of problem gambling severity (South Oaks Gambling Screen, NORC DSM-IV Screen for Gambling Problems, Canadian Problem Gambling Index, Victorian Gambling Screen), the Padua Inventory, the Barratt Impulsivity Scale and the Tridimensional Personality Questionnaire. Results supported previous research indicating that pathological gamblers had elevated scores on measures of impulsivity and compulsivity, as well as personality factors correlated with these two constructs. Moreover, impulsivity and compulsivity were found to be interrelated as proposed by the impulsivity-compulsivity spectrum model.     

Pre/Early Adolescent Onset of Gambling and Psychosocial Problems in Treatment-Seeking Pathological Gamblers

This study examined the association between pre- or early-adolescent onset of gambling and severity of gambling and psychosocial problems in treatment-seeking adult pathological gamblers. A total of 236 pathological gamblers entering outpatient treatment completed the South Oaks Gambling Screen (SOGS) and the Addiction Severity Index (ASI). Using a quartile split procedure, gamblers who began gambling during their pre- or early-adolescent years (mean age of 10.5 years; 1st quartile) were compared to gamblers who began gambling later in life (mean age of 23.0 years; 2nd to 4th quartiles). Compared to later onset gamblers, pre/early adolescent onset gamblers reported increased severity of psychiatric, family/social, and substance abuse problems on the ASI. They were more likely to report cognitive problems (trouble understanding, concentrating, or remembering), suicidal ideation, and a history of inpatient psychiatric treatment, and were less likely to be satisfied with their current living situation. Pre/early adolescent onset gamblers also reported earlier age of initiation of drinking, and were more likely to have received treatment for an alcohol use disorder, and to have used cannabis and cocaine in their lifetimes. Taken together, these data suggest that pre/early adolescent-onset of gambling may be a risk factor for later-life psychiatric, family/social, and substance abuse problems in treatment-seeking pathological gamblers.     

Measuring gambling outcomes among college students

The present research describes the proposal and validation of three gambling outcome measures, the Gambling Quantity and Perceived Norms Scale (GQPN), the Gambling Problem Index (GPI), and the Gambling Readiness to Change Questionnaire (GRTC).The study consisted of 560 undergraduate college students who completed a survey including the newly constructed measures and other measures designed to assess convergent validity. Results confirmed good reliability and convergent validity of all three measures. Implications for evaluating efficacy of treatment and prevention interventions are detailed.     

A retrospective study of attitudes and triggers towards gambling of prisoners before their incarceration in Australia

The purpose of this study is to examine the relationship between attitudes towards gambling, triggers for gambling, and the severity of the gambling problem of convicted offenders before their incarceration. Participants were recruited through transitional managers of prisons. There were 96 referrals, of which 66 participants completed the study. Results showed that there was a significant correlation between the Gambling Attitudes and Beliefs Survey (GABS) and the Inventory of Gambling Situations (IGS) and a significant correlation between the IGS and the EIGHT Gambling Screen. However, no significant correlation was found between the EIGHT Gambling Screen and the GABS. The results indicated that attitudes towards and beliefs about gambling did not directly influence the severity of the participants’ gambling problem. Attitudes and beliefs were more closely linked to their triggers for gambling, and these triggers carried more weight in the severity of their gambling problem. These results suggest that problem gamblers need assistance in dealing with their trigger situations for gambling as well as receiving a therapeutic programme to change their attitudes towards and beliefs about gambling.     

Gambling in Western and Eastern Europe: The Example of Hungary

The history of gambling in post-socialist countries is noticeably different from that of other countries in Europe. The goal of this study was therefore twofold: Firstly, to systematically review all European epidemiological studies related to excessive gambling in the general adult population, and secondly, to provide an overview of the state of gambling in Hungary based on the first ever nationwide representative survey, setting the results against the backdrop of the earlier European studies. A systematic review was carried out of European gambling studies which focus on a representative adult general population. Hungarian data was obtained from the National Survey on Addiction Problems in Hungary general adult population survey (N = 2,710). Pathological gambling was measured by the South Oaks Gambling Screen. Lifetime prevalence of excessive gambling (problem and pathological gambling) in the general adult population of European countries varies between 1.1% (Italy and Spain) and 6.5% (Estonia). In Hungary, the prevalence of problem gambling is 1.9%, with pathological gambling at 1.4%. The socio-demographic characteristics of the results are similar to those of other European countries. Using epidemiological data from the general adult populations of two post-socialist nations, it was possible to compare the results with data from 12 other European countries. Based on the data available, the extremely rapid liberation of the gambling market in the post-socialist countries has led to a similarly swift escalation in associated gambling problems.