Self-stigma coping and treatment-seeking in problem gambling

Stigma has been explored as a cause of reduced and delayed treatment-seeking for problem gambling, a population in which only 1 in 10 seek treatment. The present study examined the effect of perceived public stigma and self-stigma on affect and behavioural coping efforts. Path analysis was used to examine self-stigma in 155 individuals with gambling problems. The majority of participants met criteria for a gambling disorder (93.5%), were current gamblers (69%) and had never sought treatment (54.2%). The data fit the proposed path model well; self-stigma was associated with reduced self-esteem and increased shame. Shame predicted use of secrecy and withdrawal coping. Endorsement of negative stereotypes of ‘problem gamblers’ was associated with decreased treatment-seeking while greater self-stigma predicted increased treatment-seeking. Additional predictors of increased treatment-seeking included greater gambling problem severity, more positive attitudes towards treatment, male sex and higher income. Self-stigma increased rather than decreased treatment-seeking in this analysis. Efforts to increase treatment-seeking could target women, those with lower income and those with less severe gambling problems.     

Attitudes toward gambling among adolescents

It is well documented that attitudes toward gambling are a good predictor of problem gambling during adolescence. However, so far, little is known about what factors are associated with adolescents' gambling attitudes. This study used cross-sectional data (N = 2055, response rate 70.4%) from a representative sample of 17-year-olds in Norway to investigate the relationship between demographic, personality, motivational and social variables and gambling attitudes. Overall, adolescents' attitudes toward gambling were slightly negative. A multivariate analysis revealed that more favourable attitudes toward gambling were most strongly associated with family/peer approval of gambling. In addition, significant associations were found for gender (males more favourable); Sensation Seeking (positive association); Agreeableness (negative association); and family/peer gambling history (positive association for lifetime gambling, negative association for problematic gambling). Although a variety of individual-level and social factors are associated with more favourable attitudes toward gambling, it appears that family and peer approval of gambling are most important.     

Negative public attitudes towards gambling: findings from the 2007 British Gambling Prevalence Survey using a new attitude scale

A new 14-item scale of general attitudes towards gambling (the Attitudes Towards Gambling Scale: ATGS) was developed for use in the 2007 British Gambling Prevalence Survey. The development of the scale is described. Based on the responses of a representative sample of 8880 people of 16 years of age or more, evidence is presented of good internal reliability and statistically significant associations with a range of socio-demographic, own and family gambling and lifestyle variables. Overall, and in all sub-groups except the heaviest gamblers, attitudes were found to be negative: more people believed that gambling is foolish and dangerous, and of greater harm than benefit to families, communities and society as a whole, than the reverse. The majority, however, were against prohibition of gambling. Public opinion appears to be out of line with the view of gambling in Britain that lay behind the 2005 Gambling Act. It will be of interest to see whether attitudes change in the forthcoming years. The ATGS is a suitable measure for use in future surveys in the UK and in other English speaking countries.     

Adolescent gambling and problem gambling: examination of an extended theory of planned behaviour

Adolescent problem gambling is acknowledged as a public health concern. To better understand adolescent gambling and problem gambling behaviour, the present study investigated the relationships between psychological correlates of gambling frequency and problem gambling using an extended theory of planned behaviour (TPB; i.e. intentions, attitudes, subjective norms, perceptions of behavioural control) that includes negative anticipated emotions as a factor associated with gambling intentions. Four hundred and nineteen high school students were surveyed in the Montreal (Canada) region. The findings generally support the applicability of an extended TPB model for explaining gambling behaviour frequency and gambling problems among adolescents. The results reveal that negative anticipated emotions, attitudes and perceptions of behavioural control influence gambling intentions. The results further reveal that intentions and attitudes have a direct relationship with gambling frequency, while intentions and perceptions of behavioural control are directly related to problem gambling behaviours. These findings suggest that adolescent problem gambling prevention and intervention efforts should consider targeting negative anticipated emotions and other TPB components in order to postpone initiation to gambling (a risk factor for problem gambling) and to promote gambling decision-making.     

Meanings of Aboriginal gambling across New South Wales,Australia

A social perspective of gambling explains gambling as a consequence of the social, structural and cultural environment in which gamblers live. In the Australian Indigenous context the social perspective is important, given the significance of community and family ties. This paper aims to explore meanings of Aboriginal gambling across New South Wales (NSW), Australia. Taking an interpretivist stance, semi-structured interviews were conducted with 13 knowledgeable Indigenous Australians, key elected and nominated state representatives. Meanings of Aboriginal gambling included the collective activity of gambling within social networks in the hope of a win. More problematic meanings of gambling were always gambling to win, chasing losses and continual financial distress which appeared to reduce social network bonds. Contrasting problem gambling with recreational gambling revealed that some Indigenous gamblers use their existing cultural and kin relationships on which many of their social networks are based to gamble together in a controlled recreational manner.     

A review of Australian classification practices for commercial video games featuring simulated gambling

This paper reviews Australian classification practices for commercial video games that contain simulated gambling. In the last decade, over 100 video games featuring gambling simulations have been classified as suitable for commercial sale to youth in Australia, with 69 of these video games rated ‘PG’ for Parental Guidance Recommended (i.e. suitable for ages 8+years) and the remaining 33 rated ‘G’ for General (i.e. suitable for all ages). A review of the literature suggests that consumer advice and warnings related to video game material are often inconsistent and/or not adequately provided. A public health approach suggests that the presence of gambling content in video games may present risks to younger players unfamiliar with how gambling operates. It is argued that there is a need for further academic debate on social responsibility issues of early childhood and adolescent exposure to, and involvement in, simulated gambling activities available in interactive gaming technologies.     

Gender,gambling and problem gambling

With data from a 1989 Iowa survey (N=1,011), adult male and female respondents are compared on their problem gambling, its correlates, as well as their gambling behavior. Gambling behavior means its scope, frequency, wagering and leisure time spent at gambling. Women's gambling behavior was lower than that of men, due to their having a narrower scope of gambling behavior, but the genders were not significantly different on frequency, wagering and time spent at gambling. Women and men did not differ significantly on problem gambling. Problem gambling is measured as loss of control over gambling, and consequences due to gambling as well as gambling behavior. Women and men did differ significantly, however, on several predictors of problem gambling. Women's estrangement from a conventional lifestyle and integration into a social world of gambling appeared to help explain their problem gambling. Alcohol consumption appeared to be a more important predictor for men than women. The genders shared the attitude that the odds can be beat as well as being big spenders as predictors of their problem gambling. The results are interpreted with practitioners' efforts to prevent and treat problem gambling in mind.This research was partially supported by the Iowa Department of Human Services and the Na tional Institute of Mental Health (1 RJ01 MH50369-01A1). The authors are grateful to anonymous re viewers and the editor of this journal for many helpful suggestions.     

Cognitive distortions predict future gambling involvement

Disordered gambling is best conceptualized as a continuum of severity. Previous research has demonstrated the utility of studying individuals at all points of this spectrum. The sequence of the development of gambling problems and change in gambling involvement along this continuum of severity is not well understood. The present study examined the interplay between cognitive distortions and gambling involvement in a population sample recruited in Alberta, Canada. Data from 1372 participants over 4 assessment waves (5 years) were used to generate a 2-factor latent structure using gambling fallacies and gambling involvement measurements. Structural equation modelling showed that cognitive distortions more strongly predicted future gambling involvement than the reverse relationship, using the comparative fit index (CFI) and the root mean square error of approximation (RMSEA) to assess the models. In addition, cognitive distortions declined over time, whereas gambling involvement remained stable. The results of the study suggest that focusing primarily on cognitive mechanisms in public health initiatives for gambling disorders may be a more effective strategy than focusing on behavioural solutions.     

The evolving market structures of gambling: case studies modelling the socioeconomic assignment of gaming machines in Melbourne and Sydney,Australia

The expansion of gambling industries worldwide is intertwined with the growing government dependence on gambling revenue for fiscal assignments. In Australia, electronic gaming machines (EGMs) have dominated recent gambling industry growth. As EGMs have proliferated, growing recognition has emerged that EGM distribution closely reflects levels of socioeconomic disadvantage. More machines are located in less advantaged regions. This paper analyses time-series socioeconomic distributions of EGMs in Melbourne, Australia, an immature EGM market, and then compares the findings with the mature market in Sydney. Similar findings in both cities suggest that market assignment of EGMs transcends differences in historical and legislative environments. This indicates that similar underlying structures are evident in both markets. Modelling the spatial structures of gambling markets provides an opportunity to identify regions most at risk of gambling related problems. Subsequently, policies can be formulated which ensure fiscal revenue from gambling can be better targeted towards regions likely to be most afflicted by excessive gambling-related problems.     

Gender,gambling settings and gambling behaviours among undergraduate poker players

A gender divide in gambling is commonly observed among college populations. This study examines whether settings where students gamble on poker mediate the relationship between gender and poker gambling behaviours. Undergraduate poker players, 126 females and 242 males, were randomly sampled from three universities in Montreal, Canada. Three outcomes measuring risky behaviours were considered: severity of gambling problems as measured by the Problem Gambling Severity Index (PGSI), past-year poker spending and past-year poker debt. Multiple mediation analyses were conducted. The effect of gender on outcomes was analysed through three putative mediators: gambling on poker in private residences, in public locations or on the Internet. Male gender positively relates to risky gambling behaviours and occurrence of gambling in various settings. Risky gambling behaviours are positively related to gambling in various settings. Overall, the occurrence of playing poker in public locations and on the Internet emerged as significant mediators in relation to PGSI score, past-year poker spending and past-year poker debt. Given the nature of the processes by which gender is related to risky gambling behaviours among undergraduate students, gambling needs to be understood through a perspective that focuses as much on contexts as it does on individuals.     

Pathological gambling: A comparison of gambling at German-style slot machines and “Classical” gambling

German-style slot machines and related legal issues are described. On the basis of a survey on 437 members of self-help groups (Gamblers Anonymous) in Germany, slot machine gamblers were compared with casino gamblers on such variables as sociodemographic data, gambling behaviour, financial expenditure, emotional experience while gambling, symptoms of pathological gambling, psychosocial consequences and gambling related delinquency. The casino gamblers' gambling behaviour is financially more extensive. There were similarities regarding the emotional intensity of the gambling experience. However the casino gamblers show more pronounced symptoms of pathological gambling and the psychosocial consequences of their gambling behaviour are more severe. In spite of these differences, the data show that for young people slot machines can be as stimulating and therefore as dangerous as casino gambling. The young slot machine gambler runs a similar risk of acquiring a pathological gambling habit as the casino gambler.I would like to thank Dr. Gerhard Meyer for his support and his comments on the first draft of this article which is based on data from a research project led by him.     

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.     

Tracking the westernization of urban Aboriginal gambling in Canada’s Prairie Provinces

North American Aboriginals have an extensive cultural history of gambling. The purpose of this study was to investigate the influence of modern western gambling on these traditional beliefs. This is the first large-scale study of this issue in Canada. A total of 1114 Aboriginals in 15 cities in Canada’s Prairie Provinces were surveyed, with recruitment occurring at Native Friendship Centres, shopping malls and other locations where Aboriginals congregated. Results showed that ‘gambling’ to most urban Aboriginal people refers to western commercial forms, something distinct from historical traditions. Attitudes toward gambling were negative, except whether Aboriginal provision of western commercial forms was good or bad for Aboriginal people, where opinion was divided. Primary motivations for gambling were the same as for non-Aboriginals: to win money and for entertainment. Although attitudes and motivations were quite similar to non-Aboriginals, overall level of gambling participation was higher, especially for electronic gambling machines, instant lotteries and bingo. It is concluded that Canadian Aboriginals have a largely westernized orientation to western forms of gambling. The policy implication of this finding is that the factors predictive of gambling benefits as well as the factors predictive of gambling harm among Aboriginals do not appear to be culturally unique.     

Predicting gambling behaviour and problems from implicit and explicit positive gambling outcome expectancies in regular gamblers

Outcome expectancies are the positive or negative effects that individuals anticipate may occur from engaging in a given behaviour. Although explicit outcome expectancies have been found to play an important role in gambling, research has yet to assess the role of implicit outcome expectancies in gambling. In two studies, we investigated whether implicit and explicit positive gambling outcome expectancies were independent predictors of gambling behaviour (i.e. amount of time spent and money risked gambling; Study 1) and problem gambling severity (Study 2). In both studies, implicit positive gambling outcome expectancies were assessed by having regular gamblers (N = 58 in Study 1; N = 96 in Study 2) complete a gambling outcome expectancy reaction time (RT) task. A self-report measure of positive gambling outcome expectancies was used to assess participants' explicit positive gambling outcome expectancies. Both the RT task and self-report measure of positive gambling outcome expectancies significantly contributed unique as well as shared variance in the prediction of self-reported gambling behaviour (Study 1) and problem gambling severity (Study 2). Findings from the current research point to the importance of using both direct and indirect assessment modes when examining the role of outcome expectancies in gambling.     

Attitudes towards and perception of gambling among secondary school students in a developing country

ABSTRACT

Gambling is common in Nigeria and over the years has gained wide acceptability among the populace. Improved technology and legalization of gambling have led to increased gambling opportunities among young people. The aim of this study is to determine the attitude towards and perception of gambling among a sample of secondary school students in South East Nigeria. A total of 507 male students from three male-only urban Secondary Schools in Owerri, Imo State participated in the study. Multistage sampling technique was used in sample selection. Data was collected using a self-administered socio-demographic questionnaire and the 9 Item Attitude Towards Gambling Scale. Results showed an overall negative perception of gambling. Majority of the respondents (82.8%) perceived gambling as a risky activity while few (27.3%) perceived it as a good way of earning an income quickly. More than half of the respondents (52.7%) believed that gambling yields a high return. There was a significant association between parental gambling and positive attitude towards gambling (X = 6.27, p = 0.04). Thus, preventive strategies targeted towards changing gambling attitudes in parents may serve a dual role of changing attitudes and perception of gambling in their offspring.     

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.     

The gambling lifestyle: I. theory

This paper describes the lifestyle model of gambling behavior in which compulsive gambling behavior is conceptualized as a lifestyle characterized by pseudoresponsibility, self-ascension, hypercompetitiveness, and social rule breaking/bending/ twisting. The underlying premise of this theory is that gambling behavior takes on the appearance of a lifestyle when it is viewed by the individual as a viable means of enhancing self-worth, minimizing personal insecurity, and controlling fear. Three primary areas of theoretical and research interest are covered in this paper: (1) the theoretical underpinnings of lifestyle theory; (2) the individual components (conditions, choice, cognition) of a gambling lifestyle; and (3) the developmental progression of a gambling lifestyle.The author would like to thank Henry Lesieur and anonymous reviewers of earlier versions of this paper for their helpful comments. The assertions and opinions contained herein are the private views of the author and should not be construed as official or as reflecting the views of the Federal Bureau of Prisons or United States Department of Justice.     

Correlates of college student gambling in the United States

The authors report findings from the first national survey of gambling among college students. They collected information from 10,765 students attending 119 scientifically selected colleges included in the 2001 Harvard School of Public Health College Alcohol Study (CAS), which indicated that 42% of responding students gambled in the last school year and 2.6% gambled weekly or more frequently. These findings contradict the widely held opinion based on previous studies that gambling is prevalent among college students. Previous studies used convenience samples that might have overestimated the risk for gambling problems. Male students and students of legal age (> or = 21 y) were more likely than others to gamble. Availability of gambling, measured by the number of types of gambling venues located in the schools' states, influenced their decisions to gamble. The concordance of characteristics associated with both gambling and binge drinking suggested a disposition to take risks that is independent of the risk objects.     

Forms of gambling,gambling involvement and problem gambling: evidence from a Swedish population survey

The purpose of this study was to explore the association between problem gambling (PG) and participation in different forms of gambling in order to elucidate relationships between PG, gambling involvement and gambling intensity. Using data from the first wave of the Swedish Longitudinal Gambling Study (Swelogs) (n = 4,991), the study tested four hypotheses, namely that (1) some forms of gambling are more closely associated with PG than other forms; (2) high gambling involvement is associated with PG; (3) gambling involvement is positively associated with the intensity of gambling; and (4) the relationship between gambling involvement and PG is influenced by the specific forms of gambling in which individuals participate. All four hypotheses were supported. More specifically, the study found that while many PGs regularly participate in multiple forms of gambling, half of PGs participate regularly in only one or two forms of gambling. The study concluded that some forms of gambling are more closely associated with problem gambling than other forms, and that gambling policy and regulation, as well as the development of responsible gambling initiatives, should focus on these forms.     

Stigma and problem gambling: current knowledge and future research directions

Stigma has been identified as a major barrier to help-seeking, treatment and recovery from gambling problems. However, little research has attempted to examine in any depth the causes, characteristics and consequences of stigma in relation to people experiencing gambling problems. The effects of stigma on people experiencing gambling problems, although not directly examined, are apparent through low rates of problem disclosure and treatment-seeking. In this paper, we aim to inform research into stigma associated with problem gambling by highlighting gaps in existing research and by providing direction for future research. The contribution of this paper is that for the first time stigma and problem gambling are drawn together and reviewed using broad constructs and literature from a range of seminal and new sources to present a synthesis of new and important information on stigma. In regard to problem gambling, the dimensions of stigma, except for origin, have yet to be investigated, as well as the processes of stigma creation, the characteristics of public and felt stigma, and coping strategies used to manage stigma. The practical implications of this review are summarized in a framework provided to inform future research into stigma related to problem gambling.