The Involvement of a Concerned Significant Other in Gambling Disorder Treatment Outcome

Interpersonal distress is a common feature in gambling disorder and adding a concerned significant other (CSO) to the recovery process could be an effective tool for improving treatment outcome. However, little empirical evidence is available regarding the effectiveness of including a CSO to interventions. We aimed to compare treatment outcomes (i.e. compliance with therapy guidelines, dropout from treatment, and relapse during treatment) in a CBT program involving a CSO to CBT treatment as usual (TAU) without a CSO. The sample comprised male gambling disorder patients (N = 675). The manualized CBT intervention consisted of 16 weekly outpatient group sessions and a 3-month follow-up period. Patient CSOs attended a predetermined number of sessions with the patient and were provided with resources to acquire a better understanding of the disorder, to manage risk situations, and to aid patients in adhering to treatment guidelines. Patients with a CSO had significant higher treatment attendance and reduced dropout compared to patients receiving TAU. Moreover, patients whose spouse was involved in the treatment program were less likely to relapse and adhered to the treatment guidelines more than those with a non-spousal CSO. Our results suggest that incorporating interpersonal support to gambling disorder interventions could potentially improve treatment outcomes.     

Transition from playing with simulated gambling games to gambling with real money: a longitudinal study in adolescence

Digital technology advances have supported an expansion of gambling activities, which is notable via the advent of simulated gambling games. Simulated gambling reproduces ‘real’ gambling activities, which enables the users to gamble without investing money. According to research evidence, a certain number of adolescents are playing with these games, but until now little has been known about how they could facilitate the migration to gambling with real money. Using a longitudinal design with a one-year interval period, the goal of this study was to assess the potential transition between playing with simulated gambling and the initiation to gambling with real money. The final sample was constituted of 1220 adolescents (age range = 14 to 18 y.o.) who had never played with real money at the first measurement time. At the second measurement time, 28.8% of the participants had gambled for the first time with real money. Logistic regressions revealed that the predictive association between simulated gambling and gambling with real money only holds for adolescents who transitioned from simulated poker to poker with real money. These findings highlight the need for regulation and monitoring on Internet gambling poker sites, as well as further research to assess the mechanisms at work.     

The Road to Gang Membership: Characteristics of Male Gang and Nongang Members from Ages 10 to 14

This study examined the stability of belonging to a gang in early adolescence, the behaviour profiles, family characteristics, and friendships of nongang and gang members. The subjects in the present study were originally part of a larger sample of boys. One hundred and forty‐two boys who had a complete data set at ages 11, 12, 13, and 14 were selected for the present study. Loglinear analyses indicated that gang membership was stable from ages 13 to 14, but not at earlier ages. Boys were divided into three groups: stable gang members (children who belonged to a gang at ages 13 and 14); unstable gang members (children who belonged to a gang at either age 13 or 14) and nongang members. Repeated analyses of variance indicated that stable gang members had significantly higher scores than nongang members on teacher ratings of fighting behaviour, hyperactivity, inattention and oppositional behaviour, and self‐reported delinquent activities (drug and alcohol use, stealing and vandalism). Peers rated gang members as more aggressive than nongang members. The results are discussed from a developmental perspective.     

Welfare Reform's Impact on Homelessness

As the most dramatic shift in welfare policy occurs since its inception in 1935, it is imperative to examine potential impacts on homelessness. This paper describes changes in homelessness and welfare policy, assesses potential effects of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, and addresses public policy issues stemming from these changes. Of utmost concern are the continuing growth in female-headed families among the ranks of the homeless and a decline in affordable housing units. Welfare reform has already reduced the numbers of persons on welfare rolls, but it remains unclear as to whether the situation of low-income and homeless female-headed families will become better or worse.     

When Predictions Fail: The Case of Unexpected Pathways Toward High School Dropout

This study examines childhood variables that tend to deflect life-course trajectories away from finishing high school. We examined unexpectedly graduating in the presence of three empirical risk factors (having a mother that did not finish high school, being from a single-parent family in early childhood, and having repeated a grade in primary school) and unexpectedly not graduating in the absence these same factors (low risk). The comparison groups comprised individuals who expectedly did not graduate (first case) and expectedly graduated (second case). We found that having experienced all three factors practically guaranteed not finishing high school, thus defining a crystal clear target group for policy. Without screening, intervention, and follow-up, individuals facing such cumulative risk are most unlikely to graduate. We also found a group of males and females that did not finish high school despite not having these three risk factors. These missed estimates become nontrivial once they are translated into a population-level statistic of lost human capital investments. Specific family and individual factors helped explain the unexpected life course toward not finishing high school, especially for low-risk males and females. Our results suggest policies that support childhood screening for attention-related difficulties and helping parents better understand supervision during adolescence .     

Gambling, Delinquency, and Drug Use During Adolescence: Mutual Influences and Common Risk Factors

The purpose of this study was threefold: (1) to assess the possible mutual influence between gambling, substance use, and delinquency over a two-year period during mid adolescence, (2) to test whether variables that are usually predictive of delinquency and substance use also predict gambling, and (3) to test whether the links between the three problem behaviors could be, at least partially, accounted for by common antecedent factors (impulsivity, parental supervision, and deviant friends) assessed during early adolescence. Seven hundred and seventeen boys participated in the study. Impulsivity, parental supervision, and friends' deviancy were collected when participants were 13 and 14 years of age. Gambling, substance use, and delinquency were collected through self-reports at ages 16 and 17 years. Results showed no influence or modest influence of problem behaviors on each other from age 16 to age 17 years, once current links and auto-correlations were accounted for. Conversely, the cross-sectional links between the three problem behaviors at each age were moderately high. Impulsivity, low parental supervision, and deviant friends were predictively related to each problem. Finally, a significant, although modest, portion of the covariance between the three problem behaviors was accounted for by these three predictors. The present findings contradict previous findings about the influence of gambling on other problem behaviors and support the notion of a general problem behavior syndrome fed by generic risk factors.     

Parent and Peer Effects on Delinquency-related Violence and Dating Violence: A Test of Two Mediational Models

Drawing on two complementary process models of violence, i.e., social cognitive theory and rejection sensitivity theory, the goal of the present study was (1) to examine the unique effects of parents and peers on boys’ violent behavior in delinquency‐related contexts and in dating relationships, (2) to assess the mediating processes underlying these links, and (3) to test whether these processes operate in the same way for delinquency‐related violence and dating violence. Based on a sample of 336 boys, results showed that problematic experiences with parents and with peers each predicted subsequent violence, both in delinquency‐related and in dating‐related contexts. However, the contributions of the social cognitive model and the rejection sensitivity model in explaining these links varied somewhat depending on the situational context of the violent behavior. The implications of the similarities and specificities in the risk factors and pathways leading to delinquency‐related violence and dating violence are discussed.