Why Don't Adolescent Problem Gamblers Seek Treatment?

Author(s):  
Mark Griffiths

Surveys have consistently shown that the prevalence rates for problematic gambling are higher in adolescents than for adults. Given this finding, why is it that so few adolescents, compared to adults, enrol in treatment programs? This paper outlines ten speculative reasons why this situation exists.

2001 ◽  
Vol 7 (2) ◽  
pp. 32 ◽  
Author(s):  
Beth R. Crisp ◽  
Shane A. Thomas ◽  
Alun C. Jackson ◽  
Neil Thomason

The paper considers the influence of client characteristics and gambling behaviour as well as treatment modality on the resolution of gambling behaviour for 591 clients who sought help from the publicly-funded BreakEven counselling services in the state of Victoria between 1 July 1996 and 30 June 1997. Statistical data about clients and their consultations was collected in the form of a Minimum Data Set. On their own, client demographics accounting for 12% of the variance were identified as discriminating between problem gamblers who achieved some resolution of their gambling behaviour and those whose behaviour did not change. Variables associated with gambling behaviour accounted for 10% of variance and treatment variables for 12% of variance in treatment outcomes. Collectively, the three types of data could explain 26% of the variance in problem resolution. Importantly, these findings demonstrate that the resolution of problematic gambling behaviour is affected by a complex interplay of client characteristics, their gambling behaviour and the treatment they receive. It is argued that the evaluation of treatment programs for problem gambling, and potentially all counselling programs in the primary health arena, needs to include measures from each of these domains.


2021 ◽  
Author(s):  
Yayoi Shigemune ◽  
Akira Midorikawa

Abstract Gambling disorder and problem gambling are characterized by persistent and repetitive problematic gambling behavior. Attentional bias toward gambling-related stimuli such as casino chips, dice, roulette, etc. have been observed in problem gamblers (PGs), but it remains unclear whether stimuli in gambling tasks elicit greater attention and pupillary responses in PGs. To address this issue, we administrated PGs and non-problem gamblers (NPGs) a gambling task accompanied by eye-tracking measurements, in which the participants were required to choose one of the paired pictures to receive monetary rewards and avoid punishments. Concerning attentional allocation, PG showed a greater attentional preference for the right-hand pictures in the decision and feedback phases, and compared to NPGs, PGs’ attention was narrower and more focused on the left-hand pictures in the decision phase. Concerning pupillary dynamics indicative of noradrenergic locus coeruleus activity, pupillary dilation in response to rewards and punishments was observed only in PGs. Studies of unilateral spatial neglect have proposed that asymmetric attention is induced by hemispheric imbalance. Accordingly, asymmetrical allocation of attention by PGs may reflect hemispheric imbalance, and pupillary dynamics may reflect sensitivity to wins and losses.


Author(s):  
Frédéric Ouellet ◽  
Balthazar Queloz

Several studies have demonstrated the intermittent nature of problematic gambling behaviours. Despite the upsurge in research in this area, few studies have examined the dynamics of gambling behaviour or the factors influencing gambling trajectories. Using a retrospective self-report gambler survey inspired by the life history calendar method, the current study sheds light on the intermittency of gambling and the static and dynamic factors that may modulate gambling trajectories. Attention was paid to deviant life circumstances, especially criminal offending, and their effects on gambling parameters. The multilevel analyses results, conducted with data gathered from a sample of a hundred problem gamblers, revealed the impact of life circumstances on these trajectories. On the one hand, sources of social control—hours worked, participation in therapy—have the effect of alleviating gambling problems. On the other hand, deviant life circumstances—commission of lucrative crimes, consumption of psychoactive substances, paying off gambling debt—exacerbated gambling.  The dynamic factors that predict changes in gambling behavior and identified in this research support the development of intervention policies based around them.RésuméPlusieurs études ont démontré la nature intermittente des comportements de jeu problématique. Malgré la recrudescence de la recherche dans ce domaine, peu d’études ont examiné la dynamique du comportement de jeu ou les facteurs influençant les trajectoires de jeu. À l’aide d’une enquête rétrospective sur les joueurs compulsifs autodéclarés, inspirée de la méthode du calendrier sur  l’historique de vie, cette étude met en lumière l’intermittence du jeu et les facteurs statiques et dynamiques qui peuvent moduler les trajectoires de jeu. L’attention a été portée sur les conditions de vie déviantes, en particulier les infractions criminelles et leurs effets sur les paramètres de jeu. Les résultats des analyses à plusieurs niveaux, réalisés à partir de données recueillies auprès d’un échantillon de cent joueurs compulsifs, ont révélé l’impact des circonstances de la vie sur ces trajectoires. D’une part, les structures de contrôle social, p. ex., les heures travaillées, la participation à une thérapie, ont pour effet d’atténuer les problèmes de jeu. D’autre part, les circonstances de vie déviantes, comme la perpétration de crimes lucratifs, la consommation de substances psychoactives, le remboursement des dettes de jeu, aggravent le jeu. Les facteurs dynamiques qui prédisent les changements dans le comportement de jeu et qui ont été répertoriés dans cette recherche appuient l’élaboration de politiques d’intervention fondées sur ces facteurs.


2010 ◽  
Vol 15 (2) ◽  
pp. 169
Author(s):  
Natalia Antolak-Saper

The voluntary self exclusion program has been designed as one attempt to minimise the harm caused by problem gambling and electronic gaming machines. However, the program’s role as a genuine regulatory response is questionable. Few reporting requirements for gaming corporations and a reliance on an unsophisticated method of detecting self-excluded problem gamblers significantly undermine the purpose of the program. This paper considers the liability of gaming venues and corporations in circumstances where a self-excluded problem gambler has not been successfully excluded from the gaming venue. It is suggested that, in entering into the program, a problem gambler may be under a reasonable expectation that the gaming venue will assist in his or her endeavour to control the problematic gambling. Drawing primarily on the laws of Victoria, this article will discuss how the voluntary self-exclusion program is in need of reform so that it can better act as a harm minimisation mechanism. Further, the article will explore possible legal redress in contract, equity and under the Trade Practices Act 1974 (Cth), for problem gamblers who have participated in an ineffective voluntary self-exclusion program.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Sophia Achab ◽  
Anne Chatton ◽  
Riaz Khan ◽  
Gabriel Thorens ◽  
Louise Penzenstadler ◽  
...  

Pathological gambling (PG) is an addictive disorder with harm related to the high psychiatric comorbidity and increased suicidal risk. Prevalence rates in general population range from 0.2% to 2.1%. Problem gamblers are hard to attract to treatment programs for several proper reasons and for obstacles (e.g., accessibility). To address these obstacles, primary care (where the problem gambling (PrG) prevalence seems to be 6.2%) has a crucial role to play (i.e., identifying and referring patients to specialized treatment programs and treating at first line when needed and possible) in the era of online gambling offer expansion. The present work aimed to collect data on resources in the field from GPs themselves, using a 24-item online questionnaire. Swiss French-speaking participants were asked about their screening practice and knowledge. The results state that the vast majority of them are aware of the existence and the potential impact of PrG on their patients. However, PrG screening is not systematic and their knowledge of adequate treatments or referral methods is scarce. GPs being central to health screening in general, targeted advice and training on short screening tools and better knowledge of referral pathways should be promoted and continued to empower the GP’s management skills in a public health approach.


1970 ◽  
Vol 28 (5) ◽  
Author(s):  
Amare Deribew ◽  
Kebede Deribe ◽  
Tariku Dejene ◽  
Gizachew Assefa Tessema ◽  
Yohannes Adama Melaku ◽  
...  

BACKGROUND: The burden of Tuberculosis (TB) has not been comprehensively evaluated over the last 25 years in Ethiopia. In this study, we used the 2016 Global Burden of Diseases, Injuries and Risk Factors (GBD) data to analyze the incidence, prevalence and mortality rates of tuberculosis (TB) in Ethiopia over the last 26 years.METHODS: The GBD 2016 is a mathematical modeling using different data source for Ethiopia such as verbal autopsy (VA), prevalence surveys and annual case notifications. Age and sex specific causes of death for TB were estimated using the Cause of Death Ensemble Modeling (CODEm). We used the available data such as annual notifications and prevalence surveys as an input to estimate incidence and prevalence rates respectively using DisMod-MR 2.1, a Bayesian meta-regression tool.RESULTS: In 2016, we estimated 219,186 (95%UI: 182,977-265,292) new, 151,602 (95% UI: 126,054-180,976) prevalent TB cases and 48,910(95% UI:40,310-58,195) TB deaths. The age-standardized TB incidence rate decreased from 201.6/100,000 to 88.5/100,000 (with a total decline of 56%) between 1990 to 2016. Similarly, the age-standardized TB mortality rate declined from 393.8/100,000 to 100/100,000 between 1990 and 2016(with a total decline of 75%).CONCLUSIONS: Ethiopia has achieved the 50% reduction of most of the Millennium Development Goals (MDGs) targets related to TB. However, the decline of TB incidence and prevalence rates has been comparatively slow. The country should strengthen the TB case detection and treatment programs at community level to achieve its targets during the Sustainable Development Program (SDGs)-era.


2017 ◽  
Vol 41 (3) ◽  
pp. 256-272 ◽  
Author(s):  
Hibai Lopez-Gonzalez ◽  
Ana Estévez ◽  
Mark D. Griffiths

In this article, online sports betting is explored with the objective of critically examining the potential impact on problem gambling of the emerging product features and advertising techniques used to market it. First, the extent of the issue is assessed by reviewing the sports betting prevalence rates and its association with gambling disorders, acknowledging the methodological difficulties of an unambiguous identification of what exactly constitutes sports-related gambling today. Second, the main changes in the marketization of online betting products are outlined, with specific focus on the new situational and structural characteristics that such products present along with the convergence of online betting with other adjacent products. Third, some of the most prevalent advertising master narratives employed by the betting industry are introduced, and the implications for problem gamblers and minors are discussed.


Author(s):  
Nassim Tabri ◽  
Michael J A Wohl ◽  
Richard T Wood ◽  
Kahlil Philander

We examined associations between financially focused self-concept and known etiological and maintenance factors of problematic gambling in a sample of community-based gamblers (N = 412). Although most participants (95.6%) did not report gambling problems, those high in financial focus were more likely to be impulsive, to be dissatisfied with their financial situation, to believe that they have a poor ability to cope with adversity in their life, and to have erroneous beliefs about gambling. The magnitude of these associations was moderate. The etiological risk and maintenance factors explained unique variance in financially focused self-concept. Thus, the results provide novel insight into the characteristics of financially focused gamblers.RésuméNous avons examiné les associations entre le concept de soi d’un point de vue financier et les facteurs étiologiques et de maintien connus du jeu problématique dans un échantillon de joueurs communautaires (N = 412). Bien que la plupart des participants (95,6%) n’aient pas déclaré avoir de problèmes de jeu, ceux qui accordaient beaucoup d’importance à l’aspect financier étaient plus susceptibles d’être impulsifs, insatisfaits de leur situation financière, croyaient avoir une faible capacité à affronter l’adversité dans leur vie et avaient des croyances erronées sur les jeux d’argent. L’importance de ces associations était modérée. Les facteurs étiologiques de risque et de maintien ont expliqué la seule variance du concept de soi d’un point de vue financier. Ainsi, les résultats fournissent un nouvel aperçu des caractéristiques des joueurs ayant une image axée sur les finances.


2011 ◽  
pp. 4 ◽  
Author(s):  
John A. Cunningham ◽  
David C. Hodgins ◽  
Tony Toneatto

This pilot study reports on the initial usage of an online personalized feedback screener for problem gamblers. The Check Your Gambling screener (CYG; www.CheckYourGambling.net) is an online version of a paper and pencil screener that had shown some promise in an initial evaluation to promote short-term reductions in gambling behaviour. The online CYG screener was linked to two existing Web pages for gambling in Ontario, Canada-the Ontario Problem Gambling Helpline (OPGH) Web page and ProblemGambling.ca. While more participants used the ProblemGambling.ca (n = 730) version than the OPGH version (n = 591), the OPGH version appeared to be more targeted, as almost all of the participants using this Web site were Canadian (and the personalized feedback of the current version of the CYG is generated using Canadian norms). More work is needed to establish whether the online CYG screener can motivate reductions in gambling among participants or motivate treatment-seeking in those requiring assistance in addressing problematic gambling behviour.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Luca Bastiani ◽  
Maurizio Fea ◽  
Roberta Potente ◽  
Claudia Luppi ◽  
Fabio Lucchini ◽  
...  

Gambling has seen a significant increase in Italy in the last 10 years and has rapidly become a public health issue, and for these reasons the first National Helpline for Problem Gambling (GR-Helpline) has been established. The aims of this study are to describe the GR-Helpline users’ characteristics and to compare the prevalence rates of the users with those of moderate-risk/problematic gamblers obtained from the national survey (IPSAD 2010-2011). Statistical analysis was performed on data obtained from the counselling sessions (phone/e-mail/chat) carried out on 5,805 users (57.5% gamblers; 42.5% families/friends). This confirms that the problems related to gambling concern not only the gamblers but also their families and friends. Significant differences were found between gamblers and families/friends involving gender (74% of gamblers were male; 76.9% of families/friends were female), as well as age-classes and geographical area. Female gamblers had a higher mean age (47.3 versus 40.2 years) and preferred nonstrategy-based games. Prevalence rates of GR-Helpline users and of moderate risk/problematic gamblers were correlated (Rho = 0.58;p=0.0113). The results highlight the fact that remote access to counselling can be an effective means of promoting treatment for problem gamblers who do not otherwise appeal directly for services.


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