Feasibility of Brief Screening for At-Risk Gambling in Consumer Credit Counseling

Sacco, Paul; Frey, Jodi Jacobson; Callahan, Christine; Imboden, Rachel; Hyde, Devon

doi:10.1007/s10899-019-09836-1

Cited by 13 publications

(13 citation statements)

References 39 publications

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“…Likewise, for enforcement authorities and for other organizations involved in prevention, assessment or interventions targeting financial debts, the risk of an ongoing problematic gambling pattern likely needs assessment. In line with previous research suggesting problem gambling screening by consumer credit counsellors or by financial institutes (50,51), the present study points to the need to identify problematic gambling patterns also in such settings outside of traditional treatment or counseling settings.…”

Section: High Level Of Over-indebtedness In Online Gamblerssupporting

confidence: 86%

Over-Indebtedness and Problem Gambling in a General Population Sample of Online Gamblers

2020

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Background: Online gambling has increased in recent years, including online casino games and live sports betting which constitute rapid gambling activities with significant potential for gambling-related harm. There is a paucity of research examining whether specific gambling patterns are related to problem gambling and over-indebtedness, when controlling for psychological distress, gender, and other risk factors.Methods: A general population-based web panel of 1,004 online gamblers were examined in an online survey addressing problem gambling symptoms (the PGSI), psychological distress (Kessler-6), past 30-day gambling activities, past 30-day gambling losses, history of subjective over-indebtedness and expected overindebtedness in the near future, as well as socio-demographic data.Results: In logistic regression analyses, problem gambling was associated with psychological distress, recent online casino gambling, and recent combined online casino gambling and live sports betting. History of over-indebtedness was associated with recent combined online casino gambling and live sports betting, and expected overindebtedness was associated with online casino gambling. Problem gambling, and a history of having borrowed money for gambling, were markedly higher in online casino gamblers, compared to subjects not reporting this gambling activity. Problem gambling was markedly more common in women, but was not associated with gender in the adjusted analysis. Conclusions:In online gamblers, high rates of problem gambling and over-indebtedness were seen, and online casino gambling (alone or in combination with live sports betting), was associated with remarkably increased risk. Gender distribution of problem gamblers was clearly in contrast to that found in previous problem gambling literature. These findingsa suggest regulations in the market of online casino gambling, and prevention of over-indebtedness in gambling-related borrowing, in consumer credit counselling and in mental health care. In particular, female gender may need to be addressed as a stronger risk factor than previously described.

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Section: High Level Of Over-indebtedness In Online Gamblerssupporting

confidence: 86%

Over-Indebtedness and Problem Gambling in a General Population Sample of Online Gamblers

2020

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“…50 Recent data have focused on the potential for the reduction of gamblingrelated harm if gamblers adopt a range of safe gambling practices, such as a budget and a preset limit of how much one can afford to lose, not borrowing money in order to gamble, not using gambling as a part of emotional control, and alternative activities. 51 Consumer credit applications have been suggested as a window of opportunity to screen for problematic gambling, 52 and may be more common in problematic gambling than in non-problematic gambling. 53 "Chasing losses" behavior, i.e.…”

Section: Discussionmentioning

confidence: 99%

<p>Gender Differences in Problem Gamblers in an Online Gambling Setting</p>

Håkansson¹,

Widinghoff²

2020

PRBM

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Background: Problem gambling traditionally is markedly more common in men than in women. However, recent data in online gamblers have indicated at least a comparable risk of problem gambling in women in this subgroup. The present study aimed to compare the characteristics of male and female moderate-risk and problem gamblers in online gamblers in Sweden. Methods: In a web survey addressing online gamblers (past-year online gambling on 10 or more occasions), women and men with moderate-risk or problem gambling (n=327) were compared with respect to gambling severity, financial consequences, comorbidity, sociodemographic characteristics, and fulfilled screening items. Results: Female gender was associated with psychological distress, over-indebtedness, higher problem gambling severity and with screening items indicating financial consequences and guilt, with no gender difference for the self-reported need to seek treatment for substance use problems. In the subgroup of problem gamblers, female gender remained associated with psychological distress. Conclusion: In a setting displaying high rates of online gambling and novel findings of a higher risk of problem gambling in women than previously seen, psychological distress appears to separate female and male problem gamblers. Given the higher level of severity and financial consequence, these findings call for screening and early intervention in female at-risk gamblers.

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“…Also, among suicide victims whose suicides were judged to be committed in the context of a gambling disorder, gambling-related debt was common in a Hong Kong post-mortem study (34). Thus, beyond the context of health care professionals such as in mental health services, screening for problem gambling in consumer credit applicants has been suggested, in order to target a risk population in close association of a potentially gambling-related harm (35).…”

Section: Discussionmentioning

confidence: 99%

Suicide Attempt in Patients With Gambling Disorder—Associations With Comorbidity Including Substance Use Disorders

Håkansson

Karlsson

2020

Front. Psychiatry

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Background: Gambling disorder is known to be associated with increased risk of suicidal behavior. However, relatively little is known about how the risk of suicide attempts in gambling disorder is influenced by comorbid alcohol or drug use disorders, as well as other psychiatric conditions. Methods: The present study is a nationwide, diagnostic register study assessing the risk of suicide attempts (including fatal ones) in gambling disorder in Sweden in 2005–2016. Results: In a total of 2,099 individuals (23 percent women) with gambling disorder, 417 individuals had a suicide attempt (including 10 fatal cases of suicide) during the study period. Suicidal behavior was more common in patients with substance use disorders at any time during the study period (50 percent if both alcohol and drug use disorders were present, and 10 percent if none of these were present). In logistic regression, suicidal behavior was significantly associated with female gender (OR 2.13 [1.63–2.78]), mood disorders (OR 2.65 [2.00–3.50]), anxiety disorders (OR 1.78 [1.34–2.35]), and with alcohol (OR 1.95 [1.51–2.51]) or drug use disorders (OR 3.60 [2.76–4.69]), respectively. Conclusions: Suicidal behavior in clinical gambling disorder patients is common, but markedly more common in the presence of substance use and other comorbid disorders.

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Feasibility of Brief Screening for At-Risk Gambling in Consumer Credit Counseling

Cited by 13 publications

References 39 publications

Over-Indebtedness and Problem Gambling in a General Population Sample of Online Gamblers

Over-Indebtedness and Problem Gambling in a General Population Sample of Online Gamblers

<p>Gender Differences in Problem Gamblers in an Online Gambling Setting</p>

Suicide Attempt in Patients With Gambling Disorder—Associations With Comorbidity Including Substance Use Disorders

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