“…Affective disorders often comorbid with PG (Coman, Burrows, & Evans, 1997;El-Guebaly et al, 2006); however, the direction of effects is often unclear, especially among the Chinese as limited research has been conducted in this sample. In Western samples, problem gamblers have consistently reported higher rates of affective disorders, particularly for depression (Becona, Lorenzo, & Fuentes, 1996;Blaszczynski & McConaghy, 1989;Moodie & Finnigan, 2006a). Similarly, research has postulated the contribution of anxiety and stress in the impairment of decision-making (Miu, Heilman, & Houser, 2008), and the development, maintenance, and relapse of problem gambling (Blaszczynski, McConaghy, & Frankova, 1991;Raylu & Oei, 2004b).…”